US20030093103A1 - Surgical tool system with components that perform inductive data transfer - Google Patents

Abstract

A surgical tool system with a handpiece that has an internal power generating unit used to actuate an accessory attached to the handpiece. Power to actuate the handpiece comes from a control console. Internal to the accessory there is an identification chip that describes the operating and/or physical characteristics of the accessory. Complementary coils in the handpiece and accessory facilitate the reading by inductive coupling of the data in the accessory. The data in the accessory are inductively read by the control console through the handpiece. Based on the read data, the control console actuates the handpiece in an appropriate manner for the attached accessory. The accessory data and data inductively read from an implant the accessory is used to set are supplied to a surgical navigation unit. The surgical navigation unit, based on these data, tracks and indicates the position of the implant as it fitted in the patient.

Description

RELATIONSHIP TO EARLIER FILED APPLICATION
• This Application claims priority from the Applicant's U.S. Patent Application Ser. No. 60/310,957, SURGICAL TOOL SYSTEM WITH A CUTTING ACCESSORY THAT CONTAINS A MEMORY WITH DATA THAT DESCRIBES THE OPERATING CHARACTERISTICS OF THE CUTTING ACCESSORY, filed Aug. 8, 2001.[0001]
BACKGROUND OF THE INVENTION
• The Applicant's Assignee's U.S. Pat. No. 6,017,354, entitled INTEGRATED SYSTEM FOR POWERED SURGICAL TOOLS, issued Jan. 25, 2000, and incorporated herein by reference, describes a surgical tool system with a handpiece that is removably attached to a control console. Internal to the handpiece is a memory, a NOVRAM. The NOVRAM contains data that describes the operating characteristics of the handpiece. For example, if the handpiece includes a motor, its NOVRAM includes data indicating the maximum speed at which the motor should run and, for given speeds, the maximum torque the motor is allowed to develop. Each time a new handpiece is attached to the control console, the data in the handpiece NOVRAM is read by a complementary processor in the control console. The control console, based on the handpiece NOVRAM data, then supplies the appropriate energizaton signal to the handpiece motor.[0002]
• An advantage of the foregoing system is that it allows a single control console to be used to supply the energizaton signals that are applied to the handpiece that have different power consuming units, such as motors. Thus, a single control console can be used to operate a first handpiece with a motor that rotates at speeds under 3,000 RPM and requires 350 Watts or more of power, a second handpiece that has a motor that operates at speeds over 70,000 RPM and that requires approximately 150 Watts of power and a third handpiece that operates at speeds between 10,000 to 40,000 RPM and that requires only 40 Watts of power.[0003]
• In most surgical systems, the handpiece is not the actual component that is applied to the surgical site in order to accomplish a surgical task. These components are, what are referred to as cutting accessories.[0004]
• Typically, a single handpiece is used to actuate a number of different types of cutting accessories. For example, a handpiece designed to perform some forms of ear, nose and throat surgery is designed to actuate both burrs and cutters. Burrs are cutting accessories designed to selectively shape and remove hard tissue, bone. Cutters are cutting accessories that are employed to selectively shape and remove soft tissue such as sinus membrane tissue.[0005]
• While a single handpiece is designed to actuate different types of cutting accessories, the accessories themselves often have different operating characteristics. For example, some burrs may have a preferred operating speed of 6,000 RPM and may be designed to operate at speeds of up to 10,000 RPM. In contrast, some cutters may have a preferred operating speed of 2,000 RPM and may be designed to operate at a maximum speed of 5,000 RPM. Moreover, some cutting accessories are operated in a different manner than other cutting accessories. For example, a burr is driven, rotated, in a single direction. A cutter is typically oscillated. In other words, when a cutter is actuated, it is typically rotated through an arc of X degrees in a first direction and then rotated in the opposite direction through the same arc. Once this first rotation cycle is complete, the motor driving the cutter repeats this rotational pattern.[0006]
• Often, during the course of a single surgical procedure, the surgeon will want to apply two or more different cutting accessories to the surgical site in order to accomplish the procedure. Typically, the surgeon will use a single handpiece to actuate these different cutting accessories. Each time the surgeon attaches a different type of cutting accessory to the handpiece, it may be necessary for the surgeon or other operating room personnel to reconfigure the surgical system used to drive the cutting accessory to set it for the specific characteristics of that accessory. When surgical personnel have to do this during the course of a surgical procedure, it can increase the overall time it takes for the procedure to be performed. This is contrary to one of the goals of modern surgery which is that it is desirable to perform a surgical procedure as quickly as possible in order to hold the overall time a patient is kept under anesthesia to a minimum.[0007]
• Moreover, having to have an individual in the operating room set the surgical system to the operating characteristics of the cutting accessory that the system is being used to operate introduces the possibility that, due to human error, these characteristics will be improperly entered.[0008]
• There have been some efforts at providing cutting accessories with type-identifying indicators, typically magnets. The handpieces to which these accessories are attached are provided with sensors. These sensors detect the presence/absence of the magnets and generate signals representative of what was sensed back to the control console. The processor in the control console, based on the signals from the handpiece sensors, then configures the system.[0009]
• The above system, while of some utility, only provides a limited amount of data about the cutting accessory attached to the system handpiece. This is because, due to space considerations, only a limited number of indicators can be mounted to a cutting accessory and only a limited number of sensors can be fitted in the head end of the handpiece designed to actuate the accessory. For example, known commercial systems of this design have handpieces with two sensors. Each sensor is designed to detect the presence/absence of a separate cutting accessory-mounted magnet. Thus, these systems simply provide 2 bits of data. Even if it were possible for the number of magnets in the cutting accessories and the number of complementary handpiece sensors to be doubled, the resultant system would only be able to provide 4 bits of accessory specific data.[0010]
• Thus, in the current systems, the indicators mounted to a cutting accessory are only employed to provide data that describes a basic operating characteristic of the accessory or that describes its type. For example, the indicator may be employed to describe basic speed and torque ranges of the cutting accessory or, for example, that the accessory is a burr. Regardless of the specific nature of this data, the control console processor, uses the data to reference complementary control data in a look-up table or other circuitry internal to the control console. The actual regulation of the handpiece is controlled by reference to this previously stored characteristic-data.[0011]
• Thus, in the foregoing cutting accessory recognition system, the actual control of the handpiece is based on operating parameters that have been previously loaded into the control console. If a new accessory is provided that has operating characteristics different than those that have been loaded into the control console, the console will not automatically configure itself to operate the handpiece in accordance with those parameters. In order for this control to be accomplished, the control console has to be loaded with the new operating characteristic data. Moreover, given the limited amount of data that can be read from the indicators of the current systems, these data may be insufficient to provide all the information a control console could use to regulate its operation based on the characteristics of the attached cutting accessory.[0012]
BRIEF DESCRIPTION OF THE DRAWINGS
• FIG. 1 depicts the basic system of this invention;[0013]
• FIG. 2 is a cross-sectional diagram of a cutting accessory seated in the distal end of a handpiece of this invention;[0014]
• FIG. 3 is a block diagram of the circuitry internal to the control console, the handpiece, and the cutting accessory that is used to store and read data from the accessory that describes the characteristics of the cutting accessory;[0015]
• FIG. 4 depicts the contents of the memory internal to the cutting accessory;[0016]
• FIG. 5 is a block diagram of how the control console periodically reads the contents of the memory of the cutting accessory and reconfigures the operation of the system based on the retrieved data;[0017]
• FIG. 6 depicts how the control console periodically determines whether or not a particular cutting accessory attached to the handpiece has been used for a time period equal to the useful lifetime of the handpiece;[0018]
• FIG. 7 is a cross-sectional view of an alternative handpiece and cutting accessory of this invention;[0019]
• FIG. 8 is a cross-sectional view of locking collet of the handpiece of FIG. 7;[0020]
• FIG. 9 is a plan view of the hub of the cutting accessory of FIG. 7;[0021]
• FIG. 10 is a cross-sectional view of the coil seal of the cutting accessory of FIG. 7;[0022]
• FIG. 11 is a perspective view of the coil seal of the cutting accessory of FIG. 7;[0023]
• FIG. 11A is a perspective view of the cutting accessory tag assembly;[0024]
• FIG. 12 is a perspective view of a partially assembled alternative handpiece of this invention in which a cutting accessory hub is shown coupled to the handpiece;[0025]
• FIG. 13 is a front view of the handpiece and cutting accessory hub of FIG. 12;[0026]
• FIG. 14 is a cross sectional view of the handpiece and cutting accessory hub taken along line[0027]14-14 of FIG. 13;
• FIGS. 15A and 15B are, respectively, perspective and cross sectional views of the handpiece coil housing;[0028]
• FIG. 16 is a plan view of one coil assembly of this invention;[0029]
• FIGS.[0030]17 is a plan view of the outer hub of FIG. 12;
• FIG. 18 is a cross sectional view of the outer hub taken along line[0031]18-18 of FIG. 17;
• FIG. 19 is a perspective view of a chip-and-coil subassembly, a tag, of this invention;[0032]
• FIG. 20 is a block diagram view of an alternative version of this invention;[0033]
• FIG. 21 is a block diagram depiction of how this invention may be integrated in a surgical navigation system; and[0034]
• FIG. 22 is a cross sectional view of a cutting accessory of the version of this invention depicted in FIG. 21;[0035]
• FIG. 23 is a flow chart depicting how the control console determines the extent to which a particular cutting accessory is worn;[0036]
• FIG. 24 is a block diagram of the inside of the control console depicting how separate controllers regulate the actuating of handpieces and the reading of data from the NOVRAMs integral with the cutting accessories attached to the handpieces;[0037]
• FIG. 25 is flow chart depicting an alternative process by which data in a cutting accessory NOVRAM are read;[0038]
• FIG. 26 is a flow chart depicting an alternative process by which data in a cutting accessory NOVRAM are read and the control console configured to energize the handpiece to which the cutting accessory is attached;[0039]
• FIG. 27 is a flow chart depicting how the integrated cutting accessory and implant recognition system of this invention can be used to facilitate the performance of image guided surgery;[0040]
• FIG. 28 is a diagrammatic illustration of a case, such as a sterilization case or a trial case, in which components used to facilitate the performance of a surgical procedure are held;[0041]
• FIG. 29 is a flow chart depicting how the integrated cutting accessory and implant recognition system of this invention can be used to facilitate the inventory of components used during the performance of a surgical procedure; and[0042]
• FIG. 30 is a block diagram of how the information generated by the integrated cutting accessory and implant recognition system of this invention are transferred to other components of a medical facility data information network.[0043]
• FIG. 31 is a block diagram of the circuitry internal to a cordless powered surgical tool and a cutting accessory that is used therewith.[0044]
DETAILED DESCRIPTION
• FIG. 1 depicts the[0045]surgical system20 of this invention.System20 includes asurgical handpiece22 that is used to actuate a cuttingaccessory24 that is removably attached to the handpiece. Internal to the handpiece is a motor26 (FIG. 2) that is actuated to drive the cuttingaccessory24. Thehandpiece22 is removably attached to acontrol console28 by aflexible cable30. Thecontrol console28 contains circuitry that is used to supply energization signals to thehandpiece motor26. The regulation of these energization signals is controlled by a microprocessor, controller70 (FIG. 3), internal to thecontrol console28. Internal to thehandpiece22 or thecable30 is aNOVRAM32. (When theNOVRAM32 is in thecable30, the cable is integrally attached to thehandpiece22.) TheNOVRAM32 contains data that describes the operating characteristics of thehandpiece22. These data include: information that identifies the type of handpiece; information that describes the operating characteristics of the handpiece motor; the identification of the type of output signals provided by any sensors internal to the handpiece; and information useful for correcting the signals produced by the handpiece sensors to correct for their individual calibration characteristics. More information on the types of data contained in thehandpiece NOVRAM32 and how this information is used to regulate the operation of thehandpiece22 by thesystem20 is found in U.S. Pat. No. 6,017,354, which is, again, incorporated herein by reference.
• FIG. 1 further includes disposable tubing set[0046]31. The tubing set31 includestubing33 and acartridge35. A portion of thetubing33 extends through and is secured to thecartridge35. The cartridge includes anidentification chip37.
• A first end of the[0047]tubing33 is secured to and receives irrigation fluid, such as saline from anIV bag39. Thecartridge35 is mounted onto thecontrol console28. A positive displacement pump (not shown) of the control console pumps the solution to a second distal end of thetubing33 to irrigate a surgical site. Thetubing33 is adjacent an irrigation/cuttinghandpiece41. Aflexible cable30aconnects thehandpiece41 to thecontrol console28. Thetubing33 is positioned adjacent to the entire length of thecable30a.A cutting saw43 is located at a distal end of thehandpiece41. Other cutting elements can be utilized in place of thesaw43.
• The[0048]cartridge35 can be any structure designed for securement to the control console. In some embodiments, the tubing set31 comprises onlytubing31 and anidentification chip37. In this instance, thetubing33 is secured to thecontrol console28 so that the pump can pump irrigation fluid to the distal end of the tubing.
• In operation, the user of the irrigation/cutting[0049]handpiece41 actuates the cutting saw43. Power is supplied to the cutting saw viacable30a.When the cutting saw43 is actuated,tubing33 provides irrigation fluid to the surgical site.
• When the[0050]cartridge35 is installed onto theconsole28, a coil (not shown) mounted on the console adjacent the cartridge reads data from theidentification chip37. The data provides the diameter, size and any other relevant properties for thetubing33. Thecontrol console28 then controls the positive displacement pump to provide a proper flow rate for the irrigation fluid being applied to the surgical site during cutting. Thus, a user need not manually set specific control values for the pump.
• Since the tubing set[0051]31 is disposable, typically only data is read from theidentification chip37. However, in some embodiments data is sent to thechip37 indicating that the tubing set has been used and must be disposed of.
• In some embodiments, no[0052]cartridge35 is present. Thetubing33 is wrapped or otherwise configured to the pump, which is preferably mounted onto thecontrol console28. In this instance theidentification chip37 is mounted directly to thetubing33, which comprises of itself, the tubing set31. However, theidentification chip37 must be positioned adjacent a detector coil connected to thecontrol console28.
• FIG. 2 illustrates the distal end of the[0053]handpiece22 and the proximal end of the cuttingaccessory24 of this invention. (In this application, “distal” is used to refer to a portion of a component located away from a surgeon/towards a surgical site; “proximal” refers to a portion of a component located towards the surgeon/away from the surgical site.)
• The[0054]handpiece22 has ahousing34.Motor26 is disposed in thehousing34. Themotor26 has a rotated-sleeve shapedshaft36 to which a number ofmagnets38 are attached.Motor26 also includes a set ofwindings40 that are secured to the inner wall ofhousing34 that surroundmagnets38. The distal end ofhousing34 is open and dimensioned to receive the proximal end of cuttingaccessory24.
• The cutting[0055]accessory24 includes anouter hub44 formed of plastic.Outer hub44 is formed withtabs46.Tabs46 seat incomplementary notches48 formed inhandpiece housing34 so as to hold the hub in one place in the housing. A locking mechanism integral with the handpiece, (not illustrated) has members designed to engage theouter hub44 so as to releasably secure the cutting accessory to the handpiece. For example, some handpieces are provided with a set of ball bearings that are releasesably pressed against an opposed outer surface of the outer hub. The Applicant's Assignee's U.S. Pat. No. 6,312,441, POWERED SURGICAL HANDPIECE FOR PERFORMING ENDOSCOPIC PROCEDURES, issued Nov. 6, 2001 and incorporated herein by reference discloses how one such locking assembly works. Alternatively, spring arms may be releaseably held against the outer hub. The Applicant's Assignee's U.S. Pat. No. 5,192,292, SURGICAL APPARATUS FOR ARTHROSCOPIC SURGERY, issued Mar. 9, 1993 and incorporated herein by reference discloses one version of this type of locking assembly. Thus, the actual type of handpiece locking assembly that holds the cutting accessory to the24 to thehandpiece22 and complementary outer hub geometry may vary.
• An[0056]outer tube50 extends distally forward from theouter hub44 away from thehandpiece22. The cuttingaccessory24 also includes aninner tube52 that is disposed inside theouter tube50. The distal head end of theinner tube52, (end not illustrated) is provided with some type of cutting member to selectively shape and/or remove the tissue to which it is applied. Theinner tube52 extends through both theouter tube52 and theouter hub44. The proximal end of the inner tube is attached to aninner hub56, sometimes referred to as a drive coupling, that is located against the proximal facing face of theouter hub44.
• When the cutting[0057]accessory24 is fitted in the handpiece,inner hub56 is located inside a cavity located in the distal end of thehandpiece housing34. The proximal end of theinner tube52 andinner hub56 is seated over the open distal end ofhandpiece shaft36. Complementary teeth on theshaft36 and theinner hub56 releasably hold the inner hub to the shaft so that the inner hub will rotate in unison with the shaft36 (teeth not illustrated).
• An[0058]identification sleeve60 is fitted over theouter hub44.Sleeve60 is formed of plastic and may provide some of the structural strength of theouter hub44. Internal tosleeve60 is a small semiconductor that functions as anidentification chip62. Also disposed insidesleeve44 is acoil64. In the depicted version of the invention,coil64 extends annularly aroundsleeve60. The ends ofcoil64 are, as described below, connected to components internal toidentification chip62.
• The distal end, the head end, of[0059]handpiece housing34 is provided with a separateannular coil66. The opposed ends ofcoil66 are connected by conductors63 (one shown) andcable30 to circuitry internal to thecontrol console28. Collectively, thehandpiece22 and cuttingaccessory24 are shaped so thatcoils64 and66 are in such proximity to each other that they will collectively inductively transfer signals from/to the circuit internal to the control console to/from the circuit internal to theidentification chip62. Typically, thehandpiece housing34 is formed of metal. Accordingly, in the illustrated versions of the invention,coil66 is disposed in aring67 formed from a plastic that can be subjected to medical sterilization wherein the handpiece is autoclaved at 270° F., subjected to saturated water vapor at 30 psi. One suitable plastic from which ring67 may be formed is a polyetherimide and glass filed plastic sold by the General Electric Company under the trademark ULTEM.Ring67 is fitted in a notch, not identified, formed in an interior wall ofhandpiece housing34. The inner surface ofring67 thus defines part of the cavity in which the proximal end of the cuttingaccessory24 is seated. The fitting ofhandpiece coil66 inring67 facilitates the inductive signal transfer between the handpiece coil and thecoil64 integral with the cutting accessory.
• FIG. 3 depicts, in block diagram, electrical components internal to control[0060]console28 ofsystem20 of this invention. Thecontrol console28 includes a controller (CNTRLR)70 that controls the overall operation of thesystem20. Memories, represented by asingle memory69, are also contained in the control console. These memories contain the permanent operating instructions that are executed bycontroller70 to control the system and regulate the actuation of thehandpiece22 and the cuttingaccessory24. The memories also temporarily store the data that is read from thehandpiece NOVRAM32. As part of its control ofsystem20,controller70 generates energization control signals to adriver72. Thedriver72, based in part on the energization control signals, generates energization signals that are applied to thehandpiece motor26.Controller70 is connected to thehandpiece NOVRAM32 to receive from the NOVRAM the data that describes the operating characteristics of the motor. Thecontrol console28 also includes atouch screen display71.Controller70 causes information regarding the state of thesystem20 to be presented on thedisplay71.Controller70 also causes images of buttons to be presented on thedisplay71. Operating room personnel regulate the operation of thesystem20 by selectively depressing these buttons.
• [0061]Control console28 is also connected to a modulator (MOD)74.Modulator74 modulates digital signals output bycontroller70 so they can be inductively transferred to cuttingaccessory identification chip62. In one preferred version of the invention,modulator74 receives a fixed-frequency signal from anoscillator76 internal to thecontrol console28. In one version of the invention, the signal produced by theoscillator76 is at a frequency of 125 Khz. In another preferred version of the invention, the carrier signal produced byoscillator76 is at 13.56 MHz.
• [0062]Modulator74, based on the bit stream produced by thecontroller70, engages in selective amplitude shift keying (ASK) of the carrier signal. In one form of amplitude shift keying, based on the 1's and 0's pattern that forms the bit stream, themodulator74 selectively transmits/stops transmitting the carrier signal so as to produce a set of variable length rectangular pulses. The amplitude shift keyed signal generated bymodulator74 is amplified by anamplifier78 internal to thecontrol console28. The output signal fromamplifier78 is applied to one end ofhandpiece coil66.
• The end of[0063]handpiece coil66 opposite the end to whichamplifier78 is connected is tied to a demodulator (DEMOD)80 internal to the control console.Demodulator80 receives the signal that is coupled tohandpiece coil66, demodulates the signal, and applies the output bit stream tocontroller70. A typical demodulator may include a product detector to which the carrier signal is applied fromoscillator76. The output from the detector, which is a multiplication of the signal from theoscillator76 and thecoil66, is applied to a low-pass filter, also part of thedemodulator80. The output signal from the low pass filter is a bit stream that is applied to thecontroller70.
• In FIG. 3[0064]oscillator76 is also shown as connected tocontroller70. This is because the signal produced by the oscillator is also used to regulate the writing out of the bit stream that is applied to themodulator74 and the reading in of the bit stream generated by thedemodulator80.
• The[0065]identification chip62 includes a small controller and an electronically programmable memory (μC&MEM)84. Controller/memory84 is capable of storing approximately 1 k bits of data. The controller integral with controller/memory84 is capable of controlling the writing of data into its complementary memory section and the writing out of the contents of the memory. There is also a modulator/demodulator (MOD DEM)86 fabricated integrally intochip62. Modulator/demodulator86 contains the components necessary to demodulate the ASK signal coupled tocoil64 and apply the resultant bit stream to controller/memory84. Modulator/demodulator86 also accepts the bit stream output from the controller/memory84 and produces an ASK modulated signal based on this bit stream. A clock88 fabricated intochip62 produces a clock signal that the modulator/demodulator86 uses as a basis for producing a carrier signal produced an ASK modulated signal.
• A[0066]capacitor83 is also fabricated integrally withchip62. More particularly,chip62 is designed so thatcoil64 is connected across the opposed ends ofcapacitor83. When a signal is applied to chip62 throughcoil64, the energy in the high portion of the signal is stored incapacitor83. This energy is applied directly to apower regulator89 to function as an energization signal. Thepower regulator89 supplies this energization signal to the other sub-circuits internal to thechip62. (Connections betweenpower regulator89 and other components ofchip62 not shown.)
• In FIG. 3,[0067]coil64 is shown as being integrally part ofchip62. This is one option for the invention. However, as discussed above, it is anticipated that in many versions of the invention,chip62 andcoil64 will be separate components.
• FIG. 4 illustrates some of the different types of data stored in the tag controller/[0068]memory84. These data include a serial number specific to the cuttingaccessory24 with which tag62 is integral,field90. This number may also include a special authorization code, the purpose of which is described hereinafter. There is also a field with data that indicates cutting accessory's24 type,field92. For example, the data infield92 may indicate that the cutting accessory is a burr that has a head with a particular diameter.Field94 within controller/memory84 contains data indicating a preferred speed at which the cutting accessory should be operated. Data indicating the maximum speed at which the cutting accessory should operate is contained infield96. The maximum operating torque the cutting accessory should develop is indicated by data infield98.
• [0069]Field102 contains data that indicates the preferred mode of operation of the cutting accessory. For example, if the cuttingaccessory24 is a cutter, the most common mode of its operation is oscillatory. Alternatively, if the cuttingaccessory24 is a burr, the preferred mode of operation is unidirectional. Stopping torque data is contained within afield104. The stopping torque data is data used to regulate the deceleration of thehandpiece motor26.
• Controller/[0070]memory84 also contains data fields that are written to by thecontrol console controller70. One of these data fields is a date/time usedfield106.Field106 is used to store data indicating if and when the cuttingaccessory24 was previously used. Specifically, during loading of basic information into the controller/memory84,field106 is loaded with flag data indicating that it has not been previously used. As described below, once the cuttingaccessory24 is used, thecontroller70 writes intofield106 an indication of when the use occurs.
• A set of data indicating for how long the cutting accessory can be used is loaded into a MAX USE[0071]TIME data field108 in controller/memory84. This particular data represents how long a surgeon can expect to use the cuttingaccessory24 before the cutting surfaces become worn to the level at which they may not efficiently cut tissue. The length of time contained infield108 may be based on empirical studies indicating how long an accessory can be used before its cutting surfaces become excessively worn. The MAXUSE TIME field108 is loaded with data specifying this time period when the other permanent accessory-describing data are loaded into controller/memory84. The controller/memory84 also includes a TIME USEDfield110. Data representative of the amount of time the cutting accessory has been used is stored in TIME USEDfield110 bycontrol console controller70. AWEAR PROFILE field112 contains data indicating the extent to which the cutting accessory has been worn during its use.
• The[0072]system20 of this invention is initially configured for operation by connecting thehandpiece22 to thecontrol console28.Controller70 reads the data in thehandpiece NOVRAM32, stores these data inmemory69 and initially configures thesystem20 to operate based on the data contained in the NOVRAM.Handpiece NOVRAM32 also contains a data field, (not illustrated), that indicates whether or not the cutting accessories attached to thehandpiece22 may contain anidentification chip62. If this data indicates no such chip may be present,system20 controls the actuation of thehandpiece22 based on the configuration data contained inNOVRAM32.
• If, however,[0073]NOVRAM32 indicates that the cutting accessory may contain achip62,controller70 executes a read request,step120 in FIG. 5, in which it reads the data in the chip controller/memory84. Instep120,controller70 generates a read request tochip62. This request is converted into an ASK signal bymodulator74 and applied to the chip throughcoils64 and66. If achip62 is attached to cuttingaccessory24, the chip, in response to the read request, writes out the stored data in its controller/memory84 throughcoils64 and69 anddemodulator80 tocontroller70.Controller70 stores this data in appropriate fields withincontrol console memory69.
• If the cutting[0074]accessory24 does not include achip62,controller70 does not receive any data in response to its read request. If this event occurs,controller70 regulates the operation of the handpiece based on the data contained inNOVRAM32, step not shown.
• If cutting[0075]accessory chip62 writes data to controlconsole controller70, the first thing the controller does is compare the serial number stored inchip62 to the serial number stored from the last cutting accessory attached to the handpiece,step122. If this is the first cutting accessory attached to thehandpiece22, the serial number thecontroller70 has stored will be a set of flag data indicating that, previously, there was no attached cutting accessory with chip.
• Once it has been determined that a new cutting accessory has been attached to the[0076]handpiece22,step122 may also include the sub-step of, determining based on the identification number, if the appropriate authorization code is present. If this code is not present thecontrol console70 may prevent further operation of the system with the attached cuttingaccessory24 and/or generate a message ondisplay71 indicating that an unauthorized accessory is attached. (The sub-steps of this code determination and the steps executed when the code is not present are not illustrated.)
• If the comparison of[0077]step122 indicates that this is the first cutting accessory attached to the handpiece or, as discussed below, there has been a change in the cutting accessory attached to the handpiece,controller70 reads and reviews the data read from the tag data/time usedfield106. Specifically, instep123, this data is reviewed to determine whether or not the cutting accessory was previously used and, if so, did the use occur at a date and time significantly before the current data and time. The data inchip62 may indicate that there was no previous use of the cutting accessory. Alternatively, if the data indicates that the use of the cutting accessory was relatively recent, within, for example, 24 hours,controller70 interprets this data as indicating that the use was in association with the current surgical procedure.Controller70 interprets either of these two states as being ones in which use of the cutting accessory can continue normally.
• However, in[0078]step123,controller70, based on the data read fromfield108, may determine that the cuttingaccessory26 was previously used at a time other than during the current surgical procedure. If this determination is made,controller70 generates a warning message indicating this information on the consoletouch screen display71,step124. This provides the surgeon with an indication that the cutting accessory was used. Instep124, the controller presents a button ondisplay71 the surgeon must depress to acknowledge the used state of the cutting accessory before it allows the surgeon to actuate thehandpiece22.
• Once it is determined that the cutting[0079]accessory24 was not previously used, or the surgeon has acknowledged the previous use,controller70 reconfigures the operation of the system,step126. Instep126, based on the data read from the controller/memory84 integral with the cuttingaccessory24,controller70 configures the system for operation with the cutting accessory. Specifically, thesystem20 is set so that at least initially the handpiece motor will operate at the speed indicated by the data inpreferred speed field94. The forward/reverse/oscillate mode of the motor is set to that specified in operatingmode field102. Thus, instep126, the data from the cuttingaccessory chip62 is used to override data that supersedes the data inhandpiece NOVRAM32 that describes how the system should be configured. Not illustrated is the memory integral withcontroller70 in which the data fromchip62 are stored and used as reference data to control the operation of thesystem20.
• In[0080]step126, based on the data contained in theaccessory type field92,controller70causes console display71 to present an indication of the accessory's type.Controller70 further configures the system to prevent the surgeon for generating commands that allow the handpiece motor to be actuated at a speed greater than that specified in themaximum speed field96. (Alternatively,controller70 may simply require the surgeon to acknowledge a warning before allowing the surgeon to operate the handpiece above the maximum speed for the associatedaccessory24.)System20 is further configured bycontroller70 to prevent the generation of energization signals from being applied to the handpiece motor that would cause the cuttingaccessory24 to develop more torque than it is allowed to develop according to the data inmaximum torque field98. The system is further configured so that during deceleration of the handpiece motor, the motor will not be subjected to torque in excess of the braking torque specified in stoppingtorque field106.
• [0081]Controller70 also updates the data in the controller/memory84 of the cuttingaccessory24,step128. More particularly, instep126, the date and time the cuttingaccessory24 was attached to thehandpiece22 are written into the date/time usedfield106.
• Once[0082]steps126 and128 are executed, the system is ready for operation. The control console will, based on commands entered by the surgeon, apply energization signals to thehandpiece motor26 so that it will run in the appropriate mode and in appropriate speed for that attached cuttingaccessory24. This operation of the system is represented by continuedoperation step130 of FIG. 4.
• Throughout the operation of the[0083]system20,controller70 will periodically execute read request/data read and serial number comparison steps120 and122, respectively. In some versions of the system, steps120 and122 are reexecuted once every 0.2 to 1.0 seconds during periods of time the handpiece is not being actuated. If the serialnumber comparison step122 indicates that serial number associated with the cuttingaccessory24 is unchanged,controller70 recognizes this state as indicating that the same cutting accessory remains attached to thehandpiece22. If this condition is detected, controller continues to allow the system to operate in accordance with its current configuration;step130 is continually executed.
• However, serial[0084]number comparison step122 may indicate that there has been a change in cutting accessory serial numbers since the step was previously executed. This condition is recognized bycontroller70 as indicating that a different cuttingaccessory24 is attached to thehandpiece22. If this is the detected system state,controller70reexecutes steps123,126 and128, and, if necessary, step,124, before reexecuting step continuedoperation step128. When continuingoperation step128 is reexecuted, thesystem20 has been reconfigured to actuate the handpiece in accordance with the characteristics of the newly attached cuttingaccessory24.
• [0085]Controller70 also monitors the amount of time the cuttingaccessory24 is actuated. Specifically,controller70 maintains an internal timer in which a time count is maintained indicating how long the cutting accessory attached to thehandpiece22 is actuated. In some versions of the invention, after each time the motor is deactivated, step138 of FIG. 6, thecontroller70 performs this monitoring. Specifically, after the motor is deactivated,controller70 performs astep140 in which the controller writes into the TIME USEDfield110 of the cutting accessory controller/memory84 data indicating the total time the cutting accessory has been used. These data are determined based on the data read from the TIME USEDfield110 when the cutting accessory was first attached to the handpiece as well as the elapsed time of use for the accessory stored by thecontroller70. Thisstep140 may be integrated into the first reexecution ofstep120 after the motor is deactivated. Alternatively, step140 may be executed as a separate write data step after the motor is deactivated. As part ofstep140, the elapsed time count held by the internal timer is zeroed out.
• [0086]Controller70 then determines if the total time the cutting accessory has been used is less than the time period specified in the MAXUSE TIME field108 of the cuttingaccessory24,step142. In some versions of the invention, it is believed the useful lifetime for a cutting accessory will be between, for example, 30 and 120 minutes. If the total use time is less than the maximum recommended use time,controller70 allows the system to operate as before,step144. If, however, the total time of use is greater than the specified maximum recommended use time,controller70 presents a warning notice and an acknowledgement button on the touch screen display,step146. The surgeon must acknowledge that the cuttingaccessory24 has been used for a time greater than its specified maximum use before the controller allows the system to continue to actuate the cuttingaccessory24.
• [0087]Chip64 of cuttingaccessory24 of this invention contains a significant amount of data that describes the operating characteristics and state of the cutting accessory. Thecontrol console28 of this system automatically both reads this data and periodically updates it. Thecontrol console28, based on the data read fromchip64, configures the system so it will operate in an appropriate manner given the specific characteristics of the specific attached cutting accessory. Specifically, thecontrol console controller70 configures the system so that, at least initially the handpiece motor will run at the preferred speed and in the preferred mode for the cutting accessory. The system is also configured to prevent the cutting accessory from being driven above its specific maximum operating speed, from developing torque beyond its design limit and from being subjected to excessive braking torque. This configuration of the system occurs without human intervention. Consequently, the possibility that human error could result in the incorrect configuration of thesystem20 for the cuttingaccessory24 attached to it is substantially eliminated.
• The system of this invention provides the surgeon with an indication of whether or not the cutting accessory attached to it was previously used. This provides the surgeon with an indication that the cutting accessory may be worn and, therefore, will not be able to satisfactorily perform the intended surgical procedure.[0088]
• [0089]System20 of this invention also, during the surgical procedure, provides the surgeon an indication that a cutting accessory has been used for a period equal to its intended lifetime. This information is supplied to the surgeon to inform him/her that the cutting accessory, even if new when installed, may be worn to the level of reduced efficiency. Thus, the surgeon, upon receiving this information, can decide whether or not to continue using the current accessory or replace it with a new one.
• Moreover, the[0090]handpiece22 of this invention is constructed so thatring67, which functions as the inner wall in whichcoil66 is contained is plastic and thehandpiece housing34, which forms the outer containment wall for the coil, is formed of metal. As a result of this construction, the inductive field generated bycoil66 is localized within the cavity in the distal end of thehousing34 in which cuttingaccessory24 is seated. The inductive field generated bycoil66 does not extend beyond the surface ofhousing34. This substantially eliminates the possibility that if the handpiece of this invention was placed on a surface next to a cutting accessory that is provided with anidentification chip64, thehandpiece coil66 will not establish an inductively coupled circuit so as to provide thecontrol console28 with a false indication that the handpiece is actually connected to the adjacent cutting accessory.
• It should be recognized that the foregoing description has been limited to one preferred version of the invention. Other versions of the invention may vary from what has been described. For example, in some versions of the invention, the coils integral with the cutting accessory and handpiece may not extend circumferentially around the longitudinal axis of these components. Instead, these coils may be positioned to be aligned longitudinally with the longitudinal axes of the cutting accessory and handpiece.[0091]
• Also, in some versions of the invention, the handpiece may be constructed so that the material in which[0092]coil66 is encased is metal. Thus, in these versions of the invention, the presence ofcoil66 does not require the handpiece to have a non-metallic component that is directly exposed to the rigors of sterilization.
• Moreover, the data contained within the[0093]chip62 of the handpiece may vary from what has been described. For instance, in some versions of the invention, the handpiece of the invention may not include a NOVRAM. In these versions of the invention,chip62 contains all, or substantially all, of the handpiece characteristic data that was otherwise stored in the handpiece NOVRAM. This data is, however, specific to the operating characteristics of the cuttingaccessory24 with which thechip62 is integral. Once the cuttingaccessory24 is attached to thehandpiece22,controller70 configures the system based on the data read from thechip62.
• Also, in some versions of the invention, it may not be possible for the cutting accessory to overwrite new data into any data field. In these versions of the invention, the[0094]chip62 has empty data fields when it is installed in the cuttingaccessory24. Then, during operation of thesystem20,controller70 writes the new data that needs to be written intochip62 into the previously empty controller/memory data fields. During the read out of the contents of the controller/memory84,step120, all the data are read out. The controller is configured to recognize the last data in a set of data fields, for example in a set of time used fields, as being the most current version of the data.
• FIG. 7 depicts an[0095]alternative handpiece150 and cuttingaccessory152 constructed in accordance with this invention. Specifically, thehandpiece150 has ametal body154 to which aplastic locking collet156 is attached. Internal to the body is a motor, not illustrated, from which adrive shaft158 extends. The cuttingaccessory152 has astatic hub160 that is releasably held to thehandpiece150 by a locking assembly mounted in the lockingcollet156. The locking assembly, while not fully illustrated, includes atongue157 that is releasably seated in a recessed surface ofhub160. A tubular housing orouter tube162 extends fromhub160. Located proximal tohub160 and within thehandpiece150 is adrive coupler164.Drive coupler164 has a proximal end designed to engage a coupling member integral withdrive shaft158 so that the shaft and coupler rotate in unison. A drive shaft, orinner tube166 is secured and extends distally from thedrive coupler164. Thedrive shaft166 extends throughhub160 and intohousing162.
• An RFID chip[0096]170 (FIG. 11A) is secured tohub160. Acoil172 is connected to chip170. Acoil174 is mounted tohandpiece body154 withchip170 throughcoil172.
• [0097]Handpiece body154 is generally elongated in shape and has elongatedbore177.Bore177 is the space in which the handpiece motor as well as the proximal end of the cuttingaccessory152 are seated. The distal end ofbody154 is shaped to have a ring shapedhead178 that defines acounterbore180 that opens intobore177.Counterbore180 opens into a main bore in the body in which the motor is housed. A suction bore182 branches off ofbore177. Suction is drawn through the cuttingaccessory152 through the suction bore182. Partially seen in FIG. 7 is avalve bore184 that interests the suction bore. A valve (not illustrated,) is disposed in the valve bore184, for regulating the suction flow through the cuttingaccessory152 and thehandpiece150.
• [0098]Handpiece body154 is further formed so that the distal end portion of the inner wall ofhead178 has an inwardly directedstep186.Coil174 is disposed in the space defined bystep186. In some versions of the invention,coil174 is in the helical wrap of wire. The wire may be wrapped around a thin film of polyamide material that supports the wire. In alternative versions of the invention,coil174 is formed on flex circuit. The flex circuit is placed in the spaceadjacent step186.
• [0099]Conductors188 that connectcoil174 to downline components in thehandpiece150 are seated in aseparate bore189 formed in thehousing body154. Specifically, internal to the handpiece is an impedance matching circuit that establishes the impedance of the circuit internal to the handpiece to 50 Ohms to facilitate the exchange of the signals betweencontrol console28 andcoil174 over a 50 Ohm impedance coaxial cable.
• Locking[0100]collet156, seen best by reference to FIG. 8, has atubular base190. Extending distally frombase190,collet156 is shaped to have ahead192 that has a larger outer diameter tobase190. The moving components of the locking assembly that engagehub160 are mounted inbase190.
• When the[0101]handpiece150 is assembled,collet base190 is fitted incounterbore180 so that the outer wall of the base abuts the inner wall of body proximal to step186. An O-ring194 is located around the interface where the proximal end ofcollet base190 abuts thehandpiece body154. Specifically, thecollet base190 is formed to define agroove196 that extends circumferentially around the distal end of the outer perimeter of the proximal end of thebase190. In order to provide structural strength for the collet, it will be observed that the proximal end is located inwardly of the more distal sections of the base. The handpiece body is shaped to define an annular steppedsurface198. The stepped surface is the surface from which thebody head178 extends. Steppedsurface198 is the surface against which the proximal facing end ofcollet base190 extends.Housing body154 is further formed so that there is a smallgrooved surface202 within steppedsurface198. Specifically, groovedsurface202 extends annularly around steppedsurface198 adjacent the outer perimeter of the stepped surface. The O-ring194 is thus seated in thegrooved surface202 of thehandpiece body154 and groove196 ofcollet156.
• Locking[0102]collet156 is further formed to have a generally cylindricalouter ring204 that extends proximally fromhead192.Outer ring204 thus extends circumferentially around and is spaced away from the distal end of lockingcollet base190.
• When the[0103]handpiece150 is assembled,coil174 is seated in the annular space between the outer wall ofcollet base190 and the inner wall ofouter ring204. In other words, this annular space forms an enclosure for holdingcoil174. Thecollet156 is fitted tobody154 so that the outer surface of colletouter ring204 is disposed against the inner wall of thebase head178.
• As part of the process of assembling the[0104]handpiece150, an adhesive, such as a silicone adhesive, is placed between the opposed surfaces of thebody head178 and colletouter ring204. A fraction of this adhesive collects in twoannular channels210 formed in thehandpiece body head178. Upon the curing of this adhesive in the channels, the adhesive forms two O-rings211 between thebody154 andcollet156. These O-rings211 thus prevent fluid flow from outside thehandpiece150 tocoil174.
• [0105]Hub160, which is formed of rigid plastic, is now described by reference to FIGS. 9, 10 and11. Thehub160 is constructed to have a sleeve-shapedbase220. Thebase220, it will be observed, is formed with two diametrically opposed, generally rectangularly shapedopenings221. Extending forward frombase220 and formed integrally therewith is a substantiallysolid head222. Whilehead222 is substantially solid, thehub160 is formed so that abore224 extends axially through the head.Housing162 is mounted inbore224 in any conventional manner to extend forward fromhead222.
• A generally tube-shaped[0106]coil seal226 is disposed inhub base220.Coil seal226 is formed from flexible sterilizable material. In one version of the invention,coil seal226 is formed from a silicon rubber that has55 Shore A durometer hardness. Thecoil seal226 is shaped so as to have a firstdistal end section228 that has a constant outer diameter and inner diameter. Extending proximally from thedistal end section228, thecoil seal226 has amain section230.Main section230 has the same inner diameter asdistal end section228 and a smaller outer diameter. The coil seal is further formed so as to define a generallyrectangular recess232 in the outer surface ofmain section230. Located proximal tomain section230, thecoil seal226 has alocking section234. The inner and outer diameters of lockingsection234 are the same as those of thedistal end section228.
• The[0107]locking section234 of the coil seal is further formed to have two diametricallyopposed lock tabs236. Eachlock tab236 extends radially outwardly from the outer surface of thelocking section234. The locking section also has two diametricallyopposed stop tabs238 that extend inwardly from the inner wall of the lock section. In the depicted version of the invention, eachstop tab238 is radially aligned with a separate one of thelock tabs236.
• [0108]Coil seal226 is further formed to have atail section240 that extends rearwardly from the locking section and that forms the proximal end of the seal. Thetail section240 is formed to define two annular spaced apartribs242 and244 that extend circumferentially aroundcoil seal226. Bothribs242 and244 extend beyond the outer diameter of theseal locking section234. In the depicted version of the invention, the diameter of the circle subtended by the more proximal of the two ribs,rib244, is less than the diameter subtended by the other rib,rib242.Tail section240 is further formed to have an inner wall that is outwardly flared.
• When a cutting[0109]accessory152 of this version of the invention is assembled, theRFID chip170 is seated inseal recess232.Coil172 is wound over the reduced diameter outer surface of sealmain section230. In some versions of the invention, seen in FIG. 11A, thechip170 is mounted on asmall flex circuit171; thecoil172 is a conductive trace formed on theflex circuit171. After manufacture of theflex circuit171, the flex circuit, with thechip170 mounted thereon, is wrapped in cylinder over sealmain section230.
• The RFID chip-coil-and-seal assembly is fitted in[0110]hub base220. Thus both theRFID chip170 andcoil172 are disposed between the inner wall of the hub base and the outer surface ofcoil seal226. Owing to the relative dimensions ofhub160 andcoil seal226, the outer surfaces of the seal distal end and lockingsections228 and234, respectively, press against the inner wall of thehub base220. This contact forms a seal aroundchip170 andcoil172. Thus, in most preferred versions of the invention, there is no need to employ an adhesive or other chemical to provide a moisture barrier around thechip170 andcoil172.
• As part of the insertion of the[0111]coil seal226 into thehub160,lock tabs236 are seated inhub base openings221. The seating of thelock tabs236 inopenings221 serves to hold thecoil seal226 to thehub160.
• When the[0112]coil seal226 is so attached tohub160,tail section ribs242 and244 are located proximal to the proximal end of the hub. When the assembled cuttingaccessory152 is fitted in thehandpiece150,ribs242 and244 abut the inwardly flared surface of thehandpiece collet base190. The ribs thus function as a seal that prevents leakage from the suction channel to the coil cavity or the outside environment.
• It will further be observed that the distal end of[0113]driver coupler164 is formed with ahead245 that has a relatively large outer diameter. When cuttingaccessory152 is assembled, the driver coupler and rotating shaft subassembly is movedpast coil seal226 in hub bore224. Owing to the dimensioning of the components, thedrive coupler head245 abuts the coilseal stop tabs238. Owing to the compressibility of the material from which the coil seal is formed, a small amount of force will compress thestop tabs238 to allow the complete insertion of the drive coupler and rotating shaft. After assembly, if the cuttingaccessory152 is held vertically, thedrive coupler head245 abuts thestop tabs238. Thus, the stop tabs prevent gravity, without any additional force, from causing the driver coupler and rotating shaft to drop out ofhub160.
• FIGS. 12, 13 and[0114]14 illustrate analternative handpiece250 and cuttingaccessory hub252 of this invention. Thehandpiece250, shown in cross-section in FIG. 14, includes anelongated body254 that has anaxially extending bore256. The center and proximal end sections ofbore256 serve as the space in which the motor and cable connecter integral with thehandpiece250 are housed, (motor and cable connector not shown). The distal end section ofbore256 is the space internal to the handpiece in which the cutting accessory hub and drive coupler are received, (drive coupler not shown).
• This particular handpiece has a motor with a cannulated rotor. Thus, suction is drawn axially from the distal end of the rotating shaft of the attached cutting accessory, through the drive coupler and the motor rotor by the suction pump attached to the handpiece. Irrigation fluid is supplied to an opening in the[0115]hub252. The irrigation fluid can also be directed through the rotating shaft. A valve in the proximal end of body bore256 selectively connects the rotating shaft to either the suction pump or the source of irrigating fluid. This valve is set by a control tab, (not illustrated), that is positioned above a steppedsurface258 formed in the outside ofbody254. The control tab displaces a linkage rod (not illustrated), that is seated in arod bore259 formed in thebody254. The Applicant's Assignee's U.S. patent application, SYSTEM AND METHOD FOR PERFORMING IRRIGATED NOSE AND THROAT SURGERY Ser. No. 60/395 881, filed on Jul. 13, 2002, now U.S. Pat. No. ______, and incorporated herein by reference, provides further details of the above features of this handpiece.
• A[0116]coil260 is disposed in the distal end of body bore256, immediately inside the distal end opening ofbore260.Coil260, shown in FIG. 14 as a wrap of wires, is contained in acoil housing262, now described by reference to FIGS. 15A and 15B. Thecoil housing262 is formed from a plastic cable to withstand sterilizaton such as PEEK plastic and is generally ring-shaped.Coil housing262 is further formed to define arectangular groove264 that extends circumferentially around the outside of the housing.Groove264 is the space in whichcoil260 is seated. The proximal facing end of thecoil housing262 is formed to have anannular lip266 that extends substantially circumferentially around the housing.Lip266 has an outer diameter substantially equal to the outer diameter of the more distal portions of the coil housing. The inner diameter oflip266 is greater than that of the rest of thehousing262.
• [0117]Coil housing262 is further formed to have aslot268 that is defined by opposed spaced apart ends oflip266. Thewires forming coil260 extend proximally into the handpiece body throughslot268.
• When[0118]handpiece250 is assembled,coil260 is seated inhousing groove264. The coil-and-housing assembly is seated in the distal end of body bore256. In some versions of the invention, thecoil housing262 is adhesively secured to alock nut270 disposed in body bore256. Alternatively,coil housing262 may be provided with feet that press fit, snap fit or key-in-key hole slot fit into the lock nut. In some versions of the invention, thecoil housing262 may even press fit into body bore256.
• The conductors connected to[0119]coil260 are disposed in a bore,signal conduit259, formed in thehandpiece body254.Signal conduit259, it is observed from FIG. 14, extends generally parallel to bore256. The distal end ofsignal conduit259 extends diagonally into the section ofbore256 in whichcoil housing lip266 is seated.
• In one version of the invention, the conductors that extend to[0120]coil260, as well as the conductors that actually form the coil, are formed on aflex circuit272 now described by reference to FIG. 16.Flex circuit272 is formed of polyamide or any other material that can serve as a structural substrate for conductors and electrical components. Generally, the depictedflex circuit272 is L-shaped. Conductive traces274,276 and278 are formed on theflex circuit272. Two traces, traces274 and276 are parallel and are located on avertical section273 of the flex circuit in FIG. 16. Anintegrated circuit280 is shown attached to trace276.Circuit280 is an impedance matching circuit to bring the impedance of the circuit on the trace to 50 Ohms. While not illustrated, it should be recognized thattrace274 is also attached to theintegrated circuit280.Trace274 also terminates a short distance aboveintegrated circuit280.
• [0121]Trace278 extends fromintegrated circuit280 and is the conductive trace formed on the generallyhorizontal portion284 offlex circuit272 in FIG. 16. Theflex circuit272 is further formed to have asmall branch section286 that extends diagonally downward from the end of thehorizontal section284 oppositevertical section273. The free end oftrace278 is formed over thebranch section286.
• When a version of the invention incorporating[0122]flex circuit272 is assembled,section284 of the flex circuit is wrapped in a circular pattern at least once incoil housing groove264. More specifically, theflex circuit272 is wound around thecoil housing262 so that flexcircuit branch section286 extends oversection273. Then, the free end oftrace278 is soldered or otherwise conductively connected to the free end oftrace274. Thus trace278 forms the handpiece coil.
• The cutting[0123]accessory hub252, now described by reference to FIGS. 17 and 18, is formed from two plastic pieces,base290 andhead292.Base290 is formed to have aproximal section296 that has a multisectionaxial bore298. It should be understood thatbore298 is dimensioned to receive the drive coupler and proximal end of the rotating shaft of the cutting accessory with whichhub252 is integral.Base290 also has adistal section302 integrally formed with and located forward ofproximal section296. Basedistal section302 is formed to have acounterbore304 that has a diameter that is larger than the diameter of the adjacent section ofbore298.
• The[0124]hub head292 is formed to have an axially extending throughbore308.Bore308 is dimensioned to receive the associated rotating shaft. The hub head is shaped to have a generally cylindrical, proximally locatedstem section310. Collectively thecomponents forming hub252 are shaped so thatstem section310 has an outer diameter that is appreciably less than the inner diameter of basedistal end section302.
• When[0125]hub252 is assembled,head stem section310 is seated inbase counterbore304. Owing to the relative dimensions of thebase290 andhead292, when these components are so assembled anannular coil space312 is formed betweenstem section310 and the adjacent end wall of basedistal end section302. AnRFID chip314 andcoil316, now described by reference to FIG. 19 are seated in this space. Specifically, thechip314 andcoil316 are assembled as a single unit on aflexible substrate318. Often this assembly is referred to as a tag. A chip from the Philips Semiconductor of Netherlands i.Code family of chips can be employed as thechip314. Conductive traces that formcoil316 are formed onsubstrate318. As part of the hub assembly process, prior to the insertion ofhead292 overbase290,substrate318 is wrapped into a cylindrical shape and inserted inbase counterbore304. Thehead stem section310 is then seated incounterbore304. It will be understood that thebase290 andhead292 are dimensioned so that the proximal end of the head stem section abuts the step withinbase290 that defines the base ofcounterbore304.
• Adhesives hold the[0126]base290 andhead292 together. The adhesives also create a seal aroundcoil space312. In some versions of the invention,base290 andhead292 may be provided with tongue-and-slot members to further facilitate the mechanical connection of these components.
• When[0127]hub252 is seated inhandpiece250,coil316 is aligned with thehandpiece coil260. Consequently, signals are inductively transmitted between the coils. In preferred versions of the invention, the voltage across the handpiece coil is approximately 5 to 25 volts, the current through the handpiece coil is approximately 25 to 125 m Amps. Given this strength of signal, and the fact thathandpiece body254 is metal, in preferred versions of the invention, the inductive field established by the handpiece coil does not extend more than 2 cm beyond the coil. In more preferred versions of the invention, this inductive field extends a maximum of 1 cm beyond the coil. Thus, the inductive field is sufficient to engage in signal transfer with thecoil316 of the hub inserted in thehandpiece250, but not the coil integral with a cutting accessory that may be located next to the handpiece.
• It should likewise be understood that the system of this invention may have power-consuming devices other than motors. For example, in alternative versions of the invention, the handpiece power-consuming device may be some sort of heat generating device, light generating device or sound/mechanical-vibration generating device. The energy generated by these power-consuming devices are applied to surgical sites through removable accessories different from what has been described. The accessories of these versions of the system of this invention are provided with tags that have memories in which data describing the individual operating characteristics of the accessories are stored. Clearly, different data are contained in cutting accessories that are actuated by devices other than motors. Also, the chip may be installed in accessories that are not actuated. One such device is a pointer that is attached to a tracker that is used to facilitate the performance of surgical navigation.[0128]
• It should likewise be understood that this invention may do more than simply provide data or write data to a cutting accessory attached to a handpiece. For example, some surgical tool systems include[0129]intermediate attachments320, one shown diagrammatically in FIG. 20. Theseattachments320 serve as mechanical, optical or electrical linkages between the power generating unit internal to thehandpiece22aand a cuttingaccessory24a.In these versions of the invention, anRFID chip322 is mounted in a non-metallic ring integral with the attachment (ring not illustrated). Upon connection of theattachment320 to the handpiece, acoil324 integral with the attachment is in close enough proximity to thehandpiece coil66athat there is an inductive signal transfer between these components. Based on the data read from the attachment, thecontrol console28 applies energization signals to the handpiece power generating unit so that it operates in a manner appropriate to the associated attachment and cutting accessories. For example, if the handpiece power generating unit is a motor, based on the data read from the attachment connected to the handpiece, the power generating unit can establish a maximum speed for the motor and/or determine the maximum torque the motor should be allowed to develop.
• In the above versions of the invention, the attachment may, as depicted in FIG. 20, have its[0130]own coil326 for inductive coupling to theRFID chip62 integral with the associated cuttingaccessory24a.In this version of the invention, the processor internal to the control console engages in the following data reading protocol. First, an interrogation signal is sent asking for data from anattachment RFID chip322. Integral with this signal is data indicating the type of RFID chip, an attachment chip, that is supposed to respond to the interrogation. Based on these data, only theattachment chip322 responds. After the data in theattachment RFID chip322 are read, the control console generates a second interrogation signal. Embedded in this signal are data indicating that anaccessory chip62 is supposed to respond to the interrogation. Based on this interrogation signal, only theaccessory RFID chip62 writes out data back to the processor. Thus, the energizaton of the handpiece power generating unit is based on data in the attachment and/or any overriding data in the cutting accessory.
• Also, as depicted in FIG. 21, in some versions of the invention, an RFID chip may be placed in an[0131]implantable device330 that is fitted into a patient, represented bybone section332. Such devices include screws, reamers that are used to bore holes for implants, or implants themselves. Specifically the head of thedevice330 is provided with a plastic ring in which anRFID chip336 andcomplementary coil338 are seated. The data inchip336 include such information as the preferred and suggested maximum speeds for driving the implant into the patient. These data also describe the physical characteristics of the implant. For example, if the implant is a screw, the data describes: the implantable length of the screw; the diameter of the screw; and the size of the exposed head.
• In this version of the invention, the[0132]accessory340 used to set the implant, as seen in FIG. 22, is provided with acoil342. Here, theaccessory340 is a screw driving shaft. The accessory has ashaft344 formed of metal. Immediately proximal to the distal end,shaft344 is formed to have acircumferentially extending groove346.Coil342 is disposed in a plastic or othernon-metallic housing347 seated ingroove346. Conductors, represented by asingle conductor348, extend through aconduit349 that extends longitudinally throughshaft344. Theconductors348 are connected to acoil64bdisposed in thedistal end hub44bof theaccessory340.Distal end hub44b,in addition to includingcoil64balso includes anRFID chip62bthat contains data describing the characteristics of theaccessory340.
• When the system of FIG. 21 is used,[0133]control console28 is inductively coupled to bothaccessory chip62bandimplant chip336. This coupling occurs immediately after the surgeon has depressed a control member associated with the system to actuate thehandpiece22b.This is because, at this time, the surgeon has typically already pressed the distal end head of the cuttingaccessory340 against the adjacent head of theimplant330. Thus, at this time the data from theimplant chip336 can be read. The data in these chips are read by thecontrol console28. Based on these data, the control console regulates the application of energization signals to thehandpiece22bto ensure that theaccessory340 is driven at an appropriate speed for thecomplementary implant330.
• As part of this process, the[0134]control console28 first verifies that theaccessory340 is an appropriate type of accessory for driving the implant. This verification may be performed by, first, determining the type of implant from the data read from theimplant chip336. Then, based on data contained in the memory internal to thecontrol console28, the control console determines if theaccessory340 can drive the implant. Alternatively, the data in theimplant chip336 contains a list of the types ofaccessories340 that are appropriate for driving the implant. If initially, thecontrol console28, based on the determination of the type of accessory and the type of implant, determines that the accessory is inappropriate, the control console either provides a warning message that the surgeon must acknowledge this fact or prevents actuation of thehandpiece22b.
• If the[0135]accessory340 is an appropriate accessory for driving the implant,control console28 configures the system so that energization signals are applied to thehandpiece22bthat will cause the accessory to be driven at the preferred speed. If the surgeon attempts to drive the accessory above an appropriate maximum speed for theimplant330 or theaccessory340, at a minimum, the control console presents a warning the surgeon must acknowledge before the procedure is allowed to proceed.
• [0136]Control console28 also forwards the data regarding the characteristics of theimplant330 and the drivingaccessory340 to asurgical navigation unit350. Prior to this part of the procedure, the surgical navigation unit was provided with data that describes the physical dimensions of the portion of the patient on which the procedure is being performed. A tracker, not shown is attached to thehandpiece22b.Thesurgical navigation unit350 monitors the position of the tracker. When the surgical procedure is being performed, the surgical navigation unit has the following data: position of the tracker; data regarding the physical characteristics of thehandpiece22aandaccessory340; and, from theimplant chip336, data regarding the physical characteristics of theimplant330. Based on these data and the stored image of the patient, thesurgical navigation unit350 is able to determine the position of theimplant330 as it is driven into the body of thepatient332. This information is presented on amonitor352.
• Also, the[0137]surgical navigation unit350 determines, based on the stored data regarding theimplant330 andpatient332, if it appears that there is a possibility that the implant is being inappropriately positioned in the patient. For example, if the implant is a screw that is supposed to only be driven into bone to a certain depth, the surgical navigation unit monitors the extent to which the implant is driven into the bone. If it appears that continued driving of the implant into the bone is inappropriate, thesurgical navigation unit350 causes a warning to be presented. Thesurgical navigation unit350 also inhibits thecontrol console28 for supplying energization signals to thehandpiece22buntil the warning is acknowledged.
• Also, as mentioned above with respect to the data stored in chip controller/[0138]memory84, this component may contain data that indicates the extent to which the cutting accessory is worn. One means of determining cutting accessory wear is now described by reference to FIG. 23. Specifically,controller70, in addition to monitoring the amount of time a cutting accessory is actuated monitors the voltage applied to the handpiece that actuates the cutting accessory as well as the current drawn by the handpiece,step370. When the handpiece motor is actuated,controller70 performsstep372, a power consumed calculation for the handpiece. Instep372, based on the voltage applied to the handpiece, the current drawn and the time the handpiece was used,controller70 determines the Watts minutes of power consumed by the handpiece.
• Then, once the handpiece motor is turned off, in[0139]step374, data representative of the power consumed by the handpiece is then written by thecontroller70 into the WEAR PROFILE data field112 ofcontroller memory84.
• It should be understood that the data in the WEAR[0140]PROFILE data field112 are used in the same generally manner as the data in the TIME USEDfield110 are used. Specifically, these data are read bycontroller70. During the use of the cutting accessory, in a location within the memory integral withcontrol console28 data representative of the cumulative watt minutes of power consumed in actuating the cutting accessory are stored. These data are based on the data read from theWEAR PROFILE field112 as well as the data generated as a result of the periodic execution ofsteps370 and372 when the handpiece motor is actuated. These data representative of total cutting accessory wear are compared to a reference value. This reference value may be from data read fromchip62, (data storage field not shown) from the handpiece or a set value in thecontrol console memory69. If this comparison indicates that the total amount of power employed to drive the cutting accessory exceeds the reference value, a warning message is generated on theconsole display71. This provides the surgeon with an indication that the cutting accessory may be worn to a level that the efficiency of the accessory has appreciably diminished.
• FIG. 24 depicts in block diagram components internal to a control console to which plural handpieces may be simultaneously attached. Specifically, there is a first processor,[0141]main controller380, and a second processor,accessory interrogator382. Themain controller380 is the processor that has primary responsibility for generating the command signals to the drivers internal to the control console that supply the energization signals to theindividual handpieces22a,22band22c,(drivers not shown). The input signals intomain controller380 include the characteristics of the individual handpieces as well as the surgeon-originating command signals that indicate the rate at which the handpieces are to be actuated.
• The input signals into[0142]main controller380 also include the data read from the identification chips62 integral with the cuttingaccessories24 attached to theindividual handpiece22a,22b,and22c.These data are retrieved by theaccessory integrator382. Once theaccessory interrogator382 retrieves these data, the interrogator forwards these data to themain controller380. Themain controller380, in turn, generates command signals to the drivers to cause eachhandpiece22a,22band22cto be actuated appropriately for the attached cuttingaccessory24.
• FIG. 25 depicts one protocol for retrieving data from the cutting accessory identification chips. Specifically, after the[0143]main controller380 determines that ahandpiece22a,22bor22cis connected to one of thecontrol console28 connections, the main controller instructs theaccessory interrogator382, to initiate an interrogation sequence for that handpiece, (step not shown). Initially, the interrogation sequence consists ofaccessory interrogator382 generating a request that any attached accessory write back one specific type of data. This request, represented bystep388, is performed so that theaccessory interrogator382 can determine whether or not an accessory is even attached to thehandpiece22a,22bor22c.Theaccessory interrogator382 performs this write request and waits for data step continually, as long as there is an attached handpiece. In one version of the invention, the specific data theaccessory interrogator382 requests is the cutting accessory serial number.
• Upon attachment of a cutting[0144]accessory24 to ahandpiece22a,22bor22c,the identification chip in the accessory will, in response to the write request, read out the serial number. Upon receipt of these data, accessory interrogator requests that all the data in theaccessory identification chip64 be written back. This write request and the subsequent data write out, are represented bystep390. Instep392 the identification chip data used to control operation of the cuttingaccessory24 are forwarded to themain controller380. The main controller, as discussed previously with regard to step126, configures the system so that energization signals will be supplied to thehandpiece22a,22bor22cthat will cause the appropriate energization of the attached cuttingaccessory24.
• After the data are read from the[0145]accessory identification chip62, theaccessory interrogator382 continually generates a read request for the serial number of the accessory. This serial number is continuously compared to the serial number originally read for the cutting accessory. The read-request, data write and comparison steps collectively represented asstep394. These steps are performed in order to ensure that the same cuttingaccessory24 remains attached to thehandpiece22a,22bor22c.As long as the same cutting accessory is attached to the particular handpiece, there is no change in the overall operation of the system.
• If, however, the serial number is different, or no serial number is returned, the[0146]accessory interrogator382 interprets the response indicating the accessory was removed or switched.Accessory interrogator382 then proceeds to step396. Instep396, the accessory interrogator generates a message to themain controller380 informing the main controller of the disconnect of the cutting accessory. Themain controller380, in a step not shown, then regulates the energization of the associated handpiece as is appropriate for a cutting accessory not being attached. This particular regulation may, for example, consist of the inhibiting of the actuation of the handpiece.
• The[0147]accessory interrogator382 thenreexecutes step388. Step388 is again repetitively reexcuted until it receives a serial number indicating a cuttingaccessory24 has again been attached to the handpiece.
• An advantage of the above arrangement is that, the majority of read requests generated by the accessory interrogator and subsequent data writes by the[0148]accessory NOVRAMs32 are for relatively small amounts of data. This makes it possible for the accessory interrogator to, in a relatively short amount of time, monitor whether or notaccessories24 are attached to each of thehandpieces22a,22band22c.Thus, in the event there is a removal or replacement of the cutting accessory attached to any one of thehandpiece22a,22bor22c,the accessory interrogator will detect this change, typically within 50 msec. or less of the event.Main controller380 is then promptly informed of this state change so as to substantially eliminate the likelihood that a handpiece will be actuated even though there is no attached accessory, or actuated in an inappropriate manner for the attached handpiece.
• An alternative protocol for reading data from a cutting[0149]accessory identification chip62 is now described by reference to FIG. 26. Here an accessory present read-request and receive writtendata step402, identical to step388, is performed as before whenever ahandpiece22a,22bor22cis connected to acontrol console28. However, if theaccessory interrogator382 does not provide themain controller380 with a data fromaccessory identification chip62, instep404, the main controller sets the control console to energize thehandpiece22a,22bor22cbased on default setting for the handpiece. These settings are based on data in the handpiece NOVRAM.Accessory interrogator382 andmain controller380 repetitivelyreexcute steps402 and404, respectively, until data are returned by anaccessory identification chip62.
• Once data, again typically a serial number, are returned by the[0150]identification chip62 of a newly installed cuttingaccessory24, the accessory interrogator requests all the data in the chip, represented bystep406. These data are forwarded by theaccessory interrogator382 to themain controller380, step not illustrated. Based on these data, instep408, the main controller resets the data used to control the handpiece so that thehandpiece22a,22bor22cis energized appropriately for the attached cuttingaccessory24. As before, even when thehandpiece22a,22bor22cis energized, theaccessory interrogator382 continues to request the serial number information from theaccessory identification chip62 to determine whether or not it has changed,step410.
• If, in[0151]step410, it is determined that there has been a change in the cuttingaccessory24 attached to thehandpiece step402 is again executed. Depending on the results of the inquiry performed instep402 either step404 or step406 is again executed.
• An advantage of this method of operation is that there may be some handpieces that are used primarily with one particular type of cutting accessory. The cutting accessory with which the handpiece is most often used is not provided with an identification chip. The[0152]handpiece NOVRAM32 contains data setting the handpiece to operate in accordance with the characteristics of this particular cutting accessory. Thus, in this version of the invention, the cost of providing the most often used cutting accessory with an identification chip is eliminated.
• A more detailed explanation of how the cutting accessory and implant recognition system of this invention can be used in combination with a[0153]surgical navigation unit350 is now described by reference to FIG. 27. Specifically, this invention can be used to facilitate the placement of an implant in a patient. As represented bystep420, initially thesurgical navigation unit350 is employed to measure the portion of the body of the patient to which the implant is to be fitted. Then, as represented bystep422, as part of the procedure, the surgical navigation unit generates a message prompting the surgeon to select an implant, or a particular component of an implant, for fitting to the patient.
• The surgeon then identifies the[0154]implant330, as represented bystep424. In this step, the surgeon identifies the specific implant by placing thehandpiece22 or cuttingaccessory24 in close proximity to the implant so that the data in theimplant chip336 can be inductively written to thecontrol console28. In some versions of the invention, a passive surgical instrument, like a pointer with a built in coil, may be used to perform this data read-request and receive the written out data.
• The data identifying the implant are written to the[0155]surgical navigation unit350. Thesurgical navigation unit350, in turn, based on input variables such as the dimensions of the implant and the measurements of the patient's body, determines whether or not the implant is appropriate for the procedure being performed, verifyimplant step426. If, instep426, thesurgical navigation unit350 determines that the implant might be inappropriate for the procedure, for example, the size appears inappropriate for the position in the body in which it is to be placed, the surgical navigation unit generates a warning to the surgeon, step not shown.
• The next step in the procedure is the prompting by the[0156]surgical navigation unit350 of the accessory that is to be used to fit the implant,step428. The surgical navigation unit, instep430, verifies that the accessory is the appropriate accessory for driving the implant. If an inappropriate accessory is selected, an appropriate warning is presented, warning step not shown.
• In[0157]step432 thesurgical navigation unit350 determines whether or not the accessory and implant are ready for the fitting of the implant. This step is performed by determine whether or not the signal transferred to theaccessory coil342 indicates theimplant330 is fitted to the accessory. Once the accessory and implant are ready for implant installation, the surgical navigation unit, instep434, presents onmonitor352 information about the exact surgical sub procedure that is performed to fit the implant. This information may include an image of the site where the implant is to be fitted. This information may also include textual commentary regarding aspects of the procedure.
• Thus, the integrated system of this invention provides guidance and prompts to the surgeon to facilitate the execution of the surgical procedure. This can minimize the time the patient is held under anesthesia which is one of the goals of modern surgery. Also, the implant and accessory verification steps serve to reduce the likelihood that an inadvertent oversight causes a surgeon to attempt to use a less than optimal component during a surgical procedure.[0158]
• The cutting accessory and implant recognition system of this invention is also used to assist in the inventory of components used during a surgical procedure. As seen by reference to FIG. 28,[0159]components440a,440b,. . .440fused to perform the procedure are kept in acase442. For example, certain instruments may be held in a sterilization case. Alternatively trial implant components are held in a trial case.
• As part of the procedure, the[0160]control console28, instep444, determines when a component is used. This determination occurs when an accessory is fitted to a handpiece or another device, for example an implant or an implant trial unit, is fitted in place with the handpiece or cutting accessory. As discussed above, the data in the chip integral with this instrument or implant is inductively read.
• As a consequence of this component used determination, a local inventory of used components is updated,[0161]step446. A database in which these information is stored, alocal inventory database480, is connected to the control console as discussed below with respect to FIG. 30. Data are written to and read from thisdatabase480 by a dedicated processor, not shown.
• Eventually, there is a point in the procedure in which it is time to inventory the used components to ensure that their whereabouts are known and they are properly stored. Typically this point is near the end of the procedure. At this time, the processor associated with the[0162]local inventory database480 identifies a component that needs for which accounting is required,step448. The identity of this component is sent to either thecontrol console28 or thesurgical navigation unit350. The device that receives this information, instep450, requests the surgical personnel to locate this component. In response to this request, also part ofstep450 in FIG. 29, the personnel return thecomponent440a,440b . . .or440fto thecase442 in which the component is stored and inductively read the stored identifying information for the component.
• Data indicating that the component has been properly returned to the[0163]case442 are forwarded to the processor associated with thelocal inventory database480. This processor, instep452, updates the inventory for theparticular case442. The local inventory database processor thenreexecutes step448. If there are still missing components,step450 is reexcuted and one of the remaining missing components is again identified. However, instep448 it may be determined that all the components are accounted for. If the local inventory database processor makes this determination, this processor causes thecontrol console28 ornavigation unit350 to display a message indicating that the inventory is complete,step454.
• The above aspect of this invention facilitates the checking of equipment used during surgery to ensure the whereabouts of this equipment is known.[0164]
• As mentioned above, and now described by reference to FIG. 30, the information generated by the accessory and implant recognition system of this invention may be employed by components other than the control console that drive the handpieces used to actuate the accessories. Specifically, as seen in this Figure, the control console that reads the accessory and implant identify data may be attached to a local area network to which other equipment both in the operating room and elsewhere in the medical facility are attached. In one version of a network it is contemplated that this data transfer be over a serial bus in accordance with the IEEE-1394 data transfer protocol.[0165]
• Three devices attached this network are the[0166]control console28, thesurgical navigation unit350 and thelocal inventory database480.
• The facility's billing processor, represented by[0167]node482 is also attached to this network. The billing processor receives data packets identifying the patient-chargeable components identified by the control console that are used during the procedure. This facilitates the accurate charging of the patient for the equipment used during the surgical procedure.
• The records of components used are also forwarded to facility's primary inventory control database,[0168]node484. This allows the processor that monitors inventory levels of the accessories and implants to determine when the additional equipment needs to be shipped, represented bysupplier ship node486. Also, some suppliers only bill the facility when the equipment is actually used. The inventory control database, upon receiving an indication that some equipment has been used, through asupplier bill node488 informs the supplier's processor of this event. This arrangement thus makes it possible to ensure that a facility is only billed for equipment when the equipment is used.
• Also the database in the facility that maintains patient records, represented by[0169]node490, receives an indication of the cutting accessories, trial components, and implants fitted during the surgical procedure. Thus, medical personnel do not, during the procedure have to spend time documenting what specific components where used during the procedure. Since the use of these components can readily be data stamped, the personnel likewise do not have to document when these components were used.
• Also, there is no reason that in all versions of the invention the tags be inductively coupled to the complementary handpieces in which their accessories are inserted. In some versions of the invention, there may be physical connections between the exposed contacts that are part of the handpiece and accessory. These contacts, upon physical abutment, establish the connection between the accessory tag and the conductors in the handpiece that extend to the control console.[0170]
• Furthermore, in some versions of the invention, the coil that inductively couples the signal to the cutting accessory may not be in the handpiece. In some versions of the invention, this coil may be located in the control console. Whenever a new cutting accessory is attached to the handpiece, information about this event is sensed by a device internal to the handpiece and a signal representative of this event is forwarded to the control console. The control console then generates a message directing the surgeon to place the handpiece and cutting accessory sub-assembly adjacent a particular location on the control console to facilitate the inductive transfer of signals between the console and the accessory tag. An advantage of this version of the invention is that it eliminates the need to provide additional conductors in the cable that extends to the handpiece.[0171]
• Another embodiment of the invention is shown in FIG. 31. In this embodiment, no cable connects the handpiece or cordless powered surgical tool to a control console. The Applicant's Assignee's U.S. patent application, CORDLESS, POWERED SURGICAL TOOL Ser. No. ______, filed on Aug. 1, 2002, now U.S. Pat. No. ______, and incorporated herein by reference, provides details of a physical structure of a cordless powered surgical tool. Likewise Applicant's Assignee's U.S. Pat. No. 5,747,953 entitled CORDLESS, BATTERY OPERATED SURGICAL TOOL, issued May 5, 1998, and incorporated herein by reference, describes a surgical tool that may be modified to include the circuit arrangement shown in FIG. 31.[0172]
• As shown in FIG. 31, the cutting or operating end of the cordless[0173]surgical tool522 is provided with anannular coil566. Collectively, the cordlesssurgical tool522 and cuttingaccessory524 are shaped so thatcoils564 and566 are in such proximity to each other that they will collectively inductively transfer signals from/to the circuit internal to thesurgical tool522 to/from the circuit internal to theidentification chip562. Typically, the housing of thesurgical tool522 is formed of materials discussed in Applicant's above patent documents.
• The[0174]surgical tool522 includes abattery590 that supplies power, as necessary, to the circuit elements therein (connections not shown). Acontroller570 controls the overall operation of the system.Memory569 in thesurgical tool522 contains the permanent operating instructions that are executed bycontroller570 to control the system and regulate the actuation of thesurgical tool522 and the cuttingaccessory524.Controller570 generates energization control signals to adriver572. The energization control signals are based on the cuttingaccessory524 identified and the value selected by amanual actuator device549. Themanual actuator device549 can be a trigger type push button controlling the output from a variable resistor or any other type of device providing a variable signal output. Thedriver572, based on the value of the output from themanual actuator device549 and the cuttingaccessory524 identified, generates the energization signals that are applied to thesurgical tool motor526.
• The[0175]surgical tool522 can also include atouch screen display571 or other type of indicator/input system.Controller570 causes information regarding the state of the system to be presented on thedisplay571.Controller570 can also cause images of buttons to be presented on thedisplay571. An operator regulates the operation of the system by selectively depressing these buttons. In other embodiments, no indicator or display is present. The system automatically controls the cuttingaccessory524 based on the accessory identified. For example, the maximum operating speed of the cuttingaccessory524 can be varied depending of the accessory identified.
• The[0176]surgical tool522 also includes a modulator (MOD)574 that modulates digital signals output bycontroller570 so they can be inductively transferred to cuttingaccessory identification chip562. In one preferred version of the invention,modulator574 receives a fixed-frequency signal from anoscillator576 internal to thesurgical tool522.
• [0177]Modulator574 produces an amplitude shift keyed signal generated bymodulator574 that is amplified by anamplifier578. The output signal fromamplifier578 is applied to one end ofcoil566.
• [0178]Demodulator580 receives a signal that is coupled tocoil566, demodulates the signal, and applies the output bit stream tocontroller570.
• The[0179]identification chip562 can include a small controller and an electronically programmable memory (μC&MEM)584. The controller integral with controller/memory584 controls the writing of data into its complementary memory section and the reading out of the contents of the memory. Modulator/demodulator (MOD DEM)586,clock588,capacitor583 andpower regulator589 function in substantially the same manner as described for the embodiment in FIG. 3.
• In FIG. 31,[0180]coil564 is shown as being integrally part ofchip562. This is one option for the invention. However, as discussed above, it is anticipated that in many versions of the invention,chip62 andcoil564 will be separate components.
• Some of the different types of data stored in the tag controller/[0181]memory584 include a serial number specific to the cuttingaccessory524 with which tag562 is integral. This number may also include a special authorization code. There is also stored data that indicates the type of cuttingaccessory524. For example, the cuttingaccessory524 may be a drill, saw, burr, linkage assembly for converting rotary movement to a back-and-forth movement, or other types of elements. In cases where a linkage assembly is utilized, an identification tag may be provided on the linkage assembly as well as a cutting element secured to the linkage assembly. The linkage assembly can function as an intermediate attachment between thesurgical tool522 and the cuttingaccessory524 in a manner similar to the arrangement shown in FIG. 20.
• The stored data can include the size, diameter, physical materials, and type of cutting[0182]accessory524. The data can also include the preferred operating speed, maximum operating speed, maximum operating torque, stopping torque, or other type of information regarding operation of the cuttingaccessory524. The mode of operation of the cuttingaccessory524, such as oscillatory or unidirectional can also be provided with the data.
• Data indicating if and when the cutting[0183]accessory524 was previously used, and for how long can be read and written to thechip562. Data indicating how long a surgeon can expect to use the cuttingaccessory524 before the cutting/drilling surfaces become worn to the level at which they may not efficiently cut tissue can be read/stored.
• The cordless[0184]surgical tool522 of FIG. 31 operates in a similar manner to the handpieces connected bycables30 in embodiments discussed above.
• In another embodiment, the[0185]accessory524 comprises an implant device, such as a screw or other element that is directly implanted into the body of a patient using thesurgical tool522. In this instance, the characteristics of the accessory element are provided to thesurgical tool522 regarding desired torque, operating speed, etc. for implanting the implant device.
• Therefore, it is an object of the appended claims to cover all such variations and modifications that come within the true spirit and scope of this invention.[0186]

Claims (42)

What is claimed is:

1. A powered surgical handpiece, said handpiece including:

a body shaped to have opposed distal and proximal ends and to have an opening in the distal end for receiving an accessory;

a power generating unit disposed in said body for actuating the accessory;

a coupling assembly attached to said body, said coupling assembly having a moveable member for releasably engaging the accessory to hold the accessory in the body opening; and

a coil disposed in said body adjacent the opening and positioned to inductively exchange signals with a complementary coil integral with the accessory.

2. The surgical handpiece ofclaim 1 wherein:

said body is formed of metal; and

a non-metallic sheath is attached to said body and disposed over said coil so that said sheath covers an inner side of said coil where said sheath has an inner wall that partially defines the body opening in which the accessory is seated.

3. The handpiece ofclaim 2, wherein said sheath is a ring, said ring having an inner surface and an outer surface and is shaped to have an annular groove in the outer surface, said coil is disposed in the ring groove and said ring is disposed in the body opening so that the outer surface of said ring is located against a wall of said body and the inner surface of said ring partially defines the opening in which the accessory is seated.

4. The handpiece ofclaim 1, wherein:

said body is formed of metal; and

a non-metallic collet is disposed over the distal end of said body, said collet forming a distal end of said handpiece, said collet having a ring section that extends into said body so as to partially define the opening in which the cutting accessory is seated; and

said coil is seated in said collet ring section.

5. The handpiece ofclaim 4, wherein said coupling assembly is at least partially disposed in said collet.

6. The handpiece ofclaim 1, wherein said coil is a conductive trace formed on a substrate.

7. The handpiece ofclaim 1, wherein said coil is a conductive trace formed on a substrate and said substrate has:

a first section that is wound in a circular pattern and fitted into the distal end opening of said body so that the conductive trace on said substrate functions as said coil; and

a second section that extends from said first section towards the proximal end of said body wherein conductive traces on said second section function as conductors through which signals are transferred to and from said coil.

8. The handpiece ofclaim 7 further including an impedance matching circuit attached to said substrate.

9. A cutting accessory for attachment to a powered surgical tool, said cutting accessory including:

a drive coupling configured to attachment with a drive shaft internal to the surgical tool so that said drive coupling rotates upon rotation of the tool drive shaft;

a rotating shaft attached to said drive coupling that extends forward from said drive coupling, said rotating shaft having a distal end opposite the drive coupling and a tissue working member integral with the distal end;

a hub disposed over said rotating shaft and located adjacent said drive coupling, said hub being formed with at least one recessed surface for receiving a coupling member associated with the surgical tool; and

an identification chip and a coil connected to said identification chip disposed in said hub, said identification chip containing data including: a preferred speed for driving said drive coupling; and a maximum speed for driving said coupling; the identity of the type of said cutting accessory, wherein said identification chip and said coil are both contained in said hub so as to be sealed from the ambient environment.

10. The cutting accessory ofclaim 9, wherein said hub is formed with an annular sealed enclosure and said identification chip and said coil are disposed within said sealed enclosure.

11. The cutting accessory ofclaim 9, wherein:

said hub includes a body made of rigid non-metallic material, said body defining a bore in which said drive coupling is disposed and having an inner wall that defines the bore;

said identification chip and said coil are disposed against the inner wall of said hub; and

a coil seal formed of flexible non-metallic material is disposed against and circumferentially surrounds the inner wall of said hub, said coil seal having spaced apart circumferential ribs that are located on opposed sides of said identification chip bearing against the inner wall of said hub so that the inner wall of said hub and said coil seal enclose said identification chip and said coil.

12. The cutting accessory ofclaim 9, wherein said identification chip is mounted on a flexible substrate and said coil comprises at least one conductive trace formed on said substrate.

13. A method for energizing a cutting accessory to perform a surgical procedure, said method including the steps of:

attaching a surgical handpiece with a power generating unit to a control console, said handpiece including: a memory that contains data describing the operating characteristics of the handpiece; and a coil;

reading from the surgical handpiece into the control console the data in the surgical handpiece memory;

attaching a removably attachable cutting accessory to the surgical handpiece, wherein at least one cutting accessory that can be attached to the surgical handpiece has a memory that contains data describing the operating characteristics of the cutting accessory;

generating a read request by the control console to the cutting accessory, wherein in said read request step, the control console causes the handpiece coil to inductively forward a signal to the cutting accessory;

determining if, in response to said read request, the cutting accessory responds and, if the cutting accessory memory, in response to said read request, reads out data, inductively transferring the data through the cutting accessory coil and the handpiece coil to the control console;

if, the cutting accessory does not respond to said read request, providing an energization signal to the power generating unit in the surgical handpiece based on operating characteristics data read from the handpiece memory; and

if the cutting accessory memory reads out data in response to said read request, providing an energization signal to the power generating unit in the surgical handpiece based on the data in the cutting accessory memory and the handpiece memory wherein the operating characteristics data read from the cutting accessory memory overrides the operating characteristics data read from the handpiece memory.

14. The method of energizing a cutting accessory ofclaim 13, wherein:

the cutting accessory memory includes data indicating a unique identifier for the cutting accessory;

after the cutting accessory is attached to the handpiece, the control console, in subsequent read request steps, repetitively reading the data in the cutting accessory;

after each said data read of the cutting accessory memory, the control console compares the read identifier with the identifier read in response to the initial read request to the cutting accessory;

if said comparison determines that the initially read identifier and the later read identifier are identical, the control console continues to energize the handpiece power generating unit based on the cutting accessory operating characteristics data read in response to the initial rear request step; and

if said comparison determines that the initially read identifier and the later read identifier are different, the control console energizes the handpiece power generating unit based on the cutting accessory operating characteristics data read in response to the subsequent read request step.

15. A method of determining the position of a surgical implant within a patient, said method including the steps of:

with a surgical navigation unit, obtaining a profile of the portion of the patient in which an implant is to be fitted;

mating an implant to a surgical handpiece that positions the implant in the patient, the implant having attached thereto a memory with data describing the physical characteristics of the implant and a coil that is connected to the memory;

with a coil associated with the surgical handpiece, by inductive signal transfer, reading the data stored in the implant memory and supplying the physical characteristics data of the implant to the surgical navigation unit;

with the surgical navigation unit, tracking the position of the surgical handpiece relative to the patient; and

with the surgical navigation unit, based upon the position of the handpiece and the physical characteristics of the implant determining the position of the implant relative to the portion of the patient in which the implant is to be fitted.

16. A method of performing surgery, said method including the steps of:

obtaining measurements of a portion of a patient body in which an implant is to be fitted and providing the measurements to a surgical navigation unit;

selecting an implant for implantation into the patient, the implant having a memory in which data describing the characteristics of the implant are stored;

reading from the memory of the selected implant data describing the characteristics of the implant, said reading step being performed by a handpiece attached to a control console that is capable of actuating handpieces wherein, in said reading step data are read by inductive signal transfer between the implant memory and the handpiece;

transferring, from the control console to the surgical navigation unit, the data describing the characteristics of the implant;

actuating a handpiece with said control console to position the implant in the body,

monitoring the position of the handpiece being actuated with the surgical navigation unit,

determining, with the surgical navigation unit, the position of the implant relative to the body portion in which the implant is being fitted based on, the measurements of the body portion, the position of the handpiece and the characteristics of the implant and displaying an indication of the position.

17. The method of performing surgery ofclaim 16, wherein the handpiece used to perform said step of reading data from the memory of the implant and the handpiece used to perform said step of positioning the implant in the body are the same handpiece.

18. The method of performing surgery ofclaim 16, wherein said step of reading data from the memory of the implant is performed by a cutting accessory that is removabley attached to the handpiece used to perform said step.

19. A method of taking inventory of surgical components, said method including the steps of:

determining the components used to perform a surgical procedure on a patient, wherein each said determination includes the step of reading inductively from a component used data identifying the component;

based on said determination of components used to perform the surgical procedure, maintaining an inventory of the components used;

after a component is used during the surgical procedure, placing the component in defined storage location;

determining when a component used during the surgical procedure is placed in the defined storage location by inductively reading identification data from the component when the component is placed in the defined storage location;

based on said inventory of components used and said determination of components stored, determining if all used components are stored;

if all used components are not stored, generating a message requesting the storage of a used component not stored and returning to said steps of: placing the used component in the defined storage location; determining if the component is placed in the defined storage location; and determining if all used components are stored; and

if all used components are stored, generating a message indicating the storage of the components.

20. The method of taking inventory of surgical components ofclaim 19, wherein:

said steps of determining the components used during the surgical procedure and said components returned to the defined storage locations are performed by a handpiece attached to a control console, said control console being configured to provide energization signals to handpieces; and

said steps of maintaining an inventory of components used during the surgical procedure and if all components are stored are performed by an inventory processor that is physically removed from said control console and said control console and said inventory processor are connected together wherein said control console provides data to said inventory processor to identify components used during the surgical procedure and components placed in the defined storage location.

21. A method for energizing a cutting accessory to perform a surgical procedure, said method including the steps of:

attaching a surgical handpiece to a control console, the handpiece having a power generating unit a coupling assembly for removably receiving a cutting accessory and a coil for inductively exchanging signals with a memory in the cutting accessory;

with said control console, generating a read-request to a cutting accessory through the handpiece coil, the read-request comprising a request to that a cutting accessory memory write out selected data in the memory, the selected data being less than all the data stored in the cutting accessory memory;

if, in response to said read-request step, no data are written out to the control console, repeating said read-request step,

if, in response to said read-request step, the selected data are written out to the control console, said control console, through said handpiece coil, generating a read-request for additional data in the cutting accessory memory;

the cutting accessory memory, in response to said read-request for additional data, writing out through the handpiece coil the additionally requested data; and

said control console, in response to the cutting accessory memory additional data, providing energization signals to the handpiece to control the actuation of the handpiece and the cutting accessory based on the data read out from the cutting accessory memory.

22. The method of performing surgery ofclaim 21, wherein:

the cutting accessory memory includes data indicating a identifier specific to the cutting accessory and data indicating the operating characteristics of the cutting accessory;

in said step of generating a read-request to a cutting accessory memory for selected data, said control console requests the identifier for the cutting accessory;

in said step of generating a read-request for additional data, said control console requests the operating characteristics for the cutting accessory.

23. A method for providing irrigation to perform a surgical procedure, said method including the steps of:

attaching a surgical handpiece to a control console, the handpiece including a coupling assembly for removably receiving a cutting accessory;

attaching a tubing set to a pump device, the tubing set including a memory device;

securing a first end of a tubing of the tubing set to an irrigation fluid container;

securing a second end of the tubing to the surgical handpiece;

generating a read-request to the memory device from the control console, the read-request comprising a request that the memory write out selected data;

receiving the selected data in the control console;

said control console, in response to the selected data, operating the pump device to control the flow rate of irrigation fluid supplied to a surgical site from the second end of the tubing.

24. The method for providing irrigation ofclaim 23 including simultaneously operating a cutting accessory, wherein the surgical handpiece includes a power generating unit and a coil for inductively exchanging signals with a cutting accessory memory in the cutting accessory, the method including the steps of:

with said control console, generating a read-request to a cutting accessory through the handpiece coil, the read-request comprising a request that the cutting accessory memory write out selected data, the selected data being less than all the data stored in the cutting accessory memory;

if, in response to said read-request step, no data are written out to the control console, repeating said read-request step, if, in response to said read-request step, the selected data are written out to the control console, said control console, through said handpiece coil, generating a read-request for additional data in the cutting accessory memory;

the cutting accessory memory, in response to said read-request for additional data, writing out through the handpiece coil the additionally requested data;

the control console, in response to the cutting accessory memory additional data, providing energization signals to the handpiece to control the actuation of the handpiece and the cutting accessory based on the data read out from the cutting accessory memory; and,

the control console, in response to the selected data, controlling the flow rate of the irrigation fluid substantially simultaneously with the operation of the cutting accessory.

25. The method of performing surgery ofclaim 23, including the step of disabling the pump device for providing the flow of the irrigation fluid to the surgical site when the presence of the memory device is not detected.

26. The method of performing surgery ofclaim 23, wherein the tubing set includes a cartridge supporting the memory device, the cartridge being removably attached to the control console, and wherein the step of generating the read-request to the memory device from the control console includes a coil for inductively providing power to and receiving the selected data from the memory device in the cartridge, the memory device comprising a radio frequency inductive device.

27. The method of performing surgery ofclaim 23, wherein the tubing set comprises only the tubing having the memory device attached thereto.

28. The method of performing surgery ofclaim 23, wherein the control console generates and sends a write-request signal to the memory device for storing an indication that the tubing set has been used so that, if the tubing set is improperly reinstalled, the control console provides an indication and/or disables operation of the pump device.

29. A cordless powered surgical tool, said tool including:

a body shaped to have opposed distal and proximal ends and to have an opening in the distal end for receiving an accessory;

a coupling assembly attached to said body, said coupling assembly having a moveable member for releasably engaging the accessory to hold the accessory in the body opening;

a coil disposed in said body adjacent the opening and positioned to inductively receive data signals from a complementary coil integral with the accessory;

a controller for reading the signals provided by said coil and for controlling the driving properties of a motor of the surgical tool in response to the data signals when said motor is manually actuated by a user; and

a battery located in the body for providing power to said coil, said controller and said motor,

wherein said motor powers said accessory in response to manually actuation.

30. The cordless powered surgical tool ofclaim 29, wherein said controller, in response to the data signals, limits the maximum speed of said motor.

31. The cordless powered surgical tool ofclaim 29, wherein said data signals include a time of use for the accessory and said controller writes data signals to said accessory via said coils to store an updated time of use.

32. The cordless powered surgical tool ofclaim 29, said surgical tool including an indicator connected to said controller an powered by said battery, wherein the data signals include a time of use for the accessory and, when said time of use exceeds a predetermined time, said controller provides an indicator signal so that said indicator provides an alarm.

33. The cordless powered surgical tool ofclaim 32, said surgical tool including an indicator connected to said controller an powered by said battery, wherein the data signals include a time of use for the accessory and, when said time of use exceeds a predetermined time, said controller provides an indicator signal so that said indicator provides an alarm or provides controlled shutdown of said motor of said powered surgical tool after the alarm operates for a predetermined alarm time.

34. The cordless powered surgical tool ofclaim 29, wherein said accessory comprises an implant device.

35. A method of maintaining an inventory of medical components, said method including the steps of:

detecting the presence of components, wherein each said determination includes the step of reading inductively identification data stored in the individual components and identifying the individual components;

based on said determination of components, maintaining an inventory of the location, condition, and/or status of the components, wherein the inventory is maintained on a computer network;

providing access to records of the inventory at multiple sites; and

providing apparatus for detecting the presence of the components at multiple locations.

36. The method of detecting the presence/absence or status of medical components ofclaim 35, said method including the steps of:

determining the components used to perform a surgical procedure on a patient;

based on said determination of components used to perform the surgical procedure, maintaining an inventory of the components used;

determining when a component used during the surgical procedure is placed in a defined storage location by inductively reading identification data from the component when the component is placed in the defined storage location;

based on said inventory of components actually used and said determination of components to be used, determining if all used components are stored;

if all used components are not stored, generating a message requesting the storage of a used component not stored; and

if all used components are stored, generating a message indicating the storage of the components.

37. The method of maintaining an inventory ofclaim 36, wherein the step of determining when a component used during the surgical procedure is placed in the defined storage location includes writing identification data to the component indicating the component is not sterilized.

38. The method of maintaining an inventory ofclaim 35, including the step of determining when a component is utilized and no longer sterilized, including writing data to the component and the computer network indicating the component is not sterilized.

39. The method of maintaining an inventory ofclaim 38, including the step of determining when a component is sterilized and writing data to the component indicating the component is sterilized.

40. The method of maintaining an inventory ofclaim 35, including the steps of:

determining when a component is disposed of; and

automatically reordering the component.

41. The method of maintaining an inventory ofclaim 35, including the steps of:

determining when a component is disposed of; and

automatically billing for the component.

42. The method of maintaining an inventory ofclaim 35, including the steps of:

updating and storing the location of the components in the computer network for tracking purposes;

storing the condition of the components in the computer network for reordering purposes; and

maintaining the sterilization status of the components.

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