US20130035598A1 - Imaging device for use with a surgical device - Google Patents
Imaging device for use with a surgical device Download PDFInfo
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- US20130035598A1 US20130035598A1 US13/585,155 US201213585155A US2013035598A1 US 20130035598 A1 US20130035598 A1 US 20130035598A1 US 201213585155 A US201213585155 A US 201213585155A US 2013035598 A1 US2013035598 A1 US 2013035598A1
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- surgical
- arrangement
- image
- imaging
- image capture
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00087—Tools
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00025—Operational features of endoscopes characterised by power management
- A61B1/00027—Operational features of endoscopes characterised by power management characterised by power supply
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
- A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
- A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
- A61B1/051—Details of CCD assembly
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/0607—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements for annular illumination
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00011—Operational features of endoscopes characterised by signal transmission
- A61B1/00016—Operational features of endoscopes characterised by signal transmission using wireless means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
Definitions
- the present invention relates to an imaging device which may be used in conjunction with a surgical device.
- surgeons utilize various surgical instruments for inter-abdominal, inter-thoracic and other similar surgical procedures.
- surgeons desire to perform these procedures using minimally invasive surgical techniques.
- an endoscopic procedure for example, a small incision is made in a patient and an endoscope is inserted therein in order to view the body cavity in which the surgeon intends to perform the surgery.
- These types of surgical procedures typically require the use of an endoscope which enables the surgeon to obtain a view of the body cavity and the manipulation of a surgical device used during the surgery.
- the surgeon inserts both the endoscope and the surgical device either through the same incision or may use separate incisions for each device.
- a member of the surgical team may continuously monitor the positioning of the endoscope in order maintain a suitable view of the body cavity and the manipulation of the surgical device.
- a surgical instrument may include an anvil portion and a staple, blade and reservoir (SBR) portion.
- the surgical instrument detachably couples to an electro-mechanical driver device via a shaft. The surgeon advances the shaft and the SBR portion of the attachment into the body cavity.
- the base of the anvil portion and the outer edge of the SBR housing may include an electromagnetic sensor which is coupled to the LCD indicator of the handle, thereby permitting the surgeon to know the position of the anvil and the SBR during the surgical procedure.
- an LCD indicator may be used in conjunction with an endoscope.
- the surgeon may receive visual images of the body cavity (via the endoscope) and an indication of the position of the surgical instrument during the surgery (via the LCD indicator).
- an imaging device that couples to a surgical instrument itself.
- Such an imaging device may provide a surgeon with both images of the body cavity and the manipulation of the surgical instrument during the procedure. It would also be advantageous to provide an imaging device which is reusable on various surgical instruments that are adapted to receive it.
- an imaging unit including a housing configured to detachably couple to an outer surface of a surgical device, and an image capture arrangement configured to generate image data; the imaging unit may also include a circuit arrangement disposed within the housing and electrically coupled to the image capture arrangement, in which the circuit arrangement is configured to communicate the image data to at least one remote device.
- a surgical attachment including a surgical device, and an imaging unit having a housing configured to detachably couple to an outer surface of the surgical device and an image capture arrangement configured to generate image data; the imaging unit may further include a circuit arrangement disposed within the housing and electrically coupled to the image capture arrangement, in which the circuit arrangement is configured to communicate the image data to at least one remote device.
- a surgical system including an electro-mechanical driver device, a surgical device detachably coupled to the electro-mechanical driver device, and an imaging unit having a housing configured to couple to an outer surface of the surgical device and an image capture arrangement configured to generate image data; the imaging unit may further include a circuit arrangement disposed within the housing and electrically coupled to the image capture arrangement, in which the circuit arrangement is configured to communicate the image data to at least one remote device.
- FIG. 1 illustrates an exemplary surgical system 100 according to the present invention.
- FIG. 2 a illustrates a circular surgical stapler attachment.
- FIG. 2 b illustrates a linear surgical stapler
- FIG. 3 a illustrates a first exemplary imaging device according to the present invention configured to couple to a surgical device.
- FIG. 3 b illustrates the imaging device of FIG. 3 a , with the surgical device coupled to the imaging device.
- FIG. 4 a illustrates an exemplary image capture arrangement according to the present invention.
- FIG. 4 b is a side view of the image capture arrangement illustrated in FIG. 4 a.
- FIG. 5 illustrates an exemplary circuit arrangement according to the present invention.
- FIG. 6 illustrates an exemplary power supply arrangement according to the present invention for providing electrical power to an imaging device.
- FIG. 7 a illustrates another exemplary imaging device in the form of an imaging pod.
- FIG. 7 b is a side view of the imaging device illustrated in FIG. 7 a showing further detail.
- FIG. 7 c illustrates a surgical attachment with an imaging pod coupled to a surgical device.
- FIG. 8 a illustrates another exemplary imaging pod according to the present invention.
- FIG. 8 b illustrates an exemplary receptacle of a surgical device configured to receive the imaging pod illustrated in FIG. 8 a.
- FIG. 9 illustrates another exemplary surgical attachment according to the present invention.
- Surgical system 100 includes an electro-mechanical driver device 110 detachably coupled to a surgical attachment 120 .
- electro-mechanical driver device is described in, for example, U.S. patent application Ser. No. 09/723,715, entitled “Electro-Mechanical Surgical Device,” U.S. patent application Ser. No. 09/836,781, entitled “Electro-Mechanical Surgical Device, filed on Apr. 17, 2001, and U.S. patent application Ser. No. 09/887,789, entitled “Electro-Mechanical Surgical Device,” filed on Jun. 22, 2001, each of which is expressly incorporated herein in its entirety by reference.
- Electro-mechanical driver device 110 may include, for example, a remote power console (RPC) 105 , which includes a housing 115 having a front panel 125 . Mounted on front panel 125 are a display device 130 and indicators 135 a, 135 b. A connection slot 140 is also provided on front panel 125 . Electro-mechanical driver device 110 may also include a video display 145 , e.g., a television monitor, computer monitor, CRT or other viewing device, attached to the RPC 105 . Video display 145 may receive, for example, image signals (e.g., video signals) from an imaging device 195 .
- image signals e.g., video signals
- the electro-mechanical driver device 110 may also include a reception system 150 having a receiver or transceiver 155 and circuitry 160 operable to convert signals received from the imaging device 195 into a form suitable for display on video display 145 .
- the reception system 150 may also include a memory device 165 for buffering and/or storing processed image data received from the imaging device 195 .
- a flexible shaft 170 may extend from housing 115 and may be detachably secured thereto via a first coupling 175 .
- the distal end 180 of flexible shaft 170 may include a second coupling 185 adapted to detachably secure the surgical attachment 120 to the distal end 180 of the flexible shaft 170 .
- the electro-mechanical driver device 110 may include a motor system (not shown), which includes one or more motors configured to rotate the drive shafts and to apply tension or otherwise drive the steering cables to thereby steer the distal end 180 of the flexible shaft 170 .
- FIG. 2 a Various types of surgical devices 190 may be attached to the distal end 180 of the flexible shaft 170 , such as a circular surgical stapler attachment (CSS) 250 , shown schematically in FIG. 2 a .
- the CSS 250 includes a coupling 255 adapted by size and configuration to cooperate with the second coupling 185 of flexible shaft 170 to detachably couple the CSS 250 thereto.
- CSS 250 includes an anvil portion 260 having an anvil 265 mounted on the distal end of an anvil stem 270 .
- the anvil stem 270 is extended and retracted by the operation of an anvil drive shaft (not shown), which is rotatably secured within the body portion 275 of the CSS 250 .
- CSS 250 further includes a staple driver/cutter mechanism (not shown) within the body portion 275 .
- the extension and refraction of the anvil 265 and the staple driver/cutter may be effected by the operation of motors within the electro-mechanical driver device 110 . Movement and control of the anvil 265 and staple driver/cutter may be performed through the use of a remote control unit (not shown). The position and location of the anvil 265 and staple driver/cutter are indicated by signals transmitted to the electro-mechanical driver device 110 and displayed for the user on the display device 130 and indicators 135 a, 135 b. CSS 250 further includes a data connector (not shown) adapted to electrically and communicatively couple to second coupling 185 .
- FIG. 2 b there is seen another exemplary surgical device 190 as a linear surgical stapler 205 , such as described in detail in U.S. Patent Application Ser. No. 09/324,452 which is expressly incorporated herein by reference in its entirety.
- the linear surgical stapler 205 may include a separating jaw system comprising a lower jaw 210 , an upper jaw 215 and a coupling 220 .
- Coupling 220 may include two hexagonal shaped sockets 225 a, 225 b into which second coupling 185 of flexible shaft 170 is detachably received.
- the linear surgical stapler 205 may also include a shaft and driver component configured to close jaws 210 , 215 onto tissue and to drive staples into the tissue for closure.
- the magnetic sensors 230 , 235 and circuitry associated with the linear surgical stapler attachment 205 may also, for example, provide a user with an indication when a section of tissue has been fully clamped.
- the linear surgical stapler 205 may also include electrodes (not shown).
- the electrodes may receive RF energy through contacts 240 and enable the coagulation and/or anastomosing of tissue.
- the linear surgical stapler attachment 205 may incorporate various electrode and/or stapling configurations, as described in U.S. patent application Ser. No. 60/285,113, entitled “A Surgical Linear Clamping, Stapling, and Cutting Device”, filed on Apr. 20, 2001 and U.S. patent application Ser. No. 60/289,370, entitled “Bipolar Surgical Device” filed on May 8, 2001, each of which is expressly incorporated herein by reference in its entirety.
- FIG. 2 a , 2 b show only a circular surgical stapler and a linear surgical stapler, respectively, it should be appreciated that the surgical device 190 may include other arrangements.
- surgical device 190 may include a trocar device, as described in U.S. patent application Ser. No. 10/098,217, filed on Mar. 14, 2002, which is expressly incorporated herein by reference.
- Imaging device 300 configured to couple to the surgical device 190 , for example, a linear stapler or a circular surgical stapler.
- Imaging device 300 includes a housing 305 having a bore 310 , an image capture arrangement 315 (e.g., a camera), a circuit arrangement 320 electrically coupled to the image capture arrangement 315 , and a power supply arrangement 330 for supplying power to the imaging device 300 .
- image capture arrangement 315 e.g., a camera
- circuit arrangement 320 electrically coupled to the image capture arrangement 315
- power supply arrangement 330 for supplying power to the imaging device 300 .
- the imaging device 300 is suitably configured to slidably receive the surgical device 190 within bore 310 .
- the surgical device 190 may be inserted into the bore 310 in a first direction 325 , as shown in FIG. 3 b .
- a coupling mechanism (not shown) may hold the surgical device 190 in place within the bore 310 .
- the coupling mechanism may include any arrangement suitable for detachably holding the surgical device 190 in place within the bore 310 , such as, clamps, nuts, bolts, clasps, straps, a frictional-fit arrangement, a snap-fit arrangement, etc.
- the imaging device 300 may be detachably coupled to or mounted on an outer surface of the surgical device 190 . Configured in this manner, after the imaging device 300 is used with the surgical device 190 , the imaging device 300 may be removed from the surgical device 190 and reused on another surgical device. This may be particularly advantageous if, for example, the surgical devices are disposable with and it is desired to reuse the imaging device 300 several times. Of course, in an alternate embodiment, the surgical device 190 may be permanently coupled to the imaging device 300 .
- FIGS. 3 a , 3 b show bore 310 having a cylindrical shape, it should be appreciated that bore 310 may be suitably shaped and configured to provide compatible attachment to other surgical devices, which may or may not be cylindrical in shape.
- the image capture arrangement 315 includes a lens 405 , a light source 410 for illuminating an object to be imaged (e.g., fiber optic light sources, light bulbs, LEDs, etc.), an image sensor 440 (e.g., a light sensitive device such as a CCD or CMOS-type image sensor) positioned to capture an image via the lens 405 .
- the image capture arrangement 315 may further include a cleaning arrangement 415 for cleaning debris from the lens 405 .
- Each of the lens 405 , the light source 410 , the image sensor 440 , and the cleaning arrangement 415 is communicatively coupled to data bus 430 .
- the image sensor 440 receives an image as seen, for example, from the distal end of the surgical device 190 via lens 405 .
- the image capture arrangement 315 generates image data in accordance with the image and communicates the image data to the circuit arrangement 320 via data bus 430 .
- the image sensor 440 is positioned behind the lens 405 .
- the image sensor 440 may be arranged in a position remote from the lens 405 , with light from the lens 405 being transmitted to the image sensor 440 via, for example, fiber optic connections.
- the image sensor 440 is positioned in the housing 305 .
- the image sensor 440 is positioned in the flexible shaft 170 , a coupling thereto, and/or the electro-mechanical driver device 110 . In any event, image data may be transmitted to the electro-mechanical driver device via a wireless or wired connection.
- the cleaning arrangement 415 may include, for example, hollow stems 420 for dispersing an air/water mixture across lens 405 .
- proximal ends (not shown) of the hollow stems 420 may receive the air/water mixture from a remote source (not shown), for example, the electro-mechanical driver device 110 .
- the air/water mixture is propelled through the hollow stems, exiting the distal ends 425 of the hollow stems 420 . In this manner, the air/water mixture is dispersed across the lens 405 to help clean debris from the lens 405 during use.
- the image capture arrangement 315 receives control data from the circuit arrangement 320 via the data bus 430 .
- the control data may, for example, control zooming of the lens 405 , control the illumination produced by the light source 410 , and/or control the flow rate of the air/water mixture propelled through the hollow stems 420 of the cleaning arrangement 415 .
- the image capture arrangement 315 may include one or more lenses 405 , one or more image sensors 440 , and/or one or more light sources 410 .
- Multiple lenses 405 and/or image sensors 440 may permit a user to switch between different lenses 405 to obtain multiple views at different perspectives. For example, the user may view different images through every step of a surgical procedure.
- multiple lenses may permit panoramic or wide views.
- the circuit arrangement 320 includes circuitry suitable for receiving the image data from the image capture arrangement 315 and communicating the image data to a remote source, such as the electro-mechanical driver device 110 .
- the circuitry may be physically situated, for example, on a rigid or flexible circuit board situated within the housing 305 of the imaging device 300 .
- Circuit arrangement 320 may include a processing arrangement 505 , a memory device 510 , user input arrangement 525 , and a transmission arrangement 515 , each of which is communicatively coupled via data bus 520 .
- the data bus 430 of the image capture arrangement 315 is also communicatively coupled to the data bus 520 . In this manner, the image data may be received from the image capture arrangement 315 and communicated to the processing arrangement 505 and/or the memory device 510 via data bus 520 .
- the memory device 510 may include any read/writable memory device capable of storing the image data, such as RAM, FLASH, EPROM, EEPROM, etc.
- the image data received from the image capture arrangement 315 may be, for example, stored directly on the memory device 510 for subsequent processing by the processing arrangement 505 . In this manner, the memory device 510 receives the image data from the image capture arrangement 315 and then communicate the image data to the processing arrangement 505 . Alternatively, the image data may be transmitted directly to the processing arrangement 505 for processing. In this manner, the processing arrangement 505 receives the image data from the image capture arrangement 315 directly via the data bus 520 .
- the memory device 510 may receive and store processed image data from the processing arrangement 505 for subsequent additional processing and/or for direct transmission to the remote device via the transmission arrangement 515 .
- the image data may be transmitted directly from the image capture arrangement 315 to a processor of the electro-mechanical driver device 110 .
- the user input arrangement 525 is configured to receive commands from a user.
- the commands may include, for example, commands to zoom the lens 405 , to switch between different views, to receive continuous (e.g., video) or still images, to control the illumination produced by the light source 410 , to control the flow rate of the air/water mixture propelled through the hollow stems 420 of the cleaning arrangement 415 , to switch to panoramic view, etc.
- the user input arrangement 520 may include, for example, a wireless receiver for receiving the commands wirelessly from a remote control unit.
- the user input arrangement 520 may include, for example, electrical contacts for communicatively coupling to the electro-mechanical driver device 110 via wires disposed within the flexible shaft 170 or external to the flexible shaft 170 . In this manner, the user input arrangement 520 may receive the commands via the remote power console 105 of the electro-mechanical driver device 110 .
- the user input arrangement 520 generates user input data in accordance with the commands received from the user and communicates the user input data to the processing arrangement 505 via the data bus 520 .
- the processing arrangement 505 is configured to control the image capture arrangement 315 and process the image data in accordance with the user input data received from the user input arrangement 520 .
- the processing arrangement 505 may generate control data for controlling the various functions of the image capture arrangement 315 in accordance with the user input data received from the user input arrangement 520 .
- the processing arrangement 505 communicates the control data to the image capture arrangement 315 via data buses 430 , 520 .
- the control data may, for example, control zooming of the lens 405 , control the illumination produced by the light source 410 , and/or control the flow rate of the air/water mixture propelled through the hollow stems 420 of the cleaning arrangement 415 .
- the processing arrangement 505 also processes the image data in accordance with the user input data received from the user input arrangement 520 .
- the processing arrangement 505 may process the image data to communicate continuous or still images, to perform a digital zoom, etc.
- the imaging device 300 may provide a surgeon with a video image as the surgical attachment 120 is inserted and probed through, for example, the colon area of a patient. Both moving and still images may be provided to surgeon via the imaging device 300 .
- the imaging device 300 may supply a continuous image of the colon.
- the surgeon may instantaneously freeze the moving image by activating the corresponding control mechanisms. Accordingly, the freeze frame image may be manipulated as desired, i.e., rotated, zoomed and/or magnified.
- the moving images may also be stored and manipulated as desired for subsequent visual analysis.
- the transmission arrangement 515 receives the processed image data from the processing arrangement 505 via the data bus 520 and communicates the processed image data to the remote device (not shown).
- the transmission arrangement 515 may include a wireless transmitter operable to convert the processed image data into an RF transmission to be wirelessly received by the remote device.
- the transmission arrangement 515 may include, for example, electrical contacts for communicatively coupling to the electro-mechanical driver device 110 via wires disposed within or external to the flexible shaft 170 . In this manner, the transmission arrangement 515 may communicate the processed image data to the video display 145 of the electro-mechanical driver device 110 .
- Power supply arrangement 330 includes a battery power unit 605 for providing electrical power to the imaging device 300 .
- the battery power unit 605 may include, for example, nickel cadmium batteries, nickel metal-hydride batteries, lithium batteries, etc.
- power supply arrangement 330 may include power contacts 610 for receiving electrical power from an external source (not shown), for example, the electro-mechanical driver device 110 . In this manner, the electro-mechanical driver device 110 may transmit the electrical power to the power supply arrangement 330 via wires disposed within or external to the flexible shaft 170 .
- the battery power unit 605 may be configured, for example, to provide electrical power to the imaging device 300 if the power contacts 610 are not receiving electrical power from the external source, for example, from the electro-mechanical driver device 110 . In this manner, the battery power unit 605 may function as a “battery-backup,” to ensure that the imaging device 300 receives electrical power in the event power transmission from the external source is interrupted and/or removed.
- the imaging pod 700 includes a housing 705 having an attachment arrangement 710 and an image capture arrangement 715 situated within the housing.
- the image capture arrangement 715 includes one or more light sources 730 and an optical system 720 with a focusing lens 735 .
- the attachment arrangement 710 may include, for example, pins, spring loaded bearings, ridges, etc. configured to detachably couple the imaging pod 700 to a corresponding receptacle of the surgical device 190 .
- the housing 705 may be formed of, for example, a transparent plastic material, although the housing may be formed of other materials as well.
- the image capture arrangement 715 further includes an imaging sensor, e.g., a light sensitive device such as a charged coupled device (CCD) 725 .
- a light sensitive device such as a charged coupled device (CCD) 725 .
- CCD charged coupled device
- the focusing lens 735 focuses reflected light onto CCD 725 .
- a wireless transmitter (or, e.g., a transceiver) 740 is situated in the housing 705 and communicatively coupled to the CCD 725 .
- An example of such a wireless transmitter is described in U.S. Pat. No. 5,604,531, expressly incorporated herein by reference in its entirely.
- a power source 745 such as a small battery, is situated in the housing 705 and operable to provide electrical power to the CCD 725 , light sources 730 , and the wireless transmitter 740 .
- images captured by CCD 725 may be wirelessly transmitted via wireless transmitter 740 to a corresponding receiver (or transceiver) in a remote device, such as the electro-mechanical driver device 110 .
- CMOS Complementary Metal Oxide Semiconductor
- the CMOS sensor may require less power than a CCD image sensor, due to its greater sensitivity to light.
- a CMOS image sensor may include, for example, a photo diode and/or a photo transistor to detect reflected light from an object to be imaged.
- the CMOS image sensor may transmit the image data as an analog signal or, alternatively, as a digital signal after processing by an analog-digital converter.
- a surgical attachment 750 including the imaging pod 700 coupled to surgical device 190 .
- the imaging pod 700 is detachably received within a receptacle 755 of the surgical device 190 . Accordingly, if the surgical device 190 is designed as a disposable unit, the imaging pod 700 may be removed from the surgical device 190 and reused in connection with another surgical device. Alternatively, the imaging pod 700 may be permanently secured to, or even integral with, the surgical device 190 . In this regard, the permanently coupled imaging pod 700 would be disposed along with the surgical device 190 .
- Imaging pod 800 is similar to the imaging pod 700 described in connection with FIGS. 7 a , 7 b , 7 c , except that imaging pod 800 includes wired connections for transmitting the image data to the remote device, such as the electro-mechanical driver device 110 .
- the imaging pod 800 includes contact pins 805 sized to be received in sockets of the receptacle 755 of the surgical device 190 , thereby providing a plug-in type connection.
- the contact pins 805 provide connections to circuitry 760 , which supplies power to the appropriate components of the imaging pod 800 and transmits signals from the CCD 725 to a corresponding receiver in the remote device, such as the electro-mechanical driver device 110 , through, for example, the surgical device 190 and the flexible shaft 170 .
- the receptacle 755 includes sockets 810 sized to receive the contact pins 805 of the imaging pod 800 .
- the sockets 810 electrically couple the contact pins 805 to electrical leads (not shown) in the surgical device 190 .
- the electrical leads are electrically connected to the remote device (e.g., the electro-mechanical driver device 110 ) via wires situated, for example, within the flexible shaft 170 of the electro-mechanical driver device 110 .
- the imaging pod 800 may include a battery for power, and utilize wired transmission for signals from the CCD, or alternatively, receive power via a wired connection and utilize wireless transmission for the signals from the CCD.
- an imaging device 905 is configured to be coupled to or mounted on an external surface of the surgical device 190 .
- the imaging device 905 may also be configured to mount on other surgical devices, such as those described in the U.S. applications incorporated by reference above.
- the surgical device 190 is a circular surgical stapler.
- the imaging device 905 is mounted to a body 910 of the surgical device 190 .
- the surgical device 190 includes a coupling 915 , an anvil portion 920 and a body 910 .
- the anvil portion 920 includes an anvil 925 and anvil stem 930 .
- a flexible wire assembly 940 is provided for communicating image data to a remote device, e.g., the electro-mechanical driver device 110 (not shown).
- the imaging device 905 may slidingly fit over the body 910 and may be either permanently or removably mounted to the body 910 .
- the imaging device 905 is removably mounted to the body 910 via a resilient, e.g., plastic or elastic strap 935 . Strap 935 may be removed, for example, which may permit the imaging device 905 to be reused with another surgical device or attachment.
- the imaging device 905 may be mounted to the surgical device 190 via a shoe (not shown) similar to the type used with a flash unit on a camera.
- the video unit 100 may be coupled, for example, to a processor via a wireless connection or a wired connection via flexible wire assembly 940 .
- the flexible wire assembly 940 may include power, control and data lines.
- the flexible wire assembly 940 may be coupled to, for example, a processor of a remote power console as described in, for example, U.S. patent application Ser. No. 09/836,781.
- the wired connection between the imaging device 905 and, for example, the processor may be effected via individual wires disposed within or external to the flexible shaft 170 of the electro-mechanical driver device 110 .
- wires of the flexible wire assembly 940 and/or the wires disposed within or external to the flexible shaft 170 of the electro-mechanical driver device 110 for communicating image data from the imaging device 905 to, for example, the processor may be replaced with fiber-optic connections.
- Imaging device 905 may include analogous features to the imaging devices 300 and 700 described above.
- imaging device 905 may include an image capture arrangement (e.g., a camera), a circuit arrangement electrically coupled to the image capture arrangement, and a power supply arrangement for supplying power to the imaging device 905 .
- image capture arrangement e.g., a camera
- circuit arrangement electrically coupled to the image capture arrangement
- power supply arrangement for supplying power to the imaging device 905 .
- the image capture arrangement of the imaging device 905 may include a lens, a light source for illuminating an object to be imaged (e.g., fiber optic light sources, light bulbs, LEDs, etc.), an image sensor (e.g., a CCD or CMOS-type image sensor) positioned to capture an image via the lens.
- the image capture arrangement of the imaging device 905 may further include a cleaning arrangement for cleaning debris from a lens.
- Each of the lens, the light source, the image sensor, and the cleaning arrangement may also communicatively coupled to data bus.
Abstract
Description
- This application incorporates each of U.S. patent application Ser. No. 09/324,452, filed on Jun. 2, 1999, U.S. application Ser. No. 09/723,715, filed on Nov. 28, 2000, U.S. application Ser. No. 09/324,451, filed on Jun. 2, 1999, U.S. application Ser. No. 09/351,534, filed on Jul. 12, 1999, U.S. application Ser. No. 09/510,923, filed on Feb. 22, 2000, U.S. application Ser. No. 09/510,927, filed on Feb. 22, 2000, U.S. application Ser. No. 09/510,932, filed on Feb. 22, 2000, and U.S. application Ser. No. 09/836,781, filed on Apr. 17, 2001, and U.S. patent application Ser. No. 09/887,789, filed on Jul. 22, 2001, in its entirety by reference. This application also claims the benefit of each of U.S. patent application Ser. No. 60/285,193, filed on Apr. 20, 2001, U.S. patent application Ser. No. 60/300,107, filed on Jun. 22, 2001, and U.S. patent application Ser. No. 60/344,648, filed on Dec. 31, 2001, each of which is expressly incorporated herein in its entirety by reference.
- The present invention relates to an imaging device which may be used in conjunction with a surgical device.
- Surgeons utilize various surgical instruments for inter-abdominal, inter-thoracic and other similar surgical procedures. Typically, surgeons desire to perform these procedures using minimally invasive surgical techniques. In an endoscopic procedure, for example, a small incision is made in a patient and an endoscope is inserted therein in order to view the body cavity in which the surgeon intends to perform the surgery. These types of surgical procedures typically require the use of an endoscope which enables the surgeon to obtain a view of the body cavity and the manipulation of a surgical device used during the surgery. Many times, the surgeon inserts both the endoscope and the surgical device either through the same incision or may use separate incisions for each device. In most surgical procedures using an endoscope, a member of the surgical team may continuously monitor the positioning of the endoscope in order maintain a suitable view of the body cavity and the manipulation of the surgical device.
- In addition to the use of an endoscope, some surgical devices include an arrangement to indicate the position of the components while in use. A remote status indicator may provide this information to the user via a LCD indicator which is coupled to an electromagnetic sensor. In one exemplary embodiment, a surgical instrument may include an anvil portion and a staple, blade and reservoir (SBR) portion. The surgical instrument detachably couples to an electro-mechanical driver device via a shaft. The surgeon advances the shaft and the SBR portion of the attachment into the body cavity. The base of the anvil portion and the outer edge of the SBR housing may include an electromagnetic sensor which is coupled to the LCD indicator of the handle, thereby permitting the surgeon to know the position of the anvil and the SBR during the surgical procedure.
- Although the use of the LCD indicator, as described above, provides the surgeon with some information regarding the position of the surgical instruments, such an LCD indicator may be used in conjunction with an endoscope. By using the endoscope and additionally the LCD indicator, the surgeon may receive visual images of the body cavity (via the endoscope) and an indication of the position of the surgical instrument during the surgery (via the LCD indicator). It would be advantageous to provide an imaging device that couples to a surgical instrument itself. Such an imaging device may provide a surgeon with both images of the body cavity and the manipulation of the surgical instrument during the procedure. It would also be advantageous to provide an imaging device which is reusable on various surgical instruments that are adapted to receive it.
- In one embodiment according to the present invention, an imaging unit is provided, including a housing configured to detachably couple to an outer surface of a surgical device, and an image capture arrangement configured to generate image data; the imaging unit may also include a circuit arrangement disposed within the housing and electrically coupled to the image capture arrangement, in which the circuit arrangement is configured to communicate the image data to at least one remote device.
- In another embodiment according to the present invention, a surgical attachment is provided, including a surgical device, and an imaging unit having a housing configured to detachably couple to an outer surface of the surgical device and an image capture arrangement configured to generate image data; the imaging unit may further include a circuit arrangement disposed within the housing and electrically coupled to the image capture arrangement, in which the circuit arrangement is configured to communicate the image data to at least one remote device.
- In another embodiment according to the present invention, a surgical system is provided, including an electro-mechanical driver device, a surgical device detachably coupled to the electro-mechanical driver device, and an imaging unit having a housing configured to couple to an outer surface of the surgical device and an image capture arrangement configured to generate image data; the imaging unit may further include a circuit arrangement disposed within the housing and electrically coupled to the image capture arrangement, in which the circuit arrangement is configured to communicate the image data to at least one remote device.
-
FIG. 1 illustrates an exemplarysurgical system 100 according to the present invention. -
FIG. 2 a illustrates a circular surgical stapler attachment. -
FIG. 2 b illustrates a linear surgical stapler. -
FIG. 3 a illustrates a first exemplary imaging device according to the present invention configured to couple to a surgical device. -
FIG. 3 b illustrates the imaging device ofFIG. 3 a, with the surgical device coupled to the imaging device. -
FIG. 4 a illustrates an exemplary image capture arrangement according to the present invention. -
FIG. 4 b is a side view of the image capture arrangement illustrated inFIG. 4 a. -
FIG. 5 illustrates an exemplary circuit arrangement according to the present invention. -
FIG. 6 illustrates an exemplary power supply arrangement according to the present invention for providing electrical power to an imaging device. -
FIG. 7 a illustrates another exemplary imaging device in the form of an imaging pod. -
FIG. 7 b is a side view of the imaging device illustrated inFIG. 7 a showing further detail. -
FIG. 7 c illustrates a surgical attachment with an imaging pod coupled to a surgical device. -
FIG. 8 a illustrates another exemplary imaging pod according to the present invention. -
FIG. 8 b illustrates an exemplary receptacle of a surgical device configured to receive the imaging pod illustrated inFIG. 8 a. -
FIG. 9 illustrates another exemplary surgical attachment according to the present invention. - Referring now to
FIG. 1 , there is seen asurgical system 100.Surgical system 100 includes an electro-mechanical driver device 110 detachably coupled to asurgical attachment 120. Such an electro-mechanical driver device is described in, for example, U.S. patent application Ser. No. 09/723,715, entitled “Electro-Mechanical Surgical Device,” U.S. patent application Ser. No. 09/836,781, entitled “Electro-Mechanical Surgical Device, filed on Apr. 17, 2001, and U.S. patent application Ser. No. 09/887,789, entitled “Electro-Mechanical Surgical Device,” filed on Jun. 22, 2001, each of which is expressly incorporated herein in its entirety by reference. Electro-mechanical driver device 110 may include, for example, a remote power console (RPC) 105, which includes ahousing 115 having afront panel 125. Mounted onfront panel 125 are adisplay device 130 andindicators connection slot 140 is also provided onfront panel 125. Electro-mechanical driver device 110 may also include avideo display 145, e.g., a television monitor, computer monitor, CRT or other viewing device, attached to theRPC 105.Video display 145 may receive, for example, image signals (e.g., video signals) from animaging device 195. The electro-mechanical driver device 110 may also include areception system 150 having a receiver ortransceiver 155 andcircuitry 160 operable to convert signals received from theimaging device 195 into a form suitable for display onvideo display 145. Thereception system 150 may also include amemory device 165 for buffering and/or storing processed image data received from theimaging device 195. - A
flexible shaft 170 may extend fromhousing 115 and may be detachably secured thereto via afirst coupling 175. Thedistal end 180 offlexible shaft 170 may include asecond coupling 185 adapted to detachably secure thesurgical attachment 120 to thedistal end 180 of theflexible shaft 170. - Disposed within the interior channel of the
flexible shaft 170, and extending along the length thereof, may be rotatable shafts, steering cables, one or more data transfer cables and power transfer leads, all of which terminate at thesecond coupling 185 at thedistal end 180 of theflexible shaft 170. The electro-mechanical driver device 110 may include a motor system (not shown), which includes one or more motors configured to rotate the drive shafts and to apply tension or otherwise drive the steering cables to thereby steer thedistal end 180 of theflexible shaft 170. - Various types of
surgical devices 190 may be attached to thedistal end 180 of theflexible shaft 170, such as a circular surgical stapler attachment (CSS) 250, shown schematically inFIG. 2 a. TheCSS 250 includes acoupling 255 adapted by size and configuration to cooperate with thesecond coupling 185 offlexible shaft 170 to detachably couple theCSS 250 thereto.CSS 250 includes ananvil portion 260 having ananvil 265 mounted on the distal end of ananvil stem 270. Theanvil stem 270 is extended and retracted by the operation of an anvil drive shaft (not shown), which is rotatably secured within thebody portion 275 of theCSS 250.CSS 250 further includes a staple driver/cutter mechanism (not shown) within thebody portion 275. In operation, the extension and refraction of theanvil 265 and the staple driver/cutter may be effected by the operation of motors within the electro-mechanical driver device 110. Movement and control of theanvil 265 and staple driver/cutter may be performed through the use of a remote control unit (not shown). The position and location of theanvil 265 and staple driver/cutter are indicated by signals transmitted to the electro-mechanical driver device 110 and displayed for the user on thedisplay device 130 andindicators CSS 250 further includes a data connector (not shown) adapted to electrically and communicatively couple tosecond coupling 185. - Referring now to
FIG. 2 b, there is seen another exemplarysurgical device 190 as a linearsurgical stapler 205, such as described in detail in U.S. Patent Application Ser. No. 09/324,452 which is expressly incorporated herein by reference in its entirety. The linearsurgical stapler 205 may include a separating jaw system comprising alower jaw 210, anupper jaw 215 and acoupling 220. Coupling 220 may include two hexagonal shapedsockets second coupling 185 offlexible shaft 170 is detachably received. At the distal tip of theupper jaw 215 andlower jaw 210 may be situated two opposingmagnetic sensors mechanical driver device 110 viaflexible shaft 170. When the lower andupper jaws indicators mechanical driver device 110 provide a signal indicating that the stapling mechanism (not shown) oflower jaw 210 may be safely fired. The linearsurgical stapler 205 may also include a shaft and driver component configured to closejaws magnetic sensors surgical stapler attachment 205 may also, for example, provide a user with an indication when a section of tissue has been fully clamped. - The linear
surgical stapler 205 may also include electrodes (not shown). The electrodes may receive RF energy throughcontacts 240 and enable the coagulation and/or anastomosing of tissue. The linearsurgical stapler attachment 205 may incorporate various electrode and/or stapling configurations, as described in U.S. patent application Ser. No. 60/285,113, entitled “A Surgical Linear Clamping, Stapling, and Cutting Device”, filed on Apr. 20, 2001 and U.S. patent application Ser. No. 60/289,370, entitled “Bipolar Surgical Device” filed on May 8, 2001, each of which is expressly incorporated herein by reference in its entirety. - Although
FIG. 2 a, 2 b show only a circular surgical stapler and a linear surgical stapler, respectively, it should be appreciated that thesurgical device 190 may include other arrangements. For example,surgical device 190 may include a trocar device, as described in U.S. patent application Ser. No. 10/098,217, filed on Mar. 14, 2002, which is expressly incorporated herein by reference. - Referring now to
FIG. 3 a, there is seen a firstexemplary imaging device 300 configured to couple to thesurgical device 190, for example, a linear stapler or a circular surgical stapler.Imaging device 300 includes ahousing 305 having abore 310, an image capture arrangement 315 (e.g., a camera), acircuit arrangement 320 electrically coupled to theimage capture arrangement 315, and apower supply arrangement 330 for supplying power to theimaging device 300. - The
imaging device 300 is suitably configured to slidably receive thesurgical device 190 withinbore 310. For this purpose, thesurgical device 190 may be inserted into thebore 310 in afirst direction 325, as shown inFIG. 3 b. Once inserted, a coupling mechanism (not shown) may hold thesurgical device 190 in place within thebore 310. - It should be appreciated that the coupling mechanism may include any arrangement suitable for detachably holding the
surgical device 190 in place within thebore 310, such as, clamps, nuts, bolts, clasps, straps, a frictional-fit arrangement, a snap-fit arrangement, etc. Thus, theimaging device 300 may be detachably coupled to or mounted on an outer surface of thesurgical device 190. Configured in this manner, after theimaging device 300 is used with thesurgical device 190, theimaging device 300 may be removed from thesurgical device 190 and reused on another surgical device. This may be particularly advantageous if, for example, the surgical devices are disposable with and it is desired to reuse theimaging device 300 several times. Of course, in an alternate embodiment, thesurgical device 190 may be permanently coupled to theimaging device 300. - Although
FIGS. 3 a, 3 b show bore 310 having a cylindrical shape, it should be appreciated that bore 310 may be suitably shaped and configured to provide compatible attachment to other surgical devices, which may or may not be cylindrical in shape. - Referring now to
FIG. 4 a, there is seen a frontal view of theimage capture arrangement 315 illustrated inFIGS. 3 a, 3 b showing further detail. As shown inFIG. 4 a, theimage capture arrangement 315 includes alens 405, alight source 410 for illuminating an object to be imaged (e.g., fiber optic light sources, light bulbs, LEDs, etc.), an image sensor 440 (e.g., a light sensitive device such as a CCD or CMOS-type image sensor) positioned to capture an image via thelens 405. In one embodiment, theimage capture arrangement 315 may further include acleaning arrangement 415 for cleaning debris from thelens 405. Each of thelens 405, thelight source 410, theimage sensor 440, and thecleaning arrangement 415 is communicatively coupled todata bus 430. - In operation, the
image sensor 440 receives an image as seen, for example, from the distal end of thesurgical device 190 vialens 405. Theimage capture arrangement 315 generates image data in accordance with the image and communicates the image data to thecircuit arrangement 320 viadata bus 430. - In the exemplary embodiment shown, the
image sensor 440 is positioned behind thelens 405. However, theimage sensor 440 may be arranged in a position remote from thelens 405, with light from thelens 405 being transmitted to theimage sensor 440 via, for example, fiber optic connections. In one exemplary embodiment, theimage sensor 440 is positioned in thehousing 305. In another exemplary embodiment, theimage sensor 440 is positioned in theflexible shaft 170, a coupling thereto, and/or the electro-mechanical driver device 110. In any event, image data may be transmitted to the electro-mechanical driver device via a wireless or wired connection. - Referring now to
FIG. 4 b, there is a side view of theimage capture arrangement 315 illustrated inFIG. 4 a. Thecleaning arrangement 415 may include, for example, hollow stems 420 for dispersing an air/water mixture acrosslens 405. For this purpose, proximal ends (not shown) of the hollow stems 420 may receive the air/water mixture from a remote source (not shown), for example, the electro-mechanical driver device 110. The air/water mixture is propelled through the hollow stems, exiting the distal ends 425 of the hollow stems 420. In this manner, the air/water mixture is dispersed across thelens 405 to help clean debris from thelens 405 during use. - In addition to communicating the image data to the
circuit arrangement 320 viadata bus 430, theimage capture arrangement 315 receives control data from thecircuit arrangement 320 via thedata bus 430. The control data may, for example, control zooming of thelens 405, control the illumination produced by thelight source 410, and/or control the flow rate of the air/water mixture propelled through the hollow stems 420 of thecleaning arrangement 415. - It should be appreciated that the
image capture arrangement 315 may include one ormore lenses 405, one ormore image sensors 440, and/or one or morelight sources 410.Multiple lenses 405 and/orimage sensors 440 may permit a user to switch betweendifferent lenses 405 to obtain multiple views at different perspectives. For example, the user may view different images through every step of a surgical procedure. - Furthermore, multiple lenses may permit panoramic or wide views.
- Referring now to
FIG. 5 , there is seen further detail of thecircuit arrangement 320 illustrated inFIGS. 3 a, 3 b. Thecircuit arrangement 320 includes circuitry suitable for receiving the image data from theimage capture arrangement 315 and communicating the image data to a remote source, such as the electro-mechanical driver device 110. The circuitry may be physically situated, for example, on a rigid or flexible circuit board situated within thehousing 305 of theimaging device 300.Circuit arrangement 320 may include aprocessing arrangement 505, amemory device 510, user input arrangement 525, and atransmission arrangement 515, each of which is communicatively coupled viadata bus 520. Thedata bus 430 of theimage capture arrangement 315 is also communicatively coupled to thedata bus 520. In this manner, the image data may be received from theimage capture arrangement 315 and communicated to theprocessing arrangement 505 and/or thememory device 510 viadata bus 520. - The
memory device 510 may include any read/writable memory device capable of storing the image data, such as RAM, FLASH, EPROM, EEPROM, etc. The image data received from theimage capture arrangement 315 may be, for example, stored directly on thememory device 510 for subsequent processing by theprocessing arrangement 505. In this manner, thememory device 510 receives the image data from theimage capture arrangement 315 and then communicate the image data to theprocessing arrangement 505. Alternatively, the image data may be transmitted directly to theprocessing arrangement 505 for processing. In this manner, theprocessing arrangement 505 receives the image data from theimage capture arrangement 315 directly via thedata bus 520. Additionally, thememory device 510 may receive and store processed image data from theprocessing arrangement 505 for subsequent additional processing and/or for direct transmission to the remote device via thetransmission arrangement 515. Alternatively, the image data may be transmitted directly from theimage capture arrangement 315 to a processor of the electro-mechanical driver device 110. - The user input arrangement 525 is configured to receive commands from a user. The commands may include, for example, commands to zoom the
lens 405, to switch between different views, to receive continuous (e.g., video) or still images, to control the illumination produced by thelight source 410, to control the flow rate of the air/water mixture propelled through the hollow stems 420 of thecleaning arrangement 415, to switch to panoramic view, etc. - For this purpose, the
user input arrangement 520 may include, for example, a wireless receiver for receiving the commands wirelessly from a remote control unit. Alternatively, theuser input arrangement 520 may include, for example, electrical contacts for communicatively coupling to the electro-mechanical driver device 110 via wires disposed within theflexible shaft 170 or external to theflexible shaft 170. In this manner, theuser input arrangement 520 may receive the commands via theremote power console 105 of the electro-mechanical driver device 110. - The
user input arrangement 520 generates user input data in accordance with the commands received from the user and communicates the user input data to theprocessing arrangement 505 via thedata bus 520. Theprocessing arrangement 505 is configured to control theimage capture arrangement 315 and process the image data in accordance with the user input data received from theuser input arrangement 520. - To control the
image capture arrangement 315, theprocessing arrangement 505 may generate control data for controlling the various functions of theimage capture arrangement 315 in accordance with the user input data received from theuser input arrangement 520. For this purpose, theprocessing arrangement 505 communicates the control data to theimage capture arrangement 315 viadata buses lens 405, control the illumination produced by thelight source 410, and/or control the flow rate of the air/water mixture propelled through the hollow stems 420 of thecleaning arrangement 415. - The
processing arrangement 505 also processes the image data in accordance with the user input data received from theuser input arrangement 520. In this manner, theprocessing arrangement 505 may process the image data to communicate continuous or still images, to perform a digital zoom, etc. In this manner, theimaging device 300 may provide a surgeon with a video image as thesurgical attachment 120 is inserted and probed through, for example, the colon area of a patient. Both moving and still images may be provided to surgeon via theimaging device 300. For example, while the surgeon is probing the colon to locate cancerous tissue, theimaging device 300 may supply a continuous image of the colon. Should the surgeon encounter an image that he or she would prefer to view as a still image, the surgeon may instantaneously freeze the moving image by activating the corresponding control mechanisms. Accordingly, the freeze frame image may be manipulated as desired, i.e., rotated, zoomed and/or magnified. - The moving images may also be stored and manipulated as desired for subsequent visual analysis.
- The
transmission arrangement 515 receives the processed image data from theprocessing arrangement 505 via thedata bus 520 and communicates the processed image data to the remote device (not shown). For this purpose, thetransmission arrangement 515 may include a wireless transmitter operable to convert the processed image data into an RF transmission to be wirelessly received by the remote device. Alternatively, thetransmission arrangement 515 may include, for example, electrical contacts for communicatively coupling to the electro-mechanical driver device 110 via wires disposed within or external to theflexible shaft 170. In this manner, thetransmission arrangement 515 may communicate the processed image data to thevideo display 145 of the electro-mechanical driver device 110. - Referring now to
FIG. 6 , there is seen further detail of the exemplarypower supply arrangement 330 illustrated inFIGS. 3 a, 3 b.Power supply arrangement 330 includes abattery power unit 605 for providing electrical power to theimaging device 300. Thebattery power unit 605 may include, for example, nickel cadmium batteries, nickel metal-hydride batteries, lithium batteries, etc. In addition to or in lieu of thebattery power unit 605,power supply arrangement 330 may includepower contacts 610 for receiving electrical power from an external source (not shown), for example, the electro-mechanical driver device 110. In this manner, the electro-mechanical driver device 110 may transmit the electrical power to thepower supply arrangement 330 via wires disposed within or external to theflexible shaft 170. - The
battery power unit 605 may be configured, for example, to provide electrical power to theimaging device 300 if thepower contacts 610 are not receiving electrical power from the external source, for example, from the electro-mechanical driver device 110. In this manner, thebattery power unit 605 may function as a “battery-backup,” to ensure that theimaging device 300 receives electrical power in the event power transmission from the external source is interrupted and/or removed. - Referring now to
FIG. 7 a, there is seen another exemplary imaging device in the form ofimaging pod 700. Theimaging pod 700 includes ahousing 705 having anattachment arrangement 710 and animage capture arrangement 715 situated within the housing. Theimage capture arrangement 715 includes one or morelight sources 730 and anoptical system 720 with a focusinglens 735. Theattachment arrangement 710 may include, for example, pins, spring loaded bearings, ridges, etc. configured to detachably couple theimaging pod 700 to a corresponding receptacle of thesurgical device 190. Thehousing 705 may be formed of, for example, a transparent plastic material, although the housing may be formed of other materials as well. - Referring now to
FIG. 7 b, there is seen further detail ofimaging pod 700 illustrated inFIG. 7 a. As seen inFIG. 7 b, theimage capture arrangement 715 further includes an imaging sensor, e.g., a light sensitive device such as a charged coupled device (CCD) 725. As the imaging pod is directed toward an object to be imaged, the focusinglens 735 focuses reflected light ontoCCD 725. A wireless transmitter (or, e.g., a transceiver) 740 is situated in thehousing 705 and communicatively coupled to theCCD 725. An example of such a wireless transmitter is described in U.S. Pat. No. 5,604,531, expressly incorporated herein by reference in its entirely. Additionally, apower source 745, such as a small battery, is situated in thehousing 705 and operable to provide electrical power to theCCD 725,light sources 730, and thewireless transmitter 740. In operation, images captured byCCD 725 may be wirelessly transmitted viawireless transmitter 740 to a corresponding receiver (or transceiver) in a remote device, such as the electro-mechanical driver device 110. - Although, the present embodiment is described as using a CCD as an image sensor, other suitable image sensors may also be used, such as a CMOS (Complementary Metal Oxide Semiconductor) type image sensor. The CMOS sensor may require less power than a CCD image sensor, due to its greater sensitivity to light. A CMOS image sensor may include, for example, a photo diode and/or a photo transistor to detect reflected light from an object to be imaged. The CMOS image sensor may transmit the image data as an analog signal or, alternatively, as a digital signal after processing by an analog-digital converter.
- Referring now to
FIG. 7 c, there is seen asurgical attachment 750 including theimaging pod 700 coupled tosurgical device 190. Theimaging pod 700 is detachably received within areceptacle 755 of thesurgical device 190. Accordingly, if thesurgical device 190 is designed as a disposable unit, theimaging pod 700 may be removed from thesurgical device 190 and reused in connection with another surgical device. Alternatively, theimaging pod 700 may be permanently secured to, or even integral with, thesurgical device 190. In this regard, the permanently coupledimaging pod 700 would be disposed along with thesurgical device 190. - Referring now to
FIG. 8 a, there is seen anotherexemplary imaging pod 800.Imaging pod 800 is similar to theimaging pod 700 described in connection withFIGS. 7 a, 7 b, 7 c, except thatimaging pod 800 includes wired connections for transmitting the image data to the remote device, such as the electro-mechanical driver device 110. As shown inFIG. 8 , theimaging pod 800 includes contact pins 805 sized to be received in sockets of thereceptacle 755 of thesurgical device 190, thereby providing a plug-in type connection. When theimaging pod 800 is inserted in thesurgical device 190, the contact pins 805 provide connections tocircuitry 760, which supplies power to the appropriate components of theimaging pod 800 and transmits signals from theCCD 725 to a corresponding receiver in the remote device, such as the electro-mechanical driver device 110, through, for example, thesurgical device 190 and theflexible shaft 170. - Referring now to
FIG. 8 b there is seen anexemplary receptacle 755 of thesurgical device 190 configured to receive theimaging pod 180. As shown inFIG. 8 b, thereceptacle 755 includessockets 810 sized to receive the contact pins 805 of theimaging pod 800. Thesockets 810 electrically couple the contact pins 805 to electrical leads (not shown) in thesurgical device 190. The electrical leads are electrically connected to the remote device (e.g., the electro-mechanical driver device 110) via wires situated, for example, within theflexible shaft 170 of the electro-mechanical driver device 110. - It should be appreciated that the
imaging pod 800 may include a battery for power, and utilize wired transmission for signals from the CCD, or alternatively, receive power via a wired connection and utilize wireless transmission for the signals from the CCD. - Referring now to
FIG. 9 , there is seen another exemplarysurgical attachment 900. In this embodiment, animaging device 905 is configured to be coupled to or mounted on an external surface of thesurgical device 190. Of course, theimaging device 905 may also be configured to mount on other surgical devices, such as those described in the U.S. applications incorporated by reference above. - In accordance with this exemplary embodiment, the
surgical device 190 is a circular surgical stapler. Theimaging device 905 is mounted to abody 910 of thesurgical device 190. Thesurgical device 190 includes a coupling 915, ananvil portion 920 and abody 910. Theanvil portion 920 includes ananvil 925 andanvil stem 930. Aflexible wire assembly 940 is provided for communicating image data to a remote device, e.g., the electro-mechanical driver device 110 (not shown). - The
imaging device 905 may slidingly fit over thebody 910 and may be either permanently or removably mounted to thebody 910. In the example embodiment shown inFIG. 9 , theimaging device 905 is removably mounted to thebody 910 via a resilient, e.g., plastic orelastic strap 935.Strap 935 may be removed, for example, which may permit theimaging device 905 to be reused with another surgical device or attachment. Alternatively, theimaging device 905 may be mounted to thesurgical device 190 via a shoe (not shown) similar to the type used with a flash unit on a camera. - The
video unit 100 may be coupled, for example, to a processor via a wireless connection or a wired connection viaflexible wire assembly 940. Theflexible wire assembly 940 may include power, control and data lines. Theflexible wire assembly 940 may be coupled to, for example, a processor of a remote power console as described in, for example, U.S. patent application Ser. No. 09/836,781. Of course, in lieu of theflexible wire assembly 940, the wired connection between theimaging device 905 and, for example, the processor, may be effected via individual wires disposed within or external to theflexible shaft 170 of the electro-mechanical driver device 110. - It should be appreciated that the wires of the
flexible wire assembly 940 and/or the wires disposed within or external to theflexible shaft 170 of the electro-mechanical driver device 110 for communicating image data from theimaging device 905 to, for example, the processor, may be replaced with fiber-optic connections. -
Imaging device 905 may include analogous features to theimaging devices imaging device 905 may include an image capture arrangement (e.g., a camera), a circuit arrangement electrically coupled to the image capture arrangement, and a power supply arrangement for supplying power to theimaging device 905. - The image capture arrangement of the
imaging device 905 may include a lens, a light source for illuminating an object to be imaged (e.g., fiber optic light sources, light bulbs, LEDs, etc.), an image sensor (e.g., a CCD or CMOS-type image sensor) positioned to capture an image via the lens. In one embodiment, the image capture arrangement of theimaging device 905 may further include a cleaning arrangement for cleaning debris from a lens. Each of the lens, the light source, the image sensor, and the cleaning arrangement may also communicatively coupled to data bus.
Claims (6)
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US10/127,310 US8262560B2 (en) | 2001-04-20 | 2002-04-22 | Imaging device for use with a surgical device |
US13/585,155 US20130035598A1 (en) | 2001-04-20 | 2012-08-14 | Imaging device for use with a surgical device |
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JP (6) | JP4617059B2 (en) |
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DE (1) | DE60227162D1 (en) |
ES (1) | ES2307745T3 (en) |
HK (1) | HK1058469A1 (en) |
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Also Published As
Publication number | Publication date |
---|---|
EP1381302A1 (en) | 2004-01-21 |
WO2002085194A1 (en) | 2002-10-31 |
DE60227162D1 (en) | 2008-07-31 |
JP5285581B2 (en) | 2013-09-11 |
JP4617059B2 (en) | 2011-01-19 |
JP2015221226A (en) | 2015-12-10 |
JP5344894B2 (en) | 2013-11-20 |
EP1381302B1 (en) | 2008-06-18 |
ES2307745T3 (en) | 2008-12-01 |
JP2014198237A (en) | 2014-10-23 |
JP2004525717A (en) | 2004-08-26 |
US20020165444A1 (en) | 2002-11-07 |
JP5769286B2 (en) | 2015-08-26 |
PT1381302E (en) | 2008-08-01 |
ATE398413T1 (en) | 2008-07-15 |
JP2011031051A (en) | 2011-02-17 |
JP2009101172A (en) | 2009-05-14 |
JP5855146B2 (en) | 2016-02-09 |
HK1058469A1 (en) | 2004-05-21 |
JP2010075719A (en) | 2010-04-08 |
US8262560B2 (en) | 2012-09-11 |
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