Surgical guidance systems, devices, and methods

• US 10,342,623 B2
• Filed: 03/12/2015
• Issued: 07/09/2019
• Est. Priority Date: 03/12/2014
• Status: Active Grant

• Current Assignee: ProxiMed, LLC
• Original Assignee: ProxiMed, LLC
• Inventors: Huelman, Justin, Wu, Andrew, Jung, Michael, Child, Marc, Sharma, Vidit, Mccaslin, Addason
• Primary Examiner(s): Gherbi, Suzette J
• Application Number:
  US14/917,896
• Publication Number:
  US 20160220314A1
• Time in Patent Office: 1,580 Days
• Field of Search: 600191
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 2090/3954 magnetic, e.g. NMR or MRI
• CPC Class Codes: A61B 2562/0223 Magnetic field sensors
• CPC Class Codes: A61B 2562/0257 Proximity sensors
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis

Abstract

Surgical systems and methods for avoiding injury to an anatomical structure are disclosed. According to some aspects, an implantable device configured to emit a detectable field may be attached to the anatomical structure. A proximity sensor may be attached to a distal end of a surgical instrument and may be configured to detect the detectable field. A control unit in communication with the proximity sensor may be configured to use the proximity sensor to determine if the distal end of the surgical instrument is within a predetermined distance of the implantable device. If so, a notification such as a vibration or alarm may be provided to a user of the surgical instrument so that the user can maneuver the surgical instrument to limit or prevent contact with the anatomical structure.

Claims

1. A surgical guidance system comprising:

an implantable device configured for attachment to an anatomical structure and to emit a detectable field;

a surgical instrument having a proximal end and a distal end, the distal end of the surgical instrument defining a leading end of the surgical instrument during insertion into a patient and being movable relative to the implantable device while the implantable device is attached to the anatomical structure;

a surgical tool attached to the distal end of the surgical instrument, the surgical tool including one or more of;

a laparoscopic grasper, scissors, calipers, forceps, a retractor, a scalpel, a lancet, rasps, a trocar, a harmonic scalpel, rongeurs, a dilator, a specula, a suction tube, a stapler, a needle, an ultrasonic cutter, a laser cutter, laparoscopic dissectors, a laparoscopic monopolar cautery, a laparoscopic bipolar cautery, and a colpotomizer;

a proximity sensor attached to the distal end of the surgical instrument and configured to detect the detectable field; and

a control unit in communication with the proximity sensor and configured to use the proximity sensor to determine if the distal end of the surgical instrument is within a predetermined distance of the implantable device.

2. The surgical guidance system of claim 1, the detectable field having an intensity that varies with distance from the implantable device, and the control unit being configured to use the proximity sensor to determine the intensity of the detectable field.

3. The surgical guidance system of claim 2, the control unit being configured to determine that the distal end of the surgical instrument is within the predetermined distance of the implantable device in response to a determination that the intensity of the detectable field is equal to or greater than a threshold intensity.

4. The surgical guidance system of claim 1, comprising a notification unit in communication with the control unit and configured to notify a user of the surgical instrument that the distal end of the surgical instrument is within the predetermined distance of the implantable device.

5. The surgical guidance system of claim 4, the notification unit being configured to vibrate in response to a determination that the distal end of the surgical instrument is within the predetermined distance of the implantable device.

12. The surgical guidance system of claim 1, the proximity sensor being attached directly to the distal end of the surgical instrument and configured for insertion into the patient such that the proximity sensor is carried by the distal end of the surgical instrument into the patient during a surgical procedure.

16. The surgical guidance system of claim 1, wherein the implantable device is attachable to the anatomical structure independent of the distal end of the surgical instrument.

18. The surgical guidance system of claim 1, the implantable device including a tubular member having a hollow interior located between first and second ends of the implantable device.

6. A surgical guidance system comprising:

an implantable device configured for attachment to an anatomical structure;

a surgical instrument having a proximal end and a distal end, the distal end of the surgical instrument defining a leading end of the surgical instrument during insertion into a patient and being movable relative to the implantable device while the implantable device is attached to the anatomical structure;

a surgical tool attached to the distal end of the surgical instrument, the surgical tool including one or more of;

a laparoscopic grasper, scissors, calipers, forceps, a retractor, a scalpel, a lancet, rasps, a trocar, a harmonic scalpel, rongeurs, a dilator, a specula, a suction tube, a stapler, a needle, an ultrasonic cutter, a laser cutter, laparoscopic dissectors, a laparoscopic monopolar cautery, a laparoscopic bipolar cautery, and a colpotomizer;

a proximity sensor; and

a control unit in communication with the proximity sensor and configured to use the proximity sensor to determine if the distal end of the surgical instrument is within a predetermined distance of the implantable device.

7. The surgical guidance system of claim 6, comprising a coiled wire connected to the implantable device.

8. The surgical guidance system of claim 7, the coiled wire being embedded within a portion of the implantable device.

9. The surgical guidance system of claim 8, the coiled wire being made of an electrically conductive material.

10. The surgical guidance system of claim 6, the distal end of the surgical instrument including a cutting element.

11. The surgical guidance system of claim 6, comprising a notification unit in communication with the control unit and configured to notify a user of the surgical instrument that the distal end of the surgical instrument is within the predetermined distance of the implantable device.

13. The surgical guidance system of claim 6, the proximity sensor being configured for insertion into the patient.

17. The surgical guidance system of claim 6, wherein the implantable device is attachable to the anatomical structure independent of the distal end of the surgical instrument.

19. The surgical guidance system of claim 6, the implantable device including a tubular member having a hollow interior located between first and second ends of the implantable device.

14. A surgical guidance system comprising:

a surgical instrument having a proximal end and a distal end, the surgical instrument being movable relative to the implantable device, the distal end of the surgical instrument defining a leading end of the surgical instrument during insertion into a patient;

a surgical tool attached to the distal end of the surgical instrument, the surgical tool including one or more of;

a laparoscopic grasper, scissors, calipers, forceps, a retractor, a scalpel, a lancet, rasps, a trocar, a harmonic scalpel, rongeurs, a dilator, a specula, a suction tube, a stapler, a needle, an ultrasonic cutter, a laser cutter, laparoscopic dissectors, a laparoscopic monopolar cautery, a laparoscopic bipolar cautery, and a colpotomizer;

an implantable device configured for attachment to an anatomical structure independent of the distal end of the surgical instrument;

a proximity sensor; and

a control unit in communication with the proximity sensor and configured to use the proximity sensor to determine if the distal end of the surgical instrument is within a predetermined distance of the implantable device.

15. The surgical guidance system of claim 14, the implantable device including a tubular member having a hollow interior located between first and second ends of the implantable device.

20. A surgical guidance system comprising:

an implantable device configured for attachment to an anatomical structure and to emit a detectable field, the implantable device including a tubular member having a hollow interior located between first and second ends of the implantable device;

a surgical instrument having a proximal end and a distal end, the distal end of the surgical instrument defining a leading end of the surgical instrument during insertion into a patient and being movable relative to the implantable device while the implantable device is attached to the anatomical structure;

a proximity sensor attached to the distal end of the surgical instrument and configured to detect the detectable field; and

a control unit in communication with the proximity sensor and configured to use the proximity sensor to determine if the distal end of the surgical instrument is within a predetermined distance of the implantable device.

21. A surgical guidance system comprising:

an implantable device configured for attachment to an anatomical structure, the implantable device including a tubular member having a hollow interior located between first and second ends of the implantable device;

a surgical instrument having a proximal end and a distal end, the distal end of the surgical instrument defining a leading end of the surgical instrument during insertion into a patient and being movable relative to the implantable device while the implantable device is attached to the anatomical structure;

a proximity sensor; and

a control unit in communication with the proximity sensor and configured to use the proximity sensor to determine if the distal end of the surgical instrument is within a predetermined distance of the implantable device.

22. A surgical guidance system comprising:

a surgical instrument having a proximal end and a distal end, the surgical instrument being movable relative to the implantable device, the distal end of the surgical instrument defining a leading end of the surgical instrument during insertion into a patient;

an implantable device configured for attachment to an anatomical structure independent of the distal end of the surgical instrument, the implantable device including a tubular member having a hollow interior located between first and second ends of the implantable device;

a proximity sensor; and

a control unit in communication with the proximity sensor and configured to use the proximity sensor to determine if the distal end of the surgical instrument is within a predetermined distance of the implantable device.