Endo-surgical Device and Method

• US 20080200758A1
• Filed: 02/11/2008
• Published: 08/21/2008
• Est. Priority Date: 02/09/2007
• Status: Abandoned Application

• Current Assignee: Skeletal Dynamics LLC
• Original Assignee: Skeletal Dynamics LLC
• Inventors: Orbay, Jorge L., Norman, Thomas H., Litke, Ronald G., Chinnock, Randal, Valencia, Carlos, Machado, Jorge A., Espinosa, Alejandro
• Application Number:
  US12/029,239
• Publication Number:
  US 20080200758A1
• Time in Patent Office: Days
• US Class Current: 600/112
• CPC Class Codes: A61B 1/00048 Constructional features of the display
• CPC Class Codes: A61B 1/00052 positioned at proximal end of the endoscope body
• CPC Class Codes: A61B 1/00066 Proximal part of endoscope body, e.g. handles A61B1/0052 takes precedence
• CPC Class Codes: A61B 1/00105 characterised by modular construction
• CPC Class Codes: A61B 1/00108 characterised by self-sufficient functionality for stand-alone use
• CPC Class Codes: A61B 1/00142 with means for preventing contamination, e.g. by using a sanitary sheath
• CPC Class Codes: A61B 1/313 for introducing through surgical openings, e.g. laparoscopes
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/320036 adapted for use within the carpal tunnel
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/32113 with extendable or retractable guard or blade
• CPC Class Codes: A61B 2090/068 with a bubble level
• CPC Class Codes: A61B 2090/306 using optical fibres
• CPC Class Codes: A61B 2090/309 using white LEDs
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

What is provided is an endo-surgical tool that includes imaging optics therein, the various components of which, including its tools, electronics and visualization components, can be used in the sterile surgical field. In one particular embodiment of the invention, the cannula portion of the tool is adapted to a particular type of endo-surgical procedure, while the handle, which includes at least a portion of the imaging circuitry for the device, can be used with a plurality of differently adapted cannulas.

Claims

1. An endo-surgical device for use in a sterile surgical field, comprising:

a handle including a chamber therein, an opening in said handle providing access to said chamber;

an electronics module sized to be received into the chamber of said handle through said opening;

a cap, matingly coupled to said handle to close said opening after said electronics module has been received in said chamber, said cap mating with said handle to create a sterile seal usable in a sterile surgical field;

a cannula, including an imaging device therein, said imaging device being connected with said electronics module.

2. The endo-surgical device of claim 1, wherein said cannula further includes an implement for performing a surgical procedure.

3. The endo-surgical device of claim 1, wherein said electronics module is removably located within said chamber.

4. The endo-surgical device of claim 1, wherein said handle is reusable.

5. The endo-surgical device of claim 1, wherein said electronics module is reusable.

6. The endo-surgical device of claim 1, wherein said cannula is disposable.

7. The endo-surgical device of claim 2, wherein said cannula is removably connected to said handle and said handle includes at least one connector for connecting the imaging device in the cannula to the electronics module in the chamber, and for connecting controls on the handle to the actuators of the implement in the cannula.

8. The endo-surgical device of claim 1 wherein the electronics module in the chamber transmits image data received from the imaging device to a display.

9. The endo-surgical device of claim 1, wherein the image data is transmitted wirelessly to a receiver in communication with a display external to the endo-surgical device.

10. The endo-surgical device of claim 1, wherein the tip of the cannula distal from the handle is prow-shaped.

11. The endo-surgical device of claim 1, wherein the imaging device includes an image sensor located within said cannula and electrically connected with said electronics module.

12. The endo-surgical device of claim 1, wherein the imaging device includes an optical endoscope inserted into said cannula through a lumen and said endoscope is optically coupled with said electronics module.

13. A system for performing endo-surgery, comprising:

an endo-surgical device, including;

a handle including a chamber therein, an opening in said handle providing access to said chamber;

an electronics module sized to be received into the chamber of said handle through said opening;

a cap, matingly coupled to said handle to close said opening after said electronics module has been received in said chamber, said cap mating with said handle to create a sterile seal usable in a sterile surgical field;

a cannula, including an imaging device therein, said imaging device being connected with said electronics module; and

a display for displaying images from said electronics module, corresponding to image data received from the imaging device.

14. The system of claim 13, wherein said cannula further includes an implement for performing a surgical operation.

15. The system of claim 13, wherein said electronics module processes the raw data received from said imaging sensor and provides processed image data to said display.

16. The system of claim 13, wherein said image data is transmitted to said display wirelessly.

17. The system of claim 13, wherein said image data is transmitted to said display via a cable connector.

18. The system of claim 13, wherein said cannula is removably connected to said handle.

19. An endo-surgical device for use in a sterile surgical field, comprising:

a handle including a chamber therein, an opening in said handle providing access to said chamber;

an electronics module sized to be received into the chamber of said handle through said opening;

a cap, matingly coupled to said handle to close said opening after said electronics module has been received in said chamber, said cap mating with said handle to create a sterile seal usable in a sterile surgical field;

a cannula, including an imaging device therein, said imaging device being connected with said electronics module;

said cannula further including a medical device therein.

20. The endo-surgical device of claim 19, wherein said medical device is for performing a therapeutic procedure.

21. The endo-surgical device of claim 19, wherein said medical device is a cutting implement for performing a surgical operation.

22. The endo-surgical device of claim 19, wherein said medical device is a diagnostic implement.

23. The endo-surgical device of claim 19, wherein said medical device is a tissue spreader.

24. A method for performing an endo-surgical procedure, comprising the steps of:

providing an endo-surgical device including a cannula and a handle, the cannula including an imaging device therein, the handle including a chamber accessible through an opening in the handle;

inserting an electronics module into the chamber through the opening;

after inserting the electronics module, fixing a cap to the handle to close the opening and to create a sterile seal usable in a sterile surgical field; and

performing a surgical procedure with the endo-surgical device.

25. The method of claim 24, wherein a spreader is included within the cannula of the endo-surgical device and actuated using a device located at the handle.

26. The method of claim 24, wherein a spreader is included within the cannula of the endo-surgical device and actuated using a device located in the cannula.

27. The method of claim 26 wherein the endo-surgical device additionally includes a surgical implement for performing a surgical cutting operation.

28. The method of claim 25, wherein the spreader is separate from the endo-surgical device and is inserted separately from the endo-surgical device.

29. The method of claim 24 wherein the endo-surgical device includes a cutting implement for performing a surgical cutting operation.

30. The method of claim 29, wherein the cutting implement for performing the surgical cutting operation is introduced into the surgical cavity separately from the endo-surgical device.

31. The method of claim 24, further including the steps of:

removing the electronics module from the handle after the procedure; and

reusing the electronics module in another procedure.

32. An endo-surgical device, comprising:

a handle including a chamber therein, an opening in said handle providing access to said chamber;

an electronics module sized to be received into the chamber of said handle through said opening;

a cap, matingly coupled to said handle to close said opening after said electronics module has been received in said chamber, said cap mating with said handle to create a sterile seal usable in a sterile surgical field;

a cannula, including an imaging device therein, said imaging device being connected with said electronics module; and

said cannula further including at least one implement for performing a procedure during surgery.

33. The endo-surgical device of claim 32, wherein said implement is a spreader.

34. The endo-surgical device of claim 32, wherein said implement is a cutting implement.

35. A method for performing an endo-surgical procedure on a patient, comprising the steps of:

providing a medical device including a cannula and a handle, the cannula including an imaging device therein, the handle including a chamber accessible through an opening in the handle;

inserting an electronics module into the chamber through the opening;

after inserting the electronics module, fixing a cap to the handle to close the opening and to create a sterile seal usable in a sterile surgical field; and

inserting the cannula into the patient.

36. The method of claim 35, wherein a surgical cavity is created using the cannula during the inserting step.

37. The method of claim 35, wherein said medical device additionally includes a surgical implement.

38. The method of claim 37, further comprising the step of performing a surgical operation in the surgical cavity with the surgical implement.

39. The method of claim 38, wherein the surgical implement is a spreader.

40. The method of claim 38, wherein the surgical implement is a cutting instrument.

41. The method of claim 35, further comprising the step of performing a surgical operation in the surgical cavity.

42. An endo-surgical device, comprising:

a handle including a chamber therein, an opening in said handle providing access to said chamber;

an integrated electronics module sized to be received into the chamber of said handle through said opening, said integrated electronics module being removable from said handle;

said handle including a first connector for matingly engaging a second connector on said integrated electronics module when said integrated electronics module is seated in said chamber;

a cap, matingly coupled to said handle to close said opening after said electronics module has been received in said chamber; and

a cannula, including an imaging device therein, said imaging device being connected with said electronics module, via said first and second connector.

43. The endo-surgical device of claim 42, wherein said cannula is integral with said handle.

44. The endo-surgical device of claim 42, wherein said cannula is detachably connected to said handle via a third connector.

45. The endo-surgical device of claim 42, wherein said cannula further includes a medical device therein.

46. The endo-surgical device of claim 45, wherein said medical device is for performing a therapeutic procedure.

47. The endo-surgical device of claim 45, wherein said medical device is a cutting implement for performing a surgical operation.

48. The endo-surgical device of claim 45, wherein said medical implement is a diagnostic implement.

49. The endo-surgical device of claim 45, wherein said medical device is a spreader implement for at least one of creating and maintaining a surgical cavity in soft tissue.

50. An endo-surgical device for use in a sterile surgical field, comprising:

a sterile instrument including an imaging device;

an image processor located remotely from said sterile instrument and within the sterile surgical field;

a sterile display, in communication with said image processor, for receiving image information from said sterile instrument; and

said sterile display additionally being located within the sterile surgical field.

51. The endo-surgical device of claim 50, wherein said sterile display is rendered sterile by virtue of its inclusion in a sterile enclosure.

52. The endo-surgical device of claim 51, wherein said sterile enclosure is disposable.

53. The endo-surgical device of claim 51, wherein said sterile enclosure is reusable.

54. The endo-surgical device of claim 50, wherein said sterile instrument is disposable.

55. The endo-surgical device of claim 50, wherein the image information is transmitted from said instrument to said remote image processor wirelessly.

56. The endo-surgical device of claim 50, wherein the image information is transmitted from said instrument to said remote image processor via a cable connector.

57. The endo-surgical device of claim 50 wherein power for said sterile instrument is provided to said sterile instrument from a power source in said remote image processor.

58. The endo-surgical device of claim 50, wherein said sterile instrument includes a tool for performing a surgical procedure.

59. The endo-surgical device of claim 58, wherein said tool is a cutting implement.

60. The endo-surgical device of claim 58, wherein said sterile instrument includes actuators to deploy said tool.

61. The endo-surgical device of claim 50, wherein a power source is enclosed in said remote image processor.

62. The endo-surgical device of claim 50, wherein power is provided to said remote image processor via a cable from a power source located outside the sterile field.

63. The endo-surgical device of claim 56, wherein said cable connector is disposable.

64. The endo-surgical device of claim 50, wherein said remote image processor is reusable.

65. The endo-surgical device in claim 50, wherein said imaging device wirelessly transmits image data to a receiver in said remote image processor.

66. The endo-surgical device of claim 50, wherein the distal end of the instrument prow-shaped.

67. The endo-surgical device of claim 50, wherein the sterile instrument further contains a battery for providing power to the instrument.

68. The endo-surgical device of claim 67, wherein said imaging device includes an image sensor located within said sterile instrument and electrically coupled with said remote image processor.

69. The endo-surgical device of claim 50, wherein said sterile instrument is a cannula containing a lumen and said imaging device includes an optical endoscope inserted into said cannula through said lumen, said optical endoscope being optically coupled with said remote image processor.

70. A method for performing an endo-surgical procedure in a sterile field, comprising the steps of:

providing in a sterile surgical field an endo-surgical device including;

a sterile instrument including an imaging device;

an image processor located remotely from the sterile instrument and within the sterile surgical field;

a sterile display, in communication with the image processor, for receiving image information from the sterile instrument; and

the sterile display additionally being located within the sterile surgical field;

inserting at least a portion of the sterile instrument into a surgical cavity.

71. The method of claim 70, wherein the sterile display is rendered sterile by virtue of enclosing a display in a sterile enclosure prior to bringing at least the display into the sterile surgical field.

72. The method of claim 70, wherein the sterile instrument includes a spreader actuated by a mechanism located on the sterile instrument.

73. The method of claim 70, wherein the sterile instrument includes a surgical implement for performing a surgical cutting operation.