Computer monitoring of endoscope

• US 4,742,815 A
• Filed: 01/02/1986
• Issued: 05/10/1988
• Est. Priority Date: 01/02/1986
• Status: Expired due to Fees

• Current Assignee: Abraham C. Ninan, Champil A. Ninan
• Original Assignee: Abraham C. Ninan, Champil A. Ninan
• Inventors: Ninan, Champil A., Ninan, Abraham C.
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US06/815,455
• Time in Patent Office: 859 Days
• Field of Search: 128/4-8, 128/303.1, 128/303.13-303.17, 128/395-398
• US Class Current: 600/118
• CPC Class Codes: A61B 1/307 for the urinary organs, e.g. urethroscopes, cystoscopes
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 2034/104 Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: G09B 23/285 for injections, endoscopy, bronchoscopy, sigmoidscopy, insertion of contraceptive devices or enemas

Abstract

An endoscope is modified so it can be connected to a computer. Thus all the movements of the said endoscope is monitored and displayed on the computer screen in color graphic form. When surgery is performed using the said endoscope there are limits within which cutting away of the diseased tissue is safe. Surgery beyond these safe limits can cause dangerous consequences to the patient. These safe limits are preset. During surgery the position of the cutting element of the said endoscope is continuously monitored and displayed. When any of these limits are transgressed and the cutting current is about to be switched on then an alarm by the computer alerts the surgeon. Events occurring during surgery are recorded on the computer disc for future reference. The importance of this is exact and continuous monitoring of the cutting element and recording the surgery for future playback and study.

Claims

1. In an endoscope of the type having a main body including a sheath, a working element slidingly disposed within said sheath, and a cutting element mounted on the distal end of said working element, the improvement comprising:

(a) means for attaching said endoscope to the body of a patient to provide a fixed reference point; and

(b) means for measuring the position of said cutting element in relation to said fixed point as the cutting element is moved about the area being explored.

2. The endoscope of claim 1 wherein said measuring means includes:

(a) means for measuring the longitudinal movement of said main body relative to said fixed point;

(b) means for measuring the rotation of said main body in relation to said fixed point; and

(c) means for measuring the longitudinal movement of said cutting element in relation to said main body.

3. The endoscope of claim 1 wherein said measuring means includes means for converting the measurements being made into electrical signals and using said electrical signals in a display means to show the position and movement of said cutting element.

4. The endoscope of claim 3 wherein said display means includes signal processing means to process said electrical signals and to produce display signals representing the position and movement of said cutting element on a display screen.

5. The endoscope of claim 3 further including means operatively connected to said measuring means and said display means for determining and measuring the limits of the area being examined and for generating and displaying a schematic representation of said area including said limits so that the position of said cutting element in relation to said area can be monitored.

6. The endoscope of claim 5 further including alarm means operatively connected to said endoscope, and means for activating said alarm means when said cutting element transgresses said limits of the area being examined and treated.

7. The endoscope of claim 5 further including disabling means operatively connected to said endoscope for disabling said cutting element when said limits of the area being examined are transgressed by said cutting element.

8. The endoscope of claim 5 further including data storage means for recording the position and movement of said cutting element in relation to the area being examined and treated for future replay.

9. The endoscope of claim 5 further including means for indicating on said schematic representation of the area being examined those parts thereof which have been affected by said cutting element and those parts which remain unaffected.

10. A system for monitoring and displaying on a display screen the movement of an endoscope in relation to the area being examined and treated comprising:

(a) an endoscope including a distal end portion capable of being inserted into the body of a patient for examination and treatment;

(b) means for attaching said endoscope to said patient'"'"'s body to provide a fixed reference point;

(c) means for measuring the limits of the area being examined and treated in relation to said reference point;

(d) means for measuring the position of said distal end portion of said endoscope in relation to said reference point; and

(e) means associated with each said measuring means for generating and displaying a representation of the area being examined and treated including said limits and indicating the position of the distal end portion of said endoscope in relation to such area.

11. The system of claim 10 wherein said display means include:

(a) means associated with each of said measuring means for converting said measurements into electrical signals;

(b) signal processing means to process said electrical signals and to produce display signals representing the limits of the area being examined and the position of said distal end portion of said endoscope in relation to such area; and

(c) a display screen for displaying a representation of the area being examined and the position of the distal end portion of said endoscope in relation to said area using said display signals from said signal processing means.

12. The system of claim 10 further including alarm means operatively connected to said endoscope, and means for activating said alarm means when the limits of the area being examined are transgressed by said distal end portion of said endoscope.

13. The system of claim 10 further including data storage means for recording the position and movement of the distal end portion of said endoscope in relation to the area being examined and treated for future replay.

14. A process for monitoring the movement of an endoscope in relation to an area being examined not treated comprising:

(a) attaching said endoscope to the patient'"'"'s body to provide a fixed reference point;

(b) inserting the distal end of the endoscope into the area to be examined and treated;

(c) measuring the limits of the area being examined and treated in relation to said reference point;

(d) measuring the position of the distal end of said endoscope in relation to said reference point;

(e) converting each of said measurements into electrical signals;

(f) using said electrical signals to generate graphic representation of the area being examined including said limits and to indicate the position and movement of said distal end of said endoscope in relation to such area.

15. The process of claim 14 further including:

(a) comparing the position of the distal end of said endoscope to the limits of the area being examined;

(b) activating an alarm when said limits are transgressed by the distal end of said endoscope.

16. The process of claim 14 further including recording the position and movement of the distal end of said endoscope in relation the area being examined and treated for future replay.

17. The process of claim 14 wherein said endoscope includes a cutting element on said distal end portion of said endoscope, said process further including:

(a) measuring the position and movement of the cutting element in relation to the area being examined and treated;

(b) converting said measurements into electrical signals; and

(c) using said electrical signals to indicate on said representation the areas affected by said cutting element and the areas which remain unaffected.

18. The process of claim 17 further including:

(a) comparing the position of said cutting element to the limits of the area being examined and treated; and

(b) disabling said cutting element when said limits are transgressed by said cutting element.