Apparatus and method for performing a tissue resection procedure

• US 7,228,165 B1
• Filed: 06/26/2000
• Issued: 06/05/2007
• Est. Priority Date: 06/26/2000
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Sullivan, Roy
• Primary Examiner(s): Smith; Ruth S.
• Application Number:
  US09/603,886
• Time in Patent Office: 2,535 Days
• Field of Search: 600/429, 600/407, 600/411, 600/424, 600/425, 600/427, 600/436, 600/414, 600/426, 600/431, 378/4, 378/21, 378/42, 378/62, 378/37, 601/2, 604/22, 606/167
• US Class Current: 600/411
• CPC Class Codes: A61B 1/005 Flexible endoscopes
• CPC Class Codes: A61B 10/04 Endoscopic instruments
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/320783 through side-hole, e.g. sliding or rotating cutter inside catheter
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2090/373 using light, e.g. by using optical scanners
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

An apparatus and a method for performing a medical procedure is disclosed. In an embodiment for an apparatus of the present invention, the apparatus includes a positioning system and a resection device disposed within the positioning system. The positioning system includes an imaging device, a video processor coupled to the imaging device, a computer coupled to the video processor, and a video display coupled to the computer. In an embodiment for a method of practicing the present invention, the method includes the steps of creating an image of a lesion within a patient'"'"'s body on an imaging device. Data representative of the lesion image is processed by a video processor. Tissue margins around the lesion are defined by a processor based on the processed data representative of the lesion image and a resection device is operated during a resection procedure within the patient'"'"'s body based upon the defined tissue margins.

Claims

1. A tissue resectioning system, comprising:

a resection head mounted at a distal end of an elongate flexible body, the resection head including a marker thereon wherein, when in an operative position, the resection head is located within a body lumen with the elongate flexible body extending through the body lumen to a naturally occurring body orifice;

an imager which remains outside the patient'"'"'s body, the imager generating image data of a selected region within the patient'"'"'s body including a predetermined portion of tissue marked for resection;

an image processing unit analyzing the image data to define a region of tissue to be resectioned and to locate the marker; and

a control unit controlling the resection head based on the defined region of tissue and the location of the marker to resect the region of tissue.

2. The system according to claim 1 wherein the imager includes a fluoroscope and an x-ray imaging sensor.

3. The system according to claim 1 wherein the marker is radiopaque.

4. The system according to claim 1 wherein the defined region of tissue and the location of the marker are displayed on a video display coupled with the control unit.

5. The system according to claim 1 wherein the control unit disables the resection head if the marker indicates that the resection head is oriented outside the defined region of tissue.

6. The system according to claim 1 further comprising an alarm device wherein the control unit transmits an alarm signal to the alarm device when the marker indicates that the resection head is oriented outside the defined region of tissue.

7. The system according to claim 6 wherein the alarm device generates a visual alarm.

8. The system according to claim 1 wherein the imager is a magnetic resonance imager.

9. The system according to claim 1 wherein the image processing unit determines the defined region of tissue by an absolute measure of tissue.

10. The system according to claim 1 wherein the image processing unit determines the defined region of tissue by a percentage of a physical dimension of the lesion.