Imaging system for endoscopic surgery

• US 8,027,710 B1
• Filed: 01/25/2006
• Issued: 09/27/2011
• Est. Priority Date: 01/28/2005
• Status: Active Grant

• Current Assignee: Patrick Dannan
• Original Assignee: Patrick Dannan
• Inventors: Dannan, Patrick
• Primary Examiner(s): Chen; Tse
• Assistant Examiner(s): Brutus; Joel F
• Application Number:
  US11/338,980
• Time in Patent Office: 2,071 Days
• Field of Search: 600/407, 600/410, 600/420, 600/431, 600/476, 600/478, 600/473
• US Class Current: 600/407
• CPC Class Codes: A61B 1/00009 of image signals during a use of endoscope
• CPC Class Codes: A61B 1/04 combined with photographic or television appliances
• CPC Class Codes: A61B 1/313 for introducing through surgical openings, e.g. laparoscopes
• CPC Class Codes: A61B 2017/00283 with a device releasably connected to an inner wall of the abdomen during surgery, e.g. an illumination source
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2090/364 Correlation of different images or relation of image positions in respect to the body
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 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 90/361 Image-producing devices, e.g. surgical cameras

Abstract

An imaging system is provided for use with minimally invasive surgery. The imaging system comprises a platform which is anchored to a wall of a patient cavity. The platform comprises a plurality of transceivers which transmit energy toward the surgical site and receive reflected energy. The transceivers transmit rasterized image information to a computer which then displays the image information in real time, enabling a surgeon to view the surgical site on a display device. The transceivers can transmit and receive different types of energy, and the computer can then combine image information from the various different energy types to provide overlaid images of the surgical site. In addition, the computer controls the relative positions of the transceivers so that the images provided to the surgeon will not be affected by movement of the platform or by movement of structures (i.e., organs) at the surgical site.

Claims

1. A method of facilitating minimally invasive surgery on a patient;

the method comprising;

a) forming at least one incision on said patient'"'"'s body to access a cavity within said patient'"'"'s body, said incision passing through a cavity wall;

b) inserting an instrument platform into said cavity through said incision;

said platform carrying a plurality of transmitters and a plurality of receivers;

said transmitters and receivers emitting and receiving energy enabling said instrument to transmit image data collected intra-corporeally;

c) anchoring said platform to an interior surface of said cavity wall proximate said incision, with said plurality of transmitters and receivers having a field of view directed into said cavity and away from said interior surface on which said platform is anchored;

d) activating said transmitters to direct energy to structures within said cavity;

said receivers receiving energy reflected from the structures within said field of view of said receivers and transmitting intra-corporeal data indicative of the relative position of said structures to said computer;

said transmitted intra-corporeal data being chosen from the group consisting of optical lighting, thermal, ultrasonic, infrared, Doppler, x-ray, spectrographic, distance, and combinations thereof;

e) said computer altering the field of view of said receivers based on the intra-corporeal data received from said receivers as necessary to maintain said receivers in an aligned state as said cavity wall and said structures move or are moved relative to each other; and

f) converting said intra-corporeal data to a visual format enabling a surgeon to view said visual image of the cavity in real time.

2. The method of claim 1 wherein said method further comprises collecting data extra-corporeally and transmitting said extra-corporeally collected data to said computer;

said computer aligning said extra-corporeally collected data with said intra-corporeally collected data to generate an aligned composite data set representative of internal tissues and structures within said patient'"'"'s body.

3. The method of claim 2 wherein said extra-corporeally collected data is chosen from one or more of X-ray data, CT scan data, MRI scan data, ultrasound data and combinations thereof.

4. The method of claim 2 wherein the method additionally includes overlaying at least one type of extra-corporeally collected data acquired from a separate sensor with at least one type of intra-corporeally collected data in an aligned overlayed format.

5. The method of claim 1 wherein the method additionally includes generating a display of said visual format, said visual format converted from two or more types of said intra-corporeally collected data aligned in an overlayed format.

6. The method of claim 1 wherein said computer updates said displayed information in real time, thereby enabling a surgeon to direct instruments within the cavity to perform a surgery without haptic sense, but by the data received from the sensors.

7. The method of claim 1 including inserting a separate camera into the cavity which can be used as a rover camera or moved to a desired position within the cavity;

the camera being in communication with said computing device and transmitting information to said computing device;

said computing device aligning the field of view of the separate camera with the field of view of said receivers or combining the information from the camera with the data received from said receivers to provide additional information to the surgeon.

8. A method of facilitating minimally invasive surgery on a patient;

the method comprising;

a) forming at least one incision on a patient'"'"'s body to access a cavity of said patient'"'"'s body, said incision passing through a cavity wall;

b) inserting an instrument platform into said cavity;

said platform carrying a plurality of cameras and at least one light source;

said cameras being in communication with a computing device;

said cameras being movably mounted to said platform, the position of said cameras being controlled by said computer;

c) anchoring said platform to an interior surface of said cavity wall proximate said incision with each of said cameras having a field of view directed into said cavity and away from said interior surface onto which said platform is anchored;

d) said cameras transmitting optical image data to said computing device;

e) displaying said image data in real time on a display;

f) altering a field of view of said cameras based on the image data received from said cameras as necessary to maintain image data from said cameras in an aligned state as said cavity wall and said structures move or are moved relative to each other

g) said computing device altering the position of said cameras based instructions received by an operator;

whereby the field of view of the cameras can be made to be parallel, perpendicular, or overlapping.

9. The method of claim 8 wherein said step of altering the field of view of said cameras comprising a step of maintaining a predetermined area of the camera'"'"'s field of view on a marker to maintain physical alignment of cameras, lasers, and other sensors and targeting and tracking devices, allowing the information independently received from said cameras, sensors, targeting devices, and tracking devices to be aligned.

10. The method of claim 9 wherein the marker comprises a laser beam illumination point or a physical target placed in a desired position in the cavity.

11. The method of claim 8 wherein said step of altering said field of view of said camera comprises allowing the cameras'"'"' fields of view to be moved by an optical device to be parallel, perpendicular, or overlapping.

12. The method of claim 11 wherein said camera incorporates a plurality of MEMS components;

the step of altering the field of view of said cameras comprising controlling the MEMS components of the camera.

13. An imaging system for providing practitioners with an image of a surgical site within a patient'"'"'s body cavity during minimally invasive surgery;

said imaging system comprising;

a) a plurality of sensors and transmitters adapted to be anchored to a wall of said body cavity;

said transmitters being operable to emit a selected form of energy towards the surgical site;

said energy being chosen from one or more of the following;

optical, thermal, ultrasonic, infrared, Doppler, spectrographic, distance, and combinations thereof;

said plurality of sensors comprising laser sensors which detect laser energy and energy sensors which energy transmitted by said transmitters; and

said energy sensors adapted to receive reflected energy from within an associated field of view of the surgical site;

said energy sensors configured to transmit data representative of intra-corporeal images of the received reflected energy from within the associated field of view;

said data being chosen from one or more of the following;

optical information, thermal information, ultrasonic information, infrared information, Doppler information, spectrographic information, distance information, and combinations thereof;

b) a plurality of lasers operable to direct associated laser beams towards the surgical site;

said laser sensors configured to detect laser energy reflected from the surgical site within said associated fields of view;

c) a means for converting the transmitted data from the laser and energy sensors into image data;

d) a means for comparing the image data from two or more laser sensors having at least partially overlapping fields of view to identify detected laser energy within said image data to align the image data to produce a single unified image representative of said surgical site within the associated partially overlapping fields of view; and

e) means to maintain the lasers in relative position to each other.

14. The imaging system of claim 13 including means for receiving extra-corporeally collected image data;

means for aligning said extra-corporeally collected image data with intra-corporeally collected image data; and

means for producing a composite image containing both said intra-corporeally collected image data and said extra-corporeally collected image data in an aligned and overlayed image format.

15. The imaging system of claim 13 wherein said plurality of lasers include a Vertical Cavity Surface Emitting Laser.

16. The imaging system of claim 13 including means for overlying the two different types of data to form a composite image.

17. The imaging system of claim 13 including means for determining the position of objects within said field of view at the surgical site.

18. The imaging system of claim 13 wherein said lasers are used to determine distance data associated with objects and surfaces within said field of view of said sensors.

19. The imaging system of claim 18 wherein said distance data is combined with selected other data to provide a 3-dimensional map of the surgical site.

20. The imaging system of claim 13 wherein the data is updated in real time, said system comprising means for displaying selected data in real time.

21. The imaging system of claim 20 including means for determining distances between and relative positions of surgical instruments and selected areas of a surgical site to facilitate one or more surgical tasks selected from a set of tasks including, cutting, sewing, and stapling.

22. The imaging system of claim 13 further includes a processing system configured with software to interpret the data from said sensors;

said software including means for processing the sensor data to produce one or more images selected from a set of images including;

a) Multiple views;

b) Distal &

Proximal views;

c) Combination of panoramic views;

d) Panoramic views;

e) Ometry views where the data is used for measuring exact distances; and

f) Ometry views where the data is used to replace haptic sensing.