Steerable endoscope and improved method of insertion

• US 8,834,354 B2
• Filed: 05/13/2005
• Issued: 09/16/2014
• Est. Priority Date: 04/03/2000
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Inventors: Belson, Amir
• Primary Examiner(s): KASZTEJNA, MATTHEW JOHN
• Application Number:
  US11/129,168
• Publication Number:
  US 20050222497A1
• Time in Patent Office: 3,413 Days
• Field of Search: 600114-118, 600146-152, 348 65- 74
• US Class Current: 600/114
• CPC Class Codes: A61B 1/0016 using motor drive units
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/0053 using distributed actuators, e.g. artificial muscles
• CPC Class Codes: A61B 1/0058 using shape-memory elements
• CPC Class Codes: A61B 1/008 Articulations
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes
• CPC Class Codes: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 2034/741 Glove like input devices, e.g. "data gloves"
• CPC Class Codes: A61B 2034/742 Joysticks
• CPC Class Codes: A61B 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe

Abstract

A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient'"'"'s body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.

Claims

1. A method of controlling an instrument, comprising:

storing in electronic memory a three-dimensional model representing a path traversed by the instrument in a patient'"'"'s anatomy, wherein the three-dimensional model is based on signals obtained from maneuvering a length of the instrument into a desired shape along the path; and

controlling, by a motion controller, the instrument to maneuver the instrument through the patient'"'"'s anatomy based on the stored three-dimensional model.

2. The method according to claim 1, wherein the three-dimensional model includes the axial position and shape of the instrument.

3. The method according to claim 1, further comprising:

programming the motion controller to control the instrument to automatically assume the desired shape using the stored three-dimensional model.

4. The method according to claim 3, wherein programming a motion controller includes using three-dimensional information from an imaging modality that provides three-dimensional information of the patient'"'"'s anatomy.

5. The method according to claim 4, further comprising displaying both the three-dimensional model and the three-dimensional information from the imaging modality.

6. The method according to claim 4, wherein the image modality is chosen from at least one of fluoroscopy, radiography, ultrasonography, magnetic resonance imaging, computed tomography, electron beam tomography, and virtual colonoscopy.

7. The method according to claim 1, wherein the patient'"'"'s anatomy comprises the colon.

8. The method of claim 1, wherein the desired shape is indicated by signals indicative of relative positions of segments of the instrument.

9. The method of claim 1, wherein the instrument comprises a plurality of segments, and wherein producing the signal indicative of the desired shape of the length of the instrument comprises producing the signal based on positions of at least two adjacent segments relative to one another.

10. The method according to claim 1, wherein the controlling includes automatically controlling the instrument via the motion controller.

11. The method according to claim 1, wherein the storing and the controlling occur in procedures that are spaced apart in time.

12. A system for creating a three-dimensional model representing a path within an anatomical space, comprising:

an instrument adapted for maneuvering along the path through the anatomical space;

an electronic motion controller adapted to control the instrument, to receive a signal indicative of a shape of a length of the instrument along the path, and to create a three-dimensional model of the path based on the received signal;

a transducer adapted to produce and send to the motion controller a signal indicative of a position of the instrument; and

electronic memory adapted to store the three-dimensional model of the path;

wherein the electronic motion controller is adapted to control the instrument to maneuver the instrument along the path through the anatomical space based on the three-dimensional model.

13. The system according to claim 12, wherein the instrument comprises an elongate body having a plurality of controllable sections.

14. The system according to claim 12, wherein the transducer is an axial motion transducer.

15. The system according to claim 12, wherein the instrument produces and sends to the motion controller a signal indicative of the position of the instrument with respect to a fixed point of reference.

16. The system according to claim 12, further comprising a handle configured to receive input from a user for controlling the instrument, wherein the motion controller is located within the handle.