Endoscopic system for surgical instrument position control and position control method thereof

• US 8,858,424 B2
• Filed: 08/12/2009
• Issued: 10/14/2014
• Est. Priority Date: 02/14/2007
• Status: Active Grant

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Medical Systems Corporation (Olympus Corporation)
• Inventors: Hasegawa, Jun, Yoshie, Michifumi
• Primary Examiner(s): Nia, Alireza
• Application Number:
  US12/539,778
• Publication Number:
  US 20090299136A1
• Time in Patent Office: 1,889 Days
• Field of Search: 600/106, 600/146
• US Class Current: 600/106
• CPC Class Codes: A61B 1/00133 Drive units for endoscopic tools inserted through or with the endoscope
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• 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 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping
• CPC Class Codes: A61B 2034/742 Joysticks
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

In an endoscopic system, when an affected area of a biomedical tissue in an image is treated with a scalpel and a holding pair of forceps which movably extend from a distal portion of an endoscope through the endoscope while the image taken by the endoscope in a body cavity in a time-series manner is being observed, a treatment is performed in which the holding pair of forceps holds the affected area detached from the biomedical tissue by the scalpel. When any motion is detected in the distal portion of the endoscope included in the image, a motion direction and a motion amount of the distal portion of the endoscope attributed to the motion are detected, and the distal portion of the endoscope is curved to return the scalpel to an original treatment position.

Claims

1. An endoscopic system for surgical instrument position control, the endoscopic system comprising:

an endoscope comprising a curvable distal portion to observe a biomedical tissue in a body cavity;

a curving driver unit which generates driving force to curve the distal portion;

a surgical unit comprising;

a first surgical instrument which movably extends from the distal portion of the endoscope through the endoscope and which is configured to be operated to treat the biomedical tissue; and

a second surgical instrument which movably extends from the distal portion of the endoscope through the endoscope and which is configured to hold a part of the biomedical tissue treated by the first surgical instrument;

a motion detector configured to detect a motion direction and a motion amount of the distal portion of the endoscope between a time before movement and a time after the movement of the distal portion depending on an amount of force generated by the hold of the second surgical instrument; and

a control unit configured to;

determine that an operation of the surgical unit is performed,

control, after determining that an operation of the surgical unit is performed, the motion detector to detect the motion direction and the motion amount of the distal portion of the endoscope,

calculate, based on the detected motion direction and the detected motion amount, an amount of control to return the first surgical instrument to a treatment position where the first surgical instrument had been located immediately before moving, and

control the curving driver unit based on the calculated amount of control to generate driving force to curve the distal portion of the endoscope to return the first surgical instrument to the treatment position where the first surgical instrument had been located immediately before moving.

2. The endoscopic system for surgical instrument position control according to claim 1, wherein the first surgical instrument and the second surgical instrument are provided at the distal end of at least one multi-joint arm which retractably and bendably extends from the distal portion of the endoscope through the endoscope.

3. The endoscopic system for surgical instrument position control according to claim 1, wherein:

the endoscope further comprises an imaging unit;

the motion detector comprises;

an image processing unit which processes an image taken by the imaging unit, and

a motion estimator which estimates a motion and moving position of the distal portion of the endoscope on the basis of image data obtained by the image processing unit; and

images successively taken by the imaging unit in a time-series manner are sequentially compared with each other in order of time, and a motion direction and a motion amount of the distal portion of the endoscope are detected in accordance with the result of the comparison.

4. The endoscopic system for surgical instrument position control according to claim 1, wherein the motion detector includes

a magnetic field generating coil disposed in the endoscope to be inserted into the body cavity, and

a position estimator which detects a magnetic field generated by the magnetic field generating coil and which estimates the position and the amount of motion of the endoscope using the position of the magnetic field generating coil as coordinates.

5. The endoscopic system for surgical instrument position control according to claim 3 or 4, wherein the control unit moves the distal portion of the endoscope in a direction opposite to the motion on the basis of the motion direction and the motion amount when the motion amount detected by the motion detector exceeds a prepared threshold value.

6. The endoscopic system for surgical instrument position control according to claim 2, further comprising a treatment driver unit which generates driving force to drive the first surgical instrument and the second surgical instrument,

wherein the control unit outputs a control signal to one of a treatment actuator and a holding actuator to drive the multi-joint arm to bend and extend in accordance with the curving of the distal portion of the endoscope so that the second surgical instrument holding the biomedical tissue maintains a holding position where the second surgical instrument is located after the motion, in the case where the distal portion of the endoscope is curved in accordance with the result of the detection by the motion detector.

7. The endoscopic system for surgical instrument position control according to claim 6, wherein an insertion portion of the endoscope, a multi-joint arm provided with the first surgical instrument and a multi-joint arm provided with the second surgical instrument are curved by the traction and relaxation of wires which are coupled to pulleys attached to shafts of motors, and perform moving operation, holding operation and posture sustaining operation by driving of the motors in accordance with an instruction from the control unit.

8. The endoscopic system for surgical instrument position control according to claim 1, wherein the control unit is configured to control the curving driver unit based on the calculated amount of control while the surgical unit is being operated.

9. The endoscopic system for surgical instrument position control according to claim 8, wherein the control unit is configured to determine that the first surgical instrument is being operated.

10. The endoscopic system for surgical instrument position control according to claim 9, wherein the control unit is configured to control the curving driver unit based on the calculated amount of control while the first surgical instrument is being operated.