Off-axis visualization systems

• US 9,226,648 B2
• Filed: 12/20/2007
• Issued: 01/05/2016
• Est. Priority Date: 12/21/2006
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Inventors: Saadat, Vahid, Rothe, Chris A., Peh, Ruey-Feng, Tam, Edmund
• Primary Examiner(s): KASZTEJNA, MATTHEW JOHN
• Application Number:
  US11/961,995
• Publication Number:
  US 20090299363A1
• Time in Patent Office: 2,938 Days
• Field of Search: 600/104, 600/115, 600/116, 600/114
• US Class Current: 1/1
• CPC Class Codes: A61B 1/0008 characterised by distal tip features
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/00085 Baskets
• CPC Class Codes: A61B 1/00089 Hoods
• CPC Class Codes: A61B 1/00096 Optical elements
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/005 Flexible endoscopes
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/04 combined with photographic or television appliances
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 5/6882 Anchoring means

Abstract

Off-axis visualization systems are described herein which facilitate the deployment, visualization, and retraction of an imaging element from a catheter. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration as well as an imaging element, such as a CCD or CMOS imager, which may be deployed from a low profile configuration into a position which is off-axis relative to a longitudinal axis of the deployment catheter and/or imaging hood.

Claims

1. A system for visualizing a tissue region of interest, comprising:

a deployment catheter defining at least one lumen therethrough;

a hood projecting distally from the deployment catheter and defining an open area therein, wherein the open area is in fluid communication with the at least one lumen;

an imaging element for visualizing tissue adjacent to the open area; and

a flexible section which forms a channel extending at least partially proximally from an exterior of the hood, the flexible section being separably expandable with respect to the hood such that the flexible section is capable of having both a collapsed profile and an expanded profile when the hood is in a fully expanded configuration for receiving the imaging element upon deployment of the hood, wherein the imaging element is moved from a first location which is axially in-line with a longitudinal axis of the catheter to a second location within the channel which is laterally off-axis relative to the longitudinal axis of the catheter.

2. The system of claim 1 further comprising a sheath slidably disposed over the deployment catheter.

3. The system of claim 1 further comprising an ablation probe passing through the deployment catheter.

4. The system of claim 1 wherein the imaging element is attached to an inner surface of the channel such that the imaging element is pulled into its off-axis position via the channel.

5. The system of claim 1 wherein the channel extends proximally from an outer surface of the hood.

6. The system of claim 1 wherein the deployment catheter is steerable.

7. The system of claim 1 wherein the hood is comprised of a compliant material.

8. The system of claim 1 wherein the hood comprises a frame of superelastic or shape memory alloy.

9. The system of claim 1 wherein the hood is conically shaped.

10. The system of claim 1 wherein the hood comprises at least one support member.

11. The system of claim 1 wherein the imaging element comprises at least one optical fiber, CCD imager, or CMOS imager.

12. The system of claim 1 further comprising a pump for urging fluid into the hood.

13. The system of claim 1 further comprising a fluid reservior fluidly coupled to the hood.

14. The system of claim 13 wherein a fluid within the fluid reservoir comprises saline, plasma, water, or perfluorinated liquid.

15. A system for visualizing a tissue region of interest, comprising:

a deployment catheter defining at least one lumen therethrough;

a membrane projecting distally from the deployment catheter and defining an open area therein, wherein the open area is in fluid communication with the at least one lumen;

a flexible receiving channel extending proximally from an exterior of the membrane, the flexible receiving channel being separably expandable with respect to the membrane such that the flexible receiving channel is capable of having both a collapsed profile and an expanded profile when the membrane is in a fully expanded configuration; and

an imaging element for visualizing tissue adjacent to the open area, the imaging element being positioned within the receiving channel, the imaging element being movable between a first location that is axially in-line with a longitudinal axis of the catheter and a second location within the channel that is laterally off-axis relative to the longitudinal axis of the catheter.

16. The system of claim 15 wherein the channel extends proximally from an outer surface of the membrane.

17. The system of claim 15 wherein the imaging element is attached to an inner surface of the channel such that the imaging element is pulled into the second location via off-axis movement of the channel.

18. A system for visualizin a tissue region of interest, comprising:

a deployment catheter defining at least one lumen therethrough;

a membrane projecting distally from the deployment catheter and defining an open area therein, wherein the open area is in fluid communication with the at least one lumen;

a pump for urging fluid into the membrane;

a flexible portion that extends proximally from an exterior of the membrane, the flexible portion forming a receiving channel in open communication with the open area upon deployment of the membrane, the flexible portion being separably expandable with resect to the membrane such that the flexible portion is capable of having both a collapsed profile and an expanded profile when the membrane is in a fully expanded configuration; and

an imaging element for visualizing tissue adjacent to the open area, the imaging element being movable between a first location that is axially in-line with a longitudinal axis of the catheter and a second location within the channel that is laterally off-axis relative to the longitudinal axis of the catheter and within the receiving channel.

19. The system of claim 18 wherein the membrane is comprised of a compliant material.

20. The system of claim 18 wherein the membrane is conically shaped.