Surgical visualization systems

• US 9,782,159 B2
• Filed: 05/20/2014
• Issued: 10/10/2017
• Est. Priority Date: 03/13/2013
• Status: Active Grant

• Current Assignee: CamPlex, Inc.
• Original Assignee: CamPlex, Inc.
• Inventors: Tesar, John
• Primary Examiner(s): COLEY, ZADE JAMES
• Application Number:
  US14/283,106
• Publication Number:
  US 20150018622A1
• Time in Patent Office: 1,239 Days
• Field of Search: 600201-246
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0293 with ring member to support retractor elements
• CPC Class Codes: A61B 17/1611 the two jaw elements being integral with respective elongate shaft elements
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00946 malleable
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2059 Mechanical position encoders
• CPC Class Codes: A61B 2090/309 using white LEDs
• CPC Class Codes: A61B 2090/3616 Magnifying glass
• CPC Class Codes: A61B 2090/371 with simultaneous use of two cameras
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 50/10 : Furniture specially adapted for surgical or diagnostic appliances or instruments
• CPC Class Codes: A61B 50/13 : Trolleys, e.g. carts
• CPC Class Codes: A61B 50/15 : Mayo stands; Tables
• CPC Class Codes: A61B 90/20 : Surgical microscopes characterised by non-optical aspects
• CPC Class Codes: A61B 90/37 : Surgical systems with images on a monitor during operation
• CPC Class Codes: A61B 90/92 : coded with colour
• CPC Class Codes: A61B 90/94 : coded with symbols, e.g. text

Abstract

A surgical device includes one or more cameras integrated therein. The view of each of the one or more cameras can be integrated together and provided to a surgeon display and/or an assistant display. A surgical tool that includes an integrated camera may be used in conjunction with the surgical device. The image produced by the camera integrated with the surgical tool may be associated with the images generated by the one or more cameras integrated in the surgical device. The position and orientation of the cameras and/or the surgical tool can be tracked, and the surgical tool can be rendered as at least partially transparent. A surgical device may be powered by a hydraulic system, thereby reducing electromagnetic interference with tracking devices.

Claims

1. A medical apparatus comprising:

a surgical microscope camera configured to acquire video images of a surgical site, the surgical microscope camera configured to provide a surgical microscope view of the surgical site;

a surgeon viewing assembly comprising a surgeon display housing, at least one surgeon display within the surgeon display housing, and surgeon binoculars configured to provide a view of the at least one surgeon display, the at least one surgeon display being configured to provide images from the surgical microscope camera;

an assistant viewing assembly comprising an assistant display housing, at least one assistant display within the assistant display housing, and assistant binoculars configured to provide a view of the at least one assistant display, the at least one assistant display being configured to provide images from the surgical microscope camera; and

an image processing system configured to rotate images from the surgical microscope camera and provide the rotated images to the at least one assistant display.

2. The medical apparatus of claim 1, wherein the image processing system is in communication with the surgical microscope camera, the at least one surgeon display, and the at least one assistant display, the image processing system comprising at least one physical processor, wherein the image processing system is configured to:

receive video images acquired by the surgical microscope camera,

provide to the at least one surgeon display surgeon output video images based on the received video images, and

provide to the at least one assistant display assistant output video images based on the received video images.

3. The medical apparatus of claim 2, wherein the image processing system is further configured to orient the assistant output video images relative to the surgeon output video images according to a relative orientation of the surgeon viewing assembly and the assistant viewing assembly.

4. The medical apparatus of claim 3, wherein the assistant output video images are rotated relative to the surgeon output images at an angle of rotation from 30 degrees to 180 degrees.

5. The medical apparatus of claim 4, wherein the angle of rotation is about 90 degrees.

6. The medical apparatus of claim 4, wherein the angle of rotation is about 180 degrees.

7. The medical apparatus of claim 1, further comprising a first support, the surgeon viewing assembly attached to the first support such that a position and/or orientation of the surgeon viewing assembly is adjustable.

8. The medical apparatus of claim 7, wherein the assistant viewing assembly is attached to the first support, the assistant viewing assembly independently adjustable from the surgeon viewing assembly.

9. The medical apparatus of claim 7, further comprising a second support separate from the first support, the assistant viewing assembly attached to the second support such that a position and/or orientation of the assistant viewing assembly is adjustable.

10. The medical apparatus of claim 1, wherein said camera comprises a stereo camera dedicated to providing video images of the surgical site to be displayed on the at least one assistant display.

11. The medical apparatus of claim 1, wherein the image processing system is configured to provide 3-D surgeon output video images for viewing on the at least one surgeon display through the surgeon binoculars.

12. The medical apparatus of claim 1, wherein the surgeon viewing assembly does not provide a view of the surgical site via an optical pathway that passes through the surgeon display housing from the surgeon binoculars to the surgical site.

13. The medical apparatus of claim 12, wherein the assistant viewing assembly does not provide a view of the surgical site via an optical pathway that passes through the assistant display housing from the assistant binoculars to the surgical site.

14. The medical apparatus of claim 1, wherein the apparatus is configured such that to view the at least one assistant display through the assistant binoculars, a user is in close proximity to the surgical site.

15. The medical apparatus of claim 1, wherein the apparatus is configured such that to view the at least one assistant display through the assistant binoculars, a user is within 2 feet of the surgical site.

16. The medical apparatus of claim 1, wherein the apparatus is configured such that to view the at least one surgeon display through the surgeon binoculars, a user is in close proximity to the surgical site.

17. The medical apparatus of claim 1, wherein the apparatus is configured such that to view the at least one surgeon display through the surgeon binoculars, a user is within 2 feet of the surgical site.

18. The medical apparatus of claim 1, wherein surgical microscope camera has a working distance of between about 15 cm and about 45 cm.

19. A medical apparatus comprising:

a surgical microscope camera configured to acquire video images of a surgical site, the surgical microscope camera configured to provide a surgical microscope view of the surgical site;

a surgeon viewing assembly comprising a surgeon display housing, at least one surgeon display within the surgeon display housing, and surgeon binoculars configured to provide a view of the at least one surgeon display, the at least one surgeon display being configured to provide images from the camera;

an assistant viewing assembly comprising an assistant display housing, at least one assistant display within the assistant display housing, and assistant binoculars configured to provide a view of the at least one assistant display, the at least one assistant display being configured to provide images from the camera;

an image processing system in communication with the camera, the at least one surgeon display, and the at least one assistant display, the image processing system comprising at least one physical processor, wherein the image processing system is configured to;

receive video images acquired by the camera,

provide to the at least one surgeon display surgeon output video images based on the received video images, and

provide to the at least one assistant display assistant output video images based on the received video images,

wherein the image processing system is further configured to orient the assistant output video images relative to the surgeon output video images according to a relative orientation of the surgeon viewing assembly and the assistant viewing assembly, and

wherein the assistant output video images are rotated relative to the surgeon output images at an angle of rotation from 30 degrees to 180 degrees.

20. The medical apparatus of claim 19,

wherein the surgeon viewing assembly does not provide a view of the surgical site through the surgeon binoculars via an optical pathway that passes through the surgeon display housing from the surgeon binoculars to the surgical site.

21. The medical apparatus of claim 20, wherein the image processing system is further configured to provide 3-D viewing of camera images through the surgeon binoculars.

22. The medical apparatus of claim 20, wherein the assistant viewing assembly does not provide a view of the surgical site through the assistant binoculars via an optical pathway that passes through the assistant display housing from the assistant binoculars to the surgical site.

23. The medical apparatus of claim 19, wherein the angle of rotation is about 90 degrees.

24. The medical apparatus of claim 19, wherein the angle of rotation is about 180 degrees.

25. The medical apparatus of claim 19, wherein surgical microscope camera has a working distance of between about 15 cm and about 45 cm.