1. Technical Field
The present disclosure relates to an apparatus and system for performing surgery and, more particularly, to an apparatus and system that includes an illumination device configured to illuminate various anatomical locations of a patient.
2. Related art
Without limiting the scope of the present disclosure, its background is described herein with respect to surgical procedures, and in particular, laparoscopy and transluminal and endoluminal surgery, e.g., Natural Orifice Transluminal Endoscopic Surgery (NOTES).
Compared with open surgery, laparoscopy results in significantly less pain, faster convalescence and less morbidity. NOTES, an even less invasive surgical approach, is likely to achieve similar results. However, eye-hand dissociation, a two-dimensional field-of-view and instrumentation with limited degrees of freedom contribute to a steep learning curve and demanding dexterity requirements for many laparoscopic and endoscopic procedures. A limitation of laparoscopic and endoscopic procedures is the fixed working envelope surrounding each trocar, often necessitating placement of multiple ports to accommodate changes in position of the instruments or laparoscope to improve visibility and efficiency. The placement of additional working ports contributes to post-operative pain and carries a small risk of bleeding or adjacent organ damage. Another limitation of laparoscopic and endoscopic procedures is that the images often appear “upside-down” and/or “backward” due to the flexible rather than rigid scope typically employed by a clinician during the laparoscopic and endoscopic procedures, which, may result in a clinician becoming disoriented during the laparoscopic and endoscopic procedures.
Therefore, it may prove advantageous to provide an illumination guidance apparatus and system configured for use with a surgical space in a minimally invasive surgical procedure while avoiding any one or combination of the aforementioned limitations.
The present disclosure provides an illumination system configured to light an anatomical location of a patient. The illumination system includes an interior illumination device positionable and movable within a body cavity of a patient. The interior illumination device is configured to provide a light having a wavelength that is visible to a clinician. The illumination system includes an exterior illumination device operatively coupled to the interior illumination device and positionable and movable about an exterior of a patient. The exterior illumination device is configured to provide a light having a wavelength that is visible to a clinician.
The present disclosure also provides an illumination apparatus configured to light an anatomical location of a patient. The illumination apparatus includes a proximal end configured for manipulation by a clinician. The illumination apparatus includes an elongate tubular portion extending distally from the proximal end of the illumination apparatus. An exterior illumination device is fixedly positionable on an outer abdominal wall of a patient and disposed at the proximal end of the illumination apparatus. The exterior illumination device is configured to provide a light having a wavelength that is visible to a clinician. An interior illumination device is disposed at a distal end of the illumination apparatus and operatively coupled to the exterior illumination device. The interior illumination device is also configured to provide a light having a wavelength that is visible to a clinician.
Various embodiments of the present disclosure are described herein with reference to the drawings wherein:
An illumination system and apparatus in accordance with the teaching of the present disclosure may be used by a clinician to form a plurality of markers or beacons that are configured to light an anatomical location of a patient and facilitate a clinician in navigating within an anatomical location of a patient during a surgical procedure.
Referring to
In the embodiments illustrated in
Exterior illumination device 12 may have any suitable shape. Exterior illumination device 12 may be formed from any suitable material. In the embodiments, illustrated in
Interior illumination device 14 is substantially similar to exterior illumination device 12. Interior illumination device 14 includes a light emitting element 20, a base 18, and one or more magnets 16 each of which function as previously described herein. As noted above, interior element 14 is configured for placement within the peritoneal cavity “P” of a patient and, as such, interior illumination device 14 is formed from any suitable bio-compatible material. Alternatively, interior illumination device 14 may be encased within a bio-compatible material. Interior illumination device 14 may be introduced into the peritoneal cavity by any suitable surgical procedures and/or methods (e.g., transluminal, endoluminal or laparoscopic surgical procedures). Interior illumination device 14 may include any suitable structure configured to facilitate a user in properly positioning interior illumination device 14 within an interior of a patient.
In embodiments, each of exterior and/or interior illumination devices, 12 and 14, respectively, may be formed from or configured to receive a lubricous material that is configured to facilitate a clinician in moving the exterior and interior illumination devices 12 and 14, when they are coupled to one another and positioned on a patient. More particularly, and in embodiments, each of exterior and interior illumination devices 12 and 14, or portions thereof, may be formed from polytetrafluoroethylene (PTFE) or other suitable material. Alternatively, or in addition thereto, each of exterior and interior illumination devices 12 and 14, or portions thereof, may be configured to receive one or more suitable types of material that is lubricious in nature, such as, for example, lanolin, water, mineral oils, natural oils (e.g., vegetable oils), synthetic oils, etc.
In use, multiple pairs of exterior and interior illumination devices 12 and 14, respectively, may be positioned on and within a patient. More particularly, an exterior illumination device 12 may be positioned on a patient and an interior illumination device 14 may be positioned within an interior of a patient and adjacent to exterior illumination device 12. The magnetic field produced by magnet 16 attracts or couples the exterior and interior illumination devices 12 and 14, respectively to each other. Once the exterior and interior illumination devices 12 and 14 are magnetically coupled to one another, a clinician may move the exterior and interior illumination devices 12 and 14 to a desired location on a patient. After the exterior and interior illumination devices 12, and 14, respectively, have been properly positioned, second, third, fourth, etc. additional pairs of respective exterior and interior illumination devices 12 and 14 may be positioned (see
By way of example only, illumination apparatus 100 includes a structure 150 that is configured to support and/or house exterior and interior illumination devices, 112 and 114, respectively. In the embodiment illustrated in
An elongate tubular portion 152 defining a longitudinal axis “X” therethrough extends distally from proximal end 154. In embodiments, tubular portion 152 may define or include one or more lumens configured to provide a fluid path for one or more suitable insufflation fluids.
Illumination apparatus also includes a distal end 156 that is configured to support and/or house interior illumination device 114. In the embodiment illustrated in
In the embodiment illustrated in
In use, distal tip 158 of illumination apparatus 100 may be employed to pierce an outer abdominal wall of a patient such that exterior and interior illumination devices 112 and 114, respectively, may be properly positioned on a patient. Once properly positioned on a patient, both exterior and interior illumination devices 112 and 114, respectively, emit light “L” of a suitable wavelength, such that a clinician may effectively navigate a surgical instrument within an interior of a patient.
From the foregoing and with reference to the various figure drawings, those skilled in the art will appreciate that certain modifications can also be made to the present disclosure without departing from the scope of the same. For example, it is contemplated that a roller or bearing (not shown) may be operatively disposed on or near the base 20 of one or both of the illumination devices 12, 14. The roller or bearing may be configured to facilitate movement of the illumination devices 12, 14 when the illumination devices 12, 14 are in contact with a patient.
While several embodiments of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
This application claims the benefit of and priority to U.S. Provisional Patent Application No. 61/169,017, filed Apr. 14, 2009, the entire disclosure of which is incorporated by reference herein.
Number | Date | Country | |
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61169017 | Apr 2009 | US |