The present invention relates to a precise deployment and control of nested cannula of a nested cannula that enables the nested cannula to reach multiple locations within any anatomical region of a patient.
The use of minimally invasive procedures has grown in recent years due to their ability to allow for diagnosis or surgical treatment without the trauma typically resulting from open surgery. Minimally invasive surgical procedures can also allow for safe access to anatomical regions that were previously unreachable.
Typical tools utilized in minimally invasive surgical procedures can include rigid laparoscopic devices, robotic devices, or scopes that utilize marionette-like strings for control. Each of these devices imposes certain limitations and has inherent drawbacks. For instance, rigid laparoscopic devices can require open space for maneuvering both inside and outside the body. This space requirement can preclude the use of rigid laparoscopic devices in many types of procedures.
Robotic devices are unable to reach far into the human body since they rely on motors to control each joint angle. Motors are often large compared to the small anatomical spaces of the body. The number of robotic joints limits the complexity of the environment through which the robot can reach. Robots are often six degrees of freedom so that they can reach a fixed point in freespace at a particular orientation. The addition of anatomical obstacles effectively reduces the remaining active degrees of freedom. Additional motors to increase dexterity, also add weight and size. For example, robotic devices having seven degrees of freedom are often heavy and frequently hard to control smoothly.
Scopes that are controlled by marionette-like strings, such as bronchoscopes and endoscopes, rely on the marionette strings to control the distal part of the scope. Although thinner than a robotic device, control of only one arc at the distal end of the scope is also a significant limitation. Further, the use of marionette-like strings requires an additional increase in device radius.
Nested cannulas overcome these limitations by building the intended motion into the construction of a nested cannula so that motors and wires are unnecessary, and yet these small, thin devices are able to reach far into the human anatomy. Specifically, nested cannulas are typically made from several concentric, pre-curved, polymer or super elastic tubes that are configured in a specific way to reach a target, while avoiding anatomical “obstacles”. Each tube can telescope in and out of the others, and can also be spun. Interaction and manipulation of the tubes can be utilized by the physician for positioning the distal end of the tubes in the desired position.
The present invention provides a novel and unique motor control of nested cannula that facilitates a sequential motion, a simultaneous motion or a combination thereof of the nested cannula based on an independent rotation and translation of each cannula that expands the reach and re-use of the nested cannula.
One form of the present invention is a cannula control device employing a platform and at least one, but typically two or more cannula control units. Each cannula control unit includes a cannula, a rotation motor assembly mechanically connected to the cannula for rotating the cannula to a specific rotational orientation relative to a calibration orientation associated with the cannula control unit and/or the platform, and a translation motor assembly mechanically connected to the platform for translating the cannula control unit to a specific translational position relative to a calibration position associated with the cannula control unit and/or the platform.
A second form of the present invention is a cannula control system employing the cannula control device as described in the previous paragraph and one or more motor controllers in electrical communication with the cannula control device for selectively applying one or more motor activation signals to the cannula control device. Each motor activation signal is indicative of a planned deployment of the cannula(s), particularly a planned deployment of the cannula(s) within an anatomical region of a body (human or animal).
The foregoing form and other forms of the present invention as well as various features and advantages of the present invention will become further apparent from the following detailed description of various embodiments of the present invention read in conjunction with the accompanying drawings. The detailed description and drawings are merely illustrative of the present invention rather than limiting, the scope of the present invention being defined by the appended claims and equivalents thereof.
The present invention is directed to a controlled deployment of any type of cannula, such as, for example, a straight cannula 20 as shown in
The present invention is further directed to a controlled deployment of any arrangement of nested cannulas, such as, for example, nested cannula 22 and 23 as shown in
In practice, the configuration and dimensions of each cannula will be dependent upon the corresponding cannula procedure. Thus, the present invention does not impose any restrictions or any limitations on the configuration and dimensions of each cannula beyond any restriction or any limitation imposed by the corresponding cannula procedure.
Also, in practice, the cannula can made from various materials or combinations of materials including, but not limited to, a shape memory alloy (e.g., Nitinol), and/or a shape memory polymer (e.g., commercially available microtubes from Memry Inc, of Bethel, Conn. and MnemoScience GmbH of Aachen, Germany)) Polymers in general are a cost a cost-effective choice.
The premise of the present invention in controlling the deployment of a single cannula or nested cannula is the utilization of an X number of cannula control units 40 shown in
For purposes of the present invention, a “rotation motor assembly” is broadly defined herein as any independent structural arrangement of a motor in conjunction with gear(s), screw(s), belt(s), sprocket(s), encoder(s), sensor(s) and/or other suitable electromechanical components for rotating cannula 30 to a specific rotational orientation relative to a calibration orientation, such as, for example, a rotation of cannula 30 to a specific rotational orientation relative to a calibration orientation 31 as shown in
Also, for purposes of the present invention, a “translation motor assembly” is broadly defined herein as any independent structural arrangement of a motor in conjunction with gear(s), screw(s), belt(s), sprocket(s), encoder(s), sensor(s) and/or other suitable electromechanical components for translating cannula control unit 40 in a forward motion or a reverse motion to a specific translational position relative to a calibration position, such as, for example, a linear translation of cannula control unit 40 relative to a calibration position 32 in a forward direction or a reverse direction as shown in
To facilitate a further understanding of the inventive principles of cannula control unit 40,
Cannula control device 70 further employs a platform 80 having a base 81 and two (2) opposing walls 82 and 83 upwardly extending from base 81 to support a rail 85 along a length of base 81. Rail 85 extends through and is mechanically connected to each translation motor assembly 60 of the cannula control units 40 by any means that facilitates a forward or reverse direction of each cannula control unit 40 in an independent manner, a simultaneous manner or a combination thereof. In one embodiment, each translation motor assembly 60 has an independent internal motor for translating its respective cannula control unit 40 along rail 85 in a forward direction or a reverse direction to a specific translational position relative to a calibration position associated with cannula control unit 40 (e.g., an encoded baseline position of cannula control unit 40 along rail 85). Alternatively or concurrently, in another embodiment, a motor external to each translation motor assembly 60 rotates and/or translates rail 85 to thereby simultaneously translate the cannula control units 40 along rail 85 in a forward direction or a reverse direction to specific translational positions relative to a calibration position associated with cannula control unit 40 (e.g., an encoded baseline position relative to base 81 established by a servo motor).
A proximal end of each cannula 30 is mechanically connected by any means to the rotation motor assembly 50 of a respective cannula control unit 40 with the distal ends of cannula 30 being nested in a manner that facilitates the controlled deployment of the cannula 30 through a cannula channel 84 of front wall 83. In one embodiment, each rotation motor assembly 50 has an independent internal motor for rotating respective cannula control unit 40 to a specific orientation position relative to a calibration position associated with the respective cannula control unit 40 (e.g., an encoded baseline orientation of cannula control unit 40 along rail 85) and/or platform 80 (e.g., a baseline orientation 86 relative to cannula channel 84 as shown in
In operation,
To facilitate an even further understanding of the inventive principles of cannula control unit 40,
For example, motor controller(s) 101 is(are) shown in
Similarly, motor controller(s) 101 is(are) shown in
Those having ordinary skill in the art will appreciate that the cannula may need to maintain their relative positions as the cannula are being translated within an anatomical region of a body, such as, for example, when the corresponding cannula procedure requires an insertion of a tool or the like that needs to maintain a position ahead of the cannula as the cannula are being translated within the anatomical region of the body. Therefore, alternatively, the rotation of the cannula of cannula control units 40(3) and 40(4) remain independent while the translation of the cannula are performed in a simultaneous manner. Specifically, signal set 102 can represent rotation activation signal(s) to rotate the cannula(s) to specific rotational orientation(s). By comparison, signal set 103 can represent a forward translation signal for concurrently translating the cannula in a forward direction and a reverse translation signal for concurrently translating the cannula in a reverse direction.
A description of a cannula control method of the present invention as represented by a flowchart 110 shown in
Specifically, a stage S111 of flowchart 110 encompasses a cannula generation scheme and a cannula selection scheme. In the generation scheme, stage S111 generally incorporates (a) a reading of a three dimensional image of the anatomical region of the body (e.g., CT, Ultrasound, PET, SPECT, MRI), (b) a generation of a series of arcs from a particular position and orientation in the three dimensional image, (c) a use of the generated series of arcs to calculate of a pathway through the body between an entry and target location using the generated series of arcs passing through the point, (d) a use of the generated series of arcs and the calculated pathway to generate one or more concentric telescoping tubes that are configured and dimensioned to reach the target location, and (e) a mechanical connection of each cannula to rotational motor assembly of a cannula control unit. In the selection scheme of the present invention, stage S111 generally incorporates (a) a reading of a three dimensional image of the anatomical region of the body, (b) a calculation of a pathway through the body between an entry and target location, and (c) a selection of one or more cannula control units having previously generated cannula(s) configured and dimensioned to reach the target location.
For example, the following Table 1 lists a configuration of four (4) nested cannula 24-27 for reaching a target location 96 as shown in
The ‘Extended Length’ above describes the length that extends beyond the enclosing tube. Therefore the total length of the Intermediate Curved tube equals 16 mm plus 28.8 mm=44.8 mm, plus the length required to reach through a cannula guide channel (e.g., channel 84 shown in
Irrespective of the scheme, those having ordinary skill in the art will appreciate that a straight cannula has one (1) degree of freedom that enables the tube to be advanced and retracted in accordance with it extendable length. By comparison, a curved cannula has two (2) degrees of freedom that enables the tube to be advanced and retracted in accordance with its extendable length, and rotated in accordance with its radius. A straight tube with a sensor or actuator set along the side, or carrying an end effector that has a specific orientation must similarly be considered to have 2 degrees of freedom since it has a unique orientation. Preferably, a curved cannula is only advanced the length corresponding to the curvature of the tube, for example the length of the arc of 180 degrees=π*radius.
Referring again to
Referring to
Furthermore, those having ordinary skill in the art will appreciate how to make and use a cannula control device of the present invention for any type of cannula procedure based on the general description of the invention principles of the present invention as illustrated of
A detailed embodiment of a cannula control device 170 having two (2) cannula control units 140(1) and 140(2) in accordance with the present invention as shown in
Specifically, a stage S121 of flowchart 120 encompasses an adapter-cannula assembly for each generated cannula 130. In this embodiment, stage S121 involves a proximal end of a generated cannula 130 being friction fitted within a tub-hub adapter 131 as shown in
A stage S122 of flowchart 120 encompasses a unit assembly of each cannula control unit 140. In this embodiment, stage S122 involves adapter 131 being “dead ended” within a rotation motor assembly 150, such as, for example, adapter 131 being friction fitted within a calibration collar 151 of rotation motor assembly 150 as shown in
In conjunction with locking cannula 130 and adapter 131 to plate 141, the remaining components of assembly 150 including a servo motor 154, a rotational encoder 155 and a gear 155 are assembled as shown in
A stage S123 of flowchart 120 encompasses a plate stacking of the cannula control units 140 onto a platform 180 having a base 181 and opposing parallel walls 182 and 183 supporting a threaded rail 185 therebetween as shown in
The result, as shown in
In operation, a servo motor 154 of a rotation motor assembly 150 as shown in
One design consideration is the fact that cannula 130(2) must be longer than the larger enclosing cannula 130(1), and cannula 130(2) contains an arc at the end that must calibrated to a specific rotational orientation One way to calibrate cannula 130(2) is to move the translatable plate 141 to a position whereby the surrounding tube 130(2) does not interfere with the natural arc shape of cannula 130(2) as shown in
While various embodiments of the present invention have been illustrated and described, it will be understood by those skilled in the art that the methods and the system as described herein are illustrative, and various changes and modifications may be made and equivalents may be substituted for elements thereof without departing from the true scope of the present invention. In addition, many modifications may be made to adapt the teachings of the present invention to entity path planning without departing from its central scope. Therefore, it is intended that the present invention not be limited to the particular embodiments disclosed as the best mode contemplated for carrying out the present invention, but that the present invention include all embodiments falling within the scope of the appended claims.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/IB2009/053810 | 9/1/2009 | WO | 00 | 3/14/2011 |
Number | Date | Country | |
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61097233 | Sep 2008 | US |