This disclosure relates to devices providing for the trans-illumination of a surgical area during a surgical procedure, particularly during laparoscopic procedures.
Laparoscopic treatment is a widely used modern surgical procedure in which an incision on a patient is minimized, with an incision usually being 0.5-1.5 cm in length. Laparoscopic treatment allows for the use of fiber optics and miniature camera systems during surgical procedures, and common laparoscopic procedures include hernia repairs, gastric bypass, bowel resection, and organ removal.
An illuminating catheter is a fiber optic device that is used to provide trans-illumination of a surgical area during laparoscopic procedures. The illuminating catheter also helps to identify and minimize potential for trauma during surgical procedures. Accordingly, it is desirable that illuminating catheters provide homogeneous illumination along the entire length of the catheter, or, in other words, homogenous scattering of light along the length of the catheter.
Light scattering involves the deflection of light in a transmission medium. Light is technically known as an electromagnetic (“EM”) wave with a wavelength from about 0.3 to 30 microns, including visible wavelengths from 0.38 to 0.78 microns, and those wavelengths, such as ultraviolet and infrared, that are visible using various optical techniques. Blue light, for example, has a visible wavelength of about 0.475 microns, while red light a wavelength of about 0.65 microns. White light is a mixture of colors in the visible wavelength range, while black is a total absence of light. Fiber optic cables are a type of optical fiber commonly used as a transmission medium for light. Optical fibers usually include a fiber core and a fiber cladding that can guide a lightwave and is usually cylindrical in shape. The fiber relies upon internal reflection to transmit light along its axial length, with light entering one end of the fiber at an initial intensity and emerging from the opposite end with intensity losses dependent upon length, absorption, scattering, and other factors. Light intensity is often referred to as luminous intensity, which is measured as the candela (cd). Intensity used with respect to illuminating devices may range from a fraction of a cd to about 100 cd or higher, depending on the light source used.
There are several types of light scattering modes known in the art, including Rayleigh scattering. Rayleigh scattering involves the scattering of a lightwave being transmitted through a medium, such as a fiber optic, due to the atomic or molecular structure of the material and variations in the structure as a function of distance. For example, as light travels through a fiber optic, scattering loss may occur, which is a loss of power of the EM wave due to random reflections and deflections of the waves caused by the material elements in the fiber optic as well as by impurities, imbedded particles, and inclusions. Scattering loss varies as the reciprocal of the fourth power of the wavelength. The transparency of a material may also affect the amount of light scattered.
It is also desirable to have an illuminating catheter which is compatible with high-power light sources. Common spectral microscopy light sources include tungsten-halogen, mercury, xenon, and metal halide light sources. The Rayleigh scattering intensity will vary depending on the particular light source, as commonly understood in the art. For example, with a xenon light source, mainly low wavelengths are scattered into a patient's tissue (e.g., 0.3 microns).
A catheter system for trans-illumination of a surgical area may include a catheter tube having a distal end and a proximal end. The proximal end may include a non-transparent portion and the distal end may include a transparent fiber optic portion. The transparent fiber optic portion may include a fiber optic capable of transmitting light, a proximal end, a distal end, a distal tip, a surface that establishes an outer circumference of the fiber optic portion, a plurality of grain indentations having a depth below the surface of the fiber optic portion that communicate light through the outer surface of the fiber optic portion, and first and second coatings. The plurality of grain indentations may increase in size or density, or by both size and density, between neighboring indentations to provide for a homogenous scattering of light along the length of the fiber optic. The first and second coatings may absorb or reflect light and be shaped to further facilitate homogeneous light scattering along the fiber optic. The plurality of grain indentations and the first coating may be disposed along the surface of the transparent fiber optic portion from a first position proximate to the proximal end of the transparent fiber optic portion to a second position proximate to the distal end of the transparent fiber optic portion, and a size or density of the grain indentations increases in a direction from the first position to the second position. The second coating may be disposed at the distal tip of the transparent fiber optic portion.
In one embodiment, a catheter system for trans-illumination of a surgical area may include a catheter tube having a distal end and a proximal end. The proximal end may include a non-transparent portion and the distal end may include a transparent fiber optic portion. The transparent fiber optic portion may include a fiber optic capable of transmitting light, a proximal end, a distal end, a surface that establishes an outer circumference of the fiber optic portion, and a plurality of grain indentations having a depth below the surface of the fiber optic portion that communicate light through the outer surface of the fiber optic portion. The plurality of grain indentations may be disposed along the surface of the transparent fiber optic portion from a first position proximate to the proximal end of the transparent fiber optic portion to a second position proximate to the distal end of the transparent fiber optic portion, and a size of the grain indentations increases in a direction from the first position to the second position. The grain indentations may increase in size between neighboring indentations in various ways, such as an increase in a groupwise manner or a continuous increase, which provides for a homogenous scattering of light along the length of the fiber optic. The plurality of grain indentations may be a repeating pattern along the surface from the first position to the second position. The repeating pattern may include individual grain indentations, or the grain indentations may be connected.
In another embodiment, a catheter system for trans-illumination of a surgical area may include a catheter tube having a distal end and a proximal end. The proximal end may include a non-transparent portion and the distal end may include a transparent fiber optic portion. The transparent fiber optic portion may include a fiber optic capable of transmitting light, a proximal end, a distal end, a surface that establishes an outer circumference of the fiber optic portion, and a plurality of grain indentations having a depth below the surface of the fiber optic portion that communicate light through the outer surface of the fiber optic portion. The plurality of grain indentations may be disposed along the surface of the transparent fiber optic portion from a first position proximate to the proximal end of the transparent fiber optic portion to a second position proximate to the distal end of the transparent fiber optic portion, and a density of the grain indentations increases in a direction from the first position to the second position. The grain indentations may increase in density between neighboring indentations in various ways, such as in a groupwise manner or a continuous increase, which provides for a homogenous scattering of light along the length of the fiber optic. The plurality of grain indentations may be a repeating pattern along the surface from the first position to the second position. The repeating pattern may include individual grain indentations, or the grain indentations may be connected.
In another embodiment, a catheter system for trans-illumination of a surgical area may include a catheter tube having a distal end and a proximal end. The proximal end may include a non-transparent portion and the distal end may include a transparent fiber optic portion. The transparent fiber optic portion may include a fiber optic capable of transmitting light, a proximal end, a distal end, a distal tip, a surface that establishes an outer circumference of the fiber optic portion, a plurality of grain indentations having a depth below the surface of the fiber optic portion that communicate light through the outer surface of the fiber optic portion, and first and second coatings. The plurality of grain indentations and the first coating may be disposed along the surface of the transparent fiber optic portion from a first position proximate to the proximal end of the transparent fiber optic portion to a second position proximate to the distal end of the transparent fiber optic portion, and a size, density, or a combination of both size and density, of the grain indentations increases in a direction from the first position to the second position. The second coating may be disposed at the distal tip of the transparent fiber optic portion. The grain indentations may increase in size or density, or in both size and density, between neighboring indentations in various ways, such as an increase in a groupwise manner or a continuous increase, which provides for a homogenous scattering of light along the length of the fiber optic. The first and second coatings may absorb or reflect light and be shaped to further facilitate homogeneous light scattering along the fiber optic. The plurality of grain indentations may be a repeating pattern along the surface from the first position to the second position. The repeating pattern may include individual grain indentations, or the grain indentations may be connected.
Other systems, methods, features, and advantages of the invention will be, or will become apparent to, one with ordinary skill in the art upon examination of the following figures and detailed description. It is intended that all such additional systems, methods, features and advantages be within the scope of the invention, and be encompassed by the following claims.
The accompanying drawings are included to provide a further understanding of the claims, are incorporated in, and constitute a part of this specification. The detailed description and illustrated examples described serve to explain the principles defined by the claims.
The embodiments described in this disclosure will be discussed generally in relation to the use of catheter devices providing for the trans-illumination of a surgical area during a laparoscopic surgical procedure, but the disclosure is not so limited and may be applied to the use of other medical devices in other procedures other than laparoscopic procedures.
In the present application, the term “proximal” refers to a direction that is generally closest to the operator of the device during a medical procedure, while the term “distal” refers to a direction that is furthest from the operator of the device. As used herein, “about” and “substantially” mean any deviation within 5 to 10 percent, plus or minus, the recited value.
The present catheter system operates to allow for trans-illumination of a surgical area. In particular, the catheter system may provide for a catheter tube having a transparent fiber optic portion including a fiber optic cable capable of transmitting light during laparoscopic procedures which helps to identify and minimize potential for trauma. A specific pattern of indents, or grain indentations, may be placed along or below the surface of the fiber optic to optimize the homogeneity of the light transmitted along the length of the fiber optic cable and improve the heat compatibility of the catheter system with high-power light sources. The grain indentations may be placed in a groupwise manner along the length of the fiber optic, and may vary in size, density, or a combination of size and density.
One or more coatings may also be placed along the surface or at a distal tip of the fiber optic to absorb or, preferably, reflect light. The shape of the coatings may be designed in such a way to further facilitate homogenous light distribution along the length of the fiber optic.
As described more fully below,
For the sake of brevity, like components are depicted with the same element numbers in various embodiments and the reader is referred to the description of those elements in related elements. Elements that share similar features are designated with the same tenths and hundredths place with differing numbers in the hundreds place (e.g. 102, 202, 302, etc.).
The transparent fiber optic portion 114 may include a fiber optic cable 117 capable of transmitting light 123 with an initial light intensity 123a, a proximal end 115, a distal end 116, a surface 122 that establishes an outer circumference of the fiber optic portion, and a plurality of grain indentations 119a, 119b, and 119c that communicate initial light intensity 123a through the outer surface 122 of the fiber optic portion 114. In some embodiments, a coating or sheath may be disposed over the fiber optic portion to add additional characteristics to the fiber optic portion, such as additional protection of the fiber optic.
Each plurality of grain indentions 119 may include of a group of individual grain indentations 118. Grain indentations 118 may be made upon or below the surface 122 of fiber optic 117 using conventional methods known to those of ordinary skill in the art, including sandblasting and crimping. In one embodiment, it may be a manufacturing preference to have some amount of space between each plurality of grain indentation 119. Each individual grain indentation 118 may include a depth 501 and diameter 502. The depth 501 of the grain indentations may be from 10 to 100 microns, and the diameter 502 of the grain indentation may be from 10 to 100 microns. Grain indentations 118 may also take the form of various shapes, as schematically depicted in
In some embodiments, the individual grain indentations 118 may increase in size along the length of the fiber optic 117 with each plurality of grain indentations 119, such as schematically depicted by grain indentations 118a, 118b, and 118c. A plurality of grain indentations 119 may be disposed along the surface 122 of the transparent fiber optic portion 114 from a first position 120 proximate to the proximal end 115 of the transparent fiber optic portion 114 to a second position 121 proximate to the distal end 116 of the transparent fiber optic portion 114, and a size of the individual grain indentations 118 may increase in a direction from the first position 120 to the second position 121, as shown in
The size of grain indentations 118 of grain pluralities 119 may increase along the length of the fiber optic 117 in various ways. For example, grain indentations 118 may continuously increase in size as schematically depicted in
The plurality of grains 119 may also be arranged in various patterns, including the repeating rhombus-shaped pattern of three-by-three grain indentations schematically depicted in
The increase in size of grain indentations 118 from the first position 120 to the second position 121 facilitates homogeneous light scattering along the length of the fiber optic 117 because more light 123 is scattered as the size of grain indentations 118 increases and the amount of light 123 traveling through fiber optic 117 decreases along fiber optic 117's length as some light 123 leaves the fiber optic due to scattering.
The degree of light intensity 123a scattered may be affected and optimized by various factors, including the degree of transparency of the fiber optic 117, the size of grains 118 in each plurality of grains 119, the number of plurality of grains 119 along the length of the fiber optic 117, and the particular pattern of grains 118 in each plurality of grains 119. Upon a thorough review of this specification, one of ordinary skill in the art will understand how to optimize the light scattering without undue experimentation.
As shown in
This concept is schematically depicted in
Grain size generally refers to the grain's volume, which may be determined by at least the grain's diameter on the outer surface of the fiber optic and its depth below the surface of the fiber optic.
In another embodiment, the catheter system may have one or both of radiopaque 125a and non-radiopaque 125b markings along the surface of the transparent fiber optic portion, as schematically depicted in
In particular, because grain plurality 219a has a smaller density of grain indentations 218 than grain plurality 219b, grain plurality 219a will scatter less light than grain plurality 219b for the same amount of incident light that approaches each representative grain, and similarly, grain plurality 219b, which has a smaller density of grain indentations 218 than grain plurality 219c, will scatter less light than grain plurality 219c for the same amount of incident light that approaches each representative grain. By example, this concept is schematically depicted in
The transparency of the materials used for coating 325, e.g., aluminum, gold, or silver, may determine the amount of light 323 ultimately transmitted through fiber optic 317 after light 323 has been scattered by a plurality of grains 119. For example, while about 30 percent of initial light intensity 323a might be normally scattered by grain plurality 319a at light scattering portion 324a, coating 325 may cover a portion or all of grain plurality 319a, and, depending on the amount of transparency of the material used as coating 325, may reduce the 30 percent of light that would otherwise be scattered at light scattering portion 324a without the coating 325. Second coating 326 may further facilitate homogenous illumination of fiber optic 317 by acting as a mirror at the distal tip 324 of fiber optic 317 to cause reflection of any residual amount of light intensity, schematically depicted as 323d, that is not emitted at the light scattering portions 324a, 324b, and 324c along the fiber optic. Coatings 325 and 326 may be manufactured onto the surface of the fiber optic 317 by conventional methods known to those of ordinary skill in the art, including dip-coating, chemical vapor deposition (“CVD”), and physical vapor deposition (“PVD”).
In some embodiments, the shape of the grain indentations may be varied to obtain a desired scattered light spectrum along the length of the fiber optic.
In one embodiment, the transparent fiber optic portion may be about 800 mm in length, where about 25 pluralities of grain indentations are disposed along the transparent fiber optic surface from the first position to the second position to provide for a homogenous scattering of light along the length of the fiber optic. In each plurality of grain indentations, two or more grain indentations are disposed proximate to each other.
While particular elements, embodiments, and applications of the present invention have been shown and described, it is understood that the invention is not limited thereto because modifications may be made by those skilled in the art, particularly in light of the foregoing teaching. It is therefore contemplated by the appended claims to cover such modifications and incorporate those features which come within the spirit and scope of the invention.
This application claims priority from U.S. Provisional Application No. 62/588,718, filed on Nov. 20, 2017, the entirety of which is hereby fully incorporated by reference herein.
Number | Date | Country | |
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62588718 | Nov 2017 | US |