Cannula identification for use with fluid management

Patent metadata

Field	Value
Publication number	US-12048416-B2
Application number	US-201816494961-A
Country	US
Kind code	B2
Filing date	Apr 13, 2018
Priority date	Apr 13, 2017
Publication date	Jul 30, 2024
Grant date	Jul 30, 2024

Abstract

A surgical system for controlling fluid pressure during a surgical procedure is provided. Example systems include an inflow pump coupled to a fluid source and defining an outlet port. An inflow cannula is coupled to the outlet port of the inflow pump and includes a barcode disposed thereon. An endoscope extends from a proximal end to a distal end and includes a shaft. A camera is coupled at the proximal end of the endoscope and provides visualization of a surgical site through the shaft and output a corresponding imagery signal. A pump control unit is coupled to the inflow pump and controls an outlet pressure of the inflow pump. A camera control unit is coupled to the camera and to the pump control unit and receives the imagery signal and decodes the barcode and conveys information indicative of a pressure loss across the inflow cannula to the pump control unit.

First claim

What is claimed is:

1. A surgical system for controlling fluid pressure during a surgical procedure, comprising:
an inflow pump defining an inlet port fluidly coupled to a fluid source and defining an outlet port;
an inflow cannula extending along a central axis from a first end to a second end and defining an internal flow path fluidly coupled to the outlet port of the inflow pump and including an outward-facing surface with at least one machine-readable barcode disposed thereon;
an endoscope extending from a proximal end to a distal end and including a shaft;
a camera coupled at the proximal end of the endoscope and configured to provide visualization of a surgical site through the shaft and from the distal end and output a corresponding imagery signal, the at least one machine-readable barcode being viewable by the camera through the shaft of the endoscope;
a pump control unit operatively coupled to the inflow pump and configured to control an outlet pressure developed by the inflow pump at the outlet port; and
a camera control unit operatively coupled to the camera and communicatively coupled to the pump control unit and configured to receive the imagery signal from the camera and process the imagery signal to decode the at least one machine-readable barcode received in the imagery signal and based on the decoding extract information associated with the at least one machine-readable barcode indicative of a pressure loss across the inflow cannula not directly measured within the surgical site and convey the information indicative of the pressure loss across the inflow cannula to the pump control unit.

2. The system as set forth in claim 1 , wherein the pump controller is further configured to receive the information indicative of the pressure loss across the inflow cannula from the camera control unit and control the outlet pressure developed by the inflow pump based on the information.

3. The system as set forth in claim 1 , wherein the pump control unit is further configured to calculate the pressure loss via the following expression:
Δ P=αQ 2 +bQ+c

wherein Q is a flow rate of the inflow pump and a and b are a pair of coefficients corresponding to the inflow cannula.

4. The system as set forth in claim 3 , wherein the camera control unit is further configured to extract the pair of coefficients directly from the at least one machine-readable barcode.

5. The system as set forth in claim 3 , wherein the at least one machine-readable barcode includes a plurality of machine-readable barcodes and the camera control unit includes a coefficient memory storing the pair of coefficients corresponding to each of the plurality of machine-readable barcodes and the camera control unit is further configured to extract the pair of coefficients indirectly from the one of the plurality of machine-readable barcodes by determining the pair of coefficients for the one of the plurality of machine-readable barcodes using the coefficient memory.

6. The system as set forth in claim 1 , wherein the at least one machine-readable barcode is a one dimensional barcode.

7. The system as set forth in claim 1 , wherein the at least one machine-readable barcode is a two dimensional barcode.

8. The system as set forth in claim 1 , wherein the shaft of the endoscope is configured to telescope into the second end of the inflow cannula coaxially in the internal flow path to define an annular cavity between the inflow cannula and the shaft.

9. The system as set forth in claim 1 , further including a communication cable disposed between the pump control unit and the camera control unit.

10. The system as set forth in claim 1 , wherein the pump control unit and the camera control unit are each configured to wirelessly communicate with one another.

11. A method for controlling fluid pressure during a surgical procedure, comprising:
scanning a machine-readable barcode disposed on an outward-facing surface of an inflow cannula coupled to an outlet port of an inflow pump using a camera coupled at a proximal end of an endoscope, the machine-readable barcode being viewable by the camera through the endoscope;
decoding the at least one machine-readable barcode using a camera control unit operatively coupled to the camera and communicatively coupled to a pump control unit operable to control the inflow pump;
based on the decoding, determining information that is associated with the at least one machine-readable barcode, the information being indicative of a pressure loss across the inflow cannula that is not directly measured within the surgical site; and
controlling an outlet pressure developed by the inflow pump at the outlet port based on the information using the pump control unit.

12. The method as set forth in claim 11 , further comprising:
conveying the information to the pump control unit using the camera control unit; and
receiving the pressure loss information at the pump control unit.

13. The method as set forth in claim 12 , wherein the pressure loss is calculated via the following expression:
Δ P=αQ 2 +bQ+c

wherein Q is a flow rate of the inflow pump and a and b are a pair of coefficients corresponding to the inflow cannula.

14. The method as set forth in claim 13 , wherein determining information indicative of the pressure loss across the inflow cannula associated the at least one machine-readable barcode for the inflow cannula further comprises extracting the pair of coefficients directly from the at least one machine-readable barcode.

15. The method as set forth in claim 13 , wherein the at least one machine-readable barcode further comprises a plurality of machine-readable barcodes and wherein determining information indicative of the pressure loss across the inflow cannula associated the at least one machine-readable barcode for the inflow cannula further comprises determining a pair of coefficients for the one of the plurality of machine-readable barcodes using a coefficient memory of the camera control unit storing the pair of coefficients corresponding to each of the plurality of machine-readable barcodes.

16. The method as set forth in claim 11 , wherein scanning the at least one machine-readable barcode disposed on the inflow cannula coupled to the outlet port of an inflow pump using the camera of the endoscope further comprises outputting a corresponding imagery signal using the camera to the camera control unit and wherein the step of decoding the at least one machine-readable barcode using the camera control unit operatively coupled to the camera and communicatively coupled to the pump control unit operable to control the inflow pump further comprises receiving the imagery signal from the camera of the endoscope using the camera control unit.

17. The method as set forth in claim 11 , further comprising:
compensating the pressure loss across the inflow cannula by varying the outlet pressure of the inflow pump; and
maintaining a desired pressure in a surgical site downstream of the inflow cannula.

18. The method as set forth in claim 11 , wherein the at least one machine-readable barcode is a one dimensional barcode.

19. The method as set forth in claim 11 , wherein the at least one machine-readable barcode is a two dimensional barcode.

Assignees

• Smith & Nephew Inc

Inventors

• Shener-Irmakoglu Cemal
• Krause Kenneth W

Classifications

• A61M2205/6072

  Bar codes · CPC title

• A61M2205/6063

  Optical identification systems · CPC title

• A61M2205/3358

  Measuring barometric pressure, e.g. for compensation · CPC title

• A61M2205/3362

  with minimised length of fluid lines; Taking into account the elastic expansion of fluid lines to increase accuracy · CPC title

• A61B1/00009

  of image signals during a use of endoscope · CPC title