System and method of using an endoscopic catheter as a port in laparoscopic surgery

Patent metadata

Field	Value
Publication number	US-2018036084-A1
Application number	US-201715661237-A
Country	US
Kind code	A1
Filing date	Jul 27, 2017
Priority date	Aug 2, 2016
Publication date	Feb 8, 2018
Grant date	—

Abstract

A surgical system including an endoscopic navigation catheter, at least one laparoscopic access port, a laparoscopic tool, and an endoscopic tool. The endoscopic navigation catheter is configured for navigation of a luminal network to an area of interest. The at least one laparoscopic access port is placed adjacent to the area of interest. The laparoscopic tool is configured for insertion through the at least one laparoscopic access port, and the endoscopic tool is configured for insertion through the endoscopic navigation catheter. The laparoscopic tool and endoscopic tool enable a combined laparoscopic and endoscopic approach to the area of interest.

First claim

What is claimed is:

1 . A surgical system comprising:
an endoscopic navigation catheter configured for navigation of a luminal network to an area of interest; at least one laparoscopic access port, placed in proximity to the area of interest; a laparoscopic tool configured for insertion through the at least one laparoscopic access port; and an endoscopic tool configured for insertion through the endoscopic navigation catheter, wherein the laparoscopic tool and endoscopic tool enable a combined laparoscopic and endoscopic approach to the area of interest.

2 . The surgical system according to claim 1 , further comprising a double lumen endotracheal tube.

3 . The surgical system according to claim 1 , further comprising an electromagnetic sensor operatively associated with the endoscopic navigation catheter.

4 . The surgical system according to claim 3 , further comprising a locatable guide insertable through the endoscopic navigation catheter, the electromagnetic sensor is formed on the locatable guide.

5 . The surgical system according to claim 1 , wherein the endoscopic tool includes an electromagnetic sensor positioned on a distal portion of the endoscopic tool, the distal portion is trackable by a tracking system.

6 . The surgical system according to claim 1 , wherein the laparoscopic tool includes an electromagnetic sensor positioned on a distal portion of the laparoscopic tool, the distal portion is trackable by a tracking system.

7 . The surgical system according to claim 2 , wherein the endoscopic navigation catheter is configured for placement within one of the lumens of the double lumen endotracheal tube.

8 . The surgical system according to claim 7 , wherein the endoscopic navigation catheter is configured as an internal port allowing manipulation of the area of interest.

9 . The surgical system according to claim 1 , wherein the endoscopic tool is selected from a group consisting of a biopsy forceps, a cytology brush, an aspirating needle, an ablation catheter, and a camera.

10 . The surgical system according to claim 1 , wherein the laparoscopic tool is selected from a group consisting of a camera, a lung forceps, a surgical stapler, a vessel sealer, a collection bag, a morcellator, an ablation catheter, and a cautery device.

11 . A method, comprising:
placing a double lumen endotracheal tube within a luminal network of a patient; inserting an endoscopic navigation catheter within a lumen of the double lumen endotracheal tube; inserting an endoscopic tool through the endoscopic navigation catheter; implanting one or more laparoscopic access ports adjacent to an area of interest; inserting a laparoscopic tool through at least one of the laparoscopic access ports; performing a combined laparoscopic and endoscopic procedure to the area of interest.

12 . The method according to claim 11 , further comprising reviewing image data of the patient to identify the area of interest and planning at least one pathway to identified area of interest.

13 . The method according to claim 12 , further comprising performing a survey to collect location data of the luminal network, wherein the survey utilizes the endoscopic navigation catheter and an electromagnetic sensor operatively associated therewith.

14 . The method according to claim 13 , further comprising registering the collected location data of the luminal network with the image data of the patient.

15 . The method according to claim 14 , wherein the registering the image data occurs before placement of the double lumen endotracheal tube within the luminal network of the patient.

16 . The method according to claim 15 , further comprising navigating the endoscopic navigation catheter through the lumen of the double lumen endotracheal tube to the area of interest.

17 . The method according to claim 16 , wherein the electromagnetic sensor is embodied on a locatable guide and further comprising removing the locatable guide including the electromagnetic sensor from the endoscopic navigation catheter.

18 . The method according to claim 17 , further comprising performing an endoscopic procedure with the endoscopic tool.

19 . The method according to claim 11 , further comprising navigating the laparoscopic tool to the area of interest.

20 . The method according to claim 19 , further comprising performing a laparoscopic procedure with the laparoscopic tool.

Assignees

• Covidien Lp

Inventors

• Krimsky William S

Classifications

• A61B1/00154

  using guiding arrangements for insertion · CPC title

• A61B2034/2051

  Electromagnetic tracking systems · CPC title

• A61B34/10

  Computer-aided planning, simulation or modelling of surgical operations · CPC title

• A61B1/267 Primary

  for the respiratory tract, e.g. laryngoscopes, bronchoscopes · CPC title

• A61B2034/107

  Visualisation of planned trajectories or target regions · CPC title