Surgical devices and methods utilizing optical coherence tomography (OCT) to monitor and control tissue sealing

Patent metadata

Field	Value
Publication number	US-9572529-B2
Application number	US-201314052856-A
Country	US
Kind code	B2
Filing date	Oct 14, 2013
Priority date	Oct 31, 2012
Publication date	Feb 21, 2017
Grant date	Feb 21, 2017

Abstract

Surgical devices and methods for utilizing optical coherence tomography (OCT) to monitor and control tissue sealing are disclosed. The surgical device includes an end effector assembly that includes first and second jaw members that are movable between a first, spaced-apart position and a second proximate position. An OCT system, at least a portion of which is incorporated into the end effector assembly, is configured to sense properties of the tissue, e.g., the structural density of the tissue, disposed between the first and second jaw members. A tissue-sealing energy source may be disposed within at least one of the jaw members and may provide tissue-sealing energy to tissue disposed between the jaw members. A controller, which is coupled to the OCT system and the tissue-sealing energy source, controls the tissue-sealing energy generated by the tissue-sealing energy source based on the properties of the tissue sensed by the OCT system.

First claim

What is claimed is:

1. A surgical device, comprising:
a shaft;
an end effector assembly operably coupled to the shaft, the end effector assembly including:
first and second jaw members each having a tissue contacting surface, at least one of the first and second jaw members being movable between a first, spaced-apart position and a second proximate position;
a tissue-sealing energy source disposed within at least the first jaw member and configured to provide tissue-sealing energy to tissue disposed between the first and second jaw members; and
an OCT probe configured to sense properties of tissue disposed between the first and second jaw members, the properties including structural density of the tissue; and

a controller coupled to the OCT probe and the tissue-sealing energy source, the controller configured to control the tissue-sealing energy source based on the structural density of the tissue sensed by the OCT probe.

2. The surgical device according to claim 1 , wherein the OCT probe is embedded within the second jaw member.

3. The surgical device according to claim 2 , wherein at least a portion of the tissue-contacting surface of the second jaw member includes a transparent optical element that allows light to pass between the OCT probe and the tissue.

4. The surgical device according to claim 3 , wherein the tissue-sealing energy source generates tissue-sealing light, and wherein a reflective element is disposed on the surface of the transparent optical element to prevent the tissue-sealing light from passing through the transparent optical element.

5. The surgical device according to claim 1 , wherein the OCT probe is rotatably coupled to the second jaw member so that the OCT probe moves between a position parallel to the longitudinal axis of the second jaw member to a position perpendicular to the longitudinal axis of the second jaw member.

6. The surgical device according to claim 1 , wherein the OCT probe is movably coupled to the shaft so that the OCT probe can move out of the shaft between the first and second jaw members.

7. The surgical device according to claim 6 , further comprising a second tissue-sealing energy source disposed within the second jaw member and configured to provide tissue-sealing energy to tissue disposed between the first and second jaw members.

8. The surgical device according to claim 1 , wherein the tissue-sealing energy source generates electrical energy or ultrasonic energy.

9. The surgical device according to claim 1 , wherein the controller is configured to operate the OCT probe to sense a tissue property prior to activating the tissue-sealing energy source.

10. The surgical device according to claim 1 , wherein the controller is configured to operate the OCT probe to sense a tissue property while operating the tissue-sealing energy source.

11. The surgical device according to claim 1 , wherein the OCT probe senses the structural density of the tissue disposed between the first and second jaw members.

12. The surgical device according to claim 11 , wherein the controller correlates the sensed structural density of the tissue to the amount of collagen contained within the tissue disposed between the first and second jaw members.

Assignees

• Covidien Lp

Inventors

• Latimer Cassandra
• Nau Jr William H

Classifications

• A61B5/0036 Primary

  including treatment, e.g., using an implantable medical device, ablating, ventilating · CPC title

• A61B18/18

  by applying electromagnetic radiation, e.g. microwaves · CPC title

• A61B5/4848 Primary

  Monitoring or testing the effects of treatment, e.g. of medication · CPC title

• A61B5/0084

  for introduction into the body, e.g. by catheters (A61B5/1459 takes precedence) · CPC title

• A61B2090/3735

  Optical coherence tomography [OCT] · CPC title