Surgical tool and method for identifying an incision site

Patent metadata

Field	Value
Publication number	US-9717443-B2
Application number	US-201414314038-A
Country	US
Kind code	B2
Filing date	Jun 25, 2014
Priority date	Jun 12, 2014
Publication date	Aug 1, 2017
Grant date	Aug 1, 2017

Abstract

A method of identifying a site for a perineal incision on a patient includes inserting a distal end portion of an intra-urethral probe into a urethra of the patient, and guiding the distal end portion of the intra-urethral probe along a length of the urethra no farther than a junction in the urethra. The method additionally includes transmitting a signal from the distal end portion of the intra-urethral probe through the urethra, and sensing the signal at a location on a perineal skin surface, where the location correlates with the junction in the urethra.

First claim

What is claimed is:

1. A method of identifying a site for a perineal incision on a patient, the method comprising:
inserting a distal end portion of an intra-urethral probe into a urethra of the patient;
guiding the distal end portion of the intra-urethral probe along a length of the urethra no farther than a junction in the urethra, the junction in the urethra corresponding to a transition in the urethra to a vertical section that is connected to a bladder;
transmitting a signal from the distal end portion of the intra-urethral probe through the urethra; and
sensing the signal at a location on a perineal skin surface to identify a location of the distal end portion of the intra-urethral probe based on the signal, where the location on the perineal skin surface correlates with the location of the distal end portion of the intra-urethral probe and the junction in the urethra.

2. The method of claim 1 , comprising sizing the intra-urethral probe to have a length of less than about 16 cm and fabricating the intra-urethral probe to have a rigidity characterized by a flexural modulus between 50,000-200,000 psi.

3. The method of claim 1 , comprising providing the intra-urethral probe with an inability to bend and traverse the junction in the urethra between a horizontal section of the urethra and the vertical section that is connected to the bladder.

4. The method of claim 1 , wherein transmitting the signal from the distal end portion of the intra-urethral probe through the urethra includes transmitting a vibration from the distal end portion of the intra-urethral probe, through the urethra and tissue to the perineal skin surface.

5. The method of claim 1 , wherein transmitting the signal from the distal end portion of the intra-urethral probe through the urethra includes transmitting a magnetic field and sensing the magnetic field with one of a ferromagnetic material and a magnet.

6. The method of claim 1 , wherein transmitting the signal from the distal end portion of the intra-urethral probe through the urethra includes transmitting light from the distal end portion of the intra-urethral probe, through the urethra and tissue to the perineal skin surface.

7. The method of claim 1 , wherein sensing the signal at the location on the perineal skin surface includes sensing the signal with a sensor, and
wherein identifying the location of the distal end portion of the intra-urethral probe includes positioning the sensor at the location on the perineal skin surface based on the sensed signal.

8. The method of claim 7 ,
wherein the signal is a magnetic signal, and
wherein the sensor includes a magnet.

9. A method of identifying a site for a perineal incision on a patient, the method comprising:
providing a kit of parts including a surgical tool and instructions for use of the surgical tool, the surgical tool comprising an intra-urethral probe having a transmitter located at a distal end portion of the intra-urethral probe;
inserting the distal end portion of the intra-urethral probe into a urethra of the patient;
guiding the distal end portion of the intra-urethral probe along a length of the urethra no farther than a junction in the urethra, the junction in the urethra corresponding to a transition in the urethra to a vertical section that is connected to a bladder;
transmitting a signal from the distal end portion of the intra-urethral probe through the urethra; and
sensing the signal at a location on a perineal skin surface to identify a location of the distal end portion of the intra-urethral probe based on the signal and the location on the perineal skin surface, where the location on the perineal skin surface correlates with the location of the distal end portion of the intra-urethral probe and the junction in the urethra.

10. The method of claim 9 , comprising sizing the intra-urethral probe to have a length of less than about 16 cm and fabricating the intra-urethral probe to have a rigidity characterized by a flexural modulus between 50,000-200,000 psi.

11. The method of claim 9 , comprising fabricating the intra-urethral probe to resist bending and thus preventing the intra-urethral probe from traversing a curve in the urethra and entering the bladder.

12. A method of identifying a site for a perineal incision on a patient, the method comprising:
providing a kit of parts including a surgical tool and instructions for use of the surgical tool, the surgical tool comprising an intra-urethral probe having a transmitter located at a distal end portion of the intra-urethral probe;
inserting the distal end portion of the intra-urethral probe into a urethra of the patient;
guiding the distal end portion of the intra-urethral probe along a length of the urethra and preventing a distal end of the intra-urethral probe from a bladder;
transmitting a signal from the distal end portion of the intra-urethral probe through the urethra;
sensing the signal at a location on a perineal skin surface;
marking the location on the perineal skin surface; and
forming an incision at the location on the perineal skin surface.

13. The method of claim 12 , comprising fabricating the intra-urethral probe to have a rigidity characterized by a flexural modulus between 50,000-200,000psi.

14. The method of claim 12 , wherein transmitting the signal from the distal end portion of the intra-urethral probe through the urethra includes transmitting a vibration from the distal end portion of the intra-urethral probe, through the urethra and tissue to the perineal skin surface.

15. The method of claim 12 , wherein transmitting the signal from the distal end portion of the intra-urethral probe through the urethra includes transmitting a magnetic field and sensing the magnetic field with one of a ferromagnetic material and a magnet.

16. The method of claim 12 , wherein transmitting the signal from the distal end portion of the intra-urethral probe through the urethra includes transmitting light from the distal end portion of the intra-urethral probe, through the urethra and tissue to the perineal skin surface.

17. The method of claim 12 , wherein sensing the signal at the location on the perineal skin surface includes sensing the signal with a sensor, and
wherein identifying the location of the distal end portion of the intra-urethral probe includes positioning the sensor at the location on the perineal skin surface based on the sensed signal.

18. The method of claim 17 ,
wherein the signal is a magnetic signal, and
wherein the sensor includes a magnet.

Assignees

• Coloplast As

Inventors

• Poucher Neal
• El-Hage Fernando
• Kidder Deborah

Classifications

• A61B5/065 Primary

  Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe · CPC title

• A61B2090/3958

  emitting a signal · CPC title

• A61F2/0004

  Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse · CPC title

• A61B2090/3945

  Active visible markers, e.g. light emitting diodes · CPC title

• A61B90/39 Primary

  Markers, e.g. radio-opaque or breast lesions markers · CPC title