U.S. patent application number 13/736118 was filed with the patent office on 2017-10-05 for device having a wearable interface for improving laparoscopic surgery and methods for use thereof.
This patent application is currently assigned to M.S.T. Medical Surgery Technologies Ltd.. The applicant listed for this patent is M.S.T. MEDICAL SURGERY TECHNOLOGIES LTD.. Invention is credited to Gal ATAROT, Motti FRIMER, Mordehai SHOLEV.
Application Number | 20170281275 13/736118 |
Document ID | / |
Family ID | 48281324 |
Filed Date | 2017-10-05 |
United States Patent
Application |
20170281275 |
Kind Code |
A9 |
SHOLEV; Mordehai ; et
al. |
October 5, 2017 |
DEVICE HAVING A WEARABLE INTERFACE FOR IMPROVING LAPAROSCOPIC
SURGERY AND METHODS FOR USE THEREOF
Abstract
Methods and devices for improving the interface between a
surgeon and an operating medical assistant or between the surgeon
and an endoscope system for laparoscopic surgery. A device is
useful for controlling an endoscope system for laparoscopic surgery
and includes a wearable interface for enhancing the control of an
endoscope system during laparoscopic surgery.
Inventors: |
SHOLEV; Mordehai; (Amikam,
IL) ; ATAROT; Gal; (Kfar Saba, IL) ; FRIMER;
Motti; (Zichron Yaakov, IL) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
M.S.T. MEDICAL SURGERY TECHNOLOGIES LTD. |
Yoqneam |
|
IL |
|
|
Assignee: |
M.S.T. Medical Surgery Technologies
Ltd.
Yoqneam
IL
|
Prior
Publication: |
|
Document Identifier |
Publication Date |
|
US 20130123804 A1 |
May 16, 2013 |
|
|
Family ID: |
48281324 |
Appl. No.: |
13/736118 |
Filed: |
January 8, 2013 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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PCT/IL2012/000312 |
Aug 21, 2012 |
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13736118 |
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11874534 |
Oct 18, 2007 |
9295379 |
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PCT/IL2012/000312 |
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PCT/IL2006/000478 |
Apr 20, 2006 |
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11874534 |
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60705199 |
Aug 4, 2005 |
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60716953 |
Sep 15, 2005 |
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60716951 |
Sep 15, 2005 |
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60672010 |
Apr 18, 2005 |
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61525785 |
Aug 21, 2011 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61B 1/00045 20130101;
A61B 2034/301 20160201; A61B 2034/302 20160201; G08C 17/02
20130101; A61B 17/00234 20130101; A61B 90/53 20160201; A61B 1/00006
20130101; A61B 1/3132 20130101; A61B 1/00149 20130101; G08C 2201/92
20130101; A61B 34/10 20160201; A61B 34/30 20160201; A61B 2034/2057
20160201; A61B 34/74 20160201; A61B 34/25 20160201; G08C 2201/30
20130101; A61B 2090/3612 20160201; A61B 34/70 20160201; A61B
2017/00221 20130101; A61B 90/10 20160201; A61B 1/00016 20130101;
A61B 90/361 20160201; A61B 1/00039 20130101; A61B 2090/373
20160201 |
International
Class: |
A61B 19/00 20060101
A61B019/00; G08C 17/02 20060101 G08C017/02; A61B 1/00 20060101
A61B001/00 |
Claims
1. A device useful for the interface between a surgeon and an
automated assistant, comprising: a. at least one endoscope,
mechanically interconnected to said automated assistant; said
automated assistant is adapted to maneuver said endoscope to a
desired location; b. at least one instrument; c. at least one
wearable operator comprising at least one wireless transmitter,
adapted to transmit a signal once said at least one wearable
operator is activated; said at least one wearable operator is
either wire or wirelessly in communication with said at least one
of said instrument; d. at least one wireless receiver; adapted to
receive said signal sent by said transmitter; e. at least one
laparoscopy computerized system, in communication with said
wireless receiver, adapted to provide a visual onscreen depiction
of said at least one instrument to be selected following the
activation of said at least one wearable operator; and, f. at least
one video screen; wherein said device is adapted to control and to
direct said endoscope via said laparoscopy computerized system and
said automated assistant on said instrument to be selected
following the activation of said at least one wearable
operator.
2. The device according to claim 1, wherein said communication
between said at least one of said wearable operators and said
instrument is either wire or wirelessly coupling.
3. The device according to claim 1, wherein said device is adapted
to control and to direct said endoscope via said laparoscopy
computerized system and said automated assistant on said instrument
to which said activated wearable operator is coupled.
4. The device according to claim 1, wherein said wearable operator
is worn by said surgeon on a predetermined body part.
5. The device according to claim 4, wherein said predetermined body
part is selected from a group consisting of: the hand of said
surgeon, at least one of the fingers of said surgeon, the thigh of
said surgeon, the neck of said surgeon, at least one of the legs of
said surgeon, the knee of said surgeon, the head of said surgeon
and any combination thereof.
6. The device according to claim 5, wherein the shape of said
wearable operator is selected from a group consisting of a ring, a
bracelet and any combination thereof.
7. The device according to claim 1, wherein said wearable operator
is coupled to a predetermined location on said instrument by means
of an adaptor.
8. The device according to claim 7, wherein said wearable operator
is adjustable so as to fit said predetermined location of said
different instruments, each of which is characterized by a
different size and shape.
9. The device according to claims 1, wherein said wearable operator
comprises a body having at least two portions at least partially
overlapping each other; said two portions are adapted to grasp and
hold either said instrument or said predetermined body part
there-between, such that a tight-fit coupling between said two
portions and said instrument or said predetermined body part is
obtained.
10. The device according to claim 9, wherein one of said two
portions is rotationally movable relative to the other, such that
when said wearable operator is coupled to said instrument,
fine-tuned movement of said two body portions is obtainable so as
to provide said tight-fit coupling between said two portions and
said instrument or said predetermined body part.
11. The device according to claim 9, wherein said two portions are
rotationally movable relative to each other, such that when said
wearable operator is coupled to said instrument, fine-tuned
movement of said two body portions is obtainable so as to provide
said tight-fit coupling between said two portions and said
instrument or said predetermined body part.
12. The device according to claim 1, wherein said wearable operator
comprises (a) at least one flexible and stretchable strip; and (b)
loop-closing means adapted to close a loop with said at least one
flexible and stretchable strip; said at least one flexible and
stretchable strip and said loop-closing means are provided so as to
fit said wearable operator to at least one selected from a group
consisting of (a) said predetermined location of said different
instruments; (b) said predetermined body part of said surgeon, each
of which is characterized by a different size and shape.
13. The device according to claim 12, wherein said flexible and
stretchable strip is made of material selected from a group
consisting of silicone, rubber and any combination thereof.
14. The device according to either one of claim 12, wherein said
loop-closing means is at least one unidirectional catch through
which said flexible and stretchable strip is passed so as to
provide a loop.
15. The device according to either one of claim 12, wherein said
loop-closing means is at least one peg around which said flexible
and stretchable strip is passed so as to provide a loop.
16. The device according to either one of claim 12, wherein said
flexible and stretchable strip is characterized by at least one
selected from a group consisting of (a) varied width along its
length; (b) different surface roughnesses along its length; and any
combination thereof.
17. The device according to claim 1, wherein said wireless
transmitter is either (a) freestanding; or, (b) fitted to each of
said at least one instruments.
18. The device according to claim 1, wherein said wireless
transmitter is adapted to locate the position of at least one of
said instruments.
19. The device according to claim 1, wherein selection of said at
least one instrument is obtained by activating said at least one
wearable operator; further wherein the activation of said at least
one wearable operator is obtained by depression on a predetermined
location in said wearable operator, voice activating the same,
prolonged depression on the same, double clicking on the same and
any combination thereof.
20. The device according to claim 1, wherein said laparoscopy
computerized system directs said endoscope by using image
information shown on said video screen without said help of
assistants.
21. The device according to claim 1, wherein said conventional
laparoscopy computerized system comprises at least one surgical
instrument spatial location software, adapted to locate the 3D
spatial position of said at least one instrument; further wherein
said conventional laparoscopy computerized system comprises at
least one automated assistant maneuvering system; said automated
assistant maneuvering system is coupled to said endoscope and is
adapted to direct said endoscope to said at least one instrument,
said instrument selected following the activation of said at least
one wearable operator.
22. The device according to claim 1, wherein each transmitted
signal from said wearable operator and said wireless transmitter is
matched to at least one of said instruments.
23. A surgical system comprising: a. at least one laparoscopic
instrument; b. at least one wearable operator comprising at least
one wireless transmitter capable of being activated to transmit a
signal; c. at least one computerized platform configured for
tracking said at least one laparoscopic instrument and being
capable of receiving said signal and identifying to a user a
laparoscopic instrument selected by activation of said transmitter
from said at least one laparoscopic instrument; wherein said
wearable operator is being worn by the surgeon.
24. The system of claim 23, wherein said wearable operator is
activated manually or automatically.
25. The system of claim 23, wherein said computerized platform is
adapted to perform at least one selected from a group consisting of
(a) track said laparoscopic instrument selected upon activation of
said transmitter; (b) track said laparoscopic instrument using
image information received from said endoscopic camera; (c) control
said automated assistant; (d) visually identify said laparoscopic
instrument to said user upon activation of said transmitter; track
and to identify said laparoscopic instrument to which said wearable
operator is coupled; and any combination thereof.
26. The system of claim 23, wherein said wireless transmitter is
either (a) freestanding; or, (b) attached to said at least one
laparoscopic instrument.
27. The system of claim 23, wherein said identifying to said user
of said laparoscopic instrument is effected via a visual depiction
of said laparoscopic instrument on a display.
28. The system of claim 27, further comprising an automated
assistant for controlling an endoscopic camera.
29. The system according to claim 23, wherein at least one of said
wearable operators is either wire or wirelessly coupled to said at
least one of said laparoscopic instruments.
30. The system according to claim 23, wherein said wearable
operator is worn by said surgeon on a predetermined body part.
31. The system according to claim 30, wherein said predetermined
body part is selected from a group consisting of: the hand of said
surgeon, at least one of the fingers of said surgeon, the thigh of
said surgeon, the neck of said surgeon, at least one of the legs of
said surgeon, the knee of said surgeon, the head of said surgeon
and any combination thereof.
32. The system according to claim 23, wherein the shape of said
wearable operator is selected from a group consisting of a ring, a
bracelet and any combination thereof.
33. The system according to claim 23, wherein said wearable
operator is coupled to a predetermined location on said instrument
by means of an adaptor.
34. The system according to claim 33, wherein said wearable
operator is adjustable so as to fit said predetermined location of
said different instruments, each of which is characterized by a
different size and shape.
35. The system according to claim 23, wherein said wearable
operator comprises a body having at least two portions at least
partially overlapping each other; said two portions are adapted to
grasp and hold either said instrument or said predetermined body
part there-between, such that a tight-fit coupling between said two
portions and said instrument or said predetermined body part is
obtained.
36. The system according to claim 35, wherein at least one of the
following is being held true (a) one of said two portions is
rotationally movable relative to the other, such that when said
wearable operator is coupled to said instrument, fine-tuned
movement of said two body portions is obtainable so as to provide
said tight-fit coupling between said two portions and said
instrument or said predetermined body part; (b) said two portions
are rotationally movable relative to each other, such that when
said wearable operator is coupled to said instrument, fine-tuned
movement of said two body portions is obtainable so as to provide
said tight-fit coupling between said two portions and said
instrument or said predetermined body part; and any combination
thereof.
37. The system according to claim 51, wherein said wearable
operator comprises (a) at least one flexible and stretchable strip;
and, (b) loop-closing means adapted to close a loop with said at
least one flexible and stretchable strip; said at least one
flexible and stretchable strip and said loop-closing means are
provided so as to fit said wearable operator to at least one
selected from a group consisting of (a) said predetermined location
of said different instruments; (b) said predetermined body part of
said surgeon, each of which is characterized by a different size
and shape.
38. The system according to claim 37, wherein at least one of the
following is being held true (a) said flexible and stretchable
strip is made of material selected from a group consisting of
silicone, rubber and any combination thereof; (b) said loop-closing
means is at least one unidirectional catch through which said
flexible and stretchable strip is passed so as to provide a loop;
(c) said loop-closing means is at least one peg around which said
flexible and stretchable strip is passed so as to provide a loop;
(d) said flexible and stretchable strip is characterized by a
varied width along its length; (e) said flexible and stretchable
strip is characterized by different surface roughnesses along its
length; and any combination thereof.
39. The system according to claim 23, wherein said wireless
transmitter is adapted to locate the position of at least one of
said laparoscopic instruments.
40. The system according to claim 39, wherein selection of said at
least one laparoscopic instrument is confirmed by activating said
at least one wearable operator.
41. The system according to claim 40, wherein the activation of
said at least one wearable operator is obtained by depression on
the same, voice activating the same, prolonged depression on the
same, double clicking on the same and any combination thereof.
42. A method useful for the interface between a surgeon and an
automated assistant; said method comprising the steps of: a.
obtaining a device comprising: i. at least one desired laparoscopic
instrument; ii. at least one endoscope, mechanically interconnected
to said automated assistant; iii. at least one wearable operator
comprising at least one wireless transmitter; iv. at least one
wireless receiver; v. at least one laparoscopy computerized system
comprising (i) surgical instrument spatial location software; (ii)
automated assistant maneuvering software; and (iii) software that
enables a visual onscreen depiction of response to the activation
of said at least one wearable operator; and, vi. at least one video
screen; b. activating said wearable operator; thereby selecting a
desired laparoscopic instrument and emitting a signal; c. receiving
said signal by said receiver; d. maneuvering said endoscope so as
to focus said endoscope on said desired laparoscopic instrument of
said surgeon; and, e. displaying said desired instrument on a
screen wherein said device is adapted to control and to direct said
endoscope on said instrument via said laparoscopy computerized
system and said automated assistant, said instrument to be selected
following the activation of said at least one wearable
operator.
43. The method according to claim 42, additionally comprising the
step of manually or automatically activating said wearable
operator.
44. The method according to claim 42, wherein said wireless
transmitter is either (a) freestanding; or, (b) attached to said at
least one desired laparoscopic instrument.
45. The method according to claim 42, additionally comprising the
step of identifying to said user of said desired laparoscopic
instrument; further wherein said step is effected via a visual
depiction of said laparoscopic instrument on a display.
46. The method according to claim 42, wherein said laparoscopy
computerized system is adapted to (a) track said laparoscopic
instrument using image information received from said endoscopic
camera; (b) control said automated assistant; (c) visually identify
said laparoscopic instrument to said user upon activation of said
transmitter; (c) control and direct said endoscope via said
laparoscopy computerized system and said automated assistant on
said desired laparoscopic instrument to which said activated
wearable operator is coupled; and any combination thereof.
47. The method according to claim 42, wherein said step of
selecting said desired laparoscopic instrument additionally
comprises the steps of (a) activating said wearable operator; (b)
transmitting a generic code to said receiver; (c) communicating
said signal to a computer, thereby operating said automated
assistant; (d) confirming the selection of said desired
instrument.
48. The method according to claim 47, wherein said step of
selecting said desired laparoscopic instrument additionally
comprises the step of confirming the selection of said laparoscopic
desired instrument by a prolonged depression on said wearable
operator.
49. The method according to claim 42, additionally comprising the
step of matching each transmitted code from said wearable operator
and said wireless transmitter to at least one of said laparoscopic
instruments.
50. The method according to claim 42, additionally comprising the
step of wearing said wearable operator by said surgeon on a
predetermined body part.
51. The method according to claim 50, additionally comprising the
step of selecting said predetermined body part from a group
consisting of: the hand of said surgeon, at least one of the
fingers of said surgeon, the thigh of said surgeon, the neck of
said surgeon, at least one of the legs of said surgeon, the knee of
said surgeon, the head of said surgeon and any combination
thereof.
52. The method according to claim 51, additionally comprising the
step of selecting the shape of said wearable operator from a group
consisting of a ring, a bracelet and any combination thereof.
53. The method according to claim 42, wherein said wireless
transmitter is adapted to locate the position of at least one of
said instruments.
54. The method according to claim 42, additionally comprising at
least one step selected from a group consisting of (a) selecting
said at least one instrument by clicking on said at least one
wearable operator; (b) activating said at least one wearable
operator by depression on the same, voice activating the same,
prolonged depression on the same, double clicking on the same and
any combination thereof.
55. The method according to claim 42, additionally comprising the
step of instructing said automated assistant to focus said
endoscope on said desired instrument.
56. The method according to claim 42, wherein said step of
activating said wearable operator additionally comprising the steps
of (a) depressing of at least one key on said wearable operator;
(b) transmitting a generic code to said receiver; (c) communicating
said signal to the computer.
57. The method according to claim 42, wherein said step of
selecting said desired instrument additionally comprising the step
confirming the selection of said desired instrument by clicking on
at least one key on said wearable operator.
58. The method according to claim 42, wherein said step of
selecting said desired instrument additionally comprising the step
confirming the selection of said desired instrument by a prolonged
depression on at least one key on said wearable operator.
59. A wearable operator comprising: a. at least two portions at
least partially overlapping each other; said two portion are
adapted to rotate and tilt relative to each other; b. at least one
wireless transmitter, adapted to transmit a signal once said at
least one wearable operator is activated.
60. The wearable operator according to claim 59, wherein said
wearable operator is worn by a user on a predetermined body part,
such that activation of said wearable operator results in
activation of an external instrument.
61. The wearable operator according to claim 60, wherein said
predetermined body part is selected from a group consisting of: the
hand of said surgeon, at least one of the fingers of said user, the
thigh of said user, the neck of said user, at least one of the legs
of said user, the knee of said user, the head of said user and any
combination thereof.
62. The wearable operator according to claim 59, wherein said
wearable operator is coupled to a predetermined location on an
instrument by means of an adaptor, such that activation of said
wearable operator results in activation of said instrument.
63. The wearable operator according to claim 62, wherein said
coupling between said at least one of said wearable operators and
said instrument is either wire or wirelessly coupling.
64. The device according to claim 59, wherein said wearable
operator comprises (a) at least one flexible and stretchable strip;
and, (b) loop-closing means adapted to close a loop with said at
least one flexible and stretchable strip; said at least one
flexible and stretchable strip and said loop-closing means are
provided so as to fit said wearable operator to at least one
selected from a group consisting of (a) said predetermined location
of said different instruments; (b) said predetermined body part of
said user, each of which is characterized by a different size and
shape.
65. The wearable operator according to claim 59, wherein the shape
of said wearable operator is selected from a group consisting of a
ring, a bracelet and any combination thereof.
Description
FIELD OF THE INVENTION
[0001] The present invention generally relates to means and methods
for improving the interface between the surgeon and the operating
medical assistant or between the surgeon and an endoscope system
for laparoscopic surgery. Moreover, this present invention
discloses a device useful for controlling an endoscope system for
laparoscopic surgery comprising a wearable interface for enhancing
the control of an endoscope system during laparoscopic surgery.
BACKGROUND OF THE INVENTION
[0002] In laparoscopic surgery, the surgeon performs the operation
through small holes using long instruments and observing the
internal anatomy with an endoscope camera. The endoscope is
conventionally held by a camera human assistant (i.e. operating
medical assistant) since the surgeon must perform the operation
using both hands. The surgeon performance is largely dependent on
the camera position relative to the instruments and on a stable
image shown at the monitor. The main problem is that it is
difficult for the operating medical assistant to hold the endoscope
steady, keeping the scene upright.
[0003] Laparoscopic surgery is becoming increasingly popular with
patients because the scars are smaller and their period of recovery
is shorter. Laparoscopic surgery requires special training of the
surgeon or gynecologist and the theatre nursing staff. The
equipment is often expensive and not available in all
hospitals.
[0004] During laparoscopic surgery it is often required to shift
the spatial placement of the endoscope in order to present the
surgeon with an optimal view. Conventional laparoscopic surgery
makes use of either human assistants that manually shift the
instrumentation or, alternatively, robotic automated assistants.
Automated assistants utilize interfaces that enable the surgeon to
direct the mechanical movement of the assistant, achieving a shift
in the camera view.
[0005] U.S. Pat. No. 6,714,841 discloses an automated camera
endoscope in which the surgeon is fitted with a head mounted light
source that transmits the head movements to a sensor, forming an
interface that converts the movements to directions for the
mechanical movement of the automated assistant. Alternative
automated assistants incorporate a voice operated interface, a
directional key interface, or other navigational interfaces. The
above interfaces share the following drawbacks: [0006] a. A single
directional interface that provide limited feedback to the surgeon
[0007] b. A cumbersome serial operation for starting and stopping
movement directions that requires the surgeon's constant attention,
preventing the surgeon from keeping the flow of the surgical
procedure.
[0008] Research has suggested that these systems divert the
surgeons focus from the major task at hand. Therefore technologies
assisted by magnets and image processing have been developed to
simplify interfacing control. However, these improved technologies
still fail to address another complicating interface aspect of
laparoscopic surgery, in that they do not allow the surgeon to
signal to automated assistants, to human assistants or to surgical
colleagues which instrument his attention is focused on.
[0009] Hence there is still a long felt need for improving the
interface between the surgeon, his surgical colleagues or human
assistants and an endoscope system, for laparoscopic surgery.
SUMMARY OF THE INVENTION
[0010] It is one object of the present invention to disclose a
device useful for the surgeon and the automated assistant
interface, and/or the surgeon and the operating medical assistant
interface, during laparoscopic surgery; wherein the device is
adapted to control and/or direct the automated endoscope assistant
to focus the endoscope on the desired instrument of the surgeon;
further wherein the device is adapted to focus the operating
medical assistant on the desired instrument of the surgeon.
[0011] It is another object of the present invention to disclose
the device as defined above, wherein said device additionally
comprising: [0012] a. at least one wireless transmitter with at
least one operating key; [0013] b. at least one wireless receiver;
[0014] c. at least one conventional laparoscopy computerized
system; said conventional laparoscopy computerized system is
adapted to load a surgical instrument spatial locating software,
and an automated assistant maneuvering software; said locating
software enables a visual response to the depression of said at
least one key on said wireless transmitter; said maneuvering
software enables the movement of said endoscope; and [0015] d. at
least one video screen.
[0016] It is another object of the present invention to disclose
the device as defined above, wherein each said instrument is fitted
with a wireless transmitter.
[0017] It is another object of the present invention to disclose
the device as defined above, wherein said wireless transmitter is
freestanding.
[0018] It is another object of the present invention to disclose
the device as defined above, wherein said wireless transmitter is
adapted to locate the position of each instrument.
[0019] It is another object of the present invention to disclose
the device as defined above, wherein said selection of said desired
instrument is confirmed by clicking on said at least one key.
[0020] It is another object of the present invention to disclose
the device as defined above, wherein said selection of said desired
instrument is confirmed by depression of said at least one key on
said wireless transmitter.
[0021] It is another object of the present invention to disclose
the device as defined above, wherein said depression of said at
least one key is a prolonged depression.
[0022] It is another object of the present invention to disclose a
method useful for surgeon and the automated assistant interface,
and/or said surgeon and the operating medical assistant interface,
during laparoscopic surgery. The method comprises step selected
inter alia from (a) obtaining a device as defined above; (b)
selecting said desired instrument; and (c) displaying said desired
instrument on a screen; wherein said device controlling and/or
directing said automated endoscope assistant and thereby focusing
said endoscope on said desired instrument of said surgeon.
[0023] It is another object of the present invention to disclose
the method as defined above, additionally comprising the step of
confirming by the selection of said desired instrument.
[0024] It is another object of the present invention to disclose
the method as defined above, additionally comprising the step of
extracting said desired instrument form said screen.
[0025] It is another object of the present invention to disclose
the method as defined above, additionally comprising the step of
instructing said automated assistant to focus said endoscope on
said desired instrument.
[0026] It is another object of the present invention to disclose
the method as defined above, wherein said step of selecting said
desired instrument additionally comprising the steps of (a)
depressing of said at least one key on said wireless transmitter;
(b) transmitting a generic code to said receiver; (c) communicating
said signal to the computer.
[0027] It is another object of the present invention to disclose
the method as defined above, wherein said step of selecting said
desired instrument additionally comprising the step confirming the
selection of said desired instrument by clicking on said at least
one key.
[0028] It is another object of the present invention to disclose
the method as defined above, wherein said step of selecting said
desired instrument additionally comprising the step confirming the
selection of said desired instrument by a prolonged depression on
said at least one key.
[0029] It is another object of the present invention to disclose
the method as defined above, additionally comprising the step of
re-selecting said desired instrument until said desired instrument
is selected.
[0030] It is another object of the present invention to disclose
the method as defined above, additionally comprising the step of
identifying each of said instruments to said computerized
system.
[0031] It is another object of the present invention to disclose
the method as defined above, additionally comprising the step of
attaching said wireless transmitter to said surgical
instrument.
[0032] It is another object of the present invention to disclose
the method as defined above, additionally comprising the step of
matching each transmitted code from said depressed wireless
transmitter to said surgical instrument.
[0033] It is another object of the present invention to disclose
the method as defined above, wherein said step of matching each
transmitted code additionally comprising the step of storing said
matching database on a computer.
[0034] It is another object of the present invention to disclose
the method as defined above, additionally comprising the step of
signing said surgical instrument by a temporary onscreen graphic
symbol and presenting upon the onscreen depiction of the surgical
instrument.
[0035] It is another object of the present invention to disclose
the method as defined above, additionally comprising the step of
continuously displaying said selection graphic symbol.
[0036] It is another object of the present invention to disclose
the method as defined above, wherein the selection of the surgical
instrument is signified by a continuous onscreen graphic symbol
presented upon the onscreen depiction of the surgical
instrument.
[0037] It is another an object of the present invention to disclose
the method as defined above, additionally comprising the step of
calculating the position of each said instrument.
[0038] It is another object of the present invention to provide a
device useful for the interface between a surgeon and an automated
assistant, comprising: [0039] a. at least one endoscope,
mechanically interconnected to said automated assistant; said
automated assistant is adapted to maneuver said endoscope to a
desired location; [0040] b. at least one instrument; [0041] c. at
least one wearable operator comprising at least one wireless
transmitter, adapted to transmit a signal once said at least one
wearable operator is activated; said at least one wearable operator
is in communication with said at least one of said instrument;
[0042] d. at least one wireless receiver; adapted to receive said
signal sent by said transmitter; [0043] e. at least one laparoscopy
computerized system, in communication with said wireless receiver,
adapted to provide a visual onscreen depiction of said at least one
instrument to be selected following the activation of said at least
one wearable operator; and, [0044] f. at least one video screen;
[0045] wherein said device is adapted to control and to direct said
endoscope via said laparoscopy computerized system and said
automated assistant on said instrument to be selected following the
activation of said at least one wearable operator.
[0046] It is another object of the present invention to provide the
device as defined above, wherein at least one of said wearable
operators is either wire or wirelessly coupled to said at least one
of said instruments.
[0047] It is another object of the present invention to provide the
device as defined above, wherein said device is adapted to control
and to direct said endoscope via said laparoscopy computerized
system and said automated assistant on said instrument to which
said activated wearable operator is coupled.
[0048] It is another object of the present invention to provide the
device as defined above, wherein said wearable operator is worn by
said surgeon on a predetermined body part.
[0049] It is another object of the present invention to provide the
device as defined above, wherein said predetermined body part is
selected from a group consisting of the hand of said surgeon, at
least one of the fingers of said surgeon, the thigh of said
surgeon, the neck of said surgeon, at least one of the legs of said
surgeon, the knee of said surgeon, the head of said surgeon and any
combination thereof.
[0050] It is another object of the present invention to provide the
device as defined above, wherein the shape of said wearable
operator is selected from a group consisting of a ring, a bracelet
and any combination thereof.
[0051] It is another object of the present invention to provide the
device as defined above, wherein said wearable operator is coupled
to a predetermined location on said instrument by means of an
adaptor.
[0052] It is another object of the present invention to provide the
device as defined above, wherein said wearable operator is
adjustable so as to fit said predetermined location of said
different instruments, each of which is characterized by a
different size and shape.
[0053] It is another object of the present invention to provide the
device as defined above, wherein said wearable operator comprises a
body having at least two portions at least partially overlapping
each other; said two portions are adapted to grasp and hold either
said instrument or said predetermined body part there-between, such
that a tight-fit coupling between said two portions and said
instrument or said predetermined body part is obtained.
[0054] It is another object of the present invention to provide the
device as defined above, wherein one of said two portions is
rotationally movable relative to the other, such that when said
wearable operator is coupled to said instrument, fine-tuned
movement of said two body portions is obtainable so as to provide
said tight-fit coupling between said two portions and said
instrument or said predetermined body part.
[0055] It is another object of the present invention to provide the
device as defined above, wherein said two portions are rotationally
movable relative to each other, such that when said wearable
operator is coupled to said instrument, fine-tuned movement of said
two body portions is obtainable so as to provide said tight-fit
coupling between said two portions and said instrument or said
predetermined body part.
[0056] It is another object of the present invention to provide the
device as defined above, wherein said wearable operator comprises
(a) at least one flexible and stretchable strip; and, (b)
loop-closing means adapted to close a loop with said at least one
flexible and stretchable strip; said at least one flexible and
stretchable strip and said loop-closing means are provided so as to
fit said wearable operator to at least one selected from a group
consisting of (a) said predetermined location of said different
instruments; (b) said predetermined body part of said surgeon, each
of which is characterized by a different size and shape.
[0057] It is another object of the present invention to provide the
device as defined above, wherein said flexible and stretchable
strip is made of material selected from a group consisting of
silicone, rubber and any combination thereof.
[0058] It is another object of the present invention to provide the
device as defined above, wherein said loop-closing means is at
least one unidirectional catch through which said flexible and
stretchable strip is passed so as to provide a loop.
[0059] It is another object of the present invention to provide the
device as defined above, wherein said loop-closing means is at
least one peg around which said flexible and stretchable strip is
passed so as to provide a loop.
[0060] It is another object of the present invention to provide the
device as defined above, wherein said flexible and stretchable
strip is characterized by a varied width along its length.
[0061] It is another object of the present invention to provide the
device as defined above, wherein said flexible and stretchable
strip is characterized by different surface roughnesses along its
length.
[0062] It is another object of the present invention to provide the
device as defined above, wherein said wireless transmitter is
freestanding.
[0063] It is another object of the present invention to provide the
device as defined above, wherein each of said at least one
instrument is fitted with at least one of said wireless
transmitters.
[0064] It is another object of the present invention to provide the
device as defined above, wherein said wireless transmitter is
adapted to locate the position of at least one of said
instruments.
[0065] It is another object of the present invention to provide the
device as defined above, wherein a selection of said at least one
instrument is obtained by clicking on said at least one wearable
operator.
[0066] It is another object of the present invention to provide the
device as defined above, wherein the activation of said at least
one wearable operator is obtained by depression on the same, voice
activating the same, prolonged depression on the same, double
clicking on the same and any combination thereof.
[0067] It is another object of the present invention to provide the
device as defined above, wherein said laparoscopy computerized
system directs said endoscope by using image information shown on
said video screen without said help of assistants.
[0068] It is another object of the present invention to provide the
device as defined above, wherein said conventional laparoscopy
computerized system comprises at least one surgical instrument
spatial location software, adapted to locate the 3D spatial
position of said at least one instrument.
[0069] It is another object of the present invention to provide the
device as defined above, wherein said conventional laparoscopy
computerized system comprises at least one automated assistant
maneuvering system; said automated assistant maneuvering system is
coupled to said endoscope and is adapted to direct said endoscope
to said at least one instrument, said instrument selected following
the activation of said at least one wearable operator.
[0070] It is another object of the present invention to provide the
device as defined above, wherein each transmitted signal from said
wearable operator and said wireless transmitter is matched to at
least one of said instruments.
[0071] It is another object of the present invention to provide a
surgical system comprising: [0072] a. at least one laparoscopic
instrument; [0073] b. at least one wearable operator comprising at
least one wireless transmitter capable of being activated to
transmit a signal; [0074] c. at least one computerized platform
configured for tracking said at least one laparoscopic instrument
and being capable of receiving said signal and identifying to a
user a laparoscopic instrument selected by activation of said
transmitter from said at least one laparoscopic instrument; wherein
said wearable operator is being worn by the surgeon.
[0075] It is another object of the present invention to provide the
system as defined above, wherein said wearable operator is
activated manually or automatically.
[0076] It is another object of the present invention to provide the
system as defined above, wherein said computerized platform tracks
said laparoscopic instrument selected upon activation of said
transmitter.
[0077] It is another object of the present invention to provide the
system as defined above, wherein said wireless transmitter is
freestanding.
[0078] It is another object of the present invention to provide the
system as defined above, wherein said at least one wireless
transmitter is attached to said at least one laparoscopic
instrument.
[0079] It is another object of the present invention to provide the
system as defined above, wherein said identifying to said user of
said laparoscopic instrument is effected via a visual depiction of
said laparoscopic instrument on a display.
[0080] It is another object of the present invention to provide the
system as defined above, further comprising an automated assistant
for controlling an endoscopic camera.
[0081] It is another object of the present invention to provide the
system as defined above, wherein said computerized platform tracks
said laparoscopic instrument using image information received from
said endoscopic camera.
[0082] It is another object of the present invention to provide the
system as defined above, wherein said computerized platform
controls said automated assistant.
[0083] It is another object of the present invention to provide the
system as defined above, wherein said computerized platform
visually identifies said laparoscopic instrument to said user upon
activation of said transmitter.
[0084] It is another object of the present invention to provide the
system as defined above, wherein at least one of said wearable
operators is either wire or wirelessly coupled to said at least one
of said laparoscopic instruments.
[0085] It is another object of the present invention to provide the
system as defined above, wherein said computerized platform is
adapted to track and to identify said laparoscopic instrument to
which said wearable operator is coupled.
[0086] It is another object of the present invention to provide the
system as defined above, wherein said wearable operator is worn by
said surgeon on a predetermined body part.
[0087] It is another object of the present invention to provide the
system as defined above, wherein said predetermined body part is
selected from a group consisting of the hand of said surgeon, at
least one of the fingers of said surgeon, the thigh of said
surgeon, the neck of said surgeon, at least one of the legs of said
surgeon, the knee of said surgeon, the head of said surgeon and any
combination thereof.
[0088] It is another object of the present invention to provide the
system as defined above, wherein the shape of said wearable
operator is selected from a group consisting of a ring, a bracelet
and any combination thereof.
[0089] It is another object of the present invention to provide the
system as defined above, wherein said wearable operator is coupled
to a predetermined location on said instrument by means of an
adaptor.
[0090] It is another object of the present invention to provide the
system as defined above, wherein said wearable operator is
adjustable so as to fit said predetermined location of said
different instruments, each of which is characterized by a
different size and shape.
[0091] It is another object of the present invention to provide the
system as defined above, wherein said wearable operator comprises a
body having at least two portions at least partially overlapping
each other; said two portions are adapted to grasp and hold either
said instrument or said predetermined body part there-between, such
that a tight-fit coupling between said two portions and said
instrument or said predetermined body part is obtained.
[0092] It is another object of the present invention to provide the
system as defined above, wherein one of said two portions is
rotationally movable relative to the other, such that when said
wearable operator is coupled to said instrument, fine-tuned
movement of said two body portions is obtainable so as to provide
said tight-fit coupling between said two portions and said
instrument or said predetermined body part.
[0093] It is another object of the present invention to provide the
system as defined above, wherein said two portions are rotationally
movable relative to each other, such that when said wearable
operator is coupled to said instrument, fine-tuned movement of said
two body portions is obtainable so as to provide said tight-fit
coupling between said two portions and said instrument or said
predetermined body part.
[0094] It is another object of the present invention to provide the
system as defined above, wherein said wearable operator comprises
(a) at least one flexible and stretchable strip; and, (b)
loop-closing means adapted to close a loop with said at least one
flexible and stretchable strip; said at least one flexible and
stretchable strip and said loop-closing means are provided so as to
fit said wearable operator to at least one selected from a group
consisting of (a) said predetermined location of said different
instruments; (b) said predetermined body part of said surgeon, each
of which is characterized by a different size and shape.
[0095] It is another object of the present invention to provide the
system as defined above, wherein said flexible and stretchable
strip is made of material selected from a group consisting of
silicone, rubber and any combination thereof.
[0096] It is another object of the present invention to provide the
system as defined above, wherein said loop-closing means is at
least one unidirectional catch through which said flexible and
stretchable strip is passed so as to provide a loop.
[0097] It is another object of the present invention to provide the
system as defined above, wherein said loop-closing means is at
least one peg around which said flexible and stretchable strip is
passed so as to provide a loop.
[0098] It is another object of the present invention to provide the
system as defined above, wherein said flexible and stretchable
strip is characterized by a varied width along its length.
[0099] It is another object of the present invention to provide the
system as defined above, wherein said flexible and stretchable
strip is characterized by different surface roughnesses along its
length.
[0100] It is another object of the present invention to provide the
system as defined above, wherein said wireless transmitter is
freestanding.
[0101] It is another object of the present invention to provide the
system as defined above, wherein each of said at least one
laparoscopic instruments is fitted with at least one of said
wireless transmitters.
[0102] It is another object of the present invention to provide the
system as defined above, wherein said wireless transmitter is
adapted to locate the position of at least one of said laparoscopic
instruments.
[0103] It is another object of the present invention to provide the
system as defined above, wherein selection of said at least one
laparoscopic instrument is confirmed by activating said at least
one wearable operator
[0104] It is another object of the present invention to provide the
system as defined above, wherein the activation of said at least
one wearable operator is obtained by depression on the same, voice
activating the same, prolonged depression on the same, double
clicking on the same and any combination thereof.
[0105] It is another object of the present invention to provide the
system as defined above, wherein said computerized platform directs
an endoscope to said laparoscopic instrument by using image
information shown on a video screen without said help of
assistants.
[0106] It is another object of the present invention to provide the
system as defined above, wherein each transmitted signal from said
wearable operator and said wireless transmitter is matched to at
least one of said instruments.
[0107] It is another object of the present invention to provide a
method useful for the interface between a surgeon and an automated
assistant; said method comprising the step of: [0108] a. obtaining
a device comprising: [0109] i. at least one desired laparoscopic
instrument; [0110] ii. at least one endoscope, mechanically
interconnected to said automated assistant; [0111] iii. at least
one wearable operator comprising at least one wireless transmitter;
[0112] iv. at least one wireless receiver; [0113] v. at least one
laparoscopy computerized system loaded with (i) surgical instrument
spatial location software; (ii) automated assistant maneuvering
software; (iii) and, a software that enables a visual onscreen
depiction response to the activation of said at least one wearable
operator; and, [0114] vi. at least one video screen; [0115] b.
activating said wearable operator; thereby selecting a desired
laparoscopic instrument and emitting a signal; [0116] c. receiving
said signal by said receiver; [0117] d. maneuvering said endoscope
so as to focus said endoscope on said desired laparoscopic
instrument of said surgeon; and, [0118] e. displaying said desired
instrument on a screen; [0119] wherein said device is adapted to
control and to direct said endoscope via said laparoscopy
computerized system and said automated assistant on said instrument
to be selected following the activation of said at least one
wearable operator.
[0120] It is another object of the present invention to provide the
method as defined above, additionally comprising the step of
manually or automatically activating said wearable operator.
[0121] It is another object of the present invention to provide the
method as defined above, wherein said wireless transmitter is
freestanding.
[0122] It is another object of the present invention to provide the
method as defined above, additionally comprising the step of
attaching said at least one wireless transmitter to said at least
one desired laparoscopic instrument.
[0123] It is another object of the present invention to provide the
method as defined above, additionally comprising the step of
identifying to said user of said desired laparoscopic instrument;
further wherein said step is effected via a visual depiction of
said laparoscopic instrument on a display.
[0124] It is another object of the present invention to provide the
method as defined above, wherein said laparoscopy computerized
system tracks said laparoscopic instrument using image information
received from said endoscopic camera.
[0125] It is another object of the present invention to provide the
method as defined above, wherein said laparoscopy computerized
system controls said automated assistant.
[0126] It is another object of the present invention to provide the
method as defined above, wherein said laparoscopy computerized
system visually identifies said laparoscopic instrument to said
user upon activation of said transmitter.
[0127] It is another object of the present invention to provide the
method as defined above, additionally comprising step of confirming
the selection of said desired instrument.
[0128] It is another object of the present invention to provide the
method as defined above, wherein said step of selecting said
desired laparoscopic instrument additionally comprises the steps of
(a) activating wearable operator; (b) transmitting a generic code
to said receiver; (c) communicating said signal to a computer,
thereby operating said automated assistant.
[0129] It is another object of the present invention to provide the
method as defined above, wherein said step of selecting said
desired laparoscopic instrument additionally comprises the step of
confirming the selection of said desired laparoscopic instrument by
clicking on said wearable operator.
[0130] It is another object of the present invention to provide the
method as defined above, wherein said step of selecting said
desired laparoscopic instrument additionally comprises the step
confirming the selection of said laparoscopic desired instrument by
a prolonged depression on said wearable operator.
[0131] It is another object of the present invention to provide the
method as defined above, additionally comprising the step of
identifying each of said desired laparoscopic instrument to said
computerized system.
[0132] It is another object of the present invention to provide the
method as defined above, additionally comprising the step of
attaching said wearable operator to said laparoscopic
instrument.
[0133] It is another object of the present invention to provide the
method as defined above, additionally comprising the step of
matching each transmitted code from said wearable operator and said
wireless transmitter to at least one of said laparoscopic
instruments.
[0134] It is another object of the present invention to provide the
method as defined above, additionally comprising step of either
wire or wirelessly coupling at least one of said wearable operators
to said at least one of said instruments.
[0135] It is another object of the present invention to provide the
method as defined above, additionally comprising step of
controlling and directing said endoscope via said laparoscopy
computerized system and said automated assistant on said desired
laparoscopic instrument to which said activated wearable operator
is coupled.
[0136] It is another object of the present invention to provide the
method as defined above, additionally comprising step of wearing
said wearable operator by said surgeon on a predetermined body
part.
[0137] It is another object of the present invention to provide the
method as defined above, additionally comprising step of selecting
said predetermined body part from a group consisting of the hand of
said surgeon, at least one of the fingers of said surgeon, the
thigh of said surgeon, the neck of said surgeon, at least one of
the legs of said surgeon, the knee of said surgeon, the head of
said surgeon and any combination thereof.
[0138] It is another object of the present invention to provide the
method as defined above, additionally comprising step of selecting
the shape of said wearable operator from a group consisting of a
ring, a bracelet and any combination thereof.
[0139] It is another object of the present invention to provide the
method as defined above, additionally comprising step of coupling
said wearable operator to a predetermined location on said
instrument by means of an adaptor.
[0140] It is another object of the present invention to provide the
method as defined above, additionally comprising step of adjusting
said wearable operator so as to fit said predetermined location of
said different instruments, each of which is characterized by a
different size and shape.
[0141] It is another object of the present invention to provide the
method as defined above, additionally comprising step of providing
said wearable operator with a body having at least two portions at
least partially overlapping each other; said two portions are
adapted to grasp and hold either said instrument or said
predetermined body part there-between, such that a tight-fit
coupling between said two portions and said instrument or said
predetermined body part is obtained.
[0142] It is another object of the present invention to provide the
method as defined above, wherein one of said two portions is
rotationally movable relative to the other, such that when said
wearable operator is coupled to said instrument, fine-tuned
movement of said two body portions is obtainable so as to provide
said tight-fit coupling between said two portions and said
instrument or said predetermined body part.
[0143] It is another object of the present invention to provide the
method as defined above, additionally comprising step of coupling
wherein said two portions are rotationally movable relative to each
other, such that when said wearable operator is coupled to said
instrument, fine-tuned movement of said two body portions is
obtainable so as to provide said tight-fit coupling between said
two portions and said instrument or said predetermined body
part.
[0144] It is another object of the present invention to provide the
method as defined above, wherein said wearable operator comprises
(a) at least one flexible and stretchable strip; and, (b)
loop-closing means adapted to close a loop with said at least one
flexible and stretchable strip; said at least one flexible and
stretchable strip and said loop-closing means are provided so as to
fit said wearable operator to at least one selected from a group
consisting of (a) said predetermined location of said different
instruments; (b) said predetermined body part of said surgeon, each
of which is characterized by a different size and shape.
[0145] It is another object of the present invention to provide the
method as defined above, additionally comprising step of providing
said flexible and stretchable strip to be made of material selected
from a group consisting of silicone, rubber and any combination
thereof.
[0146] It is another object of the present invention to provide the
method as defined above, wherein said loop-closing means is at
least one unidirectional catch through which said flexible and
stretchable strip is passed so as to provide a loop.
[0147] It is another object of the present invention to provide the
method as defined above, wherein said loop-closing means is at
least one peg around which said flexible and stretchable strip is
passed so as to provide a loop.
[0148] It is another object of the present invention to provide the
method as defined above, wherein said flexible and stretchable
strip is characterized by a varied width along its length.
[0149] It is another object of the present invention to provide the
method as defined above, wherein said flexible and stretchable
strip is characterized by different surface roughnesses along its
length.
[0150] It is another object of the present invention to provide the
method as defined above, wherein said wireless transmitter is
freestanding.
[0151] It is another object of the present invention to provide the
method as defined above, wherein each of said at least one
instrument is fitted with at least one of said wireless
transmitters.
[0152] It is another object of the present invention to provide the
method as defined above, wherein said wireless transmitter is
adapted to locate the position of at least one of said
instruments.
[0153] It is another object of the present invention to provide the
method as defined above, additionally comprising step of selecting
said at least one instrument by activating said at least one
wearable operator.
[0154] It is another object of the present invention to provide the
method as defined above, additionally comprising step of activating
said at least one wearable operator by depression on the same,
voice activating the same, prolonged depression on the same, double
clicking on the same and any combination thereof.
[0155] It is another object of the present invention to provide a
method useful for the interface between a surgeon and an automated
assistant; said method comprising the step of: [0156] a. obtaining
a surgical system comprising: [0157] i. at least one laparoscopic
instrument; [0158] ii. at least one wearable operator comprising at
least one wireless transmitter capable of being activated to
transmit a signal; [0159] iii. at least one a computerized platform
configured for tracking said at least one laparoscopic instrument
and being capable of receiving said signal and identifying to a
user a laparoscopic instrument selected by activation of said
transmitter from said at least one laparoscopic instrument; wherein
said wearable operator is being worn by the surgeon; [0160] b.
activating said wearable operator; thereby selecting a desired
laparoscopic instrument and emitting a signal; [0161] c. receiving
said signal by said receiver; [0162] d. maneuvering an endoscope so
as to focus the same on said desired laparoscopic instrument of
said surgeon; and, [0163] e. displaying said desired instrument on
a screen; [0164] wherein said system is adapted to control and to
direct said endoscope via said laparoscopy computerized system and
said automated assistant on said instrument to be selected
following the activation of said at least one wearable
operator.
[0165] It is another object of the present invention to provide the
method as defined above, additionally comprising step of manually
or automatically activating said wearable operator.
[0166] It is another object of the present invention to provide the
method as defined above, additionally comprising step of tracking
said laparoscopic instrument selected upon activation of said
transmitter by means of said computerized platform.
[0167] It is another object of the present invention to provide the
method as defined above, wherein said wireless transmitter is
freestanding.
[0168] It is another object of the present invention to provide the
method as defined above, additionally comprising step of attaching
said at least one wireless transmitter to said at least one
laparoscopic instrument.
[0169] It is another object of the present invention to provide the
method as defined above, additionally comprising step of
identifying to said user of said laparoscopic instrument via a
visual depiction of said laparoscopic instrument on a display.
[0170] It is another object of the present invention to provide the
method as defined above, additionally comprising step of providing
an automated assistant for controlling an endoscopic camera.
[0171] It is another object of the present invention to provide the
method as defined above, wherein said computerized platform tracks
said laparoscopic instrument using image information received from
said endoscopic camera.
[0172] It is another object of the present invention to provide the
method as defined above, additionally comprising step of
controlling said automated assistant by means of said computerized
platform.
[0173] It is another object of the present invention to provide the
method as defined above, wherein said computerized platform
visually identifies said laparoscopic instrument to said user upon
activation of said transmitter.
[0174] It is another object of the present invention to provide the
method as defined above, wherein at least one of said wearable
operators is either wire or wirelessly coupled to said at least one
of said laparoscopic instruments.
[0175] It is another object of the present invention to provide the
method as defined above, wherein said computerized platform is
adapted to track and to identify said laparoscopic instrument to
which said wearable operator is coupled.
[0176] It is another object of the present invention to provide the
method as defined above, additionally comprising step of wearing
said wearable operator by said surgeon on a predetermined body
part.
[0177] It is another object of the present invention to provide the
method as defined above, wherein said predetermined body part is
selected from a group consisting of the hand of said surgeon, at
least one of the fingers of said surgeon, the thigh of said
surgeon, the neck of said surgeon, at least one of the legs of said
surgeon, the knee of said surgeon, the head of said surgeon and any
combination thereof.
[0178] It is another object of the present invention to provide the
method as defined above, wherein the shape of said wearable
operator is selected from a group consisting of a ring, a bracelet
and any combination thereof.
[0179] It is another object of the present invention to provide the
method as defined above, additionally comprising step of coupling
said wearable operator to a predetermined location on said
instrument by means of an adaptor.
[0180] It is another object of the present invention to provide the
method as defined above, wherein said wearable operator is
adjustable so as to fit said predetermined location of said
different instruments, each of which is characterized by a
different size and shape.
[0181] It is another object of the present invention to provide the
method as defined above, additionally comprising step of providing
said wearable operator with a body having at least two portions at
least partially overlapping each other; said two portions are
adapted to grasp and hold either said instrument or said
predetermined body part there-between, such that a tight-fit
coupling between said two portions and said instrument or said
predetermined body part is obtained.
[0182] It is another object of the present invention to provide the
method as defined above, wherein one of said two portions is
rotationally movable relative to the other, such that when said
wearable operator is coupled to said instrument, fine-tuned
movement of said two body portions is obtainable so as to provide
said tight-fit coupling between said two portions and said
instrument or said predetermined body part.
[0183] It is another object of the present invention to provide the
method as defined above, wherein said two portions are rotationally
movable relative to each other, such that when said wearable
operator is coupled to said instrument, fine-tuned movement of said
two body portions is obtainable so as to provide said tight-fit
coupling between said two portions and said instrument or said
predetermined body part.
[0184] It is another object of the present invention to provide the
method as defined above, wherein said wearable operator comprises
(a) at least one flexible and stretchable strip; and, (b)
loop-closing means adapted to close a loop with said at least one
flexible and stretchable strip; said at least one flexible and
stretchable strip and said loop-closing means are provided so as to
fit said wearable operator to at least one selected from a group
consisting of (a) said predetermined location of said different
instruments; (b) said predetermined body part of said surgeon, each
of which is characterized by a different size and shape.
[0185] It is another object of the present invention to provide the
method as defined above, wherein said flexible and stretchable
strip is made of material selected from a group consisting of
silicone, rubber and any combination thereof.
[0186] It is another object of the present invention to provide the
method as defined above, wherein said loop-closing means is at
least one unidirectional catch through which said flexible and
stretchable strip is passed so as to provide a loop.
[0187] It is another object of the present invention to provide the
method as defined above, wherein said loop-closing means is at
least one peg around which said flexible and stretchable strip is
passed so as to provide a loop.
[0188] It is another object of the present invention to provide the
method as defined above, wherein said flexible and stretchable
strip is characterized by a varied width along its length.
[0189] It is another object of the present invention to provide the
method as defined above, wherein said flexible and stretchable
strip is characterized by different surface roughnesses along its
length.
[0190] It is another object of the present invention to provide the
method as defined above, additionally comprising step of fitting
each of said at least one laparoscopic instruments with at least
one of said wireless transmitters.
[0191] It is another object of the present invention to provide the
method as defined above, wherein said wireless transmitter is
adapted to locate the position of at least one of said laparoscopic
instruments.
[0192] It is another object of the present invention to provide the
method as defined above, additionally comprising step of confirming
a selection of said at least one laparoscopic instrument by
clicking on said at least one wearable operator
[0193] It is another object of the present invention to provide the
method as defined above, additionally comprising step of activating
said at least one wearable operator by depression on the same,
voice activating the same, prolonged depression on the same, double
clicking on the same and any combination thereof.
[0194] It is another object of the present invention to provide the
method as defined above, additionally comprising step of directing
an endoscope to said laparoscopic instrument by using image
information shown on a video screen by means of said computerized
platform configured without said help of assistants.
[0195] It is another object of the present invention to provide a
wearable operator, comprising: [0196] a. at least two portions at
least partially overlapping each other; said two portion are
adapted to rotate and tilt relative to each other; [0197] b. at
least one wireless transmitter, adapted to transmit a signal once
said at least one wearable operator is activated.
[0198] It is another object of the present invention to provide the
wearable operator as defined above, wherein said wearable operator
is worn by a user on a predetermined body part, such that
activation of said wearable operator results in activation of an
external instrument.
[0199] It is another object of the present invention to provide the
wearable operator as defined above, wherein said predetermined body
part is selected from a group consisting of: the hand of said
surgeon, at least one of the fingers of said user, the thigh of
said user, the neck of said user, at least one of the legs of said
user, the knee of said user, the head of said user and any
combination thereof.
[0200] It is another object of the present invention to provide the
wearable operator as defined above, wherein said wearable operator
is coupled to a predetermined location on an instrument by means of
an adaptor, such that activation of said wearable operator results
in activation of said instrument.
[0201] It is another object of the present invention to provide the
wearable operator as defined above, wherein said coupling between
said at least one of said wearable operators and said instrument is
either wire or wirelessly coupling.
[0202] It is still an object of the present invention to provide
the wearable operator as defined above, wherein said wearable
operator comprises (a) at least one flexible and stretchable strip;
and, (b) loop-closing means adapted to close a loop with said at
least one flexible and stretchable strip; said at least one
flexible and stretchable strip and said loop-closing means are
provided so as to fit said wearable operator to at least one
selected from a group consisting of (a) said predetermined location
of said different instruments; (b) said predetermined body part of
said user, each of which is characterized by a different size and
shape.
[0203] It is lastly an object of the present invention to provide
the wearable operator as defined above, wherein the shape of said
wearable operator is selected from a group consisting of a ring, a
bracelet and any combination thereof.
BRIEF DESCRIPTION OF THE FIGURES
[0204] In order to understand the invention and to see how it may
be implemented in practice, and by way of non-limiting example
only, with reference to the accompanying drawing, in which
[0205] FIG. 1 is a general schematic view of an enhanced interface
laparoscopic system that relies on a single wireless code signal to
indicate the instrument on which to focus the endoscope constructed
in accordance with the principles of the present invention in a
preferred embodiment thereof;
[0206] FIG. 2 is a general schematic view of an enhanced interface
laparoscopic system that relies on at least two wireless signals to
indicate the instrument on which to focus the endoscope;
[0207] FIG. 3 is a schematic view of the method in which the single
wireless code signal choice instrumentation focus is represented on
the viewing apparatus;
[0208] FIG. 4 is a schematic view of the method in which multiple
wireless code signal choice of instrumentation is operated;
[0209] FIG. 5 represents the relative position of each tool in
respect to the mechanism;
[0210] FIG. 6 is a general schematic view of an enhanced interface
laparoscopic system that relies on a single wireless code signal to
indicate the instrument on which to focus the endoscope,
constructed in accordance with the principles of the present
invention in a preferred embodiment thereof;
[0211] FIG. 7a-7b is an illustration of a wearable operator;
[0212] FIG. 8 is a general schematic view of an enhanced interface
laparoscopic system that relies on at least two wireless signals to
indicate the instrument on which to focus the endoscope;
[0213] FIG. 9 is a schematic view of the method in which choice of
instrumentation focus via a single wireless code is represented on
the viewing apparatus;
[0214] FIG. 10 is a schematic view of the method in which choice of
instrumentation focus via a multiple wireless code is operated;
[0215] FIG. 11a-11e illustrates another preferred embodiment of the
present invention;
[0216] FIG. 12 illustrates the adjustability of the wearable
operator;
[0217] FIG. 13a-13e illustrates one embodiment of the wearable
operator 700 and the adjustment means of the same to a surgical
tool;
[0218] FIG. 14a-14c, illustrates another embodiment of the present
invention, which provides a best adjustment of the wearable
operator to the operator's hand; and
[0219] FIG. 15a-15b illustrates the `adjustability` of the wearable
operator.
DETAILED DESCRIPTION OF THE EMBODIMENTS
[0220] The following description is provided, alongside all
chapters of the present invention, so as to enable any person
skilled in the art to make use of the invention and sets forth the
best modes contemplated by the inventor of carrying out this
invention. Various modifications, however, will remain apparent to
those skilled in the art, since the generic principles of the
present invention have been defined specifically to provide means
and methods for improving the interface between the surgeon and an
endoscope system for laparoscopic surgery.
[0221] The present invention can be also utilized to improve the
interface between the surgeon and the operating medical assistant
and/or the surgeon colleagues. Moreover, the present invention can
be also utilized to control and/or direct an automated endoscope
assistant to focus the endoscope to the desired instrument of the
surgeon. In some embodiments, it comprises a wearable user
interface operator (referred to also as the `wearable operator`).
Furthermore, the device is adapted to focus the operating medical
assistant on the desired instrument of the surgeon.
[0222] The term "conventional laparoscopy computerized system"
refers herein to system or/software conventionally used in the
market such as Lapman, Endo assist or AESOP.
[0223] The term "tight-fit" refers herein to a fit between two
parts, such that said two parts are considered as coupled
together.
[0224] The device of the present invention is adapted to control
and/or direct the automated endoscope assistant to focus the
endoscope on the instrument desired by the surgeon. In preferred
embodiments, it comprises a wearable user interface to enable to
operator to activate and select tools.
[0225] The present invention can be also utilized to improve the
interface between the surgeon and the operating medical assistant
and/or the surgeon's colleagues. Moreover, the present invention
can be also utilized to control and/or direct an automated
endoscope assistant to focus the endoscope on the desired
instrument of the surgeon via output from the wearable operator,
said output controlled by the surgeon. Furthermore, the device is
adapted to direct the operating medical assistant to focus on the
desired instrument of the surgeon.
[0226] In general, the present invention, an enhanced interface
laparoscopy device comprises: [0227] a. at least one operator
comprising at least one wireless transmitter. [0228] b. at least
one wireless receiver. [0229] c. at least one conventional
laparoscopy computerized system; the conventional laparoscopy
computerized system is adapted to load a surgical instrument's
spatial locating software, and an automated assistant's maneuvering
software; the locating software enables a visual response to a
primary activation of the wireless transmitter; said maneuvering
software enables the movement of said endoscope. [0230] d. At least
one video screen. [0231] e. At least one automated assistant.
[0232] The device of the present invention has many technological
advantages, among them: [0233] Simplifying the communication
interface between surgeon and mechanical assistants. [0234]
Seamless interaction with conventional computerized automated
endoscope systems. [0235] Simplicity of construction and
reliability. [0236] User-friendliness.
[0237] Additional features and advantages of the invention will
become apparent from the following drawings and description.
[0238] In preferred embodiment of the invention a single wireless
emission code is utilized and choice is achieved by a visible
graphic representation upon the conventional viewing screen.
[0239] In another preferred embodiment each instrument is fitted
with a unique code wireless transmitter, and selection is achieved
by depressing its button.
[0240] According to another preferred embodiment, each instrument
is fitted with a unique code wireless transmitter, and selection is
achieved by depressing a control on the wearable operator.
[0241] The present invention discloses also a device joined with
conventional camera assisted laparoscopic surgery systems
comprising at least one wireless transmitter that can but need not
be attached to the maneuvering control end of surgical
instruments.
[0242] Selection of an instrument can be either via a control on a
wireless transmitter, or via a wearable operator, or by a
combination thereof. If control is via at least one button on at
least one wireless transmitter, upon depression of a button on a
transmitter either a generic or a unique code is transmitted to a
receiving device connected to a computer that presents (e.g.
displays) the selected surgical tool on a connected video screen.
Confirmation of the selection by the depression of at least one
button on the wireless transmitter transmits a code to the receiver
connected to the computer that instructs the automated surgical
assistant to move the endoscope achieving a view on the screen that
is focused on the selected instrument area.
[0243] If control is via a wearable controller, upon activation
(e.g., depression) of a control on the wearable operator, either a
generic or a unique code is transmitted to a receiving device
connected to a computer that presents (e.g. displays) the selected
surgical tool on a connected video screen.
[0244] After confirmation of the selection by the depression of at
least one button in the wearable operator's wireless transmitter, a
code is transmitted to the receiver connected to the computer that
instructs the automated surgical assistant to move the endoscope,
achieving a view on the screen that is focused on the selected
instrument area.
[0245] It would thus be desirable to achieve a device that allows
the surgeon to identify to the laparoscopic computing system as
well as to surgical colleagues to which surgical instrument
attention is to be directed. By identifying the surgical instrument
by the laparoscopic computing system the endoscope directs the view
to the selected focus of attention.
[0246] Therefore, in accordance with one embodiment of the present
invention an enhanced interface laparoscopy device is provided. The
device comprises: [0247] a. At least one wireless transmitter with
at least one operating key. [0248] b. At least one wireless
receiver. [0249] c. at least one conventional laparoscopy
computerized system; said conventional laparoscopy computerized
system is adapted to load a surgical instrument spatial locating
software, and an automated assistant maneuvering software; said
locating software enables a visual response to the depression of
said at least one key on said wireless transmitter; said
maneuvering software enables the movement of said endoscope. [0250]
d. At least one video screen. [0251] e. At least one automated
assistant.
[0252] In a further embodiment of the enhanced interface
laparoscopy device the wireless transmitter or transmitters are
either freestanding or attached to the maneuvering end of the
surgical instruments and emit the same single code that upon the
depression of at least one key on them emits a signal to the
receiver that communicates with the connected computer that
displays a graphic symbol upon a random choice of one of the
onscreen surgical instruments depicted or extracted by the computer
on the screen. If needed the surgeon repeats the depression of at
least one key resulting in a shift in the displayed graphic
designator from one onscreen depiction of surgical instrument to
another until the desired instrument is reached and thereby
selected. Subsequently the computer directs the automated assistant
to focus the endoscope on the desired instrument area.
[0253] In a further embodiment the selection of the instrument
requires confirmation by varying the form of click on at least one
key, such as a prolonged depression. Only upon confirmation is the
computer authorized to instruct the automated assistant to focus
the endoscope on the desired instrument area.
[0254] In another embodiment of the invention each relevant
surgical instrument is fitted at its maneuvering control end with a
wireless transmitter with at least one key that transmits a unique
code. In the initial stage of the procedure the surgeon identifies
each of the instruments to the computerized system by depressing at
least one key on each of the wireless transmitters fitted to the
surgical instruments and matching their characteristics with a
prepared database, thereby forming within the computerized system a
unique signature for each of the transmitters. Thereon, upon
depression of at least one key on the wireless transmitter attached
to each surgical instrument, the receiver receives the unique code
communicates it to the computer that identifies it with the
preprogrammed signature and instructs the automated assistant to
move the endoscope so as to achieve the desired focus.
[0255] In another embodiment of the invention each relevant
surgical instruments is fitted at its maneuvering control end with
a wireless transmitter with at least one key that transmits a
unique code. While performing the surgery procedure, whenever the
surgeon inserts, a surgical instrument at the first time, he
signals by depressing at least one key on each of the wireless
transmitters fitted to the surgical instruments.
[0256] Then the computer software identifies the instrument, while
it is being inserted, analyzes the characteristics of the surgical
instrument and keeps it in a database, thereby forming within the
computerized system a unique signature for each of the
transmitters. Thereon, upon depression of at least one key on the
wireless transmitter attached to each surgical instrument, the
receiver receives the unique code, communicates it to the computer
that identifies it with the signature stored at the insertion step
and instructs the automated assistant to move the endoscope so as
to achieve the desired focus.
[0257] In a further embodiment the selection is signified on the
connected screen by displaying a graphic symbol upon the onscreen
depiction of the surgical instrument.
[0258] In a further embodiment the selection is confirmed by an
additional mode of depression of at least one key on the wireless
transmitter, such as a prolonged depression of the key, authorizing
the computer to instruct the automated assistant to change view
provided by the endoscope. The device of the present invention has
many technological advantages, among them: [0259] Simplifying the
communication interface between surgeon and mechanical assistants.
[0260] Seamless interaction with conventional computerized
automated endoscope systems. [0261] Simplicity of construction and
reliability. [0262] User-friendliness [0263] Additional features
and advantages of the invention will become apparent from the
following drawings and description.
[0264] Reference is made now to FIG. 1, which is a general
schematic view of an enhanced interface laparoscopic system
comprising one or more button operated wireless transmitters 12a,
that may or may not be attached to the maneuvering end of surgical
instruments 17b and 17c, which once depressed aerially transmit a
single code wave 14 through aerial 13 to connected receiver 11 that
produces a signal processed by computer 15 thereby assigning a
particular one of two or more surgical instruments 17b and 17c as
the focus of the surgeons attention. Accordingly a conventional
automated endoscope 21 is maneuvered by means of conventional
automated arm 19 according to conventional computational spatial
placement software contained in computer 15.
[0265] Reference is made now to FIG. 2, which is a general
schematic view of an enhanced interface laparoscopic system
comprising one or more button operated wireless transmitters 12b
and 12c are attached respectfully to the maneuvering means at the
end of surgical instruments 17b and 17c, which once depressed
aerially, each transmit a unique code wave 14b and 14c through
aerial 13 to connected receiver 11 that produces a signal processed
by computer 15 thereby assigning a particular one of two or more
surgical instruments 17b and 17c as the focus of the surgeons
attention. Accordingly a conventional automated endoscope 21 is
maneuvered by means of conventional automated arm 19 according to
conventional computational spatial placement software contained in
computer 15.
[0266] Reference is made now to FIG. 3, which is a schematic view
of the method in which single wireless signal code choice of
instrumentation focus is achieved, by means of video
representation, 35b and 35c of the actual surgical instruments (not
represented in FIG. 3) displayed by graphic symbols. Wherein a
light depression of the button on generic code emitting wireless
transmitter 12a transmits a code that is received by receiver
aerial 13 communicated through connected receiver 11 to computer 15
that shifts the graphically displayed symbol of choice 35b on video
screen 30 from instrument to instrument until the required
instrument is reached. A prolonged depression of the button on
transmitter 12a confirms the selection thereby signaling computer
15 to instruct the automated mechanical assistant (not represented
in FIG. 4) to move the endoscope (not represented in FIG. 3) and
achieving a camera view of the instrument area on screen 30.
[0267] Reference is made now to FIG. 4, which is a schematic view
of the method in which multiple wireless signal code choice of
instrumentation focus is achieved, by means of video representation
35b and 35c of the actual surgical instruments (not represented in
FIG. 4) displayed by graphic symbols. Wherein when buttons on
unique code emitting wireless transmitters 12b and 12c attached
respectfully to actual operational instruments (not represented in
FIG. 4) displays graphic symbol 35b on respectful video
representation 37b. A prolonged depression of the button on
transmitter 12b and 12c confirms the selection thereby signaling
computer 15 to instruct the automated mechanical assistant (not
represented in FIG. 4) to move the endoscope (not represented in
FIG. 4) and achieving a camera view of the instrument area on
screen 30.
[0268] In another embodiment of this invention, when a prolonged
depression of the buttons on transmitter 12b and 12c confirms the
selection, the computer software analyze the characteristics of the
surgical instrument and stores it in a database, thereby forming
within the computerized system, a database, used for matching
between each transmitting code and a surgical instrument.
[0269] From now on, when the surgeon presses again on this button,
the receiver that receives the transmitted code, communicates it to
the computer software that identifies the code as a "known" code
and matching it, to the known parameters that were stored earlier
in database of the surgical tools, and extracts the surgical tool
tip. When the position tool tip is known, then the tracking
software instructs the automated assistant to move the endoscope so
as to achieve the desired focus.
[0270] Reference is made now to FIG. 5 illustrating the relative
position of each tool. While performing the surgery, the surgeon
often changes the position of his tools and even their insertion
point. The wireless switches then may be use to locate the relative
angle in which each tool is being held in respect to the camera
holder mechanism. This is another advantage of the system that is
used to calculate the position of the tool in the frame captured by
the video camera. In that manner the surgeon does not have to
inform the system where the insertion point of every tool is. The
exact location of the wireless switch is not measured: the
information about the relative positions of the tools in respect to
each other contains in most cases enough data for the software to
maintain the matching between the switches and the tools. In this
figure the positioning sensors of the system are placed near or on
the camera holder so the signals they receive can be utilize in
order to calculate the vectors V1 V2 . . . Vn representing the
range and the 3 angles needed to define a point in a 3D space.
[0271] In order to realize a position and range system, many well
known technologies may be used. For example if the switches emit
wireless signals then an array of antennas may be used to compare
the power of the signal received at each antenna in order to
determine the angle of the switch and it's approximate range to the
camera holder mechanism. If the switch emits ultra sound wave then
US microphones can be used to triangulate the position of the
switch. The same is for light emitting switch.
[0272] Therefore, in accordance with a preferred embodiment of the
present invention, an enhanced interface laparoscopy device is
provided. The device comprises: [0273] a. at least one endoscope,
mechanically interconnected to said automated assistant; [0274]
said automated assistant is adapted to maneuver said endoscope to a
desired location; [0275] b. at least one instrument; [0276] c. at
least one wearable operator comprising at least one wireless
transmitter, adapted to transmit a signal once said at least one
wearable operator is activated; said at least one wearable operator
is either wire or wirelessly in communication with said at least
one of said instrument; [0277] d. at least one wireless receiver
adapted to receive said signal sent by said transmitter; [0278] e.
at least one laparoscopy computerized system, in communication with
said wireless receiver, adapted to provide a visual onscreen
depiction of said at least one instrument to be selected following
the activation of said at least one wearable operator; and, [0279]
f. at least one video screen wherein said device is adapted to
control and to direct said endoscope via said laparoscopy
computerized system and said automated assistant on said
instrument, said instrument to be selected following the activation
of said at least one wearable operator.
[0280] According to one embodiment, the wearable user interface is
attached to the operating tool.
[0281] According to another embodiment, the interface is
linked/attached to a predetermined body part of the surgeon. Said
body part is selected from a group consisting of: the hand of the
surgeon, at least one of the fingers of the surgeon, the thigh of
the surgeon, the neck of the surgeon, at least one of the legs of
the surgeon, the knee of the surgeon, the head of the surgeon and
any combination thereof.
[0282] In a preferred embodiment of the enhanced interface
laparoscopy device, the wireless transmitter or transmitters are
either freestanding or are attached to the maneuvering end of the
surgical instruments. They emit the same single code so that, upon
the activation (e.g., depression) of the wearable operator, they
emit a signal to the receiver. The receiver communicates with a
connected computer that displays a graphic symbol upon one of one
of the surgical instruments depicted on the screen by the computer.
On initial activation, the graphical symbol can be displayed on a
randomly-chosen surgical instrument, or it can be displayed on a
predefined surgical instrument.
[0283] If needed, the surgeon repeats the activation (e.g.,
depression) of the wearable operator resulting in a shift in the
displayed graphic designator from one onscreen depiction of a
surgical instrument to another until the desired instrument is
reached and thereby selected. Subsequently the computer directs the
automated assistant to focus the endoscope on the desired
instrument area.
[0284] In a further preferred embodiment the selection of the
instrument requires confirmation by varying the form of activating
said wearable operator, such as a prolonged depression, double
clicking or voice activation. Only upon confirmation is the
computer authorized to instruct the automated assistant to focus
the endoscope on the desired instrument area.
[0285] In another preferred embodiment of the invention each
relevant surgical instrument is fitted at its maneuvering control
end with a wireless transmitter that transmits a unique code.
[0286] In the initial stage of the procedure, the surgeon
identifies each of the instruments to the computerized system by
activating the wearable operator (e.g., depressing at least one key
on the same) on each of the wireless transmitters fitted to the
surgical instruments and matching their characteristics with a
prepared database, thereby forming within the computerized system a
unique signature for each of the transmitters.
[0287] Thereon, upon depression of the wearable operator attached
to each surgical instrument/or on the surgeon's hand, the receiver
receives the unique code, and communicates it to the computer. The
computer identifies it with the preprogrammed signature and
instructs the automated assistant to move the endoscope so as to
achieve the desired focus.
[0288] It should be pointed out that the wearable operator can be
coupled to a predetermined body part selected from a group
consisting of: the hand of said surgeon, at least one of the
fingers of the surgeon, the thigh of the surgeon, the neck of the
surgeon, at least one of the legs of the surgeon, the knee of the
surgeon, the head of the surgeon and any combination thereof.
[0289] In another preferred embodiment of the invention, each
relevant surgical instrument is fitted at its maneuvering control
end with a wireless transmitter (as part of the wearable operator)
that transmits a unique code. While performing the surgical
procedure, whenever the surgeon inserts a surgical instrument for
the first time, he signals by activating the wearable operator so
as to uniquely identify the surgical instrument.
[0290] According to one embodiment of the present invention, the
wearable operator comprises an activating button, such that the
activation of the same can be achieved by manually pressing the
same.
[0291] According to another embodiment of the present invention,
the wearable operator is activated manually or automatically.
[0292] According to one embodiment of the present invention, the
activation of the wearable operator is achieved by means of
depression on the same, voice activating the same, prolonged
depression on the same, double clicking on the same and any
combination thereof.
[0293] When the instrument is being inserted for the first time,
the computer software identifies the instrument, analyzes the
characteristics of the surgical instrument and keeps the
characteristics in a database, thereby forming within the
computerized system a unique signature for each of the instruments.
Thereafter, upon activation of the wireless transmitter attached to
each surgical instrument, the receiver receives the unique code,
communicates it to the computer that identifies it with the
signature stored at the insertion step and instructs the automated
assistant to move the endoscope so as to achieve the desired
focus.
[0294] In a further preferred embodiment, the selection is
signified on the screen connected to the computer by displaying a
graphic symbol upon the onscreen depiction of the surgical
instrument.
[0295] In a further preferred embodiment the selection is confirmed
by an additional mode of depression on the wireless transmitter,
such as a prolonged depression of the wearable operator,
authorizing the computer to instruct the automated assistant to
change the view provided by the endoscope.
[0296] The device of the present invention has many technological
advantages, among them: [0297] Simplifying the communication
interface between surgeon and mechanical assistants. [0298]
Seamless interaction with conventional computerized automated
endoscope systems. [0299] Simplicity of construction and
reliability. [0300] User-friendliness
[0301] Reference is made now to FIG. 5, which is a general
schematic view of an enhanced interface laparoscopic system
comprising one or more wearable operators 101 (each of which
comprises wireless transmitters 12a), that is worn by the surgeon
(e.g., integrated within a bracelet or a ring).
[0302] Once the same is activated (e.g., depressed), it wirelessly
transmits a single code wave 14 through aerial 13 to connected
receiver 11 that produces a signal processed by computer 15,
thereby assigning a particular code to one of two or more surgical
instruments 17b and 17c within the patient 40 as the focus of the
surgeon's attention.
[0303] Reference is now made to FIGS. 7a-7b which illustrate a
preferred embodiment of the wearable operator of the present
invention.
[0304] According to this embodiment, the wearable operator is
configured as a ring (FIG. 7a) to be worn on the surgeon's finger
(see FIG. 7b).
[0305] According to this embodiment, the wearable operator
comprises a pressing key 100 (also referred to as pressing button
101d). Once the surgeon wishes to re-orient the endoscope so as to
focus on the desired instrument (linked to said wearable operator),
the surgeon presses the same.
[0306] FIG. 7a illustrates the wearable operator 101, in its
ring-like configuration.
[0307] FIG. 7b illustrates the wearable operator 101, as worn by
the surgeon.
[0308] According to another embodiment or the present invention,
the wearable actuator may be attached to the maneuvering end of
surgical instruments 17b and 17c.
[0309] It is appreciated that each surgical instrument has
particular dimensions. Therefore, since there isn't a `universal`
shape of surgical instruments, each surgical instrument should be
provided with a dedicated wearable operator. Thus, according to one
embodiment of the present invention, a dedicated wearable operator
is provided for each instrument.
[0310] According to another embodiment of the present invention, a
universal adaptor to be attached to any surgical instrument is
provided (see further detail with respect to FIGS. 11a-11e
hereinbelow).
[0311] Once the wearable operator is operated, a conventional
automated endoscope 21 is maneuvered by means of conventional
automated arm 19 according to conventional computational spatial
placement software contained in computer 15
[0312] Reference is made now to FIG. 8, which is a general
schematic view of an enhanced interface laparoscopic system
comprising one or more wearable operators (not shown in the
figure). According to this embodiment, the wearable operators are
worn on the surgical instrument. As described above, each of said
wearable operators comprises a wireless transmitter (12b and
12c).
[0313] Each of the wireless transmitters 12b and 12c is attached,
respectively, to the maneuvering means at the end of surgical
instruments 17b and 17c, within the patient 40. Once the wearable
operator is activated (e.g., depressed), each transmits a unique
code wave 14b and 14c through aerial 13 to connected receiver 11
that produces a signal processed by computer 15, thereby assigning
a particular one of two or more surgical instruments 17b and 17c as
the focus of the surgeon's attention. Accordingly, a conventional
automated endoscope 21 is maneuvered by means of conventional
automated arm 19 according to conventional computational spatial
placement software contained in computer 15.
[0314] Reference is made now to FIG. 9, which is a schematic view
of a method by which choice of instrumentation focus is achieved
with a single wireless signal code, by means of a display on a
video screen of video representations 37b and 37c of the actual
surgical instruments, and graphical symbols 35b and 35c. In this
non-limiting example, solid circle 35b indicates a selected
instrument, while open circle 35c indicates an activated but
non-selected instrument.
[0315] In this embodiment, on activation of the wearable operator
101 (e.g., by a light depression of the button on the wearable
operator), wireless transmitter 12a emits a generic code that is
received by receiver aerial 13 and communicated through connected
receiver 11 to computer 15. Computer 15 shifts the graphically
displayed symbol of choice 35b on video screen 30 from instrument
to instrument until the required instrument is reached.
[0316] In this example, the wearable operator 101 is shaped as a
ring and is worn on the surgeon's finger.
[0317] A prolonged depression of the wearable operator 101 confirms
the selection, thereby signaling computer 15 to instruct the
automated mechanical assistant to move the endoscope and achieve a
camera view of the instrument area on screen 30.
[0318] Reference is made now to FIG. 10, which is a schematic view
of a method in which choice of instrumentation focus is achieved in
the case where there are multiple wireless signal codes, by means
of a display on a video screen of video representations 37b and 37c
of the actual surgical instruments, and graphical symbols 35b and
35c.
[0319] When the wearable operators 101a and 101b (and the wireless
transmitters 12b and 12c, respectively) are being pressed, the same
emit a signal which eventually results in the display on screen 30
of graphic symbol 35b on respective video representation 37b or,
alternatively, of graphic symbol 35c on video representation
37c.
[0320] Confirmation of the selection may be achieved by prolonged
depression of a button located on the wearable operator. Thus, a
prolonged depression of the button on the wearable operator
confirms the selection, thereby signaling computer 15 to instruct
the automated mechanical assistant (not represented in FIG. 4) to
move the endoscope (not represented in FIG. 4) and achieve a camera
view of the instrument area on screen 30.
[0321] In another embodiment of this invention, when a prolonged
depression of the buttons on the wearable operator confirms the
selection, the computer software analyzes the characteristics of
the surgical instrument and stores it in a database, thereby
forming, within the computerized system, a database used for
matching between each transmitting code and its associated surgical
instrument.
[0322] From now on, when the surgeon presses again on this button,
the receiver that receives the transmitted code communicates it to
the computer software that identifies the code as a "known" code,
matches it to the known parameters that were stored earlier in the
database of surgical tools, and extracts the position of the tip of
the surgical tool. When the position of the tool tip is known, the
tracking software instructs the automated assistant to move the
endoscope so as to achieve the desired focus.
[0323] In another embodiment of this invention, when the wearable
operator is activated and an instrument is selected, the computer
software analyzes the characteristics of the surgical instrument
and stores it in a database, thereby forming, within the
computerized system, a database used for matching between each
transmitting code and a surgical instrument.
[0324] From now on, when the surgeon activates the wearable
activator, the receiver that receives the transmitted code
communicates it to the computer software that identifies the code
as a "known" code and matches it to the known parameters that were
stored earlier in database of the surgical tools, and extracts the
position of the tip of the surgical tool. When the position of the
tool tip is known, the tracking software instructs the automated
assistant to move the endoscope so as to achieve the desired
focus.
[0325] Reference is now made to FIGS. 11a-11e illustrating another
embodiment of the present invention.
[0326] As mentioned above, the wearable actuator may be attached to
the maneuvering end of surgical instruments 17b and 17c. However,
since each surgical instrument has particular dimensions, there is
no `universal` actuator that will fit every instrument. Thus, one
should provide each of surgical instruments with a dedicated
operator.
[0327] The present invention provides a universal adaptor 100 to be
attached to the surgical instrument so as to overcome this
disadvantage. The surgeon is able to couple the wearable operator
101 to the adaptor.
[0328] Reference is now made to FIG. 11a which illustrates the
surgical instrument 17b or 17c to which the adaptor 100 is being
attached.
[0329] Reference is now made to FIG. 11b which illustrates the
coupling of the wearable operator 101 to the universal adaptor
100.
[0330] Reference is now made to FIG. 11c which illustrates the
wearable operator 101 coupled to the adaptor and thus to the
surgical instrument.
[0331] As mentioned above, according to one embodiment of the
present invention, the wearable operator 101 comprises an
activating button 101d (see FIG. 11c). Reference is now made to
FIG. 11d which illustrates the activation of wearable operator 101.
In FIG. 11d, activation is achieved by pressing on button 101d in
wearable operator 101.
[0332] FIG. 11e illustrates different positions for the wearable
operator 101 (and the adaptor 100) on the surgical instrument.
[0333] In order to realize a position and range system, many
well-known technologies may be used. For example, if the switches
emit wireless signals then an array of antennas may be used to
compare the power of the signal received at each antenna in order
to determine the angle of the switch and the approximate range
(distance and angle) between it and the camera holder mechanism. If
the switch emits ultrasound (US), then US microphones can be used
to triangulate the position of the switch. The same can be done for
light emitting switches.
[0334] Reference is now made to FIG. 12 which illustrates the
adjustability of the wearable operator 101. As can be seen from the
figure, the wearable operator 101 can be fitted to a variety of
different tools, each of which is characterized by a different size
and shape.
[0335] Reference is now made to FIGS. 13a-13e illustrating
embodiments of the wearable operator 1300 and the adjustable means
by which it may be attached to a surgical tool.
[0336] According to these embodiments, the wearable operator 1300
comprises a unidirectional coupling (e.g., ratchet 1310).
[0337] Once the wearable operator 1300 is secured to the surgical
tool, the wearable operator 1300 is adjusted to the size and
dimensions of the surgical tool by means of a unidirectional catch
(e.g., ratchet 1310).
[0338] According to another embodiment, the wearable operator 1300
comprises a body having at least two portions 1320 and 1321 (see
FIG. 13b). Said portions are adapted to `grasp` the surgical tool
such that when the wearable operator 1300 is coupled to the
surgical tool, fine-tuned movement of the two body portions is
obtainable so as to provide said tight-fit coupling between said
two portions and said instrument.
[0339] According to another embodiment (FIG. 13c), one of the two
portions (either 1320 or 1321) is rotationally movable relative to
the other, such that when said wearable operator is coupled to said
instrument, fine-tuned movement of said two body portions is
obtainable so as to provide said tight-fit coupling between said
two portions and said instrument.
[0340] According to another embodiment (FIG. 13d), the two portions
(1321 and 1320) are rotationally movable relative to each other,
such that when the wearable operator is coupled to said instrument,
fine-tuned movement of said two body portions is obtainable so as
to provide said tight-fit coupling between said two portions and
said instrument.
[0341] In reference to FIG. 13d, the movement of either portion
1320 or portion 1321 relative to the other is obtained by fixating
the position of either portion 1320 or portion 1321 and coupling
the other portion to e.g., a unidirectional catch (e.g., ratchet)
1310 or a two-way directional catch 1310 on the body of the
wearable operator.
[0342] According to another embodiment, the movement of either
portion 1320 or portion 1321 relative to the other is obtained by
providing one portion, e.g., portion 1321 with cog-like teeth 1311
and the body of the wearable operator with cog-like teeth 1312
matching with cog-like teeth 1311 (see FIG. 13e). In such a way
portion 1321 can be linearly moved relative to portion 1320.
[0343] According to another embodiment of the present invention,
the wearable operator is a ring to be worn on the physician's
hand.
[0344] Reference is now made to FIGS. 14a-14c, illustrating another
embodiment of the present invention, which provides the best
adjustment of the wearable operator 1400 to the operator's hand.
FIG. 14a illustrates the embodiment from the front, FIG. 14b
illustrates it from the back, and FIG. 14c illustrates it from
underneath. For illustrative purposes, the catch mechanism is not
shown in FIG. 14c,
[0345] According to another embodiment, the wearable operator 1400
is adjustable by means of flexible and stretchable silicone and/or
rubber strip 1410 and a loop-closing means. The loop-closing means
is adapted to close a loop with the flexible and stretchable strip.
Together, the flexible and stretchable strip and the loop-closing
means are provided so as to fit the wearable operator to at least
one selected from a group consisting of (a) said predetermined
location of said different instruments; (b) said predetermined body
part of said surgeon, each of which is characterized by a different
size and shape.
[0346] As will be disclosed hereinafter, the loop-closing means
1420 can be e.g., a unidirectional catch, a rack, a peg or any
other mechanism known in the art.
[0347] According to another embodiment, the silicone and/or rubber
strip 1410 is passed through a unidirectional catch (e.g., ratchet
1420), such that, when the physician wears the wearable operator
1400, he adjusts the same by pulling the silicone and/or rubber
strip 1410 through the ratchet 1420.
[0348] According to another embodiment, the silicone and/or rubber
strip 1410 is rotated around rack or peg 1420 such that, when the
physician wears the wearable operator 1400, he adjusts the same by
pulling the silicone and/or rubber strip 1410 around the peg
1420.
[0349] According to this embodiment, the silicone and/or rubber
strip 1410 is characterized by a varied width along its length.
More specifically, at least a portion of the silicone and/or rubber
strip 1410 is characterized by a greater width, such that when the
same is twisted/rotated around peg 1420 and reaches the wider
portion, the same is fixedly secured to the wearable operator
1400.
[0350] According to another embodiment, the silicone and/or rubber
strip 1410 is characterized by different surface roughnesses along
its length. More specifically, at least a portion of the silicone
and/or rubber strip 1410 is characterized by e.g., an abrasive or
rough surface such that when the same is twisted/rotated around peg
1420 and reaches the rougher portion, the same is fixedly secured
to the wearable operator 1400.
[0351] Reference is now made to FIGS. 15a-15b illustrating the
`adjustability` of the wearable operator. As can be seen, the
wearable operator can be fit to and be secured to both `wider`
fingers (see FIG. 15b) and `narrower` fingers (see FIG. 15a).
[0352] It is appreciated that certain features of the invention
which are, for clarity, described in the context of separate
embodiments, can also be provided in combination in a single
embodiment. Conversely, various features of the invention which
are, for brevity, described in the context of a single embodiment,
can also be provided separately or in any suitable
sub-combination.
[0353] Although the invention has been described in conjunction
with specific embodiments thereof, it is evident that many
alternatives, modifications and variations will be apparent to
those skilled in the art. Accordingly, it is intended to embrace
all such alternatives, modifications and variations that fall
within the spirit and broad scope of the appended claims. All
publications, patents and patent applications mentioned in this
specification are herein incorporated in their entirety by
reference into the specification, to the same extent as if each
individual publication, patent or patent application was
specifically and individually indicated to be incorporated herein
by reference. In addition, citation or identification of any
reference in this application shall not be construed as an
admission that such reference is available as prior art to the
present invention.
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