Abstract: The present invention provides various systems, a kit, and a method for accessing, sampling within, and visualization of areas within the mediastinal cavity for assisting a surgeon in performing a mediastinoscopy procedure. The access system includes one or more preferably toroidal balloons that can be expanded to dilate and protect the inner walls of a bodily conduit. Instruments pass through hollow spaces within the expanded toroidal balloons. The proximally positioned balloons are expanded first and the unexpanded balloons to be positioned distally are passed through them and subsequently expanded. The sampling system includes an instrument with a rounded head having two or more jaws and a slit therein at the distal end of an elongated tubular body. The visualization system includes a 360° camera that can be positioned from proximal to distal a target site and can also do a U-turn about its axis of extension.

Abstract: Described herein are various detachable secondary imaging endoscopic devices that can be used in conjunction with an endoscope to provide additional fields of view so that multiple regions of a body cavity may be imaged simultaneously. In one variation, a secondary imaging endoscopic device comprises an endoscope attachment member configured to be disposed over an endoscope, a first imaging element and a corresponding first light source at a first location on the endoscope attachment member, and a second imaging element and a second light source at a second location that is adjacent to the first location. In some variations, a secondary imaging device comprises a fluid delivery module having one or more ports for fluid delivery. The multiple simultaneous images acquired by the secondary imaging endoscopic device imaging elements and the main endoscope imaging element can be combined or arranged together to form a continuous view of a body cavity.

Abstract: An image capture unit for use in a medical imaging system can be coupled to an endoscopic camera, an external monitor, and a network. The image capture unit includes a touch-screen display to generate a graphical user interface and to receive associated user inputs. The image capture unit receives live video generated by the endoscopic camera, displays the video on the external monitor and/or the display, and stores the live video. The image capture unit can also store the live video in a remote computer system via the network. The image capture unit further can capture and store still images based on the live video and can store the still images in the remote computer system. “One-touch” network login and storage allows these operations to be performed in response to a single touch by the user.

Abstract: The present invention provides an Electro Surgical Generator (ESG) optimized for lung biopsy. The ESG is exclusively battery operated and fits within the handpiece of modern endoscopic electrosurgical/electrocautery instruments, thereby avoiding wires, adapters, and coupling mechanisms. The ESG is adaptable to generate different waveforms that vary with respect to frequency, pulse width, amplitude, etc. through the use of timing circuits and voltage control (i.e. transformers). The ESG is both energy-efficient and safe. A closed loop feedback system featuring a monitor and controller ensure no more power than necessary is provided to achieve a goal current level. Dynamic Power Control (DPC) and Dynamic Temperature Control (DTC) systems vary power to maintain temperature with the lowest possible power. These features prolong battery life and guard against tissue damage.

Abstract: Methods and devices for obtaining biopsy samples are described. In one embodiment, a capture tube with capture arms slides over a core tube to grasp and/or cut a tissue sample. Forceps with jaws may be used to hold the tissue before the capture tube is used to obtain the tissue sample. In another embodiment, a core tube includes needle channels in which capture needles are advanced to grasp and/or penetrate a tissue sample. In yet another embodiment, a capture tube includes grasping arms which close through slots in a core tube to grasp and/or cut a tissue sample.

Abstract: An image capture device in an endoscopic imaging system receives a video stream generated by an endoscopic video camera. In response to automatic recognition of a spoken utterance while the video stream is being received from the endoscopic video camera, the image capture device associates with the video stream an annotation that corresponds to the spoken utterance. The image capture device provides the video stream to a display device for display, such that the annotation can be overlaid on one or more frames of the video stream displayed on the display device.

Abstract: An endoscopic surgical navigation system comprises a multi-dimensional video generation module that enables a user to visually navigate captured endoscopic video with six degrees of freedom. This capability provides the user with control of a virtual camera (point of view) that can be translated in three orthogonal axes in 3-D space as well as allowing control of vertical panning (pitch), horizontal panning (yaw) and tilt (roll) of the virtual camera, as well as zoom.

Abstract: An endoscopic surgical navigation system comprises a data acquisition subsystem, a tracking subsystem, a registration subsystem, a data processing subsystem and a user interface subsystem. The data acquisition subsystem inputs intra-operative scan data from a medical scanning device during an endoscopic procedure. The tracking subsystem captures data representing positions and orientations of a flexible endoscope during the endoscopic procedure. The registration subsystem determines transformation parameters for coregistering the intra-operative scan data and the data indicative of positions and orientations of the endoscope. The data processing subsystem coregisters the intra-operative scan data and the data indicative of positions and orientations of the endoscope based on the transformation parameters and generates real-time image data representing 3D internal views of a body that are coregistered with live video from an endoscopic video camera.

Abstract: An apparatus to provide a regulated pressurized gas for introduction into the body of a patient during a medical procedure comprises an internal flow path through which to convey the pressurized gas, a regulator in the flow path to regulate the pressurized gas, and a biosensor to detect a body substance entering or in proximity to the flow path.

Abstract: A method and corresponding system for calculating an optimum surgical trajectory or path for displacing a surgical instrument through the interior of the body of a patient. Upon obtaining a volumetric scan of a patient, such as a CT scan, the surgeon can identify and assign weight values indicating a preference on whether an anatomical area be utilized in plotting an optimum instrument trajectory. Upon providing a starting and destination point for a surgical instrument, an optimum surgical trajectory can be determined in essentially real time and graphically presented to the surgeon by superimposing the proposed trajectory upon the patient's volumetric scan. Furthermore, the system and method is interactive, allowing the surgeon to deviate from the proposed optimum path if desired and choose another path. In response, the system will determine and present, in essentially real time, a new optimum trajectory based on the current location of the surgical instrument.

Abstract: An endoscopic surgical navigation system comprises a path correlation module that can compute the path taken by an endoscope scope or other medical instrument during an endoscopic medical procedure and various related attributes and parameters, and can compute and display a correlation between two paths.

Abstract: An endoscopic surgical navigation system comprises a tracking subsystem to capture data representing positions and orientations of a flexible endoscope during an endoscopic procedure, to allow coregistration of live endoscopic video with intra-operative and/or pre-operative scan images. Positions and orientations of the endoscope are detected using one or more sensors and/or other signal-producing elements disposed on the endoscope. The sensors include optical curvature sensors located along the endoscope, where the length of each optical curvature sensor decreases with increasing proximity to the distal end of the endoscope. Output signals of the sensors can be routed to the tracking subsystem through the light channel in the endoscope. A hybrid approach can be used to separately track the position and orientation of the (rigid) base and the flexible portion of the endoscope.

Abstract: A system and method for automatically reconfiguring the magnification or zoom level of a surgical camera based upon the detection of a surgical instrument or defined anatomical feature. Utilizing image analysis algorithms, the video images generated by the surgical camera are analyzed for the presence of defined patterns, colors, motion and the like, representing a defined surgical instrument or anatomical feature. Upon detection of a surgical instrument or anatomical feature, the system can automatically adjust the actual or effective focal range of the surgical camera, and thus change the magnification or zoom level of the camera, based on the type of surgical instrument or anatomical feature detected.

Abstract: A multi-user voice control system for use in endoscopic imaging system includes a first input channel, a second input channel, an automatic speech recognizer (ASR), a control unit, and a selector. The first input channel receives speech of a first user, and the second input channel receives speech of a second user. The ASR recognizes speech received on the first channel and recognizes speech received on the second channel. The control unit enables the voice control system to control a device in the endoscopic imaging system in response to recognized speech. The selector selectively determines whether recognized speech associated with the first channel or recognized speech associated with the second channel is used to control the device, by applying a selection priority to the first and second channels.

Abstract: The present invention provides various systems, a kit, and a method for improving access to, sampling within, and visualization of areas within the mediastinal cavity for assisting a surgeon in performing a mediastinoscopy procedure. The access system includes one or more preferably toroidal balloons that can be expanded to dilate and protect the inner walls of a bodily conduit. Instruments pass through hollow spaces within the expanded toroidal balloons. The proximally positioned balloons are expanded first and the unexpanded balloons to be positioned distally are passed through them and subsequently expanded. The sampling system includes an instrument with a rounded head having two or more jaws and a slit therein at the distal end of an elongated tubular body. The visualization system includes a 360° camera that can be positioned from proximal to distal a target site and can also do a U-turn about its axis of extension.

Abstract: A system and method for wireless device synchronization is provided. A default connection is established between a first wireless device and a second wireless using default connection values. Unique address information is exchanged over the default connection. A unique connection is established between the first wireless device and the second wireless device.

Abstract: A wireless foot control apparatus allows an operator to control multiple medical devices during an endoscopic medical procedure. The apparatus comprises a control console with controls designed for foot operation to control various medical devices. The controls include one or more foot pedals and foot switches to control the devices, including a selection switch to allow selection of the device to be controlled at a particular time. The console transmits signals over a wireless medium, to cause a remote receiver unit to select the device to be controlled and to control the selected device over a wired medium, in response to operation of the foot controls. The console may include a rechargeable battery, which may be sealed within the console's housing and charged inductively when the console is placed in a charging station. The receiver unit and the charging station can be separate units or integrated within a single housing.

Abstract: A system and method for automatically reconfiguring the magnification or zoom level of a surgical camera based upon the detection of a surgical instrument or defined anatomical feature. Utilizing image analysis algorithms, the video images generated by the surgical camera are analyzed for the presence of defined patterns, colors, motion and the like, representing a defined surgical instrument or anatomical feature. Upon detection of a surgical instrument or anatomical feature, the system can automatically adjust the actual or effective focal range of the surgical camera, and thus change the magnification or zoom level of the camera, based on the type of surgical instrument or anatomical feature detected.

Abstract: A method for remote control of devices. A remote control device receives a graphical user interface from a controlled device. The graphical user interface is periodically updated with controlled device data. The controlled device data is interrupted by command data from the remote control device. The controlled device responds to the command data and updates the graphical user interface.

Abstract: An endoscopic surgical navigation system comprises a path correlation module that can compute the path taken by an endoscope scope or other medical instrument during endoscopic medical procedure and various related attributes and parameters, and can compute and display a correlation between two paths.