OCT Sensor Catheter for Tissue Navigation

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Solution Overview

Problem

Minimally invasive medical procedures face challenges in accurately navigating medical instruments to avoid sensitive tissues like blood vessels and pulmonary pleura during robotic surgeries, as existing sensing systems provide limited real-time, high-quality imaging for precise tissue location.

Innovation Solution

Integration of an optical coherence tomographic (OCT) sensor with a flexible catheter and control system that profiles tissue, determines the distance between the instrument and sensitive tissues, and provides alerts or commands to adjust the instrument's motion to prevent contact, using OCT imaging data to enhance navigation and avoid sensitive tissues.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If existing sensing systems are used for navigation, then the procedure can be performed, but the imaging quality and real-time tissue location capability are insufficient

Engineering Contradiction:
Improvetissue location precisionVSAvoidsensing system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent combines the OCT sensor with the elongate instrument to create an integrated sensing system. The OCT sensor is coupled directly to the elongate instrument, allowing high-resolution tissue imaging and distance measurement capabilities to be embedded within the navigation system itself, thereby improving measurement precision without requiring separate complex sensing equipment

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The patent replaces traditional mechanical or less advanced sensing systems with optical coherence tomography technology. The OCT sensor uses optical principles to measure tissue distance and characteristics, providing superior real-time imaging quality and measurement precision compared to conventional mechanical sensing approaches

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Productivity

If the elongate instrument is advanced quickly to reach target tissue, then productivity is improved, but the risk of contacting sensitive tissues increases

Engineering Contradiction:
Improveprocedure speedVSAvoidsafety of procedure
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The patent implements a feedback mechanism where the OCT sensor continuously measures the distance between the elongate instrument and surrounding tissues in real-time. The control system receives this sensor data and provides feedback to adjust the advancement speed, automatically slowing down or stopping when sensitive tissues are detected nearby, thus maintaining both high productivity and procedural safety

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system performs preliminary detection of sensitive tissues using OCT imaging before the elongate instrument reaches them. By identifying sensitive tissues in advance and predicting potential contact points, the control system can take preventive actions such as adjusting the advancement rate or altering the navigation path before dangerous contact occurs

Inventive Principle:
Principle #9Preliminary anti-action

3Loss of information

If real-time OCT sensing is implemented, then tissue profiling capability is improved, but the system complexity and processing requirements increase

Engineering Contradiction:
Improvetissue information qualityVSAvoidcontrol system complexity
Core Design Contradiction:
Loss of informationVSDevice complexity

Solution Approach 1:

The control system is pre-configured with tissue profiles and characteristics that are stored in advance. As the OCT sensor collects raw tissue data in real-time, the pre-programmed tissue profiles enable immediate comparison and identification, reducing the computational burden during the procedure and simplifying the real-time processing requirements while maintaining high tissue information quality

Inventive Principle:
Principle #10Preliminary action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The system enables more accurate and safe minimally invasive procedures by providing real-time, high-resolution imaging for precise tissue localization, reducing the risk of instrument contact with sensitive tissues and improving procedural accuracy.

Implementation Method 1

an optical coherence tomographic sensor coupled to the elongate instrument

Methodology Applied
Scientific EffectOptical coherence tomography: Interference

Implementation Method 2

receive sensor data from the optical coherence tomographic sensor, profile a tissue based on the received sensor data

Methodology Applied
Scientific EffectLight reflection: Reflection

Data Source

PatentUS20250017469A1Systems and methods for medical procedures using optical coherence tomography sensing
Publication Date: 2025.01.16 INTUITIVE SURGICAL OPERATIONS INC
  • US20250017469A1 patent drawing
  • US20250017469A1 patent drawing
  • US20250017469A1 patent drawing

AI summary

A system for performing a minimally invasive procedure comprises a flexible catheter with a lumen extending therethrough. The system also comprises an elongate instrument sized for passage through the lumen and an optical coherence tomographic sensor coupled to the elongate instrument. The system also comprises a control system that includes one or more processors. The control system is configured to receive sensor data from the optical coherence tomographic sensor, profile a tissue based on the received sensor data, generate an output signal based on the profiled tissue, and based on receipt of the output signal, generate a command to indicate or affect movement of the elongate instrument.