Surgical devices, systems, and methods for control of one visualization with another
In general, devices, systems, and methods for control of one visualization with another are provided. In one aspect, a surgical system is provided that in one embodiment includes a first surgical device, an imaging device, and a controller. The first surgical device includes a distal portion configured to be advanced into a patient's first anatomic space, and includes a plurality of electrodes configured to delivery energy to tissue. The imaging device includes a distal portion configured to be advanced into a second, different anatomic space of the patent and, with the electrodes delivering the energy to the tissue and with the imaging device's image sensor located in the second anatomic space, gather images using the image sensor. The controller is configured to, with the electrodes delivering the energy to the tissue, control location and movement of the electrodes.
1 . A surgical system, comprising:
a controller configured to at least:
receive, from an imaging device located in a first anatomic space of a patient, images associated with a tissue of the patient, wherein the tissue is in a second anatomic space of the patient,
based on the received images from the imaging device located in the first anatomic space, determine a location and an orientation of each electrode of a plurality of electrodes of a surgical device, wherein the surgical device is located in the second anatomic space of the patient,
for each electrode of the plurality of electrodes, determine a property of the tissue at the location and orientation of the respective electrode using the received images,
for each electrode of the plurality of electrodes, associate the property of the tissue determined at the location and orientation of the respective electrode with that electrode,
for each electrode of the plurality of electrodes, automatically adjust at least one parameter associated with the respective electrode based on the property of the tissue associated with that electrode, wherein the at least one parameter associated with the respective electrode is adjusted independently, and
send the at least one parameter to the surgical device.
2 . The surgical system of claim 1 , wherein, based on the received images, the controller being configured to automatically adjust the at least one parameter associated with the respective electrode comprises the controller being configured to automatically adjust the at least one parameter to prevent the property of the tissue associated with that electrode from exceeding a threshold value.
3 . The surgical system of claim 1 , wherein the controller being configured to automatically adjust the at least one parameter associated with the respective electrode comprises the controller being configured to automatically adjust longitudinal and multi-axial movement of that electrode.
4 . The surgical system of claim 1 , wherein the tissue is a mucosal tissue that is longitudinally and circumferentially irregular, and wherein, based on the received images, the controller is configured to confirm full thickness and full circumferential mucosal ablation of the tissue.
5 . The surgical system of claim 1 , wherein the controller is configured to activate a subset of the plurality of electrodes and deactivate remaining electrodes of the plurality of electrodes of the surgical device.
6 . The surgical system of claim 1 , wherein the received images comprise infrared images indicating a thermal effect of the tissue, and wherein the controller being configured to automatically adjust the at least one parameter associated with the respective electrode comprises the controller being configured to automatically adjust a retraction rate of the respective electrode based on the thermal effect.
7 . The surgical system of claim 1 , wherein the surgical device comprises an expandable balloon, wherein the plurality of electrodes are printed on an exterior of the expandable balloon, and wherein the controller being configured to automatically adjust the at least one parameter of associated with the respective electrode comprises the controller being configured to automatically adjust expansion of the expandable balloon.
8 . The surgical system of claim 1 , wherein the surgical device comprises an ablation device, wherein the plurality of electrodes are attached to an expandable basket of the ablation device, and wherein the controller being configured to automatically adjust the at least one parameter of the respective electrode comprises the controller being configured to automatically adjust expansion of the expandable basket.
9 . The surgical system of claim 1 , wherein the surgical device comprises a magnet, wherein the surgical system further comprises a magnetic element configured to be positioned in the first anatomic space, and wherein the controller is configured to determine a thickness of the tissue based on a magnetic attraction between the magnet and the magnetic element.
10 . The surgical system of claim 1 , wherein the controller being configured to automatically adjust the at least one parameter of the respective electrode comprises the controller being configured to automatically adjust radial rotation of the respective electrode.
11 . The surgical system of claim 1 , wherein a surgical hub comprises the controller.
12 . A surgical method comprising:
advancing a first distal portion of an imaging device into a first anatomic space of a patient and a second distal portion of a surgical device comprising a plurality of electrodes into a second anatomic space of the patient;
delivering energy to a tissue of the patient using at least one of the plurality of electrodes of the surgical device located in the second anatomic space of the patient;
receiving images from the imaging device located in the first anatomic space;
based on the received images from the imaging device located in the first anatomic space, determining a location and an orientation of each electrode of the plurality of electrodes of the surgical device located in the second anatomic space of the patient;
for each electrode of the plurality of electrodes, determining a property associated with the tissue at the location and orientation of that electrode using the received images from the imaging device located in the first anatomic space;
for each electrode of the plurality of electrodes, associating the property of the tissue determined at the location and orientation of the electrode with that electrode;
for each electrode of the plurality of electrodes, automatically adjusting at least one parameter associated with the respective electrode based on the property of the tissue associated with that electrode, wherein the at least one parameter associated with the respective electrode is adjusted independently; and
sending the at least one parameter to the surgical device.
13 . The surgical method of claim 12 , further comprising, based on the received images, automatically adjusting the at least one parameter to prevent the property of the tissue from exceeding a threshold value.
14 . The surgical method of claim 12 , further comprising automatically adjusting longitudinal and multi-axial movement of the respective electrode.
15 . The surgical method of claim 12 , wherein the tissue is a mucosal tissue that is longitudinally and circumferentially irregular, and further comprising confirming full thickness and full circumferential mucosal ablation of the tissue.
16 . The surgical method of claim 12 , wherein the received images comprise infrared images indicating a thermal effect of the tissue, and wherein automatically adjusting the at least one parameter comprises automatically adjusting a retraction rate of the respective electrode based on the thermal effect.
17 . The surgical method of claim 12 , wherein the surgical device comprises an expandable balloon, wherein the plurality of electrodes are printed on an exterior of the expandable balloon, and wherein automatically adjusting the at least one parameter of the respective electrode comprises automatically adjusting expansion of the expandable balloon.
18 . The surgical method of claim 12 , wherein the surgical device comprises an ablation device, wherein the plurality of electrodes are attached to an expandable basket of the ablation device, and wherein automatically adjusting the at least one parameter of the respective electrode of comprises automatically adjusting expansion of the expandable basket of the ablation device.
19 . The surgical method of claim 12 , wherein the surgical device comprises a magnet, wherein a magnetic element is positioned in the first anatomic space, and wherein the surgical method further comprises determining a thickness of the tissue based on a magnetic attraction between the magnet and the magnetic element.
20 . The surgical method of claim 12 , wherein automatically adjusting the at least one parameter of the respective electrode comprises automatically controlling radial rotation of the respective electrode.