Device for maintaining visualization with surgical scopes
The present application discloses several embodiments of a devices for maintaining visualization with a surgical scope. The embodiments of the device are adapted to shield, defog or clean the lens of the surgical scope while the surgical scope is being used to perform a surgical procedure within a patient's body. In one embodiment, a view optimizer is provided that is adapted to deliver at least one fluid to the objective lens of the laparoscope to clean and/or defog the objective lens of the laparoscope without the need to remove the laparoscope from the surgical field. In additional embodiments, a view optimizer is provided that is adapted to create leakage or venting of gas from the body cavity so as to ensure continuous gas flow from an insufflator.
1. A view optimizing assembly for use with a laparoscope having an objective lens for viewing a body cavity insufflated with CO 2 by an insufflator, the assembly comprising
a cylindrical tube separate from the laparoscope and having a distal end, the cylindrical tube having an interior lumen configured to accommodate passage of the laparoscope to position the objective lens generally adjacent to the distal end during use and to accommodate removal of the laparoscope from the cylindrical tube after use, the cylindrical tube including
a pair of first interior channels, and
a second interior channel separate from the pair of first interior channels,
a lens guard projecting circumferentially forward and beyond the distal end of the cylindrical tube and including
a pair of first passages formed in the lens guard communicating with the pair of first interior channels and not the second interior channel, and
a second passage formed in the lens guard communicating with the second interior channel and not the pair of first interior channels,
a first supply conduit having tubing configured to couple with the insufflator to divert a portion of the CO 2 from the insufflator into the pair of first interior channels and through the pair of first passages so as to direct a stream of diverted CO 2 across the objective lens at a diverted flow rate of at least 0.07 liters per minute in a plurality paths to defog the objective lens and deflect debris,
a second supply conduit configured to couple with a source of liquid, the second supply conduit coupled with a manually controlled actuator configured to convey the liquid through the second supply conduit, into the second interior channel, and through the second passage so as to direct a stream of the liquid across the objective lens in a second path different then the plurality of first paths to clear material from the objective lens, wherein residual droplets of the liquid may remain on the objective lens that are resistant to removal by the stream of diverted CO 2 directed across the objective lens at the diverted flow rate, and
a manually activated pneumatic bulb coupled with the first supply conduit and configured to deliver a burst of CO 2 through the pair of first interior channels, through the pair of first passages, and across the objective lens at a burst flow rate greater than the diverted flow rate to remove the residual droplets of the liquid from the objective lens.
2. An assembly according to claim 1
wherein the lens guard is angled to correspond with a laparoscope having an angled end portion.
3. An assembly according to claim 1
wherein the cylindrical tube comprises a rigid material.
4. An assembly according to claim 1
wherein the cylindrical tube comprises a flexible material.
5. An assembly according to claim 1
wherein the diverted flow rate is upwards to 10 liters per minute.
6. An assembly according to claim 1
wherein the lens guard projects forward and beyond the distal end of the cylindrical tube by upwards to 7 mm.
7. An assembly according to claim 5
wherein the burst flow rate is greater than or equal to 20 liters per minute.