Cannula with proximally mounted camera and transparent obturator
A cannula system and method for accessing a blood mass in the brain. The system comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen. A prism, reflector or other suitable optical element is oriented between the camera and the lumen of the cannula to afford the camera a view into the cannula while minimizing obstruction of the lumen. The system may also include an obturator with a small diameter shaft and a large diameter tip which is optically transmissive, so that a surgeon inserting or manipulating the assembly can easily see that the obturator tip is near brain tissue (which is white) or blood (which is red).
1. A method of accessing and viewing a surgical field within the brain, said method comprising the steps of:
providing a cannula system comprising a cannula and camera assembly, the cannula comprising a cannula tube with a proximal end and a distal end and a lumen extending from the proximal end to the distal end, the camera assembly comprising an imaging sensor and a lens and a prism;
inserting the cannula with an obturator having a tip into the patient's brain until the distal end of the cannula and obturator tip is close to the surgical field;
removing the obturator so that the cannula can be used to provide access, illumination and visibility for the surgical field while the camera assembly remains in place;
positioning the camera assembly so that the camera assembly is secured to the proximal end of the cannula, with a portion of the camera assembly overhanging the lumen and extending into a cylindrical space defined by the lumen of the cannula tube; and
operating the camera assembly to obtain images of the surgical field obtained through the lumen.
2. The method of claim 1 further comprising the step of transmitting the images to a display to provide the images of the surgical field obtained through the lumen.
3. The method of claim 1 further comprising the step of passing surgical instruments through the lumen of the cannula while a portion of the camera assembly is disposed within the cylindrical spaced defined by the lumen of the cannula tube.
4. The method of claim 1 further comprising the step of passing surgical instruments through the lumen of the cannula while a portion of the camera assembly is disposed over the cylindrical space defined by the lumen of the cannula tube.
5. The method of claim 1 further comprising the step of placing the prism to overhang the lumen by no more than about 15% of the inside diameter of the lumen.
6. The method of claim 1 further comprising the step of placing the prism to overhang the lumen by no more than about 25% of the inside diameter of the lumen.
7. A method of accessing and viewing a surgical field within the brain, said method comprising the steps of:
providing a cannula system comprising a cannula and camera assembly, the cannula comprising a cannula tube with a proximal end and a distal end and a lumen extending from the proximal end to the distal end, the camera assembly comprising an imaging sensor and a lens and a prism;
positioning the camera assembly so that the camera assembly is secured to the proximal end of the cannula, with a portion of the camera assembly overhanging the lumen and extending into a cylindrical space defined by the lumen of the cannula tube;
inserting an obturator having a tip into the lumen of the cannula; and thereafter
inserting the cannula with the obturator into the patient's brain until the distal end of the cannula and obturator tip is close to the surgical field; and thereafter
removing the obturator so that the cannula can be used to provide access, illumination and visibility for the surgical field while the camera assembly remains in place;
operating the camera assembly to obtain images of the surgical field obtained through the lumen.
8. The method of claim 7 further comprising the step of transmitting the images to a display to provide the images of the surgical field obtained through the lumen.
9. The method of claim 7 further comprising the step of passing surgical instruments through the lumen of the cannula while a portion of the camera assembly is disposed within the cylindrical spaced defined by the lumen of the cannula tube.
10. The method of claim 7 further comprising the step of passing surgical instruments through the lumen of the cannula while a portion of the camera assembly is disposed over the cylindrical space defined by the lumen of the cannula tube.
11. The method of claim 7 further comprising the step of placing the prism to overhang the lumen by no more than about 15% of the inside diameter of the lumen.
12. The method of claim 7 further comprising the step of placing the prism to overhang the lumen by no more than about 25% of the inside diameter of the lumen.