Surgical systems for independently insufflating two separate anatomic spaces
Surgical systems are provided. In one exemplary embodiment, a surgical system includes a first scope device, a first instrument, a second scope device, and a second instrument. The first scope device has a first portion configured to be inserted into an extraluminal anatomical space and a second portion configured to be positioned within an intraluminal anatomical space. The first scope device includes a first insufflation port configured to insufflate the intraluminal anatomical space. The first instrument is configured to be inserted through the extraluminal anatomical space and into the intraluminal anatomical space such that the first instrument is present in both the extraluminal and intraluminal anatomical spaces. The second scope device is configured to be inserted into the extraluminal anatomical space. The second scope device has a second insufflation port configured to insufflate the extraluminal anatomical space. The second instrument is configured to be inserted into the extraluminal anatomical space. Methods are also provided.
1 . A surgical system, comprising:
a first scope device having a first portion configured to be inserted into and positioned within an extraluminal anatomical space and a second portion distal to the first portion and configured to be positioned within an intraluminal anatomical space, the first scope device having:
a first insufflation port operatively coupled to the second portion of the first scope device and configured to insufflate the intraluminal anatomical space into a first insufflated space, wherein the first insufflation port is connected to a first fluid system, wherein the first fluid system comprises a first pump and a first fluid reservoir, wherein the first fluid reservoir comprises saline, and wherein being configured to insufflate the intraluminal anatomical space comprises being configured to insufflate the intraluminal anatomical space by pumping the saline into the intraluminal anatomical space from the first fluid reservoir using the first pump and creating a first pressure, or desufflate the intraluminal anatomical space by pumping the saline out of the intraluminal anatomical space using the first pump and the first pressure; and
a first instrument configured to be inserted into and through the extraluminal anatomical space and into the intraluminal anatomical space such that the first instrument is present in both the extraluminal and intraluminal anatomical spaces; and
a second scope device configured to be inserted into the extraluminal anatomical space, the second scope device having:
a second insufflation port operatively coupled to the second scope device and configured to insufflate the extraluminal anatomical space into a second insufflated space, wherein the second insufflation port is connected to a second fluid system, wherein the second fluid system comprises a second pump and a second fluid reservoir, wherein the second fluid reservoir comprises saline, wherein being configured to insufflate the extraluminal anatomical space comprises being configured to insufflate the extraluminal anatomical space by pumping the saline into the extraluminal anatomical space from the second fluid reservoir using the second pump and creating a second pressure, or desufflate the extraluminal anatomical space by pumping the saline out of the extraluminal anatomical space using the second pump and the second pressure, and wherein the first pressure differs from the second pressure; and
a second instrument configured to be inserted into the extraluminal anatomical space.
2 . The surgical system of claim 1 , further comprising a sealing port arranged in a tissue wall separating the extraluminal anatomical space from the intraluminal anatomical space, the sealing port configured to allow the second portion of the first scope device to pass into the intraluminal anatomical space.
3 . The surgical system of claim 1 , wherein the first scope device is configured to create a seal in the intraluminal anatomical space.
4 . The surgical system of claim 1 , wherein the second instrument is configured to create a seal in the intraluminal anatomical space while within the extraluminal anatomical space.
5 . The surgical system of claim 1 , further comprising an imaging system arranged on the second portion of the first scope device and configured to transmit image data of at least one of a scene within a field of view of the first scope device or a scene within a field of view of the second scope device.
6 . The surgical system of claim 1 , wherein the first scope device further comprises a flexible body with a working channel extending therethrough and configured to allow a distal end of the first instrument to be inserted into and through the extraluminal anatomical space and into the intraluminal anatomical space such that the first instrument is present in both the extraluminal and intraluminal anatomical spaces.
7 . The surgical system of claim 1 , wherein the surgical system further comprises a first imaging system and a first tracking device that are associated with the first scope device and a second imaging system and a second tracking device that are associated with the second scope device, wherein the first scope device is configured to transmit first image data of a first scene within a first field of view of the first scope device using the first imaging system and transmit first signal indicative of a location of the first scope device, and wherein the second scope device is configured to transmit second image data of a second scene within a second field of view of the second scope device using the second imaging system and transmit second signal indicative of a location of the second scope device.
8 . The surgical system of claim 1 , wherein the surgical system further comprises a first tracking device associated with the first scope device and a second tracking device associated with the second scope device, wherein the first scope device is configured to transmit a first signal to the surgical system and the second scope device is configured to transmit a second signal to the surgical system, and wherein the surgical system is configured to determine a relative distance and a relative orientation between the first scope device and the second scope device based on the first signal and the second signal.
9 . A method, comprising:
inserting a first portion of a first scope device into an extraluminal anatomical space;
inserting a second portion of the first scope device, distal to the first portion, into an intraluminal anatomical space, wherein the first scope device has a first insufflation port, wherein the second portion is distal to the first portion and is configured to be positioned within the intraluminal anatomical space, wherein the first insufflation port is connected to a first fluid system, wherein the first fluid system comprises a first pump and a first fluid reservoir, and wherein the first fluid reservoir comprises saline;
inserting a first instrument through the extraluminal anatomical space and into the intraluminal anatomical space such that the first instrument is present in both the extraluminal and intraluminal anatomical spaces;
inserting a second scope device into the extraluminal anatomical space, wherein the second scope device has a second insufflation port, wherein the second insufflation port is connected to a second fluid system, wherein the second fluid system comprises a second pump and a second fluid reservoir, and wherein the second fluid reservoir comprises saline;
inserting a second instrument into the extraluminal anatomical space;
insufflating the extraluminal anatomical space to a first pressure through the second insufflation port of the second scope device, wherein insufflating the extraluminal anatomical space comprises insufflating the extraluminal anatomical space by pumping the saline into the extraluminal anatomical space from the second fluid reservoir using the second pump and creating the first pressure, or desufflate the extraluminal anatomical space by pumping the saline out of the extraluminal anatomical space using the second pump and the first pressure; and
insufflating the intraluminal anatomical space to a second pressure through the first insufflation port of the first scope device, wherein insufflating the intraluminal anatomical space comprises insufflating the intraluminal anatomical space by pumping the saline into the intraluminal anatomical space from the first fluid reservoir using the first pump and creating the second pressure, or desufflate the intraluminal anatomical space by pumping the saline out of the intraluminal anatomical space using the first pump and the second pressure, and wherein the first pressure differs from the second pressure.
10 . The method of claim 9 , further comprising passing the second portion of the first scope device to into the intraluminal anatomical space through a sealing port placed within a tissue wall separating the extraluminal anatomical space from the intraluminal anatomical space.
11 . The method of claim 10 , further comprising inserting the second portion of the first scope device through the sealing port and into the intraluminal anatomical space.
12 . The method of claim 9 , further comprising transmitting at least one of image data of a scene within a field of view of the first scope device via an imaging system arranged on the second portion of the first scope device or image data of a scene within a field of view of the second scope device via an imaging system arranged on the second scope device.
13 . The method of claim 9 , further comprising inserting a distal end of the first instrument into and through a working channel of a flexible body of the first scope device such that the first instrument is present in both the extraluminal and intraluminal anatomical spaces.
14 . The method of claim 13 , further comprising removing the first instrument from the working channel while the second portion of the first scope device is positioned within the intraluminal anatomical space.
15 . The method of claim 14 , further comprising arranging a third instrument within the working channel while the second portion of the first scope device is positioned within the intraluminal anatomical space.
16 . The method of claim 9 , further comprising manipulating a tissue wall at least partially defining the intraluminal anatomical space via the second instrument.
17 . The method of claim 9 , further comprising enlarging a working volume within the extraluminal anatomical space by depressurizing the intraluminal anatomical space through the second insufflation port.
18 . The method of claim 9 , wherein the method further comprises:
transmit first image data of a first scene within a first field of view of the first scope device using a first imaging system, wherein the first imaging system is associated with the first scope device;
transmitting a first signal indicative of a location of the first scope device using a first tracking device, wherein the first tracking device is associated with the first scope device;
transmitting second image data of a second scene within a second field of view of the second scope device using a second imaging system, wherein the second imaging system is associated with the second scope device; and
transmitting a second signal indicative of a location of the second scope device using a second tracking device, wherein the second tracking device is associated with the second scope device.
19 . The method of claim 9 , wherein the method further comprises:
transmitting a first signal to a surgical system using a first tracking device, wherein the first tracking device is associated with the first scope device;
transmitting a second signal to the surgical system using a second tracking device, wherein the second tracking device is associated with the second scope device; and
determining a relative distance and a relative orientation between the first scope device and the second scope device based on the first signal and the second signal.