Surgical devices and methods for bariatric and gastroesophageal surgery
Disclosed are various embodiments for improved surgical devices and methods of using the same in connection with bariatric and gastroesophageal surgery. The present disclosure includes a lighted bougie device that can include an elongate member and a light source. The light source can be configured to emit near infrared light. The light source can also be positioned about the bougie such that light emitted from the light source illuminates along a portion of the bougie.
1 . A lighted device for use in a surgical procedure, the lighted device comprising:
an elongated member having a distal end for inserting into an operative field of a patient and having a proximal end;
a handle coupled to the proximal end of the elongated member; and
a plurality of light sources disposed along the elongated member and configured to emit light in a first wavelength range and a second wavelength range different from the first wavelength range,
wherein:
a first light source closest to the distal end of the elongated member among the plurality of light sources is disposed at a first location of the elongated member,
a second light source closest to the proximal end of the elongated member among the plurality of light sources is disposed at a second location of the elongated member,
a length of the elongated member between the first location and the second location is at least 50% of a length of the operative field of the patient, and
light sources in at least a subset of the plurality of light sources are spaced apart along a length direction of the elongated member at a predetermined interval of between 0.5 cm and 5 cm, thereby allowing use of the elongated member and the light sources as a ruler for one or more intraoperative measurements.
2 . The lighted device of claim 1 , wherein the first wavelength range is a white light range and the second wavelength range is a near-infrared light range.
3 . The light device of claim 2 , wherein the plurality of light sources comprises at least one light source that emits light in the white light range and comprises at least one light source that emits light in the near-infrared light range.
4 . The lighted device of claim 2 , wherein the first wavelength range is about 400 nm to about 650 nm.
5 . The lighted device of claim 2 , wherein the second wavelength range is about 700 nm to about 1300 nm, or about 700 nm to about 850 nm.
6 . The lighted device of claim 1 , wherein the length of the elongated member between the first location and the second location is at least 60%, at least 70%, at least 80% or at least 90% of the length of the operative field of the patient.
7 . The lighted device of claim 1 , wherein the plurality of light sources comprises at least one LED light, at least one optic fiber, a polymer containing a near infrared fluorescent material, or any combination thereof.
8 . The lighted device of claim 1 , wherein the plurality of light sources comprises at least 10 individual light sources.
9 . The lighted device of claim 1 , wherein adjacent light sources in at least the subset of the plurality of light sources are spaced apart evenly along the length direction of the elongated member.
10 . The lighted device of claim 1 , wherein at least one light source among the plurality of light sources is disposed at or adjacent to the distal end of the elongated member.
11 . The lighted device of claim 1 , wherein the plurality of light sources is operated to alternately emit the light in the first wavelength range and in the second wavelength range.
12 . The lighted device of claim 1 , wherein the elongated member comprises a suction channel, and one or more apertures extending from an exterior surface of the elongated member into the suction channel.
13 . The lighted device of claim 1 , wherein the operative field is a gastrointestinal tract of the patient and the light emitted from the plurality of light sources is detectable by a camera positioned outside of the gastrointestinal tract.
14 . The lighted device of claim 1 , wherein the elongated member is a bougie configured to be inserted into a stomach of the patient, and the light emitted by the plurality of light sources allows visualization of an outside of the stomach and the bougie in the stomach of the patient.
15 . The lighted device of claim 1 , wherein the lighted device is configured to be used as a guide during the surgical procedure.
16 . The lighted device of claim 1 , wherein the lighted device is configured to be used for a laparoscopic or robotic surgery.
17 . The lighted device of claim 1 , wherein the elongated member has a diameter of 34 French, 36 French, 38 French, or 40 French.
18 . The lighted device of claim 1 , wherein the elongated member has a length of about 32 inches.
19 . A lighted device for use in a surgical procedure, the lighted device comprising:
an elongated member having a distal end for inserting into an operative field of a patient and having a proximal end;
a handle coupled to the proximal end of the elongated member; and
a plurality of light sources disposed along the elongated member and configured to emit light in a first wavelength range and a second wavelength range different from the first wavelength range,
wherein the plurality of light sources comprises at least 8 individual light sources that are spaced apart along a length direction of the elongated member at a predetermined interval of between 0.5 cm and 5 cm, thereby allowing use of the elongated member and the light sources as a ruler for one or more intraoperative measurements.
20 . The lighted device of claim 19 , wherein the plurality of light sources comprises at least 10 or at least 12 individual light sources.
21 . A lighted device for use in a surgical procedure, the lighted device comprising:
an elongated member having a distal end for inserting into an operative field of a patient and having a proximal end;
a handle coupled to the proximal end of the elongated member; and
a plurality of light sources disposed along the elongated member,
wherein the plurality of light sources comprises at least 8 individual light sources to emit light in a range of about 700 nm to about 1300 nm, the at least 8 individual light sources spaced apart along a length direction of the elongated member at a predetermined interval of between 0.5 cm and 5 cm, thereby allowing use of the elongated member and the light sources as a ruler for one or more intraoperative measurements.
22 . The lighted device of claim 21 , wherein the at least 8 individual light sources emit light in a range of about 700 nm to about 850 nm.
23 . The lighted device of claim 21 , wherein the plurality of light sources comprises at least 10 or at least 12 individual light sources.
24 . A lighted device for use in a surgical procedure, the lighted device comprising:
an elongated member having a distal end for inserting at least a first portion of the elongated member of the lighted device into an operative field of a patient and having a proximal end;
a handle coupled to the proximal end of the elongated member; and
a plurality of light sources disposed at the first portion of the elongated member and configured to emit light in a first wavelength range that is able to transmit through one or more first tissues of the patient but unable to transmit through one or more second tissues of the patient and a second wavelength range that is able to transmit through both the one or more first tissues and the one or more second tissues of the patient,
wherein:
a length of the first portion of the elongated member is at least 50% of a length of the operative field of the patient;
the plurality of light sources comprises at least 8 individual light sources to emit light in a range of about 700 nm to about 1300 nm;
adjacent light sources in the at least 8 individual light sources are spaced apart along a length direction of the elongated member at a predetermined interval of between 0.5 cm and 5 cm to facilitate one or more intraoperative measurements.
25 . The lighted device of claim 24 , wherein the plurality of light sources comprises five or more light sources.
26 . The lighted device of claim 24 , wherein the plurality of light sources is configured to generate a white light and a near-infrared light.
27 . The lighted device of claim 24 , wherein the plurality of light sources comprises at least one LED light, at least one optic fiber, a polymer containing a near infrared fluorescent material, or any combination thereof.