# US 10,117,705 B2 · Optical recognition of tissue and vessels

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- Number: US 10,117,705 B2
- Document ID: US10117705B2
- Status: Granted
- Kind: B2
- Application number: 13/108,196
- Filed: 2011-05-16
- Published: 2012-11-22
- Granted: 2018-11-06
- Earliest claimed: 2011-05-16
- Assignees: Covidien LP
- Applicants: Boris Chernov; Nataliya Chernova; Igoris Misuchenko; Georgy Martsinovskiy; Mikhail Verbitsky
- Inventors: Boris Chernov; Igoris Misuchenko; Georgy Martsinovskiy; Mikhail Verbitsky
- Web page: https://patentgrep.com/patent/US10117705B2

## CPC

- A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod}
- A61B 90/30: Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B 1/00137: {End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs}
- A61B 5/0071: {by measuring fluorescence emission}
- A61B 5/0084: {for introduction into the body, e.g. by catheters (A61B5/1459 takes precedence)}
- A61B 17/2812: {with a single pivotal connection (A61B17/29 takes precedence)}
- A61B 2017/00057: {Light}
- A61B 2017/00061: {spectrum}
- A61B 2018/00404: {Blood vessels other than those in or around the heart}
- A61B 2018/00589: {Coagulation}
- A61B 2018/00595: {Cauterization}
- A61B 2018/00607: {Coagulation and cutting with the same instrument}
- A61B 2018/0063: {Sealing}
- A61B 2018/00702: {Power or energy}
- A61B 2018/00726: {Duty cycle}
- A61B 2018/00732: {Frequency}
- A61B 2018/00791: {Temperature}
- A61B 2018/00827: {Current}
- A61B 2018/00875: {Resistance or impedance}
- A61B 2018/00892: {Voltage}
- A61B 2018/00982: {combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes}
- A61B 2090/3941: {Photoluminescent markers}
- A61B 2562/0238: Optical sensor arrangements for performing transmission measurements on body tissue
- A61B 2562/046: in a matrix array
- A61N 2007/0017: {Wound healing}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

Methods and apparatus for optically recognizing tissue parameters during an energy-based tissue-sealing procedure involve grasping tissue with a tissue-sealing instrument, illuminating the grasped tissue or tissue adjacent to the grasped tissue with light, analyzing the light that is transmitted, scattered, or reflected by the tissue, and recognizing the tissue based on the result of analyzing the light. The wavelength of the light may be selected so that a vessel is sufficiently recognizable in tissue containing the vessel. A marker may also be introduced into fluid flowing in the vessel to increase the contrast between the vessel and tissue containing the vessel. Analyzing the light includes analyzing the spatial and spectral distribution of light. Analyzing the light may also include forming the light into an image of the illuminated tissue. The image of the illuminated tissue may be projected onto the eyes of a surgeon or sensed by a matrix of light detectors disposed on a jaw member of the tissue-sealing instrument and transmitted to a display.

## Claims

### Claim 1

A method of recognizing tissue during an energy-based tissue-sealing procedure, the method comprising:
grasping tissue, which includes a vessel, with an energy-based tissue-sealing instrument;
introducing a marker into fluid flowing in the vessel to increase contrast between the vessel and the tissue, wherein the marker is not introduced into the tissue;
selecting a first wavelength of light so that a difference between absorption or scattering of the light of the first wavelength by the marker and absorption or scattering of the light of the first wavelength by the tissue is sufficient to distinguish between the vessel and the tissue in the light transmitted, scattered, or reflected by the tissue;
selecting a second wavelength of light so that a difference between absorption or scattering of the light of the second wavelength by the marker and absorption or scattering of the light of the second wavelength by the tissue is not sufficient to distinguish between the vessel and the tissue in the light transmitted, scattered, or reflected by the tissue;
illuminating, by the energy-based tissue-sealing instrument, the grasped tissue or tissue adjacent to the grasped tissue with light having the first wavelength and the second wavelength;
forming a spatial distribution of the light transmitted, scattered, or reflected by the tissue into an image of the tissue;
projecting the image from the energy-based tissue-sealing instrument;
correlating light of the first wavelength transmitted, scattered, or reflected by the tissue with light of the second wavelength transmitted, scattered, or reflected by the tissue; and
determining parameters of the tissue and a position of the vessel within the tissue based on the correlation between the light of the first wavelength and the light of the second wavelength.

### Claim 2 (depends on 1)

The method of claim 1, further comprising:
analyzing a spectral distribution of the light transmitted, scattered, or reflected by the tissue and the marker; and
recognizing the tissue based on a result of analyzing the spectral distribution of the light transmitted, scattered, or reflected by the tissue and the marker.

### Claim 3 (depends on 1)

The method of claim 1, wherein grasping tissue includes applying time-varying force to the tissue to vary the amount of fluid in the vessel.

### Claim 4 (depends on 1)

The method of claim 1, wherein illuminating the tissue with light includes illuminating the tissue with light having at least one wavelength absorbable by the marker to cause the marker to emit luminescent light.

### Claim 5 (depends on 1)

The method of claim 1, wherein illuminating the tissue with light includes illuminating the tissue with light having at least a third wavelength and a fourth wavelength, the third wavelength selected so that the difference between absorption or scattering of the light of the third wavelength by the vessel and absorption or scattering of the light of the third wavelength by tissue surrounding the vessel is sufficient to recognize the vessel based on the light transmitted, scattered, or reflected by the tissue, the fourth wavelength selected so that the magnitude of the absorption or scattering of the light of the fourth wavelength by the vessel is approximately equal to the magnitude of the absorption or scattering of the light of the fourth wavelength by the tissue surrounding the vessel.

### Claim 6 (depends on 5)

The method of claim 5, further comprising correlating the light of the third wavelength transmitted, scattered, or reflected by the tissue with the light of the fourth wavelength transmitted, scattered, or reflected by the tissue to determine a position of the vessel in the tissue surrounding the vessel.

### Claim 7 (depends on 1)

The method of claim 1, wherein the marker is a luminescent marker.

### Claim 8 (depends on 7)

The method of claim 7, further comprising analyzing luminescent light emitted from the marker to determine a parameter of the vessel.

### Claim 9 (depends on 8)

The method of claim 8, wherein the parameter of the vessel is a size of the vessel, further comprising generating an alarm signal when the size of the vessel reaches a predetermined size.

### Claim 10

An energy-based tissue-sealing system, comprising:
a tissue-sealing instrument including:
a first jaw member made of a transparent or semitransparent material;
a second jaw member disposed opposite the first jaw member, the first jaw member and the second jaw member operable to move in opposite directions to grasp tissue which includes a vessel;
a transparent or semi-transparent contact coupled to the first jaw member, the transparent or semi-transparent contact configured to apply energy to the tissue to seal the tissue; and
an optical system coupled to the second jaw member, the optical system configured to illuminate tissue with light having a first wavelength and a second wavelength and to form a spatial distribution of the light transmitted by the tissue into an image of the tissue, wherein the image is projected from the second jaw member; and
a generator coupled to the tissue-sealing instrument, wherein the generator includes a processor configured to correlate light of the first wavelength transmitted, scattered, or reflected by the tissue with light of the second wavelength transmitted, scattered, or reflected by the tissue and configured to determine parameters of the tissue and a position of the vessel within the tissue based on the correlation between the light of the first wavelength and the light of the second wavelength,
wherein the first jaw member is configured to transmit the light transmitted or scattered by the tissue to an exterior surface of the first jaw member,
wherein a marker is introduced into fluid flowing in the vessel to increase contrast between the vessel and the tissue, and the marker is not introduced into the tissue,
wherein the processor is further configured to select the first wavelength so that a difference between absorption or scattering of the light of the first wavelength by the marker and absorption or scattering of the light of the first wavelength by the tissue is sufficient to distinguish between the vessel and the tissue in the light transmitted, scattered, or reflected by the tissue, and
wherein the processor is further configured to select the second wavelength so that a difference between absorption or scattering of the light of the second wavelength by the marker and absorption or scattering of the light of the second wavelength by the tissue is not sufficient to distinguish between the vessel and the tissue in the light transmitted, scattered, or reflected by the tissue.

### Claim 11 (depends on 10)

The energy-based tissue-sealing system of claim 10, wherein the optical system includes:
a light source configured to generate light; and
a beam former configured to form the light into the light and to illuminate the tissue with the light.

### Claim 12 (depends on 11)

The energy-based tissue-sealing system of claim 11, further comprising a second transparent or semi-transparent contact coupled to the second jaw member, the second transparent or semi-transparent contact configured to apply energy to the tissue to seal the tissue,
wherein the optical system is disposed between the second transparent or semi-transparent contact and at least a portion of the second jaw member.

### Claim 13 (depends on 10)

The energy-based tissue-sealing system of claim 10, further comprising an optical sensor coupled to the exterior surface of the first jaw member, the optical sensor configured to sense the light transmitted to the exterior surface of the first jaw member.

### Claim 14 (depends on 13)

The energy-based tissue-sealing system of claim 13, wherein the optical sensor is a matrix of optical detectors.

### Claim 15 (depends on 10)

The energy-based tissue-sealing system of claim 10, wherein the first jaw member is further configured to display the light transmitted or scattered by the tissue to a user of the tissue-sealing instrument.

### Claim 16 (depends on 15)

The energy-based tissue-sealing system of claim 15, wherein the first jaw member includes a lens configured to display the light transmitted or scattered by the tissue to a user of the tissue-sealing instrument.