Innovative surgical endoscopes in video-assisted thoracic surgery

Area of Science:

• Medical Devices
• Surgical Technology
• Thoracic Surgery

Background:

• Rod lens endoscopes have been pivotal in advancing video-assisted thoracic surgery (VATS).
• The emergence of uniportal VATS necessitates innovations in surgical instruments to address limitations like trocar crowding and instrument interference.
• Existing articulated flexible endoscopes offer expanded views but still face challenges in crowded surgical sites.

Purpose of the Study:

• To design novel magnetic anchored and steered endoscopes specifically for uniportal VATS.
• To overcome the spatial constraints and port crowding issues inherent in single-incision thoracic surgery.
• To develop wirelessly actuated endoscopic solutions that enhance maneuverability and surgeon ergonomics.

Main Methods:

• Design and conceptualization of two distinct magnetic anchored endoscope prototypes.
• One prototype features a soft, silicone rubber body for safety and compactness.
• The second prototype is a compact 40 mm capsule designed for optimal fit within VATS spatial constraints.
• Wireless actuation via magnetic interaction is employed for both designs.

Main Results:

• Successful design of two novel magnetic anchored and steered endoscopes tailored for uniportal VATS.
• The developed endoscopes are wirelessly actuated, addressing the need for reduced instrument crowding.
• One design prioritizes a lightweight, safe soft body, while the other offers a compact capsule form factor optimized for thoracic surgery environments.

Conclusions:

• Magnetic anchored endoscopes present a promising alternative to traditional rigid rod endoscopes in uniportal VATS.
• The novel designs address key limitations of current flexible endoscopes, offering improved maneuverability and reduced port occupancy.
• These innovations have the potential to enhance surgical technique and patient outcomes in minimally invasive thoracic procedures.