Surgical console, specimen receiver, and insertable endoscopic instrument for tissue removal

Abstract

A surgical console includes a drive assembly, vacuum interface, fluid transfer device, user interface, and control circuit. The drive assembly is configured to be coupled to an endoscopic tool and to be rotated by a motor. The vacuum interface is configured to apply a vacuum to the endoscopic tool. The fluid transfer device is configured to flow fluid through the endoscopic tool. The user interface is configured to receive a user input indicating at least one of instructions to rotate the endoscopic tool while applying the vacuum, or to flow fluid through the endoscopic tool. The control circuit controls at least one of the drive assembly, the vacuum interface, or the fluid transfer device based on the instructions, and is configured to cause the drive assembly to rotate the endoscopic tool while the vacuum interface applies the vacuum responsive to the user input indicating instructions to rotate the endoscopic tool.

What is claimed is: 
     
         1 . A surgical console, comprising:
 a drive assembly configured to be coupled to an endoscopic tool, the drive assembly configured to rotated by a motor, the motor configured to rotate a drive element at a speed associated with rotation of the endoscopic tool;   a vacuum interface configured to be coupled to the endoscopic tool to apply a vacuum to the endoscopic tool;   a user interface configured to receive a user input indicating an instruction to rotate the endoscopic tool while applying the vacuum to the endoscopic tool; and   a control circuit configured to extract the instruction from the user input to control at least one of the drive assembly or the vacuum interface, the control circuit configured to cause the drive assembly to rotate the endoscopic tool while the vacuum interface applies the vacuum to the endoscopic tool responsive to the user input indicating the instruction to rotate the endoscopic tool.   
     
     
         2 . The surgical console of  claim 1 , wherein the vacuum interface includes a vacuum control device configured to fluidly couple tubing to a vacuum port of the endoscopic tool and to at least one of a specimen receiver or a vacuum source. 
     
     
         3 . The surgical console of  claim 2 , wherein the user interface includes a vacuum control release configured to receive a vacuum control instruction configured to cause the vacuum control device to be actuated to one of an open position in which the vacuum control device is configured to receive the tubing or a closed position in which the vacuum control device is configured to engage the tubing. 
     
     
         4 . The surgical console of  claim 3 , wherein the vacuum control device is configured to be actuated to the open position for a predetermined amount of time and automatically close after the predetermined amount of time. 
     
     
         5 . The surgical console of  claim 1 , wherein the user input is a first user input, wherein the instruction is a first instruction, and wherein the user interface is configured to receive a second user input indicating a second instruction to flow fluid through the endoscopic tool, and further comprising:
 a fluid transfer device configured to be coupled to the endoscopic tool to flow fluid through the endoscopic tool, wherein the control circuit is further configured to extract the second instruction from the user input to control the fluid transfer device; and   wherein the user interface includes a primer input configured to cause at least one of a prime or a flush tubing, the flush tubing coupled to the fluid transfer device and to an irrigation port of the endoscopic tool.   
     
     
         6 . The surgical console of  claim 1 , wherein the user interface includes a speed control configured to receive an indication of a speed of rotation of the endoscopic tool, and the control circuit is configured to cause the drive assembly to output a torque corresponding to the speed of rotation to the endoscopic tool, wherein the drive assembly includes a drive torque coil configured to expand or compress to compensate for an expansion force or a compression force associated with the torque. 
     
     
         7 . The surgical console of  claim 1 , wherein the drive assembly includes an engagement receiving member configured to engage a drive shaft of the endoscopic tool. 
     
     
         8 . The surgical console of  claim 1 , further comprising a bracket assembly configured to removably engage a specimen receiver, the bracket assembly including a first receiving portion continuous with and offset from a second receiving portion. 
     
     
         9 . The surgical console of  claim 1 , further comprising an endoscopic tool interface configured to receive a proximal connector of the endoscopic tool, the endoscopic tool interface including an engagement actuator configured to be in a first position in which the endoscopic tool interface is configured to engage the proximal connector of the endoscopic tool and a second position in which the endoscopic tool interface is disengaged from the proximal connector of the endoscopic tool. 
     
     
         10 . The surgical console of  claim 1 , wherein the user interface is communicably coupled to a first remote input device associated with control of the drive assembly and the fluid transfer device, and a second remote input device associated with control of the vacuum interface, and the control circuit is configured to control the vacuum interface based on receiving a second control instruction from the second remote input device if the second control instruction is received within a predetermined time after receiving a first control instruction from the first remote input device. 
     
     
         11 . A method for operating a surgical console, comprising:
 receiving, at a user interface, a user input indicating an instruction to rotate an endoscopic tool using a drive assembly while applying a vacuum to the endoscopic tool using a vacuum interface, the drive assembly configured to be coupled to the endoscopic tool, the drive assembly configured to rotated by a motor, the motor configured to rotate a drive element at a speed associated with rotation of the endoscopic tool, the vacuum interface configured to be coupled to the endoscopic tool to apply the vacuum to the endoscopic tool;   extracting, from the user input, the instruction; and   controlling at least one of the drive assembly or the vacuum interface based on the instruction, wherein controlling includes causing the drive assembly to rotate the endoscopic tool while causing the vacuum interface to apply the vacuum responsive to the user input indicating the instruction to rotate the endoscopic tool.   
     
     
         12 . The method of  claim 11 , further comprising fluidly coupling a vacuum control device of the vacuum interface to a vacuum port of the endoscopic tool and at least one of a specimen receiver or a vacuum source. 
     
     
         13 . The method of  claim 12 , further comprising receiving, at a vacuum control release of the user interface, a vacuum control instruction, and causing the vacuum control device to be actuated to one of an open position in which the vacuum control device is configured to receive tubing or a closed position in which the vacuum control device is configured to engage the tubing. 
     
     
         14 . The method of  claim 13 , wherein actuating the vacuum control device to the open position includes actuating the vacuum control device to the open position for a predetermined amount of time and automatically closing the vacuum control device after the predetermined amount of time. 
     
     
         15 . The method of  claim 11 , wherein the user input is a first user input, wherein the instruction is a first instruction, and further comprising:
 receiving, at the user interface, a second user input indicating a second instruction to flow fluid through the endoscopic tool using a fluid transfer device configured to be coupled to the endoscopic tool;   controlling the fluid transfer device based on the second instruction, wherein controlling includes causing the drive assembly to rotate the endoscopic tool while causing the vacuum interface to apply the vacuum responsive to the user input indicating the second instruction to rotate the endoscopic tool; and   receiving a primer instruction at a primer input of the user interface, and causing at least one of a prime or a flush tubing coupled to the fluid transfer device and to an irrigation port of the endoscopic tool based on the primer instruction.   
     
     
         16 . The method of  claim 11 , further comprising:
 receiving an indication of a speed of rotation of the endoscopic tool at a speed control of the user interface;   causing the drive assembly to output a torque to the endoscopic tool based on the speed; and   causing a drive torque coil of the drive assembly to expand or compress to compensate for an expansion force or a compression force associated with the torque.   
     
     
         17 . The method of  claim 11 , further comprising engaging a drive shaft of the endoscopic tool by an engagement receiver member of the drive assembly. 
     
     
         18 . The method of  claim 11 , further comprising:
 receiving a proximal connector of the endoscopic tool at an endoscopic tool interface;   positioning an engagement actuator of the endoscopic tool interface in a first position to engage the endoscopic tool interface to the proximal connector of the endoscopic tool; and   positioning the engagement actuator in a second position to disengage the endoscopic tool interface from the proximal connector of the endoscopic tool.   
     
     
         19 . The method of  claim 11 , further comprising receiving a first control instruction from a first remote input device associated with control of the drive assembly and the fluid transfer device, receiving a second control instruction from a second remote input device associated with control of the vacuum interface, and causing the vacuum interface to apply the vacuum to the endoscopic tool if the second control instruction is received within a predetermined time after the first control instruction. 
     
     
         20 . A method of operating an endoscopic tool, comprising:
 engaging a drive element of the endoscopic tool to a drive assembly of a surgical console;   fluidly coupling a vacuum port of the endoscopic tool to a first end of a specimen receiver;   fluidly coupling a second end of the specimen receiver to a vacuum interface;   fluidly coupling an irrigation port of the endoscopic tool to a fluid transfer device;   inserting the endoscopic tool in an instrument channel of an endoscope;   identifying a material to be resected at a site within a subject;   resecting the material by rotating the endoscopic tool while flowing fluid through the endoscopic tool using the fluid transfer device; and   obtaining a sample of the material in the specimen receiver by applying a vacuum to the endoscopic tool using the vacuum interface.