Transoral lung access is preferable to traditional needle based access due to the lower risk of lung collapse. However present bronchoscope-based devices enable access to only a small portion of the lung. The present device is a robotic image-guided bronchoscope to navigate the airway under closed-loop control to the target. IT is designed to provide transoral access to any location in the lung, particularly the hard-to-reach peripheral regions.
- American Cancer Society estimate of new lung cancer cases in 2016: >224,000
- Health Care cost estimate >$ 12 Billion/annum
- More people die from lung cancer than any other type of cancer
- Cancer nodules need to be accessed for both diagnoses and treatment. Current access methods and devices have several limitations
In the present device, telescoping, nested precurved tubes are guided under robotic control to travel through the bronchial wall and aim towards a target nodule. A steerable needle is then deployed from the precurved tubes and is delivered under closed loop control to the target nodule. The robotic actuation unit control allows for translation and rotation of the nested tubes and the steerable needle. The entire assembly can be deployed through the working channel of a bronchoscope.
- Accurate transoral access to a target nodule in lung
- Image-guided, robotic control
- System deploys through the working channel of a clinical bronchoscope
Technology Development Status
- Lab scale prototype built; control system developed
Intellectual Property Status
- A Patent Application has been filed
- Publication: P. J. Swaney, A. W. Mahoney, B. I. Hartley, A. A. Remirez, E. P. Lamers, R. H. Feins, R. Alterovitz, and R. J. Webster, III, “Toward Transoral Peripheral Lung Access: Combining Continuum Robots and Steerable Needles”, Journal of Medical Robotics Research, In Press. Video.