Brought to you by: Smooth Operation Chris Kitt, Brenda Marcum, Jacob Oliver, Michael Roth, and Andrew Yuan Minimally invasive abdominal surgery Multiple ports for tools – separate one for laparoscope Current Laparoscopic Process Eliminate one port by incorporating the camera onto the tool port More convenient for surgical team - fewer hands required and viewable screen Less traumatic for patient Combine current laparoscope with current surgical instrument to eliminate one port Minimize camera module size, while maintaining speed and resolution High resolution image displayed on LCD panel Minimal wires – hopefully completely wireless and battery powered Incorporate data storage device for later viewing 10 mm max diameter for camera module 640x480 resolution 30 fps LCD screen LED lighting with imager All wired connections AC power Battery powered – supplement with AC (2-2.5 hr run time) 6 mm max diameter of camera module Higher resolution Wireless Stream video data to external monitor Screen shot capability SD onboard storage Enable touch screen features Multi-camera interface – split screen Motorized camera module Time display Audio features Wireless transmission to external monitor Foot pedal 4 mm maximum diameter of camera module Wireless storage to external device Camera (0V7690) Microcontroller w/ISI and LCD controller LED(s) VGA LCD Display SD Card Rechargeable Battery Battery Charger Controller Top View ATMEL AT32AP7000 32bit AVR Microcontroller w/ISI and LCD controller Camera (0V7690) Connected via SCCB (I2C) and 8 parallel data lines Camera takes 640x480 @ 30fps and sends it to the Image sensor interface on the microcontroller. Microcontroller controls imager via SCCB connection. Microcontroller w/ISI and LCD controller LED(s) Connected via GPIO, possibly buffered with MOSFET or BJT to supply additional power Each LED is connected through a buffer to a general I/O pin on the Microcontroller. ◦ Allows touch screen to control LED through microcontroller, ideal for saving power and adjustable brightness. LED will be selected for maximum efficiency and brightness. Don’t want to burn patient and want lots of illumination. Microcontroller w/ISI and LCD controller VGA LCD Display Connected via Microcontroller LCD interface. Microcontroller takes data from imager and displays it on the LCD in VGA format. Microcontroller takes button presses from LCD and performs desired operations, ie toggling LEDs, screenshots, etc Utilizes RGB parallel input with 18 bits of color VGA standards (480x640 @ 30 fps) Microcontroller w/ISI and LCD controller SD Card SD Card viable option for video storage and retrieval Uses standard SPI interface to communicate Uses FAT32 storage system SD interface built into processor Easy to find documentation on SD interface PCB Others Brenda User Controls Image Sensor Others Others Andrew Michael Brenda Miscellaneous Tasks/ LCD Others External Storage Michael Andrew Others Chris General Testing Brenda Jake Jake Chris Microprocessor Options ◦ BGA vs. Quad Flatpack ◦ Smaller/less features vs. timing issues ◦ Other alternatives available Long BGA layout turn-around time Unfamiliar Technology ◦ PCB layout ◦ Eval. Board coding vs. prelim. Demo board coding Camera (0V7690) LED(s) Microcontroller w/ISI (OV530-B49) LCD controller (Epson S1D13513) SD Card Top View VGA LCD Display Camera (0V7690) Image Sensor Controller (Atmel 32-bit Image Sensor interface) Microcontroller W/LCD controller (NXP LPC2158 ARM7) SD Card LED(s) Top View VGA LCD Display Camera (0V7690) Image Sensor Controller (Atmel 32-bit Image Sensor interface) LCD controller (Epson S1D13513) Microcontroller SD Card LED(s) Top View VGA LCD Display Schedule Uncertainty ◦ Enough time to learn how to store data, battery operable, etc. ◦ Prototype completed by the beginning of March? Component Risks ◦ Expensive Eval. Board ◦ Sensor frame rate and resolution vs. size Questionable Feasibility ◦ Low level objectives seem obtainable ◦ Can we make our mid/high level objectives? Over 2 million laparoscopic surgeries performed each year New laparoscopic surgeries are being introduced as technology improves 6 million Trocar used each year Patient’s Point of View ◦ Cheaper $1,000 less than open surgery ◦ Quicker Recovery Hospital stay is 1/4th the time of open surgery ◦ Post operative pain is less ◦ Reduced infection rate Surgeon’s Point of View ◦ ◦ ◦ ◦ Longer operative times Expensive equipment Requires extra surgical training More complicated surgery 1 in 2000 patients suffer vascular injuries 17% of vascular injuries are fatal Average surgical malpractice lawsuit = $222,285 Make laparoscopic surgery more appealing to surgeon ◦ Efficient Faster Operative Times ◦ Easier Fewer mistakes Less Surgical training ◦ Safer Less Crowded Operating Room Market Timeline 700000 Sales per Year 600000 500000 400000 300000 200000 100000 0 2009 2014 2019 Year 2024 2029 Currently Item Quantity Cost Uses Total per Surgery Total Trocar 4 $70 1 $280 $280 Endoscope Video System 1 $8,000 50 $8,000 $160 1 $3,750 50 $3,750 $75 $12,030 $515 Total Trocascope XC2000 Item Quantity Cost Uses Total per Surgery Total Trocar Port 3 $100 1 $300 $300 Display 3 $1,000 50 $3,000 $60 $3,300 $360 Total Biomedical Waste ◦ 6 Million Trocar used and disposed each year ◦ Removing 1 Trocar per surgery reduces number by 1-2 million Potential for Reusability is important Part Availability ◦ All parts can be obtained from variety of different vendors Maintenance ◦ Trocar are eventually disposed ◦ Data storage device Support ◦ Training ◦ Setting up data storage Part CMOS Sensor CMOS Sensor Dev Board LED LCD display with touchscreen Microcontrollers and associated electronics Microcontroller Dev Board Rechargeable battery Mechanical Components Support Components Trocar Mechanical Assembly Labor PCB's SD Card Cost FREE FREE $15 $95 $100 $500 $15 $20 $20 $10 $200-$300 $25 Total: $1,000 - $1,100 Component tolerances may have effect on image quality Testing ◦ Development Board ◦ Processor on a simple PCB Regulations ◦ FDA ◦ FCC Laparoscopic Surgery ◦ ◦ ◦ ◦ Dangerous Instruments Complex Procedure Crowded workspace Exposure to patient blood Our Goal ◦ Reduce Complexity ◦ Less Crowded Safer, more efficient surgeries Reduce number of assistants required for surgery Potential for cheaper surgery 3rd world surgery potential