Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
First Claim
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1. A bronchoscopic-based method of performing a procedure on a target in a lung, the method comprising:
- advancing a bronchoscope through a nose or mouth, and into a peripheral airway having an airway wall;
creating an opening through the airway wall;
creating an access tunnel from the opening in the airway wall to the target, wherein the target is spaced from the airway wall, and wherein the step of creating an access tunnel comprises;
advancing a catheter through the opening in the airway wall, through a parenchymal tissue, and to the target;
advancing a tubular elongate instrument from the airway wall, through the parenchymal tissue, and to the target;
such that both the catheter and the tubular elongate instrument extend through the opening, through the parenchymal tissue and to the target, and the catheter being contained within the tubular elongate instrument;
removing the catheter, leaving the tubular elongate instrument in place, andperforming the procedure on the target through the access tunnel formed by the tubular elongate instrument.
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Abstract
Methods and devices for diagnosing, monitoring, and/or treating tissue through an opening or port through an airway wall are provided herein.
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Citations
19 Claims
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1. A bronchoscopic-based method of performing a procedure on a target in a lung, the method comprising:
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advancing a bronchoscope through a nose or mouth, and into a peripheral airway having an airway wall; creating an opening through the airway wall; creating an access tunnel from the opening in the airway wall to the target, wherein the target is spaced from the airway wall, and wherein the step of creating an access tunnel comprises; advancing a catheter through the opening in the airway wall, through a parenchymal tissue, and to the target; advancing a tubular elongate instrument from the airway wall, through the parenchymal tissue, and to the target; such that both the catheter and the tubular elongate instrument extend through the opening, through the parenchymal tissue and to the target, and the catheter being contained within the tubular elongate instrument; removing the catheter, leaving the tubular elongate instrument in place, and performing the procedure on the target through the access tunnel formed by the tubular elongate instrument.
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2. A bronchoscopic-based method of performing a procedure on a target in a lung, the method comprising:
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advancing a bronchoscope through a nose or mouth, and into a peripheral airway having an airway wall; creating an opening through the airway wall; creating an access tunnel from the opening in the airway wall to the target, wherein the target is spaced from the airway wall, and wherein the step of creating an access tunnel comprises; advancing a catheter through the opening in the airway wall and through a parenchymal tissue; advancing a tubular elongate instrument from the airway wall, through the parenchymal tissue, and to the target; such that both the catheter and the tubular elongate instrument extend through the opening, through the parenchymal tissue, and the catheter being contained within the tubular elongate instrument; and removing the catheter, leaving the tubular elongate instrument in place, and performing the procedure on the target through the access tunnel formed by the tubular elongate instrument. - View Dependent Claims (3, 4, 5, 6, 7, 8, 9, 10)
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11. A bronchoscopic-based method of performing a procedure on a target in a lung, the method comprising:
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advancing a bronchoscope through a nose or mouth, and into a peripheral airway having an airway wall; creating an opening through the airway wall; advancing a catheter through the opening in the airway wall, through a parenchymal tissue, and toward the target; advancing a tubular elongate instrument from the airway wall, through the parenchymal tissue, and toward the target; such that both the catheter and the tubular elongate instrument extend through the opening, through the parenchymal tissue and toward the target, and the catheter being contained within the tubular elongate instrument; and removing the catheter from the lung; maintaining the tubular elongate instrument in place to provide an access tunnel from the opening in the airway though the parenchymal tissue to the target; and performing the procedure on the target through the access tunnel. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19)
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Specification