Minimally invasive surgical stabilization devices and methods

• US 20060293560A1
• Filed: 06/24/2005
• Published: 12/28/2006
• Est. Priority Date: 06/24/2005
• Status: Active Grant

• Current Assignee: Bayer Healthcare LLC (Bayer AG)
• Original Assignee: Conceptus Incorporated (Bayer AG)
• Inventors: Swann, Betsy, Stout, Christopher A., Nguyen, Mimi, Bailey, Philip Albert, Aldridge, Elisa Janine, Aguilar, Rosendo
• Granted Patent: US 7,918,863 B2
• Time in Patent Office: Days
• US Class Current: 600/104
• CPC Class Codes: A61B 1/0014 Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/303 for the vagina, i.e. vaginoscopes
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00
• CPC Class Codes: A61B 2017/00238 Type of minimally invasive operation A61B2017/00805 takes precedence
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/0034 adapted to be inserted through a working channel of an endoscope
• CPC Class Codes: A61F 6/06 for use by females A61F6/20 takes precedence
• CPC Class Codes: A61F 6/18 Inserters or removers ; Apparatus for loading an intra-uterine device into an insertion tube
• CPC Class Codes: A61F 6/225 transcervical
• CPC Class Codes: A61M 25/0097 characterised by the hub connectors A61M39/10

Abstract

The various embodiments of the present inventions provide stabilization devices and methods for use of the stabilization devices with minimally invasive gynecological procedures such as methods of preventing pregnancy by inserting intrafallopian contraceptive devices into the fallopian tubes

Claims

1. A medical device, comprising:

a stabilization device comprising a means for coupling the stabilization device to a device for a minimally invasive surgical procedure and further comprising a means for coupling the stabilization device to an endoscope.

2. The medical device of claim 1, wherein the minimally invasive surgical procedure is a gynecological procedure.

3. The medical device of claim 2, wherein the device for the minimally invasive gynecological procedure comprises an intrafallopian contraceptive delivery device and wherein the stabilization device comprises a sleeve having a lumen with a diameter to fit around a catheter that extends from the intrafallopian contraceptive delivery device.

4. The medical device of claim 1, wherein the means for coupling the stabilization device to the device for a minimally invasive surgical procedure comprises an O-ring and a duckbill valve.

5. The medical device of claim 1, wherein the device for a minimally invasive surgical procedure further comprises a control device and wherein the means for coupling the stabilization device to the control device is selected from the group consisting of a screw thread, a mechanical fitting, and a friction fitting.

6. The medical device of claim 1, wherein the endoscope comprises a device that provides a transcervical pathway.

7. The medical device of claim 6, wherein the device that provides a transcervical pathway comprises a hystersoscope.

8. The medical device of claim 7, wherein the stabilization device is adapted for insertion into a distention valve of the hysteroscope.

9. The medical device of claim 7, wherein the stabilization device is permanently coupled to the hysteroscope.

10. The medical device of claim 7, wherein the stabilization device further comprises a distention valve, the distention valve adapted to fit onto a working channel of the hysteroscope.

11. The medical device of claim 1, wherein the stabilization device comprises an arm.

12. The medical device of claim 2, wherein the minimally invasive gynecological procedure comprises inserting an intrafallopian contraceptive device.

13. A kit, comprising:

an intrafallopian contraceptive delivery device comprising a control device, a catheter extending from the control device, and an intrafallopian device coupled to the catheter; and

a stabilization device having a first end and a second end, wherein the first end is adapted to be coupled to the control device and wherein the second end is adapted to be coupled to a hysteroscope to maintain a fixed longitudinal distance between the control device and the hysteroscope.

14. The kit of claim 13, wherein the stabilization device is a sleeve, wherein the first end comprises a connector adapted to lock onto the control device of the medical device and the second end is adapted to lock into the hysteroscope.

15. The kit of claim 14, wherein the sleeve further comprises a port for the insertion of a catheter to deliver a topical anesthetic and a syringe loaded with a topical anesthetic.

16. The kit of claim 13, further comprising a syringe comprising a first barrel and a second barrel, wherein the first barrel is loaded with a topical anesthetic and the second barrel is loaded with a carrier, and a static mixer adapted to be coupled to a syringe.

17. A kit, comprising:

a hysteroscope; and

a stabilization device having a proximal end and a distal end, wherein the proximal end is adapted to be coupled to a medical device for a minimally invasive gynecological procedure and wherein the distal end is adapted to be coupled to the hysteroscope to maintain a fixed longitudinal distance between the control device and the hysteroscope.

18. The kit of claim 17, further comprising a syringe pre-loaded with a topical anesthetic.

19. The kit of claim 17, further comprising a syringe pre-loaded with a contrast media comprising a gel having microbubbles.

20. A method, comprising:

coupling a stabilization device to a device that provides a transcervical pathway; and

coupling the stabilization device to a device for a minimally invasive gynecological procedure to stabilize the device for the minimally invasive gynecological procedure with respect to the device that provides the transcervical pathway.

21. The method of claim 20, wherein coupling the stabilization device to the device that provides the transcervical pathway comprises coupling the stabilization device to a hysteroscope and wherein coupling the stabilization device to a device for a minimally invasive gynecological procedure comprises coupling the stabilization device to an intrafallopian contraceptive delivery device.

22. A method, comprising:

coupling a stabilization device to a hysteroscope, the stabilization device having a lumen;

inserting an intrafallopian contraceptive delivery device into the lumen of the stabilization device and the hysteroscope;

positioning the intrafallopian contraceptive delivery device to deploy a fallopian tube insert;

coupling the stabilization device to the intrafallopian contraceptive delivery device;

coupling the stabilization device to the hysteroscope; and

deploying the fallopian tube insert.

23. The method of claim 22, further comprising feeding a corewire of the intrafallopian contraceptive delivery device forward by a predetermined distance after coupling the stabilization device to the hysteroscope

24. The method of claim 22, wherein coupling the stabilization device to the hysteroscope comprises inserting the stabilization device into the hysteroscope past a ball valve and closing the ball valve on the stabilization device.

25. The method of claim 22, wherein coupling the stabilization device to the hysteroscope comprises friction fitting the stabilization device into a working channel of the hysteroscope and wherein coupling the stabilization device to the intrafallopian contraceptive delivery device comprises friction fitting the stabilization device to a control device of the intrafallopian contraceptive delivery device.

26. The method of claim 22, wherein coupling the stabilization device to the intrafallopian contraceptive delivery device comprises mechanically fitting by fitting the proximal end of the stabilization device to an adaptor and fitting the adaptor to the control device.

27. The method of claim 22, wherein coupling the stabilization device to the intrafallopian contraceptive delivery device comprising coupling the stabilization device to a delivery catheter of the intrafallopian contraceptive delivery device.

28. The method of claim 22, further comprising inserting an anesthetic delivery catheter into a port on the stabilization device and into the hysteroscope and mixing an anesthetic with a carrier at a point of use before injecting the mixture through the anesthetic delivery catheter using a static mixer.

29. The method of claim 22, wherein positioning the intrafallopian contraceptive delivery device to deploy the fallopian tube insert comprises positioning the intrafallopian contraceptive delivery device using ultrasound, radiography, or fluoroscopy.

30. A method, comprising:

providing an intrafallopian contraceptive delivery device comprising a control device, a fallopian tube insert delivery catheter having a proximal end and a distal end wherein the proximal end is coupled to the control device, and a fallopian tube insert at the distal end of the delivery catheter;

inserting the fallopian tube insert delivery catheter into a hysteroscope;

positioning the fallopian tube insert for deployment;

stabilizing the intrafallopian contraceptive delivery device with respect to the hysteroscope to fix the position of the fallopian tube insert; and

deploying the fallopian tube insert.

31. The method of claim 30, wherein stabilizing the intrafallopian contraceptive delivery device with respect to the hysteroscope to fix the position of the fallopian tube insert increases the control over a position at which the insert is deployed.

32. The method of claim 30, wherein stabilizing the intrafallopian contraceptive delivery device with respect to the hysteroscope comprises coupling a stabilization device to the intrafallopian contraceptive delivery device and to the hysteroscope.