Endoscope retrieval instrument assembly

• US 20070016225A1
• Filed: 07/15/2005
• Published: 01/18/2007
• Est. Priority Date: 07/15/2005
• Status: Active Grant

• Current Assignee: Granit Medical Innovations LLC
• Original Assignee: Granit Medical Innovations LLC
• Inventors: Nakao, Naomi
• Granted Patent: US 7,618,437 B2
• Time in Patent Office: Days
• US Class Current: 606/114
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 2017/00269 endoscopic mucosal resection EMR
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop

Abstract

A medical instrument includes an elongate tubular introducer member, an elongate slider member disposed at least partially inside the tubular member, a loop provided at a distal end of the slider member, a pouch connected to the loop so that the loop defines a mouth opening of the pouch and so that the pouch is slidable along at least a proximal portion of the loop, and a tether connected to the pouch at a proximal side thereof. The tether extends into the tubular member and is fastened to the tubular member at a location spaced by a distance from a distal tip of the tubular member. The tether has a length from the fastening location to the pouch that is less than the distance between the location and the tip of the tubular member.

Claims

1. A medical instrument comprising:

an elongate tubular member;

an elongate slider member disposed at least partially inside said tubular member;

a loop at a distal end of said slider member;

a pouch connected to said loop so that said loop defines a mouth opening of said pouch and so that said pouch is slidable along at least a proximal portion of said loop; and

at least one tether operatively connected to said pouch at a proximal side thereof, said tether extending into said tubular member,

said tether being fastened to said tubular member at a location spaced by a distance from a distal tip of said tubular member,

said tether having a length from said location to said pouch that is less than said distance between said location and said tip of said tubular member.

2. The medical instrument defined in claim 1 wherein said tubular member has a transverse dimension suitable for insertion of said instrument through a working channel of an endoscope.

3. The medical instrument defined in claim 1 wherein said loop is a monofilament cutting snare.

4. The medical instrument defined in claim 1 wherein said slider member is connectable at a proximal end to a source of electrical current, said loop being a cauterization snare made of a conductive material.

5. The medical instrument defined in claim 1 wherein said loop is a first loop, further comprising a second loop attached at least indirectly to said first loop on a proximal side thereof, said second loop being smaller than said first loop, said slider member being connectable at a proximal end to a source of electrical current, said second loop being made of a conductive material.

6. The medical instrument defined in claim 1 wherein said loop is a first loop, further comprising a second loop attached at least indirectly to said first loop on a proximal side thereof, said second loop being smaller than said first loop, said second loop being made at least in part of a monofilament wire.

7. The medical instrument defined in claim 1 wherein said pouch is a net, a distal portion of said tether being interwoven with said net.

8. The medical instrument defined in claim 1 wherein said pouch includes a proximal end portion that extends into said tubular member.

9. A medical instrument comprising:

an elongate tubular member;

an elongate slider member disposed at least partially inside said tubular member;

a loop at a distal end of said slider member;

a pouch connected to said loop so that said loop defines a mouth opening of said pouch and so that said pouch is slidable along at least a proximal portion of said loop; and

at least one tether connected to said pouch at a proximal side thereof, said tether extending into said tubular member,

said tether being fastened to said tubular member at a location spaced by a distance from a distal tip of said tubular member,

said tether having a length from said location to said pouch that is greater than said distance between said location and said tip of said tubular member,

a distal portion of said tether being interwoven with said pouch.

10. The medical instrument defined in claim 9 wherein said pouch is a net, said distal portion of said tether being woven with strands of said net.

11. The medical instrument defined in claim 9 wherein said tubular member has a transverse dimension suitable for insertion of said instrument through a working channel of an endoscope.

12. The medical instrument defined in claim 9 wherein said slider member is connectable at a proximal end to a source of electrical current, said loop being made of a conductive material.

13. The medical instrument defined in claim 9 wherein said slider member is not connected at a proximal end to a source of electrical current, said loop being made of a thin wire, either monofilament or braided.

14. The medical instrument defined in claim 9 wherein said loop is a first loop, further comprising a second loop attached to said first loop on a proximal side thereof, said second loop being smaller than said first loop, said slider member being connectable at a proximal end to a source of electrical current, said second loop being made of a conductive material.

15. A medical instrument comprising:

an elongate tubular member;

an elongate slider member disposed at least partially inside said tubular member;

a loop at a distal end of said slider member;

a pouch connected to said loop so that said loop defines a mouth opening of said pouch and so that said pouch is fixed to said loop at least at a distal end and a proximal end of said loop; and

at least one tether connected to said pouch at a proximal side thereof, said tether extending into said tubular member,

said pouch being made of a flexible net material with fine strands or threads,

said pouch being sufficiently fine so that a proximal end of said pouch is retractable into said tubular member while said pouch holds a tissue mass,

said pouch being sufficiently flexible to expand out to engulf a tissue mass while a proximal end of said pouch is retracted into said tubular member.

17. The medical instrument defined in claim 15 wherein said first loop and said second loop are connected to one another and to said slider member only along stems at the proximal ends of the respective loops.

16. A medical instrument comprising:

an elongate tubular member;

an elongate slider member disposed at least partially inside said tubular member;

a first loop at a distal end of said slider member;

a second loop serving as a cutting snare, said second loop being smaller than and nestable inside said first loop, said second loop being deployed via said tubular member;

a pouch connected to said first loop so that said first loop defines a mouth opening of said pouch and so that said pouch is slidable along at least a proximal portion of said first loop; and

at least one tether operatively connected to said pouch at a proximal side thereof, said tether extending into said tubular member,

said tether being fastened to said tubular member at a location spaced by a distance from a distal tip of said tubular member,

said tether having a length from said location to said pouch that is less than said distance between said location and said tip of said tubular member.

18. A medical instrument comprising:

an elongate tubular member;

an elongate slider member disposed at least partially inside said tubular member;

a first loop at a distal end of said slider member;

a second loop at a distal end of said slider member, said second loop serving as a cutting snare, said second loop being smaller than and nested inside said first loop, said first loop and said second loop sharing a common proximal portion and having separate distal portions;

a pouch connected to said first loop so that said first loop defines a mouth opening of said pouch and so that said pouch is slidable along at least a proximal portion of said first loop; and

at least one tether operatively connected to said pouch at a proximal side thereof, said tether extending into said tubular member,

said tether being fastened to said tubular member at a location spaced by a distance from a distal tip of said tubular member,

said tether having a length from said location to said pouch that is less than said distance between said location and said tip of said tubular member.

19. A medical instrument comprising:

an elongate tubular member provided with a plurality of lumens;

an elongate first slider member disposed at least partially inside a first of said lumens;

a first loop at a distal end of said first slider member;

an elongate second slider member disposed at least partially inside a second of said lumens;

a second loop at a distal end of said second slider member, said second loop serving as a cutting snare;

a pouch connected to said first loop so that said first loop defines a mouth opening of said pouch and so that said pouch is slidable along at least a proximal portion of said first loop; and

at least one tether operatively connected to said pouch at a proximal side thereof, said tether extending into said first of said lumens,

said tether being fastened to said tubular member at a location spaced by a distance from a distal tip of said tubular member,

said tether having a length from said location to said pouch that is less than said distance between said location and said tip of said tubular member.

20. A medical instrument comprising:

an elongate tubular member;

an elongate slider member disposed at least partially inside said tubular member;

a resilient loop of a first size attached to one end of said elongate member, said loop including a bend on a side of said loop opposite said elongate member, said loop further including two loop sections each extending between said elongate member and said bend, at least one of said loop sections being formed with at least one notch or dent for enabling a use of said loop in at least one second size smaller than said first size upon a positioning of said loop by moving said elongate member and said tubular member relative to one another so that said notch or dent is disposed at a mouth opening of said tubular member; and

a pouch connected to said loop so that said loop defines a mouth opening of said pouch and so that said pouch is slidable along at least a proximal portion of said loop; and

at least one tether operatively connected to said pouch at a proximal side thereof, said tether extending into said tubular member,

said tether being fastened to said tubular member at a location spaced by a distance from a distal tip of said tubular member,

said tether having a length from said location to said pouch that is less than said distance between said location and said tip of said tubular member.

21. A medical instrument comprising:

an elongate tubular member;

an elongate slider member disposed at least partially inside said tubular member;

a cutting loop at a distal end of said slider member;

a pouch connected to said loop so that said loop defines a mouth opening of said pouch and so that said pouch is slidable along at least a proximal portion of said loop; and

at least one tether operatively connected to said pouch at a proximal side thereof, said tether extending into said tubular member,

said tether being fastened to said tubular member at a location spaced by a distance from a distal tip of said tubular member,

said tether having a length from said location to said pouch that is less than said distance between said location and said tip of said tubular member,

said pouch being fixed to said loop at a distal end thereof by at least at one point.

22. A medical instrument comprising:

an elongate tubular member;

an elongate slider member disposed at least partially inside said tubular member;

a loop at a distal end of said slider member;

a pouch connected to said loop so that said loop defines a mouth opening of said pouch and so that said pouch is slidable along at least a proximal portion of said loop; and

at least one tether operatively connected to said pouch at a proximal side thereof, said tether extending into said tubular member,

said tether being fastened to said tubular member at a location spaced by a distance from a distal tip of said tubular member,

said tether having a length from said location to said pouch that is less than said distance between said location and said tip of said tubular member,

said pouch being fixed to said loop at a distal end thereof at least in one point.