Medical procedure via natural orifice and puncture device

• US 20070167967A1
• Filed: 01/13/2006
• Published: 07/19/2007
• Est. Priority Date: 01/13/2006
• Status: Abandoned Application

• Current Assignee: Olympus Medical Systems Corporation (Olympus Corporation)
• Original Assignee: Olympus Medical Systems Corporation (Olympus Corporation)
• Inventors: Mikkaichi, Takayasu, Kogasaka, Takahiro, Nakahashi, Kensei
• Application Number:
  US11/331,975
• Publication Number:
  US 20070167967A1
• Time in Patent Office: Days
• US Class Current: 606/185
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/2736 Gastroscopes
• CPC Class Codes: A61B 1/3132 for laparoscopy
• 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 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3439 with means for changing the inner diameter of the cannula, e.g. expandable A61B17/3423, A61B17/3431 take precedence; catheters A61M25/0662
• CPC Class Codes: A61B 2017/00278 Transorgan operations, e.g. transgastric
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2017/3486 Balloon
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61B 2090/0807 Indication means

Abstract

A medical procedure performed via a natural orifice comprises: inserting a puncture device from an abdominal wall side into the vicinity of a target site in a hollow organ, and protruding the distal end thereof inside the hollow organ; introducing an observation device into the hollow organ via a natural orifice of a living body, and setting a target site at the hollow organ by checking the puncture device as an indicator; and treating the target site confirmed by the observation device by using an treatment device inserted via a natural orifice.

Claims

1. A medical procedure performed via a natural orifice comprising:

inserting a puncture device from an abdominal wall side into the vicinity of a target site in a hollow organ, and protruding the distal end thereof inside the hollow organ;

introducing an observation device into the hollow organ via a natural orifice of a living body, and setting a target site at the hollow organ by checking the puncture device as an indicator; and

treating the target site confirmed by the observation device by using an treatment device inserted via a natural orifice.

2. The medical procedure performed via a natural orifice as set forth in claim 1, wherein the inserting the puncture device comprises:

placing a balloon provided on the puncture device between the abdominal wall and the hollow organ; and

inflating the balloon after inserting the puncture device.

3. The medical procedure performed via a natural orifice as set forth in claim 1, wherein the inserting the puncture device comprises:

placing a first balloon provided at the puncture device between the abdominal wall and the hollow organ; and

placing a second balloon inside the hollow organ, the second balloon being attached to a site closer to the distal end side of the puncture device than a site to which the first balloon is attached.

4. The medical procedure performed via a natural orifice as set forth in claim 3, wherein the confirming a target site comprises using an indicator provided to the second balloon in order to confirm the direction inside the hollow organ.

5. The medical procedure performed via a natural orifice as set forth in claim 3, wherein the confirming a target site comprises inserting the observation device, provided at the distal end of an insertion portion which is flexible and inserted via the natural orifice into the hollow organ, and

the treatment inside the hollow organ comprises inserting the treatment device into the hollow organ via a duct provided to the insertion portion.

6. The medical procedure performed via a natural orifice as set forth in claim 1, comprising supplying air into the hollow organ for inflation prior to the protrusion of the distal end of the puncture device inside a hollow organ.

7. The medical procedure performed via a natural orifice as set forth in claim 6, wherein the treating the target site comprises forming an opening on the wall of the hollow organ.

8. The medical procedure performed via a natural orifice as set forth in claim 7, further comprising introducing a device which is introduced via the opening into the abdominal cavity to perform a second treatment inside the abdominal cavity.

9. A puncture device comprising:

a needle configured to be inserted from an abdominal wall into a hollow organ;

a first balloon attached to the needle and inflatable by supply of a fluid;

a second balloon attached to a site closer to the distal end side of the needle than a site to which the first balloon is attached and inflatable by supply of the fluid; and

a duct which supplies the fluid respectively to the first balloon and the second balloon.

10. The puncture device as set forth in claim 9, wherein the second balloon comprises an indicator configured to indicate the direction inside the hollow organ so as to be observable on inflation.

11. The puncture device as set forth in claim 9, comprising

a first indicator provided to the second balloon and observable for the direction inside the hollow organ on inflation;

and

a second indicator provided at the proximal end of the needle which stays outside a living body and indicates a direction with respect to the direction indicated by the indicator of the second balloon.

12. The puncture device as set forth in claim 9, wherein the duct is capable of inflating independently the first balloon and the second balloon.

13. The puncture device as set forth in claim 9, comprising a sheath covering the respective outer peripheries of the first balloon and the second balloon when the first balloon and the second balloon are deflated.

14. The puncture device as set forth in claim 13, wherein the sheath comprises a fragile portion which makes the sheath removable by partially breaking the sheath after insertion into the living body.