Full Thickness Resection Device

• US 20080065127A1
• Filed: 11/15/2007
• Published: 03/13/2008
• Est. Priority Date: 11/26/2001
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Adams, Ronald
• Granted Patent: US 8,062,318 B2
• Time in Patent Office: Days
• US Class Current: 606/167
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/00181 for multiple fixed viewing angles A61B1/00193 takes precedence
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/0625 for multiple fixed illumination angles
• CPC Class Codes: A61B 1/0676 at distal tip of an endoscope
• CPC Class Codes: A61B 1/0684 using light emitting diodes [LED]
• CPC Class Codes: A61B 1/12 with cooling or rinsing arrangements
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/320783 through side-hole, e.g. sliding or rotating cutter inside catheter
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

An operating head for a full thickness resection system includes a first optical device disposed on a distal portion thereof and having a viewing area extending distally of the distal portion and a working chamber extending within an exterior wall of the operating head, a first portion of the exterior wall being moveable with respect to a second portion thereof to selectively open the working chamber to an exterior of the operating head. Furthermore, the operating head includes a second optical device mounted within the working chamber with a viewing area of the second optical device extending distally therefrom.

Claims

1-27. -27. (canceled)

28. An operating head for a full thickness resection device, comprising:

a first optical device disposed on a distal portion thereof, the first optical device having a viewing area extending distally of the distal portion;

a working chamber extending within an exterior wall of the operating head, the exterior wall including a door movable between a closed position and an open position, the working chamber being accessible when the door is in the open position; and

a second optical device mounted within the working chamber with a viewing area extending distally therefrom.

29. The operating head according to claim 28, further comprising an infusion lumen extending therethrough to an infusion port in the distal portion.

30. The operating head according to claim 28, further comprising an irrigation lumen extending therethrough to an irrigation port in the distal portion.

31. The operating head according to claim 28, including a first abutting surface formed on a proximal end thereof for abutting a distal end of an insertion sheath so that, advancing the insertion sheath into a body lumen pushes the operating head further into the body lumen.

32. The operating head according to claim 31, wherein the first abutting surface is formed as a first fin disposed on the proximal end.

33. The operating head according to claim 32, further comprising a second abutting surface formed on the proximal end, wherein the second abutting surface is formed as a second fin disposed on the proximal end on a portion of the proximal end disposed on an opposite side of a longitudinal axis of the operating head from the first fin.

34. The operating head according to claim 32, wherein the first fin is substantially triangular in shape.

35. The operating head according to claim 32, wherein one of the proximal and distal portions of the head is slidably mounted to the operating head for motion relative to the other of the proximal and distal portions to open the working chamber to the exterior of the operating head.

36. The operating head according to claim 28, further comprising a third optical device with a viewing area extending in a direction approximately perpendicular to that of the second optical device.

37. The operating head according to claim 28, further comprising first and second light sources illuminating the viewing areas of the first and second optical devices, respectively.

38. The operating head according to claim 37, further comprising a third light source illuminating the viewing area of the third optical device.

39. A full thickness resection system comprising:

a steerable endoscope extending from a proximal end which remains outside a patient'"'"'s body during use to a distal end;

an operating head coupled to the distal end of the endoscope and defining a working chamber therein, wherein a door of an exterior wall of the operating head is moveable to selectively open the working chamber to an exterior of the operating head;

first and second optical devices, the first optical device having a viewing area extending distally of the distal portion of the operating head and the second optical device having a viewing area extending distally from the working chamber of the operating head; and

a controller coupled to the proximal end of the endoscope for controlling operation of the endoscope and the operating head.

40. The system according to claim 39, further comprising an infusion lumen extending through the endoscope to an infusion port formed in the operating head.

41. The system according to claim 39, further comprising an irrigation lumen extending through the endoscope to an irrigation port formed in the operating head.

42. The system according to claim 39, further comprising an insertion sheath slidably received around the endoscope so that a distal end of the insertion sheath abuts against the operating head so that advancing the insertion sheath into a patient'"'"'s body moves the operating head further into the patient'"'"'s body.

43. The system according to claim 42, further comprising an abutting surface formed on the proximal end of the operating head.

44. The system according to claim 43, wherein the abutting surface is formed as a fin extending therefrom of the second optical device.

45. The system according to claim 42, wherein the insertion sheath includes a working channel and a fluid channel extending therethrough.

46. The system according to claim 45, wherein the fluid channel is adapted to be used in one of insufflation and suction operations.

47. The system according to claim 42, wherein an outer diameter of the insertion sheath is between 5 and 25 mm.

48. The system according to claim 42, wherein the endoscope is removable from the insertion sheath.

49. The system according to claim 42, wherein the endoscope is permanently mounted to the insertion sheath.

50. The system according to claim 39, further comprising a third optical device mounted within the working chamber, a viewing area of the third optical device extending in a direction substantially perpendicular to that of the second optical device.

51. An insertion tube, comprising:

an integral endoscope that includes;

a plurality of control wire guides,

a working channel,

an optic member,

an irrigation channel,

at least one light source, and

a suction/insufflation lumen, wherein the irrigation channel extends to a distal end of the optic member and is capable of delivering an irrigation fluid of sufficient quantity to clean the optic member.

52. An insertion tube, comprising:

a tubular structure that includes;

a central endoscope receiving lumen,

a plurality of working channels, and

a suction/insufflation lumen, wherein an inner diameter of the central endoscope lumen is large enough to receive an endoscope provided without at least one of an endoscope working channel and an endoscope suction/insufflation lumen, and wherein the inner diameter is less than a diameter of an endoscope that includes at least one of the endoscope working channel and the endoscope suction/insufflation lumen.