PRESSURE-PROPELLED SYSTEM FOR BODY LUMEN

• US 20110218401A1
• Filed: 05/19/2011
• Published: 09/08/2011
• Est. Priority Date: 01/09/2004
• Status: Active Grant

• Current Assignee: Boris Degtiar, Eran Shor, Oz Cabiri, Yossi Gross
• Original Assignee: Boris Degtiar, Eran Shor, Oz Cabiri, Yossi Gross
• Inventors: Gross, Yossi, Cabiri, Oz, Degtiar, Boris, Shor, Eran
• Granted Patent: US 8,419,678 B2
• Time in Patent Office: Days
• US Class Current: 600/116
• CPC Class Codes: A61B 1/00 Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes examination of body cavities or body tracts using ultrasonic, sonic or infrasonic waves A61B8/12; endoscopic instruments for taking cell samples or for biopsy A61B10/04; for surgical purposes A61B17/00; endoscopic surgical cutting instruments A61B17/32; surgical instruments using a laser beam being directed along or through a flexible conduit A61B18/22; Illuminating arrangements therefor for the eyes A61B3/00
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/00148 using anchoring means
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/00156 using self propulsion
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes

Abstract

An apparatus for use with a biologically-compatible-fluid pressure source, the apparatus includes an elongate carrier, adapted to be inserted through a proximal opening of a body lumen, and a piston head coupled to a distal portion of the carrier. The piston head is adapted to form a pressure seal with a wall of the lumen after the carrier has been inserted into the lumen, and to be advanced distally through the body lumen in response to pressure from the fluid pressure source. The apparatus is configured to facilitate distal advancement of the piston head by facilitating passage of fluid out of the lumen from a site within the lumen distal to the piston head.

Claims

1-374. -374. (canceled)

375. Apparatus for use with a biologically-compatible-fluid pressure source, comprising:

a guide member at least partially insertable into a proximal opening of a body lumen;

said guide member including a passageway connectable to the source of fluid pressure;

an elongate carrier arranged for sliding movement through said guide member, adapted to be inserted through a proximal opening of a body lumen; and

a piston head coupled to a distal portion of the carrier and adapted to;

be inflated until it is in contact with the body lumen forming a pressure seal between said piston head and a wall of the lumen after the carrier has been inserted into the lumen, such that once the piston head is inflated it is configured to be withdrawn proximally through the body lumen in response to pressure from the fluid pressure source to an external surface of the distal piston head, creating greater fluid pressure acting on the distal side of piston head than on the proximal side of piston head, thereby proximally propelling the piston head and the carrier.

376. The apparatus according to claim 375, wherein the lumen includes a gastrointestinal (GI) tract, and wherein the piston head is adapted to form the pressure seal with the wall of the GI tract after the carrier has been inserted into the GI tract.

377. The apparatus according to claim 376, wherein the GI tract includes a colon, and wherein the piston head is adapted to form the pressure seal with the wall of the colon after the carrier has been inserted into the colon.

378. The apparatus according to claim 376, wherein the piston head is adapted to be in direct contact with the wall of the GI tract after the carrier has been inserted into the GI tract.

379. The apparatus according to claim 376, wherein an outer surface of the piston head forming the pressure seal with the wall of the GI tract comprises a low friction coating suitable for facilitating sliding of the piston head against the wall of the GI tract.

380. The apparatus according to claim 376, wherein the piston head is shaped so as to define a proximal lobe and a distal lobe, the lobes being in fluid communication with each other.

381. The apparatus according to claim 376, further comprising a pressure-application tube in fluid communication with (a) a distal site within the GI tract distal to the piston head, and (b) the fluid pressure source, the tube adapted to introduce the pressure to the distal site.

382. The apparatus according to claim 376, further comprising:

a fluid source;

an image-capturing device, coupled to the carrier in a vicinity of a distal end of the carrier; and

at least one fluid supply tube coupled to the carrier, the tube in fluid communication with the fluid source,

wherein the distal end of the carrier is shaped so as to define one or more openings in fluid communication with the tube, the openings oriented so as to spray at least a portion of the image-capturing device when fluid is provided by the fluid source.

383. The apparatus according to claim 375, wherein the apparatus is adapted to facilitate passage of fluid out of the GI tract from a proximal site within the GI tract proximal to the piston head.

384. The apparatus according to claim 383, further comprising a vent tube in fluid communication with the proximal site and outside the 01 tract, the tube adapted to facilitate passage of fluid from the proximal site to the outside, so as to reduce a pressure at the proximal site.

385. The apparatus according to claim 375, wherein the piston head is adapted to be inflated so as to form and maintain the pressure seal with the wall of the GI tract.

386. The apparatus according to claim 385, further comprising a piston-head-pressure sensor, adapted to sense a pressure within the piston head.

387. The apparatus according to claim 385, further comprising a distal pressure sensor, adapted to sense a pressure within the GI tract distal to the piston head.

388. The apparatus according to claim 385, further comprising a proximal pressure sensor, adapted to sense a pressure within the GI tract proximal to the piston head.

389. The apparatus according to claim 385, further comprising:

a pressure sensor, adapted to measure a first pressure associated with operation of the apparatus; and

a control unit, adapted to regulate a second pressure associated with operation of the apparatus responsive to the measurement of the pressure sensor.

390. An apparatus comprising:

an elongate carrier, adapted to be inserted through a proximal opening of a body lumen;

a piston head coupled to a distal portion of the carrier, and adapted to be inflated until the piston head is in contact with the body lumen forming a pressure seal between said piston head and a wall of the lumen after the carrier has been inserted into the lumen; and

a biologically-compatible fluid proximal pressure source, adapted to be in fluid communication with a proximal portion of the lumen proximal to the piston head, and to apply pressure to an external surface of the piston head sufficient to advance the carrier distally through the body lumen.

391. The apparatus according to claim 390, further comprising a first passageway, wherein the proximal pressure source is in the fluid communication with the proximal portion of the lumen via the first passageway.

392. The apparatus according to claim 390, further comprising a piston pressure source, adapted to be in fluid communication with the piston head, and to apply pressure to the piston head in order to inflate the piston head.

393. The apparatus according to claim 392, further comprising a second passageway, wherein the piston pressure source is in the fluid communication with the piston head via the second passageway.

394. The apparatus according to claim 390, further comprising at least one of:

a proximal pressure sensor, adapted to measure a pressure in the proximal portion of the lumen; and

a piston pressure sensor, adapted to measure a pressure in the piston head.

395. The apparatus according to claim 394, wherein the proximal pressure sensor is adapted to be disposed in one of the following locations:

a vicinity of the piston head,

a vicinity of the proximal opening of the lumen,

outside of the lumen.

396. The apparatus according to claim 394, wherein the piston pressure sensor is in fluid communication with an interior of the piston head and is adapted to be disposed in one of the following locations:

within the piston head,

in a vicinity of the proximal opening of the lumen,

outside of the lumen.

397. The apparatus according to claim 390, further comprising a vent tube, adapted to be in fluid communication with a distal portion of the lumen distal to the piston head, and with outside of the lumen, and facilitate distal advancement of the piston head by facilitating passage of fluid out of the lumen from the distal portion.

398. The apparatus according to claim 397, further comprising a distal pressure sensor, adapted to measure a pressure in the distal portion of the lumen.

399. The apparatus according to claim 398, wherein the distal pressure sensor is adapted to be disposed in one of the following locations:

distal to the piston head,

in a vicinity of the proximal opening of the lumen,

outside of the lumen.

400. The apparatus according to claim 397, wherein the apparatus is adapted to facilitate the passage of an amount of the fluid out of the lumen from the distal portion sufficient to maintain a pressure of approximately less than 10 millibar at the distal portion.

401. The apparatus according to claim 397, wherein the vent tube is adapted to passively permit the passage of the fluid out of the lumen from the distal portion.

402. The apparatus according to claim 397, further comprising a suction source coupled to the vent tube, adapted to actively facilitate the passage of the fluid out of the lumen from the distal portion.