Systems and methods for maintaining a clear visual field during endoscopic procedures

• US 5,167,220 A
• Filed: 08/09/1990
• Issued: 12/01/1992
• Est. Priority Date: 08/09/1990
• Status: Expired due to Fees

• Current Assignee: Cathy K. Brown
• Original Assignee: Cathy K. Brown
• Inventors: Brown, Cathy K.
• Primary Examiner(s): Grieb, William H.
• Application Number:
  US07/564,933
• Time in Patent Office: 845 Days
• Field of Search: 128/3, 128/4, 128/5, 128/6, 128/7, 604/258, 604/264, 604/266, 604/280, 604/179
• US Class Current: 600/157
• CPC Class Codes: A61B 1/12 with cooling or rinsing arrangements
• CPC Class Codes: A61B 1/126 provided with means for cleaning in-use
• CPC Class Codes: A61B 1/233 for the nose, i.e. nasoscopes , e.g. testing of patency of Eustachian tubes

Abstract

A nasal sinus endoscope system and method. The system comprises a nasal sinus endoscope having a distal viewing window. A resilient tube is attached to the endoscope such that the distal end of the tube is in proximity to the distal viewing window of the endoscope, and a syringe is connected to the proximal end of the resilient tube for selectively forcing fluid through the tube and out of the distal end thereof. The distal end of the resilient tube preferably forms an oblique angle with respect to a longitudinal axis of the tube, and the resilient tube is attached to the endoscope such that the oblique opening formed by the distal end of the tube substantially faces the endoscope. The resilient tube is attached to the endoscope by means of suitable fasteners, such as, for example, elastic bands which encircle both the tube and the endoscope.

Claims

1. A system for maintaining a clear visual field during endoscopic procedures, the system comprising:

a substantially rigid endoscope having a distal viewing window;

a resilient tube having a proximal end and a distal end, the tube being attached to said endoscope such that the distal end of the tube is in proximity to said distal viewing window of the endoscope; and

means connected to the proximal end of the resilient tube for selectively forcing fluid through the tube and out of the distal end thereof.

2. A system as defined in claim 1 wherein the distal end of the resilient tube forms an oblique angle with respect to a longitudinal axis of the tube.

3. A system as defined in claim 2 wherein the resilient tube is attached to said endoscope such that the oblique opening formed by the distal end of the tube substantially faces the endoscope.

4. A system as defined in claim 1 wherein the resilient tube has an outside diameter of approximately two millimeters.

5. A system as defined in claim 1 wherein the resilient tube is formed of a silastic plastic material.

6. A system as defined in claim 1 wherein the resilient tube is attached to the endoscope by means of elastic bands which encircle both the tube and the endoscope.

7. A system as defined in claim 1 wherein the means for selectively forcing fluid through the tube comprises a syringe.

8. A system as defined in claim 7 wherein the syringe has a fluid capacity within the range of from approximately twenty to approximately thirty cubic centimeters.

9. A system as defined in claim 7 wherein the resilient tube has a resilient socket on the proximal end thereof and wherein the syringe is connected to said resilient socket.

10. A nasal sinus endoscope system, comprising:

a substantially rigid nasal sinus endoscope having a distal viewing window;

a resilient tube having a proximal end and a distal end, the tube being attached to the endoscope such that the distal end of the tube is in proximity to the distal viewing window of the endoscope; and

a syringe connected to the proximal end of the resilient tube for selectively forcing fluid through the tube and out of the distal end thereof.

11. A nasal sinus endoscope system as defined in claim 10 wherein the nasal sinus endoscope .is a forward oblique endoscope.

12. A nasal sinus endoscope system as defined in claim 10 wherein the distal end of the resilient tube forms an oblique angle with respect to a longitudinal axis of the tube.

13. A nasal sinus endoscope system as defined in claim 12 wherein the resilient tube is attached to said endoscope such that the oblique opening formed by the distal end of the tube substantially faces the endoscope.

14. A nasal sinus endoscope system as defined in claim 13 wherein the resilient tube is attached to the endoscope by means of elastic bands which encircle both the tube and the endoscope.

15. A nasal sinus endoscope system as defined in claim 14 wherein the resilient tube has an outside diameter of approximately two millimeters.

16. A nasal sinus endoscope system as defined in claim 15 wherein the syringe has a fluid capacity within the range of from approximately twenty to approximately thirty cubic centimeters.

17. A method for maintaining a clear visual field during endoscopic procedures, the method comprising the steps of:

attaching a resilient tube to a substantially rigid endoscope, the tube having a proximal end and a distal end and the endoscope having a distal viewing window, the tube being attached to the endoscope such that the distal end of the tube is in proximity to the distal viewing window of the endoscope without obstructing said viewing window; and

selectively forcing fluid through the tube and out of the distal end thereof so as to clear the distal viewing window of the endoscope.

18. A method as defined in claim 17 wherein the endoscope is a nasal sinus endoscope.

19. A method as defined in claim 17 wherein the distal end of the resilient tube forms an oblique angle with respect to a longitudinal axis of the tube and wherein the step of attaching the tube to the endoscope comprises positioning the tube such that the oblique opening formed by the distal end of the tube substantially faces the endoscope.

20. A method as defined in claim 17 wherein the resilient tube has an outside diameter of approximately two millimeters.

21. A method as defined in claim 17 wherein the step of attaching the resilient tube to the endoscope comprises placing at least one elastic band around both the tube and the endoscope.

22. A method as defined in claim 21 wherein one said elastic band is placed within the range of from approximately five millimeters to approximately six millimeters from the distal viewing window of the endoscope.

23. A method as defined in claim 22 wherein a second said elastic band is placed approximately three and one-half centimeters from the distal viewing window of the endoscope.

24. A method as defined in claim 17 wherein the step of selectively forcing fluid through the tube comprises the steps of:

connecting a syringe to the proximal end of the tube;

filling the syringe with fluid; and

selectively actuating the syringe so as force fluid from the syringe and through the tube.

25. A system for maintaining a clear visual field adjacent a distal viewing window of an endoscope, the system comprising:

a resilient tube having a proximal end and a distal end, the tube being attached to said endoscope such that the distal end of the tube is in proximity to said distal viewing window of ht endoscope, and the tube being attached to the endoscope by means of fasteners which at least partially encircle the endoscope; and

means connected to the proximal end of the resilient tube for selectively forcing fluid through the tube and out of the distal end thereof.

26. A nasal sinus endoscope system, comprising:

a nasal sinus endoscope having a distal viewing window;

a resilient tube having a proximal end and a distal end, the tube being attached to the endoscope such that the distal end of the tube is in proximity tot he distal viewing window of the endoscope, the distal end of the tube forming an oblique angle with respect to a longitudinal axis of the tube, the tube being attached to said endoscope such that the oblique opening formed by the distal end of the tube substantially faces the endoscope, and the tube being attached to the endoscope by means of fasteners which at least partially encircle the endoscope; and

a syringe connected to the proximal end of the resilient tube for selectively forcing fluid through the tube and out of the distal end thereof.

27. A nasal sinus endoscope system as defined in claim 26 wherein the resilient tube has an outside diameter of approximately two millimeters.

28. A nasal sinus endoscope system as defined in claim 27 wherein the syringe has a fluid capacity within the range of from approximately twenty to approximately thirty cubic centimeters.

29. A method for maintaining a clear visual field during endoscopic procedures, the method comprising the steps of:

attaching a resilient tube to an endoscope, said attaching step comprising placing at least one fastener around both the tube and the endoscope, the tube having a proximal end and a distal end and the endoscope, the tube having a proximal end and a distal end and the endoscope having a distal viewing window, the tube being attached to the endoscope such that the distal end of the tube is in proximity to the distal viewing window of the endoscope without obstructing said viewing window; and

selectively forming fluid through the tube and out of the distal end thereof so as to clear the distal viewing window of the endoscope.

30. A method as defined in claim 29 wherein one said fastener is placed within the range of from approximately five millimeters to approximately six millimeters from the distal viewing window of the endoscope.

31. A method as defined in claim 30 wherein a second said fastener is placed approximately three and one-half centimeters form the distal viewing window of the endoscope.

32. A system for maintaining a clear visual field adjacent a distal viewing window of an endoscope, the system comprising:

a resilient tube having a proximal end and a distal end, the tube being attached to said endoscope such that the distal end of the tube is in proximity to said distal viewing window of the endoscope, and the tube being attached to the endoscope by means of elastic bands which encircle both the tube and the endoscope; and

means connected to the proximal end of the resilient tube for selectively forcing fluid through the tube and out of the distal end thereof.

33. A nasal sinus endoscope system, comprising:

a nasal sinus endoscope having a distal viewing window;

a resilient tube having a proximal end and a distal end, the tube being attached to the endoscope such that the distal end of the tube is in proximity to the distal viewing window of the endoscope, the distal end of the tube forming an oblique angle with respect to a longitudinal axis of the tube, the tube being attached to said endoscope such that the oblique opening formed by the distal end of the tube substantially faces the endoscope, and the tube being attached to the endoscope by means of elastic bands which encircle both the tube and the endoscope; and

a syringe connected to the proximal end of the resilient tube for selectively forcing fluid through the tube and out of the distal end thereof.

34. A nasal sinus endoscope system as defined in claim 33 wherein the resilient tube has an outside diameter of approximately two millimeters.

35. A nasal sinus endoscope system as defined in claim 34 wherein the syringe has a fluid capacity within the range of from approximately twenty to approximately thirty cubic centimeters.

36. A method for maintaining a clear visual field during endoscopic procedures, the method comprising the steps of:

attaching a resilient tube to an endoscope, said attaching step comprising placing at least one elastic band around both the tube and the endoscope, the tube having a proximal end and a distal end and the endoscope having a distal viewing window, the tube being attached to the endoscope such that the distal end of the tube is in proximity to the distal viewing window of the endoscope without obstructing said viewing window; and

selectively forcing fluid through the tube and out of the distal end thereof so as to clear the distal viewing window of the endoscope.

37. A method as defined in claim 36 wherein one said elastic band is placed within the range of from approximately five millimeters to approximately six millimeters from the distal viewing window of the endoscope.

38. A method as defined in claim 37 wherein a second said elastic band is placed approximately three and one-half centimeters from the distal viewing window of the endoscope.