Imaging tissue or stone removal basket

• US 5,311,858 A
• Filed: 06/15/1992
• Issued: 05/17/1994
• Est. Priority Date: 06/15/1992
• Status: Expired due to Fees

• Current Assignee: Edwin L. Adair
• Original Assignee: Edwin L. Adair
• Inventors: Adair, Edwin L.
• Primary Examiner(s): RICHARD, KAREN
• Assistant Examiner(s): Jalbert, Karen A.
• Application Number:
  US07/898,311
• Time in Patent Office: 701 Days
• Field of Search: 128/4, 128/6, 606/110, 606/113, 606/114, 606/127, 606/128, 606/159
• US Class Current: 600/106
• 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 17/3203 Fluid jet cutting instruments
• CPC Class Codes: A61B 2017/22074 the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61B 2090/3614 using optical fibre
• CPC Class Codes: A61B 2090/373 using light, e.g. by using optical scanners
• CPC Class Codes: A61B 2217/007 with irrigation system

Abstract

In accordance with this invention, an endoscope is provided which has an imaging tissue or stone removal basket for removal of unwanted tissue or stone from an operative site, such as a body passageway or cavity. The endoscope includes an elongated tube, having a distal end and a proximal end. An elongated basket having a circular distal end with a central opening therein and a proximal end which is attached to the periphery of the distal end of the tube is provided. The basket is formed as a plurality of spaced flexible members which normally bow outwardly between the distal end and the proximal end of the basket. An optic fiber bundle is slidably received within the tube and is of smaller diameter than the tube. Structure is provided for selectively adjusting the optic fiber bundle along the tube so that the distal end of the bundle is selectively located from a position within the circular distal end of the basket to a position at the distal end of the tube. Structure is also provided for introducing fluid under pressure through the tube from the proximal@end thereof to the distal end. The fluid flows around the optic fiber bundle to the distal end of the tube for improving visibility of the operative site. Also, the fluid under pressure can be used for dislodging unwanted tissue or stone.

Claims

1. An endoscope having an imaging tissue or stone removal basket for removal of unwanted tissue or stone from an operative site within a body, said endoscope comprising:

an elongated tube, having a distal end and a proximal end;

an elongated basket, having generally circular distal end with a central opening therein and a proximal end, said proximal end of said basket being attached to the periphery of said distal end of said tube, said basket being formed as a plurality of spaced flexible members which normally bow outwardly between said distal end and said proximal end thereof;

an optic fiber bundle slidably received within said tube, said optic fiber bundle having a distal end and a proximal end and a smaller diameter than said tube;

an elongated handle having a distal end, a proximal end and a central passageway therethrough whose diameter is substantially greater than the diameter of said optic fiber bundle;

a sleeve slidably received over said tube, having a distal end and a proximal end;

a slidable tubular arm having a distal end and a proximal end, within said passageway, said distal end thereof projecting beyond said distal end of said handle, releasably connectable to said proximal end of said sleeve, said optic fiber bundle extending centrally through said arm within said passageway and having a diameter substantially smaller than the inner diameter of said arm;

slidable control means on said handle connected to said arm for extending and retracting said arm with respect to said distal end of said handle to extend and retract said distal end of said sleeve with respect to said basket; and

clamping means intermediate said ends of said handle for releasably holding said proximal end of said tube in a fixed position relative to said handle.

2. An endoscope, as claimed in claim 1, further including:

a fitting releasably connected to said proximal end of said handle, said optic fiber bundle passing therethrough, said fitting having means for selectively introducing fluid under pressure into said tube and around said optic fiber bundle for discharge through said distal end of said tube; and

fluid-tight means for adjustably positioning said optic fiber bundle longitudinally with respect to said tube.

3. An endoscope, as claimed in claim 2, wherein said means for selectively introducing fluid comprises:

a fluid tube in fluid communication with said fitting, said fluid tube having an inlet for attachment to a source of fluid; and

a shut-off valve in said fluid tube to control the flow of fluid to said fitting.

4. An endoscope, as claimed in claim 2, wherein said fluid-tight means comprises:

an O-ring seated in said fitting with said optic fiber bundle extending therethrough; and

an adjustable annular member for applying pressure to said O-ring about its periphery to urge the inner surface thereof into sealing engagement with said optic fiber bundle.

5. An endoscope, as claimed in claim 3, wherein said slidable control means includes:

a longitudinal opening extending through said handle, having a longitudinal surface along each side thereof;

a rack extending along each of said longitudinal surfaces forming a slot therebetween, each rack having teeth facing into said opening;

a shaft extending through said slot having a first end connected to said arm and having a pair of spaced shoulders, each shoulder having respective gripping means facing each of said respective racks and engageable with said respective racks when said shaft is in an extended position and releasable from said respective racks when said shaft is moved toward said arm to a depressed position, said shaft having a second end extending exteriorly of said handle;

a knob attached to said second end of said shaft for depressing said shaft and said shoulders to extend and retract said arm with respect to said handle; and

means resiliently biasing said shaft and said shoulders toward said rack.

6. An endoscope, as claimed in claim 5, further including:

a sleeve slidably received over said tube, having a distal end and a proximal end; and

means releasably connecting said proximal end of said sleeve to said slidable arm, said basket and said longitudinally opening being substantially the same length so that when said arm is fully extended said sleeve extends completely over said basket and when said arm is fully retracted said sleeve is completely retracted from said basket.