Polyp retrieval method and associated instrument assembly

• US 5,423,830 A
• Filed: 07/07/1993
• Issued: 06/13/1995
• Est. Priority Date: 07/07/1993
• Status: Expired due to Fees

• Current Assignee: Cary W. Schneebaum, Peter J. Wilk
• Original Assignee: Cary W. Schneebaum, Peter J. Wilk
• Inventors: Wilk, Peter J., Schneebaum, Cary W.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): DAWSON, GLENN K
• Application Number:
  US08/088,831
• Time in Patent Office: 706 Days
• Field of Search: 128/898, 128/749, 128/751, 128/752, 600/37, 606/1, 606/110, 606/113, 606/114, 606/115, 606/127, 606/37, 606/39, 606/45, 606/46, 606/167, 606/170, 606/191, 606/192, 606/194, 606/198
• US Class Current: 606/115
• 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 18/10 Power sources therefor
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/308 with suction cups
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/1407 Loop

Abstract

A method for removing a polyp from inside a patient, comprises the steps of inserting an endoscopic insertion member into a patient, ejecting a cauterization loop from the insertion member, and maneuvering the insertion member and the cauterization loop from outside the patient to place the cauterization loop over a polyp inside the patient. A web member is ejected also from the endoscopic insertion member and is opened from a collapsed configuration to a substantially cup shaped opened configuration having a concave inner surface. The endoscope insertion member and the opened web member are maniipulated from outside the patient to juxtapose the concave inner surface of the web with the polyp, whereupon suction is applied to the web member to form a negative pressure zone between the web member and the polyp, thereby attaching the web member to the polyp in a vacuum seal. Then electrical current is conducted to the cauterization loop to sever the polyp from the patient. The web entrains the severed polyp for removal from the patient.

Claims

1. A method for removing an object from a patient, comprising the steps of:

providing a web member in a substantially collapsed configuration inside a tubular endoscopic channel of a flexible endoscope insertion member;

inserting, into a patient, said web member in said collapsed configuration in said tubular endoscopic channel;

upon completion of said step of inserting, ejecting said web member from said tubular endoscopic channel;

upon ejection of said web member from said tubular endoscopic channel, opening said web member from said collapsed configuration to a substantially cup-shaped opened configuration having a concave inner surface;

juxtaposing said concave inner surface of the opened web member with the object inside the patient;

upon juxtaposition of said concave inner surface with the object, applying suction to said web member to form at least a partial vacuum between said concave inner surface and the object, thereby attaching said web member to the object in a vacuum seal; and

removing, from the patient, said web member with the object entrained thereto by suction.

2. The method defined in claim 1 wherein the object to be removed from the patient is a polyp, further comprising the steps of:

providing an endoscope assembly with a cauterization loop in a folded configuration, said tubular endoscopic channel being defined by said endoscope assembly;

inserting said endoscope assembly into a patient;

ejecting said cauterization loop from said endoscope assembly at a distal end thereof;

upon ejection of said cauterization loop, opening said loop from said folded configuration;

upon the opening of said cauterization loop and prior to said steps of juxtaposing, applying and removing, maneuvering said endoscope assembly and said cauterization loop from outside the patient to place said cauterization loop over the polyp; and

upon placement of said cauterization loop over the polyp and upon application of suction to said web member, conducting electrical current to said cauterization loop to sever said polyp from the patient, said step of removing being executed subsequently to said step of conducting.

3. The method defined in claim 2 wherein said tubular endoscopic channel is a biopsy channel of said endoscope assembly, further comprising the step of inserting said endoscope assembly into the patient with said web member in a collapsed configuration in said biopsy channel.

4. The method defined in claim 2 wherein said tubular endoscopic channel is defined by a tubular member itself inserted through a biopsy channel of said endoscope assembly, said step of ejecting said web member including the steps of shifting said tubular member in a distal direction relative to said endoscope assembly and moving said web member in said distal direction relative to said tubular member.

5. The method defined in claim 2 wherein said web member is provided with a plurality of ribs having an inherent spring action, said step of opening said web member including the step of spreading said web member by said spring action.

6. The method defined in claim 1 wherein said tubular endoscopic channel is a biopsy channel of said endoscope insertion member, further comprising the step of inserting said endoscope insertion member into the patient.

7. The method defined in claim 1 wherein said tubular endoscopic channel is defined by a tubular member itself inserted through a biopsy channel of an endoscope assembly, further comprising the step of inserting said endoscope assembly into the patient, said step of ejecting including the steps of shifting said tubular member in a distal direction relative to said endoscope assembly and moving said web member in said distal direction relative to said tubular member.

8. The method defined in claim 1 wherein said web member is provided with a plurality of ribs having an inherent spring action, said step of opening including the step of spreading said web member by said spring action.

9. A method for removing a polyp from inside a patient, comprising the steps of:

providing an endoscope assembly including an endoscopic insertion member;

providing a cauterization loop in a first tubular channel of said endoscope assembly and a web member in a second tubular channel of said endoscope assembly;

inserting said insertion member into a patient;

ejecting said cauterization loop from said first tubular channel at a distal end of said insertion member;

maneuvering said insertion member and said cauterization loop from outside the patient to place said cauterization loop over a polyp inside the patient;

ejecting said web member from said second tubular channel;

upon ejection of said web member, opening said web member from a collapsed configuration to a substantially cup shaped opened configuration having a Concave inner surface;

upon opening of said web member and upon placement of said cauterization loop over the polyp, manipulating said insertion member and said web member to juxtapose said concave inner surface with the polyp;

upon juxtaposition of said concave inner surface with the polyp, applying suction to said web member to attach said web member to the polyp in a vacuum seal; and

upon application of suction to said web member, conducting electrical current to said cauterization loop to sever said polyp from the patient.

10. A method for removing an object from inside a patient, comprising the steps of:

providing a web member having a plurality of ribs extending in a longitudinal direction from a base of said web member at a proximal end thereof to a mouth opening at a distal side thereof, said web member being disposed in a collapsed configuration inside a tubular endoscopic channel, said ribs having a spring bias tending to spread said web member from said collapsed configuration to a substantially cup-shaped opened configuration;

inserting, into a patient, said web member in said collapsed configuration in said tubular endoscopic channel;

upon completion of said step of inserting, ejecting said web member from said tubular endoscopic channel;

upon ejection of said web member from said tubular endoscopic channel, opening said web member from said collapsed configuration to said cup-shaped opened configuration;

manipulating the web member from outside the patient to insert the object inside the patient into the opened web member through said mouth opening;

upon insertion of said object into said web member, applying suction to said web member to form at least a partial vacuum between said web member and the object, thereby attaching said web member to the object in a vacuum seal;

upon insertion of said object into said web member, closing said web member about the object; and

removing, from the patient, said web member with the object entrained thereto by suction.

11. The method defined in claim 10, further comprising the step of providing a tubular member defining said tubular endoscopic channel, said step of closing including the step of shifting said tubular member relative to said web member to institute a camming action on said ribs to press said ribs towards one another.