Endoscope with protruding member and method of utilizing the same

• US 5,505,686 A
• Filed: 05/05/1994
• Issued: 04/09/1996
• Est. Priority Date: 05/05/1994
• Status: Expired due to Fees

• Current Assignee: Credit Suisse Incorporated (Credit Suisse)
• Original Assignee: Imagyn Medical Inc. (Imagyn Medical Technologies, Inc.)
• Inventors: Willis, Allan F., Van Nguyen, Hien, Nguyen, Tuoc T., Quick, Richard L., Greelis, John P.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): FLANAGAN, BEVERLY MEINDL
• Application Number:
  US08/238,314
• Time in Patent Office: 705 Days
• Field of Search: 128/45 M, 128/6, 128/7, 600/104, 600/114, 600/117, 600/103, 600/127, 600/129
• US Class Current: 600/104
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/303 for the vagina, i.e. vaginoscopes
• CPC Class Codes: A61B 1/32 Devices for opening or enlarging the visual field, e.g. of a tube of the body dilators A61M29/00
• CPC Class Codes: A61B 2017/4233 Operations on Fallopian tubes, e.g. sterilization A61B2017/1125 takes precedence
• CPC Class Codes: A61M 2025/09183 having tools at the distal tip

Abstract

An endoscope including an elongated endoscope body sized and adapted for insertion into a passage, such as a passage of the body of a patient. Optical components are carried by the endoscope body to enable viewing of the passage distally of the distal end of the endoscope body within a field of view of the endoscope. An elongated, resilient member is mounted on and carried by the endoscope body such that the endoscope body and the resilient member are a unitary assembly which can be inserted as a unit into the passage. The resilient member extends beyond the distal end of the endoscope body and is capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope.

Claims

1. An endoscope comprising:

an elongated endoscope body having a distal end, said endoscope body being sized and adapted for insertion into a passage of an object;

optical components carried by the endoscope body to enable viewing of the passage distally of the distal end within a field of view of the endoscope when the endoscope is in the passage;

an elongated, resilient member mounted on and carried by the endoscope body such that the endoscope body and the resilient member are a unitary assembly which can be inserted as a unit into the passage;

said resilient member extending beyond the distal end of the endoscope body and being capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope;

the endoscope body having an endoscope lumen and the resilient member being slidably received in said endoscope lumen;

the endoscope including a controller mounted on the endoscope body for moving the resilient member longitudinally in said endoscope lumen; and

the controller including a control slide coupled to the resilient member and mounted for sliding movement on the endoscope body.

2. An endoscope as defined in claim 1 wherein the resilient member terminates distally in an enlarged distal tip portion.

3. An endoscope as defined in claim 1 wherein the endoscope lumen opens at the distal end of the endoscope body and the resilient member terminates distally in an enlarged distal end portion.

4. An endoscope as defined in claim 1 wherein the resilient member has a lubricous exterior surface.

37. An endoscope as defined in claim 1 wherein the resilient member is mounted on the endoscope body for generally longitudinal movement relative to the endoscope body.

5. An endoscope comprising:

an elongated endoscope body having a distal end, said endoscope body being sized and adapted for insertion into a passage of an object;

optical components carried by the endoscope body to enable viewing of the passage distally of the distal end within a field of view of the endoscope when the endoscope is in the passage;

an elongated, resilient member mounted on the endoscope body, said resilient member being fixed longitudinally with respect to the endoscope body;

said resilient member extending beyond the distal end of the endoscope body and being capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope;

the endoscope body having an endoscope lumen and said resilient member being received in said endoscope lumen; and

bonding material for bonding the resilient member to the endoscope body within the endoscope lumen.

6. An endoscope as defined in claim 5 wherein the endoscope body has a proximal end and the endoscope lumen extends through the endoscope body from the proximal end to the distal end, the endoscope includes a hub coupled to the endoscope body adjacent the proximal end of the endoscope body, and the resilient member extends through the endoscope lumen and into said hub.

7. An endoscope as defined in claim 6 including bonding material in the hub for bonding the resilient member to the hub.

8. A method of viewing an interior passage in the body of a patient with an endoscope which has an elongated endoscope body with a distal end, said method comprising:

advancing the endoscope into the passage in the body of the patient with the endoscope having a field of view and an elongated resilient member which extends beyond the distal end of the endoscope body when the endoscope is at a region of the passage;

relatively displacing the distal end of the endoscope body and material within or forming the passage within the field of view of the endoscope utilizing the resilient member; and

viewing the interior passage utilizing the endoscope while the distal end of the endoscope body and said material are relatively displaced.

9. A method as defined in claim 8 wherein at least some of the displacement of the material and the distal end of the endoscope body is in a radial direction.

10. A method as defined in claim 8 wherein the step of displacing includes contacting the resilient member and the material.

11. A method as defined in claim 10 wherein the step of contacting is carried out during the step of advancing.

12. A method as defined in claim 8 wherein the passage has a curve, the resilient member extends beyond the distal end of the endoscope body when the endoscope is near the curve and including using the resilient member to at least assist in guiding the endoscope at least part way through the curve during the step of advancing.

13. A method as defined in claim 8 wherein the interior passage is a fallopian tube.

14. A method as defined in claim 8 including moving the resilient member longitudinally relative to the endoscope body during the step of displacing.

15. A method as defined in claim 8 wherein the interior passage is the gastrointestinal tract.

16. A method as defined in claim 8 wherein the interior passage is a passage in the vascular system.

17. A method as defined in claim 8 wherein the interior passage is a neural passage.

18. A method as defined in claim 8 wherein the interior passage is an epidural passage.

19. A method as defined in claim 8 wherein the resilient member has a transition temperature, the resilient member loses at least some of its resilience below the transition temperature and becomes more easily deflectable and including heating the resilient member above the transition temperature such that the resilient member is above the transition temperature at least when the endoscope is at said region of the passage.

20. An endoscope comprising:

an elongated endoscope body having a distal end, said endoscope body being sized and adapted for insertion into a passage of an object;

optical components carried by the endoscope body to enable viewing of the passage distally of the distal end within a field of view of the endoscope when the endoscope is in the passage;

an elongated member mounted on and carried by the endoscope body such that the endoscope body and the elongated member are a unitary assembly which can be inserted as a unit into the passage;

said elongated member extending beyond the distal end of the endoscope body and being capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope;

the elongated member having a transition temperature and the elongated member being more easily deflectable below the transition temperature than above the transition temperature.

21. An endoscope as defined in claim 20 wherein the elongated member is fixedly mounted on the endoscope body.

22. An endoscope as defined in claim 20 wherein the elongated member is mounted on the endoscope body for generally longitudinal movement relative to the endoscope body.

23. An endoscope as defined in claim 20 including a clip-on assembly coupled to the elongated member for enabling the elongated member to be clipped onto the exterior of the endoscope body.

24. An endoscope as defined in claim 20 wherein the elongated member terminates distally in an enlarged distal tip portion.

25. An endoscope as defined in claim 24 wherein the distal tip portion has a maximum cross sectional area which is at least about as large as the cross sectional area of the distal end of the endoscope body.

26. An endoscope as defined in claim 20 wherein the endoscope body has an endoscope lumen and the elongated member is slidably received in said endoscope lumen and wherein the endoscope includes a controller mounted on the endoscope body for moving the elongated member longitudinally in said endoscope lumen.

27. An endoscope comprising:

an elongated endoscope body having a distal end, said endoscope body being sized and adapted for insertion into a passage of an object;

optical components carried by the endoscope body to enable viewing of the passage distally of the distal end within a field of view of the endoscope when the endoscope is in the passage;

an elongated member mounted on and carried by the endoscope body,said elongated member having a transition temperature, said elongated member being more easily deflected below said transition temperature then above said transition temperature; and

said elongated member extending beyond the distal end of the endoscope body and being capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope.

28. An endoscope as defined in claim 27 wherein the transition temperature is less than about the temperature of the interior of the human body.

29. An endoscope as defined in claim 27 wherein the elongated member is soft and malleable below the transition temperature and resilient above the transition temperature.

30. An endoscope comprising:

an elongated endoscope body having a distal end, said endoscope body being sized and adapted for insertion into a passage of an object;

optical components carried by the endoscope body to enable viewing of the passage distally of the distal end within a field of view of the endoscope when the endoscope is in the passage;

an elongated, resilient member mounted on and carried by the endoscope body such that the endoscope body and the resilient member are a unitary assembly which can be inserted as a unit into the passage;

said resilient member extending beyond the distal end of the endoscope body and being capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope; and

a region of the resilient member proximally of the distal tip portion being of greater flexibility than a zone of the resilient member immediately proximal to such region, said zone and said region being distal of the endoscope body.

31. An endoscope as defined in claim 30 wherein said region and said zone of the resilient member proximally of the distal tip portion are of progressively increasing flexibility as such region and zone extend distally.

32. An endoscope comprising:

an elongated endoscope body having a distal end, said endoscope body being sized and adapted for insertion into a passage of an object;

optical components carried by the endoscope body to enable viewing of the passage distally of the distal end within a field of view of the endoscope when the endoscope is in the passage;

an elongated, resilient member mounted on the endoscope body, said resilient member being fixed longitudinally with respect to the endoscope body;

said resilient member extending beyond the distal end of the endoscope body and being capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope;

the endoscope being flexible and sized to be received within an interior body region of a patient, the resilient member terminating distally in an enlarged distal tip portion; and

the distal tip portion having a maximum cross sectional dimension which is between about 0.15 millimeter and 1.2 millimeters.

33. An endoscope comprising:

an elongated endoscope body having a distal end, said endoscope body being sized and adapted for insertion into a passage of an object;

optical components carried by the endoscope body to enable viewing of the passage distally of the distal end within a field of view of the endoscope when the endoscope is in the passage;

an elongated, resilient member mounted on the endoscope body, said resilient member being fixed longitudinally with respect to the endoscope body;

said resilient member extending beyond the distal end of the endoscope body and being capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope,

the endoscope being flexible and sized to be received within an interior body region of a patient, the resilient member terminating distally in an enlarged distal tip portion; and

the distal tip portion having a distal end which is between about 1 millimeter and 15 millimeters from the distal end of the endoscope body.

34. An endoscope comprising:

an elongated endoscope body having a distal end, said endoscope body being sized and adapted for insertion into a passage of an object;

optical components carried by the endoscope body to enable viewing of the passage distally of the distal end within a field of view of the endoscope when the endoscope is in the passage;

an elongated, resilient member mounted on the endoscope body, said resilient member being fixed longitudinally with respect to the endoscope body;

said resilient member extending beyond the distal end of the endoscope body and being capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope;

the endoscope being flexible and sized to be received within an interior body region of a patient, the resilient member terminating distally in an enlarged distal tip portion; and

the resilient member being constructed of a nickel-titanium alloy.

35. An endoscope comprising:

an elongated endoscope body having a distal end, said endoscope body being sized and adapted for insertion into a passage of an object;

optical components carried by the endoscope body to enable viewing of the passage distally of the distal end within a field of view of the endoscope when the endoscope is in the passage;

an elongated, resilient member mounted on and carried by the endoscope body such that the endoscope body and the resilient member are a unitary assembly which can be inserted as a unit into the passage;

said resilient member extending beyond the distal end of the endoscope body and being capable of contacting material within or forming the passage and relatively displacing the distal end of the endoscope body and such material within the field of view of the endoscope to enhance viewing of the passage with the endoscope;

said resilient member terminating distally in an enlarged distal tip portion; and

the distal tip portion being permanently enlarged to have a maximum cross sectional area which is at least about as large as the cross sectional area of the distal end of the endoscope body.

36. An endoscope as defined in claim 35 wherein the resilient member is fixedly mounted on the endoscope body.

38. An endoscope as defined in claim 35 including a clip-on assembly coupled to the resilient member for enabling the resilient member to be clipped onto the exterior of the endoscope body.

39. An endoscope as defined in claim 35 wherein the resilient member and the endoscope body have longitudinal axes which are radially offset at the distal end of the endoscope body and the resilient member is deflected distally of the distal end of the endoscope body to bring the axes of the resilient member and the endoscope body closer together.