Injection snare

• US 6,007,546 A
• Filed: 10/26/1998
• Issued: 12/28/1999
• Est. Priority Date: 10/26/1998
• Status: Expired due to Term

• Current Assignee: Boston Scientific Limited (Boston Scientific Corporation), Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Limited (Boston Scientific Corporation), Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Testa, Vincent J., Snow, Todd H.
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US09/178,569
• Time in Patent Office: 428 Days
• Field of Search: 606/1, 606/110, 606/113, 606/114, 606/127, 606/167, 606/184, 606/185, 604/164, 604/187, 604/264, 604/272
• US Class Current: 606/113
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00269 endoscopic mucosal resection EMR
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/22072 with an instrument channel, e.g. for replacing one instrument by the other in cannulas A61B17/3417
• CPC Class Codes: A61B 2018/00166 Multiple lumina
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/141 Snare

Abstract

An injection snare is disclosed. One embodiment of the present invention includes an instrument body, an actuator slidably attached to the body, a catheter attached to and extending through the body at a proximal end of the catheter, an injection needle, and a snare. The injection needle is disposed within the catheter and has a proximal end connected to the actuator. A distal end of the injection needle contains a piercing tip. The injection needle is movable within the catheter between a first position wherein the distal end of the needle extends beyond the distal end of the catheter and a second position wherein the distal end of the needle is retracted within said catheter. The snare is attached to the distal end of the injection needle.

Claims

1. A surgical instrument assembly comprising:

a body;

an actuator, said actuator slidably attached to said body for sliding movement on said body;

a catheter, said catheter attached to and extending through said body at a proximal end of said catheter;

an injection needle, said needle disposed within said catheter and having a proximal end connected to said actuator and a distal end containing a piercing tip, said needle movable within said catheter between a first position wherein said distal end of said needle extends beyond a distal end of said catheter and a second position wherein the distal end of said needle is retracted within said catheter; and

a snare, said snare attached to the distal end of said injection needle.

2. The surgical instrument assembly of claim 1 further comprising:

a first lumen, said first lumen contained within said catheter and wherein said injection needle is disposed within said first lumen;

a second lumen, said second lumen contained within said catheter,

a retrieval device, wherein said retrieval device is contained within said second lumen; and

a second actuator, said second actuator disposed on said body for sliding movement on said body and wherein said retrieval device is connected to said second actuator at a proximal end of said retrieval device and wherein said retrieval device is movable within said second lumen between a first position wherein said retrieval device extends beyond a distal end of said catheter and a second position wherein said retrieval device is retracted within said catheter.

3. The surgical instrument assembly of claim 2 wherein said retrieval device is a forceps apparatus.

4. The surgical instrument assembly of claim 2 wherein said retrieval device is a net.

5. The surgical instrument assembly of claim 1 wherein said snare is attached to said injection needle by a weld joint.

6. The surgical instrument assembly of claim 1 wherein said snare is bent at a location along said snare that is distal to the attachment point between said needle and said snare.

7. The surgical instrument assembly of claim 1 wherein said snare is a monopolar cutting wire.

8. The surgical instrument assembly of claim 1 wherein said needle includes a first electrically conducting portion and a second non-electrically conducting portion, wherein said first portion is joined to said second portion by an electrically conducting coupler and wherein said snare is attached to said electrically conducting coupler.

9. A surgical instrument assembly for use in tissue removal procedures, comprising:

an endoscope assembly, said endoscope assembly including a working channel;

an injection needle, said injection needle including a distal end containing a piercing tip and a proximal end;

a snare, said snare attached to the distal end of said injection needle; and

an actuator, said actuator connected to said injection needle at the proximal end of said needle for movement of said needle between a first position where the distal end of said needle extends beyond a distal end of said working channel and a second position where the distal end of said needle is retracted to a position proximal of said distal end of said working channel.

10. The surgical instrument assembly of claim 9 further comprising:

a first lumen, said first lumen contained within said working channel and wherein said injection needle is disposed within said first lumen;

a second lumen, said second lumen contained within said working channel;

a retrieval device, wherein said retrieval device is contained within said second lumen; and

a second actuator, said second actuator connected to said retrieval device at the proximal end of said retrieval device for movement of said retrieval device between a first position where the distal end of said retrieval device extends beyond a distal end of said working channel and a second position where the distal end of said retrieval device is retracted within said working channel.

11. The surgical instrument assembly of claim 10 wherein said retrieval device is a forceps apparatus.

12. The surgical instrument assembly of claim 10 wherein said retrieval device is a net.

13. The surgical instrument assembly of claim 9 wherein said snare is a monopolar cutting wire.

14. The surgical instrument assembly of claim 9 wherein said snare is bent at a location along said snare that is distal to the attachment point between said needle and said snare.

15. The surgical instrument assembly of claim 9 further comprising:

a second working channel, said second working channel attached to said endoscope assembly along the length thereof and wherein said injection needle is disposed within said second working channel; and

a hood, said hood attached to the distal end of said endoscope assembly.

16. The surgical instrument assembly of claim 15 wherein said hood is made from an optically clear material.

17. The surgical instrument assembly of claim 15 wherein a top of said hood is configured at an angle with respect to a base of said hood.

18. The surgical instrument assembly of claim 17 wherein when said needle is in said first position, said snare is disposed in front of the top of said hood in a coplanar relationship.

19. A method of removing tissue from a body of a patient comprising the steps of:

inserting a distal end of a catheter into the body of the patient;

extending an injection needle and a snare through the distal end of the catheter, said snare attached to a distal end of said injection needle;

injecting a fluid into the tissue to be removed from the body;

capturing the tissue to be removed by said snare;

conducting an electrical current through said needle and into said snare; and

cutting the tissue by said snare.

20. The method of claim 19 further comprising the steps of:

extending a tissue retrieval device from the distal end of the catheter;

capturing the cut tissue by said retrieval device; and

removing the tissue from the body.

21. The method of claim 19 further comprising the step of retracting said injection needle into said catheter after the step of injecting the fluid into the tissue to be removed and prior to the step of capturing the tissue to be removed by said snare.

22. An apparatus for injecting fluid into tissue to be removed from a body and capturing the tissue to be removed, comprising:

a catheter, said catheter including a distal end for insertion into a body;

an injection needle, said injection needle disposed within said catheter and including a piercing tip at a distal end thereof; and

a snare, said snare attached to said injection needle at the distal end thereof;

wherein said injection needle is movable within said catheter between a first position where the distal end of said needle and said snare extend beyond the distal end of said catheter and a second position where the distal end of said needle and said snare are retracted within said distal end of said catheter.

23. The apparatus of claim 22 wherein said snare is a monopolar cutting wire.

24. The apparatus of claim 22 wherein said snare is bent at a location along said snare that is distal to the attachment point between said needle and said snare.

25. The apparatus of claim 22 wherein said injection needle includes a first rigid structural portion and a second flexible structural portion.