Apparatus for severing and capturing polyps

• US 6,171,315 B1
• Filed: 12/09/1999
• Issued: 01/09/2001
• Est. Priority Date: 04/13/1995
• Status: Expired due to Term

• Current Assignee: Boston Scientific Corporation
• Original Assignee: Boston Scientific Corporation
• Inventors: Chin, Yem, Chu, Michael S. H.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US09/457,700
• Time in Patent Office: 397 Days
• Field of Search: 606/113, 606/194, 606/46, 606/110, 606/47
• US Class Current: 606/113
• 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 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves

Abstract

A method and apparatus for managing polyps by which an elongated tubular member generally positionable within the working channel of an endoscopic device. The tubular member carries a selectively extendable severing device and capturing device at its distal end. Control apparatus at the proximal end of the tubular member enables a physician to extend and retract the severing and capturing devices. The physician retracts the capturing device to grasp the portion of the polyp to be severed and retracts the severing device to sever the polyp. The capturing device retains the severed portion of the polyp for removal with the tubular member. In one embodiment the capturing device includes an injection needle.

Claims

1. An apparatus for severing and retrieving a polyp for withdrawal from a patient comprising:

a catheter extending between a distal end tip and a proximal end, for positioning proximate a polyp;

a self-expansible severing and capturing device for retrieving a polyp, said severing and capturing device being extensible from said distal end of said catheter in an expanded form and retractable into said distal end in a compacted form; and

a control device at the proximal end of said catheter for selectively extending and retracting said severing and capturing device relative to said distal end of said catheter, wherein said severing and capturing device includes a continuous wire defining in the expanded form a first plane and at least one leg that is fixed directly to and that distally extends past the continuous wire, has a free end, and generally lies outside the first plane.

2. The apparatus for severing and retrieving a polyp as recited in claim 1 wherein said control device includes an axially stiff, laterally flexible cable extending through said catheter, and said continuous wire and said leg connects to the distal end of said cable.

3. The apparatus of claim 1, wherein said severing and capturing device includes a plurality of legs.

4. The apparatus of claim 3, wherein each of said plurality of legs has an inwardly directed finger proximate the distal ends of said legs.

5. The apparatus of claim 1, wherein said continuous wire defines in said expanded form an open loop.

6. The surgical instrument of claim 3, wherein said plurality of legs extend distally past the snare from opposed portions of said snare intermediate a distal end of said snare and said distal end of said cable.

7. A surgical instrument for severing and capturing a polyp, the instrument comprising:

an elongated tubular member having a distal end;

a snare for extension in an enlarged condition in a first plane from and retraction in a compact condition into said distal end of said tubular member;

a control device for selectively extending said snare relative to said distal end so as to enable positioning said snare to encompass a polyp, and for selectively retracting said snare relative to said distal end so as to sever such polyp;

and a capturing device connected to said control device such that said capturing device is extended with said snare, wherein upon retraction of the snare by said control device said capturing device grasps the polyp outside the first plane so that upon severing of the polyp by said snare said capturing device retains the severed portion of the polyp, wherein said capturing device includes at least one leg fixed directly to and extending distally past the snare and having a free end.

8. An instrument as recited in claim 7 wherein said at least one leg is a plurality of spaced legs.

9. A surgical instrument as recited in claim 7, wherein said leg has an inwardly directed finger proximate the distal end of said leg.

10. An apparatus for severing and retrieving a polyp comprising:

a catheter extending between a distal end and a proximal end;

a severing and capturing device for retrieving a polyp, said severing and capturing device being extensible from said distal end of said catheter in an expanded form and retractable into said distal end in a compacted form; and

a control device operably connected to the severing and capturing device to selectively extend and retract said severing and capturing device relative to said distal end of said catheter, said control device including an elongated control member extending through said catheter, said elongated control member supporting said severing and capturing device at a distal end of said elongated control member, wherein said severing and capturing device includes a continuous wire substantially defining in the expanded form a first plane, and said severing and capturing device includes a plurality of legs, each leg being fixed directly to and extending distally past the continuous wire and having a free end.

11. The apparatus of claim 10, wherein said continuous wire in the expanded form defines an open loop.

12. The apparatus of claim 10, wherein said plurality of legs in the expanded form generally lie outside the first plane.

13. The apparatus of claim 10, wherein said legs connect to the distal end of said elongated control member.

14. A surgical instrument for severing and capturing a polyp, the instrument comprising:

an elongated tubular member having a distal end;

a snare configured for extension in an enlarged condition substantially in a first plane from and retraction in a compact condition into said distal end of said tubular member;

a capturing device configured for extension substantially outside of said first plane from and retraction into said distal end of said tubular member, said capturing device including at least one leg that is fixed directly to and extends distally past the snare and has a free end; and

a control device having an elongated control member for supporting said snare and said capturing device at a distal end of said elongated control member, said control device configured for selectively extending said snare and said capturing device relative to said distal end of said tubular member so as to enable positioning said snare to encompass a polyp and for selectively retracting said snare and said capturing device relative to said distal end of said tubular member so as to sever such polyp with said snare and to grasp such polyp with said capturing device outside the first plane.

15. The instrument of claim 14, wherein said at least one leg has a finger proximate the distal end of said leg.

16. The instrument of claim 14, wherein said capturing device includes a plurality of spaced legs extending from opposed portions of said snare intermediate a distal end of said snare and said distal end of said elongated control member.

17. The instrument of claim 16, wherein at least one of said plurality of spaced legs has an inwardly directed finger proximate the distal end of said at least one of said plurality of spaced legs .

18. A surgical instrument for severing and capturing a polyp, the instrument comprising:

an elongated tubular member having a distal end;

a snare configured for extension in an enlarged condition substantially in a first plane from and retraction in a compact condition into said distal end of said tubular member;

a capturing device configured for extension substantially outside of said first plane from and retraction into said distal end of said tubular member, said capturing device including at least one leg; and

a control device having an elongated control member for supporting said snare and said capturing device at a distal end of said elongated control member, said control device configured for selectively extending said snare and said capturing device relative to said distal end of said tubular member so as to enable positioning said snare to encompass a polyp and for selectively retracting said snare and said capturing device relative to said distal end of said tubular member so as to sever such polyp with said snare and to grasp such polyp with said capturing device outside the first plane, wherein said capturing device includes a plurality of spaced legs extending from opposed portions of said snare intermediate a distal end of said snare and said distal end of said elongated control member, and wherein at least one of said plurality of spaced legs has an inwardly directed finger proximate the distal end of said at least one of said plurality of spaced legs.

19. An apparatus for severing and retrieving a polyp for withdrawal from a patient comprising:

a catheter extending between a distal end tip and a proximal end, for positioning proximate a polyp;

a self-expansible severing and capturing device for retrieving a polyp, said severing and capturing device being extensible from said distal end of said catheter in an expanded form and retractable into said distal end in a compacted form; and

a control device at the proximal end of said catheter for selectively extending and retracting said severing and capturing device relative to said distal end of said catheter, wherein said severing and capturing device includes a continuous wire defining in the expanded form a first plane and at least one leg that distally extends past the continuous wire and generally lies outside the first plane, wherein said severing and capturing device includes a plurality of legs, and wherein each of said plurality of legs has an inwardly directed finger proximate the distal ends of said legs.