Medical device introduction system including medical introducer having a plurality of access ports and methods of performing medical procedures with same

• US 6,234,958 B1
• Filed: 11/30/1998
• Issued: 05/22/2001
• Est. Priority Date: 11/30/1998
• Status: Expired due to Term

• Current Assignee: OptiVia Medical LLC
• Original Assignee: Medical Access Systems, LLC
• Inventors: Mark, Michael J., Finch, Marcus E., Hasslinger, Randall J., Snoke, Phillip Jack
• Primary Examiner(s): Leubecker, John P.
• Application Number:
  US09/201,016
• Time in Patent Office: 904 Days
• Field of Search: 600/102, 600/104, 600/106, 600/113, 600/114, 600/115, 600/116, 600/130, 600/135, 600/136, 600/137, 600/153, 600/154, 604/28, 604/95, 604/523, 604/912, 604/915
• US Class Current: 600/114
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• 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 17/3431 being collapsible, e.g. made of thin flexible material A61B17/3423 takes precedence
• CPC Class Codes: A61B 17/3439 with means for changing the inner diameter of the cannula, e.g. expandable A61B17/3423, A61B17/3431 take precedence; catheters A61M25/0662
• CPC Class Codes: A61B 17/4241 Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments catheters A61B2017/22072
• CPC Class Codes: A61B 2017/345 for introduction into a natural body opening
• CPC Class Codes: A61B 2017/3466 for simultaneous sealing of multiple instruments
• CPC Class Codes: A61B 2090/036 abutting on tissue or skin
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: A61M 25/0662 Guide tubes

Abstract

A medical device introduction system, a medical introducer, and related methods are provided. The medical device introduction system preferably includes a medical introducer having an introducer body and a plurality of lumen formed therein, an imaging device positioned in a predetermined one of the plurality of lumen of the medical introducer so that the imaging device is separately controllable independent of the medical introducer, and a separate steerable working channel device positioned in at least one other of the plurality of lumen of the medical introducer so that the separate steerable working channel device and the imaging device are separately controllable by a user thereof independent of each other. The separate steerable working channel device preferably includes an elongate tube portion having at least one lumen formed therein which defines the working channel and steering means associated with the elongate tube portion for steering the elongate tube portion.

Claims

1. A medical device introduction system comprising:

a medical introducer having an introducer body, a plurality of lumen formed therein, and imaging device position maintaining means for maintaining a rotational position of a distal end portion of an imaging device when positioned within a predetermined one of the plurality of lumen;

an imaging device positioned in the predetermined one of the plurality of lumen of said medical introducer and moveable with respect to inner surfaces of the predetermined one of the plurality of lumen, the imaging device contacting said imaging device position maintaining means to thereby maintain the imaging device in a rotational position manually selected by a user thereof; and

a separate steerable working channel device positioned in at least one other of the plurality of lumen of the medical introducer so that the separate steerable working channel device and the imaging device are separately controllable by a user thereof independent of each other, said separate steerable working channel device including an elongate tube portion having at least one lumen formed therein which defines a working channel, steering means associated with the elongate tube portion for steering the elongate tube portion, and controlling means connected to said steering means for controlling the steering of the working channel.

2. A system as defined in claim 1, wherein at least one of the plurality of lumen of said medical introducer is biased to a collapse position and elastically stretches to an open position to receive a medical device positioned therein, or to accommodate the flow of a fluid therethrough.

3. A system as defined in claim 1, wherein at least one of the plurality of lumen of said medical introducer is biased in an open position and substanitially elastically stretches to an enlarged position for receiving a plurality of medical devices, an enlarged medical device, or additional fluid capacity therethrough.

4. A system as defined in claim 1, wherein at least one of said plurality of lumen of said medical introducer transitions from a smaller inside diameter in a distal end portion of said introducer body to a larger inside diameter in a medial portion of said introducer body to thereby allow tissue such as removed during surgical procedures to more readily pass therethrough.

5. A system as defined in claim 1, wherein said body of said medical introducer includes an enlarged proximal body portion and a user interface formed at a proximal end of the enlarged proximal body portion, said user interface including a plurality of separate proximal tubes extending outwardly from the enlarged proximal body portion, each of the plurality of separate proximal tubes including a seal associated therewith for allowing medical devices or fluid to pass therethrough toward a distal end of said introducer body and for inhibiting fluid from passing therethrough toward the proximal end of the proximal tube.

6. A system as defined in claim 5, wherein the introducer body has a narrower distal end portion than a proximal end portion thereof, and wherein said enlarged proximal body portion includes a manifold connecting the plurality of separate proximal tubes to the plurality of lumen of said introducer body.

7. A system as defined in claim 1, wherein said body of said medical introducer includes a distal end portion, a proximal end portion, and a medial portion extending between the distal end portion and the proximal end portion, said medial portion including body pivoting means for separately pivoting either said distal end portion or said proximal end portion so that the plane of the longitudinal extent of the distal end portion extends transverse to the plane of the longitudinal extent of the proximal end portion.

8. A system as defined in claim 1, wherein said introducer body includes at least one inflatable portion associated with the outer surface of a predetermined distal end portion thereof for inflating the outer surface of the predetermined distal end portion from a collapsed to an enlarged position to thereby block fluid passage from a body cavity when said medical introducer is positioned therein.

9. A system as defined in claim 8, wherein said introducer body includes a first and a second inflatable portion associated with the outer surface of a predetermined proximal end portion for inflating the outer surface of the predetermined proximal end portion from a collapsed to an enlarged position to thereby provide a stop for stopping the further insertion of said medical introducer within a body cavity.

10. A system as defined in claim 9, wherein said imaging device includes at least one of the following:

an optical scope, an ultrasound instrument, or a camera positioned on a distal end portion of an elongate shaft.

11. A system as defined in claim 10, wherein said at least one lumen of said steerable working channel device further comprises a first and second lumen of a plurality of lumen, wherein the first lumen of said elongate tube portion of said separate steerable working channel device houses a first imaging device, and wherein the second lumen of said elongate tube portion of said separate steerable working channel device houses a second imaging device.

12. A system as defined in claim 11, wherein said second imaging device includes at least one of the following:

an optical scope, an ultrasound instrument, or a camera positioned on a distal end portion of an elongate shaft.

13. A system as defined in claim 1, wherein said imaging device position maintaining means comprises at least portions of an inner surface of the one predetermined lumen having slippage inhibiting means associated therewith so that at least portions of an outer surface of said imaging device do not readily slip when engaged therewith to otherwise thereby allow said imaging device to readily slippingly rotate to different positions.

14. A system as defined in claim 13, wherein said slippage inhibiting means includes at least portions of the inner surface of the one predetermined lumen abuttingly contacting at least portions of an outer surface of said imaging device so that the abuttingly contacting relationship between the portions of the inner and outer surfaces maintain the imaging device in a selected position.

15. A system as defined in claim 14, wherein the slippage inhibiting means further includes portions of the inner surface of the one predetermined lumen having a first predetermined inside diameter portion, a second predetermined inside diameter portion coextensive with and having a smaller inside diameter than the first predetermined inside diameter portion, and a third predetermined inside diameter portion coextensive with and having a larger inside diameter than the second predetermined inside diameter portion.

16. A system as defined in claim 1, further comprising an endoscopic device for positioning within a portion of a patient'"'"'s body, said endoscopic device including at least a cannula.

17. A system as defined in claim 1, wherein the imaging device is further positioned to slidably engage one of the plurality of lumen of the medical introducer so that the imaging device slides along interior portions of the predetermined one of the plurality of lumen of the medical introducer.

18. A medical device introduction system comprising:

a medical introducer having an introducer body and a plurality of lumen formed therein;

an imaging device positioned in a predetermined one of the plurality of lumen of said medical introducer so that the imaging device is separately movable independent of said medical introducer; and

a separate steerable working channel device positioned in at least one other of the plurality of lumen of said medical introducer so that the separate working channel device and the imaging device are separately controlled by a user thereof independent of each other, said separate working channel device including an elongate tube portion having at least one lumen formed therein which defines the working channel.

19. A system as defined in claim 18, wherein at least one of the plurality of lumen of said medical introducer is biased to a collapse position and elastically stretches to an open position to receive medical device positioned therein, or to accommodate the flow of a fluid therethrough.

20. A system as defined in claim 18, wherein at least one of the plurality of lumen of said medical introducer is biased in an open position and substantially elastically stretches to an enlarged position for receiving a plurality of medical devices, an enlarged medical device, or additional fluid capacity therethrough.

21. A system as defined in claim 18, wherein at least one of said plurality of lumen of said medical introducer transitions from a smaller inside diameter in a distal end portion of said introducer body to a larger inside diameter in a medial portion of said introducer body to thereby allow tissue such as removed during surgical procedures to more readily pass therethrough.

22. A system as defined in claim 18, wherein said body of said medical introducer includes an enlarged proximal body portion and a user interface formed at a proximal end of the enlarged proximal body portion, said user interface including a plurality of separate proximal tubes extending outwardly from the enlarged proximal body portion, each of the plurality of separate proximal tubes including a seal associated therewith for allowing medical devices or fluid to pass therethrough toward a distal end of said introducer body and for inhibiting fluid from passing therethrough toward the proximal end of the proximal tube.

23. A system as defined in claim 22, wherein the introducer body has a narrower distal end portion than a proximal end portion thereof, and wherein said enlarged proximal body portion includes a manifold connecting the plurality of separate proximal tubes to the plurality of lumen of said introducer body.

24. A system as defined in claim 18, wherein said body of said medical introducer includes a distal end portion, a proximal end portion, and a medial portion extending between the distal end portion and the proximal end portion, said medial portion including body pivoting means for separately pivoting either said distal end portion or said proximal end portion so that the plane of the longitudinal extent of the distal end portion extends transverse to the plane of the longitudinal extent of the proximal end portion.

25. A system as defined in claim 18, wherein said introducer body includes at least one inflatable portion associated with the outer surface of a predetermined distal end portion thereof for inflating the outer surface of the predetermined distal end portion from a collapsed to an enlarged position to thereby block fluid passage from a body cavity when said medical introducer is positioned therein.

26. A system as defined in claim 25, wherein said introducer body includes a first and a second inflatable portion associated with the outer surface of a predetermined proximal end portion for inflating the outer surface of the predetermined proximal end portion from a collapsed to an enlarged position to thereby provide a stop for stopping the further insertion of said medical introducer within a body cavity.

27. A system as defined in claim 19, wherein said imaging device includes at least one of the following:

an optical scope, an ultrasound instrument, or a camera positioned on a distal end portion of an elongate shaft.

28. A system as defined in claim 18, wherein said separate working channel device further includes steering means associated with the elongate tube portion for steering the elongate tube portion so as to define a steerable working channel device, and wherein said at least one lumen of said steerable working channel device comprises a first lumen of a plurality of lumen.

29. A system as defined in claim 28, further comprising a second imaging device positioned in a second of the plurality of lumen of said steerable working channel device, and wherein said second imaging device includes at least one of the following:

an optical scope, an ultrasound instrument, or a camera positioned on a distal end portion of an elongate shaft.

30. A system as defined in claim 18, wherein said medical introducer further includes imaging device position maintaining means associated therewith for maintaining the imaging device in at least one of a plurality of possible rotational positions selected by a user thereof.

31. A system as defined in claim 30, wherein said imaging device position maintaining means comprises at least portions of an inner surface of the one predetermined lumen having slippage inhibiting means associated therewith so that at least portions of an outer surface of said imaging device do not readily slip when engaged therewith to otherwise thereby allow said imaging device to readily slippingly rotate to different positions.

32. A system as defined in claim 31, wherein said slippage inhibiting means includes at least portions of the inner surface of the one predetermined lumen abuttingly contacting at least portions of an outer surface of said imaging device so that the abuttingly contacting relationship between the portions of the inner and outer surfaces maintain the imaging device in a selected position.

33. A system as defined in claim 32, wherein the slippage inhibiting means further includes portions of the inner surface of the one predetermined lumen having a first predetermined inside diameter portion, a second predetermined inside diameter portion coextensive with and having a smaller inside diameter than the first predetermined inside diameter portion, and a third predetermined inside diameter portion coextensive with and having a larger inside diameter than the second predetermined inside diameter portion.

34. A system as defined in claim 18, further comprising an endoscopic device for positioning within a portion of a patient'"'"'s body.

35. A system as defined in claim 18, wherein the imaging device is further positioned to slidably engage one of the plurality of lumen of the medical introducer so that the imaging device slides along interior portions of the predetermined one of the plurality of lumen of the medical introducer.

36. A medical introducer for introducing medical devices therethrough, the medical introducer comprising:

an introducer body;

a plurality of lumen formed in said introducer body; and

imaging device position maintaining means associated with at least an inner surface of a predetermined one of the plurality of lumen for maintaining a rotational position of a distal end portion of an imaging device when positioned within the predetermined one of the plurality of lumen.

37. A medical introducer as defined in claim 36, wherein at least one of the plurality of lumen is biased to a collapse position and elastically stretches to an open position to receive a medical device positioned therein, or to accommodate the flow of a fluid therethrough.

38. A medical introducer as defined in claim 36, wherein at least one of the plurality of lumen is biased in an open position and substantially elastically stretches to an enlarged position for receiving a plurality of medical devices, an enlarged medical device, or additional fluid capacity therethrough.

39. A medical introducer as defined in claim 36, wherein at least one of said plurality of lumen transitions from a smaller inside diameter in a distal end portion of said introducer body to a larger inside diameter in a medial portion of said introducer body to thereby allow tissue such as removed during surgical procedures to more readily pass therethrough.

40. A medical introducer as defined in claim 36, wherein said body of said medical introducer includes an enlarged proximal body portion and a user interface formed at a proximal end of the enlarged proximal body portion, said user interface including a plurality of separate proximal tubes extending outwardly from the enlarged proximal body portion, each of the plurality of separate proximal tubes including a seal associated therewith for allowing medical devices or fluid to pass therethrough toward a distal end of said introducer body and for inhibiting fluid from passing therethrough toward the proximal end of the proximal tube.

41. A medical introducer as defined in claim 40, wherein the introducer body has a narrower distal end portion than a proximal end portion thereof, and wherein said enlarged proximal body portion includes a manifold connecting the plurality of separate proximal tubes to the plurality of lumen of said introducer body.

42. A medical introducer as defined in claim 36, wherein said body of said medical introducer includes a distal end portion, a proximal end portion, and a medial portion extending between the distal end portion and the proximal end portion, said medial portion including body pivoting means for separately pivoting either said distal end portion or said proximal end portion so that the plane of the longitudinal extent of the distal end portion extends transverse to the plane of the longitudinal extent of the proximal end portion.

43. A medical introducer as defined in claim 36, wherein said introducer body includes at least one inflatable portion associated with the outer surface of a predetermined distal end portion thereof for inflating the outer surface of the predetermined distal end portion from a collapsed to an enlarged position to thereby block fluid passage from a body cavity when said medical introducer is positioned therein.

44. A medical introducer as defined in claim 43, wherein said introducer body includes a first and a second inflatable portion associated with the outer surface of a predetermined proximal end portion for inflating the outer surface of the predetermined proximal end portion from a collapsed to an enlarged position to thereby provide a stop for stopping the further insertion of said medical introducer within a body cavity.

45. A medical introducer as defined in claim 36, wherein said imaging device position maintaining means comprises at least portions of an inner surface of the one predetermined lumen having slippage inhibiting means associated therewith so that at least portions of an outer surface of the imaging device do not readily slip when engaged therewith to otherwise thereby allow the imaging device to readily slippingly rotate to different positions.

46. A medical introducer as defined in claim 45, wherein said slippage inhibiting means includes at least portions of the inner surface of the one predetermined lumen abuttingly contacting at least portions of an outer surface of said imaging device so that the abuttingly contacting relationship between the portions of the inner and outer surfaces maintain the imaging device in a selected position.

47. A medical introducer as defined in claim 46, wherein the slippage inhibiting means further includes portions of the inner surface of the one predetermined lumen having a first predetermined inside diameter portion, a second predetermined inside diameter portion coextensive with and having a smaller inside diameter than the first predetermined inside diameter portion, and a third predetermined inside diameter portion coextensive with and having a larger inside diameter than the second predetermined inside diameter portion.

48. A medical introducer for introducing medical devices therethrough, the medical introducer comprising:

an introducer body including at least one inflatable portion associated with the outer surface of a predetermined distal end portion thereof for inflating the outer surface of the predetermined distal end portion from a collapsed to an enlarged position; and

a plurality of lumen formed therein, at least one of said plurality of lumen transitioning from a smaller inside diameter in a distal end portion of said introducer body to a larger inside diameter in a medial portion of said introducer body to thereby allow tissue such as removed during surgical procedures to more readily pass therethrough;

wherein said body of said medical introducer includes an enlarged proximal body portion an a user interface formed at a proximal end of the enlarged proximal body portion, said user interface including a plurality of separate proximal tubes extending outwardly from the enlarged proximal body portion, each of the plurality of separate proximal tubes including a seal associated therewith for allowing medical devices or fluid to pass therethrough toward a distal end of said introducer body and for inhibiting fluid from passing therethrough toward the proximal end of the proximal tube.

49. A medical introducer as defined in claim 48, wherein at least one of the plurality of lumen is biased to a collapse position and elastically stretches to an open position to receive a medical device positioned therein, or to accommodate the flow of a fluid therethrough.

50. A medical introducer as defined in claim 48, wherein at least one of the plurality of lumen is biased in an open position and elastically stretches to an enlarged position for receiving a plurality of medical devices, an enlarged medical device, or additional fluid capacity therethrough.

51. A medical introducer as defined in claim 48, wherein the introducer body has a narrower distal end portion than a proximal end portion thereof, and wherein said enlarged proximal body portion includes a manifold connecting the plurality of separate proximal tubes to the plurality of lumen of said introducer body.

52. A medical introducer as defined in claim 48, wherein said body of said medical introducer includes a distal end portion, a proximal end portion, and a medial portion extending between the distal end portion and the proximal end portion, said medial portion including body pivoting means for separately pivoting either said distal end portion or said proximal end portion so that the plane of the longitudinal extent of the distal end portion extends transverse to the plane of the longitudinal extent of the proximal end portion.

53. A medical introducer as defined in claim 48, wherein said introducer body includes a first and a second inflatable portion associated with the outer surface of a predetermined proximal end portion for inflating the outer surface of the predetermined proximal end portion from a collapsed to an enlarged position to thereby provide a stop for stopping the further insertion of the medical introducer within a body cavity.

54. A medical introducer as defined in claim 53, further comprising an imaging device, wherein the imaging device includes at least one of the following:

an optical scope, an ultrasound instrument, or a camera positioned on a distal end portion of an elongate shaft.

55. A medical introducer as defined in claim 48, further comprising an imaging device position maintaining means which comprises at least portions of an inner surface of the one predetermined lumen having slippage inhibiting means associated therewith so that at least portions of an outer surface of the imaging device do not readily slip when engaged therewith to otherwise thereby allow the imaging device to readily slippingly rotate to different positions.

56. A medical introducer as defined in claim 55, wherein said slippage inhibiting means includes at least portions of the inner surface of the one predetermined lumen abuttingly contacting at least portions of an outer surface of said imaging device so that the abuttingly contacting relationship between the portions of the inner and outer surfaces maintain the imaging device in a selected position.

57. A medical introducer as defined in claim 56, wherein the slippage inhibiting means further includes portions of the inner surface of the one predetermined lumen having a first predetermined inside diameter portion, a second predetermined inside diameter portion coextensive with and having a smaller inside diameter than the first predetermined inside diameter portion, and a third predetermined inside diameter portion coextensive with and having a larger inside diameter than the second predetermined inside diameter portion.

58. A method of performing a medical procedure comprising the steps of:

inserting an imaging device through a medical introducer having a proximal and distal end portion positioned within a portion of a patient'"'"'s body;

positioning the imaging device to produce an image from within the portion of the patient'"'"'s body;

inserting a steerable working channel device through the same medical introducer; and

controlling the steering of the steerable working channel separately and independently from the positioning of the imaging device.

59. A method as defined in claim 58, wherein the steerable working channel device includes an imaging channel, and the method further comprising inserting a second imaging device through the imaging channel of the steerable working channel device when positioned within the medical introducer to also produce an image from within the portion of the patient'"'"'s body.

60. A method as defined in claim 58, wherein the medical introducer includes at least a first inflatable portion associated with the distal end portion of the medical introducer, and the method further comprising inflating the first inflatable portion when the medical introducer is positioned within the portion of the patient'"'"'s body.

61. A method as defined in claim 60, wherein the medical introducer includes a second inflatable portion associated with the distal end portion of the medical introducer, and the method further comprising inflating the second inflatable portion when the medical introducer is positioned within a patient'"'"'s body.

62. A method as defined in claim 58, further comprising supplying fluid to the portion of the patient'"'"'s body through the same medical introducer and visually viewing the produced image from within the portion of the patient'"'"'s body.

63. A method as defined in claim 58, further comprising conducting a surgical procedure through the steerable working channel device when the steerable working channel device is inserted within the portion of the patient'"'"'s body.

64. A method as defined in claim 58, wherein the positioning Step includes rotating the imaging device to a selected position and maintaining the position of the imaging device in the selected position without the necessity of a user thereof manually maintaining the position.

65. A method as defined in claim 58, further comprising inserting at least one of the following through the steerable working channel device when inserted within the portion of the patient'"'"'s body:

at least one gamete, at least one sperm, at least one egg, at least one embryo, or at least one blastocyst.

66. A method of performing a medical procedure comprising the steps of:

positioning an imaging device through a first lumen of a medical introducer positioned within a uterine cavity of a patient'"'"'s body to thereby produce an image from within the uterine cavity;

inserting a steerable working channel device through a second lumen of the same medical introducer; and

inserting at least one of the following through the steerable working channel device when inserted within the uterine cavity;

at least one gamete, at least one sperm, at least one egg, at least one embryo, or at least one blastocyst.

67. A method as defined in claim 66, further comprising controlling the steering of the steerable working channel separately and independently from the positioning of the imaging device.

68. A method as defined in claim 67, wherein the positioning step includes rotating the imaging device to a selected position and maintaining the position of the imaging device in the selected position without the necessity of a user thereof manually maintaining the position.

69. A method as defined in claim 68, wherein the imaging device comprises a first imaging device, wherein the steerable working channel device includes an imaging channel, and the method further comprising inserting a second imaging device through the imaging channel of the steerable working channel device when positioned within the medical introducer to also produce an image from within the uterine cavity.

70. A method as defined in claim 66, wherein the medical introducer includes at least a first inflatable portion associated with a distal end portion of the medical introducer, and the method further comprising inflating the first inflatable portion when the medical introducer is positioned within the uterine cavity.

71. A method as defined in claim 70, wherein the medical introducer includes a second inflatable portion associated with the distal end portion of the medical introducer, and the method further comprising inflating the second inflatable portion when the medical introducer is positioned within the uterine cavity.

72. A method as defined in claim 66, further comprising supplying fluid to the uterine cavity through the same medical introducer and visually viewing the produced image from within the uterine cavity.

73. A method of performing a medical procedure comprising the steps of:

inserting an endoscopic device into a portion of a patient'"'"'s body;

inserting a medical introducer having a proximal and distal end portion and a plurality of lumen extending therethrough into the endoscopic device;

inserting a steerable working channel device through one of the plurality of lumen of the same medical introducer; and

controlling the steering of the steerable working channel;

wherein the endoscopic device includes a cannula, and the method further comprising inserting an imaging device through another one of the plurality of lumen of the same medical introducer positioned within the cannula and positioning the imaging device to produce an image from within the portion of the patient'"'"'s body.

74. A method as defined in claim 73, wherein the steerable working channel device includes an imaging channel, and the method further comprising inserting a second imaging device through the imaging channel of the steerable working channel device when positioned within the medical introducer to also produce an image from within the portion of the patient'"'"'s body.

75. A method as defined in claim 73, wherein the medical introducer includes at least a first inflatable portion associated with the distal end portion of the medical introducer, and the method further comprising inflating the first inflatable portion when the medical introducer is positioned within the portion of the patient'"'"'s body.

76. A method as defined in claim 75, wherein the medical introducer includes a second inflatable portion associated with the distal end portion of the medical introducer, and the method further comprising inflating the second inflatable portion when the medical introducer is positioned within a patient'"'"'s body.

77. A method as defined in claim 73, further comprising supplying fluid to the portion of the body through yet another lumen of the plurality of lumen of the same medical introducer and visually viewing the produced image from within the portion of the patient'"'"'s body.

78. A method as defined in claim 73, further comprising conducting a surgical procedure through the steerable working channel device when the steerable working channel device is inserted within the portion of the patient'"'"'s body.

79. A method as defined in claim 73, wherein the positioning step includes rotating the imaging device to a selected position and maintaining the position of the imaging device in the selected position without the necessity of a user thereof manually maintaining the position.

80. A method as defined in claim 73, further comprising inserting at least one of the following through the steerable working channel device when inserted within the portion of the body:

at least one gamete, at least one sperm, at least one egg, at least one embryo, or at least one blastocyst.

81. A method of enhancing viewing within a portion of a patient'"'"'s body comprising the steps of:

inserting an imaging device through one of a plurality of lumen of a medical introducer positioned within a portion of a patient'"'"'s body;

moving the imaging device to a selected position;

maintaining the position of the imaging device in the selected position without the necessity of a user thereof manually maintaining the position;

producing an image from within the portion of the patient'"'"'s body;

inserting a steerable working channel device through another one of the plurality of lumen of the same medical introducer; and

controlling the steering of the steerable working channel without moving the position of the imaging device.

82. A method as defined in claim 81, wherein the steerable working channel device includes an imaging channel, and the method further comprising inserting a second imaging device through the imaging channel of the steerable working channel device when positioned within the medical introducer to also produce an image from within the portion of the patient'"'"'s body.

83. A method as defined in claim 81, wherein the medical introducer includes at least a first inflatable portion associated with a distal end portion of the medical introducer, and the method further comprising inflating the first inflatable portion when the medical introducer is positioned within the portion of the patient'"'"'s body.

84. A method as defined in claim 83, wherein the medical introducer includes a second inflatable portion associated with the distal end portion of the medical introducer, and the method further comprising inflating the second inflatable portion when the medical introducer is positioned within a patient'"'"'s body.

85. A method as defined in claim 81, further comprising supplying fluid to the portion of the body through yet another lumen of the plurality of lumen of the same medical introducer and visually viewing the produced image from within the portion of the patient'"'"'s body.

86. A method as defined in claim 81, further comprising conducting a surgical procedure through the steerable working channel device when the steerable working channel device is inserted within the portion of the patient'"'"'s body, and wherein the position maintaining step include maintaining the position by use of the medical introducer.