Medical device introduction system including medical introducer having a plurality of access ports and methods of performing medical procedures with same
First Claim
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.
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Accused Products
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.
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Citations
86 Claims
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1. A medical device introduction system comprising:
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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. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A medical device introduction system comprising:
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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. - View Dependent Claims (19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35)
an optical scope, an ultrasound instrument, or a camera positioned on a distal end portion of an elongate shaft.
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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.
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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.
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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.
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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.
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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.
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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.
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34. A system as defined in claim 18, further comprising an endoscopic device for positioning within a portion of a patient'"'"'s body.
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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.
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36. A medical introducer for introducing medical devices therethrough, the medical introducer comprising:
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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. - View Dependent Claims (37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47)
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48. A medical introducer for introducing medical devices therethrough, the medical introducer comprising:
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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. - View Dependent Claims (49, 50, 51, 52, 53, 54, 55, 56, 57)
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58. A method of performing a medical procedure comprising the steps of:
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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. - View Dependent Claims (59, 60, 61, 62, 63, 64, 65)
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66. A method of performing a medical procedure comprising the steps of:
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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.- View Dependent Claims (67, 68, 69, 70, 71, 72)
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73. A method of performing a medical procedure comprising the steps of:
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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. - View Dependent Claims (74, 75, 76, 77, 78, 79, 80)
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81. A method of enhancing viewing within a portion of a patient'"'"'s body comprising the steps of:
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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. - View Dependent Claims (82, 83, 84, 85, 86)
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Specification