Apparatus for severing and capturing polyps

• US 6,375,661 B2
• Filed: 12/07/2000
• Issued: 04/23/2002
• 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:
  US09/730,771
• Publication Number:
  US 20010000348A1
• Time in Patent Office: 502 Days
• Field of Search: 606/113, 606/114, 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 is 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 endoscopic instrument for severing and capturing a polyp from a patient, the instrument comprising:

a catheter having a distal end and a proximal end;

a first cable extending between said distal end and said proximal end of said catheter;

a snare for severing the polyp from the patient, said snare being coupled to a distal end of said first cable and being at least partially extensible from and at least partially retractable into said distal end of said catheter;

second cable extending between said distal end and said proximal end of said catheter;

a self-expansible forceps for holding the severed polyp, said forceps being coupled to a distal end of said second cable and being at least partially extensible from and at least partially retractable into said distal end of said catheter, said snare and said forceps configured so that said forceps is capable of holding a portion of the polyp to be severed and removed while said snare severs the polyp;

a needle for piercing the polyp, said needle coupled to said distal end of said second cable; and

a control device coupled to said proximal end of said catheter for extending and retracting said snare and for extending and retracting said forceps and said needle relative to said distal end of said catheter.

2. The instrument of claim 1, wherein said needle is hollow and said second cable is hollow.

3. The instrument of claim 1, wherein said control device includes a first slider coupled to a proximal end of said first cable and slidably coupled to said control device and a second slider coupled to a proximal end of said second cable and slidably coupled to said control device.

4. An endoscopic instrument for severing and capturing a polyp from a patient, the instrument comprising:

an elongate catheter having a distal end and a proximal end;

a first flexible member extending through said catheter and having a distal end and a proximal end;

a severing device coupled to said distal end of said first flexible member and being at least partially extensible from said distal end of said catheter;

a second flexible member extending through said catheter and having a distal end and a proximal end;

a self-expansible capturing device coupled to said distal end of said second flexible member and being at least partially extensible from said distal end of said catheter, said severing device and said capturing device configured so that said capturing device is capable of retaining the portion of the polyp to be severed and removed while said severing device severs the polyp;

a needle coupled to said distal end of said second flexible member; and

a control device coupled to said proximal end of said catheter, said proximal end of said first flexible member and said proximal end of said second flexible member, said control device capable of moving said severing device relative to said catheter and said capturing device relative to said catheter.

5. The instrument of claim 4, wherein said needle is hollow and said flexible member, which is coupled to said needle, is hollow.

6. The instrument of claim 4, wherein said severing device includes a snare.

7. The instrument of claim 4, wherein said capturing device includes a forceps.

8. The instrument of claim 4, wherein said control device includes a first slider coupled to said proximal end of said first flexible member and slidably coupled to said control device and a second slider coupled to said proximal end of said second flexible member and slidably coupled to said control device.

9. The instrument of claim 4, wherein an elongate sheath extends between said distal end and said proximal end of said catheter, said elongate sheath having a distal end and a proximal end, and said control device being coupled to said proximal end of said sheath and capable of moving said sheath relative to said catheter.

10. The instrument of claim 9, wherein said control device includes a first slider coupled to said proximal end of said first flexible member and slidably coupled to said control device, a second slider coupled to said proximal end of said second flexible member and slidably coupled to said control device, and a third slider coupled to said proximal end of said sheath and slidably coupled to said control device.