Fluid seal for endoscope

• US 6,663,598 B1
• Filed: 05/17/2000
• Issued: 12/16/2003
• Est. Priority Date: 05/17/2000
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Holmes, John, Richardson, Kevin, Carrillo, Oscar R. Jr.
• Primary Examiner(s): ROBINSON, DANIEL LEON
• Application Number:
  US09/573,035
• Time in Patent Office: 1,308 Days
• Field of Search: 604/167.01, 604/167.02, 604/167.03, 604/167.04, 604/167.05, 604/236, 128/4, 128/5
• US Class Current: 604/167.01
• CPC Class Codes: A61B 1/00137 End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 2017/3437 with means for removing or absorbing fluid, e.g. wicks or absorbent pads
• CPC Class Codes: A61M 39/04 having pierceable self-sealing members
• CPC Class Codes: Y10T 292/48 Seals

Abstract

An endoscope seal that effectively inhibits the egress of fluids from the working channel of an endoscope when an elongate device having a non-circular shaft is disposed therein. The endoscope seal includes a body portion having a proximal end adapted for insertion of an elongate device such as a rapid exchange biliary catheter, a distal end adapted for connection to the proximal end of an endoscope, a lumen extending therethrough which is adapted to receive the elongate device and to provide access to the working channel of the endoscope, and a means for conforming to the non-circular shaft of the elongate device to inhibit the flow of fluid from the working channel of the endoscope. The conforming means may, for example, comprise one or more protrusions extending radially inward in the lumen of the body portion, a sealing material such as a surgical foam that is disposed in the lumen of the body portion, or a sealing mandrel. Whether a single protrusion, a plurality of protrusions, a sealing material or a sealing mandrel is utilized, the present invention provides endoscope seals that readily seal about elongate devices having either circular or non-circular profiles.

Claims

1. A seal for use in combination with an elongate device and an endoscope, the elongate device having a shaft having an axial slot therein, the endoscope having a proximal end and a working channel extending therethrough, the seal comprising:

a body portion having a proximal end adapted for insertion of the elongate device, a distal end adapted for connection to the proximal end of the endoscope, and a wall defining a lumen extending therethrough adapted to receive the elongate device and to provide access to the working channel of the endoscope; and

at least one protrusion disposed in the lumen of the body portion, the protrusion extending radially inward from the wall to sealingly engage the axial slot.

2. A seal as in claim 1, wherein a plurality of protrusions are utilized and the plurality of protrusions sealingly engage the shaft of the elongate device.

3. A seal as in claim 2, wherein the protrusions are uniformly spaced about the wall defining the lumen.

4. A seal as in claim 3, wherein the protrusions are sufficiently flexible to conform to a non-circular shaft.

5. A seal as in claim 4, wherein the non-circular shaft comprises a shaft of a rapid-exchange type catheter.

6. A seal as in claim 5, wherein the non-circular shaft includes a C-shaped channel therein.

7. A seal as in claim 4, further comprising;

a plug adapted to seal the proximal end of the body portion; and

a flexible arm extending from the body portion and connected to the plug.

8. A seal as in claim 7, further comprising;

an adapter ring for connection to the distal end of the body portion; and

a flexible arm extending from the body portion and connected to the adapter ring.

9. A seal for use in combination with an elongate device and an endoscope, the elongate device having a non-circular proximal shaft comprising an axial slot therein, the endoscope having a proximal end and a working channel extending therethrough, the seal comprising:

a body portion having a proximal end adapted for insertion of the elongate device, a distal end adapted for connection to the proximal end of the endoscope, and a lumen extending therethrough adapted to receive the shaft of the elongate device and to provide access to the working channel of the endoscope; and

a means for conforming to the non-circular shaft of the elongate device to inhibit the flow of fluid, the conforming means disposed in the lumen of the body portion.

10. A seal as in claim 9, wherein the conforming means comprises a protrusion extending radially inward in the lumen of the body portion, the protrusion sealingly engaging the axial slot.

11. A seal as in claim 10, wherein the protrusion comprises a geometry that mates with the non-circular shaft of the elongate device.

12. A seal as in claim 9, wherein the conforming means comprises a plurality of protrusions extending radially inward in the lumen of the body portion.

13. A seal as in claim 9, wherein the conforming means comprises a sealing material.

14. A seal as in claim 13, wherein the body portion includes a thin-walled portion for injection of the surgical foam.

15. A seal as in claim 12, further comprising;

a plug adapted to seal the proximal end of the body portion; and

a flexible arm extending from the body portion and connected to the plug.

16. A seal as in claim 15, further comprising;

an adapter ring for connection to the distal end of the body portion; and

a flexible arm extending from the body portion and connected to the adapter ring.

17. An endoscopic system comprising:

an endoscope having a proximal end and a working channel extending therethrough;

an elongate device having a non-circular proximal shaft having an axial slot therein disposed in the working channel of the endoscope; and

a seal including a body portion having a proximal end, a distal end, a lumen extending therethrough, and a means, disposed in the lumen, for conforming to the non-circular shaft of the elongate device to inhibit the flow of fluid, wherein the distal end of the body is connected to the proximal end of the endoscope and the lumen receives the elongate device and provides access to the working channel of the endoscope.

18. An endoscopic system as in claim 17, wherein the conforming means comprises a protrusion extending radially inward in the lumen of the body portion, the protrusion sealingly engaging the longitudinal slot.

19. An endoscopic system as in claim 18, wherein the protrusion comprises a geometry that mates with the non-circular shaft of the elongate device.

20. An endoscopic system as in claim 17, wherein the conforming means comprises a plurality of protrusions extending radially inward in the lumen of the body portion.

21. An endoscopic system as in claim 17, wherein the conforming means comprises a sealing material.

22. An endoscopic system as in claim 21, wherein the body portion includes a thin-walled portion for injection of the sealing material.

23. An endoscopic system as in claim 20, further comprising;

a plug adapted to seal the proximal end of the body portion; and

a flexible arm extending from the body portion and connected to the plug.

24. An endoscopic system as in claim 23, further comprising;

an adapter ring for connection to the distal end of the body portion; and

a flexible arm extending from the body portion and connected to the adapter ring.

25. A seal for use in combination with an elongate device, an endoscope, and a compression mechanism, the elongate device having a shaft having an axial slot therein, the endoscope having a proximal end and a working channel extending therethrough, the seal comprising:

a body portion having a proximal end adapted for insertion of the elongate device, a distal end adapted for connection to the proximal end of the endoscope, and a variable diameter wall defining a variable diameter lumen extending therethrough adapted to receive the elongate device and to provide access to the working channel of the endoscope wherein the compression mechanism is disposed about the body portion for compressing the variable diameter wall to thereby vary the diameter of the lumen extending therethrough and seal about the shaft.

26. A seal for use in combination with an elongate device and an endoscope, the elongate device having a shaft with a slot extending therethrough, the endoscope having a proximal end and a working channel extending therethrough, the seal comprising:

a body portion having a proximal end adapted for insertion of the elongate device, a distal end adapted for connection to the proximal end of the endoscope, and a membrane having an aperture adapted to receive the shaft of the elongate device; and

a mandrel having a geometry conforming to the slot in the shaft, the mandrel disposed in the slot and the aperture such that a fluid seal is established thereby.

27. A seal for use in combination with a primary device and a secondary device insertable in the primary device, the secondary device having a shaft having an axial slot therein, the primary device having a proximal end and a lumen extending therethrough, the seal comprising:

a body portion having a proximal end adapted for insertion of the secondary device, a distal end adapted for connection to the proximal end of the primary device, and a wall defining a lumen extending therethrough adapted to receive the secondary device and to provide access to the lumen of the primary device; and

at least one protrusion disposed in the lumen of the body portion, the protrusion extending radially inward from the wall to sealingly engage the axial slot.

28. A seal as in claim 27, wherein a plurality of protrusions are utilized, and the plurality of protrusions sealing engage the shaft of the secondary device.

29. A seal as in claim 28, wherein the protrusions are uniformly spaced about the wall defining the lumen.

30. A seal as in claim 29, wherein the protrusions are sufficiently flexible to conform to a non-circular shaft.

31. A seal as in claim 30, wherein the non-circular shaft comprises a shaft of a rapid-exchange type catheter.

32. A seal as in claim 31, wherein the non-circular shaft includes a C-shaped channel therein.