Flexible endoscope capsule

• US 6,908,427 B2
• Filed: 12/30/2002
• Issued: 06/21/2005
• Est. Priority Date: 12/30/2002
• Status: Active Grant

• Current Assignee: PARE Surgical Incorporated
• Original Assignee: PARE Surgical Incorporated
• Inventors: Fleener, Richard P., Bromley, Robert L.
• Primary Examiner(s): FLANAGAN, BEVERLY MEINDL
• Application Number:
  US10/334,495
• Publication Number:
  US 20040127767A1
• Time in Patent Office: 904 Days
• Field of Search: 600/104, 600/106, 600/121, 600/123, 600/127, 600/129
• US Class Current: 600/104
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 2017/00269 endoscopic mucosal resection EMR

Abstract

An endoscopic capsule adapted for selective attachment to the distal end portion of an endoscopic device. The capsule is designed for insertion with an interconnected endoscopic device into a patient body to provide an open space in front of the distal end of the endoscopic device. The capsule facilitates the performance of endoscopic procedures providing a space in which to manipulate medical instruments within the patient body as well as improving a surgeon'"'"'s field of vision within the patient body. In one embodiment, the capsule includes a housing having an internal chamber and two apertures. A first aperture is interconnectable to the end of an endoscopic device and provides operative access to endoscopic instruments contained therein. One or more of these endoscopic devices are advanceable into the internal cavity for selectively engaging patient tissue disposed relative to the second aperture.

Claims

1. An endoscopic device including a tube member having a distal end adapted for insertion into a patient and an imaging apparatus for providing an image of an area proximate to said distal end of said tube member, said endoscopic device further comprising:

a housing for selective attachment to a distal end of an endoscopic device, said housing having an internal chamber;

a first aperture extending through said housing to said internal chamber, said first aperture being adapted to engage said distal end of said tube member;

a second aperture extending through said housing to said internal chamber for providing access to patient tissue disposed adjacent to said housing during an endoscopic procedure; and

a needle selectively moveable from a first position within said internal chamber through said second aperture to a second position outside of said internal chamber, wherein in said second position said needle projects from said housing and is engageable with patient tissue, and wherein said needle is moveable from said second position to said first position to dispose engaged tissue through said second aperture into said internal chamber.

2. The endoscopic device as recited in claim 1, wherein a portion of said needle that projects from said housing in said second position is at least generally arcuate.

3. The endoscopic device as recited in claim 2, wherein said needle is rotateable from a first angular position to a second angular position.

4. The endoscopic device as recited in claim 1, wherein said first aperture extends through a first end of said housing and said second aperture extends through a sidewall of said housing.

5. The endoscopic device as recited in claim 4, further comprising a third aperture extending through said housing.

6. The endoscopic device as recited in claim 5, wherein said third aperture extends through a second end of said housing substantially opposite of said first end.

7. The endoscopic device as recited in claim 1, wherein said first aperture is sized to slidably receive a distal end of an endoscopic device.

8. The endoscopic device as recited in claim 7, wherein said first aperture is adaptable to receive a distal end of a plurality of differently sized tube members.

9. The endoscopic device as recited in claim 1, wherein said housing is substantially tubular.

10. The endoscopic device as recited in claim 9, wherein said housing has a diameter between about 4 mm and 28 mm.

11. The endoscopic device as recited in claim 1, wherein said housing is an elongated member.

12. The endoscopic device as recited in claim 11, wherein said elongated member has a length between about 15 mm and 76 mm.

13. The endoscopic device as recited in claim 1, wherein said second aperture has a length between about 4 mm and 37 mm and an angular width between about 45°

and about 270°

.

14. The endoscopic device as recited in claim 1, wherein said housing comprises a substantially transparent material.

15. The endoscopic device as recited in claim 1, wherein said housing comprises a semi-rigid polymeric material.

16. The endoscopic device as recited in claim 1, wherein said first needle is selectively moveable from a lumen within said tube member to said first position within said internal chamber.

17. The endoscopic device as recited in claim 16, wherein said imaging apparatus is operative to provide an image of said internal chamber.

18. An endoscopic device, comprising:

a tube member having a distal end adapted for insertion into a patient body;

a housing having an internal chamber, said housing being interconnected to said distal end of said tube member wherein said tube member extends through a first aperture in said housing and a second aperture extends through a sidewall of said housing;

an imaging apparatus positionable relative to said distal end, said imaging apparatus being operative to provide a field of view of said internal chamber; and

a needle having an arcuate distal end, said needle being positionable through said distal end of said tube member, wherein said needle is advanceable through said second aperture to engage patient tissue and retractable through said second aperture to dispose engaged tissue into said internal chamber and into said field of view.

19. The endoscopic device as claimed in claim 18, wherein said tube member includes a plurality of lumens, wherein said needle is disposed in one of said plurality of lumens.

20. The endoscopic device as claimed in claim 19, wherein at least one additional endoscopic instrument is positionable through another one of said plurality of lumens.

21. The endoscopic device as claimed in claim 20, wherein said at least one endoscopic instrument is selectively advanceable into said internal chamber.

22. The endoscopic device as claimed in claim 20, wherein said at least one endoscopic instrument is further advanceable through said second aperture.

23. The endoscopic device as claimed in claim 20, wherein said endoscopic instrument is selected from a group consisting of:

a light source; and

a medical device.

24. The endoscopic device as claimed in claim 23, wherein said medical device comprises at least one of:

a scalpel;

a laser device;

an electrosurgical tip; and

a gas beam fulgerator.

25. The endoscopic device as claimed in claim 18, wherein said needle further comprises suture material.

26. The endoscopic device as claimed in claim 18, wherein said tube member includes a vacuum lumen for selectively applying a vacuum to said internal chamber of said housing.

27. The endoscopic device as claimed in claim 18, further comprising:

a display device interconnected to said endoscopic device for displaying an image to a user on a real-time basis.

28. A method for performing an endoscopic procedure, said method comprising:

first positioning an endoscopic capsule disposed on the end of a tube member adapted for insertion into a patient body relative to a target area of patient tissue within a patient lumen, said capsule having an internal chamber;

second positioning an aperture extending through said capsule to said internal chamber adjacent to said target area of patient tissue;

first advancing a suture device associated with an endoscopic device from a first position within said tube member into said internal chamber;

disposing at least a portion of said target area of patient tissue through said aperture into said internal chamber;

suturing said target area of patient tissue, wherein said suturing is performed within said internal chamber.

29. The method as recited in claim 28 wherein said step of positioning said capsule dilates a patient tissue lumen.

30. The method as recited in claim 28, further comprising:

interconnecting said endoscopic capsule to the end of said tube member, wherein said step of interconnecting is performed at a medical care facility.

31. The method as recited in claim 28, further comprising:

interconnecting said endoscopic capsule to the end of said tube member, wherein said step of interconnecting is performed by a endoscopic device manufacturer.

32. The method as recited in claim 28, wherein said step of second positioning further comprises externally manipulating said tube member to align said aperture with said target area of patient tissue.

33. The method as recited in claim 28 wherein said step of disposing includes engaging said target area of patient tissue via said aperture.

34. The method of claim 33, wherein said step of engaging comprises second advancing said suture device disposed within said internal chamber at least partially through said aperture to engage said target area of patient tissue.

35. The method as recited in claim 28, wherein said step of first advancing a suture device comprises advancing a needle through said aperture.

36. The method as recited in claim 35, wherein said suturing step further comprises:

utilizing said needle to pierce said target area of patient tissue; and

disposing suture material through said target area of patient tissue.

37. The method as recited in claim 28, wherein said step of disposing comprises pulling said target area of patient tissue into said internal chamber.

38. The method as recited in claim 37, wherein said step of pulling comprises utilizing a suction force pull said tissue into said chamber.

39. The method as recited in claim 28, further comprising:

illuminating at least a portion of said internal chamber of said capsule.

40. The method as recited in claim 28, further comprising:

imaging at least a portion of said internal chamber of said capsule, wherein an interconnected display device displays an image to a user on a real-time basis.

41. A method for performing an endoscopic procedure, said method comprising:

positioning an endoscopic capsule disposed on the end of a tube member adapted for insertion into a patient body relative to a target area of patient tissue within a patient body, said capsule having an internal chamber;

applying suction through said tube member and said capsule to dispose said target area of tissue through an aperture extending through said capsule to said internal chamber;

restricting movement of at least a portion of said target area of tissue relative to said aperture; and

advancing a needle through at least a portion of said target area of tissue disposed within said internal chamber, wherein said needle advances form a first position within said internal chamber to a second position within said internal chamber in conjunction with said advancing.

42. The method as claimed in claim 41, wherein said positioning step further comprises positioning said aperture adjacent to said target area of tissue.

43. The method as claimed in claim 41, wherein said disposing step further comprises:

advancing a distal end of said needle through said aperture to engage a portion of said target area of tissue; and

utilizing said needle engaged with said portion of tissue to pull said tissue back through said aperture to complete said disposing step.

44. The method as claimed in claim 41, wherein said restricting step comprises contacting said target area of tissue with a rim portion of said aperture.

45. The method as claimed in claim 44, wherein said restricting step comprises compressing said target area of tissue between said rim portion of said aperture and a distal end of said needle.

46. The method as claimed in claim 41, wherein said inserting step further comprises:

disposing suture material associated with said needle through said portion of said target area of tissue.

47. The method as claimed in claim 46, further comprising:

withdrawing said needle from said target area of tissue, wherein said suture material remains disposed through said target area of tissue.