Polypectomy device and method

• US 7,044,947 B2
• Filed: 09/08/2003
• Issued: 05/16/2006
• Est. Priority Date: 07/27/2001
• Status: Expired due to Term

• Current Assignee: Microline Surgical, Inc. (Hoya Corporation)
• Original Assignee: Starion Instruments Corp. (Hoya Corporation)
• Inventors: Mollenauer, Kenneth H., de la Torre, Roger A.
• Primary Examiner(s): Gibson, Roy D.
• Assistant Examiner(s): VRETTAKOS, PETER J
• Application Number:
  US10/658,226
• Publication Number:
  US 20040044335A1
• Time in Patent Office: 981 Days
• Field of Search: 606/47, 606 32- 34, 606 39- 40, 606/41, 606/46, 606 27- 52
• US Class Current: 606/28
• CPC Class Codes: A61B 18/085 Forceps, scissors
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2018/00327 Ear, nose or throat
• CPC Class Codes: A61B 2018/00482 Digestive system
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control

Abstract

A polypectomy device and method which includes a snare cable, a fixed jaw and a moveable jaw. The snare cable is routed through both the fixed jaw and the moveable jaw. The snare cable forms a hoop for encircling the polyp. Shortening the snare cable positions the jaws about the base of the polyp and further shortening the cable closes the jaws. The fixed jaw includes a heating element which cauterizes the base of the polyp. The closing of the jaws and the heating of the heating element cuts and seals the polyp.

Claims

1. A system for removing a polyp from the body of a patient, said system comprising:

an endoscope suitable for performing an endoscopic procedure on the patient; and

a device for removing polyps, said device comprising;

a catheter having a proximal end and a distal end;

a cable trigger operatively connected to the proximal end of the catheter;

a pair of jaws extending out of the distal end of the catheter;

a heating element disposed on at least one of the jaws and located between the pair of jaws;

a snare cable without the heating element, said snare cable routed through the pair of jaws and operatively connected to the cable trigger; and

a source of power operably connected to the heating element;

wherein the device for removing polyps is sized and dimensioned for insertion into the endoscope.

2. The system of claim 1 wherein the heating element is selected from the group consisting of a nichrome wire heating element, a ceramic heating element, an RF heating element, a monopolar electrode heating element and a bipolar electrode heating element.

3. The system of claim 1 wherein:

the pair of jaws comprises a first jaw and a second jaw;

the second jaw is rotatable relative to the first jaw; and

the snare cable is operatively connected to the second jaw and runs from the second jaw to the first jaw and then to the cable trigger.

4. The system of claim 3 further comprising a silicone pad disposed on the grasping face of the second jaw.

5. A method of removing a polyp from the body of a patient, said method comprising the steps of:

providing a system for removing a polyp from the body of the patient, said system comprising;

an endoscope suitable for performing an endoscopic procedure on the patient; and

a device for removing polyps, said device comprising;

a catheter having a proximal end and a distal end;

a cable trigger operatively connected to the proximal end of the catheter;

a pair of jaws extending out of the distal end of the catheter;

a heating element disposed on at least one of the jaws and located between the pair of jaws;

a snare cable routed through the pair of jaws and operatively connected to the cable without the heating element, said snare cable trigger; and

a source of power operably connected to the heating element;

wherein the device for removing polyps is sized and dimensioned for insertion into the endoscope;

inserting the endoscope into the body of the patient and locating the polyp with the endoscope;

inserting the device for removing polyps into the endoscope such that the distal end of the device for removing polyps is located in the vicinity where the polyp is located;

extending the snare cable to form a hoop sized and dimensioned to capture the polyp;

manipulating the hoop to capture the polyp;

activating the cable trigger to draw the snare cable proximally relative to the catheter and to close the hoop around the polyp;

pulling the snare cable proximally relative to the catheter to draw the polyp into position between the pair of jaws and to close the pair of jaws upon the polyp; and

supplying heating power to the heating element to sever the polyp from tissue surrounding the polyp.

6. A method of removing a polyp from the body of a patient, said method comprising the steps of:

providing a device for removing polyps, said device comprising;

a catheter having a proximal end and a distal end;

a cable trigger operatively connected to the proximal end of the catheter;

a pair of jaws extending out of the distal end of the catheter;

a heating element disposed on at least one of the jaws and located between the pair of jaws;

a snare cable routed through the pair of jaws and operatively connected to the cable without the heating element, said snare cable trigger; and

placing the distal end of the catheter in the proximity of the polyp;

pushing the snare cable distally relative to the catheter to open the pair of jaws relative to each other and form a hoop of snare cable extending from the distal end of the catheter;

manipulating the hoop to engage the polyp;

pulling the snare cable proximally relative to the catheter to draw the polyp into position between the pair of jaws and to close the pair of jaws upon the polyp; and

supplying heating power to the heating element to sever the polyp from tissue surrounding the polyp.