Medical device with track and method of use

• US 7,351,202 B2
• Filed: 04/03/2003
• Issued: 04/01/2008
• Est. Priority Date: 12/05/2002
• Status: Active Grant

• Current Assignee: Eithicon Endo-Surgery Incorporated
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Long, Gary L.
• Primary Examiner(s): Leubecker; John P.
• Application Number:
  US10/406,020
• Publication Number:
  US 20040111020A1
• Time in Patent Office: 1,825 Days
• Field of Search: 600/104, 600/106, 600/114, 600/434, 600/585, 604/164.13, 604/528
• US Class Current: 600/106
• CPC Class Codes: A61B 1/00133 Drive units for endoscopic tools inserted through or with the endoscope
• CPC Class Codes: A61B 1/00156 using self propulsion
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/041 Capsule endoscopes for imaging
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes
• CPC Class Codes: A61M 2210/1042 Alimentary tract A61M2210/0618 takes precedence
• CPC Class Codes: A61M 2210/106 Small intestine
• CPC Class Codes: A61M 2210/1064 Large intestine
• CPC Class Codes: A61M 2210/1067 Anus
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B
• CPC Class Codes: A61M 25/0113 Mechanical advancing means, e.g. catheter dispensers
• CPC Class Codes: A61M 25/0116 self-propelled, e.g. autonomous robots A61M25/0122 takes precedence

Abstract

A medical device for performing medical procedures inside a lumen (such as the GI tract) of a patient is provided. The device includes an elongate flexible member which can be advanced along a track. The track can include a loop portion which can be advanced ahead of the elongate flexible member. The distal end of the flexible member can include a camera, light source, vacuum opening, and a working channel for receiving medical instruments.

Claims

1. An endoscope for the gastrointestinal tract, comprising:

a) a flexible elongate member comprising a proximal end and a distal end, the flexible elongate member further comprising a guide tube having an opening adjacent the distal end projecting at an oblique angle relative the longitudinal axis of the flexible elongate member;

b) a visualization device and light source positioned adjacent the distal end of the flexible elongate member;

c) a working channel extending between the proximal and distal ends of the flexible elongate member adapted to receive medical instruments, the working channel comprising an opening adjacent the distal end of the flexible elongate member; and

d) a guide wire slidably received by the guide tube, the guide wire positioned between the proximal and distal ends of the flexible elongate member and extending distally relative the flexible elongate member to form a loop disposed distally relative the flexible elongate member, the guide wire being longitudinally moveable relative the flexible elongate member to vary the size of the loop.

2. The endoscope of claim 1, wherein the guide wire loop has a first end attached to the distal end of the flexible elongate member and a second end extending from the guide tube.

3. The endoscope of claim 1, wherein the flexible elongate member further comprises a second guide tube slidingly receiving the guide wire.

4. The endoscope of claim 3, wherein the guide wire loop has a first end extending from the guide tube and a second end extending from the second guide tube.

5. The endoscope of claim 3, wherein the second guide tube has an opening adjacent the distal end projecting at an oblique angle relative the longitudinal axis of the flexible elongate member.

6. The endoscope of claim 1, wherein the guide wire comprises a longitudinal wire core surrounded by a coil.

7. The endoscope of claim 1, wherein a proximal portion of the guide wire extends proximally from the flexible elongate member.

8. The endoscope of claim 7, further comprising a motor operable connected to the proximal portion of the guide wire to longitudinally move the guide wire relative the flexible elongate member.

9. The endoscope of claim 8, further comprising a control unit operable connected to the motor.

10. The endoscope of claim 7, wherein manual pushing and pulling of the proximal portion of the guide wire varies the size of the loop.

11. The endoscope of claim 1, further comprising a hand piece connected to the proximal end of the flexible elongate member.

12. The endoscope of claim 1, wherein the flexible elongate member has a length greater than 36 inches.

13. The endoscope of claim 1, wherein the flexible elongate member has an outer diameter between about 0.1 and about 1.0 inches.

14. The endoscope of claim 1, wherein the flexible elongate member further comprises a second guide tube having an opening adjacent the distal end of the flexible elongate section.

15. The endoscope of claim 14, wherein the guide wire further comprises a first proximal portion extending proximally relative the proximal end of the flexible elongate member, a first longitudinally section slidingly received by the guide tube, a distal section extending between the openings of the guide tube and second guide tube defining the loop, a second longitudinal section slidingly received by the second guide tube, and a second proximal portion extending proximally relative the proximal end of the flexible elongate member.

16. An endoscope, comprising:

a) a flexible elongate member comprising a proximal end and a distal end;

b) a visualization device and light source positioned adjacent the distal end of the flexible elongate member;

c) first and second guide tubes each having an opening adjacent the distal end of the flexible elongate member, the guide tube openings project distally at an oblique angle relative the longitudinal axis of the flexible elongate member; and

d) a guide wire received in the first and second guide tubes and extending from the openings to form a loop disposed distally relative the flexible elongate member, the guide wire being independently slideable in the first and second guide tubes to adjust the size of the loop.

17. The endoscope of claim 16, further comprising one or more motors operably connected to the guide wire to selectively move the guide wire in one or both guide tubes in the longitudinal direction.

18. The endoscope of claim 16, further comprising a working channel extending between the proximal and distal ends of the flexible elongate member adapted to receive medical instruments, the working channel comprising an opening adjacent the distal end of the flexible elongate member.

19. An endoscope, comprising:

a) a flexible elongate member comprising a proximal end and a distal end;

b) a visualization device and light source positioned adjacent the distal end of the flexible elongate member;

c) first and second guide tubes each having an opening adjacent the distal end of the flexible elongate member;

d) a guide wire received in the first and second guide tubes and extending from the openings to form a loop disposed distally relative the flexible elongate member, the guide wire being independently slideable in the first and second guide tubes to adjust the size of the loop; and

e) one or more motors operably connected to the guide wire to selectively move the guide wire in one or both guide tubes in the longitudinal direction.

20. The endoscope of claim 19, wherein the guide tube openings project distally at oblique angle relative the longitudinal axis of the flexible elongate member.

21. The endoscope of claim 19, further comprising a working channel extending between the proximal and distal ends of the flexible elongate member adapted to receive medical instruments, the working channel comprising an opening adjacent the distal end of the flexible elongate member.

22. An endoscope for the gastrointestinal tract, comprising:

a) a flexible elongate member comprising a proximal end and a distal end;

b) a visualization device and light source positioned adjacent the distal end of the flexible elongate member;

c) a working channel extending between the proximal and distal ends of the flexible elongate member adapted to receive medical instruments, the working channel comprising an opening adjacent the distal end of the flexible elongate member;

d) a guide wire positioned between the proximal and distal ends of the flexible elongate member and extending distally relative the flexible elongate member to form a loop disposed distally relative the flexible elongate member, the guide wire being longitudinally moveable relative the flexible elongate member to vary the size of the loop, the guide wire comprising a proximal portion extending proximally from the flexible elongate member; and

e) a motor operably connected to the proximal portion of the guide wire to longitudinally move the guide wire relative the flexible elongate member.

23. The endoscope of claim 22, wherein the flexible elongate member further comprises a first guide tube slidingly receiving the guide wire.

24. The endoscope of claim 23, wherein the flexible elongate member further comprises a second guide tube slidingly receiving the guide wire.

25. The endoscope of claim 24, wherein first or second guide tube has an opening adjacent the distal end projecting at an oblique angle relative the longitudinal axis of the flexible elongate member.