Snare injection device

• US 7,691,110 B2
• Filed: 05/25/2005
• Issued: 04/06/2010
• Est. Priority Date: 05/25/2004
• Status: Active Grant

• Current Assignee: US Endoscopy Group Inc. (Steris Corporation)
• Original Assignee: US Endoscopy Group Inc. (Steris Corporation)
• Inventors: Younker, Jon Eric, Kaye, Christopher J., Secrest, Dean J., John, K. Randall, Stuba, Robert M.
• Primary Examiner(s): Nguyen; Anhtuan T
• Assistant Examiner(s): SONNETT, KATHLEEN C
• Application Number:
  US11/137,814
• Publication Number:
  US 20050267490A1
• Time in Patent Office: 1,777 Days
• Field of Search: 606110-115, 606/46, 606/127, 606/128, 604/164.01, 604/164.04, 604/164.08, 60416409-16502, 604/164.05, 604/44, 604/171, 604272-274, 604/264, 600/104, 600/106, 600/153, 600/101
• US Class Current: 606/113
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 2017/00269 endoscopic mucosal resection EMR
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 2090/08021 of the patient or his organs

Abstract

A snare injection device for performing endoscopic transection procedures is disclosed. The device includes a snare system and a needle system, each containing actuator components separately routed in one of two channels of an elongated dual lumen. Deployment of the snare and needle are independently operated by two separate handle controls. The device includes needle travel stop and anti-puncture features for safety and ease of use.

Claims

1. A snare injection device for performing an endoscopic procedure to remove targeted tissue, the device comprising:

a) an elongated member having a first channel and a second channel separated by a plastic membrane;

b) a needle system for inserting a needle into said target tissue, said needle system comprising a needle, a hollow actuator tube, and a tube handle, wherein said tube is inserted through said first channel;

c) a snare system for transecting said targeted tissue, said snare system comprising a snare apparatus, an actuating cable, and a snare handle, wherein said cable is inserted through said second channel;

d) a base, wherein said tube and said cable are routed therethrough; and

e) a flexible needle housing positioned between said needle and said elongated member when said needle is in a relaxed position;

f) wherein said needle housing has a continuous inner surface and prevents said needle from penetrating said plastic membrane;

g) further wherein said needle housing is disposed within a distal end of said first channel such that a cross-sectional area of said first channel is non-collapsible and greater than a cross-sectional area of said second channel along an entire length of said needle housing, and a cross-sectional area of said first channel is collapsible along at least a length of said elongated member proximal said needle housing.

2. The snare injection device of claim 1 wherein said base is a y-shaped molded uniform piece.

3. The snare injection device of claim 1 wherein said base comprises an elongated hollow member having an inlet and an outlet and a port between said inlet and outlet disposed at an angle between 0 degrees and 90 degrees to a longitudinal axis of said first member.

4. The snare injection device of claim 1 wherein said needle housing is disposed within a distal end of said first channel such that a distal end of said second channel comprises a first and a second non-linear circumferential edge defining a crescent shaped cross section along the length of said needle housing.

5. The snare injection device of claim 1 wherein said elongated member is a single extruded piece of dual lumen plastic.

6. The snare injection device of claim 1 wherein said needle housing comprises at least one barb fitting.

7. The snare injection device of claim 1 further comprising a distal needle stop.

8. The snare injection device of claim 1 wherein said needle housing is a flexible elongated barb that is positioned between said needle and said first channel of said elongated member when said needle is in said relaxed position.

9. The snare injection device of claim 1 further comprising at least one lumen expanding spacer disposed with said first channel.

10. The device of claim 1 further wherein said needle housing is an elongated barb positioned between said needle and said first channel having a distal portion with an inner diameter, wherein said device comprises a needle stop with an outer diameter greater than said inner diameter.

11. The snare injection device of claim 1 wherein said needle housing is non-conductive such that energy used to energize said snare apparatus does not transfer to said needle housing and direct current away from said targeted tissue.

12. A snare injection device for performing an endoscopic procedure to remove targeted tissue, the device comprising:

a) an elongated member having a first channel and a second channel;

b) a needle system for inserting a needle into said target tissue, said needle system comprising a needle, a hollow actuator tube, and a tube handle, wherein said tube is inserted through said first channel;

c) a snare system for transecting said targeted tissue, said snare system comprising a snare apparatus, an actuating cable, and a snare handle, wherein said cable is inserted through said second channel;

d) a base, wherein said tube and said cable are routed therethrough;

e) a flexible needle housing positioned between said needle and said first channel of said elongated member when said needle is in a relaxed position; and

f) a spring disposed in said base that limits movement of said needle in a direction of said needle housing;

g) wherein said needle housing prevents said needle from penetrating said first channel;

h) wherein said needle housing has a continuous inner surface and is disposed within a distal end of said first channel such that a cross-sectional area of said second channel is non-collapsible and less than a cross-sectional area of said first channel along a length of said needle housing and a cross-sectional area of said first channel is collapsible relative a cross-sectional area of said second channel along at least a length of said elongated member proximal said needle housing.

13. A snare injection device for performing an endoscopic procedure to remove targeted tissue, the device comprising:

a) an elongated member having a first channel and a second channel separated by a plastic membrane;

b) a needle system for inserting a needle into said target tissue, said needle system comprising a needle, a hollow actuator tube, and a tube handle, wherein said tube is inserted

though said first channel;

c) a snare system for transecting said targeted tissue, said snare system comprising a snare apparatus, an actuating cable, and a snare handle, wherein said cable is inserted though said second channel;

d) a base, wherein said tube and said cable are routed therethrough; and

e) a flexible needle housing positioned between said needle and said elongated member when said needle is in a relaxed position;

f) wherein said needle housing acts as a spacer to maintain a constant ratio between a cross-sectional area of said first channel and a cross-sectional area of said second channel along a length of said needle housing, such that a cross-sectional area of said first channel is non-collapsible and greater than a cross-sectional area of said second channel along an entire length of said needle housing, and a cross-sectional area of said first channel is collapsible along a length of said plastic membrane proximal said needle housing.

14. A snare injection device for performing an endoscopic procedure to remove targeted tissue, the device comprising:

an elongated member adapted for insertion into an endoscope instrument channel and having a first channel and a second channel separated by a plastic membrane;

a needle system for inserting a needle into said target tissue, said needle system comprising a needle, a hollow actuator tube, and a tube handle, wherein said tube is inserted through said first channel;

a snare system for transecting said targeted tissue, said snare system comprising a snare apparatus, an actuating cable, and a snare handle, wherein said cable is inserted though said second channel;

a base, wherein said tube and said cable are routed therethrough; and

a flexible needle housing positioned at a distal end of said first channel;

wherein said needle housing has a continuous inner surface and prevents said needle from penetrating said plastic membrane;

further wherein said needle housing is disposed within a distal end of said first channel such that a cross-sectional area of said first channel is non-collapsible and greater than a cross-sectional area of said second channel along an entire length of said needle housing, and a cross-sectional area of said first channel is collapsible along at least a length of said elongated member proximal said needle housing.

15. The snare injection device of claim 14 wherein a position of said membrane is fixed along the length of said needle housing, and unfixed along at least a length of said elongated member proximal said needle housing.