Method and apparatus for stabilizing, straightening, expanding and/or flattening the side wall of a body lumen and/or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same

• US 8,979,884 B2
• Filed: 12/15/2010
• Issued: 03/17/2015
• Est. Priority Date: 12/15/2009
• Status: Active Grant

• Current Assignee: Cornell University
• Original Assignee: Cornell University
• Inventors: Milsom, Jeffrey, Riina, Howard, Cornhill, J. Frederick, Dickinson, Edward, Strohl, Clair, Mahoney, James, Coppola, Pat
• Primary Examiner(s): STRANSKY, KATRINA MARIE
• Application Number:
  US12/969,059
• Publication Number:
  US 20110245858A1
• Time in Patent Office: 1,553 Days
• Field of Search: 606191-199, 600114-118, 600/104, 600/106, 600/129, 600/137, 600/12, 604/96.01, 60410101-10105
• US Class Current: 606/191
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes
• 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system

Abstract

The present invention comprises the provision and use of a novel endoscopic device which is capable of stabilizing, straightening, expanding and/or flattening the side wall of a body lumen and/or body cavity so as to better present the side wall tissue for examination and/or treatment during an endoscopic procedure. The present invention also comprises the provision and use of a novel endoscopic device capable of steadying and/or stabilizing the distal tips and/or working ends of instruments inserted into a body lumen and/or body cavity, whereby to facilitate the use of those instruments.

Claims

1. Apparatus comprising:

a sleeve having a proximal end and a distal end and adapted to be slid over and mounted to an exterior of an endoscope;

a proximal balloon secured to the sleeve proximal to a distal end of the endoscope;

a double pull mechanism mounted to the sleeve, the double pull mechanism comprising a bearing structure mounted to the distal end of the sleeve proximal to the distal end of the endoscope and a double pull line movably disposed on the bearing structure, the double pull line comprising a retract line and an extend line;

a pusher element mounted to the retract line of the double pull mechanism proximal to the bearing structure, the pusher element having a length substantially shorter than a length of the sleeve; and

a distal balloon secured to a distal end of the pusher element;

the sleeve, the double pull mechanism and the pusher element being configured such that (i) when the retract line is pulled proximally, the distal balloon is pulled proximally by the pusher element toward the proximal balloon to a position adjacent to but distal to the proximal balloon, and (ii) when the extend line is pulled proximally, the distal balloon is pushed distally by the pusher element away from the proximal balloon.

2. Apparatus according to claim 1 further comprising a motorized drive system configured to (i) selectively apply a pulling force to the retract line, (ii) selectively apply a pulling force to the extend line, or (iii) hold the retract line and extend line against movement.

3. Apparatus according to claim 1 wherein the pusher element comprises a tube.

4. Apparatus according to claim 3 wherein the tube is formed out of a superelastic material.

5. Apparatus according to claim 3 wherein the pusher element is configured to slidably receive a flexible rod having an atraumatic tip therein.

6. Apparatus according to claim 5 further comprising a flexible rod having an atraumatic tip disposed in the pusher element.

7. Apparatus according to claim 1 wherein the sleeve is configured to make a close fit with the exterior of an endoscope such that the sleeve will slide easily over the endoscope during mounting thereon but will remain in place during use.

8. Apparatus according to claim 1 further comprising a handle secured to the sleeve at the proximal end of the sleeve.

9. Apparatus according to claim 1 wherein the sleeve includes a lubricious coating on at least one of its interior surface and its exterior surface.

10. Apparatus according to claim 1 wherein the proximal balloon is spaced from the distal end of the sleeve by a distance which is substantially equal to a length of a flexible portion of the endoscope.

11. Apparatus according to claim 1 wherein at least one of the sleeve and the proximal balloon comprises a radiopaque marker.

12. Apparatus according to claim 1 wherein the distal balloon comprises a radiopaque marker.

13. Apparatus according to claim 1 further comprising a rip sleeve for selectively covering at least one of the proximal balloon and the distal balloon prior to inflation.

14. Apparatus according to claim 13 further comprising a rip cord for selectively opening the rip sleeve.

15. Apparatus according to claim 1 wherein the pusher element comprises a superelastic material.

16. Apparatus according to claim 1 wherein the pusher element is hollow, and further wherein a flexible rod having an atraumatic tip is slidably disposed in the pusher element.

17. Apparatus according to claim 16 wherein the flexible rod having an atraumatic tip comprises a guidewire.

18. A method for performing a procedure in a body lumen and/or body cavity, the method comprising:

providing an apparatus comprising;

a sleeve having a proximal end and a distal end and adapted to be slid over and mounted to an exterior of an endoscope;

a proximal balloon secured to the sleeve proximal to a distal end of the endoscope;

a double pull mechanism mounted to the sleeve, the double pull mechanism comprising a bearing structure mounted to the distal end of the sleeve proximal to the distal end of the endoscope and a double pull line movably disposed on the bearing structure, the double pull line comprising a retract line and an extend line;

a pusher element mounted to the retract line of the double pull mechanism proximal to the bearing structure, the pusher element having a length substantially shorter than a length of the sleeve; and

a distal balloon secured to a distal end of the pusher element;

the sleeve, the double pull mechanism and the pusher element being configured such that (i) when the retract line is pulled proximally, the distal balloon is pulled proximally by the pusher element toward the proximal balloon to a position adjacent to but distal to the proximal balloon, and (ii) when the extend line is pulled proximally, the distal balloon is pushed distally by the pusher element away from the proximal balloon;

positioning the apparatus in a body lumen and/or body cavity;

inflating the proximal balloon;

advancing the pusher element distally relative to the sleeve;

inflating the distal balloon; and

performing a procedure.