Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall
First Claim
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1. A bronchoscopic-based method of performing a procedure on a target in a lung, the method comprising:
- advancing a bronchoscope through a nose or mouth, and into a peripheral airway having an airway wall;
creating an opening through the airway wall with a hole-making instrument;
creating an access tunnel from the opening in the airway wall to the target, wherein the target is spaced well beyond the opening, and wherein the step of creating an access tunnel comprises;
advancing a dissecting catheter through the opening in the airway wall, through a parenchymal tissue, and to the target;
advancing a tubular elongate instrument from the airway wall, through the parenchymal tissue, and to the target;
such that both the dissecting catheter and the tubular elongate instrument extend through the opening, through the parenchymal tissue and to the target, and the dissecting catheter being contained within the tubular elongate instrument; and
removing the dissecting catheter, leaving the tubular elongate instrument in places, andperforming the procedure on the target through the access tunnel.
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Abstract
Methods and devices for diagnosing, monitoring, and/or treating tissue through an opening or port through an airway wall are provided herein.
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Citations
25 Claims
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1. A bronchoscopic-based method of performing a procedure on a target in a lung, the method comprising:
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advancing a bronchoscope through a nose or mouth, and into a peripheral airway having an airway wall; creating an opening through the airway wall with a hole-making instrument; creating an access tunnel from the opening in the airway wall to the target, wherein the target is spaced well beyond the opening, and wherein the step of creating an access tunnel comprises; advancing a dissecting catheter through the opening in the airway wall, through a parenchymal tissue, and to the target; advancing a tubular elongate instrument from the airway wall, through the parenchymal tissue, and to the target; such that both the dissecting catheter and the tubular elongate instrument extend through the opening, through the parenchymal tissue and to the target, and the dissecting catheter being contained within the tubular elongate instrument; and removing the dissecting catheter, leaving the tubular elongate instrument in places, and performing the procedure on the target through the access tunnel. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
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14. A bronchoscopic-based method of performing, a procedure on a target in a lung, the method comprising:
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advancing a bronchoscope through a nose or mouth, and into a peripheral airway having an airway wall; creating an opening through the airway wall with a hole-making instrument; advancing a dissecting catheter through the opening in the airway wall, through a parenchymal tissue, and to the target; advancing a tubular elongate instrument from the airway wall, through the parenchymal tissue, and to the target; such that both the dissecting catheter and the tubular elongate instrument extend through the opening, through the parenchymal tissue and to the target, and the dissecting catheter being contained within the tubular elongate instrument; and removing the dissecting catheter from the lung; maintaining the tubular elongate instrument in place to provide an access tunnel from the opening in the airway though the parenchymal tissue to the target; and performing the procedure on the target through the access tunnel. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25)
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Specification