Endoscopic apparatus with integrated variceal ligation device

• US 8,585,715 B2
• Filed: 12/14/2011
• Issued: 11/19/2013
• Est. Priority Date: 05/13/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Hoffman, David W., Rowland, Christopher
• Primary Examiner(s): Hughes, S. Thomas
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US13/325,638
• Publication Number:
  US 20120150196A1
• Time in Patent Office: 706 Days
• Field of Search: 606/140, 606/139, 606/144, 606/148, 606/228, 606/138, 292/35, 292/29, 298/12
• US Class Current: 606/140
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/00103 designed for single use
• CPC Class Codes: A61B 1/012 characterised by internal passages or accessories therefor
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 17/12013 for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/12018 Elastic band ligators
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used

Abstract

A variceal banding endoscope includes an elongated shaft having a distal end and a proximal end that is removably connected to a control unit. The endoscope includes a variceal banding apparatus fixedly attached to the distal end of the endoscope and capable of receiving a plurality of ligation bands. A trigger cable extends from the proximal end to the distal end of the shaft and is digitally actuated by an actuator in the control unit or handle of the scope in response to a user input device.

Claims

1. A medical device, comprising:

an elongate shaft having a proximal end and a distal portion;

a plurality of compressible structures disposed on the distal portion and arranged so that each pair of compressible structures defines a space therebetween;

a plurality of compressive elements, wherein each compressive element corresponds to one of the plurality of compressible structures on the distal portion;

a plurality of elastic members, each elastic member disposed in the space between a corresponding pair of adjacent compressible structures; and

an elongate member, wherein a portion of the elongate member is coupled to each compressible structure such that, upon tension of the elongate member, one of the plurality of elastic members is released from the distal portion;

wherein, prior to applying tension to the elongate member, the plurality of compressible structures extend radially outward from an exterior surface of the distal portion; and

wherein, upon tension of the elongate member, one of the plurality of compressible structures is pulled toward the exterior surface of the distal portion.

2. The device of claim 1, wherein the portion of the elongate member coupled to each of the plurality of compressible structures extends through the distal portion in a loop configuration.

3. The device of claim 1, wherein the plurality of elastic members are ligation bands.

4. The device of claim 1, wherein the distal portion is translucent.

5. The medical device of claim 1, wherein each portion of the elongate member that is coupled to each compressible structure is selected to allow for a predetermined amount of slack between the elongate member and each compressible structure.

6. The medical device of claim 1, wherein each compressive element has a loop configuration that encircles a corresponding one of the plurality of compressible structures.

7. The medial device of claim 1, wherein a hood is coupled to the distal portion of the elongate shaft;

and

each compressive element has a portion within an interior of the hood.

8. The medical device of claim 1, wherein, prior to applying tension to the elongate member, the portion of the elongate member has a slack confiauration.

9. A medical device, comprising:

a shaft having a proximal end and a distal end;

a hood coupled to the distal end of the shaft, the hood having a plurality of elastic members disposed on the hood and a plurality of compressible structures disposed on the hood, wherein each elastic member is disposed between adjacent compressible structures;

a plurality of compressive elements, wherein each compressive element corresponds to one of the plurality of compressible structures on the hood; and

an elongate member coupled to the plurality of compressive elements such that, upon tension of the elongate member, one of the plurality of elastic members is released from the hood;

wherein, prior to applying tension to the elongate member, the plurality of compressible structures extend radially outward of an exterior surface of the hood; and

wherein, upon tension of the elongate member, one of the plurality of compressible structures is compressed toward the exterior surface of the hood.

10. The device of claim 9, wherein each compressive element is arranged around the corresponding one of the plurality of compressible structures.

11. The device of claim 9, wherein each compressive element has a loop configuration.

12. The device of claim 9, wherein each compressive element has a portion within an interior of the hood.

13. The device of claim 12, wherein, prior to applying tension to the elongate member, the portion has a slack configuration.

14. A medical system, comprising:

a medical device having a proximal end and a distal end;

a plurality of compressible structures disposed on the distal end and arranged so that each pair of compressible structures defines a space therebetween, wherein each compressible structure includes a compressive element configured to press against a corresponding compressible structure extending radially outward from an exterior surface of the distal end;

a plurality of elastic members, each elastic member disposed in the space between a corresponding pair of adjacent compressible structures; and

an elongate member coupled to each compressive element; and

a control unit including an actuator configured to apply tension to the elongate member, thereby causing each of the compressive element to pull a corresponding compressible structure toward the exterior surface of the medical device.

15. The system of claim 14, wherein, upon tension of the elongate member, an elastic member closest to a distalmost end of the medical device is released from the medical device.

16. The system of claim 14, wherein, upon tension of the elongate member with a predetermined force, each elastic member is released individually from the medical device.

17. The system of claim 14, wherein the system further includes a processor configured to track position coordinates of a varix that has been ligated.

18. The system of claim 14, wherein the medical device includes an imaging system adjacent the distal end of the medical device.

19. The system of claim 14, further including a sensor located adjacent the distal end of the medical device, wherein the sensor is configured to sense the position of each of the plurality of elastic members on the distal end of the medical device.