WO2003105671A3 - Shape lockable apparatus and mehtod for advancing an instrument through unsupported anatomy - Google Patents

Shape lockable apparatus and mehtod for advancing an instrument through unsupported anatomy Download PDF

Info

Publication number
WO2003105671A3
WO2003105671A3 PCT/US2003/018891 US0318891W WO03105671A3 WO 2003105671 A3 WO2003105671 A3 WO 2003105671A3 US 0318891 W US0318891 W US 0318891W WO 03105671 A3 WO03105671 A3 WO 03105671A3
Authority
WO
WIPO (PCT)
Prior art keywords
tube
instrument
diagnostic
handle
distal region
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2003/018891
Other languages
French (fr)
Other versions
WO2003105671A2 (en
Inventor
Richard C Ewers
Vahid Saadat
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
USGI Medical Inc
Original Assignee
USGI Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/173,238 external-priority patent/US6837847B2/en
Application filed by USGI Medical Inc filed Critical USGI Medical Inc
Priority to AU2003251528A priority Critical patent/AU2003251528A1/en
Priority to JP2004512587A priority patent/JP4437076B2/en
Priority to EP03760387A priority patent/EP1583462A4/en
Publication of WO2003105671A2 publication Critical patent/WO2003105671A2/en
Anticipated expiration legal-status Critical
Publication of WO2003105671A3 publication Critical patent/WO2003105671A3/en
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/00078—Insertion part of the endoscope body with stiffening means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00082—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00105—Constructional details of the endoscope body characterised by modular construction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131—Accessories for endoscopes
    • A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0052—Constructional details of control elements, e.g. handles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0057—Constructional details of force transmission elements, e.g. control wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/31—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/0058—Flexible endoscopes using shape-memory elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/008—Articulations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne un appareil et des procédés permettant de mettre en place et de faire progresser un instrument de diagnostic ou de traitement dans un organe creux du corps humain, d'une anatomie tortueuse ou non supportée, comprenant une poignée, un tube de recouvrement disposé dans un manchon hydrophile, et une région distale présentant une extrémité atraumatique. Le tube de recouvrement peut être retiré de la poignée et présente un axe longitudinal disposé obliquement par rapport à la poignée. Le manchon est jetable afin de pouvoir réutiliser le tube. Des mécanismes de tension à sécurité intégrée peuvent être prévus pour raidir sélectivement le tube de recouvrement, afin de réduire les distensions de l'organe causées par la progression dudit instrument de diagnostic ou de traitement. Les mécanismes de tension à sécurité intégrée réduisent le risque de reconfiguration du tube, en cas de défaillance du système de tension et, dans une forme d'exécution, rigidifient le tube de recouvrement, sans déplacement proximal sensible de la région distale. La région distale permet le guidage passif du tube, résultant de la déflexion de l'instrument de diagnostic ou de traitement, cependant que l'extrémité atraumatique empêche que la paroi de l'organe soit saisie ou pincée durant la manipulation dudit instrument.An apparatus and methods for positioning and advancing a diagnostic or treatment instrument in a hollow organ of the human body, with a tortuous or unsupported anatomy, comprising a handle, a cover tube disposed in a hydrophilic sleeve, and a distal region having an atraumatic end. The cover tube can be removed from the handle and has a longitudinal axis disposed obliquely to the handle. The sleeve is disposable so that the tube can be reused. Safety integrated tensioning mechanisms can be provided to selectively stiffen the covering tube, in order to reduce the distensions of the organ caused by the progression of said diagnostic or treatment instrument. The fail-safe tensioning mechanisms reduce the risk of reconfiguring the tube in the event of a tension system failure and, in one embodiment, stiffen the covering tube, without appreciable proximal displacement of the distal region. The distal region allows passive guidance of the tube, resulting from the deflection of the diagnostic or treatment instrument, while the atraumatic end prevents the wall of the organ from being grasped or pinched during the manipulation of said instrument.

PCT/US2003/018891 2002-06-13 2003-06-13 Shape lockable apparatus and mehtod for advancing an instrument through unsupported anatomy Ceased WO2003105671A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
AU2003251528A AU2003251528A1 (en) 2002-06-13 2003-06-13 Shape lockable apparatus and mehtod for advancing an instrument through unsupported anatomy
JP2004512587A JP4437076B2 (en) 2002-06-13 2003-06-13 A method of advancing an instrument through a shape-fixable device and an unsupported anatomical structure.
EP03760387A EP1583462A4 (en) 2002-06-13 2003-06-13 Shape lockable apparatus and method for advancing an instrument through unsupported anatomy

Applications Claiming Priority (14)

Application Number Priority Date Filing Date Title
US10/173,238 US6837847B2 (en) 2002-06-13 2002-06-13 Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
US10/173,238 2002-06-13
US10/173,227 US6790173B2 (en) 2002-06-13 2002-06-13 Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
US10/173,220 US6783491B2 (en) 2002-06-13 2002-06-13 Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
US10/173,220 2002-06-13
US10/173,203 2002-06-13
US10/173,203 US7128708B2 (en) 2002-06-13 2002-06-13 Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
US10/173,227 2002-06-13
US10/281,462 2002-10-25
US10/281,461 2002-10-25
US10/281,461 US6942613B2 (en) 2002-06-13 2002-10-25 Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
US10/281,426 2002-10-25
US10/281,462 US6960163B2 (en) 2002-06-13 2002-10-25 Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
US10/281,426 US6960162B2 (en) 2002-06-13 2002-10-25 Shape lockable apparatus and method for advancing an instrument through unsupported anatomy

Publications (2)

Publication Number Publication Date
WO2003105671A2 WO2003105671A2 (en) 2003-12-24
WO2003105671A3 true WO2003105671A3 (en) 2005-07-28

Family

ID=29741227

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/018891 Ceased WO2003105671A2 (en) 2002-06-13 2003-06-13 Shape lockable apparatus and mehtod for advancing an instrument through unsupported anatomy

Country Status (4)

Country Link
EP (1) EP1583462A4 (en)
JP (1) JP4437076B2 (en)
AU (1) AU2003251528A1 (en)
WO (1) WO2003105671A2 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7097650B2 (en) 2003-10-14 2006-08-29 Satiety, Inc. System for tissue approximation and fixation
US7288099B2 (en) 2001-05-30 2007-10-30 Satiety, Inc. Obesity treatment tools and methods
US9028511B2 (en) 2004-03-09 2015-05-12 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ

Families Citing this family (47)

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US7033373B2 (en) 2000-11-03 2006-04-25 Satiety, Inc. Method and device for use in minimally invasive placement of space-occupying intragastric devices
US7083629B2 (en) 2001-05-30 2006-08-01 Satiety, Inc. Overtube apparatus for insertion into a body
US6746460B2 (en) 2002-08-07 2004-06-08 Satiety, Inc. Intra-gastric fastening devices
US7214233B2 (en) 2002-08-30 2007-05-08 Satiety, Inc. Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach
US7033384B2 (en) 2002-08-30 2006-04-25 Satiety, Inc. Stented anchoring of gastric space-occupying devices
US7229428B2 (en) 2002-10-23 2007-06-12 Satiety, Inc. Method and device for use in endoscopic organ procedures
US7220237B2 (en) 2002-10-23 2007-05-22 Satiety, Inc. Method and device for use in endoscopic organ procedures
US6656194B1 (en) 2002-11-05 2003-12-02 Satiety, Inc. Magnetic anchoring devices
US7175638B2 (en) 2003-04-16 2007-02-13 Satiety, Inc. Method and devices for modifying the function of a body organ
US7914543B2 (en) 2003-10-14 2011-03-29 Satiety, Inc. Single fold device for tissue fixation
US20050177176A1 (en) 2004-02-05 2005-08-11 Craig Gerbi Single-fold system for tissue approximation and fixation
CA2556228C (en) 2004-02-13 2014-05-13 Satiety, Inc. Methods for reducing hollow organ volume
AU2005218318A1 (en) 2004-02-27 2005-09-15 Ethicon Endo-Surgery, Inc Methods and devices for reducing hollow organ volume
US8628547B2 (en) 2004-03-09 2014-01-14 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8252009B2 (en) 2004-03-09 2012-08-28 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8449560B2 (en) 2004-03-09 2013-05-28 Satiety, Inc. Devices and methods for placement of partitions within a hollow body organ
EP1750627B1 (en) 2004-03-26 2018-10-10 Ethicon Endo-Surgery, Inc. System for reducing stomach volume
US8277373B2 (en) 2004-04-14 2012-10-02 Usgi Medical, Inc. Methods and apparaus for off-axis visualization
US8562516B2 (en) 2004-04-14 2013-10-22 Usgi Medical Inc. Methods and apparatus for obtaining endoluminal access
US8512229B2 (en) 2004-04-14 2013-08-20 Usgi Medical Inc. Method and apparatus for obtaining endoluminal access
JP4499479B2 (en) * 2004-05-28 2010-07-07 オリンパス株式会社 Endoscope overtube and small intestine endoscope system
US7931661B2 (en) * 2004-06-14 2011-04-26 Usgi Medical, Inc. Apparatus and methods for performing transluminal gastrointestinal procedures
US20060106288A1 (en) 2004-11-17 2006-05-18 Roth Alex T Remote tissue retraction device
US20070038224A1 (en) * 2005-07-28 2007-02-15 Ethicon Endo-Surgery, Inc. Electroactive polymer-based flexing access port
US7927305B2 (en) 2006-04-21 2011-04-19 Abbott Laboratories Systems, methods, and devices for injecting media contrast
WO2007124501A2 (en) * 2006-04-21 2007-11-01 Abbott Laboratories Stiffening support catheter
US20090062606A1 (en) 2007-08-31 2009-03-05 Hoya Corporation Endoscope guiding tube device
JP5097614B2 (en) * 2008-05-09 2012-12-12 Ｈｏｙａ株式会社 Endoscope
JP5258626B2 (en) * 2009-02-27 2013-08-07 Ｈｏｙａ株式会社 Endoscope guide tube device
JP5258625B2 (en) * 2009-02-27 2013-08-07 Ｈｏｙａ株式会社 Endoscope guide tube device
JP5179413B2 (en) * 2009-03-09 2013-04-10 Ｈｏｙａ株式会社 Endoscope guide tube device
JP5235773B2 (en) * 2009-04-30 2013-07-10 Ｈｏｙａ株式会社 Flexible endoscope
JP5235772B2 (en) * 2009-04-30 2013-07-10 Ｈｏｙａ株式会社 Endoscope guide tube device
WO2013011771A1 (en) * 2011-07-15 2013-01-24 オリンパスメディカルシステムズ株式会社 Insertion instrument
JP5669690B2 (en) * 2011-08-04 2015-02-12 オリンパスメディカルシステムズ株式会社 Endoscope
JP2015156879A (en) * 2012-06-11 2015-09-03 テルモ株式会社 Medical device
JP6133594B2 (en) * 2012-12-27 2017-05-24 三星電子株式会社Ｓａｍｓｕｎｇ Ｅｌｅｃｔｒｏｎｉｃｓ Ｃｏ．，Ｌｔｄ． Medical tube and flexible variable mechanism
EP3141179A4 (en) * 2015-01-21 2018-01-10 Olympus Corporation Endoscope insertion part and endoscope
CN108601603B (en) 2016-02-05 2021-07-02 得克萨斯系统大学董事会 surgical equipment
EP4696340A2 (en) 2016-02-05 2026-02-18 The Board Of Regents Of The University Of Texas System Steerable intra-luminal medical device
WO2019003427A1 (en) * 2017-06-30 2019-01-03 オリンパス株式会社 Over-tube device
WO2020031293A1 (en) 2018-08-08 2020-02-13 オリンパス株式会社 Medical device and treatment system
US10646104B1 (en) * 2018-10-29 2020-05-12 G.I. View Ltd. Disposable endoscope
US11559191B2 (en) 2018-10-29 2023-01-24 G.I. View Ltd. Insertion unit for medical instruments and an intubation system thereof
CN110559022B (en) * 2019-04-30 2023-11-24 上海科赐医疗技术有限公司 Medical asymmetric balloon catheter with manipulator
CN111493795B (en) * 2020-04-07 2023-07-04 上海澳华内镜股份有限公司 Split endoscopic device
DE102024102627A1 (en) * 2024-01-30 2025-07-31 Ambu A/S Endoscope with guide wire arrangement

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Publication number Priority date Publication date Assignee Title
US5005558A (en) * 1988-05-16 1991-04-09 Kabushiki Kaisha Toshiba Endoscope
US5448989A (en) * 1993-02-22 1995-09-12 Richard Wolf Gmbh Medical instrument shaft capable of positive and non-positive linking of segments
US5916147A (en) * 1997-09-22 1999-06-29 Boury; Harb N. Selectively manipulable catheter

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7288099B2 (en) 2001-05-30 2007-10-30 Satiety, Inc. Obesity treatment tools and methods
US7288101B2 (en) 2001-05-30 2007-10-30 Satiety, Inc. Obesity treatment tools and methods
US7503922B2 (en) 2001-05-30 2009-03-17 Satiety, Inc. Obesity treatment tools and methods
US7510559B2 (en) 2001-05-30 2009-03-31 Satiety, Inc. Obesity treatment tools and methods
US7097650B2 (en) 2003-10-14 2006-08-29 Satiety, Inc. System for tissue approximation and fixation
US9028511B2 (en) 2004-03-09 2015-05-12 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ

Also Published As

Publication number Publication date
WO2003105671A2 (en) 2003-12-24
AU2003251528A8 (en) 2003-12-31
JP4437076B2 (en) 2010-03-24
JP2006512935A (en) 2006-04-20
AU2003251528A1 (en) 2003-12-31
EP1583462A2 (en) 2005-10-12
EP1583462A4 (en) 2008-04-02

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