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
overtube
diagnostic
therapeutic instrument
handle
distal region
Prior art date
Application number
PCT/US2003/018891
Other languages
French (fr)
Other versions
WO2003105671A2 (en
Inventor
Richard C Ewers
Vahid Saadat
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 US10/173,227 external-priority patent/US6790173B2/en
Application filed by Usgi Medical Inc filed Critical Usgi Medical Inc
Priority to EP03760387A priority Critical patent/EP1583462A4/en
Priority to JP2004512587A priority patent/JP4437076B2/en
Priority to AU2003251528A priority patent/AU2003251528A1/en
Publication of WO2003105671A2 publication Critical patent/WO2003105671A2/en
Publication of WO2003105671A3 publication Critical patent/WO2003105671A3/en

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

Apparatus and methods are provided for placing and advancing a diagnostic or therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube disposed within a hydrophilic sheath, and a distal region having an atraumatic tip. The overtube may be removable from the handle, and have a longitudinal axis disposed at an angle relative to the handle. The sheath may be disposable to permit reuse of the overtube. Fail-safe tensioning mechanisms may be provided to selectively stiffen the overtube to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The fail-safe tensioning mechanisms reduce the risk of reconfiguration of the overtube in the event that the tension system fails, and, in one embodiment, rigidizes the overtube without substantial proximal movement of the distal region. The distal region permits passive steering of the overtube caused by deflection of the diagnostic or therapeutic instrument, while the atraumatic tip prevents the wall of the organ from becoming caught or pinched during manipulation of the diagnostic or therapeutic instrument.
PCT/US2003/018891 2002-06-13 2003-06-13 Shape lockable apparatus and mehtod for advancing an instrument through unsupported anatomy WO2003105671A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP03760387A EP1583462A4 (en) 2002-06-13 2003-06-13 Shape lockable apparatus and method 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.
AU2003251528A AU2003251528A1 (en) 2002-06-13 2003-06-13 Shape lockable apparatus and mehtod for advancing an instrument through unsupported anatomy

Applications Claiming Priority (14)

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

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 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)

Families Citing this family (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
US6558400B2 (en) 2001-05-30 2003-05-06 Satiety, Inc. Obesity treatment tools and methods
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
US7220237B2 (en) 2002-10-23 2007-05-22 Satiety, Inc. Method and device for use in endoscopic organ procedures
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
US7097650B2 (en) 2003-10-14 2006-08-29 Satiety, Inc. System for tissue approximation and fixation
US20050177176A1 (en) 2004-02-05 2005-08-11 Craig Gerbi Single-fold system for tissue approximation and fixation
EP1713402B1 (en) 2004-02-13 2018-07-04 Ethicon Endo-Surgery, Inc. Device for reducing stomach volume
US7708684B2 (en) 2004-02-27 2010-05-04 Satiety, Inc. Methods and devices for reducing hollow organ volume
US9028511B2 (en) 2004-03-09 2015-05-12 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8628547B2 (en) 2004-03-09 2014-01-14 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
US8252009B2 (en) 2004-03-09 2012-08-28 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
WO2005097012A2 (en) 2004-03-26 2005-10-20 Satiety, Inc. Systems and methods for treating obesity
US8512229B2 (en) 2004-04-14 2013-08-20 Usgi Medical Inc. Method and apparatus for obtaining endoluminal access
US8562516B2 (en) 2004-04-14 2013-10-22 Usgi Medical Inc. Methods and apparatus for obtaining endoluminal access
US8277373B2 (en) 2004-04-14 2012-10-02 Usgi Medical, Inc. Methods and apparaus for off-axis visualization
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
EP2037995A2 (en) * 2006-04-21 2009-03-25 Abbott Laboratories Stiffening support catheter
US7927305B2 (en) 2006-04-21 2011-04-19 Abbott Laboratories Systems, methods, and devices for injecting media contrast
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
JP5258625B2 (en) * 2009-02-27 2013-08-07 Ｈｏｙａ株式会社 Endoscope guide tube device
JP5258626B2 (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
JP5235772B2 (en) * 2009-04-30 2013-07-10 Ｈｏｙａ株式会社 Endoscope guide tube device
JP5235773B2 (en) * 2009-04-30 2013-07-10 Ｈｏｙａ株式会社 Flexible endoscope
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
CN106455925A (en) * 2015-01-21 2017-02-22 奥林巴斯株式会社 Endoscope insertion part and endoscope
CA3004201C (en) 2016-02-05 2023-01-10 Board Of Regents Of The University Of Texas System Steerable intra-luminal medical device
AU2017214552B2 (en) 2016-02-05 2020-08-27 Board Of Regents Of The University Of Texas System Surgical apparatus
WO2019003427A1 (en) * 2017-06-30 2019-01-03 オリンパス株式会社 Over-tube device
US11559191B2 (en) 2018-10-29 2023-01-24 G.I. View Ltd. Insertion unit for medical instruments and an intubation system thereof
US10646104B1 (en) * 2018-10-29 2020-05-12 G.I. View Ltd. Disposable endoscope
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 endoscope device

Citations (3)

* Cited by examiner, † Cited by third party
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

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5251611A (en) * 1991-05-07 1993-10-12 Zehel Wendell E Method and apparatus for conducting exploratory procedures
US5482029A (en) * 1992-06-26 1996-01-09 Kabushiki Kaisha Toshiba Variable flexibility endoscope system
DE29507905U1 (en) * 1995-05-12 1996-09-12 Werner Wolfgang Dr Med Endoscope, especially for intubation
JP4096325B2 (en) 1998-12-14 2008-06-04 正喜 江刺 Active capillary and method for manufacturing the same
US6837846B2 (en) * 2000-04-03 2005-01-04 Neo Guide Systems, Inc. Endoscope having a guide tube

Patent Citations (3)

* Cited by examiner, † Cited by third party
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

Also Published As

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

Similar Documents

Publication Publication Date Title
WO2003105671A3 (en) Shape lockable apparatus and mehtod for advancing an instrument through unsupported anatomy
WO2003105563A3 (en) Shape lockable apparatus and method for adanving an instrument through unsupported anatomy
JP2006512935A5 (en)
CA2363473C (en) Anoscope
EP1471968B1 (en) Steerable dilatation system
DE60222756T2 (en) COVER MAGAZINE AND HEREBY EQUIPPED STETHOSCOPE
ES2243595T3 (en) ULTRASOUND PROBE WITH POSITIONING DEVICE FOR EXPLORATION AND OPERATING DEVICES.
WO2007097797A3 (en) Positioning system for manipulating a channel within a medical device
JPH05211985A (en) Endoscope guide apparatus for cerebral ventricle
WO2007146526A3 (en) Tissue debulking device and method of using the same
WO2007002079A3 (en) System, method and apparatus for navigated therapy and diagnosis
WO2005081202A8 (en) Variable steerable catheters and methods for using them
EP2779905B1 (en) Fixture for immobilizing an arm of a patient
CA2483331A1 (en) Gastric band introduction device
SG127833A1 (en) Surgical stapler having an aluminum head
JP2008522741A5 (en)
JP2006505302A5 (en)
US9339339B2 (en) Medical device and method for conducting a surgery through a body opening
JP2008178654A (en) Protector for nasal cavity
EP1857038A3 (en) Medical catheter with a catheter stiffener
JP2010516325A5 (en)
US8764645B2 (en) Surgical access device and wound protector
US20180296800A1 (en) Steerable medical instrument
JPWO2013065509A1 (en) Endoscope insertion tool
JP2015047376A (en) Tube apparatus with puncture function

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NO NZ OM PH PL PT RO RU SD SE SG SK SL TJ TM TN TR TT TZ UA UG UZ VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LU MC NL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
WWE Wipo information: entry into national phase

Ref document number: 2004512587

Country of ref document: JP

WWE Wipo information: entry into national phase

Ref document number: 2003760387

Country of ref document: EP

WWP Wipo information: published in national office

Ref document number: 2003760387

Country of ref document: EP