US20020143237A1 - Inflatable member for an endoscope sheath - Google Patents
Inflatable member for an endoscope sheath Download PDFInfo
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- US20020143237A1 US20020143237A1 US10/094,406 US9440602A US2002143237A1 US 20020143237 A1 US20020143237 A1 US 20020143237A1 US 9440602 A US9440602 A US 9440602A US 2002143237 A1 US2002143237 A1 US 2002143237A1
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- sheath
- flexible
- endoscope assembly
- opening
- inflated
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- 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
- A61B1/00131—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
- A61B1/00142—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 with means for preventing contamination, e.g. by using a sanitary sheath
-
- 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
- A61B1/00156—Holding or positioning arrangements using self propulsion
-
- 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
- A61B1/012—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 characterised by internal passages or accessories therefor
-
- 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
- A61B1/012—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 characterised by internal passages or accessories therefor
- A61B1/015—Control of fluid supply or evacuation
-
- 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
- A61B1/267—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 respiratory tract, e.g. laryngoscopes, bronchoscopes
- A61B1/2676—Bronchoscopes
-
- 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
-
- 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
- A61B1/267—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 respiratory tract, e.g. laryngoscopes, bronchoscopes
-
- 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
- A61B1/273—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 upper alimentary canal, e.g. oesophagoscopes, gastroscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
- A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
- A61B2017/3486—Balloon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1011—Multiple balloon catheters
Abstract
Apparatus and methods for attaching and forming enclosed inflatable members on an endoscope assembly with a disposable sheath are disclosed. In one embodiment, an apparatus includes a flexible and resilient cuff member that is positioned on the outer surface of the disposable sheath and sealably and fixedly bonded to the sheath cover material at the cuff edges to form an annular space capable of being inflated. The inflatable member formed thereby is inflated through a lumen internal to the sheath that has an opening into the interior annular space. The inflatable member may be inflated to exert a longitudinal force on the insertion tube, thereby moving the endoscope assembly along a body passage. Alternately, a sheath may include a plurality of inflatable cuffs that may be inflated to create an isolated space therebetween within the body passage.
Description
- This application is a continuation-in-part of pending U.S. patent application Ser. No. 09/702,155, filed Oct. 30, 2000.
- This invention relates generally to endoscopy, and more particularly to inflatable members attached to an endoscopic instrument.
- The use of endoscopes for diagnostic and therapeutic purposes is widespread. For example, there are upper endoscopes for examination of the esophagus, stomach and duodenum, colonoscopes for the examination of the colon, angioscopes for vascular examination, bronchoscopes for examining the bronchi, laparoscopes for examining the peritoneal cavity, and arthroscopes for the examination of joint spaces. The following discussion applies to all of these types of endoscopes.
- An endoscope for examining the bronchial tract and conducting transbronchial biopsies is a good example of the usefulness of endoscopic technology. These devices, known as flexible bronchoscopes, are widely used in diagnosing pulmonary diseases since they are capable of reaching the more distal bronchi in the bronchial tract. To properly navigate and view a bronchial area, the bronchoscope is generally structured to contain a fiber optic bundle within the elongated probe section. Alternatively, the bronchoscope may utilize other means to view the bronchial area, such as a video device positioned within the bronchoscope. In addition to providing a direct viewing capability, flexible bronchoscopes generally possess a means to remove tissue samples, or other material from the bronchial tract for biopsy or culture purposes. Tissue samples for biopsy purposes may be collected using a biopsy forceps extending from the distal end of the bronchoscope or by brushing the suspect area to capture cellular material for subsequent microscopic examination. Another commonly used technique to collect cellular material is to wash, or lavage, the suspect area. When a lavage procedure is used, a solution is injected into the bronchial passage and subsequently withdrawn by suction through the distal end of the broncoscope to capture cellular material. Following withdrawal of the lavage fluid, the cellular material may be subjected to a cytological examination or culture.
- One difficulty encountered in the use of endoscopes is continuously maintaining the endoscopic probe in a selected location within a body passage during the examination. Movement of the endoscopic probe while it is positioned within a body passage may occur for a number of reasons. For example, movement of the endoscope may occur due to an unintended bodily movement of the operator while the patient is undergoing the examination, or by an involuntary movement of the patient in response to the examination. Once the distal end of the endoscope has been dislodged from its intended location, it must be carefully repositioned before the examination may be resumed. Movement of the endoscope within a body passage is particularly pronounced during bronchoscopic examinations, since the patient must continue to breathe during the examination. Further, involuntary bronchospasmodic events within the bronchial passages may occur during the examination that will disrupt the location of the distal end of the bronchoscope. A significant additional difficulty resulting from unintended patient movement may arise when a biopsy procedure is conducted. Since a biopsy forceps or brush is generally used, an uncontrolled or unintended cutting of tissue in the passage due to patient movement may lead to hemoptysis. Moreover, since the biopsy forceps, or brush may reach and perforate the pleura, pneumothorax may also occur.
- Still another difficulty encountered in the use of endoscopes for diagnostic purposes is the inability to sealably isolate a portion of the endoscope from the remainder of the body passage during an endoscopic examination. To facilitate internal viewing of a passage, for example, the fluid occupying the cavity is generally removed by means of a suction channel in the endoscope, which may be followed by the introduction of a gas through an additional channel in the endoscope to distend the internal space. Other endoscopic applications may require that a fluid be retained within the portion of the body passage that has been sealably isolated. For example, in transbronchial diagnostic procedures such as bronchoalveolar lavage, the bronchoscope is used to gently irrigate the air spaces in a distal air passage with a solution. Isolation of the solution to the region surrounding the distal end of the bronchoscope is required so that cellular samples removed during the lavage are sufficiently localized to be of diagnostic value. In particular, when collecting samples by lavage for use in the diagnosis of infectious pulmonary diseases, the sample must not be contaminated by bacterial or other agents transported to the distal end of the probe by the unrestrained movement of the solution through the passage.
- Yet another difficulty encountered in the use of endoscopes occurs when the endoscope must be positioned at a relatively deep location within a body passage, so that a relatively long portion of the endoscope must be inserted into the patient. In such cases, the endoscope may be resistant to small, or incremental movements within the passage. Moreover, in certain cases, the endoscope length may develop sufficient resistance to further inward movement, so that the endoscope is prevented from extending to the intended location. Similar difficulties may also occur when the passage is relatively short, but includes relatively highly curved segments. Since the operator is generally limited to positional manipulations of exposed portions of the endoscope, considerable difficulty may be encountered in properly positioning the endoscope within body passages under these conditions.
- Increasingly, endoscopes are used with disposable sheaths that are positioned over the insertion tube of the endoscope to avoid the communication of disease from one patient to another. An additional advantage of the disposable sheath is that it allows the device to be used at more frequent intervals, since the need for lengthy cleaning and sterilization procedures is largely eliminated. Generally, the sheath is comprised of a flexible, thin, resilient material, such as latex, or other similar materials, that fits over and surrounds the insertion tube of the endoscope so the insertion tube is completely isolated from contaminants. The sheath is generally further comprised of a viewing window at the distal end, and may include a plurality of internal channels, or lumens, through which biopsy samples or fluids may be either introduced or removed. Accordingly, an additional difficulty encountered in the use of endoscopes concerns the incorporation of positioning and passage-blocking means into the disposable outer sheath.
- Consequently, there exists a need in the art for an apparatus that will continuously maintain an endoscopic probe in a selected position within a body passage during the examination. In addition, the apparatus must be able to sealably close the passage to either retain fluids within a closed space, or to prevent a fluid from reoccupying the space during an examination. Further, there exists a need in the art for an apparatus that permits an endoscopic probe to be properly positioned within a long body passage, and/or where the passage is highly curved. Finally, the apparatus must be compatible with disposable sheaths used with endoscopes.
- The invention is directed towards apparatus and methods for attaching and forming enclosed inflatable members on an endoscope assembly with a disposable sheath. In one aspect, an apparatus in accordance with the invention includes a flexible and resilient cuff member that is positioned on the outer surface of the disposable sheath and sealably and fixedly bonded to the sheath cover material at the cuff edges to form an annular space capable of inflation. The inflatable member formed thereby is inflated through a lumen internal to the sheath that has an opening into the interior annular space. In another aspect, the annular space may be divided into separate inflatable lobes. In still another aspect, the cuff member is a flexible and resilient enclosed member that is substantially toroidal in shape that is positioned on the outer surface of the sheath. In a further aspect, the inflatable member is formed from an excess length of sheath cover material disposed on the disposable sheath. A single reentrant fold of sheath material is formed with an edge that is sealably and fixedly bonded to the sheath cover material to form an annular space capable of inflation. In still another aspect, the excess length of cover material may be used to form members with dual reentrant folds that comprise inflatable members with single and dual inflatable lobes. In another aspect, at least a pair of enclosed inflatable members are spaced apart along the sheath of an endoscope insertion tube, which has a plurality of openings that project through the sheath to communicate a fluid to the space formed between the inflatable members. In still another aspect, at least a single enclosed inflatable member that has a first portion capable of a first expansion when inflated, and a second portion capable of a second expansion when inflated, is positioned on an endoscope sheath of an insertion tube to assist in the movement of the endoscope along a body passage.
- FIG. 1 is a partial cross-sectional view of an endoscope assembly with an inflatable cuff according to an embodiment of the invention.
- FIG. 2 is a cross-sectional view of an inflatable cuff according to another embodiment of the invention.
- FIG. 3 is a cross-sectional view of an inflatable cuff according to still another embodiment of the invention.
- FIG. 4 is a cross-sectional view of an inflatable cuff according to yet another embodiment of the invention.
- FIG. 5 is a cross-sectional view of an inflatable cuff according to another alternative embodiment of the invention.
- FIG. 6 is a cross-sectional view of an inflatable cuff according to still another alternative embodiment of the invention.
- FIG. 7 is a cross-sectional view of an endoscope assembly with inflatable cuffs according to another embodiment of the invention.
- FIG. 8 is a cross-sectional view of an endoscope assembly with inflatable cuffs according to still another embodiment of the invention.
- FIG. 9 is a cross-sectional view of an endoscope assembly with inflatable cuffs according to still another embodiment of the invention.
- FIG. 10 is a cross-sectional view of an endoscope assembly with inflatable cuffs according to still another embodiment of the invention.
- FIG. 11 is an isometric view of an endoscope assembly with inflatable cuffs according to yet another embodiment of the invention.
- FIG. 12 is a partial side view of an endoscope assembly with inflatable cuffs according to still yet another embodiment of the invention.
- FIG. 13 is a partial side view of an endoscope assembly with inflatable cuffs according to still yet another embodiment of the invention.
- FIG. 14 is a partial side view of an endoscope assembly with inflatable cuffs according to still yet another embodiment of the invention.
- FIG. 15 is an end elevational view of the endoscope assembly of FIG. 1 with the inflatable cuff in the inflated position.
- The present invention is generally directed to inflatable members attached to an endoscope. Many of the specific details of certain embodiments of the invention are set forth in the following description and in FIGS. 1 through 15 to provide a thorough understanding of such embodiments. One skilled in the art will understand, however, that the present invention may have additional embodiments, or that the present invention may be practiced without several of the details described in the following description.
- In the drawings, like reference numbers identify similar elements or steps. Further, it is understood that the inflatable members depicted in FIGS. 1 through 14 may assume a variety of sizes and shapes that depend on the amount of internal pressurization and/or the internal shape of a body cavity. Accordingly, for clarity of illustration, and to properly illustrate internal features of the various embodiments illustrated in FIGS. 1 through 14, the embodiments are shown at a generally intermediate stage of inflation.
- FIG. 1 is a partial cross sectional view of an
endoscope assembly 10 that includes asheath 103 having aninflatable cuff 100 in accordance with an embodiment of the invention. In this embodiment, theinflatable cuff 100 is circumferentially disposed about a body portion of thesheath 103, the body portion being sized to at least partially encapsulate aninsertion tube 101 of an endoscope of the type shown, for example, in FIG. 11. - When inflated, the
cuff 100 may be symmetrically or asymmetrically disposed about theinsertion tube 101. For example, FIG. 15 is an end elevational view of theendoscope assembly 10 with theinflatable cuff 100 shown in aninflated position 105. As shown in FIG. 15, in this embodiment, theinflatable cuff 100 is symmetrically circumferentially disposed about theinsertion tube 101. In alternate embodiments, theinflatable cuff 100 may assume any desired shape, including, for example, an eccentrically-disposed circular shape 107 (FIG. 15) that is not symmetrically disposed about theinsertion tube 101, or a non-circular, asymmetric shape 109 (FIG. 15), or any other suitable shape. - The
insertion tube 101 can have a variety of cross section shapes, such as circular, semicircular, etc., and is fabricated from a resilient material so that aninsertion tube wall 102 may be flexed. Theinsertion tube 101 also has aninternal space 104 that is structured to permit the illumination of tissue in internal passages, and to convey an image of the illuminated area from thedistal end 110 of the endoscope to an external viewing device (not shown). - With reference still to FIG. 1, the
endoscope sheath 103 has atransparent viewing window 118 located at thedistal end 110 of thedisposable sheath 103 to allow the image to be conveyed to the external viewing device. Thewindow 118 may also be comprised of a lens capable of focusing an image on an image sensing device. Thesheath 103 also has a plurality of internal lumens to accomplish specific tasks. For example, alumen 124 may be provided to direct a flow of rinse water over theviewing window 118 in order to rinse vision-impairing matter from thewindow 118. Alumen 122 that is open at thedistal end 110 may be used to capture a biopsy sample taken from the surrounding tissue area by means of an elongated forceps, or brush (not shown). Alternatively, thelumen 122 may be used to transfer a solution into a body passage during a lavage procedure. Further, thelumen 122 may also be used to transfer a compressed gas into a body passage in order to distend the passage for better optical viewing or biopsy sampling. Anadditional lumen 120 that is in fluid communication with a pressurized fluid source (not shown) is used to inflate aninflatable endoscope cuff 100, which will be described in greater detail below. Theinternal lumens sheath 103. Thesheath 103 is covered with a flexible,resilient cover material 130 such as latex, polyvinylchloride, or polyurethane. Alternatively, other equally suitable materials for thecover material 130 are KRATON®, available from the GLS Corporation of McHenry, Ill., and C-FLEX®, available from Consolidated Polymer Technologies, Inc. of Largo, Fla. - Still referring to FIG. 1, the
inflatable endoscope cuff 100 is comprised of a circular member positioned on the outer surface of thesheath 103. Although only a singleinflatable cuff 100 is shown for clarity of illustration, it is understood that a plurality ofcuffs 100 may be positioned along the length of theendoscope assembly 10, and that the plurality ofcuffs 100 may be positioned at varying relative distances. Theinflatable cuff 100 may be located at any location along the working length of theendoscope assembly 10, and forms a closedannular space 136 that is capable of inflation by a pressurized fluid. Anopening 134 projects through thecover material 130 and through the wall of thelumen 120 to permit the pressurized fluid retained within thelumen 120 to enter theinflatable cuff 100. To retain thecuff 100 on the surface of thesheath 103, and to retain the pressurized fluid within theannular space 136, thecuff 100 is sealably fastened to the surface of thesheath 103 at the cuff edges 138 with a suitable adhesive placed between thecuff edge 138 and thecover material 130. An example of a suitable adhesive is cyanoacrylate, although other equivalent adhesives exist. Alternatively, the cuff edges 138 may be joined to thecover material 130 either by thermally fusing the cuff edges 138 to thecover material 130, or by wrapping lengths of a retaining cord 131, such as a surgical-type thread or other suitable material, over thecuff edge 138 and securely tying the ends to sealably fasten the cuff edges 138 to thecover material 130, although other methods for attaching the cuff edges 138 to thecover material 130 may also be used. - The
inflatable cuff 100 may be formed from latex, KRATON®, or C-FLEX®, although other suitable flexible and resilient materials may be used. For example, soft polyurethane may also be used. Preferably, theinflatable cuff 100 is formed from a flexible and resilient material with a thickness that ranges between 0.003 and 0.010 inches, with a durometer value of between approximately 30 and approximately 50. Alternatively, thecuff 100 may also be formed from a relatively inelastic material, so that it exhibits a relatively baggy shape when not inflated. - With reference now to FIG. 2, a partial cross sectional view of the
endoscope assembly 10 with an alternative embodiment of aninflatable endoscope cuff 200 is shown. As shown therein, theinflatable endoscope cuff 200 is comprised of a resilient toroidally-shapedmember 202 with an internal radius r and an external radius R. An opening 134 projects through thecover material 130 and through the wall of thelumen 140 to permit a pressurized fluid retained within the lumeninterior space 112 to enter theinflatable member 202 through anopening 210 in the interior diameter of themember 202. To sealably retain the pressurized fluid within theannular space 136, the toroidally-shapedmember 202 is sealably fastened to the surface of thesheath 103 at a location that is closely proximate to theopening 134. Moreover, to positionally retain themember 202 in the desired location on the surface of thesheath 103, it is preferable to join the interior diameter of themember 202 to thecover material 130 along acircumferential contact area 220 to ensure that themember 202 maintains its position on theendoscope assembly 10. - FIG. 3 shows a partial cross sectional view of the
endoscope assembly 10 with still another alternative embodiment of aninflatable endoscope cuff 300. As shown in FIG. 3, theinflatable endoscope cuff 300 is comprised of a resilientcircular member 302 positioned on the outer surface of thesheath 103. In this embodiment, the length of theendoscope cuff 300 is sufficient to allow the formation of a pair of inflatableannular lobes circular member 302 to thecover material 130 at anapproximate midpoint location 350 of thecuff 300. The development of an inflatable endoscope member with dual lobes is regarded as particularly advantageous since the dual lobes are regarded as more effective in conforming to irregular internal surfaces in body passages. - Still referring to FIG. 3, the
cuff 300 may be retained at themidpoint location 350, and may be adhesively or thermally bonded to thecover material 130. Alternatively, the cuff may be attached to thecover material 130 at themid point location 350 by a length of thread 131 (as shown in FIG. 1) wrapped around thecuff 300 that is securely knotted, although other methods may also be used. To retain the pressurized fluid within the inflatableannular lobes cover material 130 using an adhesive or thermal bonding method as previously described.Openings cover material 130 and through thelumen wall 140 to permit the pressurized fluid retained in the lumeninterior space 112 to enter thelobes - Turning now to FIG. 4, a partial cross sectional view of the
endoscope assembly 10 with yet another alternative embodiment of aninflatable endoscope member 400 is shown. Theendoscope assembly 10 according to this embodiment advantageously allows an inflatable member to be formed on thedisposable sheath 103 without placing a separate circumferential member on thedisposable sheath 103. Theinflatable member 400 is formed by providing an excess length of thecover material 130 on thesheath 103 that may be drawn along the surface of thesheath 103 by anedge fold 440 that extends circumferentially around thesheath 103 to form areentrant fold 450 in thecover material 130 that also extends circumferentially around thedisposable sheath 103. Theedge fold 440 is subsequently sealably attached to thecover material 130 at asurface location 460 to form a closedannular space 410 that is capable of being inflated. The sealable attachment between theedge fold 440 and thecover material 130 may be comprised of an adhesive or thermal bond. Alternatively, the attachment may be comprised of a length of retaining cord 131 (e.g. surgical-type thread, as shown in FIG. 1) that is wrapped over theedge fold 440 and securely knotted, although other methods may also be used. Anopening 420 projects through thecover material 130 and is aligned with theopening 134 through the wall of thelumen 140 to permit the pressurized fluid retained within the lumeninterior space 112 to enter the inflatableannular member 400 during inflation. Themember 400 may be sealably fastened to the surface of thesheath 103 at alocation 412 that is closely proximate to theopening 134 to ensure that thelumen opening 134 in thelumen wall 140 remains in substantial alignment with theopening 420 through thecover material 130. - FIG. 5 shows a partial cross sectional view of the
endoscope assembly 10 with still another alternative embodiment of aninflatable endoscope member 500. As in the previous embodiment, theinflatable endoscope member 500 is advantageously formed from an excess length of thecover material 130 that is disposed on thesheath 103. As shown in FIG. 5, the excess length of thecover material 130 is drawn in a first direction along the surface of thesheath 103 to form afirst reentrant fold 530 with afirst edge fold 570. Thefirst edge fold 570 is positioned approximately adjacent to thelumen opening 134. Asecond reentrant fold 540 is then formed in thecover material 130 by drawing the excess length in a second direction that is opposite to the first, to form asecond edge fold 580 that is also positioned approximately adjacent to thelumen opening 134. When positioned approximately adjacent to the opening, thefirst edge fold 570 and thesecond edge fold 580 form anopening 590 into the inflatable enclosedannular space 510. The first and second reentrant folds 530 and 540 are sealably attached to thelumen wall 140 atlocations lumen opening 134 remains in substantial alignment with theopening 590. Adhesive or thermal bonding may form the sealable attachment atlocations first reentrant fold 530 through theopening 520 and also inserted into thesecond reentrant fold 540 through theopening 525, both lengths of retaining cord being wrapped around the circumference of thedisposable sheath 103 and securely knotted to retain theinflatable member 500 in position on thesheath 103, although other methods may also be used. - Turning now to FIG. 6, a partial cross sectional view of the
endoscope assembly 10 with still another alternative embodiment of aninflatable endoscope member 600 is shown. Theinflatable endoscope member 600 is similarly advantageously formed from an excess length of thecover material 130 that is disposed on thesheath 103. Drawing the excess length ofcover material 130 along the surface of thesheath 103 in a first direction to form afirst reentrant fold 660 with afirst edge fold 670 forms theinflatable member 600. Thefirst edge fold 670 is then positioned approximately adjacent to theopening 134 a. Drawing the excess length in a second direction that is opposite to the first direction then forms asecond reentrant fold 665 with asecond edge fold 675. Thesecond edge fold 675 is similarly positioned approximately adjacent to theopening 134 b. Theinflatable member 600 is divided into a pair ofinflatable lobes member 600 to thelumen wall 140 at anapproximate midpoint location 680. Theinflatable lobes interior space 112 enters the lobes throughopenings lumen wall 140 atlocations lumen openings locations sheath 103, although other methods may also be used. - FIG. 7 is a cross-sectional view of an
endoscope assembly 20 in accordance with yet another alternative embodiment of the invention. Theassembly 20 is comprised of a pair of flexible, resilientinflatable cuffs disposable sheath 130. Thecuffs endoscope assembly 20 to define aninter-cuff length 750. Thesheath 130 encloses aninterior space 705, and may be positioned on aninsertion tube 22 of an endoscope 21 of the type shown, for example, in FIG. 11. - Referring now to FIG. 11, an
endoscope assembly 1000 according to an embodiment of the invention is shown. Theendoscope assembly 1000 includes an endoscope 21 having an elongatedinsertion tube 22 that is comprised of a resilient material so that the tube may be flexed as it is positioned within aninternal body passage 730. Theinsertion tube 22 may be rigid, partially flexible or entirely flexible. Theinsertion tube 22 includes a distal portion 1002 that may be inserted into a body cavity of a patient (not shown) and a workingend 1004. The endoscope 21 includes aheadpiece 1006 that remains external to the patient during an endoscopic procedure. In the embodiment shown in FIG. 11, theheadpiece 1006 includes aneyepiece 1008 for viewing the scene through aviewing lens 1011 at the workingend 1004 of theinsertion tube 22, a pair of bendingcontrol knobs 1012 for manipulating the position of the distal portion 1002 of theinsertion tube 22, and a pair offluid control actuators 1014 for controlling the flow of fluids throughtubes 1016 to (or from) the working end 1002. Endoscopes 21 of the type generally shown in FIG. 11 are described more fully, for example, in U.S. Pat. No. 5,931,833 to Silverstein, U.S. Pat. No. 5,483,951 to Frassica and Ailinger, and U.S. Pat. No. 4,714,075 to Krauter and Vivenzio, which patents are incorporated herein by reference. - Referring now to FIGS. 7 and 11, the
sheath 130 shows a pair ofinflatable cuffs sheath 130 may include a plurality of inflatable cuffs located along the length of thesheath 130, and that the inflatable cuffs may be positioned along the length of thesheath 130 at varyinginter-cuff lengths 750. Further, the inflatable cuffs positioned along the length of thesheath 130 may be comprised of any of the inflatable cuffs previously shown in FIGS. 2 through 6. Moreover, any combination of the inflatable cuffs previously shown in FIGS. 2 through 6 may be positioned along the length of thesheath 130. - Referring again to FIG. 7,
inflation lumens interior space 705 of theendoscope 20. Theinflation lumens lumens openings annular spaces lumens endoscope assembly 20, so that the cuffs may be simultaneously inflated. Inflation of thecuffs inflation lumens isolated body space 720 to be formed within theinter-cuff length 750 by sealably impressing thecuffs body passage walls 732 of thebody passage 730, as shown, for example, in the lower portion of FIG. 7. -
Lumens interior space 705 that communicate throughopenings inter-cuff length 750. Thelumens lumen 706 may be fluidly connected to a source of a solution (not shown) to introduce the solution into theisolated body space 720. The solution may then be subsequently withdrawn from thespace 720 through anotherlumen 708 for analysis. Alternatively, thelumen 706 may be fluidly connected to a source of pressurized fluid (not shown) that may be used to distend theisolated body space 720 prior to the introduction of a solution into thespace 720 by thelumen 708. Although a pair oflumens - The
endoscope assembly 20 advantageously allows thecuffs endoscope assembly 20 to sealably adjust to variations in thickness and elasticity of thebody passage wall 732. Theendoscope assembly 20 further advantageously allows a portion of thebody passage 730 to be fluidly isolated from the remaining portion of the passage so that lavage, or any of the diagnostic procedures previously described, may be conducted in theisolated body space 720. - FIG. 8 is a cross-sectional view of an
endoscope assembly 30 in accordance with still another alternative embodiment of the invention. Theassembly 30 includes an inflatablefirst cuff 800 a and a spaced apart inflatablesecond cuff 800 b, which are positioned on an outer surface of adisposable sheath 130. Thecuff 800 a has a non-uniform wall thickness, and includes aforward portion 801 a, and arear portion 802 a that has a wall thickness that is less than the wall thickness of theforward portion 801 a. Thecuff 800 b similarly has a non-uniform wall thickness, and also includes aforward portion 801 b, and arear portion 802 b that has a wall thickness that is less than the wall thickness of theforward portion 801 b. Thesheath 130 encloses aninterior space 705, and may be positioned on an insertion tube (not shown) that is comprised of a resilient material so that the tube may be flexed as it is positioned within aninternal body passage 730. Alternatively, the insertion tube may be rigid. -
Inflation lumens interior space 705, and may be fluidly connected to a source of an inflation fluid (not shown) at lumen ends 740 and 742. Thelumens sheath 130 atopenings first cuff 800 a and thesecond cuff 800 b. Alternatively, a single lumen 707 (shown in FIG. 8 as a dotted line) may be used to provide inflation fluid to thefirst cuff 800 a and thesecond cuff 800 b so that the cuffs may be simultaneously inflated. - In operation, inflation of the
first cuff 800 a and thesecond cuff 800 b through theinflation lumens cuffs body passage wall 732 of abody passage 730. Further, the non-uniform wall thicknesses of thefirst cuff 800 a and thesecond cuff 800 b permit greater expansion of therear portions cuffs front portions cuffs cuffs rear portions cuffs direction 810 when the inflatedrear portions body passage wall 732. In alternate embodiments, the thicknesses of the front and rear portions 801 and 802 can be reversed so that the biasing force acts in an opposite direction. - Referring now to FIG. 9, a cross-sectional view of the
endoscope assembly 30 is shown with thefirst cuff 800a at least partially inflated, with therear portion 802 a of thecuff 800 a contacting a portion of thebody passage wall 732. In response to the biasing force developed by therear portion 802 a , theassembly 30 is urged along thepassage 730 in thedirection 810 from afirst position 910 to asecond position 920. - FIG. 10 is a cross sectional view of the
assembly 30 with thefirst cuff 800 a in a deflated condition, and thesecond cuff 800 b at least partially inflated. Therear portion 802 b of thecuff 800 b contacts a portion of thebody passage wall 732 and develops a biasing force that further urges theassembly 30 along thepassage 730 in thedirection 810 from thesecond position 920 to athird position 1010. Thesecond cuff 800 b may then be deflated, and the process repeated. By alternately inflating and deflating thecuffs assembly 30 is able to incrementally move along the length of thebody passage 730. Alternatively, forcertain body passages 730 and for certain endoscopic procedures, it may be desirable to keep one of thecuffs cuffs cuffs - Although the foregoing discussion has described the sequential alternating inflation and deflation of the
first cuff 800 a and thesecond cuff 800 b , in another embodiment, thecuffs assembly 30 along thebody passage 730. Further, although theendoscope assembly 30 as depicted in FIGS. 8 through 10 has a pair ofcuffs assembly 30 may be comprised of a plurality of inflatable cuffs located along the length of theassembly 30, and that the inflatable cuffs may be positioned along the length of theassembly 30 at varying distances. In addition, a portion of the plurality of cuffs may be oriented on theassembly 30 to apply a biasing force that urges theassembly 30 in a first direction to extend theassembly 30 into thebody passage 730, while another portion of the plurality of cuffs are oriented on theassembly 30 to apply a biasing force in an opposing second direction to assist in the removal of theassembly 30 from thepassage 730, as will be discussed in greater detail below, in connection with another embodiment. - It should also be understood that, although the foregoing embodiment discloses
cuffs cuffs cuffs rear portions front portions cuffs front portions rear portions - The foregoing embodiment advantageously allows an endoscope assembly to develop a longitudinally-directed biasing force that permits the endoscope assembly to be positioned relatively deeply into a body passage, and further permits small, incremental movements of the endoscope assembly when properly positioned within the body passage. The foregoing embodiment further allows the endoscope assembly to be conveniently dislodged in situations where the assembly may become lodged in the passage.
- As further shown in FIG. 9, in yet another embodiment, the
assembly 30 may include one ormore sleeve members 807 that partially inhibit the expansion of one or more of thecuffs sleeve member 807 is attached to the outer surface of thesheath 130 and partially covers thefirst cuff 800 a. As thefirst cuff 800 a is inflated, thesleeve member 807 allows therear portion 802 a of thefirst cuff 800 a to expand, and at least partially inhibits the expansion of theforward portion 802 b. Thesleeve member 807 may inhibit the expansion of theforward portion 802 b by any means, including by being relatively less elastic than thefirst cuff 800 a, or may simply add additional thickness to theforward portion 802 b. Thus, the differential expansion of thecuffs more sleeve members 807 to the assembly to achieve the beneficial results described above. - FIG. 12 is a partial side view of an
endoscope assembly 1100 according to still yet another embodiment of the invention. Theassembly 1100 includes an inflatable first cuff 1110 a and a spaced apart inflatablesecond cuff 1110 b that are positioned on the outer surface of thesheath 130. The first cuff 1110 a and thesecond cuff 1110 b may be separately inflated, as described earlier in connection with other embodiments. As in the embodiment shown in FIGS. 8 through 10, the first cuff 1110 a has a non-uniform wall thickness, which includes a forward portion 1111 a, and arear portion 1112 a that has a wall thickness that is less than the wall thickness of the forward portion 1111 a. Thecuff 1110 b also has a non-uniform wall thickness, including a forward portion 1112 b and a rear portion 1111 b. The forward portion 1112 b has a wall thickness that is less than the wall thickness of the rear portion 1111 b. The non-uniform wall thicknesses of the first cuff 1110 a and thesecond cuff 1110 b permit greater expansion of theportions 1112 a and 1112 b of thecuffs 1110 a and 1110 b than is obtained in the portions 1111 a and 1111 b of thecuffs 1110 a and 1110 b when thecuffs 1110 a and 1110 b are inflated. Theportions 1112 a and 1112 b thus develop a longitudinally-directed biasing force when theinflated portions 1112 a and 1112 b contact thebody passage wall 732. - Turning now to FIG. 13, a partial side view of the
assembly 1100 is shown with the first cuff 1110 a at least partially inflated. Therear portion 1112 a of the cuff 1110 a contacts thepassage wall 732 and urges theassembly 1100 along thebody passage 730 in adirection 1210. The cuff 1110 a may be periodically inflated and deflated to move theassembly 1100 along thepassage 730. - Referring now to FIG. 14, a partial side view of the
assembly 1100 is shown with thesecond cuff 1110 b at least partially inflated. The front portion 1112 b of thecuff 1110 b contacts thepassage wall 732 and urges theassembly 1100 along thebody passage 730 in adirection 1220 that is opposite to thedirection 1210 shown in FIG. 13. - The foregoing embodiment advantageously permits the
assembly 1100 to be moved along thepassage 730 in a direction that positions theassembly 1100 further into thepassage 730, and also permits theassembly 1100 to be moved in the opposite direction, which may be beneficial in preventing theassembly 1100 from being lodged in thepassage 730, in addition to further assisting an operator to precisely position theassembly 1100 within thepassage 730. - The above description of illustrated embodiments of the invention is not intended to be exhaustive or to limit the invention to the precise form disclosed. While specific embodiments of, and examples of, the invention are described in the foregoing for illustrative purposes, various equivalent modifications are possible within the scope of the invention, as those skilled in the relevant art will recognize. Moreover, the various embodiments described above can be combined to provide further embodiments. For example, the various embodiments of the inflatable endoscope cuffs as previously described may be advantageously positioned along the length of the endoscope at uniform or varying distances to provide a plurality of inflatable cuffs along the length of the sheath. Further, different embodiments of the inflatable endoscope cuffs as previously described may be positioned at uniform or varying distances along the length of an endoscope to provide a plurality of different cuffs along the sheath to provide still further advantages. For example, the inflatable cuffs may be comprised of different materials or material thicknesses to obtain different inflation rates for the inflatable cuffs and/or different cuff volumes when the inflatable cuffs are inflated by the fluid passage. Accordingly, the invention is not limited by the disclosure, but instead the scope of the invention is to be determined entirely by the following claims.
Claims (98)
1. An endoscope assembly adapted to be inserted into an internal body passage, comprising:
an elongated insertion tube;
a sheath positioned over the insertion tube;
at least two radially expandable flexible members that sealably attach to the sheath to form at least two enclosed spaces capable of inflation, the flexible members being spaced apart along a length of the sheath and defining one or more isolated body spaces that extend between the members when the members are inflated within the body passage; and
at least one first fluid passage that fluidly communicates with the spaces.
2. The endoscope assembly according to claim 1 wherein the radially expandable flexible members comprise circumferential members, and wherein the enclosed spaces comprise annular enclosed spaces.
3. The endoscope assembly according to claim 1 wherein the radially expandable flexible members comprise circumferential members that, when inflated, are symmetrically disposed about the insertion tube.
4. The endoscope assembly according to claim 1 wherein the radially expandable flexible members comprise circumferential members that, when inflated, are asymmetrically disposed about the insertion tube.
5. The endoscope assembly according to claim 1 wherein the first fluid passage is adapted to be coupled to a source of pressurized fluid.
6. The endoscope assembly according to claim 1 wherein the at least two flexible members comprise a resilient material.
7. The endoscope assembly according to claim 1 wherein the at least one first fluid passage comprises a lumen coupled to at least one opening in the sheath, the lumen being coupleable to a source of pressurized fluid.
8. The endoscope assembly according to claim 1 , further comprising at least one second fluid passage that fluidly communicates with the one or more isolated body spaces.
9. The endoscope assembly according to claim 5 wherein the at least one second fluid passage comprises a lumen extending from an opening in the sheath, the lumen being coupleable to a source of a fluid solution.
10. The endoscope assembly according to claim 5 wherein the at least one second fluid passage comprises a lumen extending from an opening in the flexible sheath to a suction source.
11. The endoscope assembly according to claim 1 wherein the at least one first fluid passage comprises a first lumen extending from a first opening in the sheath that communicates with a first annular space, and a second lumen that extends from a second opening that communicates with a second annular space.
12. The endoscope assembly according to claim 1 wherein at least one of the flexible members includes a reentrant fold in the sheath to form a flap with a base adjoining the insertion tube and an edge disposed away from the base.
13. The endoscope assembly according to claim 1 wherein at least one of the flexible members includes a first reentrant fold in the sheath to form a first edge and a second reentrant fold in the sheath to form a second edge, the first and second edges substantially abutting the opening.
14. The endoscope assembly according to claim 1 wherein the opening in the sheath comprises a plurality of openings and wherein the flexible member comprises a first reentrant fold in the sheath to form a first circumferential edge and a second reentrant fold in the sheath to form a second circumferential edge, the first and second edges sealably attached to the sheath proximate to the openings, the flexible member being further sealably attached to the sheath at a position intermediate between the first and second circumferential edges.
15. The endoscope assembly according to claim 1 wherein the flexible members comprise an annular ring of a flexible material positioned over the opening and having an inner face and an outer face, the inner face being substantially in facial contact with the sheath when not inflated, and the outer face being disposed away from the sheath and having first and second peripheral edges which are sealably attached to the sheath.
16. The endoscope assembly according to claim 1 wherein the flexible member comprises a toroidally-shaped member with an inner circumference and an outer circumference, the inner circumference being in facial contact with the sheath, and the outer circumference being disposed away from the sheath, the inner circumference having an opening positioned over the opening in the sheath and being sealably attached to the sheath at the inner circumference.
17. The endoscope assembly according to claim 1 wherein the opening in the sheath comprises a plurality of openings and wherein the flexible member comprises an annular ring of a flexible material with an inner face and an outer face, the inner face being substantially in facial contact with the sheath when not inflated, and the outer face being disposed away from the sheath and having first and second peripheral edges which are sealably attached to the sheath, the inner face being further sealably attached to the sheath at a position intermediate between the first and second peripheral edges.
18. The endoscope assembly according to claim 1 wherein the flexible members comprise an elastomeric material.
19. The endoscope assembly according to claim 1 wherein the flexible members comprise an elastomer with a durometer value of between approximately 30 and 50.
20. The endoscope assembly according to claim 1 wherein the flexible members comprise a material with a thickness of approximately about 0.003 inches to approximately about 0.010 inches.
21. The endoscope assembly according to claim 1 wherein the flexible members are sealably attached to the flexible sheath with an adhesive.
22. The endoscope assembly according to claim 1 wherein the flexible members are sealably attached to the flexible sheath by thermal fusion.
23. The endoscope assembly according to claim 1 wherein the flexible members are sealably attached to the flexible sheath with a retaining cord.
24. The endoscope assembly according to claim 1 wherein at least one of the flexible members includes a non-uniform wall thickness.
25. The endoscope assembly according to claim 1 wherein at least one of the flexible members includes a first portion having a first wall thickness and a second portion having a second wall thickness, the first thickness being different from the second thickness.
26. The endoscope assembly according to claim 1 wherein at least one of the flexible members includes a first portion having a first elasticity and a second portion having a second elasticity, the first elasticity being different than the second elasticity.
27. The endoscope assembly according to claim 1 wherein at least one of the flexible members includes an internal structure disposed within the associated body space and attached to a first portion of the flexible member that partially inhibits expansion of the first portion.
28. The endoscope assembly according to claim 1 , further comprising a sleeve member attached to an outer surface of the sheath and engaged with a first portion of at least one of the flexible members, the sleeve member partially inhibiting an expansion of the first portion.
29. A sheath having a body portion adapted to at least partially encapsulate an insertion tube of an endoscope, comprising:
at least two radially expandable flexible members sealably attached to the body portion to form at least two enclosed spaces capable of inflation, each space having at least one first opening that projects through the body portion, and wherein the flexible members are spaced apart along a length of the body portion to define one or more isolated body spaces that extend between the members when the members are inflated within the body passage.
30. The sheath according to claim 29 wherein at least one of the radially expandable flexible members comprises a circumferential member, and wherein at least one of the enclosed spaces comprises an annular enclosed space.
31. The sheath according to claim 29 wherein at least one of the radially expandable flexible members comprises a circumferential member that, when inflated, is symmetrically disposed about the insertion tube.
32. The sheath according to claim 29 wherein at least one of the radially expandable flexible members comprises a circumferential member that, when inflated, is asymmetrically disposed about the insertion tube.
33. The sheath according to claim 29 wherein at least one of the flexible members includes an internal structure disposed within the corresponding enclosed space and attached to a first portion of the at least one flexible member that partially inhibits expansion of the first portion.
34. The sheath according to claim 29 , further comprising a sleeve member attached to an outer surface of the body portion and engaged with a first portion of at least one of the flexible members, the sleeve member partially inhibiting an expansion of the first portion.
35. The sheath according to claim 29 wherein the at least one first opening is adapted to be coupled to a source of pressurized fluid.
36. The sheath according to claim 29 wherein the at least two flexible members comprise a resilient material.
37. The sheath according to claim 29 wherein the at least one first opening further comprises a lumen coupled to the at least one first opening, the lumen being coupleable to a source of pressurized fluid.
38. The sheath according to claim 29 , further comprising at least one second opening in the body portion that fluidly communicates with the one or more isolated body spaces.
39. The sheath according to claim 38 wherein the at least one second opening comprises a lumen extending from the second opening, the lumen being coupleable to a source of a fluid solution.
40. The sheath according to claim 38 wherein the at least one second opening comprises a lumen extending from the second opening, the lumen being coupleable to a suction source.
41. A method of forming an endoscope assembly, comprising:
providing a sheath;
providing a first fluid passage that extends through the sheath to define a first opening in the sheath;
forming a first flexible member about the sheath and defining a first space in fluid communication with the first opening, the first space being adapted to be inflated;
providing a second fluid passage that extends through the sheath to define a second opening in the sheath; and
forming a second flexible member about the sheath and defining a second space in fluid communication with the second opening, the second space being adapted to be inflated, the second inflatable member being spaced apart from the first inflatable member along the tube to define an isolated body space therebetween.
42. The method according to claim 41 wherein forming a first flexible member comprises forming a first circumferential member, and wherein the first space comprises a first annular space.
43. The method according to claim 41 wherein forming a first flexible member comprises forming a first circumferential member that, when inflated, is symmetrically disposed about the sheath.
44. The method according to claim 41 wherein forming a first flexible member comprises forming a first circumferential member that, when inflated, is asymmetrically disposed about the sheath.
45. The method according to claim 41 wherein forming a first flexible member comprises forming a first flexible member that includes an internal structure disposed within the corresponding enclosed space and attached to a first portion of the first flexible member that partially inhibits expansion of the first portion.
46. The method according to claim 41 wherein providing a sheath comprises providing a sheath including a sleeve member attached to an outer surface thereof, the sleeve member being engaged with a first portion of at least one of the first and second flexible members, the sleeve member partially inhibiting an expansion of the first portion.
47. The method according to claim 41 wherein providing a first fluid passage comprises forming a lumen extending from the first opening in the sheath to a source of pressurized fluid.
48. The method according to claim 41 wherein providing a second fluid passage comprises forming a lumen extending from the second opening in the flexible sheath to a source of pressurized fluid.
49. The method according to claim 41 , further comprising providing a third fluid passage that extends through the sheath to define a third opening that fluidly communicates with the isolated body space.
50. The method according to claim 49 wherein providing a third fluid passage further comprises forming a lumen extending from the third opening in the sheath to a source of pressurized fluid.
51. The method according to claim 49 wherein providing a third fluid passage comprises forming a lumen extending from the third opening in the sheath to a suction source.
52. The method according to claim 41 , further comprising:
providing a fourth fluid passage that extends through the sheath to define a fourth opening in the sheath; and
forming a third flexible member in fluid communication with the fourth opening in the sheath to define an enclosed third space adapted to be inflated, the third inflatable member being spaced apart from the second inflatable member along the tube to define a second isolated body space that extends between the second and the third members.
53. The method according to claim 52 , further comprising:
providing a fifth fluid passage that extends through the sheath to define a fifth opening that fluidly communicates with the second isolated body space.
54. The method according to claim 52 wherein providing a fifth fluid passage comprises forming a lumen extending from the fifth opening in the sheath to a source of pressurized fluid.
55. The method according to claim 52 wherein providing a fifth fluid passage comprises forming a lumen extending from the fifth opening in the sheath to a suction source.
56. The method according to claim 41 wherein forming a first flexible member includes forming a first flexible member having a non-uniform wall thickness.
57. The method according to claim 56 wherein forming a second flexible member includes forming a second flexible member having a non-uniform wall thickness.
58. The method according to claim 41 wherein forming a first flexible member includes forming a first flexible member having a first portion with a first wall thickness and a second portion with a second wall thickness, the first wall thickness being different from the second wall thickness.
59. The method according to claim 58 wherein forming a second flexible member includes forming a second flexible member having a first portion with a first wall thickness and a second portion with a second wall thickness, the first wall thickness being different from the second wall thickness.
60. The method according to claim 41 wherein forming a first flexible member includes forming a first flexible member having a first portion with a first elasticity and a second portion with a second elasticity, the first elasticity being different from the second elasticity.
61. The method according to claim 60 wherein forming a second flexible member includes forming a second flexible member having a first portion with a first elasticity and a second portion with a second elasticity, the first elasticity being different from the second elasticity.
62. A method of using an endoscope assembly within an internal passage, comprising:
positioning a sheath having at least two spaced apart and radially expandable members at least partially over an insertion tube of an endoscope;
at least partially inserting the insertion tube and sheath into the internal passage; and
inflating the radially expandable members to form at least one isolated body space therebetween.
63. The method according to claim 62 , further comprising directing a fluid into the at least one isolated body space from a fluid source.
64. The method according to claim 63 , further comprising directing a fluid into the at least one isolated body space from a pressurized fluid source to distend the space.
65. The method according to claim 62 , further comprising applying suction to the at least one isolated body space from a suction source to remove a fluid from the space.
66. An endoscope assembly for insertion into an internal body passage, comprising:
an elongated insertion tube;
a sheath at least partially encapsulating the insertion tube;
at least one radially expandable flexible member sealably coupled to the sheath and adapted to be inflated against the internal body passage and to exert a force along a longitudinal axis of the insertion tube when inflated against the internal body passage; and
at least one fluid passage coupleable to a source of pressurized fluid that fluidly communicates with the at least one member.
67. The endoscope assembly according to claim 66 wherein the at least one radially expandable flexible member comprises a circumferential member.
68. The endoscope assembly according to claim 66 wherein the at least one radially expandable flexible member comprises a circumferential member that, when inflated, is symmetrically disposed about the insertion tube.
69. The endoscope assembly according to claim 66 wherein the at least one radially expandable flexible member comprises a circumferential member that, when inflated, is asymmetrically disposed about the insertion tube.
70. The endoscope assembly according to claim 66 wherein the at least one flexible member includes an internal structure disposed within a corresponding enclosed space and attached to a first portion of the at least one flexible member that partially inhibits expansion of the first portion.
71. The endoscope assembly according to claim 66 wherein the sheath includes a sleeve member attached to an outer surface of the sheath and engaged with a first portion of the flexible member, the sleeve member partially inhibiting an expansion of the first portion.
72. The endoscope assembly according to claim 66 wherein the at least one fluid passage comprises a lumen extending from an opening in the sheath to the source of pressurized fluid.
73. The endoscope assembly according to claim 66 wherein the at least one radially expandable flexible member includes a first portion capable of a first expansion when inflated, and a second portion capable of a second expansion when inflated, the first expansion being greater than the second.
74. The endoscope assembly according to claim 73 wherein the first portion comprises a first material, and the second portion comprises a second material.
75. The endoscope assembly according to claim 73 wherein the first portion has a first elasticity, and the second portion has a second elasticity, the first elasticity being greater than the second elasticity.
76. The endoscope assembly according to claim 73 wherein the first portion has a first elasticity, and the second portion has a second elasticity, the first elasticity being greater than the second elasticity.
77. The endoscope assembly according to claim 73 wherein the first portion has a first cross sectional thickness, and the second portion has a second cross sectional thickness, the first cross sectional thickness being different from the second cross sectional thickness.
78. A sheath having a body portion adapted to at least partially encapsulate an insertion tube of an endoscope, the insertion tube being insertable into an internal body passage, comprising:
at least one radially expandable flexible member sealably coupled to the body portion and adapted to be inflated against the internal body passage and to exert a force along a longitudinal axis of the insertion tube when inflated against the internal body passage, and wherein the body portion includes at least one opening that projects through the body portion and is coupleable to a source of pressurized fluid that fluidly communicates with the at least one member.
79. The sheath according to claim 78 wherein the at least one radially expandable flexible member comprises a circumferential member.
80. The sheath according to claim 78 wherein the at least one radially expandable flexible member comprises a circumferential member that, when inflated, is symmetrically disposed about the insertion tube.
81. The sheath according to claim 78 wherein the at least one radially expandable flexible member comprises a circumferential member that, when inflated, is asymmetrically disposed about the insertion tube.
82. The sheath according to claim 78 wherein the at least one opening comprises a lumen extending from the opening in the body portion to the source of pressurized fluid.
83. The sheath according to claim 78 wherein the at least one radially expandable flexible member includes a first portion capable of a first expansion when inflated, and a second portion capable of a second expansion when inflated, the first expansion being greater than the second.
84. The sheath according to claim 83 wherein the first portion comprises a first material, and the second portion comprises a second material.
85. The sheath according to claim 84 wherein the first material has a first elasticity, and the second material has a second elasticity, the first elasticity being greater than the second elasticity.
86. The sheath according to claim 78 wherein the first portion has a first elasticity, and the second portion has a second elasticity, the first elasticity being greater than the second elasticity.
87. The sheath according to claim 78 wherein the first portion has a first thickness, and the second portion has a second thickness, the first thickness being different from the second thickness.
88. A method of using an endoscope assembly within an internal passage, comprising:
positioning a sheath having at least one radially expandable member over an insertion tube of an endoscope, the at least one radially expandable member being adapted to be inflated against the internal body passage and to exert a force along a longitudinal axis of the insertion tube when inflated against the internal body passage;
at least partially inserting the insertion tube with the sheath positioned thereon into the passage; and
inflating the at least one member to move the insertion tube along the passage.
89. The method according to claim 88 , further comprising deflating the at least one member.
90. The method according to claim 88 wherein inflating the at least one member to move the insertion tube includes moving the insertion tube into the passage.
91. The method according to claim 88 wherein inflating the at least one member to move the insertion tube includes moving the insertion tube out of the passage.
92. The method according to claim 88 wherein positioning a sheath having at least one radially expandable member over an insertion tube of an endoscope, comprises positioning a sheath having first and second radially expandable members, and wherein inflating the at least one member includes inflating the first and second radially expandable members.
93. The method according to claim 92 wherein inflating the first and second members includes simultaneously inflating the first and second members to move the members in a first direction.
94. The method according to claim 92 wherein inflating the first and second members includes sequentially inflating the first and second members to move the members in a first direction.
95. The method according to claim 92 wherein inflating the first and second members includes inflating the first member to move in a first direction, and inflating the second member to move in a second direction.
96. The method according to claim 88 wherein inflating the at least one radially expandable member comprises inflating a circumferential member that, when inflated, is symmetrically disposed about the insertion tube.
97. The method according to claim 88 wherein inflating the at least one radially expandable member comprises inflating a circumferential member that, when inflated, is asymmetrically disposed about the insertion tube.
98. The method according to claim 88 wherein positioning a sheath having at least one radially expandable member over an insertion tube of an endoscope comprises positioning a sheath having a radially expandable member that includes a first portion capable of a first expansion when inflated, and a second portion capable of a second expansion when inflated, the first expansion being greater than the second expansion.
Priority Applications (8)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/094,406 US20020143237A1 (en) | 2000-10-30 | 2002-03-08 | Inflatable member for an endoscope sheath |
US10/313,848 US6793661B2 (en) | 2000-10-30 | 2002-12-05 | Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms |
ES03711472.5T ES2542843T3 (en) | 2002-03-08 | 2003-03-07 | Inflatable limb for an endoscope sheath |
EP03711472.5A EP1487516B1 (en) | 2002-03-08 | 2003-03-07 | Inflatable member for an endoscope sheath |
PCT/US2003/007068 WO2003080155A1 (en) | 2002-03-08 | 2003-03-07 | Inflatable member for an endoscope sheath |
AU2003213781A AU2003213781C1 (en) | 2002-03-08 | 2003-03-07 | Inflatable member for an endoscope sheath |
US11/373,453 US8845518B2 (en) | 2000-10-30 | 2006-03-09 | Inflatable member for an endoscope sheath |
US14/502,457 US9408524B2 (en) | 2000-10-30 | 2014-09-30 | Inflatable member for an endoscope sheath |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/702,155 US6461294B1 (en) | 2000-10-30 | 2000-10-30 | Inflatable member for an endoscope sheath |
US10/094,406 US20020143237A1 (en) | 2000-10-30 | 2002-03-08 | Inflatable member for an endoscope sheath |
Related Parent Applications (1)
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US09/702,155 Continuation-In-Part US6461294B1 (en) | 2000-10-30 | 2000-10-30 | Inflatable member for an endoscope sheath |
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US10/313,848 Continuation-In-Part US6793661B2 (en) | 2000-10-30 | 2002-12-05 | Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms |
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US14/502,457 Expired - Lifetime US9408524B2 (en) | 2000-10-30 | 2014-09-30 | Inflatable member for an endoscope sheath |
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US14/502,457 Expired - Lifetime US9408524B2 (en) | 2000-10-30 | 2014-09-30 | Inflatable member for an endoscope sheath |
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EP (1) | EP1487516B1 (en) |
AU (1) | AU2003213781C1 (en) |
ES (1) | ES2542843T3 (en) |
WO (1) | WO2003080155A1 (en) |
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US20060264707A1 (en) * | 2005-05-20 | 2006-11-23 | Kinney Timothy P | Endoscope sheath |
US20060270901A1 (en) * | 2005-05-27 | 2006-11-30 | Bern M J | Endoscope propulsion system and method |
US20070244360A1 (en) * | 2006-04-13 | 2007-10-18 | Fujinon Corporation | Endoscope |
US20070276181A1 (en) * | 2004-02-09 | 2007-11-29 | Smart Medical Systems Ltd. | Endoscope Assembly |
US20080033246A1 (en) * | 2006-08-01 | 2008-02-07 | Raifu Matsui | Endoscopic insertion aid, endoscopic system, and method of inserting insertion portion of endoscope into body cavity by use of endoscopic insertion aid |
US20080091062A1 (en) * | 2005-02-07 | 2008-04-17 | Smart Medical Systems, Ltd. | Endoscope assembly |
US20080161645A1 (en) * | 2005-02-10 | 2008-07-03 | G.I. View Ltd. | Advancement Techniques For Gastrointestinal Tool With Guiding Element |
US20080269559A1 (en) * | 2005-11-04 | 2008-10-30 | Olympus Medical Systems Corp. | Endoscope system, endoscope, supporting member, and method of using endoscope system |
US20080294004A1 (en) * | 2007-05-08 | 2008-11-27 | Tetsuya Fujikura | Insertion assisting tool |
US20090187069A1 (en) * | 2006-05-18 | 2009-07-23 | Smart Medical System, Ltd. | Flexible endoscope system and functionality |
US20090227835A1 (en) * | 2005-08-08 | 2009-09-10 | Smart Medical Systems Ltd | Balloon Guided Endoscopy |
US20090287058A1 (en) * | 2006-07-06 | 2009-11-19 | Gad Terliuc | Endoscopy systems |
US20110065988A1 (en) * | 2009-09-17 | 2011-03-17 | Softscope Medical Technologies, Inc. | Propellable apparatus with active size changing ability |
US20110105840A1 (en) * | 2008-03-31 | 2011-05-05 | Gad Terliuc | Assemblies for use with an endoscope |
US8109903B2 (en) | 2007-05-21 | 2012-02-07 | Smart Medical Systems Ltd. | Catheter including a bendable portion |
US20140107573A1 (en) * | 2009-10-26 | 2014-04-17 | Poiesis Medical, Llc | Balloon encapsulated catheter tip |
US8757821B2 (en) * | 2010-05-13 | 2014-06-24 | The Allen Company, Inc. | Protective cover for a telescopic device |
US20150265135A1 (en) * | 2011-01-19 | 2015-09-24 | Fujifilm Corporation | Endoscope |
US20160081537A1 (en) * | 2008-11-07 | 2016-03-24 | Ashkan Farhadi | An endoscope accessory |
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US20160270639A1 (en) * | 2015-03-17 | 2016-09-22 | CapsoVision, Inc. | Capsule device having variable specific gravity |
WO2017003514A1 (en) * | 2015-06-29 | 2017-01-05 | Gyrus Acmi, Inc., D.B.A. Olympus Surgical Technologies America | Sheath for an endoscope |
US20170086653A1 (en) * | 2015-09-28 | 2017-03-30 | Bio-Medical Engineering (HK) Limited | Endoscopic systems, devices, and methods for performing in vivo procedures |
US20170290493A1 (en) * | 2014-09-29 | 2017-10-12 | Nanyang Technological University | Carrying platform for moving a device within a conduit |
US20180042691A1 (en) * | 2015-03-05 | 2018-02-15 | Medfact Engineering Gmbh | Device for the Displacement of a Hollow Organ of a Patient |
US10842358B2 (en) * | 2015-09-28 | 2020-11-24 | Bio-Medical Engineering (HK) Limited | Endoscopic systems, devices and methods |
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US11426058B2 (en) * | 2007-01-30 | 2022-08-30 | Loma Vista Medical, Inc. | Biological navigation device |
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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EP3277149B1 (en) | 2015-04-03 | 2021-01-06 | Smart Medical Systems Ltd. | Endoscope electro-pneumatic adaptor |
US9498108B1 (en) | 2015-04-28 | 2016-11-22 | Opportunity/Discovery Llc | Disposable sheath device |
US10307042B2 (en) | 2015-04-28 | 2019-06-04 | Opportunity/Discovery Llc | Disposable sheath device |
AU2016427268B2 (en) | 2016-10-22 | 2022-07-07 | Opportunity / Discovery Llc | Disposable sheath device |
US10498608B2 (en) * | 2017-06-16 | 2019-12-03 | Cisco Technology, Inc. | Topology explorer |
US10525240B1 (en) | 2018-06-28 | 2020-01-07 | Sandler Scientific LLC | Sino-nasal rinse delivery device with agitation, flow-control and integrated medication management system |
US11219435B2 (en) | 2019-10-18 | 2022-01-11 | Bard Peripheral Vascular, Inc. | Method and system for use in a lung access procedure to aid in preventing pneumothorax |
WO2022000533A1 (en) * | 2020-07-02 | 2022-01-06 | 江苏钱璟医疗器械有限公司 | Multi-lumen tube and endoscope assembly |
US11553830B1 (en) | 2022-06-14 | 2023-01-17 | Izomed, Inc. | Endoscopic accessory |
US11925319B2 (en) | 2022-03-28 | 2024-03-12 | IzoMed, Inc | Endoscopic accessory |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4148307A (en) * | 1975-12-26 | 1979-04-10 | Olympus Optical Company Limited | Tubular medical instrument having a flexible sheath driven by a plurality of cuffs |
US5337732A (en) * | 1992-09-16 | 1994-08-16 | Cedars-Sinai Medical Center | Robotic endoscopy |
US5938585A (en) * | 1998-03-20 | 1999-08-17 | Boston Scientific Corporation | Anchoring and positioning device and method for an endoscope |
US6315715B1 (en) * | 1996-04-25 | 2001-11-13 | Modified Polymer Components, Inc. | Flexible inner liner for the working channel of an endoscope |
US6585639B1 (en) * | 2000-10-27 | 2003-07-01 | Pulmonx | Sheath and method for reconfiguring lung viewing scope |
Family Cites Families (60)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3776222A (en) | 1971-12-23 | 1973-12-04 | Lurosso A | Fiber optic entubator and method of entubation of the trachea through the nasopharynx |
JPS5431825Y2 (en) * | 1975-06-30 | 1979-10-04 | ||
US4180076A (en) * | 1977-05-06 | 1979-12-25 | Betancourt Victor M | Nasogastric catheters |
US4176662A (en) * | 1977-06-17 | 1979-12-04 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Apparatus for endoscopic examination |
US4224929A (en) * | 1977-11-08 | 1980-09-30 | Olympus Optical Co., Ltd. | Endoscope with expansible cuff member and operation section |
US4207872A (en) * | 1977-12-16 | 1980-06-17 | Northwestern University | Device and method for advancing an endoscope through a body passage |
US4327736A (en) * | 1979-11-20 | 1982-05-04 | Kanji Inoue | Balloon catheter |
US4295464A (en) * | 1980-03-21 | 1981-10-20 | Shihata Alfred A | Ureteric stone extractor with two ballooned catheters |
US4404971A (en) * | 1981-04-03 | 1983-09-20 | Leveen Harry H | Dual balloon catheter |
US4636195A (en) * | 1982-04-02 | 1987-01-13 | Harvey Wolinsky | Method and apparatus for removing arterial constriction |
EP0177124A3 (en) * | 1984-07-18 | 1987-01-21 | Sumitomo Electric Industries Limited | Catheter |
JPH0314196Y2 (en) * | 1984-12-19 | 1991-03-29 | ||
US4690131A (en) * | 1985-05-31 | 1987-09-01 | The United States Of America As Represented By The Department Of Health And Human Services | Medical apparatus |
US4676228A (en) * | 1985-10-25 | 1987-06-30 | Krasner Jerome L | Medical apparatus having inflatable cuffs and a middle expandable section |
US4958634A (en) * | 1987-05-06 | 1990-09-25 | Jang G David | Limacon geometry balloon angioplasty catheter systems and method of making same |
US4838859A (en) * | 1987-05-19 | 1989-06-13 | Steve Strassmann | Steerable catheter |
DE3717427C3 (en) * | 1987-05-23 | 1994-09-01 | Deutsche Aerospace | Impact sensor for motor vehicles |
US4836204A (en) * | 1987-07-06 | 1989-06-06 | Landymore Roderick W | Method for effecting closure of a perforation in the septum of the heart |
WO1989000829A1 (en) * | 1987-07-23 | 1989-02-09 | Terumo Kabushiki Kaisha | Catheter tube |
US5090259A (en) * | 1988-01-18 | 1992-02-25 | Olympus Optical Co., Ltd. | Pipe-inspecting apparatus having a self propelled unit |
US4947827A (en) * | 1988-12-30 | 1990-08-14 | Opielab, Inc. | Flexible endoscope |
US4976261A (en) * | 1989-04-03 | 1990-12-11 | Advanced Pulmonary Technologies, Inc. | Endotracheal tube with inflatable cuffs |
US4934786A (en) * | 1989-08-07 | 1990-06-19 | Welch Allyn, Inc. | Walking borescope |
US5078681A (en) * | 1989-10-23 | 1992-01-07 | Olympus Optical Co., Ltd. | Balloon catheter apparatus with releasable distal seal and method of operation |
US5025778A (en) * | 1990-03-26 | 1991-06-25 | Opielab, Inc. | Endoscope with potential channels and method of using the same |
JPH04236964A (en) | 1991-01-17 | 1992-08-25 | Olympus Optical Co Ltd | Endoscopic expanding balloon |
ATE168545T1 (en) * | 1991-05-29 | 1998-08-15 | Origin Medsystems Inc | RETRACTOR DEVICE FOR ENDOSCOPIC SURGERY |
DE4138240A1 (en) | 1991-11-21 | 1993-05-27 | Peter C Dr Krueger | MEDICAL INSTRUMENT |
US5217001A (en) * | 1991-12-09 | 1993-06-08 | Nakao Naomi L | Endoscope sheath and related method |
US5400770A (en) * | 1992-01-15 | 1995-03-28 | Nakao; Naomi L. | Device utilizable with endoscope and related method |
US5425738A (en) * | 1992-04-08 | 1995-06-20 | American Cyanamid Company | Endoscopic anastomosis ring insertion device and method of use thereof |
US5331947A (en) * | 1992-05-01 | 1994-07-26 | Shturman Cardiology Systems, Inc. | Inflatable sheath for introduction of ultrasonic catheter through the lumen of a fiber optic endoscope |
US5672153A (en) * | 1992-08-12 | 1997-09-30 | Vidamed, Inc. | Medical probe device and method |
CA2143639C (en) * | 1992-09-01 | 2004-07-20 | Edwin L. Adair | Sterilizable endoscope with separable disposable tube assembly |
US5569161A (en) * | 1992-10-08 | 1996-10-29 | Wendell V. Ebling | Endoscope with sterile sleeve |
US5419310A (en) * | 1992-11-03 | 1995-05-30 | Vision Sciences, Inc. | Partially inflated protective endoscope sheath |
AT397933B (en) * | 1992-12-24 | 1994-08-25 | Miba Sintermetall Ag | DEVICE FOR MACHINING A CONICAL RING, IN PARTICULAR A FRICTION RING |
US5577992A (en) * | 1993-10-05 | 1996-11-26 | Asahi Kogaku Kogyo Kabushiki Kaisha | Bendable portion of endoscope |
US5499625A (en) * | 1994-01-27 | 1996-03-19 | The Kendall Company | Esophageal-tracheal double lumen airway |
US5645519A (en) * | 1994-03-18 | 1997-07-08 | Jai S. Lee | Endoscopic instrument for controlled introduction of tubular members in the body and methods therefor |
US5857998A (en) * | 1994-06-30 | 1999-01-12 | Boston Scientific Corporation | Stent and therapeutic delivery system |
US5980549A (en) * | 1995-07-13 | 1999-11-09 | Origin Medsystems, Inc. | Tissue separation cannula with dissection probe and method |
US5749357A (en) * | 1995-05-19 | 1998-05-12 | Linder; Gerald S. | Malleable introducer |
US5628753A (en) * | 1995-06-01 | 1997-05-13 | Sandoz Nutrition Ltd. | Gastrostomy tube removal tool |
US5681342A (en) * | 1995-08-17 | 1997-10-28 | Benchetrit; Salomon | Device and method for laparoscopic inguinal hernia repair |
US5925054A (en) * | 1996-02-20 | 1999-07-20 | Cardiothoracic Systems, Inc. | Perfusion device for maintaining blood flow in a vessel while isolating an anastomosis |
US5685822A (en) * | 1996-08-08 | 1997-11-11 | Vision-Sciences, Inc. | Endoscope with sheath retaining device |
US5810790A (en) * | 1996-11-19 | 1998-09-22 | Ebling; Wendell V. | Catheter with viewing system and port connector |
US6007482A (en) * | 1996-12-20 | 1999-12-28 | Madni; Asad M. | Endoscope with stretchable flexible sheath covering |
DE69833665T2 (en) * | 1997-08-08 | 2006-11-09 | Duke University | COMPOSITIONS FOR SIMPLIFYING SURGICAL PROCEDURES |
US6086528A (en) * | 1997-09-11 | 2000-07-11 | Adair; Edwin L. | Surgical devices with removable imaging capability and methods of employing same |
US6234995B1 (en) * | 1998-11-12 | 2001-05-22 | Advanced Interventional Technologies, Inc. | Apparatus and method for selectively isolating a proximal anastomosis site from blood in an aorta |
US20010020150A1 (en) * | 1998-02-06 | 2001-09-06 | Biagio Ravo | Inflatable intraluminal molding device |
US6605030B2 (en) * | 1998-11-09 | 2003-08-12 | The Trustees Of Columbia University In The City Of New York | Apparatus and method for treating a disease process in a luminal structure |
US6234958B1 (en) * | 1998-11-30 | 2001-05-22 | Medical Access Systems, Llc | Medical device introduction system including medical introducer having a plurality of access ports and methods of performing medical procedures with same |
US6532387B1 (en) * | 1999-03-26 | 2003-03-11 | Kevin S. Marchitto | Catheter for delivering electromagnetic energy for enhanced permeation of substances |
WO2001012255A1 (en) * | 1999-08-12 | 2001-02-22 | Wilson-Cook Medical Inc. | Dilation balloon having multiple diameters |
US6793661B2 (en) * | 2000-10-30 | 2004-09-21 | Vision Sciences, Inc. | Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms |
US6461294B1 (en) | 2000-10-30 | 2002-10-08 | Vision Sciences, Inc. | Inflatable member for an endoscope sheath |
US20050159645A1 (en) * | 2003-11-12 | 2005-07-21 | Bertolero Arthur A. | Balloon catheter sheath |
-
2002
- 2002-03-08 US US10/094,406 patent/US20020143237A1/en not_active Abandoned
-
2003
- 2003-03-07 AU AU2003213781A patent/AU2003213781C1/en not_active Ceased
- 2003-03-07 ES ES03711472.5T patent/ES2542843T3/en not_active Expired - Lifetime
- 2003-03-07 EP EP03711472.5A patent/EP1487516B1/en not_active Expired - Lifetime
- 2003-03-07 WO PCT/US2003/007068 patent/WO2003080155A1/en not_active Application Discontinuation
-
2006
- 2006-03-09 US US11/373,453 patent/US8845518B2/en active Active
-
2014
- 2014-09-30 US US14/502,457 patent/US9408524B2/en not_active Expired - Lifetime
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4148307A (en) * | 1975-12-26 | 1979-04-10 | Olympus Optical Company Limited | Tubular medical instrument having a flexible sheath driven by a plurality of cuffs |
US5337732A (en) * | 1992-09-16 | 1994-08-16 | Cedars-Sinai Medical Center | Robotic endoscopy |
US6315715B1 (en) * | 1996-04-25 | 2001-11-13 | Modified Polymer Components, Inc. | Flexible inner liner for the working channel of an endoscope |
US5938585A (en) * | 1998-03-20 | 1999-08-17 | Boston Scientific Corporation | Anchoring and positioning device and method for an endoscope |
US6585639B1 (en) * | 2000-10-27 | 2003-07-01 | Pulmonx | Sheath and method for reconfiguring lung viewing scope |
Cited By (75)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050209508A1 (en) * | 2002-11-18 | 2005-09-22 | Olympus Corporation | Autoclave sterilization-compatible endoscope |
US7833154B2 (en) * | 2002-11-18 | 2010-11-16 | Olympus Corporation | Autoclave sterilization-compatible endoscope |
US7736300B2 (en) | 2003-04-14 | 2010-06-15 | Softscope Medical Technologies, Inc. | Self-propellable apparatus and method |
US20100198011A1 (en) * | 2003-04-14 | 2010-08-05 | Softscope Medical Technologies, Inc. | Self-propellable apparatus and method |
US9033867B2 (en) | 2003-04-14 | 2015-05-19 | Fujifilm Corporation | Self-propellable endoscopic apparatus and method |
US8353817B2 (en) | 2003-04-14 | 2013-01-15 | Fujifilm Corporation | Self-propellable apparatus and method |
US20060089533A1 (en) * | 2003-04-14 | 2006-04-27 | Softscope Medical Technologies, Inc. | Self-propellable endoscopic apparatus and method |
US20050020881A1 (en) * | 2003-06-30 | 2005-01-27 | Pentax Corporation | Flexible tube for an endoscope and an endoscope equipped with the flexible tube |
US7044906B2 (en) | 2003-06-30 | 2006-05-16 | Pentax Corporation | Flexible tube for an endoscope and an endoscope equipped with the flexible tube |
EP1493377A1 (en) * | 2003-06-30 | 2005-01-05 | Pentax Corporation | A flexible tube for an endoscope and an endoscope equipped with the flexible tube |
US20050020882A1 (en) * | 2003-06-30 | 2005-01-27 | Pentax Corporation | Flexible tube for an endoscope and an endoscope equipped with the flexible tube |
EP1493376A1 (en) * | 2003-06-30 | 2005-01-05 | Pentax Corporation | A flexible tube for an endoscope and an endoscope equipped with the flexible tube |
US20050061381A1 (en) * | 2003-07-07 | 2005-03-24 | Pentax Corporation | Flexible tube for an endoscope and an endoscope equipped with the flexible tube |
EP1495711A1 (en) * | 2003-07-07 | 2005-01-12 | PENTAX Corporation | Flexible tube for an endoscope and an endoscope equipped with the flexible tube |
US20050159645A1 (en) * | 2003-11-12 | 2005-07-21 | Bertolero Arthur A. | Balloon catheter sheath |
US20100087709A1 (en) * | 2003-11-12 | 2010-04-08 | Bertolero Arthur A | Balloon catheter sheath |
US20080091068A1 (en) * | 2004-02-09 | 2008-04-17 | Smart Medical Systems, Ltd. | Endoscope assembly |
US20080064930A1 (en) * | 2004-02-09 | 2008-03-13 | Smart Medical Systems, Ltd. | Endoscope assembly |
US7963911B2 (en) | 2004-02-09 | 2011-06-21 | Smart Medical Systems Ltd. | Locomotive endoscope assembly for fluid supply |
US20070276181A1 (en) * | 2004-02-09 | 2007-11-29 | Smart Medical Systems Ltd. | Endoscope Assembly |
US20060149130A1 (en) * | 2004-10-26 | 2006-07-06 | Konstantin Bob | Alternating propulsion type endoscope and continuous drive type endoscope |
US7798956B2 (en) * | 2004-10-26 | 2010-09-21 | Invendo Medical Gmbh | Alternating propulsion type endoscope and continuous drive type endoscope |
US20060111610A1 (en) * | 2004-11-09 | 2006-05-25 | Fujinon Corporation | Endoscope device and control method for the same |
US8012084B2 (en) * | 2004-11-09 | 2011-09-06 | Fiujinon Corporation | Endoscope device and control method for the same |
US20080091062A1 (en) * | 2005-02-07 | 2008-04-17 | Smart Medical Systems, Ltd. | Endoscope assembly |
US20080091063A1 (en) * | 2005-02-07 | 2008-04-17 | Smart Medical Systems, Ltd. | Endoscope assembly |
US20080161645A1 (en) * | 2005-02-10 | 2008-07-03 | G.I. View Ltd. | Advancement Techniques For Gastrointestinal Tool With Guiding Element |
US10080481B2 (en) * | 2005-02-10 | 2018-09-25 | G.I. View Ltd. | Advancement techniques for gastrointestinal tool with guiding element |
US20060264707A1 (en) * | 2005-05-20 | 2006-11-23 | Kinney Timothy P | Endoscope sheath |
US7708687B2 (en) | 2005-05-27 | 2010-05-04 | Bern M Jonathan | Endoscope propulsion system and method |
US20060270901A1 (en) * | 2005-05-27 | 2006-11-30 | Bern M J | Endoscope propulsion system and method |
US20080183033A1 (en) * | 2005-05-27 | 2008-07-31 | Bern M Jonathan | Endoscope Propulsion System and Method |
US9427142B2 (en) | 2005-08-08 | 2016-08-30 | Smart Medical Systems Ltd | Balloon guided endoscopy |
US20090227835A1 (en) * | 2005-08-08 | 2009-09-10 | Smart Medical Systems Ltd | Balloon Guided Endoscopy |
US20190191983A1 (en) * | 2005-08-08 | 2019-06-27 | Smart Medical Systems Ltd. | Balloon guided endoscopy |
US8523762B2 (en) * | 2005-11-04 | 2013-09-03 | Olympus Medical Systems Corp. | Endoscope system, endoscope, supporting member, and method of using endoscope system |
US20080269559A1 (en) * | 2005-11-04 | 2008-10-30 | Olympus Medical Systems Corp. | Endoscope system, endoscope, supporting member, and method of using endoscope system |
US20070244360A1 (en) * | 2006-04-13 | 2007-10-18 | Fujinon Corporation | Endoscope |
US8409078B2 (en) * | 2006-04-13 | 2013-04-02 | Fujifilm Corporation | Endoscope |
US20090187069A1 (en) * | 2006-05-18 | 2009-07-23 | Smart Medical System, Ltd. | Flexible endoscope system and functionality |
US8480569B2 (en) | 2006-05-18 | 2013-07-09 | Smart Medical Systems Ltd. | Flexible endoscope system and functionality |
US8529440B2 (en) | 2006-07-06 | 2013-09-10 | Smart Medical Systems Ltd. | Endoscopy systems |
US20090287058A1 (en) * | 2006-07-06 | 2009-11-19 | Gad Terliuc | Endoscopy systems |
US20110092770A1 (en) * | 2006-08-01 | 2011-04-21 | Raifu Matsui | Endoscopic insertion aid, endoscopic system, and method of inserting insertion portion of endoscope into body cavity by use of endoscopic insertion aid |
US20080033246A1 (en) * | 2006-08-01 | 2008-02-07 | Raifu Matsui | Endoscopic insertion aid, endoscopic system, and method of inserting insertion portion of endoscope into body cavity by use of endoscopic insertion aid |
US8403827B2 (en) * | 2006-08-01 | 2013-03-26 | Olympus Medical Systems Corp. | Endoscopic insertion aid, endoscopic system, and method of inserting insertion portion of endoscope into body cavity by use of endoscopic insertion aid |
US11426058B2 (en) * | 2007-01-30 | 2022-08-30 | Loma Vista Medical, Inc. | Biological navigation device |
US20080294004A1 (en) * | 2007-05-08 | 2008-11-27 | Tetsuya Fujikura | Insertion assisting tool |
US8109903B2 (en) | 2007-05-21 | 2012-02-07 | Smart Medical Systems Ltd. | Catheter including a bendable portion |
US9119532B2 (en) | 2008-03-31 | 2015-09-01 | Smart Medical Systems Ltd. | Assemblies for use with an endoscope |
US20110105840A1 (en) * | 2008-03-31 | 2011-05-05 | Gad Terliuc | Assemblies for use with an endoscope |
US10264951B2 (en) | 2008-03-31 | 2019-04-23 | Smart Medical Systems Ltd. | Assemblies for use with an endoscope |
US20160081537A1 (en) * | 2008-11-07 | 2016-03-24 | Ashkan Farhadi | An endoscope accessory |
US20110065988A1 (en) * | 2009-09-17 | 2011-03-17 | Softscope Medical Technologies, Inc. | Propellable apparatus with active size changing ability |
US8550986B2 (en) | 2009-09-17 | 2013-10-08 | Fujifilm Corporation | Propellable apparatus with active size changing ability |
US20140107573A1 (en) * | 2009-10-26 | 2014-04-17 | Poiesis Medical, Llc | Balloon encapsulated catheter tip |
US8757821B2 (en) * | 2010-05-13 | 2014-06-24 | The Allen Company, Inc. | Protective cover for a telescopic device |
US20150265135A1 (en) * | 2011-01-19 | 2015-09-24 | Fujifilm Corporation | Endoscope |
US9549665B2 (en) * | 2011-01-19 | 2017-01-24 | Fujifilm Corporation | Endoscope |
JP2016519974A (en) * | 2013-05-22 | 2016-07-11 | ファルハーディ,アシュカン | Endoscope accessories |
US20170290493A1 (en) * | 2014-09-29 | 2017-10-12 | Nanyang Technological University | Carrying platform for moving a device within a conduit |
US11179548B2 (en) * | 2015-03-05 | 2021-11-23 | Medfact Engineering Gmbh | Device for the displacement of a hollow organ of a patient |
US20180042691A1 (en) * | 2015-03-05 | 2018-02-15 | Medfact Engineering Gmbh | Device for the Displacement of a Hollow Organ of a Patient |
US10098526B2 (en) * | 2015-03-17 | 2018-10-16 | Capsovision Inc. | Capsule device having variable specific gravity |
US20160270639A1 (en) * | 2015-03-17 | 2016-09-22 | CapsoVision, Inc. | Capsule device having variable specific gravity |
USRE48181E1 (en) * | 2015-03-17 | 2020-09-01 | Capsovision Inc | Capsule device having variable specific gravity |
WO2017003514A1 (en) * | 2015-06-29 | 2017-01-05 | Gyrus Acmi, Inc., D.B.A. Olympus Surgical Technologies America | Sheath for an endoscope |
US11730345B2 (en) * | 2015-06-29 | 2023-08-22 | Gyrus Acmi, Inc. | Sheath for an endoscope |
CN108235680A (en) * | 2015-06-29 | 2018-06-29 | 美国奥林匹斯外科技术吉鲁斯阿克米公司 | The sheath of endoscope |
EP3878350A1 (en) * | 2015-06-29 | 2021-09-15 | Gyrus ACMI, Inc. d/b/a Olympus Surgical Technologies America | Sheath for an endoscope |
US10869593B2 (en) | 2015-09-28 | 2020-12-22 | Bio-Medical Engineering (HK) Limited | Endoscopic systems, devices, and methods |
US11278188B2 (en) * | 2015-09-28 | 2022-03-22 | Bio-Medical Engineering (HK) Limited | Endoscopic systems, devices, and methods for performing in vivo procedures |
US20170086653A1 (en) * | 2015-09-28 | 2017-03-30 | Bio-Medical Engineering (HK) Limited | Endoscopic systems, devices, and methods for performing in vivo procedures |
US10842358B2 (en) * | 2015-09-28 | 2020-11-24 | Bio-Medical Engineering (HK) Limited | Endoscopic systems, devices and methods |
WO2023076821A1 (en) * | 2021-10-26 | 2023-05-04 | Skillhead Llc | An oropharyngeal glove for use with rigid and flexible bronchoscopes, and methods |
Also Published As
Publication number | Publication date |
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EP1487516A1 (en) | 2004-12-22 |
EP1487516B1 (en) | 2015-04-22 |
AU2003213781A1 (en) | 2003-10-08 |
US20150018620A1 (en) | 2015-01-15 |
US8845518B2 (en) | 2014-09-30 |
ES2542843T3 (en) | 2015-08-12 |
US20060161044A1 (en) | 2006-07-20 |
AU2003213781B2 (en) | 2008-10-30 |
US9408524B2 (en) | 2016-08-09 |
WO2003080155A1 (en) | 2003-10-02 |
EP1487516A4 (en) | 2007-10-03 |
AU2003213781C1 (en) | 2009-03-26 |
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