Method and apparatus for stabilizing, straightening, expanding and/or flattening the side wall of a body lumen and/or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same

Patent metadata

Field	Value
Publication number	US-10874285-B2
Application number	US-201815936833-A
Country	US
Kind code	B2
Filing date	Mar 27, 2018
Priority date	Dec 15, 2009
Publication date	Dec 29, 2020
Grant date	Dec 29, 2020

Abstract

The present invention comprises the provision and use of a novel endoscopic device which is capable of stabilizing, straightening, expanding and/or flattening the side wall of a body lumen and/or body cavity so as to better present the side wall tissue for examination and/or treatment during an endoscopic procedure. The present invention also comprises the provision and use of a novel endoscopic device capable of steadying and/or stabilizing the distal tips and/or working ends of instruments inserted into a body lumen and/or body cavity, whereby to facilitate the use of those instruments.

First claim

What is claimed is:

1. A method for providing increased access to the side wall of a body lumen and/or body cavity while using an endoscope to visualize the side wall of the body lumen and/or body cavity, the endoscope having a distal end and a proximal end, wherein the proximal end of the endoscope comprises a handle, the method comprising:
providing an apparatus comprising:
a sleeve comprising a distal end, a proximal end and a lumen extending therebetween, the lumen being sized to receive the endoscope therein, and the sleeve being sized to extend over the endoscope from a location adjacent to the distal end of the endoscope to a location adjacent to the handle of the endoscope, wherein the sleeve comprises a channel having a distal end and a proximal end, wherein the distal end of the channel is disposed adjacent to the distal end of the sleeve and the proximal end of the channel is disposed adjacent to the proximal end of the sleeve;
a proximal balloon secured to the sleeve near the distal end of the sleeve;
a pusher tube slidably disposed in the channel of the sleeve so as to be movable relative to the sleeve, wherein the pusher tube comprises a distal end and a proximal end, with the distal end of the pusher tube being configured to extend out of the distal end of the channel, and with the proximal end of the pusher tube being configured to extend out the proximal end of the channel; and
a distal balloon secured to the distal end of the pusher tube;

sliding the sleeve over the endoscope so that the endoscope is disposed in the lumen of the sleeve and so that the distal end of the sleeve is disposed adjacent to the distal end of the endoscope and the proximal end of the sleeve is disposed adjacent to the handle of the endoscope;
positioning the endoscope and the apparatus in the body lumen and/or body cavity;
inflating the proximal balloon;
advancing the pusher tube relative to the sleeve so as to advance the distal balloon relative to the proximal balloon;
inflating the distal balloon so as to create a substantially fluidically sealed zone between the proximal balloon and the distal balloon; and
introducing fluid into the substantially fluidically sealed zone between the proximal balloon and the distal balloon.

2. A method according to claim 1 wherein the fluid introduced into the substantially fluidically sealed zone comprises air.

3. A method according to claim 1 wherein the fluid introduced into the substantially fluidically sealed zone comprises CO 2 .

4. A method according to claim 1 wherein the fluid introduced into the substantially fluidically sealed zone comprises flushing liquid.

5. A method according to claim 4 further comprising removing flushing liquid from the substantially fluidically sealed zone.

6. A method according to claim 1 further comprising advancing a tool through the endoscope to the substantially fluidically sealed zone.

7. A method according to claim 6 further comprising using the tool to perform a procedure within the substantially fluidically sealed zone.

8. A method according to claim 7 wherein the procedure comprises a biopsy.

Assignees

• Univ Cornell

Inventors

• Milsom Jeffrey
• Riina Howard
• Cornhill J Frederick
• Dickinson Edward
• Strohl Clair
• Mahoney Jr James J
• Coppola Pat

Classifications

• A61B2217/005

  with suction drainage system · CPC title

• A61B2217/007

  with irrigation system · CPC title

• A61B1/31

  for the rectum, e.g. proctoscopes, sigmoidoscopes {, colonoscopes} · CPC title

• A61B1/00082 Primary

  Balloons · CPC title

• A61B2017/00557

  inflatable (A61B2017/22051 takes precedence) · CPC title