Method of operating a treatment tool

Patent metadata

Field	Value
Publication number	US-11369407-B2
Application number	US-201916720419-A
Country	US
Kind code	B2
Filing date	Dec 19, 2019
Priority date	Jul 5, 2017
Publication date	Jun 28, 2022
Grant date	Jun 28, 2022

Abstract

The disclosed technology is directed to a method of operating a treatment tool for excising a lesioned portion of a body tissue. The method comprises applying a treatment tool to the lesioned portion. The treatment tool includes an elongated sheath having a snare wire disposed therein. The snare wire is configured to be movable forward or backward along a longitudinal direction. Next, forming the snare wire into a loop and tilting the loop in a plane transverse to the longitudinal axis of the elongated sheath with a force tending to push a snare wire portion out of a distal-end opening of the elongated sheath. And finally, placing the loop around the lesioned portion of the body tissue to excise the lesioned portion in a state in which the snare wire positioned transverse to the lesioned portion.

First claim

What is claimed is:

1. A method of operating a treatment tool for excising a lesioned portion of a body tissue, the method comprising:
applying a treatment tool to the lesioned portion, the treatment tool including an elongated sheath having a snare wire disposed in the elongated sheath, the snare wire being configured to move forward and backward along a longitudinal direction, the snare wire being formed of a plurality of twisted strands;
forming the snare wire into a loop and deforming the snare wire in a direction to untwist the plurality of twisted strands to tilt the loop in a plane transverse to a longitudinal axis of the elongated sheath by a force pushing a portion of the snare wire out of a distal-end opening of the elongated sheath; and
placing the loop around the lesioned portion of the body tissue to excise the lesioned portion in a state in which the snare wire is positioned transverse to the lesioned portion.

2. The method of claim 1 , wherein:
the treatment tool includes:
a first operating wire portion connected to a first end of the snare wire and configured to be movable in the longitudinal direction in the elongated sheath,
a second operating wire portion connected to a second end of the snare wire and configured to be movable in the longitudinal direction in the elongated sheath,
a stopper having a hole through which the first operating wire portion passes and is fixedly mounted in the elongated sheath, and
a movable body attached to the first operating wire side closer to a distal-end portion than the stopper side and having a width larger than an inside diameter of the hole,

the snare wire includes:
a folded portion folded back onto itself, forming a protrusion,
a first snare wire portion disposed between the first operating wire portion and the folded portion, and
a second snare wire portion disposed between the second operating wire portion and the folded portion, and

the method further comprises:
pushing the second snare wire portion out of the distal-end opening of the elongated sheath while the movable body is abutting against a proximal-end face of the stopper, thereby forming the second snare wire portion into the loop and tiling the loop in the plane transverse to the longitudinal axis of the elongated sheath while deforming the first snare wire portion.

3. The method of claim 2 , further comprising rotating the first snare wire portion around a longitudinal axis of the first snare wire portion while being curved when the loop is tilted in the plane transverse to the longitudinal axis of the elongated sheath.

4. A method of operating a treatment tool for excising a lesioned portion of a body tissue, the method comprising:
applying a treatment tool to the lesioned portion, the treatment tool including an elongated sheath having a snare wire disposed in the elongated sheath, the snare wire configured to move forward and backward along a longitudinal direction, the snare wire being formed of a plurality of twisted strands;
forming the snare wire into a loop and deforming the snare wire in a direction to untwist the plurality of twisted strands to tilt the loop in a plane transverse to a longitudinal axis of the elongated sheath by a force pushing a portion of the snare wire out of a distal-end opening of the elongated sheath so that the snare wire functions as a cantilever with the pushing force acting on a distal end and is curved; and
placing the loop around the lesioned portion of the body tissue to excise the lesioned portion in a state in which the snare wire is positioned transverse to the lesioned portion.

5. A method of operating a treatment tool for excising a lesioned portion of a body tissue, the method comprising:
applying a treatment tool to the lesioned portion, the treatment tool including an elongated sheath having a snare wire disposed in the elongated sheath, the snare wire being configured to move forward and backward along a longitudinal direction, the snare wire being formed of a plurality of twisted strands that is twisted in a first rotational direction;
forming the snare wire into a loop and deforming the snare wire in a second rotational direction, which is opposite to the first rotational direction, to tilt the loop in a plane transverse to a longitudinal axis of the elongated sheath by a force pushing a portion of the snare wire out of a distal-end opening of the elongated sheath; and
placing the loop around the lesioned portion of the body tissue to excise the lesioned portion in a state in which the snare wire is positioned transverse to the lesioned portion.

Assignees

• Olympus Corp

Inventors

• Tabuchi Yasuhiro
• Hidaka Yuya

Classifications

• A61B2017/308

  with suction cups · CPC title

• A61B2018/00196

  reciprocating lengthwise · CPC title

• A61B17/320016

  Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes (A61B10/0233, A61B17/29, A61B17/3207 take precedence) · CPC title

• A61B17/32056 Primary

  Surgical snare instruments (for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26) · CPC title

• A61B2017/00269

  endoscopic mucosal resection EMR · CPC title