Devices, systems, and methods for tissue resection

Patent metadata

Field	Value
Publication number	US-11896228-B2
Application number	US-201916408906-A
Country	US
Kind code	B2
Filing date	May 10, 2019
Priority date	May 11, 2018
Publication date	Feb 13, 2024
Grant date	Feb 13, 2024

Abstract

Exemplary embodiments of the present disclosure relate to devices, systems, and methods for tissue resection in a body lumen of a patient, and may include an endoscope and a backstop delivery device extendable through the endoscope. The backstop delivery device may deliver a backstop to a location of selected tissue for resection. A backstop may include a covering being deployable in a patient. The covering may have one or more anchoring mechanisms disposed on an edge of the covering. A tissue resecting device may be extendable through the endoscope for resecting the selected tissue for resection. The covering may be deployable to an outer surface of the body lumen, such that the anchoring mechanism may secure the covering to the outer surface of the body lumen and the covering may expand to cover the selected tissue for resection.

First claim

What is claimed is:

1. A system for tissue resection in a body lumen of a patient, the system comprising:
an endoscope;
a backstop delivery device extendable through the endoscope and positionable in the body lumen at a location of selected tissue for resection;
a backstop including a covering deployable by the backstop delivery device; and
a tissue resecting device extendable through the endoscope for resecting the selected tissue for resection;
wherein the covering:
is deployable to an outer surface of the body lumen;
has one or more anchoring mechanisms disposed on an edge thereof and securable to the outer surface of the body lumen;
is-expandable to cover the selected tissue for resection; and
is configured, when expanded and secured to the body lumen, to define a space between the covering and the outer surface of the body lumen to provide clearance between the covering and the outer surface of the body lumen during tissue resection.

2. The system according to claim 1 , wherein the backstop delivery device includes a tissue penetrating device for insertion into the selected tissue for resection.

3. The system according to claim 2 , wherein the tissue penetrating device is extendable partially in the selected tissue for resection so as to stabilize the backstop delivery device.

4. The system according to claim 1 , wherein the covering is formed of a self-expanding material, the covering having a relaxed shape memory curvature, when expanded, forming an arc shape maintaining a working space between the covering and the selected tissue for resection.

5. The system according to claim 4 , wherein the arc shape of the curvature and the edge of the covering is conformable to a curvature of the outer surface of the body lumen.

6. The system according to claim 1 , wherein the one or more anchoring mechanisms is a mechanical fastener, a suture, or an adhesive, or combinations thereof.

7. The system according to claim 6 , wherein the mechanical fasteners are hooks, barbs, clips, or clamps, or combinations thereof.

8. The system according to claim 7 , wherein the tissue resecting device is a cautery tool including a distal tip for cauterizing tissue around a perimeter of the selected tissue for resection.

9. The system according to claim 1 , wherein the edge of the covering of the backstop is configured:
to ensure a sterile barrier from the outer surface of the body lumen when secured to the body lumen; and
to extend beyond the perimeter of the selected tissue for resection such that the one or more anchoring mechanisms remain secured to the outer surface of the body lumen after resection of the selected tissue.

Assignees

• Boston Scient Scimed Inc

Inventors

• Fleury Sean P
• Wespi Eric
• Tassoni Nicholas L
• Hanson Brian J
• Lee Gregory Y
• Meregotte Jose A
• Tassoni Jr Anthony F
• WINDHEUSER Kevin
• Hingston John A
• Hobart Nolan
• Zupkofska Michael E
• Wales Ryan V
• Brechbiel Scott E
• Campion Rachael
• Jarobski Tara A
• Lee Danny S
• Burnham Alexander J
• Oto Christopher K
• Mazzola Nicholas J
• Bagley Kevin L
• Comee Shaun D

Classifications

• A61B17/1114 Primary

  of the digestive tract, e.g. bowels or oesophagus · CPC title

• A61B1/018

  for receiving instruments · CPC title

• A61F2/04 Primary

  Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts (A61F2/18, A61F2/20 take precedence; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95) · CPC title

• A61L27/3633

  Extracellular matrix [ECM] · CPC title

• A61B17/06166

  Sutures (suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M) · CPC title