Endoscope with anatomy elevation assembly

Patent metadata

Field	Value
Publication number	US-2023380664-A1
Application number	US-202318226345-A
Country	US
Kind code	A1
Filing date	Jul 26, 2023
Priority date	Aug 17, 2018
Publication date	Nov 30, 2023
Grant date	—

Abstract

An endoscope assembly includes a shaft assembly, an endoscopic camera assembly, and an anatomy elevation assembly. The shaft assembly includes a flexible outer shaft defining a lumen, a first electrical communication line, and a first fluid communication line. The endoscopic camera assembly is in communication with the first electrical communication line. The anatomy elevation assembly includes an inflatable member coupled to the flexible outer shaft. The inflatable member includes an interior surface. The first fluid communication line is in fluid communication with the inflatable member. The inflatable member is configured to transition between a deflated configuration and an inflated configuration. The interior surface is configured to define a viewing path distal to the endoscopic camera assembly while the inflatable member is in the inflated configuration.

First claim

1 .- 20 . (canceled)

21 . A method of using an endoscope assembly, the endoscope assembly including:
a) a shaft assembly, the shaft assembly comprising a flexible outer shaft defining a lumen and a first fluid communication line; b) an endoscopic camera assembly associated with the shaft assembly, the endoscopic camera assembly defining a field of view; and c) an anatomy elevation assembly comprising an inflatable member coupled to the flexible outer shaft, the inflatable member comprising an interior surface, the first fluid communication line being in fluid communication with the inflatable member,
the method including:
a) inserting a distal end of the endoscope assembly into an ear, nose, or throat;
b) positioning a portion of the distal end of the endoscope assembly adjacent to a deformable internal anatomical structure, while the distal end of the endoscope assembly is disposed in the ear, nose, or throat;
c) transitioning the inflatable member from a deflated configuration to an inflated configuration with fluid communicated via the first fluid communication line to thereby elevate the deformable internal anatomical structure away from the endoscope camera, the inflatable member being outside of the field of view of the camera when in the inflated configuration; and
d) capturing an image of an anatomical cavity or passageway within a head or the throat via the endoscope assembly, while the deformable anatomical structure is elevated by the inflatable member.

22 . The method of claim 21 , the method further including selectively engaging and moving the deformable internal anatomical structure so as to not obstruct the endoscopic camera.

23 . The method of claim 21 , the endoscopic camera including an illumination component, the method further including lighting the ear, nose, or throat with the illumination component.

24 . The method of claim 21 , the method further including forming a frusto-conical shape with the interior surface when the inflatable member is in the inflated configuration.

25 . The method of claim 21 , the method further including forming an arched shape with the interior surface when the inflatable member is in the inflated configuration.

26 . The method of claim 21 , the endoscope assembly further including a working channel, the method further including:
a) sliding a surgical instrument through the working channel; and b) manipulating an anatomical structure in the anatomical cavity or passageway with the surgical instrument.

27 . The method of claim 26 , the surgical instrument including a forceps or a swab, the method including advancing the forceps or swab beyond the inflatable member and into the anatomical cavity or passageway to thereby manipulate the anatomical structure in the anatomical cavity or passageway.

28 . The method of claim 21 , the deformable internal anatomical structure defining a passage axis, the shaft assembly defining a longitudinal axis, the method further including axially aligning the passage axis and the longitudinal axis.

29 . The method of claim 21 , the camera defining a field of view, the transitioning of the inflatable member from the deflated configuration to the inflated configuration resulting in the interior surface being outside of the field of view.

30 . The method of claim 21 , the deformable internal anatomical structure being a passage of a paranasal sinus.

31 . The method of claim 21 , the method further including inserting the endoscope assembly transnasally or transorally to thereby position the portion of the endoscope assembly adjacent to the structure.

32 . The method of claim 21 , the endoscope assembly further including a position sensor and a processor operable to provide video in real time via a display screen, the method further including using the processor to display on the display screen a position of the position sensor in relation to at least one of:
a) an image of the structure, b) a computerized tomography scan of the structure, and c) a three-dimensional model of the structure.

33 . The method of claim 21 , the endoscope assembly including a light source, the method further including illuminating the anatomical cavity or passageway with the light source.

34 . A method of using an endoscope assembly, the endoscope assembly including:
a) a shaft assembly, the shaft assembly comprising a flexible outer shaft defining a lumen, a working channel, and a first fluid communication line; and b) an anatomy elevation assembly comprising an inflatable member coupled to the flexible outer shaft, the first fluid communication line being in fluid communication with the inflatable member,
the method including:
a) in a deflated configuration, positioning a portion of the inflatable member within a narrowed opening of a passageway of an ear, nose, or throat, the narrowed opening of the passageway being capable of being elevated;
b) transitioning the inflatable member from the deflated configuration to an inflated configuration with fluid communicated via the first fluid communication line to thereby elevate a portion of the narrowed opening; and
c) advancing a surgical instrument through the working channel and beyond the inflatable member to thereby interact with the passageway while the inflatable member is in the inflated configuration.

35 . The method of claim 34 , the endoscope assembly further including a camera having a field of view, the inflatable member comprising an interior surface, the method further including:
a) deflating the inflatable member such that the interior surface is within the field of view of the camera; and b) the transitioning to the inflated configuration thereby causing the interior surface to be outside of the field of view of the camera.

36 . The method of claim 35 , the narrowed opening being within the field of view of the camera and thereby obstructing a view of a distal portion of the passageway, the elevating the portion of the narrowed opening places the distal portion of the passageway within the field of view of the camera.

37 . The method of claim 36 , the surgical instrument including a spray tube, the method further including spraying a fluid from the spray tube onto the distal portion of the passageway while capturing images of the spray tube with the camera.

38 . The method of claim 37 , the passageway being in an ear.

39 . A method of using an endoscope assembly, the endoscope assembly including:
a) a shaft assembly, the shaft assembly comprising a flexible outer shaft defining a lumen, a working channel, and a first fluid communication line; b) an endoscopic camera assembly associated with the shaft assembly, the endoscopic camera assembly defining a field of view; and c) an anatomy elevation assembly comprising an inflatable member coupled to the flexible outer shaft, the first fluid communication line being in fluid communication with the inflatable member,
the method including:
a) in a deflated configuration, positioning a portion of the inflatable member within a narrowed opening of a passageway of an ear, nose, or throat, the narrowed opening of the passageway being capable of being elevated;
b) transitioning the inflatable member from the deflated configuration to an inflated configuration with fluid communicated via the first fluid communication line to thereby elevate a portion of the narrowed opening; and
c) once in the inflated configuration, capturing an image of a distal portion of the passageway that is distal to

Assignees

• Acclarent Inc
• Biosense Webster Israel Ltd

Inventors

• Palushi Jetmir
• Akbarian Fatemeh
• Fang Itzhak
• Papadakis Athanasios
• Shameli Ehsan
• Algawi Yehuda
• Govari Assaf
• Dean Marc
• Ebrahimi Babak
• Trott Jordan R

Classifications

• A61B2034/2051

  Electromagnetic tracking systems · CPC title

• A61B2010/0216

  Sampling brushes · CPC title

• A61B17/0218

  for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B1/126

  provided with means for cleaning in-use · CPC title

• A61B1/018

  for receiving instruments · CPC title