Tissue resection snares

Patent metadata

Field	Value
Publication number	US-9498238-B2
Application number	US-201414211675-A
Country	US
Kind code	B2
Filing date	Mar 14, 2014
Priority date	Mar 15, 2013
Publication date	Nov 22, 2016
Grant date	Nov 22, 2016

Abstract

A tissue resection device for resecting tissue from a target site within a patient's body. The device includes an elongate shaft having a proximal end and a distal end. An actuation member extends partially through the shaft, and reciprocates within the shaft between a retracted position and an extended position. Multiple snare wires extend through the actuation member, and emerge outwards from a distal portion of the actuation member. The snare wires cooperate and join to form a snare loop, which engages the tissue intended to be resected. The snare loop is configured to enhance friction while engaging the tissue, to resect the tissue.

First claim

What is claimed is:

1. A tissue resection device, comprising:
an elongate shaft having a proximal end and a distal end;
an actuation member extending at least partially through the elongate shaft;
one or more snare wires extending through a lumen of the actuation member and emerging outwards from a distal portion of the actuation member;
a snare loop formed by the one or more snare wires, the snare loop being configured to engage tissue intended to be resected from a target site; and
a plurality of elements positioned over a peripheral surface of the snare loop, wherein each of the plurality of elements is a ring engaging and at least partially enclosing a portion of the peripheral surface of the snare loop, and each ring has an open-ended structure.

2. The tissue resection device of claim 1 , wherein the snare loop has an expanded orientation and a retracted position, and wherein, in the retracted position, the snare loop is retracted into the actuation member.

3. The tissue resection device of claim 2 , wherein, in the expanded orientation, the snare loop has one of an elliptical, a circular, an ovular, a square, a rectangular, a polygonal, and an irregular shape, overlaying the tissue.

4. The tissue resection device of claim 2 , wherein in the expanded orientation of the snare loop, the one or more snare wires orient substantially perpendicular to a plane containing the tissue.

5. The tissue resection device of claim 1 , wherein the snare loop has one of a plurality of grooves, striations, indentations, protrusions, and depressions provided over a peripheral portion thereof, and extending at least partially over a length of the snare loop.

6. The tissue resection device of claim 1 , wherein at least one of the plurality of elements positioned over the peripheral surface of the snare loop, or the snare loop, has an irregular rough surface.

7. The tissue resection device of claim 1 , wherein each of the rings is a C-shaped ring.

8. The tissue resection device of claim 1 , wherein the rings are one of snap-fitted, press-fitted, and crimped to the snare loop, and have a slanting and decreasing cross-sectional rear structure, to facilitate smooth retraction of the snare loop into the actuation member.

9. The tissue resection device of claim 1 , wherein each of the plurality of elements has an irregular surface configured to engage the tissue, the irregular surface being configured to cause friction between the tissue resection device and the tissue, for resection of the tissue.

10. A tissue resection device, comprising:
an elongate shaft having a proximal end and a distal end;
an actuation member extending at least partially through the elongate shaft, and being configured to reciprocate within the elongate shaft between a retracted position and an extended position; and
one or more snare wires extending through a lumen of the actuation member, emerging out from a distal portion of the actuation member;
wherein one or more spaced apart ring-shaped elements are positioned on the one or more snare wires, and each ring-shaped element includes a circumferential opening that completely separates a first end of the ring-shaped element from a second end of the ring-shaped element.

11. The tissue resection device of claim 10 , wherein reciprocation of the actuation member moves the one or more snare wires between an expanded orientation and a retracted orientation within the elongate shaft, and wherein, in the extended position of the actuation member, the one or more snare wires are in the expanded orientation, and in the retracted position of the actuation member, the one or more snare wires retract into the elongate shaft into the retracted orientation.

12. The tissue resection device of claim 10 , wherein the one or more snare wires have one of a plurality of grooves, striations, indentations, protrusions, and depressions provided over a peripheral portion thereof, and extending at least partially over a length of the one or more snare wires.

13. The tissue resection device of claim 10 , wherein each ring-shaped element is C-shaped.

14. A tissue resection device, comprising:
an elongate shaft having a proximal end and a distal end;
an actuation member extending at least partially through the elongate shaft, and being configured to reciprocate within the elongate shaft between a retracted position and an extended position;
a snare loop formed by one or more snare wires extending through a lumen of the actuation member, the snare loop being configured to engage tissue intended to be resected from a target site; and
a plurality of structures positioned around different peripheral positions of the snare loop, wherein each of the plurality of structures extends from a first end toward a second end, is tapered radially inward from the second end toward the first end such that a cross-sectional dimension of each of the plurality of structures is greater at the second end than at the first end, is a ring engaging and at least partially enclosing a portion of a peripheral surface of the snare loop, and has an open-ended structure.

15. The tissue resection device of claim 14 , wherein the snare loop has one of a plurality of grooves, striations, indentations, protrusions, and depressions provided over a peripheral portion thereof, and extending at least partially over a length of the snare loop.

16. The tissue resection device of claim 14 , wherein each of the plurality of structures has an irregular rough surface.

17. The tissue resection device of claim 14 , wherein each ring is C-shaped.

18. The tissue resection device of claim 14 , wherein each ring is one of snap-fitted, press-fitted and crimped to the snare loop, and has a slanting and decreasing cross-sectional rear structure, to facilitate smooth retraction of the snare loop into the actuation member.

Assignees

• Boston Scient Scimed Inc

Inventors

• Smith Paul
• Raybin Samuel
• Suon Naroun
• Stanton Larry
• Devries Robert
• Golden John
• Lang Daniel
• Amos Devon

Classifications

• A61B2018/141

  Snare · CPC title

• A61B17/32056 Primary

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

• A61B18/14

  Probes or electrodes therefor · CPC title

• A61B2017/00858

  high friction or non-slip · CPC title

• A61B17/221 Primary

  Gripping devices in the form of loops or baskets {for gripping calculi or similar types of obstructions (surgical snare instruments A61B17/32056)} · CPC title