Expandable endoscopic hoods and related methods of use

Patent metadata

Field	Value
Publication number	US-9561048-B2
Application number	US-201313774719-A
Country	US
Kind code	B2
Filing date	Feb 22, 2013
Priority date	Feb 23, 2012
Publication date	Feb 7, 2017
Grant date	Feb 7, 2017

Abstract

A medical device for tissue resection and related methods of use are disclosed. The device may include an elongate member having a proximal end and a distal end. The distal end of the elongate member may include a distal portion defining an end face and a cavity extending distally therefrom. The distal portion may further include multiple sections configured to transition between a first position and a second position different from the first position. The medical device may further include a mechanism configured to adjust a volume of the cavity by moving at least one of the multiple sections from the first position to the second position.

First claim

What is claimed is:

1. A medical device, comprising:
an elongate member having a proximal end and a distal end, wherein the distal end of the elongate member includes a distal portion defining an end face and a cavity extending distally therefrom, wherein the distal portion further includes a plurality of sections configured to transition between a first position and a second position different than the first position, and the plurality of sections are in contact in the first position and, wherein, when the plurality of sections are in the first position, a distal end of the cavity is closed, and wherein each of the plurality of sections includes a pair of edges each extending from a proximal end to a distal end of the corresponding section, and wherein, in the second position, adjacent edges of adjacent sections of the plurality of sections are unconnected by material to define an opening between the adjacent edges such that a circumferential space between the adjacent edges are free of material; and
a mechanism configured to adjust a volume of the cavity by moving at least one of the plurality of sections from the first position to the second position.

2. The medical device of claim 1 , wherein the distal portion is removably coupled to the elongate member.

3. The medical device of claim 1 , wherein the plurality of sections consists of two sections.

4. The medical device of claim 1 , wherein the plurality of sections includes four sections.

5. The medical device of claim 1 , wherein the cavity includes a distally-facing opening.

6. The medical device of claim 1 , wherein at least one of the plurality of sections is biased towards the first position.

7. The medical device of claim 1 , wherein the elongate member further includes a plurality of channels extending between the proximal and distal ends.

8. The medical device of claim 7 , further comprising a tissue cutting device disposed in one of the plurality of channels.

9. The medical device of claim 1 , wherein at least one of the plurality of sections includes edges configured to cut through tissue.

10. The medical device of claim 1 , wherein each of the plurality of sections includes a proximal portion, an intermediate portion, and a distal portion, wherein the proximal portion is wider than the distal portion, and the intermediate portion tapers from a proximal end to a distal end.

11. A medical device, comprising:
an elongate member having a proximal end, a distal end, and a lumen extending therebetween, wherein the distal end defines an end face of the elongate member;
and a hood including a proximal end and a distal end, wherein the proximal end of the hood is configured to receive the distal end of the elongate member, and wherein a distal portion of the hood includes a plurality of sections configured to transition between a closed state and an open state, each of the plurality of sections defining two longitudinally extending edges, the plurality of sections defining a cavity extending distally from the end face of the elongate member, wherein, when the plurality of sections are in the open state, the cavity includes a distally-facing opening and a side opening between each pair of adjacent longitudinally extending edges of adjacent ones of the plurality of sections, wherein a circumferential space between each pair of adjacent longitudinally extending edges is free of material, and when the plurality of sections are in the closed state, the cavity does not include the distally-facing opening, and, when the plurality of sections are in the closed state, a distal end of the cavity is closed.

12. The medical device of claim 11 , wherein the plurality of sections includes four sections.

13. The medical device of claim 11 , wherein transitioning the plurality of sections from the closed state to the open state increases a dimension of the cavity.

14. The medical device of claim 11 , wherein each of the plurality of sections includes a proximal portion, an intermediate portion, and a distal portion, wherein the proximal portion is wider than the distal portion, and the intermediate portion tapers from a proximal end to a distal end.

15. A medical device, comprising:
an elongate member having a proximal end, a distal end, and a lumen extending therebetween, wherein the distal end defines an end face of the elongate member;
a hood, including a proximal end and a distal end, wherein a distal portion of the hood includes a plurality of sections configured to transition between a closed state and an open state, the plurality of sections defining a cavity extending distally from the end face of the elongate member; and
a sheath including a proximal end, a distal end, and a channel extending therebetween, the sheath being configured to slidably receive the hood within the channel,
wherein the hood is configured to transition between the closed state while in the channel of the sheath and the open state while out of the channel, and each of the plurality of sections includes an edge, wherein when the hood is in the closed state, the edge of each of the plurality of sections is substantially parallel to a longitudinal axis of the elongate member and, when the hood is in the open state, the edges of adjacent sections are not in contact and are unconnected by material circumferentially between the edges such that a circumferential space between the edges is free of material.

16. The medical device of claim 15 , wherein the plurality of sections are biased towards the open state.

17. The medical device of claim 15 , further comprising a device configured to sever tissue.

18. The medical device of claim 15 , wherein, when the plurality of sections are in the closed state, a distal end of the cavity is closed and distalmost ends of the plurality of sections are in contact with each other.

Assignees

• Raybin Samuel
• Cheng Ruth
• Smith Paul
• Suon Naroun
• Boston Scient Scimed Inc

Inventors

• Raybin Samuel
• Cheng Ruth
• Smith Paul
• Suon Naroun

Classifications

• A61B17/320016 Primary

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

• A61B17/0218 Primary

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

• A61B2017/320044

  Blunt dissectors · CPC title

• A61B17/32056

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

• A61B2017/00867

  shape memory effect · CPC title