CA2007657A1 - Sphincterotomy method and device having controlled bending and orientation - Google Patents
Sphincterotomy method and device having controlled bending and orientationInfo
- Publication number
- CA2007657A1 CA2007657A1 CA2007657A CA2007657A CA2007657A1 CA 2007657 A1 CA2007657 A1 CA 2007657A1 CA 2007657 A CA2007657 A CA 2007657A CA 2007657 A CA2007657 A CA 2007657A CA 2007657 A1 CA2007657 A1 CA 2007657A1
- Authority
- CA
- Canada
- Prior art keywords
- sphincterotome
- lumen
- cutting
- wire
- disclosed
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00553—Sphincter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1407—Loop
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/32—General characteristics of the apparatus with radio-opaque indicia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0144—Tip steering devices having flexible regions as a result of inner reinforcement means, e.g. struts or rods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
Abstract
A sphincterotome (21), such as a papillotome, is disclosed for surgical cutting using an electrically conductive cutter wire (33). The sphincterotome (21) includes a multi-lumen tubular member (27), with one lumen (55) having an electrical conductor (43) disposed therein, and the other lumen (57) having a reinforcing wire (45) disposed therein. The reinforcing wire (45) is preferably rectangular in cross-section, providing a greater moment of inertia in a resisting axis R than in a bending axis B. Accordingly, the cutting edge (53) of the cutting wire (33) may be oriented to the 12 o'clock position of the papillary orifice to avoid injury to the duodenal wall or pancreatic duct (69) in the patient, and to maintain the cutting edge (53) in a predetermined cutting plane P. Fluoroscopic indicating stripes (39, 41) may be provided at the distal end (23) of the sphincterotome (21). A method of use and method of fabrication of the present invention is also disclosed.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/318,724 US5024617A (en) | 1989-03-03 | 1989-03-03 | Sphincterotomy method and device having controlled bending and orientation |
US318,724 | 1989-03-03 |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2007657A1 true CA2007657A1 (en) | 1990-09-03 |
CA2007657C CA2007657C (en) | 1999-08-10 |
Family
ID=23239350
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002007657A Expired - Lifetime CA2007657C (en) | 1989-03-03 | 1990-01-12 | Sphincterotomy method and device having controlled bending and orientation |
Country Status (9)
Country | Link |
---|---|
US (2) | US5024617A (en) |
EP (1) | EP0385588B1 (en) |
JP (1) | JPH0653125B2 (en) |
AT (1) | ATE124855T1 (en) |
AU (1) | AU621198B2 (en) |
CA (1) | CA2007657C (en) |
DE (1) | DE69020757T2 (en) |
DK (1) | DK0385588T3 (en) |
ES (1) | ES2075143T3 (en) |
Families Citing this family (87)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5374245A (en) | 1990-01-10 | 1994-12-20 | Mahurkar; Sakharam D. | Reinforced multiple-lumen catheter and apparatus and method for making the same |
US5163938A (en) * | 1990-07-19 | 1992-11-17 | Olympus Optical Co., Ltd. | High-frequency surgical treating device for use with endoscope |
US5323768A (en) * | 1991-04-22 | 1994-06-28 | Olympus Optical Co., Ltd. | Diathermic dissector with a bifurcation having substantially the same cross-sectional area as a lumen for guiding a wire |
US5152772A (en) * | 1991-07-10 | 1992-10-06 | Sewell Jr Frank | Sphincterotomy catheter and method |
JPH07505316A (en) | 1992-03-31 | 1995-06-15 | ボストン サイエンティフィック コーポレーション | medical wire |
US6497709B1 (en) | 1992-03-31 | 2002-12-24 | Boston Scientific Corporation | Metal medical device |
US5383849A (en) * | 1992-05-11 | 1995-01-24 | Wilson-Cook Medical, Inc. | Method for selective endoscopic cannulation of ductal structures |
US6770066B1 (en) | 1992-05-11 | 2004-08-03 | Ballard Medical Products | Multi-lumen endoscopic catheter |
WO1993023106A1 (en) † | 1992-05-11 | 1993-11-25 | Arrow Precision Products, Inc. | Improved biliary catheter |
US5843028A (en) * | 1992-05-11 | 1998-12-01 | Medical Innovations Corporation | Multi-lumen endoscopic catheter |
US5630840A (en) | 1993-01-19 | 1997-05-20 | Schneider (Usa) Inc | Clad composite stent |
US5547469A (en) | 1994-05-13 | 1996-08-20 | Boston Scientific Corporation | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
US6743217B2 (en) | 1994-05-13 | 2004-06-01 | Scimed Life Systems, Inc. | Apparatus for performing diagnostic and therapeutic modalities in the biliary tree |
DE4425195C1 (en) * | 1994-07-16 | 1995-11-16 | Osypka Peter | Heart catheter with multiple electrode device |
US6017340A (en) * | 1994-10-03 | 2000-01-25 | Wiltek Medical Inc. | Pre-curved wire guided papillotome having a shape memory tip for controlled bending and orientation |
US5676160A (en) * | 1995-01-31 | 1997-10-14 | Bryant; Benjamin Jay | Surgical method |
EP0827383B1 (en) * | 1995-02-28 | 2007-05-30 | Boston Scientific Corporation | Polymer implements for torque transmission |
US5571129A (en) * | 1995-05-15 | 1996-11-05 | Portlyn Corporation | Surgical cutting instrument with improved cleaning capability and ease of use |
US5769858A (en) * | 1995-10-20 | 1998-06-23 | Medtronic, Inc. | Locking stylet for extracting implantable lead or catheter |
JP3086166B2 (en) * | 1996-02-05 | 2000-09-11 | オリンパス光学工業株式会社 | High frequency incision device for endoscope |
US6436056B1 (en) | 1996-02-28 | 2002-08-20 | Boston Scientific Corporation | Polymeric implements for torque transmission |
JPH09285472A (en) * | 1996-04-25 | 1997-11-04 | Olympus Optical Co Ltd | High frequency incision instrument |
US5810807A (en) * | 1996-05-22 | 1998-09-22 | Ganz; Robert A. | Sphincterotome with deflectable cutting plane and method of using the same |
US5785531A (en) * | 1996-06-06 | 1998-07-28 | Wilson-Cook Medical Incorporated | Cuttable papilla and sphincterotomy training apparatus |
US5984920A (en) * | 1997-05-09 | 1999-11-16 | Medi-Globe Corporation | Rotatable sphincterotome/papillotome and method of use |
US5848691A (en) | 1997-07-07 | 1998-12-15 | Wilson-Cook Medical Inc. | Package for sphincterotome or catheter including structure maintaining shape of distal tip |
WO1999017669A1 (en) | 1997-10-03 | 1999-04-15 | Boston Scientific Corporation | Device and method for facilitating access to a duct within the human body |
US6331166B1 (en) * | 1998-03-03 | 2001-12-18 | Senorx, Inc. | Breast biopsy system and method |
US6659105B2 (en) * | 1998-02-26 | 2003-12-09 | Senorx, Inc. | Tissue specimen isolating and damaging device and method |
US6540693B2 (en) * | 1998-03-03 | 2003-04-01 | Senorx, Inc. | Methods and apparatus for securing medical instruments to desired locations in a patients body |
US6344026B1 (en) | 1998-04-08 | 2002-02-05 | Senorx, Inc. | Tissue specimen encapsulation device and method thereof |
US6261241B1 (en) * | 1998-03-03 | 2001-07-17 | Senorx, Inc. | Electrosurgical biopsy device and method |
US6497706B1 (en) | 1998-03-03 | 2002-12-24 | Senorx, Inc. | Biopsy device and method of use |
US6454727B1 (en) | 1998-03-03 | 2002-09-24 | Senorx, Inc. | Tissue acquisition system and method of use |
US6758848B2 (en) | 1998-03-03 | 2004-07-06 | Senorx, Inc. | Apparatus and method for accessing a body site |
US6875182B2 (en) | 1998-03-03 | 2005-04-05 | Senorx, Inc. | Electrosurgical specimen-collection system |
US6312429B1 (en) * | 1998-09-01 | 2001-11-06 | Senorx, Inc. | Electrosurgical lesion location device |
US6638234B2 (en) | 1998-03-03 | 2003-10-28 | Senorx, Inc. | Sentinel node location and biopsy |
US6517498B1 (en) | 1998-03-03 | 2003-02-11 | Senorx, Inc. | Apparatus and method for tissue capture |
US6540695B1 (en) | 1998-04-08 | 2003-04-01 | Senorx, Inc. | Biopsy anchor device with cutter |
US6997885B2 (en) * | 1998-04-08 | 2006-02-14 | Senorx, Inc. | Dilation devices and methods for removing tissue specimens |
US6231572B1 (en) * | 1998-05-29 | 2001-05-15 | Applied Medical Resources Corporation | Electrosurgical catheter apparatus and method |
US6679851B2 (en) | 1998-09-01 | 2004-01-20 | Senorx, Inc. | Tissue accessing and anchoring device and method |
US6482179B1 (en) | 1999-05-28 | 2002-11-19 | Cohesion Technologies, Inc. | Apparatuses, methods and compositions for closing tissue puncture openings |
US6267759B1 (en) | 1999-06-22 | 2001-07-31 | Senorx, Inc. | Shaped scalpel |
JP2003504144A (en) | 1999-07-17 | 2003-02-04 | ウイルソンークック メディカル インク. | Device to remove stones from patient's vasculature |
US6692484B1 (en) | 1999-07-17 | 2004-02-17 | Wilson-Cook Medical Incorporated | Devices for extracting biliary or urinary stones |
US6267592B1 (en) * | 1999-12-22 | 2001-07-31 | Pro Post, Inc. | Highly flexible instrument for dental applications |
CA2417988A1 (en) | 2000-08-14 | 2002-02-21 | Boston Scientific Limited | Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy |
US6579300B2 (en) | 2001-01-18 | 2003-06-17 | Scimed Life Systems, Inc. | Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy |
US6827718B2 (en) | 2001-08-14 | 2004-12-07 | Scimed Life Systems, Inc. | Method of and apparatus for positioning and maintaining the position of endoscopic instruments |
US20030060842A1 (en) * | 2001-09-27 | 2003-03-27 | Yem Chin | Method and apparatus for measuring and controlling blade depth of a tissue cutting apparatus in an endoscopic catheter |
JP4523415B2 (en) * | 2002-11-01 | 2010-08-11 | コンメッド エンドスコピック テクノロジーズ インコーポレイテッド | Small section and short tapered tip catheter |
US9408592B2 (en) | 2003-12-23 | 2016-08-09 | Senorx, Inc. | Biopsy device with aperture orientation and improved tip |
JP4940391B2 (en) | 2004-11-24 | 2012-05-30 | クック メディカル テクノロジーズ エルエルシー | Improvement of sphincterotome |
US20090204021A1 (en) * | 2004-12-16 | 2009-08-13 | Senorx, Inc. | Apparatus and method for accessing a body site |
US8360990B2 (en) | 2004-12-16 | 2013-01-29 | Senorx, Inc. | Biopsy device with aperture orientation and improved tip |
JP4745673B2 (en) * | 2005-02-02 | 2011-08-10 | Hoya株式会社 | Endoscopic high-frequency incision tool |
JP4681897B2 (en) * | 2005-02-02 | 2011-05-11 | Hoya株式会社 | Endoscopic high-frequency treatment instrument |
US7678107B2 (en) | 2005-03-10 | 2010-03-16 | Boston Scientific Scimed, Inc. | Medical needles and electrodes with improved bending stiffness |
WO2006125054A1 (en) * | 2005-05-17 | 2006-11-23 | Wilson-Cook Medical Inc. | Hemostasis flushing device |
US9095325B2 (en) | 2005-05-23 | 2015-08-04 | Senorx, Inc. | Tissue cutting member for a biopsy device |
US7572236B2 (en) * | 2005-08-05 | 2009-08-11 | Senorx, Inc. | Biopsy device with fluid delivery to tissue specimens |
US8317725B2 (en) | 2005-08-05 | 2012-11-27 | Senorx, Inc. | Biopsy device with fluid delivery to tissue specimens |
US7833223B2 (en) | 2006-05-01 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Tri-bending sphinctertome |
AU2007201675B2 (en) * | 2006-05-01 | 2012-05-24 | Ethicon Endo-Surgery, Inc. | Dual-bend sphinctertome |
US20070255303A1 (en) * | 2006-05-01 | 2007-11-01 | Ethicon Endo-Surgery, Inc. | Integrated Guidewire Needle Knife Device |
US8702720B2 (en) * | 2006-05-03 | 2014-04-22 | Cook Medical Technologies Llc | Tassel tip wire guide |
EP2018205A1 (en) * | 2006-05-19 | 2009-01-28 | Conmed Endoscopic Technologies, Inc. | Steerable medical instrument |
ATE459298T1 (en) * | 2006-09-08 | 2010-03-15 | Ethicon Endo Surgery Inc | SURGICAL INSTRUMENT FOR THE CONTROLLED PERFORMANCE OF MYOTOMIAS |
US7766909B2 (en) * | 2006-11-08 | 2010-08-03 | Boston Scientific Scimed, Inc. | Sphincterotome with stiffening member |
US7780691B2 (en) * | 2007-03-21 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Endoscopic tissue resection device |
US9345539B2 (en) * | 2007-08-17 | 2016-05-24 | Olympus Corporation | Treatment device |
US8066703B2 (en) | 2007-10-08 | 2011-11-29 | Boston Scientific Scimed, Inc. | Sphincterotome with improved orientation |
US20090312645A1 (en) * | 2008-06-16 | 2009-12-17 | Boston Scientific Scimed, Inc. | Methods and Devices for Accessing Anatomic Structures |
US20100057077A1 (en) * | 2008-09-02 | 2010-03-04 | Wilson-Cook Medical Inc. | Fep pre-curved distal tip sphincterotome |
AU2009329999B2 (en) * | 2008-12-22 | 2013-10-10 | Cook Medical Technologies Llc | Electrosurgical rotating cutting device |
US9179969B2 (en) * | 2011-06-03 | 2015-11-10 | Cook Medical Technologies Llc | Sphincterotome orientation |
CN102579084B (en) * | 2012-04-06 | 2015-11-18 | 凌亭生 | Hot biopsy forceps for duodenum lateral telescope |
US9844407B2 (en) * | 2012-12-27 | 2017-12-19 | Cook Medical Technologies Llc | Bipolar sphincterotome |
US20140276717A1 (en) * | 2013-03-15 | 2014-09-18 | Covidien Lp | Bipolar gas plasma coagulation nozzle |
EP3154456B1 (en) * | 2014-06-10 | 2020-12-30 | Kliniken der Stadt Köln gGmbH | Papillotome for percutaneous endoscopic gastrostomy |
US10524849B2 (en) | 2016-08-02 | 2020-01-07 | Covidien Lp | System and method for catheter-based plasma coagulation |
WO2018081396A1 (en) * | 2016-10-31 | 2018-05-03 | Cook Medical Technologies Llc | Medical device with a shape-memory alloy coated inner surface |
CN111050834A (en) * | 2017-09-01 | 2020-04-21 | 国际私人银行有限责任公司 | Sphincterotome devices and methods and uses thereof |
CN111065348B (en) * | 2017-09-06 | 2023-04-28 | 奥林巴斯株式会社 | High-frequency treatment tool and endoscope system |
US20210113231A1 (en) * | 2018-06-13 | 2021-04-22 | Endoscopytools, Llc | Endoscopic tools with soft tip and method |
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US2687997A (en) * | 1949-12-10 | 1954-08-31 | Marchand John Felix | Dialyzers |
BE560504A (en) * | 1956-09-05 | 1900-01-01 | ||
US3552384A (en) * | 1967-07-03 | 1971-01-05 | American Hospital Supply Corp | Controllable tip guide body and catheter |
US3828790A (en) * | 1973-02-28 | 1974-08-13 | American Cystoscope Makers Inc | Surgical snare |
US4304677A (en) * | 1978-09-05 | 1981-12-08 | The Dow Chemical Company | Method of servicing wellbores |
WO1980002499A1 (en) * | 1979-05-21 | 1980-11-27 | American Cystoscope Makers Inc | Surgical instrument for an endoscope |
JPS5917290Y2 (en) * | 1979-06-04 | 1984-05-21 | オリンパス光学工業株式会社 | High frequency knife for endoscope |
FR2504394A1 (en) * | 1981-04-28 | 1982-10-29 | Seirmi | Test probe for monitoring action of cardiac electrode - comprises flexible tube carrying X=ray opaque markings introduced via blood vessel and detectable from outside patients body |
US4759348A (en) * | 1981-09-28 | 1988-07-26 | Cawood Charles David | Endoscope assembly and surgical instrument for use therewith |
JPS6031690Y2 (en) * | 1981-12-11 | 1985-09-21 | 株式会社 メドス研究所 | High frequency dissector for endoscope |
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US4807626A (en) * | 1985-02-14 | 1989-02-28 | Mcgirr Douglas B | Stone extractor and method |
DE8605101U1 (en) * | 1986-02-26 | 1986-05-22 | Pauldrach, Georg, 3008 Garbsen | Medical cutting tool |
JPS6429254A (en) * | 1987-07-25 | 1989-01-31 | Olympus Optical Co | High frequency incision device |
JPS6432854A (en) * | 1987-07-28 | 1989-02-02 | Olympus Optical Co | High frequency incision device |
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-
1989
- 1989-03-03 US US07/318,724 patent/US5024617A/en not_active Expired - Lifetime
-
1990
- 1990-01-12 CA CA002007657A patent/CA2007657C/en not_active Expired - Lifetime
- 1990-02-05 DK DK90301154.2T patent/DK0385588T3/en active
- 1990-02-05 ES ES90301154T patent/ES2075143T3/en not_active Expired - Lifetime
- 1990-02-05 AT AT90301154T patent/ATE124855T1/en not_active IP Right Cessation
- 1990-02-05 EP EP90301154A patent/EP0385588B1/en not_active Expired - Lifetime
- 1990-02-05 DE DE69020757T patent/DE69020757T2/en not_active Expired - Lifetime
- 1990-02-19 AU AU49939/90A patent/AU621198B2/en not_active Expired
- 1990-03-02 JP JP2051601A patent/JPH0653125B2/en not_active Expired - Lifetime
- 1990-09-20 US US07/585,862 patent/US5075062A/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
ATE124855T1 (en) | 1995-07-15 |
ES2075143T3 (en) | 1995-10-01 |
CA2007657C (en) | 1999-08-10 |
JPH02279151A (en) | 1990-11-15 |
DE69020757D1 (en) | 1995-08-17 |
EP0385588B1 (en) | 1995-07-12 |
DK0385588T3 (en) | 1995-08-21 |
DE69020757T2 (en) | 1996-02-22 |
EP0385588A2 (en) | 1990-09-05 |
JPH0653125B2 (en) | 1994-07-20 |
EP0385588A3 (en) | 1991-09-04 |
US5024617A (en) | 1991-06-18 |
AU4993990A (en) | 1990-09-06 |
AU621198B2 (en) | 1992-03-05 |
US5075062A (en) | 1991-12-24 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKEX | Expiry |