Controllable endoscopic sheath apparatus and related method of use

US00795l072B2

(12) Ullltfild States Patent (10) Patent No.: US 7,951,072 B2 Adams et al. (45) Date of Patent: *May 31, 2011 (54) CONTROLLABLE ENDOSCOPIC SHEATH (56) References Cited APPARATUS AND RELATED METHOD OF USE U.S. PATENT DOCUMENTS 3,896,793 A 7/1975 Mitsui et al. (75) Inventors: Ronald Adams, Holliston, MA (US); Q * fieniiyn ~~~~~~~~~~~~~~~~~~~~~~ ~~ 600/106 - - _ , , usnlt Michael Banik, Bolton, MA (US), 4,646,722 A ,,, 2/1987 Snversiein ei ei, ,,,,,,,,, H 600/104 Charles Pllgsley, Pe1han1,NH(U$) 4,676,229 A 6/1987 KfaSn1Cl<1 et al. 4,686,965 A 8/1987 Bormet et al. (73) Assignee: Boston Scientific Scimed, Inc., Maple (Continued) Grove, MN (US) FOREIGN PATENT DOCUMENTS ( * ) Notice: Subject, to any disclaimer, the term ofthis DE 42 28 459 Al 2/1994 patent is extended or adjusted under 35 C t. d U.S.C. 154(b) by 643 days. 1 an ‘nae 1 This patent is subject to a tenninal dis- OTHER PUBLICATIONS claimer. Japanese Abstract No. 63292935. (21) Appl. No.: 11/415,41s (e°mln“e‘l) _ _ Primary Examiner — Matthew J Kasztejna (22) Bled‘ May 2’ 2006 (74) Attorney, Agent, or Firm — Finnegan, Henderson, (65) Prior Publication Data Farabow’ Garrett & Dunner’ LLP US 2006/0264705 A1 Nov. 23, 2006 (57) ABsT_RZ_e_CT _ A controllable sheath for optimizing the control of surgical Related U_s_ Application Data instruments at the operation site includes a flexible sheath _ _ _ _ surrounding an endoscope and including a lumen extending (63) Cellllllllallell of aPP11eal1Ol1 Ne- 10/724>740> filed en along the walls of the sheath and adjacent to the endoscope. Dee 2, 2003, HOW 1931- N0- 7,070,559, W111e11 15 3 The lumen pennits the passage of surgical instruments from C011l111l~l3l1011 Of 3PP11C3T1011 N0- 09/725,814, filed 011 the proximal end of the endoscopic device to the operation NOV. 30, 2000, HOW Pat. NO. 6,761,685, WhiCh iS 8 site. The lumen extends beyond the distal end of the endocontinuation of application No. 09/267,109, filed on scope and deflects at the distal end as desired by the operator’s Mar. 12, 1999, now Pat. No. 6,179,776. manipulation of a controller device. This distal end deflection may occur through various different techniques where the (51) Int. Cl. ability to deflect the lumen gives the operator increased conA61B 1/00 (2006.01) trol and maneuverability over the surgical implements (52) U.S. Cl. ...... .. 600/121; 600/114; 600/143; 600/144; leented intne 1111nen~ Depending llP°l1l11e Pn1tiet11e11eqt1i1e600/146 ments of the surgical procedure, the controllable sheath may (53) Field of Classification Search ................ .. 600/104, “made any number °f lumens °aPab1e °f dlstal and defle“

tion.

23 Claims, 13 Drawing Sheets

36
\ 43

@

Page 2

U.S. PATENT DOCUMENTS 5,944,654 A : 3/1999 Crawford .................... ,, 600/157 4,697,576 A 10/1987 Ifiauter §’3§i1"S§§ 2 ,, 3/1333 3222 ‘$32713? 41741326 A 5/1988 Si6‘*116“11~ 5,997,547 A * 12/1999 Nakao,,e,t,a1 , 606/114 4,793,326 A 12/1988 Shishido ~~~~~~~~~~ ~~ 356/2414 6,066,090 A 5/2000 Yoon , ,,,,,,,,,,,,,,,, ,, 4,886,049 A 12/1989 D66“ 6,071,233 A * 6/2000 Ishikawa 61 al 600/104 5,025,778 A 6/1991 Silverstein et 31~ ~~~~~~~~~ ~~ 600/104 6,099,464 A >1< 8/2000 Shimizu et al, ,,,,,,,,,,,, ,, 600/104 511001420 A 3/1992 6666“ 6‘ 61" 6,106,521 A * 8/2000 Blewett 61211, , 606/41 5.109.830 A 5/1992 Che ............................ .. 600/108 6325633 A 10/2000 Kajietal ' """""""" " 5,171,222 A 12/1992 E“‘6“6“6T6“‘1~ 6,352,503 131* 3/2002 Matsuietal 600/104 5,217,001 A 6/1993 N3-kao et 3-1~ ~~~~~~~~~~~~~~~~ ~~ 600/123 6,849,042 B2>1< 2/2005 Christopher, ,,,,,,,,,,,,,,, ,, 600/156 512261876 A 7/1993 Filipi 6‘ 61" 7,029,435 132* 4/2006 Nakao , , 600/153 51259366 A 11/1993 R6Y661 6161 7,261,728 132* 8/2007 Longetal ,,,, ,, ,606/207 5,345,937 A 9/1994 Middleman etal. ’ ’ ' """"""""" " 5,383,849 A 1/ 1995 Johlin FOREIGN PATENT DOCUMENTS 5,386,818 A 2/1995 Schneebaum G131. ...... .. 600/104 5,423,830 A 6/1995 Schneebaum G131. ...... .. 606/115 DE 197 49 687 A1 5/1998 5,503,616 A 4/1996 Jones EP 6667126 A1 8/1995 5,538,497 A 7/1996 H011 ............................ .. 600/182 5,607,435 A 3/1997 Sachdeva et al. OTHER PUBLICATIONS 5,662,585 A 9/1997 Willis 61 al. ................. .. 600/104 5,746,692 A 5/1993 Bacich et a1, Derwent Abstract ofDE 197 49 687 A1. 5,749,323 A 5/1993 5010111011 0161, International Preliminary Examination Report dated Apr. 25, 2001. 5,749,889 A 5/1998 Bacich 61 al. ............... .. 606/198 5,820,546 A 10/1998 Ouchi ......................... .. 600/123 * cited by examiner

1% 13 18 16 14

17 20

FIG. 1

PRIOR ART