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WO1994005200B1 - Sterilizable endoscope with separable disposable tube assembly - Google Patents

Sterilizable endoscope with separable disposable tube assembly

Info

Publication number
WO1994005200B1
WO1994005200B1 PCT/US1993/008292 US9308292W WO9405200B1 WO 1994005200 B1 WO1994005200 B1 WO 1994005200B1 US 9308292 W US9308292 W US 9308292W WO 9405200 B1 WO9405200 B1 WO 9405200B1
Authority
WO
WIPO (PCT)
Prior art keywords
capsule
section
endoscope
channel
optical section
Prior art date
Application number
PCT/US1993/008292
Other languages
French (fr)
Other versions
WO1994005200A1 (en
Filing date
Publication date
Application filed filed Critical
Priority to CA002143639A priority Critical patent/CA2143639C/en
Priority to JP50744994A priority patent/JP3421038B2/en
Priority to EP93921317A priority patent/EP0658090B1/en
Priority to DE69321963T priority patent/DE69321963T2/en
Publication of WO1994005200A1 publication Critical patent/WO1994005200A1/en
Publication of WO1994005200B1 publication Critical patent/WO1994005200B1/en

Links

Abstract

An endoscope (E, E', E'') has a sterilizable, reusable, elongated, optical capsule section (C, C') and a separable, disposable, sterile channel section (S). The capsule (C, C') has a window at a distal end in front of an image sensor (14). Image transmitting electronic cables (16), connected to the image sensor (14), extend proximally from the capsule (C, C'). Light transmitting fibers (20) extend from the window proximally for transmitting light to a site under investigation from a remote light source. The channel section (S) is removably attached in a fixed position to the capsule (C) and has plurality of longitudinal channels (24, 26) for transmitting fluids or for receiving an operative instrument. A flexible tube is connected to the proximal end of each channel for supplying fluid or for manipulating the operative instrument from a remote location. The separable section (S) is disposable after use. An umbilicated balloon catheter (130) or a telescopic catheter (160) can be used to position the tethered endoscope (E) in a passageway. Circumferentially spaced fluid vents (176) can supply jets of gas or liquid selectively to position the endoscope (E). Alternatively, a magnet (184) can be used for manipulating a cpasule (C) with a ferrous housing along a passageway by use of a strong magnet (184) located exteriorally thereof.

Claims

-AMENDED CLAIMS[received by the International Bureau on 21 March 1994 (21.03.94); original claims 1-29 replaced by amended claims 1-29 (14 pages)]
1. An improved endoscope having a sterilizable optical section with a distal portion and a throwaway sterile channel section having a distal portion connected only to said distal portion of said optical section, said endoscope comprising: an optical section which includes: an elongated capsule formed at said distal portion of said optical section having a substantially cylindrical housing with a transparent window, said capsule housing having a first mating surface to facilitate attachment of said capsule to the distal portion of said channel section; an image sensor mounted adjacent said window within said capsule; an image transmitting electronic cable having a distal end connected to said image sensor and extending proximally from said capsule to form a first part of a proximal portion of said optical section, for transmitting an image signal from said image sensor to a video control unit and then to a remote image display device; and at least one light transmitting fiber having a distal end adjacent said window within said capsule and extending proximally from said capsule to form a second part of said proximal portion of said optical section, for transmitting light to a site under investigation from a remote light source; and a sterile throwaway channel section which includes: a tube assembly formed as a distal portion of said sterile throwaway channel section and having at least one longitudinal channel for transmitting fluids or for receiving an operative instrument, said tube assembly having a second mating surface which complements the shape of said first mating surface to facilitate attachment of said tube assembly to said capsule; a flexible tube connected to said channel at the proximal end of said tube assembly for supplying fluid or for manipulating the operative instrument from a remote location, said tube forming a proximal portion of said channel section which is positionable adjacent to but separate from said proximal portion of said optical section; and means for releasably attaching said tube assembly to said capsule so that said first mating surface of said capsule housing is held in mating relationship with said second mating surface of said tube assembly, said separable section being disposable after use on a patient, said capsule being sterilizable for reuse with another new sterile separable section on the next patient.
2. Apparatus, as claimed in claim 1, wherein: said proximal portion of said optical section further includes a common conduit in which said image transmitting electronic cable and said light transmitting fiber are housed, said common conduit being connected to and extending proximally from said capsule.
3. Apparatus, as claimed in claim 1, wherein: said tube assembly is configured to form part of said cylindrical housing and said second mating surface includes a longitudinal key which is slidably engageable with a longitudinal keyway in said first mating surface of said housing.
4. Apparatus, as claimed in Claim 1, wherein: said capsule is no larger than a medicinal capsule.
5. Apparatus, as claimed in Claim 2, wherein: said capsule has a diameter of 0.7 cm and a length of 1.5 cm; and said conduit has a diameter of 1/16 inches.
6. Apparatus, as claimed in Claim 1, further including: at least three fluid vents equally spaced around the periphery of said capsule; and a fluid delivery tube connected to each of said fluid vents to selectively supply a gas or liquid thereto to guide said capsule through a passageway.
7. Apparatus, as claimed in Claim 1, wherein: said capsule is an end viewing device.
8. Apparatus, as claimed in Claim 1, further including: a prism between said image sensor and said window, said window being mounted on the side of said capsule so that said capsule is a side viewing device.
9. Apparatus, as claimed in claim 1, wherein said attaching means includes: a longitudinal key on one of said first and second mating surfaces; and a longitudinal keyway on the other of said first and second mating surfaces for releasably attaching said channel section to said capsule.
10. Apparatus, as claimed in Claim 1, wherein said attaching means includes: an elastic band extending around said capsule and said channel section.
11. Apparatus, as claimed in Claim 1, wherein said attaching means includes: a ferrous material on one of said capsule and said channel section; and a magnetic strip on the other of said capsule and said channel section for releasably attaching said channel section to said capsule.
12. An improved endoscope having a sterilizable optical section with a distal portion and a throwaway sterile channel section having a distal portion connected only to said distal portion of said optical section, said endoscope comprising: an optical section which includes: an elongated capsule formed at said distal portion of said optical section having a substantially cylindrical housing with a transparent window, said capsule housing having a first mating surface to facilitate attachment of said capsule to the distal portion of said channel section; an image sensor mounted adjacent said window within said capsule; a proximal portion of said optical section in the form of a conduit connected to said proximal end of said housing; an image transmitting electronic cable having a distal end connected to said image sensor and extending proximally from said capsule through said conduit for transmitting an image signal from said image sensor to a camera and then to a video control unit and then to a remote image display device; a plurality of optical fibers having distal ends adjacent said windows at least partially surrounding said image sensor and extending proximally through said conduit; and a generally flat relief along one side of said capsule; and a sterile throwaway channel section which includes: a tube assembly having a flat side engageable with said flat relief and having a cylindrical section with the same radius as the radius of said housing so that when said capsule and said tube assembly are together said tube assembly completes the cylindrical shape of said housing, said tube assembly further including a plurality of longitudinal channels therethrough, including at least one fluid transmitting channel and at least one operative channel; releasable locking means for connecting said flat relief and said flat side together to hold said capsule and said tube assembly in fixed relationship with respect to each other, said separable section being disposable after use on a patient, said capsule being sterilizable for reuse with another new sterile separable section on the next patient; and a flexible tube connected to the proximal end of said channel of said tube assembly for supplying fluid or for manipulating the operative instrument from a remote location, said tube forming a proximal portion of said channel section which is positionable adjacent to but separate from said proximal portion of said optical section.
13. Apparatus, as claimed in Claim 12, wherein: said releaεable locking means comprises: a longitudinal keyway in one of said flat relief and said flat side; and a longitudinal key in the other of said flat relief and said flat side for longitudinal sliding and locking engagement with each other.
14. An improved endoscope having a sterilizable optical or electro-optical section and a throwaway sterile channel section, said endoscope comprising: a sterilizable optical section having light transmitting and image receiving means mounted within an elongated sterilizable steerable sleeve, said section having a distal end and a proximal end; a separable, throwaway sterile section releasably connected to said optical section in a fixed position, said throwaway section including at least one passageway for supplying fluid or for receiving an operative device.
15. Apparatus, as claimed in Claim 14, wherein said throwaway section further includes: a distal housing releasably connected to said distal end of said optical section and having at least one longitudinal channel therethrough; a proximal housing releasably connected to said proximal end of said optical section and having at least one longitudinal channel therethrough; and a tube interconnecting each channel of said distal channel with a corresponding channel of said proximal housing to form each said passageway.
16. Apparatus, as claimed in Claim 15, further including: a first releasable locking means for releasably connecting said distal housing to said distal end of said optical section; and a second releasable locking means for releasably connecting said proximal housing to said proximal end of said optical section.
17. Apparatus, as claimed in Claim 16, wherein each of releasable locking means comprises: a longitudinal channel in one of said optical section and said housing; and a longitudinal key in the other of said optical section and said housing for mating engagement with said channel.
18. An improved endoscope having sterilizable optical section with a distal portion and a throwaway sterile channel section having a distal portion connected only to said distal portion of said optical section, said endoscope comprising: an optical section which includes: an elongated capsule formed at said distal portion of said optical section having a substantially cylindrical housing with a transparent window, said capsule housing having a first mating surface to facilitate attachment of said capsule to the distal portion of said channel section; an image sensor mounted adjacent said window within said capsule; an image transmitting electronic cable having a distal end connected to said image sensor and extending proximally from said capsule to form a first part of a proximal portion of said optical section, for transmitting an image signal from said image sensor to a video control unit and then to a remote image display device; and at least one light transmitting fiber having a distal end adjacent said window within said capsule and extending proximally from said capsule to form a second part of said proximal portion of said optical section, for transmitting light to a site under investigation from a remote light source; said proximal portion of said optical section further includes a common conduit connected to said proximal end of said capsule housing through which said image transmitting electronic cable and said light transmitting fiber extend; an umbilicated balloon catheter having a tubular wall with an inflatable balloon adjacent a distal end thereof, said capsule being positioned just beyond said distal end of said catheter with said conduit extending therethrough; and at least one longitudinal channel extending longitudinally within said tubular wall in fluid communication with said balloon for inflation off said balloon to center said capsule in a passageway into which said catheter has been introduced to protect the passageway as said endoscope is moved along the passageway.
19. An improved endoscope having a sterilizable optical section with a distal portion and a throwaway sterile channel section having a distal portion connected only to said distal portion of said optical section, said endoscope comprising: an optical section which includes: an elongated capsule formed at said distal portion of said optical section having a substantially cylindrical housing with a transparent window, said capsule housing having a first mating surface to facilitate attachment of said capsule to the distal portion of said channel section; an image sensor mounted adjacent said window within said capsule; an image transmitting electronic cable having a distal end connected to said image sensor and extending proximally from said capsule to form a first part of a proximal portion of said optical section, for transmitting an image signal from said image sensor to a video control unit and then to a remote image display device; and at least one light transmitting fiber having a distal end adjacent said window within said capsule and extending proximally from said capsule to form a second part of said proximal portion of said optical section, for transmitting light to a site under investigation from a remote light source; said proximal portion of said optical section further includes a common conduit connected to said proximal end of said capsule housing through which said image in transmitting electronic cables and said light transmitting fiber extend; and a telescopic catheter having an outer tubular wall folded back upon itself as a distal end of said catheter at a distal location to form an inner tubular wall telescoped within said outer wall; a generally cylindrical housing in which the telescoped portion of said inner wall is stored before expansion, said housing including a distal end to which said proximal end of said outer wall is attached and a proximal end to which said proximal end of said inner wall is attached, said capsule being positioned just beyond said distal end of said catheter with said conduit extending through said inner tubular wall and out said proximal end of said housing; and means in said housing for admitting gas under pressure into the space between said inner and outer tubular walls to expand said catheter so that said distal end moves in a distal direction to push said capsule in said distal direction.
20. A separable channel device for use with a conventional endoscope having a body with a distal end and channels for transmitting fluids or receiving operative instruments, said device comprising: a heat shrinkable sheath for placing over the distal end and a substantial portion of the body in sealing relationship thereto; a separable channel section having at least one longitudinal channel therethrough; a tube attached to said channel for passage of fluid or an operative instrument; and means for releasably attaching said channel section to said sheath adjacent the distal end of the endoscope in a fixed position.
21. Apparatus, as claimed in Claim 20, wherein: said channel section has a concave surface to receive said sheath at the distal end of the endoscope.
22. Apparatus, as claimed in Claim 20, wherein: said attaching means is a sterile elastic band.
23. Apparatus, as claimed in Claim 20, further including: a pull string attached to and running substantially the entire length of said sheath for ripping said sheath apart to remove said sheath from the endoscope after use.
24. A method of examining an operative site in the body of a patient and performing the necessary operative procedures with a conventional endoscope, said endoscope having a body with a distal end and channels for transmitting fluids or receiving operative instruments, said method comprising the steps of: placing a sterile heat shrinkable sheath over the distal end and a substantial portion of the body; applying heat along the sheath to shrink it into sealing engagement with the endoscope body; removably attaching a sterile channel section to the distal end of the endoscope body around the sheath in a fixed position, inserting the endoscope with attached channel section into a body passageway of the patient to the desired site; investigating the site through the endoscope; carrying out necessary operative procedures through the tube assembly; removing the endoscope and tube assembly from the passageway; separating the channel section from the endoscope and throwing the channel section away; and removing the sheath from the endoscope and throwing it away.
25. A method, as claimed in Claim 24, wherein: said step of removing the sheath includes: ripping the sheath longitudinally from one end to the other.
26. A method of examining a patient with an endoscope comprising: attaching a distal end of a sterile disposable tube assembly in a fixed position to the distal end only to a sterilizable endoscope having suitable optics for transmitting light to a site under investigation and reproducing an image of the site at a remote location; inserting the endoscope with attached tube assembly into a body passageway of the patient to the desired site; investigating the site through the endoscope; carrying out necessary operative procedures through the tube assembly; removing the endoscope and tube assembly from the passageway; separating the tube assembly from the endoscope and throwing the tube assembly away; sterilizing the endoscope; and attaching a new sterile tube assembly to the sterilized endoscope.
27. An improved endoscope having a sterilizable optical section with a distal portion and a throwaway sterile channel section having a distal portion connected only to said distal portion of said optical section, said endoscope comprising: an optical section which includes: an elongated member formed at said distal portion of said optical section having a substantially cylindrical housing with a transparent window, said member having a first mating surface to facilitate attachment of said capsule; to the distal portion of said channel sectio ; an image sensor mounted adjacent said window within said member; an image transmitting electronic cable having a distal end connected to said image sensor and extending proximally from said member to form a first part of a proximal portion of said optical section, for transmitting an image signal from said image sensor to a video control unit and then to a remote image display device; and at least one light transmitting fiber having a distal end adjacent said window within said member and extending proximally from said member to form a second part of said proximal portion of said optical section, for transmitting light to a site under investigation from a remote light source; and a separable channel section having at least one longitudinal channel for transmitting fluids for receiving an operative instrument; means for releasably attaching said separable channel section to said member; and a flexible tube connected to the proximal end of said channel for supplying fluid or for manipulating the operative instrument from a remote location, said separable section being disposable after use on a patient, said member being sterilizable for reuse with another new sterile separable section on another patient.
28. Apparatus, as claimed in claim 27, wherein: 46
said proximal portion of said optical section further includes a common conduit in which said image transmitting electronic cable and said light transmitting fiber are housed, said common conduit being connected and extending proximally from said capsule.
29. Apparatus, as claimed in claim 27, wherein: said tube assembly is configured to form part of said cylindrical housing and said second mating surface includes a longitudinal key which is slidably engageable with a longitudinal keyway in said first mating surface of said housing.
PCT/US1993/008292 1992-09-01 1993-08-27 Sterilizable endoscope with separable disposable tube assembly WO1994005200A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CA002143639A CA2143639C (en) 1992-09-01 1993-08-27 Sterilizable endoscope with separable disposable tube assembly
JP50744994A JP3421038B2 (en) 1992-09-01 1993-08-27 Sterilizable endoscope having a detachable disposable tube assembly
EP93921317A EP0658090B1 (en) 1992-09-01 1993-08-27 Sterilizable endoscope with separable disposable tube assembly
DE69321963T DE69321963T2 (en) 1992-09-01 1993-08-27 STERILIZABLE ENDOSCOPE WITH A DETACHABLE DISPOSABLE PIPE ARRANGEMENT

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US93862992A 1992-09-01 1992-09-01
US938,629 1992-09-01

Publications (2)

Publication Number Publication Date
WO1994005200A1 WO1994005200A1 (en) 1994-03-17
WO1994005200B1 true WO1994005200B1 (en) 1994-04-28

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1993/008292 WO1994005200A1 (en) 1992-09-01 1993-08-27 Sterilizable endoscope with separable disposable tube assembly

Country Status (6)

Country Link
US (1) US5489256A (en)
EP (1) EP0658090B1 (en)
JP (1) JP3421038B2 (en)
CA (1) CA2143639C (en)
DE (1) DE69321963T2 (en)
WO (1) WO1994005200A1 (en)

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