344 results about "Bronchoscopes" patented technology

Apparatus, methods, and kits, are provided for use in combination with a conventional bronchoscope or other lung viewing scope. In particular, sheaths having an inflatable cuff at their distal end are provided to receive a viewing scope through a lumen thereof. The sheaths thus provide an inflatable cuff on a viewing scope assembly so that the scope can be used in procedures which require selective isolation of regions of a patient's lungs. In particular embodiments, the sheaths may include stop elements for properly positioning a viewing scope therein, pressure transducers for providing accurate lung pressure information during procedures, and the like. Methods for using and forming sheaths having inflatable cuffs are also described.

The invention provides methods and apparatus for navigating a medical instrument to a target in the lung. In one embodiment, the invention includes inserting a bronchoscope into the lung, inserting a catheter into the lung through the working channel of the bronchoscope, inserting a tracked navigation instrument wire into the lung through the catheter, navigating the tracked navigation instrument through the lung to the target, advancing the catheter over the tracked navigation instrument to the target, removing the tracked navigation instrument from the catheter, and inserting a medical instrument into the catheter, thus bringing the medical instrument in proximity to the target.

Methods, devices, and systems are described herein that allow for improved sampling of tissue from remote sites in the body. A tissue sampling device comprises a handle allowing single hand operation. In one variation the tissue sampling device includes a blood vessel scanning means and tissue coring means to excise a histology sample from a target site free of blood vessels. The sampling device also includes an adjustable stop to control the depth of a needle penetration. The sampling device may be used through a working channel of a bronchoscope.

Systems, methods and devices for performing pulmonary procedures, and in particular treating lung disease. A flow control element includes a valve that prevents airflow in the inhalation direction but permits airflow in the exhalation direction. The flow control element is guided to and positioned at the site by a bronchoscope that is introduced into the patient's trachea and used to view the lungs during delivery of the flow control element. The valve may include one, two or more valve elements, and it may be collapsible for easier delivery. A source of vacuum or suction may be used to increase the amount of fluid withdrawn from the lung tissue. A device for measuring hollow structures, such as bronchioles, and a device for removing a previously-placed flow control element are disclosed as well.

Systems and methods employing a small gauge steerable catheter (30) including a locatable guide (32) with a sheath (40), particularly as an enhancement to a bronchoscope (14). A typical procedure is as follows. The location of a target in a reference coordinate system is detected or imported. The catheter (30) is navigated to the target which tracking the distal tip (34) of the guide (32) in the reference coordinate system. Insertion of the catheter is typically via a working channel of a convention bronchoscope. Once the tip of the catheter is positioned at the target, the guide (32) is withdrawn, leaving the sheath (40) secured in place. The sheath (40) is then used as a guide channel to direct a medical tool to target.

Systems, methods and devices for performing pulmonary procedures, and in particular treating lung disease. A flow control element includes a valve that prevents airflow in the inhalation direction but permits airflow in the exhalation direction. The flow control element is guided to and positioned at the site by a bronchoscope that is introduced into the patient's trachea and used to view the lungs during delivery of the flow control element. The valve may include one, two or more valve elements, and it may be collapsible for easier delivery. A source of vacuum or suction may be used to increase the amount of fluid withdrawn from the lung tissue. A device for measuring hollow structures, such as bronchioles, and a device for removing a previously-placed flow control element are disclosed as well.

In an endoscope device 1 in accordance with the present invention, a navigation screen 51 is displayed. The navigation screen 51 includes: an endoscopic live image display area 52 in which a live image produced by a bronchoscope 2 is displayed; a VBS image display area 53 in which a VBS image is displayed; and a thumbnail VBS image area 54 in which images constructed by reducing VBS images that represent all branch points on a route are displayed as thumbnail VBS images representing branch points. Consequently, an endoscope can be reliably navigated to reach a target region using guide images that represent actual branch positions.

An analyzing unit 9 is connected to an inserting-operation information collecting unit 5, an endoscope video output unit 6, and a processing device 2, and receives live inserting-operation information and endoscope image, standard inserting-operation information as stored information, and an endoscope image correlated therewith (endoscope image which is obtained by picking up an image of a sample at the position of a distal-end portion of an inserting portion detected based on the inserting-operation information). The analyzing unit 9 collects in real time the inserting-operation information and the endoscope image from the inserting-operation information collecting unit 5 and the endoscope video output unit 6 under the bronchoscope operation of an operator. Further, the analyzing unit 9 sequentially analyzes the collected inserting-operation information and endoscope image by comparing with the standard inserting-operation information and endoscope image correlated with the inserting-operation information, which are stored in a storing unit 2A of the processing device 2, outputs an analysis result to a notifying unit 10, and monitors the inserting operation of the endoscope inserting portion performed by the operator.

In an endoscope device 1 in accordance with the present invention, a navigation screen 51 is displayed. The navigation screen 51 includes: an endoscopic live image display area 52 in which a live image produced by a bronchoscope 2 is displayed; a VBS image display area 53 in which a VBS image is displayed; and a thumbnail VBS image area 54 in which images constructed by reducing VBS images that represent all branch points on a route are displayed as thumbnail VBS images representing branch points. Consequently, an endoscope can be reliably navigated to reach a target region using guide images that represent actual branch positions.

A clip or flexible handles extension facilitate simultaneous retention and operation of a bronchoscope and associated bronchoscopic tools held in one hand to allow operation by a single practitioner. Also provided is an adapter for the connection port of the working channel of a bronchoscope which performs both sealing and tool-locking functions. Also disclosed is a guide sheath arrangement with a reduced flexibility proximal portion to facilitate insertion of tools into the guide sheath.

Systems and methods employing a small gauge steerable catheter (30) including a locatable guide (32) with a sheath (40), particularly as an enhancement to a bronchoscope (14). A typical procedure is as follows. The location of a target in a reference coordinate system is detected or imported. The catheter (30) is navigated to the target which tracking the distal tip (34) of the guide (32) in the reference coordinate system. Insertion of the catheter is typically via a working channel of a convention bronchoscope. Once the tip of the catheter is positioned at the target, the guide (32) is withdrawn, leaving the sheath (40) secured in place. The sheath (40) is then used as a guide channel to direct a medical tool to target.

A system for performing a surgical procedure includes a bronchoscope, monitoring equipment coupled to the bronchoscope, a tracking system, a positioning assembly, and a biopsy tool. The biopsy tool includes an elongated flexible body extending from a proximal end to a distal end and a biopsy member formed on the distal end of the elongated flexible body. The biopsy member includes a tissue-receiving portion defining an opening including sharpened edges. The sharpened edges are disposed on the interior perimeter of the opening and are capable of cutting tissue. A biopsy tool is also provided.

Systems and methods employing a small guage steerable catheter (30) including a locatable guide (32) with a sheath (40), particularly as an enhancement to a bronchoscope (14). A typical procedure is as follows. The location of a target in a reference coordinate system is detected or imported. The catheter (30) is navigated to the target which tracking the distal tip (34) of the guide (32) in the reference coordinate system. Insertion of the catheter is typically via a working channel of a convention bronchoscope. Once the tip of the catheter is positioned at the target, the guide (32) is withdrawn, leaving the sheath (40) secured in place. The sheath (40) is then used as a guide channel to direct a medical tool to target.

A bronchoscope adapter is configured for one hand operation by providing a slide lock that is captured within a housing and a retaining nut that can be operated with a single finger or thumb. Rotation of the retaining nut is eased by isolating rotational force from a compression block with a spacer ring.

Methods, devices, and systems are described herein that allow for improved sampling of tissue from remote sites in the body. A tissue sampling device comprises a handle allowing single hand operation. In one variation the tissue sampling device includes a blood vessel scanning means and tissue coring means to excise a histology sample from a target site free of blood vessels. The sampling device also includes an adjustable stop to control the depth of a needle penetration. The sampling device may be used through a working channel of a bronchoscope.

A clip or flexible handles extension facilitate simultaneous retention and operation of a bronchoscope and associated bronchoscopic tools held in one hand to allow operation by a single practitioner. Also provided is an adapter for the connection port of the working channel of a bronchoscope which performs both sealing and tool-locking functions. Also disclosed is a guide sheath arrangement with a reduced flexibility proximal portion to facilitate insertion of tools into the guide sheath.

The present invention provides a suction dome for atraumatically grasping, manipulating, and / or extracting tissues. The suction dome may be used with a surgical instrument having a suction channel. Such instruments include, for example: forceps, laparoscopes, endoscopes, bronchoscopes, and catheters. The suction dome comprises an outer wall non-permeable membrane and a tissue-engaging permeable membrane base. The non-permeable membrane may be supported by a plurality of expanding arms and defines a chamber in communication with the suction channel of the instrument.

An analyzing unit 9 is connected to an inserting-operation information collecting unit 5 , an endoscope video output unit 6 , and a processing device 2 , and receives live inserting-operation information and endoscope image, standard inserting-operation information as stored information, and an endoscope image correlated therewith (endoscope image which is obtained by picking up an image of a sample at the position of a distal-end portion of an inserting portion detected based on the inserting-operation information). The analyzing unit 9 collects in real time the inserting-operation information and the endoscope image from the inserting-operation information collecting unit 5 and the endoscope video output unit 6 under the bronchoscope operation of an operator. Further, the analyzing unit 9 sequentially analyzes the collected inserting-operation information and endoscope image by comparing with the standard inserting-operation information and endoscope image correlated with the inserting-operation information, which are stored in a storing unit 2 A of the processing device 2 , outputs an analysis result to a notifying unit 10 , and monitors the inserting operation of the endoscope inserting portion performed by the operator.

In an endoscope device 1 in accordance with the present invention, a navigation screen 51 is displayed. The navigation screen 51 includes: an endoscopic live image display area 52 in which a live image produced by a bronchoscope 2 is displayed; a VBS image display area 53 in which a VBS image is displayed; and a thumbnail VBS image area 54 in which images constructed by reducing VBS images that represent all branch points on a route are displayed as thumbnail VBS images representing branch points. Consequently, an endoscope can be reliably navigated to reach a target region using guide images that represent actual branch positions.

A medical device is provided for insertion into a cavity of a patient to visual the internal membranes of the patient. The medical device can be an endotracheal tube, a suction tube, a bronchoscope, a tube changer, an esophageal tube, an intubating tube, an esophageal tube in combination with a separate intubating tube, a device for manipulating the position of the epiglottis of the patient, a stylet, or a tube insertable into the vagina of the patient. The medical device has a camera lumen having a sealed window at one end thereof attached thereto, and a separate camera which is insertable into the camera lumen and is removable from the camera lumen. The camera is used to monitor the internal membranes of the patient during the medical procedure.

A co-axial oral intubation device includes a generally J-shaped blade (flat or curved) with handle portion to deliver a flexible airway instrument, such as a fiber optic bronchoscope, when coupled to the blade into the trachea of a patient for subsequent co-axial intubation with the flexible airway instrument. The blade is long enough that the handle portion remains outside the patient for manipulation, after insertion into the patient's airway. An enclosed guide is coupled to the back side of the blade, conforming to the blade, for guiding and holding the flexible airway instrument. An oral intubation system includes the co-axial oral intubation device, together with a flexible airway instrument.

A catheter system can include an electrical adapter and a catheter. The electrical adapter includes a hollow adapter body having a longitudinally extending channel and an electrical terminal positioned within the channel. The electrical adapter can be configured to connect to an energy source. The catheter can include an elongated body having a proximal end portion and a distal end portion, and an electrical connector coupled to the proximal end portion. The electrical connector forms the outer periphery of the catheter along a portion of the longitudinal length of the catheter. The electrical terminal and the electrical connector contact each other when the electrical connector is advanced through the channel to an electrical contact position in the channel, and are isolated from each other when the electrical connector is proximal of the electrical contact position.

A medical device is provided for insertion into a cavity of a patient to visual the internal membranes of the patient. The medical device can be an endotracheal tube, a suction tube, a bronchoscope, a tube changer, an esophageal tube, an intubating tube, an esophageal tube in combination with a separate intubating tube, a device for manipulating the position of the epiglottis of the patient, a stylet, or a tube insertable into the vagina of the patient. The medical device has a camera lumen having a sealed window at one end thereof attached thereto, and a separate camera which is insertable into the camera lumen and is removable from the camera lumen. The camera is used to monitor the internal membranes of the patient during the medical procedure.

This invention relates to an endoscope, particularly a bronchoscope, incorporating one or more multifunctional component made of a material that is multifunctional. The endoscopes of this invention comprise at least one multifunctional component having more than one function wherein the functions were previously performed separately by individual components.

A multiple biopsy device has a number of chambers into which tissue samples are received. A cutting mechanism, such as a blade, moves relative to the chambers to cut a tissue sample that is within a chamber. In one embodiment of the invention, the multiple biopsy device is removably secured to the distal end of an endoscope / bronchoscope.

A face mask assembly according to the present invention, includes a mask body. The inside of the mask body is of a size and shape to substantially conformally fit over the oral and nasal region of a patient's face. The mask body forms a receptacle and an opening above the receptacle. The face mask assembly also includes an inlet connection device connected to the receptacle and a hose connected to the inlet connection device. The hose is in open communication with the inside of the mask body to supply gas, normally oxygen. The opening formed above the receptacle is of sufficient size and shape to allow use of a medical scope such as an endoscope or a bronchoscope or a transesophogeal echocardiography scope or similar device. A closure flap substantially closes the opening when the opening is not being used for a medical scope. A port, also connected to the receptacle, is used to sample end of tidal carbon dioxide.

Near-infrared Raman spectroscopy can be applied to identify preneoplastic lesions of the bronchial tree. Real-time in vivo Raman spectra of lung tissues may be obtained with a fiber optic catheter passed down the instrument channel of a bronchoscope. Using prototype apparatus, preneoplastic lesions were detected with sensitivity and specificity of 96 and 91% respectively. The use of Raman spectroscopy apparatus and methods in conjunction with other bronchoscopy imaging modalities can substantially reduce the number of false positive results.

A medical device for performing a bronchoalveolar lavage (BAL) that includes a tubing having a first lumen configured for communication with a first reservoir, the first lumen having an open distal end configured for communication with the first reservoir, and a second lumen that is separate from the first lumen and configured for communication with a second reservoir. The tubing also includes an inflatable cuff that is disposed proximate the open distal end and configured for communication with the second reservoir via the second lumen, wherein the open distal end and the inflatable cuff in a deflated position are both configured for receipt within a working channel of a bronchoscope.

A controllable intubating stylet (CIS) for use by anesthesia and other health care providers is used in conjunction with a video laryngoscope and endotracheal tube in order to achieve intubation of the trachea for general anesthesia as well as other medical conditions. The video laryngoscope is used to visualize the tracheal opening. The CIS is inserted into an endotracheal tube and directed into the trachea. The endotracheal tube then is maneuvered over the stylet and into the trachea, and thereafter, the CIS is removed. The patient can then be oxygenated and ventilated by way of the endotracheal tube. The CIS includes a control mechanism similar to current bronchoscopes which allows for flexion of the tip and overall flexibility of the stylet. In contrast to the bronchoscope, however, the CIS includes no fiberoptics or associated components, such as a light source or eyepiece, making the CIS much less expensive to produce.