Surgery – Instruments – Means for removing tonsils – adenoids or polyps
Reexamination Certificate
2000-11-22
2003-02-11
Casler, Brian L. (Department: 3731)
Surgery
Instruments
Means for removing tonsils, adenoids or polyps
C606S114000
Reexamination Certificate
active
06517551
ABSTRACT:
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention generally relates to catheters and, more particularly, is concerned with a catheter for removal of foreign objects.
2. Description of the Prior Art
Catheters have been described in the prior art. However, none of the prior art devices disclose the unique features of the present.
In U.S. Pat. No. 5,643,282, dated Jul. 1, 1997, Kieturakis disclosed a surgical instrument which is used to remove excised tissue from an insufflated anatomic cavity through a body wall overlying an endoscopic workspace. The instrument includes n elongate tubular sleeve defining an interior bore for removing a tissue. The tubular sleeve also called a snake is elastic in its transverse sectional dimension so that the interior bore can expand to accommodate the excise tissue as it is slidably withdrawn through the bore. The sleeve is not elastic in the longitudinal direction due to flexible but non-elastic longitudinal elements integrated into or on the wall of the sleeve.
In U.S. Pat. No. 4,997,435, dated Mar. 5, 1991, Demeter disclosed a percutaneous catheter with encapsulating receptacle which comprises a first catheter having a proximal and distal end, several struts attached to the distal end of the first catheter and extending distally therefrom in a cup-shaped form, a second, inner catheter received within the first, and a pocket-shaped sheath received between the several struts and opening in the distal direction, the sheath having a proximal portion secured to the distal end of the second, inner catheter, and a distal portion secured to the distal ends of the several struts, whereby rotation of the first catheter, relative the second catheter, twists and closes the distal end of the sheath. A third, outer catheter is also disclosed within which the first and second catheters, and associated struts and sheath, are receivable. Also disclosed is a method for positioning the catheter adjacent an object, or receiving the object within the sheath and enclosing the sheath about the object to facilitate treatment of the object.
In U.S. Pat. No. 5,102,415, dated Apr. 7, 1992, Guenther, et al., disclosed a triple catheter for removing of blood clots from arteries and veins which is equipped with an outer catheter that can be inserted into a blood vessel and an inner catheter with an inflatable balloon at its distal end that can be inserted into the outer catheter. The inner catheter is surrounded by an intermediate catheter also inserted into the outer catheter. The intermediate catheter has a radially expandable distal end receptacle made of an elastic mesh structure of spring wires or plastic monofilaments covered by or embedded in an elastic plastic coating. A very small puncture channel is required for the insertion of such a triple catheter through the wall of a blood vessel.
In U.S. Pat. No. 5,190,561, dated Mar. 2, 1993, Graber disclosed a tissue and organ extractor which is provided for use during laparoscopic surgical procedures. The extractor is generally rod-shaped, having a handle, an elongated shank with a central bore, and a flexible collapsible cone-shaped terminal end. The shank extends continuously between the handle and the cone-shaped terminal end. The cone-shaped end is the intra-abdominal end of the instrument and includes a generally circular open end. The handle includes a locking lever for locking a grasping instrument, which might be used to grasp tissue or organs, securely in place in relation to the extractor. In use, the surgeon inserts the extractor through a cannula and, using the grasping instrument, manipulates a tissue or organ into the open-ended, cone-shaped terminal end. The instrument used to manipulate the tissue may be locked into place in the shank of the extractor, and the extractor, instrument and tissue contained in the extractor may be removed from the abdominal cavity through the cannula. As it is being removed, the flexible cone-shaped end of the extractor envelopes and compresses the tissue contained therein.
In U.S. Pat. No. 5,312,417, dated May 17, 1994, Wilk disclosed a cannula device for use in laparoscopic surgery which includes a rigid tubular member and an expandable receiver connected to a distal end of the tubular member. The receiver portion of the cannula expands from a substantially cylindrical configuration to an expanded pocket for receiving a severed organ or organ part, thereby facilitating removal of the severed organ from a patient's abdomen during a laparoscopic surgical procedure.
In U.S. Pat. No. 5,417,697, dated May 23, 1995, Wilk, et al., disclosed a procedure for endoscopically removing a polyp which utilizes an elongate tubular member having a cup-shaped web member at a distal end portion and an electrically conductive cauterization loop inserted through the tubular member. Upon insertion of an endoscope assembly into a patient, the distal end portion of the tubular member and the cauterization loop are ejected from the distal end of the biopsy channel of the endoscope assembly. Upon a subsequent opening of the cauterization loop, the cauterization loop is placed over a polyp to be removed, the web member is then opened and suction is applied through the tubular member to entrain the polyp to the web member. Electrical current is conducted to the cauterization loop to sever the polyp from the patient, and the loop is closed. The severed polyp is held in the web member by suction and is subsequently removed from the patient.
In U.S. Pat. No. 5,423,830, dated Jun. 13, 1995, Schneebaum, et al., disclosed a method for removing a polyp from inside a patient, which comprises the steps of inserting an endoscopic insertion member into a patient, ejecting a cauterization loop from the insertion member, and maneuvering the insertion member and the cauterization loop from outside the patient to place the cauterization loop over a polyp inside the patient. A web member is ejected also from the endoscopic insertion member and is opened from a collapsed configuration to a substantially cup-shaped opened configuration having a concave inner surface. The endoscope insertion member and the opened web member are manipulated from outside the patient to juxtapose the concave inner surface of the web with the polyp, whereupon suction is applied to the web member to form a negative pressure zone between the web member and the polyp, thereby attaching the web member to the polyp in a vacuum seal. Then electrical current is conducted to the cauterization loop to sever the polyp from the patient. The web entrains the severed polyp for removal from the patient.
In U.S. Pat. No. 5,746,747, dated May 5, 1998, McKeating disclosed an instrument to perform endoscopic polypectomy having a first portion which grasps a polyp and a second portion which cuts away the polyps. The second portion is in contact with the first portion while the first portion grasps the polyp when the polyp is cut by the second portion. The first sheath member preferably contains a small grasping forcep mechanism. The second sheath member preferably contains a wire snare mechanism.
In U.S. Pat. No. 5,800,457, dated Sep. 1, 1998, Gelbfish disclosed an intravascularly deployable device in the nature of a filter for collecting intravascular debris which includes a filter or collector body expandable from a collapsed insertion configuration to an expanded use configuration. The use configuration of the filter body tapers down from a maximum cross-sectional area to a minimal cross-sectional area at a downstream end of the filter body. The filter body is provided at the downstream end with an access port so that the instrument can traverse the access port to remove debris from the filter body after disposition of the intravascularly deployable device inside a blood vessel of a patient. The access port takes the form of a sleeve or chimney which is beveled to taper down from a maximal transverse dimension at an upstream end to a minimal transverse dimension at a downstream end. The beveled or tapered sleeve is especial
Casler Brian L.
Sirmons Kevin C.
Williamson George L.
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