Access device with enhanced working channel

Abstract

Disclosed is a surgical access device for providing at least one auxiliary lumen for the insertion of a surgical instrument or other therapeutic device into a patient's body. The device comprises a first working channel, a second working channel and at least one additional lumen for infusion of a distension media. The surgical access device comprises an outer diameter, and the ratio of the outer diameter to the inside diameter of the working channel is preferably less than about 2.25.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]The present application is a continuation in part of U.S. patent application Ser. No. 12 / 098,250, filed Apr. 4, 2008 (titled “METHOD, SYSTEM AND DEVICE FOR TISSUE REMOVAL”), which claims the benefit under 35 U.S.C. § 119(e) of U.S. Provisional Application 60 / 910,618, filed Apr. 6, 2007, U.S. Provisional Patent Application Ser. No. 60 / 910,625, filed Apr. 6, 2007, and U.S. Provisional Patent Application Ser. No. 60 / 986,912, filed Nov. 9, 2007 all of which are incorporated herein by reference. The present application is a continuation in part of U.S. patent application Ser. No. 12 / 098,318, filed Apr. 4, 2008 (titled “SYSTEM FOR USE IN PERFORMING A MEDICAL PROCEDURE AND INTRODUCER DEVICE SUITABLE FOR USE IN SAID SYSTEM”), which claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Application Ser. No. 60 / 910,618, filed Apr. 6, 2007, and U.S. Provisional Patent Application Ser. No. 60 / 910,625, filed Apr. 6, 2007, all of which are inco...

AI Technical Summary

Benefits of technology

The present invention provides a new method, system, and device for tissue removal. This invention can be used to remove uterine fibroids and other abnormal gynecological tissues. The device includes a housing, an outer tube with a resection window, an inner tube that is slidable and rotatable relative to the outer tube, and a drive mechanism for rotating the inner tube and moving it back and forth across the resection window. The invention also includes a surgical access device with multiple channels for the insertion of surgical instruments and a flexible bumper tip for easy passage through a cervical os. The ratio of the outer diameter to the inside diameter of the channels is preferably less than about 2.10, and the device can seal on an inserted instrument or provide an outflow channel without the instrument. The technical effects of this invention include improved tissue removal with reduced bleeding and improved visualization during the procedure.

Problems solved by technology

In many instances, uterine fibroids can grow to be several centimeters in diameter and may cause symptoms like menorrhagia (prolonged or heavy menstrual bleeding), pelvic pressure or pain, and reproductive dysfunction.

However, current pharmacological therapies are largely ineffective and merely palliative.

However, despite their widespread use, hysterectomies also possess certain disadvantages, such as a loss of fertility, sexual dysfunction, and the risks commonly associated with a major surgical procedure, such as hemorrhaging, lesions, infections, pain and prolonged recovery.

Small particles are then injected from the catheter into the fibroid artery, blocking its blood supply and causing it to eventually shrink and die.

Although this procedure is less invasive than a hysterectomy, it often results in pain-related, post-surgical complications.

Moreover, the physicians that are trained to perform uterine artery embolization are typically interventional radiologists, as opposed to physicians trained specifically to take care of gynecological problems, whereas the physicians trained specifically to take care of gynecological problems typically do not possess the skill to perform catheter-based uterine artery embolization.

However, because the distending fluid is administered under pressure (which pressure may be as great as 100 mm Hg or greater), there is a risk, especially when tissue is cut, that the distending fluid may be taken up by a blood vessel in the uterus, i.e., intravasation, which uptake may be quite harmful to the patient.

As a result, due to the need for anesthesia, hysteroscopic resection is typically performed in a hospital operating room and, as a result, bears a large cost due to the setting and the support personnel required.

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