Medical procedure via natural opening

Abstract

The medical procedure via a natural opening according to the present invention includes: disposing a target on the body surface near a target site on the inner wall of a hollow organ; introducing a guide member into the hollow organ via a natural natural opening, guiding the guide member to the target site using the target, and confirming the target site by means of a observation device; and carrying out a procedure at the target site while observing the target site.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a view showing an endoscope employed in the embodiments, as one example of a device used in a medical procedure.

FIG. 2 is a flow diagram showing a medical procedure according to the first embodiment.

FIG. 3 is a view for explaining the arrangement for inserting the endoscope into the stomach in a medical procedure according to the first embodiment.

FIG. 4 is a view for explaining the arrangement in which the endoscope has been inserted into the stomach in a medical procedure according to the first embodiment.

FIG. 5 is a view for explaining the state in which the stomach has been inflated in a medical procedure according to the first embodiment.

FIG. 6 is a view for explaining the arrangement in which a magnetic body has approached a magnet in a medical procedure according to the first embodiment.

FIG. 7 is a view for explaining the arrangement for an insufflation in a medical procedure according to the first embodiment.

FIG. 8 is a view for explaining the state in which an incision has been made to open the stomach during a medical procedure according to the first embodiment.

FIG. 9 is a flow diagram showing a medical procedure according to the second embodiment.

FIG. 10 is a view for explaining the arrangement in which a magnetic body has approached a magnet in a medical procedure according to the second embodiment.

FIG. 11 is a view for explaining the arrangement in which the endoscope is brought close to the target site by employing an instrument as a guide in a medical procedure according to the second embodiment.

FIG. 12 is a flow diagram showing a medical procedure according to the third embodiment.

FIG. 13 is a view for explaining the arrangement in which a magnetic body has approached a magnet in a medical procedure according to the third embodiment.

FIG. 14 is a view for explaining the arrangement in which the endoscope is brought close to the target site by employing an instrument as a guide in a medical procedure according to the third embodiment.

FIG. 15 is a view for explaining the arrangement in which grasping forceps used in a medical procedure according to the fourth embodiment are inserted into the channel of an endoscope.

FIG. 16A is a view showing the magnetic body and grasping forceps employed in a medical procedure according to the fourth embodiment.

FIG. 16B is a view for explaining the arrangement in which a magnetic body used in a medical procedure according to the fourth embodiment is grasped by grasping forceps.

FIG. 17 is a flow diagram showing a medical procedure according to the fourth embodiment.

FIG. 18 is a view for explaining the arrangement in which a magnetic body has approached a magnet in a medical procedure according to the fourth embodiment.

FIG. 19 is a view for explaining the arrangement in which the target site is grasped with grasping forceps while confirming the magnetic body in a medical procedure according to the fourth embodiment.

FIG. 20 is a view for explaining the arrangement in which the endoscope is brought close to the target site by employing grasping forceps as a guide in a medical procedure according to the fourth embodiment.

FIG. 21 is a view for explaining the arrangement for marking the stomach wall in a medical procedure according to the fourth embodiment.

Claims

1. A medical procedure via a natural opening, comprising: disposing a target on the body surface near a target site on the inner wall of a hollow organ;introducing a guide member into said hollow organ via a natural opening;guiding said guide member to said target site using said target, and confirming said target site by means of a observation device; andcarrying out a procedure at said target site while observing said target site.

2. A medical procedure via a natural opening according to claim 1, wherein guiding said guide member to said target site comprises guiding said guide member to said target site using the magnetic effect that is generated between said target and said guide member.

3. A medical procedure via a natural opening according to claim 2, wherein a magnet or electromagnet is employed as said target.

4. A medical procedure via a natural opening according to claim 3, wherein a magnetic body is employed as said guide member.

5. A medical procedure via a natural opening according to claim 2, wherein disposing said target comprises disposing said target to the body surface on the abdomen that corresponds to the anterior wall of the stomach.

6. A medical procedure via a natural opening according to claim 5, further comprising inflating said hollow organ prior to guiding said guide member to said target site, using a conduit introduced into said hollow organ via a natural opening.

7. A medical procedure via a natural opening according to claim 3, further comprising: introducing into said hollow organ via a natural opening a device in which said observation device and said guide member are disposed to an insertion part provided with a bending part that performs bending operations in response to manipulations by the operator; whereinsaid confirming comprises searching for the position of said target by bending said bending part.

8. A medical procedure via a natural opening according to claim 3, further comprising: introducing into said hollow organ via a natural opening a device in which said observation device and a lumen are disposed to an insertion part provided with a bending part that performs bending operations in response to manipulations by the operator; whereinsaid confirming comprises:introducing said guide member into said hollow organ via said lumen, and searching for the position of said target by carrying out at least one of a relative movement of said guide member with respect to said insertion part and a bending operating of said bending part.

9. A medical procedure via a natural opening according to claim 5, wherein carrying out the procedure at said target site comprises incising said target site to form an opening communicating with the abdominal cavity.

10. A medical procedure via a natural opening according to claim 9, further comprising: marking said target site which has been confirmed using said observation device; andintroducing the end of an insufflation conduit into the abdominal cavity either percutaneously or via a natural opening, prior to forming said opening, and insufflating said abdominal cavity in order to form a space between the stomach wall and the abdominal wall.

11. A medical procedure via a natural opening according to claim 9, further comprising: inserting a procedure device into said abdominal cavity via said opening and performing the desired procedure within said abdominal cavity using said device;withdrawing said device back into said hollow organ after completing the desired procedure within said abdominal cavity; andclosing the communication between said hollow organ and said abdominal cavity via said opening.

12. A medical procedure via a natural opening, comprising: disposing a target that generates electromagnetic force at the body surface near the incision target site on the inner wall of a hollow organ;introducing a guide member that generates an electromagnetic effect with said target, in the vicinity of the hollow organ, searching for the site where said target is disposed using the electromagnetic effect generated between said target and said guide member, and confirming the position of said incision target site using the observation device that was introduced via a natural opening; andmaking an incision while observation said target incision target site.