Patent Application
20130035639
Embodiments described herein relate to a device and method for minimally invasive surgical access. More particularly embodiments herein relate to an access needle device and method therefor.
Minimally invasive diagnostic and therapeutic surgical techniques have become increasingly common in usage. However, with the increase in use and availability, the devices and techniques continue to become more and more sophisticated. For certain procedures, such as accessing a pancreatic pseudocyst or other target site in a patient body, it is possible to use an access needle device. One such device utilizes a blunt access cannula housing a bevel-tipped stylet. The cannula of existing systems is blunt, because a sharp bevel-tipped needle may strip or otherwise damage a wire guide that is moved over/through it, which is why the stylet is used to provide the piercing tip while providing a cannula through which a wire guide may be advanced—including out of and past its distal end. The cannula and stylet are directed to a target site (e.g., via an endoscope working channel), where the stylet tip is used to puncture through target tissue to allow penetration of the access cannula. Thereafter, the stylet must be removed to free up the lumen of the access cannula so that a wire guide may be directed through that lumen.
For accessing structures like a pancreatic pseudocyst, the cannula is typically at least 180 cm in length. Thus, retracting and removing the style, then directing the wire guide all the way back through the lumen can be a time-consuming procedure. Because the time of the patient, treatment personnel, and facilities are at a premium, it would be advantageous to provide a system and method that will offer greater efficiency without sacrificing the benefits of such a minimally invasive procedure to provide a wire guide accessing a target site.
In one aspect, embodiments may include an access needle device including an elongate flexible needle, preloaded wire guide, and overlying sheath, as well as methods for use of that device, which may be provided in kit form.
In one aspect, an embodiment may include a method for directing an elongate access needle with a preloaded wire guide in its lumen, and an overlying sheath, to a target site, then advancing the sheath and retracting the needle in a manner configured to avoid damage to the wire guide. The needle may be removed completely, as may the sheath, and another device may be directed along the wire guide which is left in place at the target site and/or which may be directed to another desired location.
Embodiments are described with reference to the drawings in which like elements are generally referred to by like numerals. The relationship and functioning of the various elements of the embodiments may better be understood by reference to the following detailed description. However, embodiments are not limited to those illustrated in the drawings. It should be understood that the drawings are not necessarily to scale, and in certain instances details may have been omitted that are not necessary for an understanding of embodiments of the present invention, such as—for example—conventional fabrication and assembly. The terms “distal” and “proximal” are to be understood with their standard usages, referring to the direction away from and the direction toward the handle/user end of a tool or device, respectively (i.e., the term “distal” means the direction or portion of the device that is farthest from the physician or other person operating the tool or device and the term “proximal” means the portion of the device that is nearest to that physician or other person). In
The present invention now will be described more fully hereinafter. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. As used in this specification and the claims, the singular forms “a,” “an,” and “the” include plural referents unless the context clearly dictates otherwise.
A medical device 100 and method are described with reference to
Many different sizes of different embodiments of the presently described device may be used within the scope of the claims. As one example, the needle 106 may be configured as about a 19-gauge needle, and the wire guide 112 may be configured as about a 0.035″ (0.89 mm) diameter wire guide. The needle 106 may include echogenic enhancements configured to enhance its visualization and navigation using ultrasound. Such enhancements may include one or more of surface dimpling, knurling, or other surface patterning on the external and/or lumenal surface(s) of the needle. The needle may be constructed of and/or may be constructed to include echogenic materials such as echogenic polymers, materials with echogenicity-enhancing inclusions, and/or any other materials now known, or yet to be developed, that will provide for ultrasound navigation.
A method of using the device 100 is described with reference to
As shown in
A kit including preassembled components as described above may be provided and be useful for implementing a variety of diagnostic and/or treatment procedures. For example, it may be advantageous to efficiently provide wire guide access to a pancreatic pseudocyst or a site in a patient's abdomen accessible via the biliary tree and/or NOTES (natural orifice translumenal endoscopic surgery) or other minimally invasive procedure. It should be appreciated that the pre-assembled nature of the wire guide, needle, and sheath will offer efficiencies for procedure time, manufacturing expense, and ease of use.
Those of skill in the art will appreciate that embodiments not expressly illustrated herein may be practiced within the scope of the present invention, including that features described herein for different embodiments may be combined with each other and/or with currently-known or future-developed technologies while remaining within the scope of the claims presented here. Although specific terms are employed herein, they are used in a generic and descriptive sense only and not for purposes of limitation. It is therefore intended that the foregoing detailed description be regarded as illustrative rather than limiting. And, it should be understood that the following claims, including all equivalents, are intended to define the spirit and scope of this invention. Furthermore, the advantages described above are not necessarily the only advantages of the invention, and it is not necessarily expected that all of the described advantages will be achieved with every embodiment of the invention.
