DE2514428A1 - Polyp snare used with endoscope - has rubber finger stall as collection bag inflated in stomach - Google Patents

Polyp snare used with endoscope - has rubber finger stall as collection bag inflated in stomach

Info

Publication number
DE2514428A1
DE2514428A1 DE19752514428 DE2514428A DE2514428A1 DE 2514428 A1 DE2514428 A1 DE 2514428A1 DE 19752514428 DE19752514428 DE 19752514428 DE 2514428 A DE2514428 A DE 2514428A DE 2514428 A1 DE2514428 A1 DE 2514428A1
Authority
DE
Germany
Prior art keywords
polyps
endoscope
finger stall
stomach
polyp
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
DE19752514428
Other languages
German (de)
Inventor
Herbert Dr Med Proepper
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to DE19752514428 priority Critical patent/DE2514428A1/en
Publication of DE2514428A1 publication Critical patent/DE2514428A1/en
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/273—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2736—Gastroscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery

Abstract

The polyps share is used in conjunction with an endoscope for the removal of clusters of polyps (within the stomach). A rubber finger stall is fixed to one of the biopsy forceps by a thread of surgical silk drawn through the instrument channel. Once the tip of the instrument is position in the pyloric region the finger stall is brought in view by pulling on the outer thread end and then the finger stall is inflated by blowing air into it, permitting several polyps to be consecutively sucked into the snare using a suction tube, ecraseur or forceps without repeated removal and repositioning of the instrument to collect polyps singly.

Description

Mit den Endoskop einführbarer Polypenfänger Die Bergung eines endoskopisch abgetragenen Polypen macht bisher das Herausziehen des Endoskops erforderlich, gleichgültig ob der Polyp durch Ansaugen oder mit einer entsprechenden Faßzange gefangen wurde. Wiederholtes Einführen und Herausziehen des Gerätes sind daher bei der Bergung multipler Polypen unumänglich, für den Patienten allerdings erheblich belästigend, selbst wenn die Polypektomien auf mehrere Sitzungen verteilt werden, Derartige Situationen, insbesondere bei älteren und wenig belastbaren Patienten, haben, um die Zahl der endoskopischen Eingriffe einzuschränken, zur Lerstellung eines Polypenfängers angeregt. Polyp catcher that can be inserted with the endoscope The recovery of an endoscopic one removed polyps made pulling out the endoscope necessary, irrelevant whether the polyp was caught by suction or with appropriate grasping forceps. Repeated insertion and withdrawal of the device are therefore multiple in the recovery Polyps are unavoidable, but are very annoying for the patient, themselves if the polypectomies are spread over several sessions, such situations, especially in older and less resilient patients, have to increase the number of To limit endoscopic interventions, encouraged to create a polyp catcher.

An einem mit der Biospiezange durch den Instrumentierkanal gezogenen Faden chirurgischer beide wird am distalen Ende ein Gummifingerling befestigt. Beim Einführen des Gerätes werden Faden und Fingerl@ng etwa 15 cm oberhalb der Gerätespitze zusammen mit dem Endoskop gehalten. Nach Passage der Gerätespitze durch den Rachen folgt der Fingerling komplikationslos den Gerät in den Magen. Bei Lage der Gerätespitze in Pylorusnähe (= Magenausgangsnähe) wird durch Zug am äußeren Fadenende der Fingerling in Sicht gebracht. Mit der in den Sinberling eingeführten, geschlossenen Polypektomieschlinge kann der Polypenfänger in die gewünschte Position gebracht erden, Durch den CO2-Insufflationsanschluß der Schlinge kann dabei luft eingeblasen werden, die den Pingerling bei Bedarf entfaltet.On one pulled through the instrument channel with the biopsy forceps Surgical thread will both be a rubber fingertip at the distal end attached. When inserting the device, the thread and finger length are about 15 cm above the tip of the device held together with the endoscope. After the tip of the device has passed through the throat the finger cot follows the device into the stomach without complications. With the position of the device tip Near the pylorus (= near the exit of the stomach) the finger cot is created by pulling on the outer end of the thread brought into view. With the closed polypectomy loop inserted into the Sinberling the polyp catcher can be brought into the desired position through the CO2 insufflation connection Air can be blown into the loop, which the pinger will unfold if necessary.

Die abgetragenen Polypen können nun mit der Schlinge, dem Saugtubus oder der Faßzange in den Polypenfänger gefüllt werden. Anschließend kann die Inspektion des Magens und der Resektionsstellen fortgesetzt werden. Zum Abschluß werden dann Endoskop und Polypenfänger zusammen herausgezogen.The ablated polyps can now be removed with the snare, the suction tube or the grasping forceps can be filled into the polyp catcher. The inspection can then be carried out of the stomach and resection sites. To conclude then Endoscope and polyp catcher pulled out together.

Claims (1)

Patentanspruch Claim Mit dem Endoskop einführbarer Polypenfänger zur Bergung multipler Polypen, dadurch gekennzeichnet, daß an einem der Biopsiezange durch den Instrumentierkanal gezogenen Faden chirurgischer Seide am distalen ende ein Gummifingerling befestigt und bei Lage der Ger@tespitze in Pylorusnähe durch Zug am äußeren Fadenende in Sicht gebracht und bei Bedarf durch Einblasung von Luft entfaltet wird, so daß mehrere Polypen nacheinander mit der Schlinge, dem Saugtubus oder der Faßzange in den Polypenfänger gefüllt werden können, ohne daß ein wiederholtes Einführen und herausziehen des Gerätes zur Bergung multipler Polypen erforderlich ist.Polyp catcher that can be inserted with the endoscope to retrieve multiple Polyps, characterized in that on one of the biopsy forceps through the instrument channel A drawn thread of surgical silk is attached to the distal end of a rubber finger cot and when the device tip is in the vicinity of the pylorus by pulling on the outer end of the thread in sight brought and if necessary unfolded by blowing air, so that several Place polyps one after the other with the snare, suction tube or grasping forceps into the polyp catcher can be filled without repeated insertion and removal of the Device for the recovery of multiple polyps is required. L e e r s e i t eL e r s e i t e
DE19752514428 1975-04-02 1975-04-02 Polyp snare used with endoscope - has rubber finger stall as collection bag inflated in stomach Withdrawn DE2514428A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE19752514428 DE2514428A1 (en) 1975-04-02 1975-04-02 Polyp snare used with endoscope - has rubber finger stall as collection bag inflated in stomach

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE19752514428 DE2514428A1 (en) 1975-04-02 1975-04-02 Polyp snare used with endoscope - has rubber finger stall as collection bag inflated in stomach

Publications (1)

Publication Number Publication Date
DE2514428A1 true DE2514428A1 (en) 1976-10-14

Family

ID=5942947

Family Applications (1)

Application Number Title Priority Date Filing Date
DE19752514428 Withdrawn DE2514428A1 (en) 1975-04-02 1975-04-02 Polyp snare used with endoscope - has rubber finger stall as collection bag inflated in stomach

Country Status (1)

Country Link
DE (1) DE2514428A1 (en)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0499243A1 (en) * 1991-02-14 1992-08-19 Sterimed Gesellschaft für medizinischen Bedarf mbH Extraction retainer for endoscopic surgery
EP0507588A1 (en) * 1991-04-03 1992-10-07 Ethicon, Inc. Endoscopic medical device
US5308327A (en) * 1991-11-25 1994-05-03 Advanced Surgical Inc. Self-deployed inflatable retractor
US5524633A (en) * 1991-11-25 1996-06-11 Advanced Surgical, Inc. Self-deploying isolation bag

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0499243A1 (en) * 1991-02-14 1992-08-19 Sterimed Gesellschaft für medizinischen Bedarf mbH Extraction retainer for endoscopic surgery
WO1992014407A1 (en) * 1991-02-14 1992-09-03 Sterimed Gesellschaft Für Medizinischen Bedarf Mbh Extraction bag for use in endoscopic surgery
EP0507588A1 (en) * 1991-04-03 1992-10-07 Ethicon, Inc. Endoscopic medical device
GR920100120A (en) * 1991-04-03 1993-03-16 Ethicon Inc Endoscopic medical device.
US5308327A (en) * 1991-11-25 1994-05-03 Advanced Surgical Inc. Self-deployed inflatable retractor
US5337754A (en) * 1991-11-25 1994-08-16 Advanced Surgical, Inc. Inflatable isolation bag
US5524633A (en) * 1991-11-25 1996-06-11 Advanced Surgical, Inc. Self-deploying isolation bag

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