Systems for performing gynecological procedures with closed visualization lumen
View Patent ↗Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. An access sheath is provided with at least one lumen, and a lens attached thereto. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.
1. An intrauterine access and procedure system, comprising:
an elongate, tubular sheath having a proximal end, a distal end and at least one lumen extending therethrough, the sheath adapted for transcervical access to a uterus;
a tissue removal device adapted to extend through the sheath lumen for removing tissue from the site, the tissue removal device having a closed distal end and a window spaced proximally from the closed distal end and a cutting element operable to cut tissue received in the window; and
a visualization apparatus adapted to extend through the sheath for visualizing a site within the uterus, the visualization apparatus including a sleeve, the sleeve slidingly surrounding the tissue removal device.
2. The intrauterine access and procedure system as in claim 1 , wherein the tissue removal device comprises an ablation element.
3. The intrauterine access and procedure system as in claim 1 , further comprising a stabilization device.
4. The intrauterine access and procedure system as in claim 1 , further comprising a drug delivery assembly.
5. The intrauterine access and procedure system as in claim 1 , wherein an outside diameter of the sheath is less than about 7 mm.
6. The intrauterine access and procedure system as in claim 1 , wherein the visualization apparatus comprises a fiber optic device.
7. The intrauterine access and procedure system as in claim 1 , wherein the visualization apparatus comprises an ultrasound transducer.
8. The intrauterine access and procedure system as in claim 1 , wherein the sheath comprises at least one radiopaque marker.
9. The intrauterine access and procedure system as in claim 1 , wherein the tissue removal device comprises a tissue cutter.
10. The intrauterine access and procedure system as in claim 1 , wherein the tissue removal device comprises a tissue morcellator.
11. The intrauterine access and procedure system as in claim 1 , further comprising a pull wire for deflecting the distal end of the sheath.
12. The intrauterine access and procedure system as in claim 1 , further comprising an inflatable balloon carried by the sheath.
13. The intrauterine access and procedure system as in claim 1 , further comprising a mechanical distension element.
14. The intrauterine access and procedure system as in claim 1 , further comprising a volume occupying device.
15. The intrauterine access and procedure system as in claim 1 , further comprising a tissue penetrating assembly.
16. The intrauterine access and procedure system as in claim 1 , wherein the sheath is a metal hysteroscope.
17. The intrauterine access and procedure system as in claim 1 , wherein the visualization apparatus includes a shaft for advancing and retracting the visualization apparatus relative to the sheath.
18. The intrauterine access and procedure system as in claim 1 , wherein the visualization apparatus includes a camera.
19. The intrauterine access and procedure system as in claim 18 , wherein the camera includes one of a CCD or MEMS.
20. The intrauterine access and procedure system as in claim 18 , wherein the camera includes a motion sensing element.