Polyp encapsulation system and method
An endoscopic electrosurgical instrument is presented for encapsulating and resecting biologic tissue, such as a polyp, from an anatomical structure, such as a lumen. The instrument includes an encapsulation assembly which includes a snare coupled to an electrically non-conductive, shrinkable pouch in a drawstring-like configuration. The encapsulation assembly may be folded within the elongated cylindrical housing of the endoscopic instrument, positioned within the patient at the surgical site, and deployed for use. Once positioned over the polyp, the snare is tightened around the peduncle thereof, and the pouch is activated, thereby shrinking and encapsulating the polyp. The polyp may then be resected using conventional or electrosurgical techniques. The disclosed instrument may include surgical tools and/or electrosurgical electrodes for performing surgical procedures. The disclosed system may reduce the occurrence of undesirable arcing and may aid retrieval of resected tissue.
1. A method for encapsulating and resecting tissue from a patient, comprising the steps of:
providing a polyp encapsulation device, wherein the polyp encapsulation device includes a wire loop snare including a longitudinal slot defined therein and a shrinkable pouch slidingly disposed within the longitudinal slot and including at least one heating element;
positioning the polyp encapsulation device over the tissue to be encapsulated such that the shrinkable pouch envelops the tissue;
tightening the wire loop snare around the tissue to be encapsulated;
heating the shrinkable pouch to shrink to encapsulate the tissue; and
resecting the tissue.
2. The method according to claim 1 , wherein the polyp encapsulation device further includes a surgical instrument having a retracted inactive position and an extended active position.
3. The method according to claim 2 , wherein the resecting step further comprises:
extending the surgical instrument to the operative position; and
severing the tissue from the patient with the surgical instrument.
4. The method according to claim 2 , wherein the resecting step further comprises:
extending the surgical instrument to the operative position;
providing electrosurgical energy to the surgical instrument; and
electrosurgically cutting the tissue from the patient with the surgical instrument.
5. The method according to claim 1 , wherein the resecting step is performed by providing an electrosurgical signal to the wire loop snare.
6. A polyp encapsulation device, comprising:
a wire loop snare providing a longitudinal slot defined therein; and
a shrinkable pouch including at least one heating element and having a closed end and an open end, wherein the open end is slidably disposed within the longitudinal slot of the wire loop snare;
wherein the shrinkable pouch is adapted to electrically insulate the polyp tissue from surrounding tissue.
7. The polyp encapsulation device according to claim 6 , wherein the heating elements cause the shrinkable pouch to shrink; and
the wire loop snare further includes at least one coupling member that connects the heating elements to a source of shrinking energy.
8. The polyp encapsulation device according to claim 7 , wherein the shrinkable pouch is constructed from material selected from the group consisting of heat-shrinkable material, electrically-shrinkable material, and chemically-shrinkable material.
9. The polyp encapsulation device according to claim 7 , wherein the heat-shrinkable material is selected from the group consisting of polyethylene, cross-linked polyolefin, and shape memory alloy.
10. The polyp encapsulation device according to claim 7 , wherein the shrinkable material has an optical transmissivity selected from the group consisting of substantially transparent, substantially translucent, and substantially opaque.
11. The polyp encapsulation device according to claim 7 , wherein the heating elements are constructed from material selected from the group consisting of resistance wire, shape memory alloy, Nichrome, and Nitinol.
12. The polyp encapsulation device according to claim 6 , further comprising at least one surgical tool having a retracted inactive position and an extended active position.
13. The polyp encapsulation device according to claim 12 , wherein the at least one surgical tool is selected from the group consisting of a scalpel, a grasper, a sealer, clamps, an irrigator, a suction tube, a video endoscope, and a fiber optic endoscope.
14. The polyp encapsulation device according to claim 12 , wherein the at least one surgical tool comprises an electrosurgical electrode for performing an electrosurgical procedure selected from the group consisting of cutting, blending, and coagulating.
15. The polyp encapsulation device according to claim 6 , wherein the wire loop snare includes an electrosurgical electrode for performing an electrosurgical procedure selected from the group consisting of cutting, blending, and coagulating.
16. A system for encapsulating polyp tissue, comprising:
an endoscopic instrument adapted for insertion into a lumen, the endoscopic instrument further comprising:
a wire loop snare including a longitudinal slot defined therein; and
a pouch responsive to shrink activation energy to shrink from a first configuration to at least one smaller configuration, the pouch including at least one heating element and a closed end and an open end, wherein the open end is slidably disposed within the longitudinal slot of the wire loop snare, the pouch being adapted to electrically insulate polyp tissue from surrounding tissue; and
a source of shrink activation energy electro-operably coupled to the pouch.
17. The system according to claim 16 , wherein the endoscopic instrument includes a surgical tool having a retracted inactive position and an extended active position.
18. The system according to claim 16 , further comprising:
a source of electrosurgical energy; and
an electrosurgical electrode;
wherein the source of electrosurgical energy and the electrosurgical electrode are electro-operably coupled.
19. The system according to claim 16 , wherein the endoscopic instrument includes an electrosurgical electrode having a retracted inactive position and an extended active position;
a source of electrosurgical energy;
wherein the source of electrosurgical energy and the electrosurgical electrode are electro-operably coupled.
20. The system according to claim 16 , wherein the wire loop snare includes an electrosurgical electrode and the system further comprises:
a source of electrosurgical energy;
wherein the source of electrosurgical energy and the wire loop snare are electro-operably coupled.