Substaintially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion
Exemplary embodiments of devices and method for affecting at least one anatomical tissue can be provided. A configuration can be provided that includes a structure which is expandable (i) having and/or (ii) forming at least one opening or a working space through which the anatomical tissue(s) is placed in the structure. For example, the structure, prior to being expanding, can have at least one partially rigid portion. In addition, or as an alternative, upon a partial or complete expansion thereof, the structure can be controllable to have a plurality of shapes. Further, the structure can be controllable to provide the working space with multiple shapes and/or multiple sizes.
1. An endoscopic surgical system for accessing a target tissue structure comprising;
an endoscopic device having a handle at a first portion, a longitudinal axis, a chamber at a second portion and first and second lumens extending through the device, the chamber having a proximal end portion and a distal end portion, each of the lumens having an opening to the proximal end portion of the chamber for access to the proximal end portion of the chamber, the chamber movable from a first collapsed position for insertion to an expanded position to increase a working space adjacent the target tissue structure;
a first tube having a distal tip and movable within the first lumen to orient a first instrument through the first tube and into the chamber, the first tube controllable at the proximal end for movement within the first lumen, the proximal end portion of the chamber configured to allow for passage of a distal portion of the first tube;
a second tube having a distal tip and movable within the second lumen to orient a second instrument through the second tube and into the chamber, the second tube controllable at a proximal end for movement within the second lumen, the proximal portion of the chamber configured to allow for passage of a distal portion of the second tube; and
the first and second tubes movable to orient the first and second instruments to achieve triangulation within the increased working space formed by the chamber;
the chamber expandable to increase the working space adjacent the target tissue structure by moving the target tissue structure laterally with respect to the longitudinal axis of the device such that a distance between the distal tip of the first and second tubes and the target tissue structure within the increased working space is increased such that first and second instruments inserted through the respective first and second tubes have an increased space to maneuver within the chamber and to act on the target tissue structure within the increased working space formed by the chamber.
2. The endoscopic device of claim 1 , wherein the chamber comprises a plurality of members movable between collapsed and expanded positions.
3. The endoscopic device of claim 2 , further comprising a cover positioned over the plurality of members of the chamber to protect the body lumen during insertion.
4. An endoscopic device of claim 2 , wherein a transverse arc intersecting all of the plurality of members of the chamber extends around less than full circumference of a circle.
5. The endoscopic device of claim 2 , wherein the plurality of members are connected at a proximal end to a cap.
6. The endoscopic device of claim 2 , wherein the plurality of members are connected at a distal end to a cap.
7. The endoscopic surgical system of claim 2 , wherein the members are covered with a protective cover portion.
8. The endoscopic device of claim 1 , wherein the chamber is movable in a lateral direction to only one side of a longitudinal axis of the device.
9. The endoscopic surgical system of claim 1 , wherein the endoscopic device has a third lumen, and further comprising an endoscope receivable with the third lumen for visualizing the tissue structure within the chamber.
10. The endoscopic surgical system of claim 9 , wherein the endoscope is an articulating endoscope such that a tip of the endoscope is movable laterally within the chamber.
11. The endoscopic surgical system of claim 1 , wherein the first and second tubes are movable axially from a position wherein distal tips are outside the chamber to a position wherein the distal tips are inside the chamber, and the distal tips bendable within the increased working space formed by the chamber to provide angular access to the target tissue structure thereby enabling triangulation for performance of a surgical procedure on the target tissue structure.
12. The endoscopic surgical system of claim 1 , wherein the chamber is expanded within a colon of a patient.
13. The endoscopic surgical system of claim 1 , wherein the first and second tubes are independently manipulable from the proximal end.
14. The endoscopic surgical system of claim 1 , wherein the chamber includes a side opening for the target tissue structure.
15. The endoscopic surgical system of claim 14 , wherein the chamber includes flexible elements and the side opening is between the flexible elements.
16. The endoscopic surgical system of claim 1 , wherein the chamber is adjustable to provide the working space with multiple sizes.
17. The endoscopic surgical system of claim 1 , wherein the chamber in the expanded position is non-cylindrically shaped and asymmetrical.
18. The endoscopic surgical system of claim 1 , wherein the chamber has a partially rigid portion.
19. The endoscopic surgical system of claim 1 , wherein the first and second tubes are bendable at a distal end by a wire.
20. The endoscopic surgical system of claim 1 , wherein the endosopic device has first and second working ports and the first tube is inserted through the first working port and the second tube is inserted through the second working port.
21. The endoscopic surgical system of claim 1 , wherein the chamber includes a plurality of strips of metal.