Device for removing kidney stones
A system for removing a kidney stone from a ureter may include: an elongate, flexible, outer shaft having a distal end configured to be advanced into the ureter and a proximal end; an elongate, flexible, inner shaft extending through at least part of the outer shaft; an expandable stone retention member extending through at least part of the inner shaft and moveable along the longitudinal axis relative to the inner shaft; an elongate, flexible camera positioned coaxially within the retention member shaft, such that a distal end of the camera is located at or near a distal end of the inner shaft; and a handle coupled with the proximal end of the outer shaft, a proximal end of the inner shaft, and a proximal end of the retention member shaft.
1. A system for removing a kidney stone from a ureter, the system comprising:
a handle;
a shaft slider coupled with the handle and configured to slide back and forth along the handle;
a retention member slider coupled with the handle and configured to slide back and forth along the handle independently from the shaft slider;
an elongate, flexible, outer shaft, having a distal end configured to be advanced into the ureter and a proximal end fixedly attached to the shaft slider, such that when the shaft slider slides back and forth along the handle, the outer shaft slides with the shaft slider;
a wall protection member shaft coaxially disposed within the outer shaft;
a compliant ureter wall protection member, having a first end coupled with the distal end of the outer shaft and a second end coupled with a distal end of the wall protection member shaft;
an elongate, flexible, inner shaft extending coaxially within at least part of the wall protection member shaft and having a proximal end fixedly attached to the handle such that the inner shaft does not move relative to the handle;
an expandable stone retention member extending coaxially within at least part of the inner shaft and moveable along the longitudinal axis relative to the inner shaft, wherein the stone retention member comprises:
a retention member shaft forming a lumen and having a proximal end fixedly attached to the retention member slider, such that when the retention member slider slides back and forth along the handle, the retention member shaft slides with the retention member slider; and
a expandable basket disposed at a distal end of the retention member shaft; and
an elongate, flexible camera positioned coaxially within the lumen of the retention member shaft, wherein a proximal end of the camera is fixedly attached to the handle, such that the camera does not move relative to the handle and the inner shaft, and such that a distal end of the camera is located at or near a distal end of the inner shaft, wherein the retention member shaft slides back and forth between the inner shaft and the camera.
2. A system as in claim 1 , wherein the ureter wall protection member comprises an inflatable balloon, having a proximal portion, a central portion, and a distal portion, wherein the distal portion is configured to preferentially invaginate without the proximal portion substantially collapsing, and wherein a space between the outer shaft and the wall protection member shaft comprises an inflation lumen in fluid communication with the balloon.
3. A system as in claim 2 , wherein the distal portion is tapered, wherein the proximal portion is tapered, and wherein the distal portion has a distal taper angle that is different than a proximal taper angle of the proximal tapered portion.
4. A system as in claim 3 , wherein the proximal portion has a taper angle of between about 5 degrees and about 25 degrees, and wherein the distal portion has a taper angle of between about 30 degrees and about 90 degrees.
5. A system as in claim 2 , further comprising:
a balloon inflation port coupled with the handle and in fluid communication with the inflation lumen; and
an inflation device attachable to the balloon inflation port.
6. A system as in claim 5 , further comprising:
an irrigation port coupled with the handle and in fluid communication with a space between the inner shaft and the retention member shaft; and
an irrigation fluid delivery device attachable to the irrigation port.
7. A system as in claim 6 , further comprising a suction port on the handle for providing suction force through a suction lumen formed by at least one of the inner shaft or the retention member shaft.
8. A system as in claim 5 , wherein the balloon is configured to at least partially deflate passively when the stone retention member and a retained stone are moved into the balloon.
9. A system as in claim 8 , wherein the inflation device comprises a syringe, and wherein automatic deflation of the balloon causes a plunger of the syringe to automatically retract.
10. A system as in claim 2 , wherein the wall protection member shaft is movable along the longitudinal axis relative to the outer shaft, and wherein sliding the wall protection member shaft proximally relative to the outer shaft causes the balloon to invaginate.
11. A system as in claim 10 , further comprising a wall protection member shaft actuator on the handle.
12. A system as in claim 1 , wherein the handle further comprises at least one irrigation fluid port in fluid communication with a space between the inner shaft and the retention member shaft, wherein the space acts as an irrigation fluid channel.
13. A system as in claim 1 , further comprising a handle extension slidably disposed at least partially within a portion of the handle and fixedly coupled with the outer shaft and the shaft slider.
14. A system as in claim 1 , wherein the camera is selected from the group consisting of a fiber optic camera, a CCD image sensor and CMOS device.
15. A system as in claim 1 , wherein the camera is removable from the system.
16. A system as in claim 15 , wherein the camera is reusable for multiple kidney stone removal procedures.
17. A device as in claim 1 , wherein the handle further comprises a camera attachment portion for fixedly attaching a proximal portion of the camera to the handle.