Catheter extension control
The present disclosure pertains to devices and methods for diagnosis and treatment of biological tissue in which the tissue is accessed by a catheter through a working channel of an endoscope and in which the degree of extension of a distal tip of the catheter beyond a distal tip of the endoscope is controlled.
1. A catheter extension control assembly comprising:
a first interior tubular member comprising a proximal portion, a distal portion, a lumen, and a sidewall having an inner surface and an outer surface at least partially surrounding the lumen, wherein the first interior tubular member is a tubular portion of a catheter or is configured to be attached to a catheter that is received in the lumen of the first interior tubular member, the catheter comprising a distal end, and wherein the outer surface of the sidewall of the first interior tubular member comprises at least one circumferential protrusion;
a second exterior tubular member having a length, a proximal portion, a distal portion configured with an endoscope, a lumen extending the length of the second exterior tubular member, and a sidewall having an inner surface and an outer surface at least partially surrounding the lumen, wherein the lumen within the proximal portion of the second exterior tubular member is configured to slidably receive at least the distal portion of the first interior tubular member, and wherein the inner surface of the sidewall of the proximal portion of the second exterior tubular member comprises at least one circumferential recess extending into the sidewall of the second exterior tubular member at a width at least wider than the lumen of the second exterior tubular member, the at least one circumferential recess:
configured to mate with the at least one circumferential protrusion in the outer surface of the sidewall of the first interior tubular member such that the at least one circumferential protrusion extends to the width into the circumferential recess, and
positioned at a location on the second exterior tubular member so that, when the at least one circumferential protrusion in the first interior tubular member mates with the circumferential recess, the distal end of the catheter is positioned a predetermined minimum distance away from the endoscope at the distal portion of the second exterior tubular member; and
a cryogen delivery catheter received in the lumen of the first interior tubular member, wherein the first interior tubular member is attached to the cryogen delivery catheter.
2. The catheter extension control assembly of claim 1 , wherein the first interior tubular member comprises a plurality of the at least one circumferential protrusions and the second exterior tubular member comprises a plurality of complementary recesses of the at least one circumferential recess or wherein the first interior tubular member comprises a single circumferential protrusion of the at least one circumferential protrusion and the second exterior tubular member comprises a plurality of complementary recesses of the at least one circumferential recess.
3. The catheter extension control assembly of claim 1 , wherein at least one of the first interior and second exterior tubular members comprises an elastomeric material.
4. The catheter extension control assembly of claim 1 , wherein a diameter of the lumen in the proximal portion of the second exterior tubular member is greater than a diameter of the lumen in the distal portion of the second exterior tubular member.
5. The catheter extension control assembly of claim 4 , wherein the outer surface of the sidewall in the proximal portion of the first interior tubular member has a diameter that is larger than a diameter of the lumen in the proximal portion of the second exterior tubular member.
6. The catheter extension control assembly of claim 4 , wherein a diameter of the outer surface of the sidewall in the distal portion of the first interior tubular member is smaller than the diameter of the lumen in the proximal portion of the second exterior tubular member.
7. The catheter extension control assembly of claim 4 , wherein the outer surface of the sidewall of the first interior tubular member forms a flared configuration comprising a distal concave portion extending to a radially outermost portion of the at least one circumferential protrusion and a proximal concave portion extending to the radially outermost portion of the at least one circumferential protrusion.
8. The catheter extension control assembly of claim 7 , wherein the lumen of the second exterior tubular member forms a funnel in the proximal portion, with a largest diameter of the funnel located at a proximal end of the second exterior tubular member and an interior of the funnel having a shape configured to mate with the distal concave portion of the flared configuration of the outer surface of the sidewall of the first interior tubular member.
9. The catheter extension control assembly of claim 1 , wherein the outer surface of the sidewall of the second exterior tubular member forms a shoulder adjacent to the distal portion of the second exterior tubular member.
10. The catheter extension control assembly of claim 1 , wherein the outer surface of the distal portion of the first interior tubular member comprises one or more identifiable first markings and wherein the proximal portion of the second exterior tubular member is configured such that a position of the one or more identifiable first markings within the proximal portion of the second exterior tubular member can be seen.
11. The catheter extension control assembly of claim 10 , wherein the proximal portion of the second tubular member is at least partially transparent such that the position of the one or more identifiable first markings of the first interior tubular member can be seen and wherein the proximal portion of the second exterior tubular member optionally comprises a plurality of identifiable second markings at differing longitudinal positions configured to identify a relative longitudinal position of the first interior tubular member relative to the second exterior tubular member.
12. A catheter extension control assembly comprising:
a first interior tubular member comprising a proximal portion, a distal portion, a lumen, and a sidewall having an outer surface at least partially surrounding the lumen, wherein the first interior tubular member is a tubular portion of a catheter or is configured to be attached to a catheter that is received in the lumen of the first interior tubular member, the catheter comprising a distal end, the first interior tubular member including at least one first attachment feature in said outer surface;
a second exterior tubular member having a length, a proximal portion, a distal portion configured with an endoscope, a lumen extending the length of the second exterior tubular member, and a sidewall having an inner surface and an outer surface at least partially surrounding the lumen of the second exterior tubular member, wherein at least a portion of the lumen of the second exterior tubular member is configured to receive at least a portion of the first interior tubular member, and wherein the inner surface of the sidewall of the second exterior tubular member comprises at least one second attachment feature that is complimentary to the first attachment feature, the at least one second attachment feature positioned at a location on the second exterior tubular member so that, when the at least one first attachment feature in the first interior tubular member mates with the at least one second attachment feature, the distal end of the catheter is positioned a predetermined minimum distance away from the endoscope at the distal portion of the second exterior tubular member; and
a cryogen delivery catheter received in the lumen of the first interior tubular member, wherein the first interior tubular member is attached to the cryogen delivery catheter.
13. The catheter extension control assembly of claim 12 , wherein the first interior tubular member comprises a plurality of the first attachment features and the second exterior tubular member comprises one second attachment feature, or wherein the first interior tubular member comprises one first attachment feature and the second exterior tubular member comprises a plurality of the second attachment features.
14. The catheter extension control assembly of claim 12 , wherein the outer surface of the sidewall of the second exterior tubular member forms a shoulder adjacent to the distal portion of the second exterior tubular member.
15. The catheter extension control assembly of claim 12 , wherein a diameter of the lumen in the proximal portion of the second exterior tubular member is greater than a diameter of the lumen in the distal portion of the exterior second exterior tubular member.
16. The catheter extension control assembly of claim 15 , wherein the outer surface of the sidewall in the proximal portion of the first interior tubular member has a diameter that is larger than a diameter of the lumen in the proximal portion of the second exterior tubular member.
17. The catheter extension control assembly of claim 16 , wherein a diameter of the outer surface of the sidewall in the distal portion of the first interior tubular member is smaller than the diameter of the lumen in the proximal portion of the second exterior tubular member.
18. The catheter extension control assembly of claim 12 , wherein the outer surface of the sidewall of the first interior tubular member forms a flared configuration comprising a distal concave portion extending to a radially outermost portion of the at least one circumferential protrusion and a proximal concave portion extending to the radially outermost portion of the at least one circumferential protrusion.
19. The catheter extension control assembly of claim 18 , wherein the lumen of the second exterior tubular member forms a funnel in the proximal portion, with a largest diameter of the funnel located at a proximal end of the second exterior tubular member and an interior of the funnel having a shape configured to mate with the distal concave portion of the flared configuration of the outer surface of the sidewall of the first interior tubular member.