Substantially 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 system, comprising:
a multi-lumen endoscope receiving member having a proximal balloon, the proximal balloon inflatable along a distal portion of the multi-lumen endoscope receiving member, a first lumen configured to receive an endoscope therethrough, a second lumen radially spaced from the first lumen to receive a first instrument therethrough and a third lumen radially spaced from the first lumen to receive a second instrument therethrough;
a distal balloon positioned distal of the proximal balloon and inflatable beyond a distal end of the multi-lumen endoscope receiving member to form a chamber between the proximal and distal balloons;
first and second strips between the proximal and distal balloons; and
an endoscope slidably disposed within the first lumen such that a distal tip of the endoscope is extendable into the chamber.
2. The endoscopic system of claim 1 , wherein the system is suitable for accessing tissue along a wall of a body lumen, and wherein the chamber comprises an expanded portion of the proximal and distal balloons when inflated.
3. The endoscopic system of claim 1 , further comprising a first instrument slidably disposed within the second lumen, wherein a distal end of the first instrument is insertable into the chamber formed between the proximal and distal balloons.
4. The endoscopic system of claim 1 , further comprising a handle at a proximal portion of the multi-lumen endoscope receiving member actuatable to move the first and second strips.
5. The endoscopic system of claim 1 , further comprising a first instrument slidably disposed within the second lumen and a second instrument slidably disposed within the third lumen.
6. The endoscopic system of claim 5 , wherein a distal end of the first and second instruments is configured to bend when extended beyond the distal end of the multi-lumen endoscope receiving member to change a position of the distal end of the first and second instruments within the chamber.
7. The endoscopic system of claim 5 , wherein the first and second instruments are independently movable.
8. The endoscopic system of claim 1 , wherein the first and second strips are bendable at an intermediate portion to contact a wall of a body lumen.
9. The endoscopic system of claim 1 , wherein the second and third lumens are radially spaced from a central longitudinal axis of the endoscope receiving member.
10. The endoscopic system of claim 9 , wherein the second and third lumens terminate at distal ends opening into the chamber between the proximal and distal balloons.
11. A multi-lumen endoscope receiving member, comprising:
a proximal balloon disposed along a distal portion of the multi-lumen endoscope receiving member, a distal balloon positioned distal of the proximal balloon, a plurality of elongated members extending between the proximal and distal balloons, and a handle for moving the plurality of elongated members;
the proximal and distal balloons inflatable to form a chamber therebetween, at least a portion of the chamber extending beyond a distal end of the endoscope receiving member, the endoscope receiving member having a first lumen dimensioned to receive an endoscope and a second lumen dimensioned to receive a first instrument.
12. The endoscope receiving member of claim 11 , wherein one or both of a size or shape of the chamber can be adjusted within a body lumen.
13. The endoscope receiving member of claim 11 , wherein the elongated members are laterally movable to engage a wall of a body lumen.
14. A method, comprising:
a) inserting a multi-lumen endoscope receiving member into a body lumen of a patient, the endoscope receiving member having a proximal balloon, the proximal balloon inflatable along a distal portion of the multi-lumen endoscope receiving member, a distal balloon positioned distal of the proximal balloon and inflatable beyond a distal end of the multi-lumen endoscope receiving member, a plurality of elongated members between the proximal and distal balloons and a first lumen extending through the multi-lumen endoscope receiving member configured to receive an endoscope therethrough;
b) inflating the proximal balloon along the distal portion of the endoscope receiving member and inflating the distal balloon beyond the distal end of the endoscope receiving member;
c) inserting a first instrument within a second lumen of the endoscope receiving member;
d) manipulating a distal end of the first instrument beyond the distal end of the endoscope receiving member;
e) inserting a second instrument within a third lumen of the endoscope receiving member; and
f) manipulating a distal end of the second instrument beyond a distal end of the endoscope receiving member.
15. The method of claim 14 , wherein inflation of the proximal and distal balloons forms a chamber.
16. The method of claim 14 , wherein the elongated members are secured at their distal ends.
17. The method of claim 15 , further comprising inserting an endoscope within the first lumen to visualize the chamber between the proximal and distal balloons.
18. The method of claim 17 , wherein a distal end of the endoscope is movable laterally within the chamber between the proximal and distal balloons.
19. The method of claim 14 , wherein inflation of the proximal and distal balloons alters a shape of the body lumen.