Specimen retrieval system for use in endoscopic surgery
A specimen retrieval system for easier tissue removal during endoscopic surgery. The devices include a specimen tube with a main tube, and a mechanism for pulling and everting the distal end of the tube into the tube, or a side channel provided within the tube. The mechanism may include a tether fixed to the distal edge of the tube, or a grasper operable to grasp the distal edge of the tube.
1. A specimen retrieval system comprising:
a tube having a distal end and a proximal end, said distal end being open, said tube having a lumen extending from the distal end to the proximal end, said tube having a side channel inside the lumen, extending from the distal end toward the proximal end of the tube;
a tether fixed to the distal end of the tube, said tether extending from the distal end of the tube, proximally through the side channel, and extending out the proximal end of the side channel, said tether operable to pull the distal end of the tube into an everted configuration relative to the remainder of the tube while the distal end of the tube is in an open configuration.
2. The specimen retrieval system of claim 1 further comprising:
means for holding the distal end of the tube in an open configuration.
3. The specimen retrieval system of claim 2 , wherein the means for holding the distal end of the tube in an open configuration comprise one or more inflatable channels extending longitudinally along the tube.
4. The specimen retrieval system of claim 3 wherein:
one inflatable channel is separated from a second, adjacent inflatable channel by a circumferentially extending region of the tube which is not inflatable.
5. The specimen retrieval system of claim 3 wherein:
the one or more inflatable channels terminate at a point proximal to the distal end of the tube, thereby defining a skirt at the distal end of tube un-supported by the one or more inflatable channels.
6. The specimen retrieval system of claim 3 wherein:
the tube comprises a tube distal portion and a tube proximal portion, and the tube distal portion is isodiametric, and the one or more inflatable channels are dispersed about the circumference of the tube, and terminate at a point proximal to the distal end of the tube, thereby defining a skirt at the distal end of the tube un-supported by the one or more inflatable channels.
7. The specimen retrieval system of claim 3 wherein:
the tube comprises a tube distal portion and a tube proximal portion, and the tube distal portion is isodiametric, 10 to 14 inches long, and 4 to 6 inches wide when un-inflated and laid flat, and the one or more inflatable channels are ½ to 2 inches wide, dispersed about the circumference of the tube, and terminate at a point proximal to the distal end of the tube, thereby defining a skirt at the distal end of the tube un-supported by the one or more inflatable channels.
8. The specimen retrieval system of claim 3 wherein:
the tube comprises a first, outer tube and a second, inner tube, and the inner tube is secured to the outer tube to create a plurality of inflatable chambers separated by un-inflatable regions.
9. The specimen retrieval system of claim 8 wherein the first tube comprises a nylon film, coated with urethane, and coated with silicon, and the first tube and the second tube are heat sealed together.
10. The specimen retrieval system of claim 3 further comprising:
an aperture in each inflatable channel, said aperture sized and dimensioned to allow fluid in each inflatable channel to leak from each inflatable channel at a rate lower than the rate at which each inflatable channel is inflated.
11. The specimen retrieval system of claim 3 further comprising a manifold in fluid communication with each of the one or more inflatable channels.
12. The specimen retrieval system of claim 2 , wherein the means for holding the distal end of the tube in an open configuration comprise a semi-rigid hoop secured to a distal edge of the tube.
13. The specimen retrieval system of claim 12 , wherein the tether is fixed to the distal end of the tube through the hoop.
14. The specimen retrieval system of claim 2 , wherein the means for holding the distal end of the tube in an open configuration comprise a grasper extending through the tube, from the proximal end of the tube to the distal end of the tube.
15. The specimen retrieval system of claim 1 further comprising:
a casing disposed near the distal end of the tube; wherein
a first portion of the tether runs through the casing.
16. The specimen retrieval system of claim 15 further comprising:
a second portion of the tether runs through the side channel.
17. The specimen retrieval system of claim 1 further comprising:
a plurality of inflatable channels disposed within a wall of the tube, said inflatable channels oriented longitudinally along the tube.