Specimen retrieval system for use in endoscopic surgery
A specimen retrieval system for easier tissue removal during endoscopic surgery. The device includes 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;
a tether comprising a limp thread or suture fixed to the distal end of the tube, said tether extending from the distal end of the tube and extending out the proximal end of the tube, 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 the open configuration.
3. The specimen retrieval system of claim 2 , wherein the means for holding the distal end of the tube in the open configuration comprise a semi-rigid hoop secured to a distal edge of the tube.
4. The specimen retrieval system of claim 3 , wherein the tether is fixed to the distal end of the tube through the hoop.
5. The specimen retrieval system of claim 2 , wherein the means for holding the distal end of the tube in the open configuration comprise a grasper extending through the tube, from the proximal end of the tube to the distal end of the tube.
6. The specimen retrieval system of claim 2 , wherein the means for holding the distal end of the tube in the open configuration comprise one or more inflatable channels extending longitudinally along the tube.
7. The specimen retrieval system of claim 6 wherein:
one inflatable channel is separated from a second, adjacent inflatable channel by a circumferentially extending region of the tube which is not inflatable.
8. The specimen retrieval system of claim 6 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 the tube un-supported by the one or more inflatable channels.
9. The specimen retrieval system of claim 6 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.
10. The specimen retrieval system of claim 6 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.
11. The specimen retrieval system of claim 6 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.
12. The specimen retrieval system of claim 11 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.
13. The specimen retrieval system of claim 6 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.
14. The specimen retrieval system of claim 6 further comprising a manifold in fluid communication with each of the one or more inflatable channels.
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 1 further comprising:
a plurality of inflatable channels disposed within a wall of the tube, said inflatable channels oriented longitudinally along the tube.
17. The specimen retrieval system of claim 1 further comprising:
a rod having a blunt rounded distal tip.
18. The specimen retrieval system of claim 17 further comprising:
a semi-rigid guide ring located on a distal end of the rod wherein a proximal end of the rod extends out of the proximal end of the tube.
19. The specimen retrieval system of claim 18 wherein, the guide ring is resiliently deformable and operable to be compressed to a small configuration.
20. The specimen retrieval system of claim 1 wherein, the distal end of tube is folded to the inside of the tube to form an everted cuff.
21. The specimen retrieval system of claim 1 where the tether is disposed in the lumen of the tube and is fixed to the distal end of the tube in a configuration in which the tether is further operable, when pulling the tether proximally, to pull the distal end of the tube proximally into the lumen while the distal end of the tube is in the open configuration.