Endosurgical device and method of use
A method for treating or diagnosing cancer with and endosurgical device comprising at least two lengthwise extending channels ( 2, 3, 4, 5; 2′, 3′, 4′, 5′ ), two opposite jaws ( 9, 10; 9′, 10′; 9″, 10″ ) with use of diathermy and flushing a tissue specimen to a proximal end of the endosurgical device. The method allows the surgeon to take several tissue specimens from an organ and to perform several functionalities when the device is inside the organ. The endosurgical device for use in the method is also disclosed.
1. A surgical method for treatment or diagnosing cancer of a human, comprising the steps:
a) inserting an endosurgical device into the human,
b) bringing a distal end of the endosurgical device to an area suspected of cancer,
c) closing a pair of jaws of the endosurgical device by displacing an end effector inside an effector sleeve to enclose a tissue specimen and defining a biopsy cup inside the pair of jaws,
d) activating diathermy by providing current via an electrical cord to the pair of jaws to sever the tissue specimen and set the tissue specimen free for accommodation inside the biopsy cup,
e) flushing the tissue specimen out of the biopsy cup with a fluid, and
f) collecting the tissue specimen at a proximal end fluidly connected to the distal end of the endosurgical device,
wherein severing the tissue specimen by diathermy is performed without another cutting feature.
2. The surgical method as claimed in claim 1 , further comprising the step of anesthetizing the area suspect of cancer with the endosurgical device before activating the diathermy in step d).
3. The surgical method as claimed in claim 2 , wherein the step of anesthetizing the area suspect of cancer is carried out with a needle or a nozzle of the endosurgical device.
4. The surgical method as claimed in claim 1 , further comprising the step of, before closing the pair of jaws in step c), displacing the end effector out of the effectors sleeve to open the pair of jaws.
5. The surgical method as claimed in claim 1 , wherein steps b)-f) are repeated to take a plurality of tissue specimens without removing the endoscopic device out of the human between the taking of each tissue specimen in the plurality of tissue specimens.
6. The surgical method as claimed in claim 5 , further comprising the step of destroying at least one remaining area of cancer by diathermy with the pair of jaws.
7. The surgical method as claimed in claim 1 , further comprising the step of visualizing an area suspected of cancer with a visualizing means.
8. The surgical method as claimed in claim 7 , wherein the visualizing means is a fiber optic means.
9. The surgical method as claimed in claim 1 , further comprising the step of expanding the area suspected of cancer with a liquid supplied through a lengthwise extending channel of the endosurgical device.
10. The surgical method as claimed in claim 1 , wherein the step of flushing the tissue specimen out of the biopsy cup with a fluid is conducted with a high fluid pressure of at least 5 bar.
11. The surgical method as claimed in claim 1 , wherein the step of collecting the tissue specimen at a proximal tube end, is carried out by collecting the tissue specimen in a formalin-containing vial.
12. The surgical method as claimed in claim 1 , wherein the step of closing the pair of jaws in step c) comprises holding the jaws tight together to close the biopsy cup around the tissue specimen in a substantially leak-proof manner.
13. The surgical method as claimed in claim 1 , wherein the pair of jaws comprise exterior faces being electrically insulated by a coating.
14. The surgical method as claimed in claim 1 , wherein the endosurgical device comprises:
a flexible tube having a distal tube end, a proximal tube end, and at least two lengthwise extending channels,
an end effector comprising two opposite jaws which end effector is provided at the distal tube end,
an effector sleeve that surrounds the flexible tube at least at the distal tube end, and
means for reciprocating the end effector axially in relation to the effector sleeve, or vice versa, to open and close the jaws, wherein
the end effector of the endosurgical device comprises a main tubular body having a first end connected to the distal tube end to provide fluid communication to the at least two lengthwise extending channels, and an opposite second end having the opposite jaws,
at least one of the jaws is arranged to diverge from a longitudinal axis of the end effector in a relaxed condition when the end effector is at least partly outside the effector sleeve,
the end effector and the jaws are arranged so that the jaws are subjected to a compression force by the effector sleeve to keep the gap between the jaws closed to define a closed biopsy cup when the end effector is at least partly inside the effector sleeve,
the exterior faces of the opposite jaws are electrically insulated, and
an electrical cord for providing current to the end effector extends inside one of the lengthwise extending channels.
15. The surgical method as claimed in claim 14 , wherein an exterior diameter of the flexible tube is less than or equal to 2 mm.
16. The surgical method as claimed in claim 14 , wherein the closed biopsy cup is configured to withhold a flushing pressure of least 5 bar.
17. The surgical method as claimed in claim 1 , wherein the step of flushing the tissue specimen out of the biopsy cup with a fluid is conducted with a high fluid pressure of at least 10 bar.
18. A method for treating or diagnosing cancer in a human, the method comprising:
a) inserting an endosurgical device into the human;
b) bringing a distal end of the endosurgical device to an area suspected of cancer;
c) closing a pair of jaws of the endosurgical device by displacing an end effector inside an effector sleeve to enclose a tissue specimen from the area suspected of cancer, a biopsy cup defined by the closed jaws when the end effector is inside the effector sleeve;
d) activating diathermy by providing current via an electrical cord to the pair of jaws to set the tissue specimen free from the area suspected of cancer, the freed tissue specimen protected inside the biopsy cup;
e) flushing the tissue specimen out of the biopsy cup;
f) collecting the tissue specimen at a proximal end of the endosurgical device fluidly connected to the distal end of the endosurgical device; and
g) taking multiple tissue specimens from the area suspected of cancer by repeating steps b)-f) and without removing the endosurgical device out of the human between the taking of each tissue sample.
19. The method of claim 18 , further comprising:
before step c), displacing the end effector out of the effectors sleeve to open the pair of jaws.
20. The method of claim 18 , further comprising:
before step d), anesthetizing the area suspected of cancer with the endosurgical device and a needle or a nozzle on the endosurgical device.