Expandable device for tissue collection from an aerodigestive body lumen
A device for obtaining tissue from the aerodigestive tract is provided. The device may have internal and external folds and a tissue collection surface for collecting a tissue sample from a body lumen, such as the nose or throat. The present invention is also directed to methods of collecting a tissue sample using the devices, described herein.
1. A method of collecting tissue from an individual, comprising:
(a) advancing a deflated expandable device having internal and external folds and a tissue collection surface on one or more of the internal folds to a collection site within a body lumen of an individual;
(b) expanding the expandable device at the collection site to unfurl at least some of the folds so that the tissue collection surface contacts tissue of the body lumen;
(c) collecting tissue on the tissue collection surface of the expandable device; wherein the step of collecting tissue involves rotating the expandable device;
(d) contracting the expandable device; and
(e) removing the contracted expandable device from the individual.
2. The method of claim 1 , wherein the body lumen is selected from the group consisting of pharynx, larynx, oropharynx, nasopharynx, nasal cavity, nose, throat, trachea, and esophagus.
3. The method of claim 1 , wherein the expandable device is a balloon.
4. The method of claim 3 , wherein the balloon is partially inflated or fully inflated at the collection site.
5. The method of claim 3 , wherein the step of collecting tissue involves inflating and deflating the balloon, rotating the fully inflated balloon, and/or moving the fully inflated balloon up and down.
6. A method of collecting tissue from an individual, comprising:
(a) advancing a deflated expandable device having internal and external folds and a tissue collection surface on one or more of the internal folds to a collection site within a body lumen of an individual;
(b) expanding the expandable device at the collection site to unfurl at least some of the folds so that the tissue collection surface contacts tissue of the body lumen;
(c) collecting tissue on the tissue collection surface of the expandable device;
(d) contracting the expandable device; and
(e) removing the contracted expandable device from the individual, wherein the contracted expandable device is removed from the individual without a stent or protective cover.
7. The method of claim 6 , wherein an agent is delivered to the individual prior to, at the same time as or after contracting the expandable device.
8. The method of claim 7 , wherein the agent is coated on the surface of the expandable device.
9. The method of claim 8 , wherein the agent is coated on the internal folds of the expandable device.
10. The method of claim 7 , wherein the agent is a therapeutic agent, diagnostic agent, or imaging agent.
11. A method of collecting tissue from an individual, comprising:
(a) advancing a deflated expandable device having internal and external folds and a tissue collection surface on one or more of the internal folds to a collection site within a body lumen of an individual;
(b) expanding the expandable device at the collection site to unfurl at least some of the folds so that the tissue collection surface contacts tissue of the body lumen;
(c) collecting tissue on the tissue collection surface of the expandable device;
(d) contracting the expandable device; and
(e) removing the contracted expandable device from the individual, wherein the expandable device is attached to a tube or channel, and wherein an instrument is advanced through the tube or channel prior to, at the same time as or after contracting the expandable device.
12. The method of claim 11 , wherein the instrument is a laser fiber, a cytology brush, an applicator, a needle, forceps, or a blade.
13. A method of collecting tissue from an individual, comprising:
(a) advancing a deflated expandable device having internal and external folds and a tissue collection surface on one or more of the internal folds to a collection site within a body lumen of an individual;
(b) expanding the expandable device at the collection site to unfurl at least some of the folds so that the tissue collection surface contacts tissue of the body lumen;
(c) collecting tissue on the tissue collection surface of the expandable device;
(d) contracting the expandable device; and
(e) removing the contracted expandable device from the individual, wherein the expandable device is attached to a tube or channel, and wherein an agent is delivered to the individual through the tube or channel.