Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same
Apparatus comprising: a sleeve adapted to be slid over the exterior of an endoscope; a proximal balloon secured to the sleeve; an inflation/deflation tube carried by the sleeve and in fluid communication with the interior of the proximal balloon; a push tube slidably mounted to the sleeve; and a distal balloon secured to the distal end of the push tube, the interior of the distal balloon being in fluid communication with the push tube, wherein the distal balloon is capable of assuming a deflated condition and an inflated condition, and further wherein when the distal balloon is in its deflated condition, an axial opening extends therethrough, the axial opening being sized to receive the endoscope therein, and when the distal balloon is in its inflated condition, the axial opening is closed down.
1. Apparatus comprising:
a sleeve having a distal end, a proximal end, and a central lumen extending therebetween, the central lumen being sized to receive an endoscope therein, wherein the endoscope comprises a distal end and a proximal end, wherein the proximal end of the endoscope comprises a handle, wherein the sleeve is sized to extend over the endoscope from a location adjacent to the distal end of the endoscope to a location adjacent to the handle of the endoscope, and further wherein the sleeve comprises a push tube channel having a distal end and a proximal end, wherein the distal end of the push tube channel is disposed adjacent to the distal end of the sleeve and the proximal end of the push tube channel is disposed adjacent to the proximal end of the sleeve;
a proximal balloon secured to said sleeve;
an inflation/deflation tube carried by said sleeve and in fluid communication with the interior of said proximal balloon;
a push tube slidably disposed in the push tube channel of said sleeve so as to be movable relative to said sleeve, wherein the push tube comprises a distal end and a proximal end, with the distal end of the push tube being configured to extend out of the distal end of the push tube channel, and with the proximal end of the push tube being configured to extend out the proximal end of the push tube channel; and
a distal balloon secured to the distal end of said push tube, the interior of said distal balloon being in fluid communication with said push tube, wherein said distal balloon is capable of assuming a deflated condition and an inflated condition; and
at least one tool lumen carried by the sleeve, wherein said at least one tool lumen opens at said distal end of said sleeve, distal to said proximal balloon and proximal to said distal balloon, whereby to facilitate advancement of a tool to said distal end of said sleeve such that said tool exits said sleeve in the space between said proximal balloon and said distal balloon.
2. Apparatus according to claim 1 wherein said at least one tool lumen extends between a proximal opening and a distal opening, and wherein the distal opening of said at least one tool lumen opens at said distal end of said sleeve, distal to said proximal balloon and proximal to said distal balloon.
3. Apparatus according to claim 2 wherein said proximal opening of said tool lumen opens at said proximal end of said sleeve.
4. Apparatus according to claim 2 wherein said proximal opening of said tool lumen opens intermediate said proximal end of said sleeve and said distal end of said sleeve.
5. Apparatus according to claim 1 further comprising at least two tool lumens carried by said sleeve.
6. Apparatus according to claim 1 wherein a tool is disposed in said at least one tool lumen such that the tool can be deployed from said at least one tool lumen into the space distal to said proximal balloon and proximal to said distal balloon.
7. Apparatus according to claim 6 wherein said tool comprises one selected from the group consisting of a grasper, a cutter or dissector, a cauterizing tool, and an ultrasound probe.
8. Apparatus according to claim 1 wherein said at least one tool lumen is radially expandable such that said at least one tool lumen comprises a radially-reduced profile when said at least one tool lumen is empty and a radially-expanded profile when said at least one tool lumen has a tool disposed therein.
9. Apparatus according to claim 2 wherein said at least one tool lumen comprises a support ring mounted to the distal opening of said at least one tool lumen.
10. Apparatus according to claim 1 wherein said at least one tool lumen further comprises a hollow instrument guide tube disposed therein for providing support to tools disposed within said at least one tool lumen.
11. Apparatus according to claim 10 wherein said hollow instrument guide tube comprises a fixed geometry.
12. Apparatus according to claim 10 wherein said hollow instrument guide tube is bendable.
13. Apparatus according to claim 10 wherein said hollow instrument guide tube is articulatable.