Polyp encapsulation system and method
An endoscopic electrosurgical instrument is presented for encapsulating and resecting biologic tissue, such as a polyp, from an anatomical structure, such as a lumen. The instrument includes an encapsulation assembly which includes a snare coupled to an electrically non-conductive, shrinkable pouch in a drawstring-like configuration. The encapsulation assembly may be folded within the elongated cylindrical housing of the endoscopic instrument, positioned within the patient at the surgical site, and deployed for use. Once positioned over the polyp, the snare is tightened around the peduncle thereof, and the pouch is activated, thereby shrinking and encapsulating the polyp. The polyp may then be resected using conventional or electrosurgical techniques. The disclosed instrument may include surgical tools and/or electrosurgical electrodes for performing surgical procedures. The disclosed system may reduce the occurrence of undesirable arcing and may aid retrieval of resected tissue.
1. A method for encapsulating and resecting tissue from a patient, comprising:
providing a polyp encapsulation device including a wire loop snare having a shrinkable pouch including a closed end and an open end;
positioning the polyp encapsulation device over the tissue to be encapsulated such that the shrinkable pouch envelops the tissue;
tightening the wire loop snare around the tissue to be encapsulated;
heating the shrinkable pouch causing the open end and the closed end of the shrinkable pouch to shrink to encapsulate the tissue, wherein the heating the shrinkable pouch includes heating the open end of the shrinkable pouch at a faster rate than heating the closed end of the shrinkable pouch; and
resecting the tissue.
2. The method according to claim 1 , wherein the polyp encapsulation device further includes a surgical instrument having a retracted inactive position and an extended active position.
3. The method according to claim 2 , wherein resecting the tissue further includes:
extending the surgical instrument to the extended active position; and
severing the tissue from the patient with the surgical instrument.
4. The method according to claim 2 , wherein resecting the tissue further includes:
extending the surgical instrument to the extended active position;
providing electrosurgical energy to the surgical instrument; and
electrosurgically cutting the tissue from the patient with the surgical instrument.
5. The method according to claim 1 , wherein the resecting is performed by providing an electrosurgical signal to the wire loop snare.