Endoscope Retainer and Tissue Retracting Device

This invention relates to an attachment for an endoscope for endoscopic surgery for retaining the endoscope within a body cavity and providing for retracting any soft tissue so that structures can be visualized more easily.

No similar device is known at this time.

An object of the present invention is to provide a device for a surgical endoscope which will not interfere in its insertion into an opening through the skin into a body cavity, yet provide enlargement within the cavity to prevent the endoscope from slipping out of the cavity and also providing for retracting soft tissue around the opening in the cavity away from the cavity to provide a better view therein.

Another object of the present invention is to provide a plastic tubular sleeve for an endoscope extending inwardly from its end which has multiple longitudinal slits near its tip. The inner dimension of the end of the tube has a friction fit over the endoscope for holding it in place, and the rearward portion of the tubular sleeve is moved forwardly, sliding over the endoscope with the slits opening up, providing radial extensions; a holding screw extends through the tubular sleeve and can be tightened against the endoscope to hold the sleeve in that position.

A further object of the present invention is to provide a method of operating in a body cavity which will prevent inadvertent endoscope removal and permit enlargement of the cavity by moving the expanded tip on the probe outwardly.

FIG. 1 shows a tubular endoscope retaining and tissue retracting device mounted on the end of an endoscope;

FIG. 2 shows a tubular endoscope retaining and tissue retracting device with its end expanded to provide the retaining and retracting function;

FIG. 3 is an end view of the retaining and retracting device showing it expanded;

FIG. 4 is a view showing an endoscope having a tubular endoscope retaining and tissue retracting device mounted thereon, projecting through an opening in the skin of a body into a body cavity;

FIG. 5 is a view similar to FIG. 4 showing the retaining and retracting device expanded within the body cavity;

FIG. 6 is a view similar to FIG. 5, showing the endoscope and the retaining and retracting device moved outwardly from the bottom of the body cavity, pulling soft tissue or fatty material upwardly, enlarging the cavity.

An endoscope retainer and tissue retracting device 2 according to the present invention is shown in FIGS. 1 and 2. The endoscope retainer and tissue retracting device 2 comprises a soft plastic cylindrical tube 4 with one end 7 being formed having a smaller end diameter. The portion of the soft plastic cylindrical tube 4 adjacent the end 7 having the smaller diameter is formed having longitudinal slits 8 forming flexible strips therebetween.

The other end of the endoscope retainer and tissue retracting device 2 has an enlarged portion 10 fixed thereto, having an internally threaded radial opening 12 therein for receiving a set screw 14. While a two-part construction is shown, the soft plastic cylindrical tube 4 and enlarged portion 10 can be made integral.

Prior to endoscopic surgery involving a small body cavity and soft tissue, the endoscope retainer and tissue retracting device 2 can be slipped over the probe portion of the endoscope 6 with the enlarged portion 10 going on first; the endoscope retainer and tissue retracting device 2 has sliding engagement with the probe portion of the endoscope 6 for most of its length until the end 7 of the soft plastic cylindrical tube 4 is reached. At this point, the reduced diameter of the end 7 is forced over the probe portion of the endoscope 6, providing a friction holding fit.

It can now be seen that as the enlarged portion 10 is moved along the probe portion of the endoscope 6, the flexible strips of soft plastic between the slits 8 will be forced outwardly as shown in FIGS. 2 and 3. When the strips are positioned outwardly, the set screw 14 is tightened to fix the position of the strips.

Any plastic having this ability to bend can be used. Nylon was used in one device made. If a slightly more rigid plastic is desired, the cylindrical tube 4 can be scored around the inner surface at location A and scored around the outer surface at the locations B and C, where the ends of the slits are.

Further, in the construction of an endoscope retainer and tissue retracting device 2, the device was approximately 35/8 inches long (9.21 cm), while the slits 8 were 3/4 inches long (1.9 cm), and positioned about 2/16 inches (0.32 cm) from the end 7.

In operation, the endoscope retainer and tissue retracting device 2 is placed over the probe portion of the endoscope 6, as set forth above, with the end 7 having a friction holding fit on the end of the probe portion. The endoscope 6 and endoscope retainer and tissue retracting device 2 is inserted through the skin 16 into a prepared opening 18 in the body into a body cavity 20, as shown in FIG. 4. The endoscope retainer and tissue retracting device 2 is moved forwardly by the surgeon to expand the strips formed by the slits 8, as shown in FIG. 5. If the body cavity 20 is not deep enough to permit proper opening of the strips, a solution, such as saline, can be forced into the body cavity 20 to expand the cavity 20 a little to receive the expanded strips. For example, this can be done in the area of knee surgery where a body cavity could be very small. The endoscope retainer and tissue retracting device 2 can be fixed in place on the probe portion of the endoscope 6 by tightening the set screw 14. Now the endoscope can be moved by the surgeon to position it in the cavity 20 to properly view the area to be operated on without fear of the endoscope 6 retracting from the body. Further, if soft tissue, or fat, prevents proper viewing, the endoscope retainer and tissue retracting device 2 and endoscope 6 can be withdrawn to pull the soft tissue back, enlarging the body cavity 20, permitting a line of sight to an operating area.