Method and apparatus for severing and capturing polyps

Claim 2

Apparatus for severing and retrieving a polyp for withdrawal from a patient comprising: a catheter device extending between a distal end and a proximal end, for positioning said distal end proximate a polyp; means for severing and means for retrieving a polyp, said means for severing and said means for retrieving being extensible from, and retractable into, said distal end of said catheter device, said means for severing including a self-expanding continuous wire connected to a distal end of a first proximally extending cable disposed in said catheter device and said means for retrieving including a needle supported at a distal end of a second proximally extending cable disposed in said catheter device, said needle having a projection on an outer surface of a distal portion thereof for retrieving a portion of a polyp into which said distal portion of said needle is inserted; and a means for extending and retracting said means for severing and said means for retrieving relative to said distal end of said catheter device.

Claim 3

An instrument as recited in claim 1 wherein said needle includes a means for injection for enabling the selective injection of the polyp with a solution for swelling the polyp.

Claim 6

A method as recited in claim 3 further comprising repeating said steps of extendings, positioning and manipulating, and retracting to thereby collect a plurality of severed polyp portions.

Claim 7

A method as recited in claim 4 further comprising the step of removing the catheter after collection of a plurality of severed polyps portions wherein said repeating of said steps of extending, positioning and manipulating, and retracting causes the severed polyps portions to be retained by the retrieving device in an order corresponding to the order of severing.

Claim 8

A method as recited in claim 3 further comprising the step of injecting fluid through the needle into the pierced polyp to enlarge the polyp.

Claim 11

The instrument of claim 7 wherein said needle is hollow for enabling the injection of the polyp with a solution for swelling the polyp.

Claim 12

Apparatus for severing and retrieving a polyp for withdrawal from a patient, the apparatus comprising: a catheter device extending between a distal end and a proximal end, said distal end for positioning proximate a polyp; means for severing and means for retrieving a polyp, said means for severing and said means for retrieving being self-expansible, extensible from said distal end of said catheter device in an expanded form and retractable into said distal end in a compacted form, said means for severing including a continuous wire connected to a distal end of a first proximally extending cable disposed in said catheter device and said means for retrieving including a plurality of legs connected to a distal end of a second proximally extending cable disposed in said catheter device, each leg having a length and a distal end, the legs being unconnected to each other at their distal ends and along substantially their entire lengths, wherein said means for retrieving further includes a needle, the needle including a projection on an outer surface of a distal portion thereof for retrieving a portion of a polyp into which the distal portion of the needle is inserted; and a means for extending and retracting said means for severing and said means for retrieving relative to said distal end of said catheter device.

Claim 13

Apparatus for severing and retrieving a polyp for withdrawal from a patient, the apparatus comprising: a catheter device extending between a distal end and a proximal end, said distal end for positioning proximate a polyp; means for severing and means for retrieving a polyp, said means for severing and said means for retrieving being self-expansible, extensible from said distal end of said catheter device in an expanded form and retractable into said distal end in a compacted form, said means for severing including a continuous wire connected to a distal end of a first proximally extending cable disposed in said catheter device and said means for retrieving including a plurality of legs connected to a distal end of a second proximally extending cable disposed in said catheter device, each leg having a length and a distal end, the legs being unconnected to each other at their distal ends and along substantially their entire lengths, wherein said means for retrieving further includes a needle, the needle including a projection on an outer surface of a distal portion thereof for retrieving a portion of a polyp into which the distal portion of the needle is inserted; and a means for extending and retracting said means for severing and said means for retrieving relative to said distal end of said catheter device.

Claim 14

A surgical instrument for severing a polyp within a patient and retrieving the severed portion of such polyp from the patient, said instrument comprising: an elongated tubular member extending proximally from a distal end; a means for severing within said tubular member, the means for severing for encompassing and severing a polyp proximate the base of the polyp, said means for severing including a snare connected to a distal end of a first proximally extending cable such that retraction of said snare into said distal end of said tubular member severs the polyp; and a means for retrieving a polyp, the means for retrieving being within said tubular member independent of said means for severing, said means for retrieving connected to a distal end of a second proximally extending cable and selectively extensible relative to said distal end of said tubular member, said means for retrieving including a plurality of generally axially extending legs with inwardly extending projections, said legs being positioned in said tubular member in a compact condition and upon extension therefrom assuming an expanded condition such that relative retraction of said legs into said distal end of said tubular member urges said projections proximate one another so as to grasp a polyp disposed therebetween, and wherein the means for retrieving further includes a needle, the needle including a projection on an outer surface of a distal portion thereof for retrieving a portion of a polyp into which the distal portion of the needle is inserted, wherein the polyp is retrieved when the means for retrieving is withdrawn from the patient's body.

Claim 15

A surgical instrument for severing a polyp within a patient and retrieving the severed portion of such polyp from the patient, said instrument comprising: an elongated tubular member extending proximally from a distal end; a means for severing within said tubular member, the means for severing for encompassing and severing a polyp proximate the base of the polyp, said means for severing including a snare connected to a distal end of a first proximally extending cable such that retraction of said snare into said distal end of said tubular member severs the polyp; and a means for retrieving a polyp, the means for retrieving being within said tubular member independent of said means for severing, said means for retrieving connected to a distal end of a second proximally extending cable and selectively extensible relative to said distal end of said tubular member, said means for retrieving including a plurality of generally axially extending legs with inwardly extending projections, said legs being positioned in said tubular member in a compact condition and upon extension therefrom assuming an expanded condition such that relative retraction of said legs into said distal end of said tubular member urges said projections proximate one another so as to grasp a polyp disposed therebetween, and wherein the means for retrieving further includes a needle, the needle including a projection on an outer surface of a distal portion thereof for retrieving a portion of a polyp into which the distal portion of the needle is inserted, wherein the polyp is retrieved when the means for retrieving is withdrawn from the patient's body.