# US 11,076,840 B2 · Surgical console, specimen receiver, and insertable endoscopic instrument for tissue removal

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- Number: US 11,076,840 B2
- Document ID: US11076840B2
- Status: Granted
- Kind: B2
- Application number: 15/459,870
- Filed: 2017-03-15
- Published: 2017-11-09
- Granted: 2021-08-03
- Earliest claimed: 2011-12-02
- Assignees: Interscope, Inc.
- Applicants: Interscope, Inc.
- Inventors: Cosme Furlong; Michael W. Marcoux; Richard Stephen Wisdom; William R. Rebh, Jr.; Evan Costa; Stephen C. Evans
- Web page: https://patentgrep.com/patent/US11076840B2

## CPC

- A61B 10/04: Endoscopic instruments, e.g. catheter-type instruments
- A61B 1/00091: {Nozzles}
- A61B 1/00133: {Drive units for endoscopic tools inserted through or with the endoscope}
- A61B 1/015: Control of fluid supply or evacuation
- A61B 1/018: for receiving instruments
- A61B 1/05: characterised by the image sensor, e.g. camera, being in the distal end portion
- A61B 1/31: for the rectum, e.g. proctoscopes or sigmoidoscopes
- A61B 10/0266: {means for severing sample}
- A61B 10/0275: {with sample notch, e.g. on the side of inner stylet}
- A61B 10/0283: {with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe (A61B10/025, A61B10/0266 take precedence)}
- A61B 17/32002: {with continuously rotating, oscillating or reciprocating cutting instruments}
- A61B 1/00094: {Suction openings}
- A61B 1/00119: {Tubes or pipes in or with an endoscope}
- A61B 17/320016: {Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes (A61B10/0233, A61B17/29, A61B17/3207 take precedence)}
- A61B 90/30: Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B 90/361: {Image-producing devices, e.g. surgical cameras}
- A61B 2010/0208: {Biopsy devices with actuators, e.g. with triggered spring mechanisms}
- A61B 2010/0225: {for taking multiple samples}
- A61B 2010/045: {Needles (pointed biopsy devices with vacuum aspiration A61B10/0283)}
- A61B 2017/00199: {with a console, e.g. a control panel with a display}
- A61B 2017/0034: {adapted to be inserted through a working channel of an endoscope}
- A61B 2017/00553: {using a turbine}
- A61B 2017/00818: {Treatment of the gastro-intestinal system}
- A61B 2017/00862: {elastic or resilient}
- A61B 2017/00973: {pedal-operated}
- A61B 2017/320032: {Details of the rotating or oscillating shaft, e.g. using a flexible shaft}
- A61B 2017/320064: {with tissue or sample retaining means}
- A61B 2217/005: with suction drainage system
- A61B 2217/007: with irrigation system
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A surgical console includes a drive assembly, vacuum interface, fluid transfer device, user interface, and control circuit. The drive assembly is configured to be coupled to an endoscopic tool and to be rotated by a motor. The vacuum interface is configured to apply a vacuum to the endoscopic tool. The fluid transfer device is configured to flow fluid through the endoscopic tool. The user interface is configured to receive a user input indicating at least one of instructions to rotate the endoscopic tool while applying the vacuum, or to flow fluid through the endoscopic tool. The control circuit controls at least one of the drive assembly, the vacuum interface, or the fluid transfer device based on the instructions, and is configured to cause the drive assembly to rotate the endoscopic tool while the vacuum interface applies the vacuum responsive to the user input indicating instructions to rotate the endoscopic tool.

## Claims

### Claim 1

A specimen receiver, comprising:
a first receiver member including a first receiver port configured to receive a fluid flow including a material, the first receiver member defining a first portion of an interior of the specimen receiver and at least one receiver engagement member extending from the first receiver member;
a specimen capture member in fluid communication with the first portion of the interior, the specimen capture member configured to obtain a sample of the material from the fluid flow, the specimen capture member disposed between the first portion of the interior and a second portion of the interior, the specimen capture member configured to filter the fluid flow to obtain the sample of the material; and
a second receiver member having at least one track configured to receive the at least one receiver engagement member such that the at least one receiver engagement member from the second receiver member slides within the at least one track of the first receiver member while the first receiver member rotates relative the second receiver member, the second receiver member defining the second portion of the interior of the specimen receiver, the second portion downstream of the first portion, the second receiver member including a second receiver port configured to be coupled to a vacuum source, the vacuum source applying a predetermined vacuum pressure through the second receiver port, wherein a first inner diameter of the first receiver port is less than a second inner diameter of the second receiver port to cause a pressure gradient in the direction of fluid flow from the first receiver port to the second receiver port to decrease, the pressure gradient greater than the predetermined vacuum pressure sufficient to draw fluid through the specimen receiver and less than a predetermined threshold above which the specimen capture member is expected to collapse into a second receiver channel of the second receiver member.

### Claim 2 (depends on 1)

The specimen receiver of claim 1, wherein the second receiver channel is in fluid communication with the second receiver port, the second receiver channel defining a channel diameter that is less than a diameter of the specimen capture member.

### Claim 3 (depends on 1)

The specimen receiver of claim 1, wherein the specimen capture member is a size filter configured to separate material in the fluid flow by size by blocking material greater than a mesh size of the filter from passing through the specimen capture member to the second portion of the interior.

### Claim 4 (depends on 3)

The specimen receiver of claim 3, wherein the mesh size of the specimen capture member is less than an expected size of the sample of the material.

### Claim 5 (depends on 1)

The specimen receiver of claim 1, further comprising a fluid seal member configured to be positioned around the specimen capture member and adjacent to a boundary at which the first receiver member is coupled to the second receiver member to seal the boundary.

### Claim 6 (depends on 1)

The specimen receiver of claim 1, further comprising an indicator configured to provide a visual indication of whether material has been obtained by the specimen capture member, the indicator including a translucent or transparent portion.

### Claim 7 (depends on 1)

The specimen receiver of claim 1, wherein the first receiver member includes an outer rim having the at least one receiver engagement member extending from the outer rim, and the second receiver member includes an inner rim defining the at least one track.

### Claim 8 (depends on 1)

The specimen receiver of claim 1, wherein the second receiver member defines an inner opening opposite the second receiver port and an inner rim surface surrounding the inner opening, the inner opening in fluid communication with the second portion of the interior, the inner rim surface shaped to receive the specimen capture member while the specimen capture member covers the inner opening.

### Claim 9 (depends on 1)

The specimen receiver of claim 1, wherein a length of the specimen receiver from an opening of the first receiver port to an opening of the second receiver port is greater than 1 inch and less than 5 inches.

### Claim 10

A method of obtaining a sample of material from an endoscopic tool in a specimen receiver, comprising:
positioning a specimen capture member between a first receiver member and a second receiver member;
receiving a fluid flow including the material at a first receiver port of the first receiver member, the first receiver port having a first inner diameter, the first receiver member defining a first portion of an interior of the specimen receiver in which the specimen capture member is positioned;
coupling the second receiver member to the first receiver member by positioning at least one receiver engagement member extending from the second receiver member within at least one track of the first receiver member, the second receiver member defining a second portion of the interior of the specimen receiver;
rotating the first receiver member relative the second receiver member such that the at least one receiver engagement member from the second receiver member slides within the at least one track of the first receiver member;
coupling a vacuum source to a second receiver port of the second receiver member to flow the fluid flow through the specimen receiver, the vacuum source applying a predetermined vacuum pressure through the second receiver port, the second receiver port having a second inner diameter greater than the first inner diameter such that a pressure gradient by which the fluid flows through the specimen receiver is greater than the predetermined vacuum pressure sufficient to draw fluid through the specimen receiver and less than a predetermined threshold above which the specimen capture member is expected to collapse into a second receiver channel of the second receiver member; and
obtaining a sample of the material by filtering the fluid flow using the specimen capture member.

### Claim 11 (depends on 10)

The method of claim 10, wherein the second receiver channel is in fluid communication with the second receiver port, the second receiver channel defining a channel diameter that is less than a diameter of the specimen capture member.

### Claim 12 (depends on 10)

The method of claim 10, wherein the specimen capture member is a size filter configured to separate material in the fluid flow by size, the method further comprising blocking material less than a mesh size of the size filter from passing through the specimen capture member to the second portion of the interior.

### Claim 13 (depends on 12)

The method of claim 12, further comprising selecting the mesh size of the specimen capture member based on an expected size of the sample of the material.

### Claim 14 (depends on 10)

The method of claim 10, further comprising positioning a fluid seal member configured to be positioned around the specimen capture member and adjacent to a boundary at which the first receiver member is coupled to the second receiver member to seal the boundary.

### Claim 15 (depends on 10)

The method of claim 10, further comprising providing a visual indication of whether material has been obtained by the specimen capture member via an indicator including a translucent or transparent portion.

### Claim 16 (depends on 10)

The method of claim 10, wherein the first receiver member includes an outer rim having the at least one receiver engagement member extending from the outer rim, and the second receiver member includes an inner rim defining at least one track.

### Claim 17 (depends on 10)

The method of claim 10, further comprising positioning the specimen capture member on an inner rim surface of the second receiver member surrounding an inner opening of the second receiver member, the inner opening in fluid communication with the second portion of the interior, and covering the inner opening with the specimen capture member.

### Claim 18 (depends on 10)

The method of claim 10, wherein a length of the specimen receiver from an opening of the first receiver port to an opening of the second receiver port is greater than 1 inch and less than 5 inches.