Apparatus for removal of esophageal coins and similarly shaped objects

Abstract

An apparatus developed for the safe, non-surgical removal of coin-like obstructing foreign objects from the esophagus is provided. The technique employs radiologic guidance. The apparatus has a pair of gripping jaws which are inserted through a mouth block and into a patient's esophagus. The apparatus provides a protective sheath surrounding the inserted jaws. A handle, remote from the jaws, is used to extend the jaws from the sheath which then grasp the end-on edge of the obstructing object. The apparatus and obstructing object may then be removed through the bite block as a unit. The technique requires no sedation or general anesthesia and minimizes the risk of collateral injury to the esophageal region.

What which is claimed is:  
     
         1 . An apparatus for the removal of foreign objects from the esophagus comprising: 
 a pair of forceps having a first end defining a pair of prongs adapted for engaging a flat edge of a foreign object and a handle end for manipulating the terminal pair of prongs between an open engaging position and a closed, retracted position; and,    a cover which extends over the forceps when the forceps are in the closed position, the cover having a terminal opening for the extension there-through of the pair of prongs when in the open engaging position.    
     
     
         2 . The apparatus according to  claim 1  further comprising a bite block for placement within the mouth of a patient, the bite block defining a passage there-through and engaging therein the cover and the forceps within the passage.  
     
     
         3 . The apparatus according to  claim 1  wherein the pair of forceps comprises a pair of endoscopic forceps.  
     
     
         4 . The apparatus according to  claim 1  wherein the cover further comprises a radiopaque element.  
     
     
         5 . The apparatus according to  claim 2  wherein the bite block passage defines a diameter of at least 2.5 cm.  
     
     
         6 . A method for removing an esophageal obstruction comprising: 
 providing a removal apparatus comprising a pair of forceps housed in a retracted closed position within a cover;    inserting the removal apparatus through a patient's mouth and into the esophagus adjacent an obstruction;    extending the forceps from the cover and into an open prong position;    positioning the prongs along opposing edges of the obstruction;    grasping the obstruction with the prongs; and,    withdrawing the removal apparatus and obstruction from the patient.    
     
     
         7 . An apparatus for the removal of a foreign object from the esophagus comprising: 
 a pair of hinged jaws adapted for engaging a flat edge of a foreign object operatively connected to a handle adapted for manipulating the hinged jaws between an open configuration and a grasping configuration;    a cover which extends over the hinged jaws when the jaws are in the grasping position, the cover having a terminal opening for the extension there-through of jaws when in the open configuration; and,    a block for placement within the mouth of a patient, the block defining a passage there-through, the passage adapted for the unrestricted movement of the jaws and cover through the passage.    
     
     
         8 . The apparatus according to  claim 7  wherein the block passage has a diameter of at least 2.5 cm.  
     
     
         9 . The apparatus according to  claim 1  wherein the cover has an outer diameter of between 0.40-1.0 cm.  
     
     
         10 . The apparatus according to  claim 1  wherein the removal apparatus has a length of about 20 cm.  
     
     
         11 . The apparatus according to  claim 1  wherein the cover is flexible.  
     
     
         12 . The apparatus according to  claim 1  wherein the cover defines a pre-established curvature.  
     
     
         13 . The apparatus according to  claim 7  wherein the cover further defines a curve for facilitating the insertion of the apparatus into the esophageal region of a patient.  
     
     
         14 . The apparatus according to  claim 13  wherein the cover further comprises a flexible material.