Medical device system including guide rod illumination

• US 10,071,215 B2
• Filed: 11/25/2014
• Issued: 09/11/2018
• Est. Priority Date: 12/02/2000
• Status: Expired due to Fees

• Current Assignee: P TECH, LLC
• Original Assignee: P TECH, LLC
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): Cwern, Jonathan
• Application Number:
  US14/553,094
• Publication Number:
  US 20150080763A1
• Time in Patent Office: 1,386 Days
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/00124 electrical, e.g. electrical plug-and-socket connection
• CPC Class Codes: A61B 1/005 Flexible endoscopes
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/0676 at distal tip of an endoscope
• CPC Class Codes: A61B 1/0684 using light emitting diodes [LED]
• CPC Class Codes: A61B 1/07 using light-conductive means, e.g. optical fibres
• CPC Class Codes: A61B 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4254 using sensors mounted on the probe
• CPC Class Codes: A61B 8/4263 using sensors not mounted on the probe, e.g. mounted on an external reference frame
• CPC Class Codes: A61B 8/445 Details of catheter construction
• CPC Class Codes: A61B 8/461 Displaying means of special interest
• CPC Class Codes: A61M 16/0411 with means for differentiating between oesophageal and tracheal intubation
• CPC Class Codes: A61M 16/0434 Cuffs
• CPC Class Codes: A61M 16/0488 Mouthpieces; Means for guiding, securing or introducing the tubes guiding or introducing with laryngoscopes A61B1/267; holding devices on the body A61M25/02
• CPC Class Codes: A61M 16/0495 with tongue depressors
• CPC Class Codes: A61M 16/0497 Tube stabilizer
• CPC Class Codes: A61M 2025/0008 having visible markings on its surface, i.e. visible to the naked eye, for any purpose, e.g. insertion depth markers, rotational markers or identification of type
• CPC Class Codes: A61M 2025/022 : specifically adapted for the mouth
• CPC Class Codes: A61M 2025/09008 : having a balloon
• CPC Class Codes: A61M 2025/091 : having a lumen for drug delivery or suction
• CPC Class Codes: A61M 2205/0272 : Electro-active or magneto-active materials
• CPC Class Codes: A61M 2205/587 : Lighting arrangements
• CPC Class Codes: A61M 25/0102 : Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod
• CPC Class Codes: A61M 25/0108 : using radio-opaque or ultrasound markers
• CPC Class Codes: A61M 25/09 : Guide wires

Abstract

A medical device system is provided. The medical device system includes a positioning apparatus having a body section and an upper section, the upper section slidably coupled to the body section such that the upper section slidably moves relative to the body section. The medical device also includes a flexible guide rod extending through the positioning apparatus and configured to be inserted into a passage of a respiratory system of a subject. The flexible guide rod includes a visible light emitter configured to emit visible light within the passage of the respiratory system and is visible outside the subject.

Claims

1. A medical device system comprising:

a positioning apparatus configured to enable the insertion of a flexible guide rod into a passage of a respiratory system of a subject, the positioning apparatus having a body section and an upper section, the body section having a cylindrical central passage, the upper section slidably coupled to the body section such that the upper section slidably moves relative to the body section, and the upper section having a cylindrical passage that enables the flexible guide rod to be positioned in and extended through the upper section of the positioning apparatus, wherein at least a portion of the cylindrical passage of the body section and a portion of the cylindrical passage of the upper section are parallel;

the flexible guide rod having a proximal end portion and a distal end portion, the distal end portion of the flexible guide rod having a spherical leading end, the flexible guide rod extending through the upper section of the positioning apparatus and configured to be inserted into the passage of the respiratory system of the subject, and the flexible guide rod comprising a visible light emitter configured to emit light at the distal end portion of the flexible guide rod, wherein the visible light emitter is configured to emit visible light within the passage of the respiratory system such that the emitted visible light transmits in the subject and is visible outside the subject for use in determining the location of the distal end portion of the flexible guide rod within the respiratory system;

a guide tube having a lumen through which the flexible guide rod is configured to be passed;

a catheter positioned through the cylindrical passage in the slidable upper section of the positioning apparatus and movable along the flexible guide rod to position the catheter in the passage of the respiratory system, the catheter including an elongate body having proximal and distal end portions; and

a balloon configured for selective expansion to apply a force against a portion of the respiratory system;

wherein the upper section of the positioning apparatus comprises a single piece of monolithic material that extends seamlessly about the cylindrical passage of the upper section;

wherein the cylindrical passage of the upper section of the positioning apparatus has a length and the cylindrical central passage of the body section of the positioning apparatus has a length that is greater than the length of the cylindrical passage of the upper section of the positioning apparatus; and

wherein the body section of the positioning apparatus has a length extending parallel to a longitudinal axis of the central cylindrical passage extending therethrough and the upper section of the positioning apparatus has a length extending parallel to the length of the body section, wherein the length of the body section is greater than the length of the upper section.

2. The medical device system of claim 1, wherein the catheter defines a guide rod lumen extending along the elongate body of the catheter and configured for receiving the flexible guide rod therein.

3. The medical device system of claim 2, wherein the guide rod lumen extends through the distal end portion of the elongate body of the catheter.

4. The medical device system of claim 1, wherein the visible light emitter comprises a fiber optic tube extending along the flexible guide rod.

5. The medical device system of claim 4, wherein the visible light emitter comprises a light source in communication with the fiber optic tube.

6. The medical device system of claim 5, wherein the light source comprises a light emitting diode.

7. The medical device system of claim 6, wherein the flexible guide rod comprises an electrical lead configured to electrically connect the light source to a source of electrical energy.

8. The medical device system of claim 1, wherein at least one of the flexible guide rod and the guide tube has a bend.

9. The medical device system of claim 1, wherein at least one of the guide rod, positioning apparatus, and catheter comprises a plurality of indicia spaced apart from one another for use in determining a position of at least one of the catheter and guide rod in the respiratory system.

10. The medical device system of claim 1, wherein both the guide tube and the positioning apparatus contain at least one matching colored indicium.

11. The medical device system of claim 1, wherein the distal portion of the flexible guide rod is independently positionable with respect to the remainder of the flexible guide rod.

12. The medical device system of claim 1, wherein the catheter defines a suction lumen extending along the elongate body of the catheter and configured for receiving a suction conduit that provides at least one of a suction force and a low pressure.

13. A medical device system comprising:

a positioning apparatus configured to enable the insertion of a flexible guide rod into a passage of a respiratory system of a subject, the positioning apparatus having a body section and an upper section, the body section having a cylindrical central passage, the upper section slidably coupled to the body section such that the upper section slidably moves relative to the body section, and the upper section having a cylindrical passage that enables the flexible guide rod to be positioned in and extended through the upper section of the positioning apparatus, wherein at least a portion of the cylindrical passage of the body section and a portion of the cylindrical passage of the upper section are parallel;

the flexible guide rod having a proximal end portion and a distal end portion, the distal end portion of the flexible guide rod having a spherical leading end, and the flexible guide rod extending through the upper section of the positioning apparatus and configured to be inserted into the passage of the respiratory system of the subject;

a visible light emitter configured to emit light at the distal end portion of the flexible guide rod wherein the visible light emitter is configured to emit visible light within the passage of the respiratory system such that the emitted visible light transmits through the subject and is visible outside the subject for use in determining the location of the distal end portion of the flexible guide rod within the respiratory system;

a guide tube having a lumen through which the flexible guide rod is configured to be passed;

a catheter positioned through the cylindrical passage in the slidable upper section of the positioning apparatus movable along the flexible guide rod for positioning the catheter in the passage of the respiratory system, the catheter including an elongate body having proximal and distal end portions; and

a balloon configured for selective expansion to apply a force against a portion of the respiratory system,

wherein the catheter defines a guide rod lumen extending along the elongate body of the catheter and configured for receiving the flexible guide rod therein,

wherein at least one of the catheter, guide tube, and guide rod comprises a plurality of indicia spaced apart from one another along the elongate body for use in determining a position of at least one of the catheter, guide tube, and guide rod in the respiratory system;

wherein the upper section of the positioning apparatus comprises a single piece of monolithic material that extends seamlessly about the cylindrical passage of the upper section;

wherein the cylindrical passage of the upper section of the positioning apparatus has a length and the cylindrical central passage of the body section of the positioning apparatus has a length that is greater than the length of the cylindrical passage of the upper section of the positioning apparatus; and

wherein the body section of the positioning apparatus has a length extending parallel to a longitudinal axis of the central cylindrical passage extending therethrough and the upper section of the positioning apparatus has a length extending parallel to the length of the body section, wherein the length of the body section is greater than the length of the upper section.

14. The medical device system of claim 13, wherein the catheter defines a fluid lumen extending along the elongate body of the catheter.

15. The medical device system of claim 13, wherein the visible light emitter comprises a fiber optic tube extending along the flexible guide rod.

16. The medical device system of claim 15, wherein the visible light emitter comprises a light source in communication with the fiber optic tube.

17. The medical device system of claim 16, wherein the light source comprises a light emitting diode.

18. The medical device system of claim 17, wherein the flexible guide rod comprises an electrical lead configured to electrically connect the light source to a source of electrical energy.

19. The medical device system of claim 13, wherein at least one of the flexible guide rod and the guide tube has a bend.

20. The medical device system of claim 13, wherein both the guide tube and the positioning apparatus contain at least one matching colored indicium.

21. A method for positioning a medical device, said method comprising:

providing a medical device system including a positioning apparatus, a guide tube, a flexible guide rod, and a balloon at a distal end portion of the flexible guide rod, wherein the positioning apparatus is configured to enable the insertion of the guide tube, the flexible guide rod, and the balloon into a passage of a respiratory system of a subject, the positioning apparatus having a body section and an upper section, the body section having a cylindrical central passage, the upper section slidably coupled to the body section such that the upper section slidably moves relative to the body section approximate the respiratory system of the subject, and the upper section of the positioning apparatus having a cylindrical passage that enables the flexible guide rod to be positioned in and extended through the upper section of the positioning apparatus, wherein at least a portion of the cylindrical passage of the body section and a portion of the cylindrical passage of the upper section are parallel;

inserting the guide tube, the flexible guide rod, and the balloon together into the subject'"'"'s body such that a distal end of the flexible guide tube is located at a tube first location adjacent a treatment portion of a respiratory system of the subject'"'"'s body and the balloon is located at a first balloon location relative to the distal end of the flexible guide tube;

visually observing light output from a light output component disposed at the distal portion of the flexible guide rod when the light source is positioned within the passage of the respiratory system;

holding the guide tube so that the distal end is located generally at the first tube location;

while performing the step of holding the guide tube, advancing the balloon and the flexible guide rod relative to the guide tube so that the balloon moves from the first balloon location relative to the distal end of the guide tube to a second balloon location relative to the distal end of the guide tube;

selectively expanding the balloon after performing the step of advancing the balloon relative to the guide tube to apply a force against a portion of the respiratory system; and

providing fluid into the respiratory system from a source of fluid through a fluid lumen.

22. The method of claim 21, wherein providing fluid further comprises providing fluid by a fluid pressure.