Discharge device

• US 10,456,150 B2
• Filed: 03/14/2016
• Issued: 10/29/2019
• Est. Priority Date: 03/13/2015
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Original Assignee: Terumo Kabushiki Kaisha (Terumo Corporation)
• Inventors: Honda, Kei, Karino, Wataru
• Primary Examiner(s): Mendez, Manuel A
• Application Number:
  US15/068,715
• Publication Number:
  US 20160262776A1
• Time in Patent Office: 1,324 Days
• Field of Search: 604921, 604916, 604 9601, 60410302
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 2017/22062 to be filled with liquid
• CPC Class Codes: A61B 2017/22082 after introduction of a substance

Abstract

A discharge device and method are disclosed that can discharge a discharge substance with a desired discharge amount at a desired flow rate. A storage unit provided in a discharge device includes a storage space which can store a discharge substance, and a discharge section which can discharge the discharge substance stored in the storage space toward the proximal side of a main body in an axial direction, and is configured to be capable of expanding deformation and contracting deformation in response to introduction and discharge of the discharge substance.

Claims

1. A discharge device comprising:

an elongated flexible main body having a lumen which extends in an axial direction and configured to receive a fluid discharge substance to be discharged inside a biological organ, and a communication hole which communicates with the lumen;

a storage unit that includes a storage space which communicates with the lumen through the communication hole and configured to store the discharge substance, and a discharge section on a proximal surface of the storage unit, the discharge section configured to discharge the discharge substance stored in the storage space toward a proximal side of the main body in the axial direction, and wherein the storage unit is configured to expand and contract in response to introduction and discharge of the discharge substance, the storage unit having a substantially cylindrical shape having a predetermined length in an axial direction when being expanded; and

a hub that is provided in a proximal portion of the main body, and wherein the hub is configured to be connected to and separated from a supply device for supplying the discharge substance.

2. The discharge device according to claim 1,

wherein the discharge section is configured to include a hole portion which allows communication between the inside of the storage space and an outside of the storage space, and

wherein the discharge device further comprises a switching section configured to switch between open and closed states of the discharge section.

3. The discharge device according to claim 2,

wherein the switching section has a blocking portion configured to block the hole portion, and an extension portion which extends from the blocking portion toward the proximal side, and which enables the blocking portion to unblock the hole portion by using a hand operation.

4. The discharge device according to claim 3,

wherein the blocking portion is configured to be fitted into the hole portion and configured to seal the hole portion, and

wherein the discharge substance starts to be discharged by operating the extension portion and moving the blocking portion from the hole portion.

5. The discharge device according to claim 1, wherein in the storage unit, an expanding deformation amount in the axial direction in response to the introduction of the discharge substance further increases than an expanding deformation amount in a radially outward direction, after pressure inside the storage space reaches a predetermined pressure.

6. The discharge device according to claim 1, comprising:

a moving member configured to move an inner surface of a distal portion of the storage unit toward the proximal side.

7. The discharge device according to claim 1, comprising:

a switching valve configured to be opened and closed in response to an increase and a decrease in the pressure inside the storage space, and wherein the switching valve is configured to switch the discharge section to start discharging and to stop discharging the discharge substance.

8. The discharge device according to claim 1,

wherein the discharge section is disposed at multiple different locations in a circumferential direction on the proximal surface of the storage unit.

9. The discharge device according to claim 1,

wherein the discharge device is configured to function as a medical device for removing a urinary calculus and/or calculus fragments present inside the biological organ, and

wherein the discharge device is configured to discharge a liquid as the discharge substance.

10. A method for discharge a discharge substance inside a biological organ, the method comprising:

inserting a discharge device into a living body, the discharge device including;

an elongated flexible main body having a lumen which extends in an axial direction and configured to receive a fluid discharge substance to be discharged inside a biological organ, and a communication hole which communicates with the lumen;

a storage unit that includes a storage space which communicates with the lumen through the communication hole and configured to store the discharge substance, and a discharge section on a proximal surface of the cylindrical storage unit, the discharge section configured to discharge the discharge substance stored in the storage space toward a proximal side of the main body in the axial direction, and wherein the storage unit is configured to expand and contract in response to introduction and discharge of the discharge substance, the storage unit having a substantially cylindrical shape having a predetermined length in an axial direction when being expanded; and

a hub that is provided in a proximal portion of the main body, and wherein the hub is configured to be connected to and separated from a supply device for supplying the discharge substance;

injecting the discharge substance through the lumen of the elongated flexible main body into the storage space of the storage unit; and

discharging the discharge substance from the storage space of the storage unit inside the biological organ.

11. The method according to claim 10, wherein the discharge section is configured to include a hole portion which allows communication between the inside of the storage space and an outside of the storage space, and wherein the discharge device further comprises a switching section, the method comprising:

switching between open and closed states of the discharge section using the switching section.

12. The method according to claim 11, wherein the switching section has a blocking portion, and an extension portion which extends from the blocking portion toward the proximal side, and which enables the blocking portion to unblock the hole portion by using a hand operation, the method comprising:

blocking the hole portion with the blocking portion; and

enabling the blocking portion to unblock the hole portion using the hand operation.

13. The method according to claim 12, comprising:

fitting the blocking portion into the hole portion and sealing the hole portion with the blocking portion; and

start discharging the discharge substance by operating the extension portion and moving the blocking portion from the hole portion.

14. The method according to claim 10,

wherein in the storage unit, an expanding deformation amount in the axial direction in response to the introduction of the discharge substance further increases than an expanding deformation amount in a radially outward direction, after pressure inside the storage space reaches a predetermined pressure.

15. The method according to claim 10, comprising:

moving an inner surface of a distal portion of the storage unit toward the proximal side with a moving member.

16. The method according to claim 10, wherein the discharge devices includes a switching valve configured to be opened and closed in response to an increase and a decrease in the pressure inside the storage space, the method comprising:

start discharging and stop discharging the discharge substance with the switch value.

17. The method according to claim 10, comprising:

disposing the discharge section at multiple different locations in a circumferential direction on the proximal surface of the storage unit.

18. The method according to claim 10, wherein the discharge device is configured to function as a medical device for removing a urinary calculus and/or calculus fragments present inside the biological organ, the method comprising:

discharging a liquid as the discharge substance from the discharge device.

19. The method according to claim 10, further comprising:

delivering the storage unit of the discharge device to a distal side of the living body from fragments;

expanding and deforming the storage unit by supplying a predetermined amount of the discharge substance to the storage unit; and

moving the fragments toward a proximal side of the living body by causing the discharge substance stored in the storage unit to flow out from the storage unit.

20. A method of treating urolithiasis, the method comprising:

forming calculus fragments by fragmenting a removal target urinary calculus;

delivering a storage unit of a discharge device to a distal side of a living body from the calculus fragments, the storage unit having a discharge section on a proximal surface of the cylindrical storage unit;

expanding and deforming contracting the storage unit by supplying a predetermined amount of the discharge substance to the storage unit, the storage unit having a substantially cylindrical shape having a predetermined length in an axial direction when being expanded; and

moving the calculus fragments toward a proximal side of the living body by causing the discharge substance stored in the storage unit to flow out from the storage unit through the discharge section.