Oral retraction devices and methods

• US 10,492,769 B2
• Filed: 11/24/2014
• Issued: 12/03/2019
• Est. Priority Date: 11/27/2013
• Status: Active Grant

• Current Assignee: Endobotics, LLC
• Original Assignee: Medrobotics Corp.
• Inventors: Castro, Michael, Karcsmar, Joseph, Flaherty, R. Maxwell, Flaherty, J. Christopher
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): Cotroneo, Steven J
• Application Number:
  US15/038,531
• Publication Number:
  US 20160287224A1
• Time in Patent Office: 1,835 Days
• CPC Class Codes: A61B 13/00 Instruments for depressing the tongue combined with illuminating and viewing instruments A61B1/24
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 17/24 for use in the oral cavity, larynx, bronchial passages or nose for medical inspection of cavities or tubes in the body A61B1/00; Tongue scrapers
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system

Abstract

An oral retraction device comprises a tongue depressor blade, an articulation assembly constructed and arranged to articulate the tongue depressor blade with at least three degrees of freedom, and a support element constructed and arranged to provide a stabilizing force to the articulation assembly during articulation of the tongue depressor blade.

Claims

1. An oral retraction device, comprising:

a tongue depressor blade;

an articulation assembly constructed and arranged to articulate the tongue depressor blade;

a support arm constructed and arranged to provide a stabilizing force to the articulation assembly during articulation of the tongue depressor blade; and

an axle that extends along a sagittal axis, wherein the tongue depressor blade rotates about the sagittal axis,

wherein the articulation assembly is constructed and arranged to at least rotate the tongue depressor blade about the sagittal axis relative to the support arm, wherein the articulation assembly comprises a first portion and a second portion in communication with the first portion, wherein the first portion extends above a top surface of the support arm, wherein the first and second portions rotate together relative to the support arm,

wherein the articulation assembly includes a multi-axis gear assembly comprising plurality of gears that articulate the tongue depressor blade in at least three degrees of freedom,

wherein the plurality of gears includes at least one of a rotational positioning gear, a height positioning gear, or an angular positioning gear,

wherein the tongue depressor blade comprises a set of geared teeth configured to frictionally engage a gear of the multi-axis assembly coupled to an axle that extends along an axis,

wherein the height positioning gear engages the geared teeth and drives an articulation of the tongue depressor blade in a linear direction with a single degree of freedom along the sagittal axis for adjusting an insertion length of the tongue depressor blade.

2. The oral retraction device of claim 1, wherein the oral retraction device is capable of being positioned in a mouth region of a patient, and is constructed and arranged to provide access via the mouth region to an interior region of the patient.

3. The oral retraction device of claim 1, wherein the oral retraction device is capable of being positioned in a patient'"'"'s mouth and a force is applied to the patient'"'"'s tongue by the tongue depressor blade to provide access to an internal location of the patient during one or more medical procedures.

4. The oral retraction device of claim 1, wherein the tongue depressor blade is removably coupled to the articulation assembly.

5. The oral retraction device of claim 1, wherein the axle extends from the support arm, the first portion positioned about the axle.

6. The oral retraction device of claim 1, wherein the second portion of the articulation assembly is configured to rotate relative to the first portion.

7. The oral retraction device of claim 6, further comprising an angular positioning gear comprising a knob, wherein the knob is configured to act as a stop lock when the second portion rotates about the axle.

8. The oral retraction device of claim 1, wherein the second portion comprises one or more arms configured to abut and slidingly receive the tongue depressor blade via a channel.

9. The oral retraction device of claim 1, wherein the articulation assembly includes a plurality of knobs that engage the plurality of gears.

10. The oral retraction device of claim 1, wherein an engagement of a combination of one or more of the rotational positioning gear, the height positioning gear, and the angular positioning gear permits access to a mouth region of a patient.

11. The oral retraction device of claim 1, wherein the angular positioning gear comprises a knob, and a rotation of the angular positioning gear drives an articulation of the tongue depressor blade in a curvilinear direction with a single degree of freedom about a frontal axis.

12. The oral retraction device of claim 1, further comprising a main support frame coupled to the articulation assembly, wherein the main support frame is coupled to the support arm and linearly translates relative to the support arm.

13. The oral retraction device of claim 1, wherein the rotational positioning gear is coupled to a rotational positioning knob, wherein the rotational positioning knob engages the rotational positioning gear to rotatably engage a gear at a proximal end of the first portion, wherein a rotation of the rotational positioning knob in turn engages the rotational positioning gear and the gear at the proximal end of the first portion, and drives an articulation of the first portion about the axle to at least partially rotate the tongue depressor blade about the sagittal axis.