Radial expansion and contraction features of medical devices

• US 10,603,195 B1
• Filed: 05/20/2016
• Issued: 03/31/2020
• Est. Priority Date: 05/20/2015
• Status: Active Grant

• Current Assignee: Elemental Portfolio LLC
• Original Assignee: Paul Sherburne
• Inventors: Sherburne, Paul
• Primary Examiner(s): Szpira, Julie A
• Application Number:
  US15/159,801
• Time in Patent Office: 1,411 Days
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/12036 partial occlusion
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00402 Piezo electric actuators
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• CPC Class Codes: A61F 2/92 Stents in the form of a rolled-up sheet expanding after insertion into the vessel , e.g. with a spiral shape in cross-section
• CPC Class Codes: A61F 2/94 Stents retaining their form, i.e. not being deformable, after placement in the predetermined place
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• CPC Class Codes: A61F 2/9517 handle assemblies therefor
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2250/001 for adjusting a diameter
• CPC Class Codes: A61M 29/00 Dilators with or without means for introducing media, e.g. remedies instruments for performing visual medical inspections of cavities or tubes of the body A61B1/00

Abstract

This disclosure concerns medical devices, such as catheters and implantable devices, having radially adjustable features. More particularly, the catheters and implantable devices can radially expand and contract to perform various functions within the body. Expansion and contraction can be performed by a radially adjustable structure mounted on the medical device. For example, a medical device can include an body configured for in vivo introduction, a strip attached to the body and rolled into a ring such that layers of the strip radially overlap each other, and at least one motor actuatable by electrical energy to move the radially overlapping layers of the strip relative to one another and change a diameter of the ring and the body.

Claims

1. A medical device introducible into a patient, the medical device comprising:

a flexible body having a diameter, the flexible body configured to undergo a movement cycle in vivo in which the diameter changes, the movement cycle comprising an expansion phase in which the diameter increases and a contraction phase in which the diameter decreases; and

one or more motors located within the flexible body, each motor of the one or more motors configured to perform a series of actuation cycles in vivo during either the expansion phase or the contraction phase based on application of an electrical signal to the motor, each actuation cycle of the series of actuation cycles comprising an expansion of the motor from an initial state and a retraction of the motor back to the initial state in a reciprocating manner based on application of the electrical signal to the motor, wherein performance of the series of actuation cycles by the motor based on application of the electrical signal either;

(1) incrementally and progressively increases with each actuation cycle the diameter of the flexible body during the expansion phase in which each incremental and progressive increase in the diameter is forced by expansion of the motor, or (2) incrementally and progressively decreases with each actuation cycle the diameter of the flexible body during the contraction phase in which each incremental and progressive decrease in the diameter is forced by expansion of the motor.

2. The medical device of claim 1, wherein the flexible body comprises a polymer tube having an exterior surface, the one or more motors are located within the polymer tube, and the diameter is an outer diameter of the exterior surface of the polymer tube.

5. The medical device of claim 1, wherein:

the one or more motors is configured to actuate to drive the flexible body through either the expansion phase or the contraction phase during which the flexible body undergoes a strain, and

the flexible body is configured to move itself through the other of the expansion phase or the contraction phase by releasing stored spring energy by relaxing from the strain.

6. The medical device of claim 1, wherein the one or more motors comprise piezoelectric material that alternately expands and contracts in each actuation cycle of the series of actuation cycles in response to application of the electrical signal to the material, the expansion or contraction of the material driving the change in the diameter of the flexible body.

7. The medical device of claim 1, further comprising a second motor within the flexible body, the second motor not being one of the one or more motors, wherein the one or more motors is configured to actuate to cause the diameter to either increase in the expansion phase or decrease in the contraction phase, and the second motor is configured to actuate to cause the diameter of the flexible body to the other of increase in the expansion phase or decrease in the contraction phase.

8. The medical device of claim 1, wherein the one or more motors comprises a plurality of motors, and all motors of the plurality of motors are configured to actuate to drive the increase of the diameter of the expansion phase or the decrease of the diameter of the contraction phase.

9. The medical device of claim 1, wherein the flexible body comprises an annular metal structure having an inner diameter, the one or more motors are one or both of mounted to and in contact with the annular metal structure, and the one or more motors are configured to perform the series of actuation cycles to incrementally and progressively either increase the inner diameter of the annular metal structure during the expansion phase or decrease the inner diameter of the annular metal structure during the contraction phase.

3. A medical device introducible into a patient, the medical device comprising:

a polymer tube having a lumen open on a distal end of the polymer tube, an exterior surface, and a wall radially between the lumen and the exterior surface, the lumen defining an inner diameter of the polymer tube and the exterior surfacing defining an outer diameter of the polymer tube, the lumen configured to permit passage of one or both of fluid and tooling through the polymer tube in vivo, the polymer tube configured to undergo a movement cycle in vivo in which both the inner and the outer diameters change, the movement cycle comprising an expansion phase in which both the inner and outer diameters increase simultaneously and a contraction phase in which both the inner and outer diameters decrease simultaneously; and

one or more motors located within the wall of the polymer tube, each motor of the one or more motors configured to perform while in vivo a series of actuation cycles during either the expansion phase or the contraction phase based on application of an electrical signal to the motor, wherein performance of the series of actuation cycles by the motor based on application of the electrical signal either;

(1) incrementally and progressively increases both of the inner and outer diameters simultaneously during the expansion phase, or (2) incrementally and progressively decreases both of the inner and outer diameters simultaneously during the contraction phase.

4. The medical device of claim 3, wherein the change in both of the inner and outer diameters of the polymer tube as driven by the series of actuation cycles of the one or more motors based on application of the electrical signal either deploys or collapses a funnel formed by the lumen of the polymer tube, the funnel sloped inwardly proximally when the funnel is in a deployed state such that the funnel is larger in inner diameter distally and smaller in inner diameter proximally.

10. The medical device of claim 3, wherein each of the one or more motors is located within the wall of the polymer tube such that the entirely of each motor is radially between the lumen and the exterior surface.

11. A medical device introducible into a patient, the medical device comprising:

a catheter having a longitudinal axis, the catheter including a plurality of sections arrayed along the longitudinal axis of the catheter, the plurality of sections including at least three sections, the plurality of sections respectively having a plurality of outer diameters of the catheter such that each section has a respective outer diameter, each section configured to undergo a movement cycle in vivo in which the outer diameter of the section changes, the movement cycle comprising an expansion phase in which the outer diameter increases and a contraction phase in which the outer diameter decreases;

a plurality of motors arrayed respectively along the plurality of sections and attached to the catheter, the plurality of motors including at least three motors, each motor of the plurality of motors configured to perform a series of actuation cycles in vivo based on application of an electrical signal to the motor during either the expansion phase to incrementally and progressively increase the outer diameter of the respective section along which the motor is located or the contraction phase to incrementally and progressively decrease the outer diameter of the respective section along which the motor is located;

wherein the plurality of motors are independently controllable with respect to each other such that the plurality of motors can change the outer diameters of the plurality of sections to be different sizes with respect to each other.

12. A medical device introducible into a patient, the medical device comprising:

a flexible body having a diameter, the flexible body configured to undergo a movement cycle in vivo in which the diameter changes, the movement cycle comprising an expansion phase in which the diameter increases and a contraction phase in which the diameter decreases, wherein the flexible body comprises a strip rolled into a ring such that layers of the strip radially overlap each other; and

one or more motors located within the flexible body, each motor of the one or more motors is-configured to actuate to cause the radially overlapping layers of the strip to move relative to one another to change the diameter of the flexible body in which each motor of the one or more motors performs while in vivo a series of actuation cycles during either the expansion phase or the contraction phase based on application of an electrical signal to the motor, wherein performance of the series of actuation cycles by the motor based on application of the electrical signal either;

(1) incrementally and progressively increases the diameter of the flexible body during the expansion phase, or (2) incrementally and progressively decreases the diameter of the flexible body during the contraction phase.

13. The medical device of claim 12, wherein each motor of the one or more motors is one or both of mounted to and in contact with the strip.

14. The medical device of claim 12, wherein each motor of the one or more motors is sandwiched radially between two of the radially overlapping layers of the strip.

15. The medical device of claim 12, wherein the one or more motors are configured to change the diameter of the flexible body by forcing adjacent layers of the radially overlapping layers of the strip to slide relative to one another via actuation of the one or more motors to change a circumference of the ring.

16. The medical device of claim 12, wherein the strip is a metal ribbon.

17. The medical device of claim 12, wherein the strip comprises a first side and a second side opposite the first side, a projection feature is located on the first side, a groove is located on the second side and the groove extends along the second side, and the projection feature is received within the groove when the strip is rolled into the ring and the projection feature moves within the groove as the radially overlapping layers of the strip move relative to one another.

18. The medical device of claim 12, further comprising a bracket attached to the strip, the bracket holding two radially adjacent layers of the strip to prevent peeling of one of the two radially adjacent layers away from the other of the two radially adjacent layers, wherein a first layer of the two radially adjacent layers is fixed to the bracket while a second layer of the two radially adjacent layers moves relative to the bracket during the expansion and contraction phases.

19. The medical device of claim 12, wherein the strip is rolled into the ring to have three radially overlapping layers of the strip.

20. The medical device of claim 12, wherein each actuation cycle of the series of actuation cycles comprises an expansion of the motor from an initial state and a contraction of the motor to the initial state in a reciprocating manner based on application of the electrical signal to the motor.

21. A medical device comprising:

a flexible tube configured for in vivo introduction, the flexible tube having a first diameter;

a strip attached to the flexible tube, the strip rolled into a ring such that layers of the strip radially overlap each other, the ring located within the flexible tube and having a second diameter; and

one or more motors, the one or more motors actuatable by electrical energy and configured to, by said actuation, move the radially overlapping layers of the strip relative to one another and change the second diameter of the ring while the ring is both in vivo and within the flexible tube, the ring causing the flexible tube to change in the first diameter as the second diameter of the ring changes due to the actuation of the one or more motors.

22. The medical device of claim 21, wherein the ring is configured such that actuation of the one or more motors forces radially adjacent layers of the strip to slide relative to one another to change a circumference of the ring, and the ring forces the first diameter of the flexible tube to change as the circumference of the ring changes due to the actuation of the one or more motors.

23. The medical device of claim 21, wherein the flexible tube is a polymer tube formed from a plurality of polymer parts.

24. The medical device of claim 21, wherein each of the one or more motors is located within the flexible tube, and each motor is configured to actuate in vivo to move the radially overlapping layers of the strip relative to one another.

25. The medical device of claim 21, wherein each motor of the one or more motors is one or both of mounted to and in contact with the strip.

26. The medical device of claim 21, wherein the strip is a metal ribbon.

27. The medical device of claim 21, wherein the strip is rolled into the ring to have three radially overlapping layers of the strip.

28. The medical device of claim 21, wherein the flexible tube has a lumen open on a distal end of the flexible tube, the first diameter is an inner diameter of the lumen, and the change in the second diameter of the ring as driven by the actuation of the one or more motors either deploys or collapses a funnel formed by the lumen of the flexible tube, the funnel sloped inwardly proximally when the funnel is in a deployed state such that the funnel is larger in inner diameter distally and smaller in inner diameter proximally.

29. The medical device of claim 21, further comprising:

a plurality of strips attached to the flexible tube, the plurality of strips including the strip, the plurality of strips respectively rolled into a plurality of rings such that each ring includes radially overlapping layers of the strip from which the ring is formed, the plurality of rings arrayed longitudinally along the flexible tube and located within the flexible tube, the plurality of rings respectively having a plurality of second diameters, wherein the flexible tube has a plurality of first diameters including the first diameter, the plurality of first diameters longitudinally arrayed along the flexible tube; and

a plurality of motors, the plurality of motors including the one or more motors, the plurality of motors actuatable by electrical energy to respectively drive the plurality of rings to respectively change the plurality of second diameters while the plurality of rings are in vivo, the plurality of rings causing the flexible tube to change in the plurality of first diameters as the plurality of second diameters of the rings change due to the actuation of the plurality of motors.