Trigger assembly for tympanostomy tube delivery device

• US 10,632,017 B2
• Filed: 02/07/2017
• Issued: 04/28/2020
• Est. Priority Date: 07/15/2009
• Status: Active Grant

• Current Assignee: Tusker Medical, Inc. (Smith & Nephew PLC)
• Original Assignee: Tusker Medical, Inc. (Smith & Nephew PLC)
• Inventors: Girotra, Rohit, Gross, Thomas D.
• Primary Examiner(s): Louis, Richard G
• Application Number:
  US15/426,681
• Publication Number:
  US 20170209310A1
• Time in Patent Office: 1,176 Days
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2090/038 during shipment
• CPC Class Codes: A61F 11/202 Surgical middle-ear ventilation or drainage, e.g. permanent; Implants therefor

Abstract

A tympanostomy tube delivery device comprises a shaft assembly, a pressure equalization tube, and a trigger assembly. The shaft assembly comprises a cannula and a pusher operable to translate relative to the cannula. The pressure equalization tube is positioned within the shaft assembly. The pusher is operable to drive the pressure equalization tube out of the shaft assembly. The trigger assembly includes a pair of pushbuttons and a linkage. The pushbuttons are secured to the device via living hinges and are selectively pivotable. The linkage is configured to engage the delivery device to thereby selectively prevent actuation of the delivery device. The pivoting of one or both the pushbuttons is configured cause the linkage to collapse so as to disengage the delivery device and thereby actuate the delivery device.

Claims

1. An apparatus, comprising:

a handpiece;

a shaft assembly extending from the handpiece and including a plurality of coaxially arranged shafts;

a drive assembly configured to drive the plurality of coaxially arranged shafts in a predetermined sequence to deploy a tympanostomy tube;

a trigger assembly including;

a linkage including two pivoting links, a first link of the two pivoting links having (i) a first end rotatably coupled to a second link of the two pivoting links, and (ii) a second end releasably engaged with the drive assembly to prevent movement of the drive assembly; and

a trigger element configured to pivot the two pivoting links to disengage the first link from the drive assembly to activate the drive assembly; and

a dampening system including a first and second components disposed within an outer surface of the handpiece and configured to contact one another in response to the first link being disengaged from the drive assembly to dissipate energy when the drive assembly drives the plurality of coaxially arranged shafts.

2. The apparatus of claim 1, wherein the handpiece includes a housing,

the second link including an end rotatably coupled to the housing,

the two pivoting links are configured to pivot about the end of the second link rotatably coupled to the housing.

3. The apparatus of claim 1, wherein the handpiece includes a housing, the trigger element rotatably coupled to the housing.

4. The apparatus of claim 1, wherein the drive assembly includes a camshaft defining a notch, the camshaft configured to rotate to drive the plurality of coaxially arranged shafts,

the second end of the first link positionable within the notch to prevent a rotation of the camshaft.

5. The apparatus of claim 1, wherein the handpiece includes a housing including a support component, the support component configured to engage a surface of the linkage to restrict movement of the linkage when the second end of the first link is releasably engaged with the drive assembly.

6. The apparatus of claim 1, wherein the trigger element is configured to pivot the two pivoting links from a first position in which the two pivoting links are bent toward a first direction to a second position in which the two pivoting links are bent toward a second direction opposite to the first direction.

7. An apparatus, comprising:

a handpiece;

a shaft assembly extending from the handpiece and including a plurality of coaxially arranged shafts;

a drive assembly configured to drive the plurality of coaxially arranged shafts in a predetermined sequence to deploy a tympanostomy tube; and

a trigger assembly including;

a linkage including two pivoting links, a first link of the two pivoting links releasably engaged with the drive assembly to prevent movement of the drive assembly; and

a trigger element configured to pivot the linkage to disengage the first link from the drive assembly such that the drive assembly drives the plurality of coaxially arranged shafts in the predetermined sequence to deploy the tympanostomy tube.

8. The apparatus of claim 7, wherein the trigger element is configured to pivot the linkage from a first position in which the two pivoting links are bent toward a first direction to an over-center collapsed position in which the two pivoting links are bent toward a second direction opposite to the first direction.

9. The apparatus of claim 7, wherein the trigger element is configured to pivot the linkage from a first position in which a portion of the linkage is disposed on a first side of a centerline of the linkage past a second position in which the portion of the linkage is aligned with the centerline to an over-center collapsed position in which the portion of the linkage is disposed on a second side of the centerline, the centerline defined as a line extending from a first end of the linkage to a second end of the linkage.

10. The apparatus of claim 7, wherein the trigger element is configured to pivot the linkage from a first position in which the two pivoting links are biased in a first direction to an over-center collapsed position in which the two pivoting links are not biased in the first direction.

11. The apparatus of claim 7, wherein the handpiece includes a housing, the trigger element rotatably coupled to the housing.

12. The apparatus of claim 7, wherein the handpiece includes a housing including a support component, the support component configured to engage a surface of the linkage to restrict movement of the linkage when the first link is releasably engaged with the drive assembly.

13. The apparatus of claim 7, further comprising a dampening system including a first component disposed within the handpiece and a second component formed in the handpiece, one of the first component or the second component configured to receive the other of the first component or the second component such that an interaction between the first component and the second component dissipates energy from the drive assembly when the drive assembly drives the plurality of coaxially arranged shafts.

20. The apparatus of claim 7, wherein the drive assembly includes a spring configured to apply a biasing force to a camshaft to drive the plurality of coaxially arranged shafts,

the first link configured to resist movement of the camshaft in response to the biasing force when the first link is engaged with the drive assembly,

the trigger element configured to pivot the linkage to disengage the first link from the drive assembly such that the camshaft moves in response to the biasing force to drive the plurality of coaxially arranged shafts.

14. An apparatus, comprising:

a handpiece;

a shaft assembly extending from the handpiece and including a plurality of coaxially arranged shafts;

a drive assembly configured to drive the plurality of coaxially arranged shafts in a predetermined sequence to deploy a tympanostomy tube; and

a trigger assembly including;

a linkage including two pivoting links, a first link of the two pivoting links releasably engaged with the drive assembly to prevent movement of the drive assembly; and

a trigger element configured to move in a direction having a non-zero angle with respect to a plane including the two pivoting links to cause the two pivoting links to pivot relative to each other within the plane such that the first link disengages from the drive assembly.

15. The apparatus of claim 14, wherein the trigger element includes a living hinge, the trigger element configured to pivot about the living hinge.

16. The apparatus of claim 14, wherein the first link is rotatably coupled to a second link of the two pivoting link at a pivot point, the trigger element including a portion configured to engage the linkage at the pivot point.

17. The apparatus of claim 14, wherein the handpiece includes a housing, the trigger element integrally formed with the housing.

18. The apparatus of claim 14, wherein the handpiece includes a housing, the trigger element rotatably coupled to the housing via a pin.

19. The apparatus of claim 14, wherein the trigger element is a first trigger element,

the handpiece including a housing, the housing including a first housing portion and a second housing portion,

the first trigger element rotatably coupled to the first housing portion,

the trigger assembly further comprising a second trigger element rotatably coupled to the second housing portion, the second trigger element configured to pivot about a third axis different from the first axis.