DEVICE

• US 20090018470A1
• Filed: 09/21/2006
• Published: 01/15/2009
• Est. Priority Date: 09/21/2005
• Status: Abandoned Application

• Current Assignee: Smart Surgical Appliances Ltd.
• Original Assignee: Smart Surgical Appliances Ltd.
• Inventors: Hartshorn, Richard A., Aziz, Omer, Edwards, Lee D., Darzi, Ara W., Goodwin, Edward H.
• Application Number:
  US12/067,623
• Publication Number:
  US 20090018470A1
• Time in Patent Office: Days
• US Class Current: 600/593
• CPC Class Codes: A61B 2562/164 the sensor is mounted in or on a conformable substrate or carrier
• CPC Class Codes: A61B 5/037 Measuring oesophageal pressure
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

A device (10) for causing dilation of a tubular anatomy comprising a distal end and a proximate end, and: an active element (100) comprising: a flexible portion (110) expandable between a first, non expanded state, and a second, expanded state; an activator (40) for causing expansion of the flexible member; and a pressure sensor (200) operably connected to the flexible member.

Claims

1. A device for causing dilation of a tubular anatomy comprising:

a distal end and a proximate end;

an active element comprising a flexible portion expandable between a first, non expanded state, and a second, expanded state;

an activator for causing expansion of the flexible member; and

a pressure sensor operably connected to the flexible member.

35. The device according to claim 1, wherein the pressure sensor comprises a strain gauge.

36. The device according to claim 1, wherein the pressure sensor comprises a sensor skin mounted on an outer surface of the flexible portion.

37. The device according to claim 1, wherein the flexible portion comprises a plurality of elongate flexible members, each having a first end positioned towards the distal end of the device, and a second end positioned towards the proximate end of the device, the device further comprising a first connector connected to the first ends of the members, and a second connector connected to the second ends of the members.

38. The device according to claim 37, wherein the activator comprises a compressor for causing one of the connectors to move towards the other connector, thereby causing the elongate members to bow laterally.

39. The device according to claim 38, wherein the compressor exerts a constant pressure on the active element.

40. The device according to claim 38, wherein the compressor exerts stepped pressure on the active element.

41. The device according to claim 37, further comprising a plurality of flexible portions connected to one another.

42. The device according to claim 1, further comprising a passive outer shell enclosing the flexible portion.

43. The device according to claim 37, wherein the pressure sensor is positioned on one of the elongate flexible members.

44. The device according to claim 43, wherein the pressure sensor is defined by one or more cuts formed in the elongate flexible member.

45. The device according to claim 37, further comprising a plurality of pressure sensors, each of which is operably connected to an elongate flexible member.

46. The device according to claim 38, further comprising at least one stop for preventing over compression of the active element.

47. The device according to claim 46, further comprising a plurality of stops.

48. The device according to claim 47, wherein the stops comprise a plurality of grooves positioned along the length of the active element, and a moveable member in the form of a ring or disc.

49. The device according to claim 1, further comprising a screw thread extending along the length of the active element, and a moveable member moveable along the screw thread.

50. The device according to claim 37, wherein the first and second connectors are substantially disc shaped.

51. The device according to claim 37, wherein at least one of the connectors is formed integrally with the elongate members.

52. The device according to claim 37, wherein at least one of the connectors is formed separately from the elongate members.

53. The device according to claim 1, further comprising a first sleeve associated with the active element, the sleeve being mechanically driven.

54. The device according to claim 38, wherein the compressor comprises means for pulling one connector towards the other.

55. The device according to claim 38, wherein the compressor comprises a wire connected to the distal end of the active element.

56. The device according to claim 38, wherein the compressor comprises a screw.

57. The device according to claim 38, wherein the compressor comprises a threaded elongate member associated with the elongate member.

58. The device according to claim 1, wherein the activator is adapted to cause circumferential movement of the distal end of the device relative to the proximate end of the device.

59. The device according to claim 58, wherein the activator is adapted to cause circumferential rotation of the distal end in a first sense, and to cause circumferential rotation of the proximate end in an opposite sense.

60. The device according to claim 1, wherein the flexible portion comprises a balloon.

61. The device according to claim 60, further comprising a plurality of pockets formed on an outer surface of the balloon, each of the pockets containing a fluid, the device further comprising a pressure sensor operatively connected to each pocket.

62. The device according to claim 1, further comprising an outer sleeve extending over the active element.

63. The device according to claim 1, further comprising a cone formed at a distal end of the active element.

2-34. -34. (canceled)

64. A device for causing dilation of a tubular anatomy comprising:

a distal end and a proximate end;

an active element comprising a flexible portion expandable between a first, non-expanded state, and a second, expanded state; and

an activator for causing expansion of the flexible portion,

wherein the flexible portion comprises a plurality of elongate flexible members, each having a first end positioned towards the distal end of the device, and a second end positioned towards the proximate end of the device, and

wherein the activator is adapted to cause circumferential movement of the distal end of the device relative to the proximate end of the device.

65. A method of dilating a tubular anatomy, the method comprising:

inserting a device for causing dilation of a tubular anatomy into the tubular anatomy to be dilated, wherein the device comprises;

an active element comprising a flexible portion expandable between a first, non-expanded state, and a second, expanded state,

an activator for causing expansion of the flexible portion, and

a pressure sensor operably connected to the flexible portion;

causing expansion of the flexible portion;

measuring pressure within the tubular anatomy;

collapsing the device; and

removing the device from the tubular Anatomy.