Medical Device Handles and Related Methods of Use

• US 20130046297A1
• Filed: 07/26/2012
• Published: 02/21/2013
• Est. Priority Date: 08/16/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Keeler, Jennifer, Lingeman, John
• Granted Patent: US 9,005,196 B2
• Time in Patent Office: Days
• US Class Current: 606/41
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61B 18/26 for producing a shock wave, e.g. laser lithotripsy
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping
• CPC Class Codes: A61B 2017/00371 Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
• CPC Class Codes: A61B 2017/0038 Simultaneous actuation of two tools by pushing one button or the like
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61B 2017/008 Removal of tumors
• CPC Class Codes: A61B 2017/22035 for retrieving or repositioning foreign objects
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2017/2924 Translation movement of handle without rotating movement
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/225 Features of hand-pieces A61B2018/2255 takes precedence
• CPC Class Codes: A61B 2217/005 with suction drainage system

Abstract

A device may include a sheath including a lumen, a distal end, and a proximal end. The device may further include an end-effector unit and an elongate member connected to the end-effector unit. The end-effector unit and the sheath may be movable relative to each other to achieve a first state of the end-effector unit and a second state of the end-effector unit. Moreover, the medical device may include a handle having a first handle portion connected to the proximal end of the sheath, a second handle portion connected to the proximal end of the elongate member, and a compliant member longitudinally aligned with the sheath between the first handle portion and the second handle portion. The first and second handle portions may be configured such that relative movement of the first and second handle portions causes the end-effector to move between the first and second states.

Claims

1. A medical device, comprising:

a sheath including a lumen, a distal end, and a proximal end;

an end-effector unit and an elongate member connected to the end-effector unit and extending proximally from the end-effector unit within the lumen of the sheath, the end-effector unit and the sheath movable relative to each other to achieve a first state of the end-effector unit and a second state of the end-effector unit; and

a handle comprising;

a first handle portion connected to the proximal end of the sheath,

a second handle portion connected to the proximal end of the elongate member, and

a compliant member longitudinally aligned with the sheath between the first handle portion and the second handle portion to hold the first handle portion and the second handle portion in a spaced apart position,

wherein the first and second handle portions are configured such that relative movement of the first handle portion towards the second handle portion causes the end-effector to move between the first state and the second state.

2. The medical device of claim 1, wherein the first handle portion is distal of the second handle portion.

3. The medical device of claim 1, wherein the second handle portion is distal of the first handle portion.

4. The medical device of claim 1, wherein the handle includes a locking mechanism to secure the first and second handle portions after the first handle portion is moved toward the second handle portion.

5. The medical device of claim 1, wherein the end-effector unit is a self-expandable basket having a plurality of legs.

6. The medical device of claim 5, wherein in the first state the end effector unit is within the lumen and in the second state the end-effector unit extends from the distal end of the sheath.

7. The medical device of claim 5, wherein in the first state the end-effector unit extends from the distal end of the sheath and in the second state the end-effector unit is within the lumen.

8. The medical device of claim 6, wherein the basket is collapsed when the end-effector unit is in the first state and expanded when the end-effector unit is in the second state.

9. The medical device of claim 7, wherein the basket is collapsed when the end-effector unit is in the second state and expanded when the end-effector unit is in the first state.

10. The medical device of claim 1, wherein a distal end of the elongate member is connected to a proximal end of the end-effector unit.

11. The medical device of claim 1, wherein the compliant member defines a lumen and is made of a material that compresses under force and returns to its original state once the force is removed.

12. The medical device of claim 1, wherein the elongate member is at least one of a tube, a shaft, a wire, a coil, or a cable connected to a proximal end of the end-effector unit.

13. The medical device of claim 1, wherein the handle includes an electrical connector for delivering electrical current to the end-effector unit.

14. The medical device of claim 1, wherein one of the first handle portion and the second handle portion includes geometric features for receiving one or more fingers of an operator.

15. The medical device of claim 1, wherein the medical device includes two or more distinct end-effector units, each separately actuatable by the handle.

16. A medical device, comprising:

a sheath including a lumen, a distal end, and a proximal end; and

a handle comprising;

a first handle portion connected to the proximal end of the sheath,

a second handle portion including a hole,

a tube disposed between the first and second handle portions, the tube including a distal end, a proximal end, and a lumen extending therebetween, wherein the distal end of the tube is slidably disposed within the sheath, and the proximal end of the tube is connected to the second handle portion and is in communication with the hole in the second handle portion;

a compliant member positioned around the tube between the first handle portion and the second handle portion to keep them in a spaced apart position;

wherein the lumen of the tube may be configured to receive a device, and wherein moving the second handle portion towards the first handle portion causes the device to be pushed towards the distal end of the sheath.

17. The medical device of claim 16, wherein a portion of the medical device further includes:

an engaging member that selectively protrudes from a surface of a portion of the medical device.

18. The medical device of claim 17, wherein the engaging member protrudes when the second handle portion is pushed towards the first handle portion and retracts when the first and second handle portion returns to the spaced apart position.

19. A method for operating a medical device to perform an operation in a body, comprising:

advancing a medical device to a position within a body, the medical device comprising;

a sheath including a lumen, a distal end, and a proximal end;

an end-effector unit and an elongate member connected to the end-effector unit and extending proximally from the end-effector unit within the lumen of the sheath, the end-effector unit and the sheath movable relative to each other to achieve a first state of the end-effector unit when the end-effector unit is within the lumen and a second state of the end-effector unit when the end-effector unit extends from the distal end of the sheath; and

a handle comprising;

a first handle portion connected to the proximal end of the sheath,

a second handle portion connected to the proximal end of the elongate member, and

a compliant member longitudinally positioned between the first handle portion and the second handle portion to keep the handle portions in a spaced apart position;

grasping the handle with a hand of an operator in a position to push one of the first and second handle portions towards the other; and

pushing a handle portion towards the other to selectively actuate the end-effector unit between the first state and the second state.

20. The method of claim 19 further comprising the step of locking the first and second handle portions to prevent relative movement between the two handle portions.