Medical body access device

• US 6,450,952 B1
• Filed: 04/22/1999
• Issued: 09/17/2002
• Est. Priority Date: 04/23/1998
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Rackley, Raymond, Rioux, Robert F.
• Primary Examiner(s): Smith, Jeffrey A.
• Application Number:
  US09/296,829
• Time in Patent Office: 1,244 Days
• Field of Search: 600/220, 600/221, 600/223, 600/225, 600/219, 600/184, 600/200, 600/201, 600/210, 600/235, 600/212
• US Class Current: 600/223
• CPC Class Codes: A61B 1/0669 at proximal end of an endoscope
• CPC Class Codes: A61B 1/07 using light-conductive means, e.g. optical fibres
• CPC Class Codes: A61B 1/32 Devices for opening or enlarging the visual field, e.g. of a tube of the body dilators A61M29/00

Abstract

A medical device for retracting tissue allows access to the inside of the body by “prying open” an existing or created opening in a body. The device comprises a substantially transparent head having first and second head halves defining a substantially conical surface including a gap when the first and second head halves are joined. Angular motion of the first and second head halves enlarges the existing or created opening and provides an area of access to the inside of the body. The substantially transparent nature of the device allows it to function as a light pipe so that the operator can see the body cavity or tract opened by the device. The device has scissors-like handles to allow an operator to open or close the device with one hand.

Claims

1. A medical device for retraction, comprising:

a) a head comprising;

a first head half, a second head half, the first head half and the second head half comprising a substantially transparent polymeric material defining a substantially conical surface, each said head half comprising a longitudinal receding edge, wherein said edge of said first head half make partial contact with said edge of said second head half when said first and second head halves are contacting one another, thus defining a gap near a base of the head between said first and second head halves when said device is in a closed position; and

b) a handle comprising a substantially transparent polymeric material and coupled to said head, actuation of said handle causing motion of said first head half and second head half relative to a longitudinal plane, said gap being located along the longitudinal plane on an upper side of said head.

2. The medical device of claim 1, wherein said polymeric material comprises polycarbonate.

3. The medical device of claim 1, wherein said handle comprises a first handle portion and a second handle portion, said first handle portion coupled to said first head half and said second handle portion coupled to said second head half, said first and second handle portions being joined at a common pivot point.

4. The medical device of claim 3, wherein said first handle portion is integral with said first head half and said second handle portion is integral with said second head half.

5. The medical device of claim 3, wherein said first handle portion comprises a first and second outer interconnection element, and said second handle portion comprises an inner interconnection element, said inner interconnection element being sandwiched between said first and second outer interconnection elements and being connected thereto by a coupling element at said pivot point.

6. The medical device of claim 5, wherein said coupling element comprises a bolt.

7. The medical device of claim 5, wherein said coupling element comprises two mating plastic elements which snap together.

8. The medical device of claim 3, wherein at least one of said first and second handle portions includes a socket.

9. The medical device of claim 8, wherein said socket includes a light source.

10. The medical device of claim 8, wherein said socket receives one or more light-transmitting cables.

11. The medical device of claim 1, wherein said handle includes a locking mechanism.

12. The medical device of claim 11, wherein said locking mechanism comprises two sets of evenly spaced lugs, one set of evenly spaced lugs extending generally inwardly from each handle portion, said sets of even spaced lugs snapping together to lock the device in a fully open, partially open or closed position.

13. The medical device of claim 12, wherein said locking mechanism has a locked position and an unlocked position, the locked position comprising said two handle portions generally on a plane such that said sets of evenly spaced lugs are in alignment and snapped together, and the unlocked position comprising said two handle portions twisted such that said sets of evenly spaced lugs are not in alignment and not snapped together.

14. The medical device of claim 11, wherein said locking device comprises a mating hinge element at said pivot point of said first handle portion and an engaging element on an upper half of said second handle portion, said mating hinge element comprising a plurality of projections and said engaging element capable of meshing with at least one of said projections on said mating hinge element to lock the device in a fully open, partially open or closed position.

15. The medical device of claim 14, wherein said locking mechanism has a locked position and an unlocked position, said locked position comprising said engaging element meshed with at least one projection on said mating hinge element, and said unlocked position comprising said engaging element separated from said mating hinge element and not meshing with any projection on said mating hinge element.

16. The medical device of claim 1, wherein said head further comprises a light source for illuminating at least said head.

17. The medical device of claim 16, wherein said head further comprises one or more sockets.

18. The medical device of claim 17, wherein at least one of said sockets includes a light source.

19. The medical device of claim 17, wherein at least one of said sockets receives one or more light-transmitting fibers.

20. The medical device of claim 1, wherein said head increases in diameter at a plurality of gradients from an apex to the base.

21. The medical device of claim 1, wherein said head increases in diameter at an increasing rate from an apex to a base.

22. The medical device of claim 1, wherein said first and second head halves are substantially transparent.

23. The medical device of claim 1, wherein said handle is disposed at an angle relative to a longitudinal axis of said head, the longitudinal axis extending from an apex to a center of a base of said head.

24. The medical device of claim 1, wherein said handle is disposed substantially perpendicular to a longitudinal axis of said head, the longitudinal axis extending from an apex to a center of a base of said head.

25. The medical device of claim 1, wherein said handle is disposed substantially along a longitudinal axis of said head, the longitudinal axis extending from an apex to a center of a base of the head.

26. A medical device for retraction, comprising:

a) a head comprising;

a first head half, a second head half, the first head half and the second head half defining a substantially conical surface;

each said head half comprising a longitudinal receding edge defining a gap when said first and second head halves are contacting one another; and

b) a handle coupled to said head, actuation of said handle causing motion of said first head half and second head half relative to a longitudinal plane, and at least one of said first and second handle portions including a socket for accepting a light source disposed near said substantially conical surface and offset from a longitudinal axis defined by the said first head half and second head half.

27. The medical device of claim 26, wherein said socket receives one or more light-transmitting cables.

28. A medical device for retraction, comprising:

a) a head comprising;

a first head half, a second head half, the first head half and the second head half defining a substantially conical surface;

each said head half comprising a longitudinal receding edge defining a gap when said first and second head halves are contacting one another; and

, at least one of said head halves further comprising one or more sockets, said socket receives one or more light-transmitting cables; and

b) a handle coupled to said head, actuation of said handle causing motion of said first head half and second head half relative to a longitudinal plane.

29. A medical device for retraction, comprising:

a) a head comprising;

a first head half, a second head half, the first head half and the second head half defining a substantially conical surface;

each said head half comprising a longitudinal receding edge defining a gap when said first and second head halves are contacting one another; and

b) a handle coupled to said head, said handle comprising a first handle portion and a second handle portion, said first handle portion coupled to said first head half and said second handle portion coupled to said second head half, said first and second handle portions being joined at a common pivot point by a coupling element comprising two mating plastic elements which snap together allowing motion of said first head half and second head half relative to a longitudinal plane.

30. The medical device of claim 29, wherein said first handle portion comprises a first and second outer interconnection element, and said second handle portion comprises an inner interconnection element, said inner interconnection element being sandwiched between said first and second outer interconnection elements and being connected thereto by said coupling element at said pivot point.

31. The medical device of claim 29, wherein one of said handle portions comprises a female coupling element and the other one of said handle portions comprises a male coupling element.

32. A medical device for retraction, comprising:

a) a head comprising;

a first head half, a second head half, the first head half and the second head half defining a substantially conical surface;

each said head half comprising a longitudinal receding edge defining a gap when said first and second head halves are contacting one another; and

b) a handle coupled to said head, actuation of said handle causing motion of said first head half and second head half relative to a longitudinal plane, and

c) a locking mechanism comprising two sets of evenly spaced lugs to lock the device in a fully open, partially open or closed position.

33. The medical device of claim 32, wherein said locking mechanism has a locked position and an unlocked position, the locked position comprising said two handle portions such that said sets of evenly spaced lugs are in alignment and snapped together, and the unlocked position comprising said two handle portions twisted such that said sets of evenly spaced lugs are not in alignment and not snapped together.

34. A medical device for retraction, comprising:

a) a head comprising;

a first head half, a second head half, the first head half and the second head half defining a substantially conical surface;

each said head half comprising a longitudinal receding edge defining a gap when said first and second head halves are contacting one another;

b) a handle coupled to said head, actuation of said handle causing motion of said first head half and second head half relative to a longitudinal plane, and

c). a locking mechanism comprising an arm projecting from an upper half of one of said handle portion, said arm comprising a pawl for engaging at least one of a series of teeth of a ratchet disposed on the other of said handle portion.

35. A medical device for retraction, comprising:

a) a head comprising a substantially transparent polymeric material, said head comprising;

a first head half comprising a longitudinal edge and a second head half comprising a longitudinal edge, a portion of said longitudinal edge of said first head half contacting a portion of said longitudinal edge of said second head half when said head is in a closed position, said head when in said closed position defining a substantially conical surface comprising a gap defined by other portions of said longitudinal edges and disposed near a base of said head and an upper side of said head; and

b) a handle coupled to said head near the base of said head and a lower side of said head, said upper side of said head being substantially opposed to said lower side of said head, wherein actuation of said handle causes the movement of said first head half and said second head half.

36. The medical device of claim 35, wherein said polymeric material comprises polycarbonate.

37. The medical device of claim 35, wherein said handle comprises a first handle portion and a second handle portion, said first handle portion coupled to said first head half and said second handle portion coupled to said second head half, said first and second handle portions being joined at a common pivot point.

38. The medical device of claim 37, wherein said handle comprises a locking mechanism.

39. The medical device of claim 38, wherein said head further comprises a light source for illuminating at least said head.

40. The medical device of claim 35, wherein said handle comprises the substantially transparent polymeric material.

41. A medical device for retraction, comprising:

a) a head comprising a substantially transparent polymeric material, said head comprising;

a first head half comprising longitudinal edge and a second head half comprising a longitudinal edge, a portion of said longitudinal edge of said first head half contacting a portion of said longitudinal edge of said second head half when said head is in a closed position, said head when in said closed position defining a substantially conical surface comprising a gap defined by other portions of said longitudinal edges and disposed near a base and an upper side of said head; and

b) a handle coupled to said head, actuation of said handle causing the movement of said first head half and second head half, wherein said handle comprises a first handle portion and a second handle portion, said first handle portion coupled to said first head half and said second handle portion coupled to said second head half, said first and second handle portions being joined at a common pivot point and wherein at least one of said first and second handle portions includes a socket.

42. The medical device of claim 41, wherein said socket receives a light source.

43. The medical device of claim 41, wherein said socket receives one or more light-transmitting cables.