Extension and retraction mechanism for a hand-held device

• US 8,814,856 B2
• Filed: 04/30/2007
• Issued: 08/26/2014
• Est. Priority Date: 04/30/2007
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Elmouelhi, Ahmed, Christian, Steven C.
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US11/799,115
• Publication Number:
  US 20080269862A1
• Time in Patent Office: 2,675 Days
• Field of Search: 606 45- 46, 606 50- 52, 607101-102, 604 21- 22
• US Class Current: 606/41
• CPC Class Codes: A61B 17/2841 Handles
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00371 Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2924 Translation movement of handle without rotating movement
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: Y10T 74/20582 Levers

Abstract

The disclosure describes a hand-held device that utilizes a mechanical lever system to operate the device with a single hand. The mechanical lever system is coupled to a sliding element within the housing of the hand-held device that slides linearly. The sliding element may be attached to another element that is extended, retracted, or rotated in or out of the device. For example, the hand-held device may be used for prostate ablation therapy. The hand-held device may include an ablation needle electrode that is extended out of a catheter and into a tissue of a patient by depressing an extension lever of the mechanical lever system to deliver ablation therapy. Depressing a retraction lever of the mechanical lever system may retract the needle electrode back into the catheter of the hand-held device. Other variations of the mechanical system and applications of the hand-held device are also described.

Claims

1. A device comprising:

a housing configured to be held in a hand of a user;

a sliding element within the housing;

an extension lever coupled to the sliding element;

an extension link that couples the extension lever to the sliding element;

a refraction lever directly coupled to the sliding element;

a track within the housing; and

a guide attached to the retraction lever, wherein the guide slides within the track, wherein;

the extension lever and the refraction lever each extend out from the housing,

the extension lever moves the sliding element and the retraction lever in a first direction when the extension lever is moved in a second direction and the retraction lever moves the sliding element in the second direction when the retraction lever is moved in the second direction,

the extension lever rotates about an extension pivot point of the housing to move the sliding element,

the retraction lever slides linearly with the sliding element,

a first end of the extension link pivots about an extension link pivot point on the extension lever,

the extension link pivot point is different than the extension pivot point, and

a second end of the extension link pivots about a block pivot point attached to the sliding element.

2. The device of claim 1, wherein the sliding element slides linearly along a shaft that resides within a channel of the sliding element, and wherein the shaft remains stationary within the housing when the sliding element slides.

3. The device of claim 1, further comprising a catheter having an ablation needle coupled to the sliding element, wherein:

the extension lever moves in the second direction to extend the ablation needle within the catheter in the first direction; and

the retraction lever moves in the second direction to retract the ablation needle within the catheter in the second direction.

4. The device of claim 3, wherein:

a distal portion of the ablation needle is extended out of the catheter when the extension lever moves in the second direction; and

the distal portion of the ablation needle is retracted back within the catheter when the retraction lever moves in the second direction.

15. The device of claim 1, wherein the hand of the user is a single hand, and wherein both the extension lever and the retraction lever are configured to be operated by the single hand of the user.

5. A device comprising:

a housing configured to be held in a hand of a user;

a sliding element that moves within the housing;

an extension lever that partially resides within the housing, extends out from the housing, and pivots about an extension pivot point attached to the housing, wherein;

the extension lever is coupled to the sliding element via an extension link;

a first end of the extension link pivots about an extension link pivot point located at a first end of the extension lever and a second end of the extension link pivots about a block pivot point attached to the sliding element; and

the extension pivot point is different than the extension link pivot point; and

a retraction lever that partially resides within the housing, extends out from the housing, and is directly coupled to the sliding element.

6. The device of claim 5, wherein the retraction lever comprises a guide that slides within a track of the housing.

7. The device of claim 5, wherein:

the sliding element and the retraction lever move in a first direction when the extension lever is moved in a second direction; and

the sliding element moves in the second direction and the extension lever moves in the first direction when the refraction lever is moved in the second direction.

8. The device of claim 5, further comprising a catheter having an ablation needle coupled to the sliding element, wherein:

the ablation needle is extended within the catheter in a first direction when the extension lever is moved in a second direction; and

the ablation needle is retracted within the catheter in the second direction when the retraction lever is moved in the second direction.

9. A system comprising:

a generator that produces radio frequency energy for ablation; and

a hand-held device coupled to the generator, wherein the hand-held device comprises;

a housing configured to be held in a hand of a user;

an ablation needle that slides within a catheter coupled to the housing, wherein the ablation needle is coupled to the generator and a sliding element;

an extension lever that extends out from the housing and pivots about an extension pivot point attached to the housing, wherein the extension lever is coupled to the ablation needle and moves the ablation needle in a first direction;

an extension link that couples the extension lever to the sliding element, wherein a first end of the extension link pivots about an extension link pivot point located at a first end of the extension lever and a second end of the extension link pivots about a block pivot point attached to the sliding element, and wherein the extension pivot point is different than the extension link pivot point; and

a refraction lever that extends out from the housing, is coupled to the ablation needle, and moves the ablation needle in a second direction, wherein the retraction lever moves with the ablation needle in the first direction when the extension lever is moved in the second direction.

10. The system of claim 9, wherein the retraction lever comprises a guide that slides within a track of the housing.

11. The system of claim 9, wherein the retraction lever pivots about a retraction pivot point at a first end of the retraction lever within the housing, and wherein the retraction pivot point is attached to the housing.

12. The system of claim 11, further comprising a refraction link that couples the retraction lever to the sliding element, wherein a first end of the retraction link pivots about a retraction link pivot point located at a midsection of the retraction lever and a second end of the retraction link that pivots about a block pivot point attached to the sliding element.

13. The system of claim 9, wherein:

the ablation needle is extended from the catheter when the extension lever is moved in the second direction; and

the ablation needle is retracted into the catheter when the retraction lever is moved in the second direction.

14. The system of claim 13, wherein:

the ablation needle does not contact a tissue of a patient when the ablation needle is retracted into the catheter; and

the ablation needle is configured to deliver the radio frequency energy for ablation to the tissue of the patient when the ablation needle is extended from the catheter.

16. The system of claim 9, wherein the hand of the user is a single hand, and wherein both the extension lever and the retraction lever are configured to be operated by the single hand of the user.