Uterine manipulator
First Claim
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1. A uterine manipulator system comprising:
- (1) a collar including (a) (i) a first end comprising a first opening, having a first diameter, surrounded by a first rim, (a)(ii) a second end, opposite the first end, having a second opening, having a second diameter that is larger than the first diameter, surrounded by a second rim, (a)(iii) an inner surface, coupling the first end to the second end, adapted to contact a cervix, (a)(iv) an outer surface adapted to contact a vaginal wall, (a)(v) a hollow tunnel, including the inner surface, the first opening, and the second opening wherein the hollow tunnel is adapted to receive the cervix; and
(a)(vi) a first shelf connected to the inner surface and located between the first and second ends; and
wherein the first shelf includes a first surface and a second surface opposite the first surface, the first surface being between the second surface and the first end and the second surface being between the second end and the first surface;
(2) a stabilizer including (b)(i) a first stabilizer end comprised of a base portion with a stabilizer aperture, (b)(ii) a second stabilizer end, opposite the first stabilizer end, having a stabilizer rim adapted to couple to the first surface or the second surface, wherein a diameter of the first stabilizer end is less than a diameter of the second stabilizer end;
(3) a shaft configured to pass through the stabilizer aperture;
wherein the shaft contains a hollow inner channel coupling a distal end of the shaft to a proximal end of the shaft; and
wherein the distal end of the shaft includes at least one of a distal shaft aperture in fluid communication with the hollow inner channel, and the proximal end of the shaft includes at least one of a proximal shaft aperture in fluid communication with the hollow inner channel;
(4) a bulbous portion having a maximum bulbous diameter greater than a maximum diameter of the shaft including a longitudinal axis;
wherein the bulbous portion includes a first portion, a second portion, and a third portion, and a thickness of sidewalls of the bulbous portion varies between the first portion and second portion and between the second portion and third portion;
wherein the second portion is located between the first portion and the third portion;
wherein the first portion is configured for coupling to the distal end of the shaft;
wherein the first portion, the second portion, and the third portion respectively include a first diameter, a second diameter, and a third diameter, wherein the bulbous portion includes a continuously convexly sloped perimeter extending from the third diameter and crossing the longitudinal axis to form a closed, rounded distal end of the bulbous portion;
wherein the second diameter is smaller than the first diameter and the third diameter; and
wherein a first outlet is located between the second portion and the distal end of the bulbous portion, and the first outlet is in fluid communication with the distal shaft aperture and the hollow inner channel, wherein the bulbous portion does not include an additional inlet and corresponding outlet extending in parallel to a longitudinal axis of the shaft before the second portion.
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Abstract
An embodiment includes a uterine manipulator system comprising: a collar including a first shelf connected to the inner surface of the collar; a stabilizer including a stabilizer rim adapted to couple to the first shelf; and a shaft adapted to pass through the stabilizer and a hollow tunnel of the collar with a bulbous tip. Other embodiments are described herein.
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Citations
20 Claims
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1. A uterine manipulator system comprising:
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(1) a collar including (a) (i) a first end comprising a first opening, having a first diameter, surrounded by a first rim, (a)(ii) a second end, opposite the first end, having a second opening, having a second diameter that is larger than the first diameter, surrounded by a second rim, (a)(iii) an inner surface, coupling the first end to the second end, adapted to contact a cervix, (a)(iv) an outer surface adapted to contact a vaginal wall, (a)(v) a hollow tunnel, including the inner surface, the first opening, and the second opening wherein the hollow tunnel is adapted to receive the cervix; and
(a)(vi) a first shelf connected to the inner surface and located between the first and second ends; and
wherein the first shelf includes a first surface and a second surface opposite the first surface, the first surface being between the second surface and the first end and the second surface being between the second end and the first surface;(2) a stabilizer including (b)(i) a first stabilizer end comprised of a base portion with a stabilizer aperture, (b)(ii) a second stabilizer end, opposite the first stabilizer end, having a stabilizer rim adapted to couple to the first surface or the second surface, wherein a diameter of the first stabilizer end is less than a diameter of the second stabilizer end; (3) a shaft configured to pass through the stabilizer aperture;
wherein the shaft contains a hollow inner channel coupling a distal end of the shaft to a proximal end of the shaft; andwherein the distal end of the shaft includes at least one of a distal shaft aperture in fluid communication with the hollow inner channel, and the proximal end of the shaft includes at least one of a proximal shaft aperture in fluid communication with the hollow inner channel; (4) a bulbous portion having a maximum bulbous diameter greater than a maximum diameter of the shaft including a longitudinal axis; wherein the bulbous portion includes a first portion, a second portion, and a third portion, and a thickness of sidewalls of the bulbous portion varies between the first portion and second portion and between the second portion and third portion; wherein the second portion is located between the first portion and the third portion; wherein the first portion is configured for coupling to the distal end of the shaft; wherein the first portion, the second portion, and the third portion respectively include a first diameter, a second diameter, and a third diameter, wherein the bulbous portion includes a continuously convexly sloped perimeter extending from the third diameter and crossing the longitudinal axis to form a closed, rounded distal end of the bulbous portion; wherein the second diameter is smaller than the first diameter and the third diameter; and wherein a first outlet is located between the second portion and the distal end of the bulbous portion, and the first outlet is in fluid communication with the distal shaft aperture and the hollow inner channel, wherein the bulbous portion does not include an additional inlet and corresponding outlet extending in parallel to a longitudinal axis of the shaft before the second portion. - View Dependent Claims (2, 3)
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4. A uterine manipulator system comprising:
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a collar including (a)(i) a first end comprising a first opening, having a first diameter, surrounded by a first rim, (a)(ii) a second end, opposite the first end, having a second opening, having a second diameter that is larger than the first diameter, surrounded by a second rim, (a)(iii) an inner surface, coupling the first end to the second end, adapted to contact a cervix, (a)(iv) an outer surface adapted to contact a vaginal wall, (a)(v) a hollow tunnel, including the inner surface, the first opening, and the second opening wherein the hollow tunnel is adapted to receive the cervix; and
(a)(vi) a first shelf connected to the inner surface and located between the first and second ends;wherein the first shelf includes a first surface and a second surface opposite the first surface, the first surface being between the second surface and the first end and the second surface being between the second end and the first surface; and a stabilizer including (b)(i) a first stabilizer end comprised of a base portion with a stabilizer aperture, (b)(ii) a second stabilizer end, opposite the first stabilizer end, having a stabilizer rim adapted to couple to the first surface or the second surface, wherein a diameter of the first stabilizer end is less than a diameter of the second stabilizer end; a shaft configured to pass through the stabilizer aperture; wherein the distal end of the shaft includes a bulbous portion having a maximum bulbous diameter greater than a maximum diameter of the shaft, the bulbous portion including a first portion, a second portion, and a third portion respectively including a first diameter, a second diameter, a third diameter, and a longitudinal axis, wherein the second portion is located between the first portion and the third portion and wherein the first portion is configured for coupling to the distal end of the shaft; wherein the bulbous portion includes a continuously convexly sloped perimeter extending from the third diameter and crossing the longitudinal axis to form a closed, rounded distal end of the bulbous portion, wherein a thickness of sidewalls of the bulbous portion varies between the first portion and second portion and between the second portion and third portion, and wherein a first outlet is located on the continuously sloped perimeter between the third diameter and the distal end of the bulbous portion, wherein the bulbous portion does not include an additional inlet and corresponding outlet extending in parallel to a longitudinal axis of the shaft before the second portion. - View Dependent Claims (5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A uterine manipulator system comprising:
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(1) a shaft; wherein the shaft contains a hollow inner channel coupling a distal end of the shaft to a proximal end of the shaft; and wherein the distal end of the shaft includes at least one of a distal shaft aperture in fluid communication with the hollow inner channel, and the proximal end of the shaft includes at least one of a proximal shaft aperture in fluid communication with the hollow inner channel; (2) a bulbous portion having a maximum bulbous diameter greater than a maximum diameter of the shaft; wherein the bulbous portion includes a first portion, a second portion, a third portion, and a longitudinal axis; wherein the second portion is located between the first portion and the third portion; wherein the first portion is configured for coupling to the distal end of the shaft; wherein the first portion, the second portion, and the third portion respectively include a first diameter, a second diameter, and a third diameter, and a thickness of sidewalls of the bulbous portion varies between the first portion and second portion and between the second portion and third portion, wherein the second diameter is smaller than the first diameter and the third diameter; wherein the bulbous portion includes a continuously convexly sloped perimeter extending from the third diameter and crossing the longitudinal axis to form a closed, rounded distal end of the bulbous portion, wherein a first outlet is located on the continuously sloped perimeter between the third diameter and the distal end of the bulbous portion and is in fluid communication with the distal shaft aperture and the hollow inner channel; and wherein the bulbous portion does not include an additional inlet and corresponding outlet extending in parallel to a longitudinal axis of the shaft before the second portion.
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20. The system of 19, including
(1) a stabilizer comprising (a) (i) a first stabilizer end comprised of a base portion with a stabilizer aperture, (a)(ii) a second stabilizer end, opposite the first stabilizer end; -
wherein a diameter of the first stabilizer end is less than a diameter of the second stabilizer end; wherein in a first configuration the stabilizer aperture is slidable along the shaft; wherein the first outlet is distal to the stabilizer; and (2) a conduit wherein the conduit is hollow with an inner diameter greater than the diameter of the stabilizer aperture and a diameter of the shaft; wherein the distal end of the conduit is configured couple to the base portion; wherein the conduit is configured to slide between the proximal end of the shaft and the distal end of the shaft; wherein the base portion is distal to the conduit, and the first outlet is distal to the stabilizer; and wherein a proximal end of the conduit is adapted to couple to a fastener to fixedly fasten the conduit to the shaft.
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Specification