Control handles for medical devices

• US 9,597,152 B2
• Filed: 09/10/2012
• Issued: 03/21/2017
• Est. Priority Date: 09/10/2011
• Status: Active Grant

• Current Assignee: C2Dx, Inc.
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Schaeffer, Darin, Ridgley, Pamela, McCarthy, Daniel
• Primary Examiner(s): Thomson, William
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US13/608,002
• Publication Number:
  US 20130237968A1
• Time in Patent Office: 1,653 Days
• Field of Search: 606/2.5, 606/1
• US Class Current: 1/1
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• 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 17/3421 Cannulas
• CPC Class Codes: A61B 18/26 for producing a shock wave, e.g. laser lithotripsy
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments catheters A61B2017/22072
• CPC Class Codes: A61B 2090/062 penetration depth

Abstract

Various medical devices and methods of treatment are described herein. For example, various detachable control handle configurations for inclusion with a medical device, such as a lithotripter, are described. In another example, various probe configurations are described herein. Furthermore, various methods of treatment using a control handle are described herein.

Claims

1. A method of removing a stone disposed within a salivary duct having a salivary duct opening, the method comprising the steps of:

positioning a control handle on a medical device having a proximal end and a distal end;

releasably attaching the control handle to the medical device;

inserting the distal end of the medical device into a lumen defined by a scope having a proximal end and a distal end such that the distal end of the medical device is disposed distal to the distal end of the scope, the lumen of the scope extending between an opening at the proximal end of the scope and an opening at the distal end of the scope;

inserting the distal end of the medical device through said salivary duct opening such that the distal end of the medical device is disposed distal to said salivary duct opening and in said salivary duct;

inserting the distal end of the scope through said salivary duct opening such that the distal end of the scope is disposed distal to said salivary duct opening and in said salivary duct;

navigating the distal end of the medical device through said salivary duct and towards a point of treatment;

contacting the distal end of the medical device with said stone disposed in said salivary duct;

performing treatment using the medical device; and

withdrawing the medical device from said salivary duct;

wherein the control handle comprises;

a first portion having a proximal end, a distal end, a first shaft, a projection, and defining a recess and an aperture, the shaft extending from the proximal end towards the distal end of the first portion, the projection extending from a location between the proximal end and the distal end to the distal end of the first portion, the recess extending into the projection from the distal end of the first portion towards the proximal end of the first portion to a recess base, the aperture extending from a first opening defined on the proximal end of the first portion to a second opening defined on the recess base;

a second portion having a proximal end, a distal end, a second shaft, and defining a recess and an aperture, the second shaft extending from the proximal end to the distal end of the second portion, the recess extending into the second shaft from the proximal end towards the distal end of the second portion to a recess base, the aperture extending from a first opening defined on the recess base of the second portion to a second opening defined on the distal end of the second portion; and

a compressible member having a proximal end and a distal end;

wherein a portion of the compressible member is disposed within one of the recess defined by the first portion or the recess defined by the second portion;

wherein the first portion is adapted to be releasably attached to the second portion;

wherein the projection is adapted to be received by the recess defined by the second portion; and

wherein said control handle is moveable between a first configuration and a second configuration, in the first configuration the projection is free of the recess of the second portion, in the second configuration the projection is disposed within the recess of the second portion and the first portion is releasably attached to the second portion.

2. The method of claim 1, wherein the compressible member defines a lumen extending from an opening on the proximal end of the compressible member to an opening on the distal end of the compressible member;

and

wherein the lumen of the compressible member defines a first inner diameter when the control handle is in the first configuration and a second inner diameter when the control handle is in the second configuration, the second inner diameter being less than the first inner diameter.

3. The method of claim 1, wherein the control handle further comprises a rigid member disposed adjacent the compressible member and having a proximal end and a distal end;

wherein a portion of the rigid member is disposed within one of the recess defined by the first portion or the recess defined by the second portion.

4. The method of claim 1, wherein the scope comprises a second lumen extending between an opening at the proximal end of the scope and an opening at the distal end of the scope.

5. The method of claim 1, wherein the medical device comprises a lithotripter.

6. The method of claim 5, wherein the lithotripter is selected from the group comprising pneumatic lithotripters and ultrasonic lithotripters.

7. The method of claim 1, wherein the medical device is selected from the group comprising probes, lithotripsy probes, optics, fiber optics, fibers, laser fibers, suction devices, irrigation devices, baskets, stone baskets, graspers, forceps, grasping forceps, drills, balloons, and balloon catheters.

8. The method of claim 1, wherein the step of inserting the distal end of the medical device into the lumen defined by the scope such that the distal end of the medical device is disposed distal to the distal end of the scope is performed after the step of releasably attaching the control handle to the medical device.

9. The method of claim 1, further comprising the step of inserting a sheath having a proximal end and a distal end through said salivary duct opening such that the distal end of the sheath is disposed distal to said salivary duct opening and in said salivary duct, the sheath defining a lumen that extends between an opening at the proximal end of the sheath and an opening at the distal end of the sheath;

wherein the step of inserting the distal end of the medical device through said salivary duct opening such that the distal end of the medical device is disposed distal to said salivary duct opening and in said salivary duct and the step of inserting the distal end of the scope through said salivary duct opening such that the distal end of the scope is disposed distal to said salivary duct opening and in said salivary duct comprise inserting the distal end of the medical device and the distal end of the scope through the lumen defined by the sheath such that the distal end of the medical device and the distal end of the scope are disposed distal to the distal end of the sheath.

10. The method of claim 9, wherein the distal end of the scope is advanced through the lumen defined by the sheath towards the point of treatment.

11. The method of claim 1, wherein the medical device is selected from the group consisting of probes and laser fibers.