Expandable devices, rail systems, and motorized devices

• US 9,687,309 B2
• Filed: 04/27/2016
• Issued: 06/27/2017
• Est. Priority Date: 10/04/2010
• Status: Active Grant

• Current Assignee: George J. Piligian, Hootee Ong
• Original Assignee: George J. Piligian, Hootee Ong
• Inventors: Piligian, George J., Ong, HooTee
• Primary Examiner(s): Sevilla, Christian
• Assistant Examiner(s): GIBSON, ERIC SHANE
• Application Number:
  US15/140,176
• Publication Number:
  US 20160296295A1
• Time in Patent Office: 426 Days
• Field of Search: 600201-210
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0281 Abdominal wall lifters
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 2017/00075 Motion
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/00902 transparent or translucent
• CPC Class Codes: A61B 2017/00946 malleable
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/141 Snare
• CPC Class Codes: A61B 2218/001 having means for irrigation and/or aspiration of substances to and/or from the surgical site A61B2018/00029 and A61B2018/1472 take precedence
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/72 : Micromanipulators
• CPC Class Codes: A61B 90/30 : Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/50 : Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: A61M 29/02 : Dilators made of swellable material balloon catheters for angioplasty A61M25/104
• CPC Class Codes: A61N 7/02 : Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

Provided herein are expandable devices, rail systems, and motorized devices. In one embodiment, an expandable device comprises an expandable sac having a tool housed therein. The expandable device is optionally configured for operation while inside a body cavity. The expandable device optionally comprises at least one rail in the sac, and at least one railed device coupled to the rail for movement there on. Movement of the railed device on the rail is provided by, for example, a motor such as an electromagnetic motor or an inch-worm type motor. Expandable devices can be used, for example, to perform minimally invasive medical procedures requiring access to a body cavity. Expandable devices can also be used, for example, to provide safe and stable transport of instruments to the body cavity.

Claims

1. An expandable device comprising:

a. a sac comprising a lumen, wherein the sac is expandable;

b. a rail in the lumen of the sac; and

c. a railed device coupled to the rail for movement there on;

wherein;

the rail comprises a conduit made from a flexible material;

the conduit comprises an inlet configured for receiving a fluid to fill the conduit or allow the fluid to flow through the conduit;

when not filled with the fluid or when not having the fluid flow there through, the conduit is flexible or flaccid; and

when filled with the fluid or when having the fluid flow there through, the conduit;

i. is turgid relative to when the conduit is flexible or flaccid;

ii. supports the railed device; and

iii. guides the railed device for movement along the conduit.

2. The expandable device of claim 1, wherein the rail is mounted to a luminal wall of the sac, embedded in the luminal wall of the sac, or contoured along the luminal wall of the sac.

3. The expandable device of claim 1, further comprising a motor for providing said movement of the railed device.

4. The expandable device of claim 1, further comprising sensors on the sac.

5. The expandable device of claim 1, further comprising an access tube in fluid connection with the sac.

6. The expandable device of claim 1, wherein the sac is configured for expansion by fluid pressure.

7. The expandable device of claim 1, wherein the railed device is tethered to the sac, whereby the sac or a portion thereof can be moved by moving the railed device.

8. The expandable device of claim 1, wherein the sac is malleable.

9. The expandable device of claim 8, wherein the sac is transparent.

10. The expandable device of claim 8, wherein the sac comprises a plurality of wall segments with different malleability.

11. The expandable device of claim 10, wherein the sac comprises a thermoplastic resin, wherein the sac is malleable at a physiologically acceptable temperature.

12. The expandable device of claim 1, wherein the sac comprises a port connecting the lumen of the sac with a periphery of the sac.

13. The expandable device of claim 1, further comprising a fork in the conduit, wherein the fork branches a first conduit into a plurality of conduits, wherein each of the plurality of conduits can support a railed device when turgid.

14. The expandable device of claim 13, wherein the fork comprises a control circuit configured to differentially control the flow of the fluid from the first conduit into the plurality of conduits.

15. The expandable device of claim 14, wherein the control circuit is a fluidic amplifier.

16. The expandable device of claim 1, wherein:

a. the conduit is embedded in the sac or contoured along a luminal wall of the sac; and

b. the conduit provides a framework for the sac, whereby filling the conduit with the fluid or flowing the fluid through the conduit provides rigidity to the sac or expands the sac or a portion of the sac.

17. The expandable device of claim 16, wherein the sac comprises a first portion and a second portion, and wherein the conduit is localized to the first portion of the sac and configured such that filling the conduit with the fluid or flowing the fluid through the conduit:

a. expands the first portion of the sac or provides rigidity to the first portion of the sac; and

b. does not expand the second portion of the sac or does not provide rigidity to the second portion of the sac.

18. The expandable device of claim 16, wherein:

a. the sac wall is rigid when the conduit is turgid; and

b. the sac wall is flexible when the conduit is flexible or flaccid.

19. An expandable device comprising:

a. a sac comprising a lumen, wherein the sac comprises a first portion and a second portion, and wherein the sac is expandable; and

b. a tool in the lumen of the sac; and

c. a framework comprising a conduit embedded in the sac or attached to the sac, wherein;

i. the conduit is configured to receive a fluid to fill the conduit or allow the fluid to flow through the conduit;

ii. the conduit is localized to the first portion of the sac;

iii. when not filled with the fluid or when not having the fluid flow there through, the conduit is flexible or flaccid; and

iv. when filled with the fluid or when having the fluid flow there through, the conduit is;

turgid relative to when not filled with the fluid or when not having the fluid flow there through, and configured to expand the first portion of the sac and not expand the second portion of the sac.

20. The expandable device of claim 19, further comprising a railed device, wherein, when filled with the fluid or when having the fluid flow there through, the conduit provides a rail for the railed device to support the railed device and guide the railed device for movement along the conduit.