Medical devices having a releasable tubular member and methods of using the same

• US 9,913,661 B2
• Filed: 08/03/2015
• Issued: 03/13/2018
• Est. Priority Date: 08/04/2014
• Status: Active Grant

• Current Assignee: C2Dx, Inc.
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Schaeffer, Darin, Hardert, Kathryn, Haines, Joshua
• Primary Examiner(s): Gibson, Eric S
• Application Number:
  US14/816,198
• Publication Number:
  US 20160030080A1
• Time in Patent Office: 953 Days
• Field of Search: 600201-210
• CPC Class Codes: A61B 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/345 for introduction into a natural body opening
• CPC Class Codes: A61B 2017/3492 against the outside of the body

Abstract

Medical devices that have a releasable intermediate member and tubular member are described. Methods of using medical devices that have a releasable intermediate member and tubular member are also described. An example medical device comprises an elongate member, an intermediate member, and a tubular member. Each of the intermediate member and tubular member is releasably disposed on the elongate member.

Claims

1. A medical device for the treatment of a bodily passage, said medical device comprising:

an elongate member having a proximal portion and a shaft extending distally from the proximal portion, the proximal portion having a first proximal end, a first distal end, and a first outside diameter, the shaft having a second proximal end attached to the first distal end of the proximal portion, a second distal end, and a second outside diameter that is less than the first outside diameter;

an intermediate member releasably attached to the elongate member and disposed on the shaft, the intermediate member having a third proximal end, a third distal end, a first surface, a second surface, an intermediate member body, and a third outside diameter that is greater than the first outside diameter of the proximal portion of the elongate member, the intermediate member body defining a first intermediate member opening, a second intermediate member opening, an intermediate member lumen, an edge, and a slot, the first intermediate member opening defined on the first surface of the intermediate member, the second intermediate member opening defined between the first surface and the second surface and in communication with the slot, the intermediate member lumen extending from the first intermediate member opening to the second intermediate member opening, the intermediate member lumen having a first inside diameter that is less than the first outside diameter of the proximal portion of the elongate member, the edge extending from the first surface to the second surface of the intermediate member, the slot cooperatively defined by the edge and the second surface and extending from the second surface into the intermediate member body; and

a tubular member partially disposed within the slot defined by the intermediate member such that the tubular member is releasably attached to the intermediate member, the tubular member disposed on the shaft of the elongate member and having a fourth proximal end, a fourth distal end, and a tubular member body defining a first tubular member opening on the fourth proximal end, a second tubular member opening on the fourth distal end, and a tubular member lumen extending from the first tubular member opening to the second tubular member opening.

2. The medical device of claim 1, wherein the slot has a first portion and a second portion, the first portion extending from the second surface toward the first surface of the intermediate member and having a first width, the second portion extending from the first portion toward the first surface of the intermediate member and having a second width that is greater than the first width.

3. The medical device of claim 2, wherein the tubular member body defines a proximal portion extending from the fourth proximal end toward the fourth distal end and a distal portion extending from the fourth distal end toward the fourth proximal end, the proximal portion of the tubular member having a fourth outside diameter that is greater than the first width of the slot, and the distal portion of the tubular member having a fifth outside diameter that is less than the fourth outside diameter;

and

wherein the proximal portion of the tubular member is disposed within the slot defined by the intermediate member.

4. The medical device of claim 3, wherein the proximal portion of the tubular member is frustoconical and tapers from the fourth proximal end toward the fourth distal end.

5. The medical device of claim 3, wherein the tubular member body defines a passageway on the proximal portion of the tubular member, the passageway extending through the tubular member body and providing access to the tubular member lumen.

6. The medical device of claim 3, wherein the tubular member body defines a passageway between the proximal portion of the tubular member and the fourth distal end, the passageway extending through the tubular member body and providing access to the tubular member lumen.

7. The medical device of claim 1, wherein the intermediate member lumen is in communication with the tubular member lumen.

8. The medical device of claim 1, wherein the intermediate member body defines a recess between the first intermediate member opening and the second intermediate member opening within the intermediate member lumen, the recess having a second inside diameter that is greater than the first inside diameter of the intermediate member lumen.

9. The medical device of claim 8, wherein the shaft has a protuberance disposed between the second proximal end and the second distal end, the protuberance having a fourth outside diameter that is greater than the second outside diameter of the shaft;

and

wherein the protuberance is disposed within the recess defined by the intermediate member.

10. The medical device of claim 1, wherein the second distal end is tapered;

wherein the fourth distal end is tapered; and

wherein the fourth distal end of the tubular member is disposed between the second proximal end and the second distal end of the shaft.

11. The medical device of claim 1, wherein the shaft has a first length extending from the second proximal end to the second distal end;

wherein the tubular member has a second length extending from the fourth proximal end to the fourth distal end; and

wherein the first length of the shaft is greater than the second length of the tubular member.

12. A medical device for the treatment of a bodily passage, said medical device comprising:

an elongate member having a proximal portion and a shaft extending distally from the proximal portion, the proximal portion having a first proximal end, a first distal end, and a first outside diameter, the shaft having a second proximal end attached to the first distal end of the proximal portion, a second distal end, and a second outside diameter that is less than the first outside diameter;

an intermediate member releasably attached to the elongate member and disposed on the shaft, the intermediate member having a third proximal end, a third distal end, a first surface, a second surface, an intermediate member body, and a third outside diameter that is greater than the first outside diameter of the proximal portion of the elongate member, the intermediate member body defining a first intermediate member opening, a second intermediate member opening, an intermediate member lumen, an edge, and a slot, the first intermediate member opening defined on the first surface of the intermediate member, the second intermediate member opening defined between the first surface and the second surface and in communication with the slot, the intermediate member lumen extending from the first intermediate member opening to the second intermediate member opening, the intermediate member lumen having a first inside diameter that is less than the first outside diameter of the proximal portion of the elongate member, the edge extending from the first surface to the second surface of the intermediate member, the slot cooperatively defined by the edge and the second surface and extending from the second surface into the intermediate member body, the slot having a first portion and a second portion, the first portion extending from the second surface toward the first surface and having a first width, the second portion extending from the first portion toward the first surface and having a second width that is greater than the first width; and

a tubular member partially disposed within the slot defined by the intermediate member such that the tubular member is releasably attached to the intermediate member, the tubular member disposed on the shaft of the elongate member and having a fourth proximal end, a fourth distal end, and a tubular member body defining a first tubular member opening on the fourth proximal end, a second tubular member opening on the fourth distal end, a tubular member lumen extending from the first tubular member opening to the second tubular member opening, a proximal portion extending from the fourth proximal end toward the fourth distal end, and a distal portion extending from the fourth distal end toward the fourth proximal end, the proximal portion of the tubular member having a fourth outside diameter that is greater than the first width of the slot, the distal portion of the tubular member having a fifth outside diameter that is less than the fourth outside diameter, the proximal portion of the tubular member disposed within the slot defined by the intermediate member;

wherein the intermediate member lumen is in communication with the tubular member lumen.

13. The medical device of claim 12, wherein the proximal portion of the tubular member is frustoconical and tapers from the fourth proximal end toward the fourth distal end.

14. The medical device of claim 12, wherein the tubular member body defines a passageway on the proximal portion of the tubular member, the passageway extending through the tubular member body and providing access to the tubular member lumen.

15. The medical device of claim 12, wherein the tubular member body defines a passageway between the proximal portion of the tubular member and the fourth distal end, the passageway extending through the tubular member body and providing access to the tubular member lumen.

16. The medical device of claim 12, wherein the intermediate member body defines a recess between the first intermediate member opening and the second intermediate member opening within the intermediate member lumen, the recess having a second inside diameter that is greater than the first inside diameter of the intermediate member lumen.

17. The medical device of claim 16, wherein the shaft has a protuberance disposed between the second proximal end and the second distal end, the protuberance having a sixth outside diameter that is greater than the second outside diameter of the shaft;

and

wherein the protuberance is disposed within the recess defined by the intermediate member.

18. The medical device of claim 12, wherein the second distal end is tapered;

wherein the fourth distal end is tapered; and

wherein the fourth distal end of the tubular member is disposed between the second proximal end and the second distal end of the shaft.

19. The medical device of claim 12, wherein the shaft has a first length extending from the second proximal end to the second distal end;

wherein the tubular member has a second length extending from the fourth proximal end to the fourth distal end; and

wherein the first length of the shaft is greater than the second length of the tubular member.

20. A medical device for the treatment of a bodily passage, said medical device comprising:

an elongate member having a proximal portion and a shaft extending distally from the proximal portion, the proximal portion having a first proximal end, a first distal end, and a first outside diameter, the shaft having a second proximal end attached to the first distal end of the proximal portion, a tapered second distal end, a second outside diameter that is less than the first outside diameter, and a protuberance disposed between the second proximal end and the second distal end, the protuberance having a third outside diameter that is greater than the second outside diameter of the shaft;

an intermediate member releasably attached to the elongate member and disposed on the shaft, the intermediate member having a third proximal end, a third distal end, a first surface, a second surface, an intermediate member body, and a fourth outside diameter that is greater than the first outside diameter of the proximal portion of the elongate member, the intermediate member body defining a first intermediate member opening, a second intermediate member opening, an intermediate member lumen, an edge, a slot, and a recess, the first intermediate member opening defined on the first surface of the intermediate member, the second intermediate member opening defined between the first surface and the second surface and in communication with the slot, the intermediate member lumen extending from the first intermediate member opening to the second intermediate member opening, the intermediate member lumen having a first inside diameter that is less than the first outside diameter of the proximal portion of the elongate member, the edge extending from the first surface to the second surface of the intermediate member, the slot cooperatively defined by the edge and the second surface and extending from the second surface into the intermediate member body, the slot having a first portion and a second portion, the first portion extending from the second surface toward the first surface and having a first width, the second portion extending from the first portion toward the first surface and having a second width that is greater than the first width, the recess defined between the first intermediate member opening and the second intermediate member opening within the intermediate member lumen and having a second inside diameter that is greater than the first inside diameter of the intermediate member lumen; and

a tubular member partially disposed within the slot defined by the intermediate member such that the tubular member is releasably attached to the intermediate member, the tubular member disposed on the shaft of the elongate member and having a fourth proximal end, a tapered fourth distal end, and a tubular member body defining a first tubular member opening on the fourth proximal end, a second tubular member opening on the fourth distal end, a tubular member lumen extending from the first tubular member opening to the second tubular member opening, a frustoconical proximal portion extending from the fourth proximal end and tapering toward the fourth distal end, and a distal portion extending from the fourth distal end toward the fourth proximal end, the frustoconical proximal portion of the tubular member having a fifth outside diameter that is greater than the first width of the slot, the distal portion of the tubular member having a sixth outside diameter that is less than the fifth outside diameter, the frustoconical proximal portion of the tubular member disposed within the slot defined by the intermediate member;

wherein the intermediate member lumen is in communication with the tubular member lumen;

wherein the protuberance is disposed within the recess defined by the intermediate member; and

wherein the fourth distal end of the tubular member is disposed between the second proximal end and the second distal end of the shaft.