DELIVERY DEVICE FOR IMPLANTABLE MONITOR

• US 20080091177A1
• Filed: 04/25/2007
• Published: 04/17/2008
• Est. Priority Date: 10/16/2006
• Status: Active Grant

• Current Assignee: Given Imaging Limited (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Christian, Steven C.
• Granted Patent: US 9,675,285 B2
• Time in Patent Office: Days
• US Class Current: 606/1
• CPC Class Codes: A61B 1/041 Capsule endoscopes for imaging
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/07 Endoradiosondes
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/6847 mounted on an invasive device
• CPC Class Codes: A61B 5/6861 Capsules, e.g. for swallowing or implanting

Abstract

In general, this disclosure describes techniques for placing a capsule for sensing one or more parameters of a patient. In particular, the techniques provide for anchoring of the capsule to a tissue at a specific site and releasing the capsule from the device using a single actuator. As an example, a delivery device may anchor the capsule to the tissue site during a first motion of the actuator and release the capsule from the delivery device during a second motion of the actuator. This allows a user to place the capsule by interacting with only a single actuator, thus making delivery of the capsule easier and more reliable.

Claims

1. A device comprising:

an elongated probe configured to carry an implantable capsule for deployment within a patient;

an anchor element configured to anchor the capsule to tissue within the patient;

a release mechanism configured to release the capsule from the probe; and

an actuator configured to activate the anchor element to cause the anchor element to anchor the capsule to the tissue during a first motion of the actuator, and activates the release mechanism to release the capsule from the probe during a second motion of the actuator.

2. The device of claim 1, wherein the first motion and the second motion comprise motion in substantially opposite directions.

3. The device of claim 2, wherein the actuator activates the anchor element during a forward motion and activates the release mechanism during a rearward motion.

4. The device of claim 1, wherein the first motion and the second motion comprise motion in substantially the same direction.

5. The device of claim 4, wherein the actuator activates the anchor element during a forward motion of the actuator to a first position and activates the release mechanism during a forward motion of the actuator to a second position.

6. The device of claim 1, further comprising a capsule coupling mechanism configured to couple the capsule to a distal end of the probe, wherein the release mechanism causes the capsule coupling mechanism to release the capsule during the second motion of the actuator.

7. The device of claim 6, wherein the capsule coupling mechanism includes one or more prongs configured to couple to the capsule, and further wherein the release mechanism causes the prongs to release the capsule during the second motion of the actuator.

8. The device of claim 6, wherein the capsule coupling mechanism includes:

a first latch configured to couple to the capsule at a first end of the first latch; and

a second latch configured to couple to the capsule at a first end of the second latch, wherein second ends of the first and second latches are biased such that the second ends push toward one another; and

further wherein the actuator separates the second ends of the first and second latches.

9. The device of claim 8, wherein the actuator, during a rearward movement, retracts far enough to no longer separate the second ends of the latches to cause the second ends of the latches to push together to open the first ends of the latches to release the capsule.

10. The device of claim 8, wherein the second end of each of the first and second latches is biased by one of a spring element and a magnet.

11. The device of claim 1, wherein the anchor element comprises a locking pin, and further wherein the actuator engages with the locking pin to advance the locking pin through the tissue during the first motion.

12. The device of claim 1, further comprising:

a controller that advances in a forward and rearward motion to control the motion of the actuator; and

a locking mechanism that prevents the controller from moving in the rearward motion prior to moving in the forward motion.

13. The device of claim 12, wherein the locking mechanism comprises:

a groove within a handle of the device, wherein the groove includes a first channel and a second channel, the first channel being of a shorter distance than the second channel; and

a spring element within the groove, wherein the spring element moves from the first channel to the second channel after the first motion.

14. The device of claim 1, wherein the locking mechanism comprises a first locking mechanism, and further comprising a second locking mechanism that prevents movement of the controller in any direction.

15. The device of claim 1, wherein the actuator comprises a drive wire.

16. The device of claim 15, further comprising:

a drive wire adaptor that couples with the drive wire to drive the drive wire in the first and second motion, wherein the drive wire adaptor includes a first section of a first diameter and as second section of a second diameter, the first section having a larger diameter than the second section;

a vacuum seal that includes a central aperture for seating the drive wire adaptor, wherein the first portion of the drive wire adaptor is seated in the central aperture during the first motion and the second section of the drive wire adaptor is seated in the central aperture during the second motion; and

a vacuum chamber formed when the first section of the drive wire adaptor is seated in the central aperture and vented when the second section of the drive wire is seated in the central aperture.

17. The device of claim 1, further comprising a vacuum inlet that couples to a vacuum, wherein the device is configured to provide suction to draw the tissue into a void of the capsule.

18. A method comprising:

anchoring an implantable capsule to tissue within a patient during a first motion of an actuator of a device; and

releasing the capsule from the device during a second motion of the actuator.

19. The method of claim 18, wherein:

anchoring the capsule to the tissue during the first motion of the actuator comprises anchoring the capsule to the tissue during a forward motion; and

releasing the capsule from the device during the second motion of the actuator comprises releasing the capsule from the device during a rearward motion.

20. The method of claim 19, further comprising configuring the device to prevent the rearward motion of the actuator prior to the forward motion of the actuator.

21. The method of claim 18, wherein:

anchoring the capsule to the tissue during the first motion of the actuator comprises anchoring the capsule to the tissue during a forward motion of the actuator to a first position; and

releasing the capsule from the device during the second motion of the actuator comprises releasing the capsule from the device during a forward motion of the actuator to a second position.

22. The method of claim 18, further comprising coupling the capsule to a distal end of the device using one or more prongs, wherein releasing the capsule from the device comprises disengaging the prongs to release the capsule.

23. The method of claim 18, further comprising coupling the capsule to a distal end of the device using a first latch and a second latch, wherein each of the latches comprises a first end that couples to the capsule and a second end that is biased to push toward the other one of the latches.

24. The method of claim 23, wherein the actuator separates the second ends of the first and second latches, and further wherein releasing the capsule from the device comprises retracting the actuator far enough to no longer separate the second ends of the latches to cause the second ends of the latches to push together to open the first ends of the latches to release the capsule.

25. The method of claim 18, wherein anchoring the capsule to the tissue comprises advancing a locking pin through the tissue during the first motion of the actuator.

26. The method of claim 18, wherein the capsule includes a sensor and further comprising:

measuring one or more parameters of the patient via the sensor of the capsule; and

transmitting the measured parameters from the capsule to a receiver.

27. The method of claim 18, wherein the tissue comprises the esophagus.

28. The method of claim 18, further comprising providing suction to the tissue to draw a portion of the tissue into a void of the capsule, wherein anchoring the capsule to the tissue comprises anchoring the capsule to the portion of the tissue drawn into the void of the capsule

29. A device comprising:

means for carrying an implantable capsule for deployment within a patient;

means for anchoring the capsule to tissue within the patient;

means for releasing the capsule from the carrying means; and

means for activating the anchoring means to anchor the capsule to the tissue during a first motion of the activating means and activating the releasing means to release the capsule from the carrying means during a second motion of the activating means.

30. The device of claim 29, further comprising means for coupling the capsule to the carrying means, wherein the releasing means causes the coupling means to release the capsule during the second motion of the activating means.

31. The device of claim 29, further comprising:

means for controlling motion of the activating means; and

means for locking the controlling means to prevent the controlling means from moving in a rearward motion prior to moving in a forward motion.

32. The device of claim 29, wherein the activating means comprises a drive wire.

33. A system comprising:

a delivery apparatus comprising;

an elongated probe configured to carry an implantable capsule for deployment within a patient,

a release mechanism configured to release the capsule from the probe and an actuator, and

an actuator to control delivery of the capsule; and

an anchor element configured to anchor the capsule to tissue within the patient, wherein the actuator is configured to activate the anchor element to cause the anchor element to anchor the capsule to the tissue during a first motion of the actuator, and activates the release mechanism to release the capsule from the probe during a second motion of the actuator.

34. The system of claim 33, further comprising the implantable capsule coupled to the elongated probe.

35. The system of claim 34, wherein the anchor element is incorporated within the implantable capsule.