Medical handle

Patent metadata

Field	Value
Publication number	US-11154315-B2
Application number	US-201916502773-A
Country	US
Kind code	B2
Filing date	Jul 3, 2019
Priority date	Jul 31, 2018
Publication date	Oct 26, 2021
Grant date	Oct 26, 2021

Abstract

A retrieval device attachable to a scope includes a handle which has an attachment portion configured to couple the handle to the scope; a shaft coupled to the handle having a wire immovably coupled to the handle; and a sheath movable relative to the handle over the wire between a distal position and a proximal position via an actuator of the handle. The actuator actuates a slider assembly of the handle. The slider assembly is coupled to the sheath and movable relative to the attachment portion to move the sheath and an expandable end effector coupled to the distal end of the wire. The end effector is movable between a collapsed configuration when the sheath is moved distally to the distal position to cover the end effector and an expanded configuration when the sheath is moved proximally to the proximal position, uncovering the end effector.

First claim

What is claimed is:

1. A retrieval device configured to be attached to a scope device, comprising:
a handle including an attachment portion configured to couple the handle to the scope device;
a shaft including a drive wire and a sheath, the shaft being coupled to the handle, the sheath being movable over the drive wire between a distal position and a proximal position via an actuator assembly of the handle, the actuator assembly actuating a slider assembly of the handle, the slider assembly coupled to the sheath and movable relative to the attachment portion of the handle to move the sheath; and
an expandable end effector coupled to the distal end of the drive wire, the end effector movable between a collapsed configuration when the sheath is moved distally to the distal position to cover the end effector and an expanded configuration when the sheath is moved proximally to the proximal position, uncovering the end effector,
wherein the handle attachment portion is coupled to the scope device via a guide member, the handle movable relative to the guide member.

2. The device of claim 1 , wherein the handle includes the actuator assembly, the actuator assembly comprising a lever and an arm configured to move the slider assembly between a first position and a second position, the lever configured to rotate the arm about a pin such that a pin portion of the arm housed within a slot of the slider assembly moves the slider assembly along a longitudinal slider axis.

3. The device of claim 1 , wherein the attachment portion is removably engageable with the scope device.

4. The device of claim 1 , wherein the shaft extends from a proximal end coupled to the handle to a distal end configured to be positioned within a working channel of the scope device.

5. The device of claim 1 , wherein the handle attachment portion includes a rod sized and shaped to be slidably received within a channel of the guide member such that the handle is movable relative to the guide member and the scope device along a longitudinal axis of the channel via the rod.

6. The device of claim 5 , wherein the guide member includes one or more indents on an exterior surface thereof configured to receive a wedge portion of the handle to lock the handle in position relative to the guide member.

7. The device of claim 6 , wherein the one or more indents is ramped to allow for proximal movement of the handle while preventing distal movement.

8. The device of claim 1 , wherein the handle is rotatable about the guide member to allow for displacement of a longer length of the shaft within a working channel of the scope device.

9. A retrieval device configured to be attached to a scope device, comprising:
an attachment portion configured to couple a handle to the scope device;
a slider movable relative to the attachment portion of the handle to move a retrieval shaft coupled to the handle; and
an actuator assembly comprising a lever and an arm configured to move the slider between a first position and a second position, the lever movable from a first position to a second position to rotate the arm about a pin such that a pin portion of the arm housed within a slot of the slider moves the slider along a longitudinal slider axis.

10. The device of claim 9 , wherein the attachment portion is removably engageable with the scope device.

11. The device of claim 9 , wherein the attachment portion is coupled to the scope device via a guide member, the handle movable relative to the guide member.

12. The device of claim 11 , wherein the attachment portion includes a rod sized and shaped to be slidably received within a channel of the guide member such that the handle is movable relative to the guide member and the scope device along a longitudinal axis of the channel via the rod.

13. The device of claim 11 , wherein the handle is rotatable about the guide to allow for displacement of a longer length of the shaft through a working channel of the scope device.

14. The device of claim 9 , wherein the handle includes a first spring member, the first spring member biasing the lever to the first position and having a restoring force necessary to move the lever from the second position to the first position, and a second spring member, the second spring member biasing the sheath slider via a plunger to the first distal position and having a restoring force necessary to move the sheath slider from the second position to the first position.

15. A method for retrieving tissue, comprising;
inserting a distal portion of a retrieval device coupled to a scope device to a target area of a living body, the distal portion of the retrieval device sized and shaped to be inserted through a working channel of the scope device, the distal portion including:
a shaft including a drive wire and a sheath, the shaft being coupled to a handle, the sheath being movable over the drive wire between a distal position and a proximal position via an actuator assembly of the handle; and
an expandable end effector coupled to the distal end of the drive wire, the end effector movable between a collapsed configuration when the sheath is moved distally to the distal position to cover the end effector and an expanded configuration when the sheath is moved proximally to the proximal position, uncovering the end effector;

actuating the actuator assembly of the handle to move the sheath proximally to uncover the end effector allowing the end effector to move from the collapsed configuration to the expanded configuration;
capturing tissue, via the end effector; and
retracting the end effector by releasing the actuator assembly such that the sheath moves distally to cover the end effector,
wherein the retrieval device and the scope device are operated by a single user.

16. The method of claim 15 , wherein the actuator assembly actuates a slider of the handle, the slider coupled to the shaft and movable relative to the handle to move the sheath.

17. The method of claim 16 , wherein the actuator assembly comprises a lever and an arm configured to move the slider between a first position and a second position, the lever movable from a first position to a second position to rotate the arm about a pin such that a pin portion of the arm housed within a slot of the slider moves the slider along a longitudinal slider axis.

18. The method of claim 17 , wherein the handle includes a spring member, the spring member biasing the lever to the first position and having a restoring force necessary to move the lever from the second position to the first position.

19. The method of claim 15 , wherein the actuator assembly of the handle is operated with an index finger of one hand such that the scope device is held and a scope actuator is operated with a thumb of the same hand, simultaneously or independently.

Assignees

• Boston Scient Scimed Inc

Inventors

• Chu Michael S H
• Adams Kenneth W
• Joshi Sharmad S
• Subasic John

Classifications

• A61B2017/2212

  having a closed distal end, e.g. a loop · CPC title

• A61B2017/22072

  with an instrument channel, e.g. for replacing one instrument by the other · CPC title

• A61B2017/00367

  Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like · CPC title

• A61B2017/00336

  with a protective sleeve, e.g. retractable or slidable · CPC title

• A61B2017/00323

  Cables or rods · CPC title