Tissue deflecting devices and related methods of use

Patent metadata

Field	Value
Publication number	US-11241245-B2
Application number	US-201815978229-A
Country	US
Kind code	B2
Filing date	May 14, 2018
Priority date	May 15, 2017
Publication date	Feb 8, 2022
Grant date	Feb 8, 2022

Abstract

A medical device may include a plurality of links reciprocally movable between a loose configuration having a first rigidity and a compact configuration having a second rigidity greater than the first rigidity, wherein application of a force to a distalmost link of the plurality of links when the plurality of links are in the loose configuration causes the plurality of links to change orientation relative to one another, and application of the force to the distalmost link when the plurality of links are in the compact configuration does not cause the plurality of links to change orientation relative to one another.

First claim

What is claimed is:

1. A medical device, comprising:
an actuation member;
a plurality of links reciprocally movable over the actuation member between a loose configuration having a first rigidity and a compact configuration having a second rigidity greater than the first rigidity; and
a biasing mechanism disposed through a center lumen extending through the center of each of the plurality of links, wherein the biasing mechanism extends through the center lumen, is separated from an interior of the plurality of links when in the loose configuration and the compact configuration, and is biased into a longitudinally extended configuration that maintains the plurality of links in the loose configuration;
wherein application of a force to a distalmost link of the plurality of links when the plurality of links are in the loose configuration causes the plurality of links to change orientation relative to one another, and
application of the force to the distalmost link when the plurality of links are in the compact configuration does not cause the plurality of links to change orientation relative to one another, wherein the plurality of links are configured to translate along the actuation member and relative to one another when in the loose configuration.

2. The medical device of claim 1 , wherein adjacent links of the plurality of links touch one another in the compact configuration, and have a space between one another in the loose configuration.

3. The medical device of claim 1 , wherein the medical device has a greater length when in the loose configuration than when in the compact configuration.

4. The medical device of claim 1 , wherein adjacent links of the plurality of links are nested in the compact configuration, and are not nested in the loose configuration.

5. The medical device of claim 1 , wherein application of a second force to an outer surface of any of the plurality of links when the plurality of links are in the loose configuration causes the plurality of links to change orientation relative to one another, and application of the second force to the outer surface of any of the plurality of links when the plurality of links are in the compact configuration does not cause the plurality of links to change orientation relative to one another.

6. The medical device of claim 1 , wherein the plurality of links are configured to translate over the biasing mechanism when in the loose configuration.

7. The medical device of claim 1 , wherein a distal end of the distalmost link is devoid of any openings through which a tool could pass through, and a circumferential side surface of the distalmost link is devoid of any openings through which a tool could pass through.

8. The medical device of claim 1 , wherein, in the compact configuration, a tool lumen extends through each of the plurality of links to permit a tool to extend through the tool lumen.

9. The medical device of claim 1 , wherein the plurality of links include a first cross-sectional dimension, and the distalmost link includes a second cross-sectional dimension that is greater than the first cross-sectional dimension, defining an atraumatic distal tip at the distalmost link.

10. The medical device of claim 1 , further including an actuation lumen extending at least partially through each of the plurality of links, the actuation member extending through the actuation lumen, and an actuating mechanism configured to apply a proximally directed force to the actuation member to move the plurality of links from the loose configuration to the compact configuration, wherein release of the proximally directed force causes the plurality of links to move from the compact configuration to the loose configuration.

11. The medical device of claim 1 , wherein the center lumen and the biasing mechanism extend only partially through the distalmost link of the plurality of links.

12. The medical device of claim 1 , further including a light emitting component in the distalmost link of the plurality of links.

13. The medical device of claim 12 , wherein the distalmost link includes a transparent material through which the light emitting component emits light.

14. The medical device of claim 1 , wherein a proximal end of the distalmost link includes a recess, and a distal end of a proximally adjacent link to the distalmost link includes a tip corresponding in shape to the recess, wherein the recess and the tip prevent radial movement between the distalmost link and the proximally adjacent link in the compact configuration.

15. A medical device, comprising:
an actuation member;
a biasing mechanism;
a plurality of links reciprocally movable between a loose configuration and a compact configuration over the actuation member, the plurality of links being fixed relative to one another when in the compact configuration, and movable relative to one another in the loose configuration; and
a distalmost link positioned distally to the plurality of links, wherein, when in the loose configuration, the distalmost link is configured to remain fixed and the plurality of links are configured to slide relative to one another;
wherein the biasing mechanism is received through a center lumen of each of the plurality of links such that the biasing mechanism is centered in the plurality of links, and the biasing mechanism is offset from an interior surface that defines the center lumen, wherein the biasing mechanism is biased into a longitudinally extended configuration that maintains the plurality of links in the loose configuration.

16. The medical device of claim 15 , wherein application of a force to the distalmost link of the plurality of links when the plurality of links are in the loose configuration causes the plurality of links to change orientation relative to one another, and application of the force to the distalmost link when the plurality of links are in the compact configuration does not cause the plurality of links to change orientation relative to one another.

17. The medical device of claim 15 , wherein the medical device has a greater length when in the loose configuration than when in the compact configuration.

18. A medical device comprising:
a biasing mechanism;
an actuation member; and
a plurality of links slidably coupled to the actuation member and movable between a loose configuration and a compact configuration;
wherein the biasing mechanism extends through a center lumen extending through each of the plurality of links and is centered relative to the plurality of links, wherein an inner surface of the plurality of links is spaced apart from the biasing mechanism when in the loose and compact configurations and the biasing mechanism is biased into a longitudinally extended configuration that maintains the plurality of links in the loose configuration;
wherein the plurality of links are configured to change orientation relative to one another in response to application of a force to the plurality of links when in the loose configuration, and maintain orientation relative to one another in response to application of the force to the plurality of links when in the compact configuration; and
wherein the plurality of links are configured to translate over the actuation member and the biasing mechanism, and relative to one another when in the loose configuration.

19. The medical device of claim 18 , further including a second actuation member coupled to the plurality of links, wherein the actuation member and the second actuation member extend through the plurality of links and are radially

Assignees

• Boston Scient Scimed Inc
• Univ Massachusetts

Inventors

• Kringle Mark
• Arnholt Devon N
• Boden Mark W
• SHREEVE David
• Eggert Joel T
• Macomber Christopher
• Decio Danilo

Classifications

• A61B17/0218 Primary

  for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B90/30

  Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure · CPC title

• A61B17/3415

  for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters (A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06) · CPC title

• A61B2017/00314

  Separate linked members · CPC title

• A61B17/3478

  Endoscopic needles, e.g. for infusion (biopsy needles A61B10/0233; catheters with injection needles A61M25/0067) · CPC title