Endoscope attachment mechanism for use with suture based closure device

Patent metadata

Field	Value
Publication number	US-11272918-B2
Application number	US-201916453744-A
Country	US
Kind code	B2
Filing date	Jun 26, 2019
Priority date	Jun 27, 2018
Publication date	Mar 15, 2022
Grant date	Mar 15, 2022

Abstract

A suture assembly includes a translation assembly that is axially translatable within a working channel of an endoscope and is adapted to releasably secure and/or release a needle and a distal end cap that is securable to an end of the endoscope and is adapted to releasably secure and/or release the needle in order to pass the needle back and forth between the translation assembly and the distal cap. An attachment mechanism configured to releasably secure the distal endcap to an end of the endoscope.

First claim

What is claimed is:

1. A suture assembly for use in combination with an endoscope having a working channel and a distal end, the suture assembly comprising:
a suturing assembly adapted to transfer a needle back and forth through tissue, the needle carrying a suture, the suturing assembly adapted to be secured relative to the distal end of the endoscope; and
an attachment mechanism disposable over an exterior of the endoscope proximate the distal end thereof, the attachment mechanism configured to releasably secure the suturing assembly relative to the distal end of the endoscope;
wherein the attachment mechanism comprises
an inner collet member that is configured to engage the suturing assembly and form a compressive fit with the endoscope; and
an outer collet member that is configured to engage the inner collet member in order to form the compressive fit between the inner collet member and the endoscope.

2. The suture assembly of claim 1 , wherein the suturing assembly further comprises an annular flange disposed at a proximal end of the suturing assembly, and the inner collet member further comprises a corresponding annular slot disposed near a distal end of the inner collet member, the annular slot configured to engage the annular flange, thereby providing an interference fit between the suturing assembly and the inner collet member.

3. The suture assembly of claim 2 , wherein the inner collet member includes an body having a plurality of fingers extending axially in a proximal direction from the distal end of the inner collet member, the plurality of fingers defining an inner surface that is configured to engage the endoscope and an outer surface that provides threads to threadedly engage the outer collet adaptor.

4. The suture assembly of claim 3 , wherein the outer collet member is configured to urge the plurality of fingers inwardly as the outer collet member is advanced over the inner collet member.

5. The suture assembly of claim 1 , wherein the inner collet member is integrally formed with the suturing assembly.

6. The suture assembly of claim 5 , wherein the inner collet member comprises a plurality of fingers extending proximally from the suturing assembly, and the outer collet member comprises a ring that is configured to be moved proximally over the plurality of fingers, thereby pressing the plurality of fingers into a compressive fit with the endoscope.

7. A suture assembly for use in combination with an endoscope having a working channel and a distal end, the suture assembly comprising:
a suturing assembly adapted to transfer a needle back and forth through tissue, the needle carrying a suture a, the suturing assembly including a fixation flange disposed near a proximal end of the suturing assembly;
an inner collet member that is configured to engage the suturing assembly and form a compressive fit with the endoscope; and
an outer collet member that is configured to engage the inner collet member in order to form the compressive fit between the inner collet member and the endoscope.

8. The suture assembly of claim 7 , wherein the outer collet member is threadedly engageable with the inner collet member in order to form the compressive fit with the endoscope.

9. The suture assembly of claim 7 , wherein the suturing assembly further comprises an annular flange disposed at a proximal end of the suturing assembly, and the inner collet member further comprises a corresponding annular slot disposed near a distal end of the inner collet member, the annular slot configured to engage the annular flange, thereby providing an interference fit between the suturing assembly and the inner collet member.

10. The suture assembly of claim 7 , wherein the inner collet member includes an body having a plurality of fingers extending axially in a proximal direction from the distal end of the inner collet member, the plurality of fingers defining an inner surface that is configured to engage the endoscope and an outer surface that provides threads to threadedly engage the outer collet adaptor.

11. The suture assembly of claim 8 , wherein the outer collet member is configured to urge the plurality of fingers inwardly as the outer collet member is advanced over the inner collet member.

Assignees

• Boston Scient Scimed Inc

Inventors

• WINDHEUSER Kevin
• Comee Shaun D
• Deuel Christopher R
• Gilbert Stan
• Jones Thomas
• Moretti Briana J
• Raghuram Ashrita

Classifications

• A61B1/0008

  characterised by distal tip features · CPC title

• A61B17/0625 Primary

  the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator (A61B17/06109 takes precedence) · CPC title

• A61B17/0469 Primary

  Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery · CPC title

• A61B17/0493

  Protective devices for suturing, i.e. for protecting the patient's organs or the operator · CPC title

• A61B2017/00477

  Coupling (A61B2017/0046 takes precedence) · CPC title