Medical device with a flow controller

Patent metadata

Field	Value
Publication number	US-11793540-B2
Application number	US-201816111372-A
Country	US
Kind code	B2
Filing date	Aug 24, 2018
Priority date	Aug 29, 2017
Publication date	Oct 24, 2023
Grant date	Oct 24, 2023

Abstract

A system for controlling the flow of fluid through a medical device may include a medical device having a lumen that extends to a distal end of the medical device; a fluid source configured to supply fluid having a positive pressure to the lumen of the medical device; and a flow controller configured to apply a negative pressure to the fluid within the lumen, wherein the flow controller is triggered to apply the negative pressure upon a lowering of the positive pressure from the fluid source.

First claim

We claim:

1. A method for performing a medical procedure, comprising:
introducing a distal end of a medical device to a region proximate a target tissue, including inserting the distal end into a submucosal layer of tissue;
applying a positive pressure to a fluid within a single lumen of the medical device to cause fluid from a fluid source to exit the distal end to lift the target tissue;
lowering an application of the positive pressure, wherein lowering the application of the positive pressure below a threshold triggers a mechanical switch or an electrical signal in a flow controller to apply negative pressure from a negative pressure source to the fluid within the single lumen such that the fluid within the single lumen flows in a proximal direction; and
cutting the target tissue;
wherein the flow controller includes:
a fluid container fluidly connected to the single lumen of the medical device;
an electromagnet; and
a magnet, wherein the magnet and the electromagnet are each positioned on opposite external sides of the fluid container, and wherein the magnet and the electromagnet are configured to move toward one another in order to apply the positive pressure to the fluid.

2. The method of claim 1 , wherein the medical device includes an electrosurgical cutting tool at the distal end of the medical device, and cutting the target tissue includes cutting the target tissue using the electrosurgical cutting tool.

3. The method of claim 1 , wherein lowering of the application of the positive pressure causes (A) the mechanical switch to cause the flow controller to apply the negative pressure to the fluid within the single lumen, or (B) the electrical signal to be sent to the flow controller to cause the flow controller to apply the negative pressure to the fluid within the single lumen.

4. The method of claim 3 , wherein the mechanical switch or the electrical signal causes at least a portion of the flow controller to move from a first position to a second position.

5. The method of claim 1 , wherein the electromagnet is magnetized during the application of the positive pressure, and lowering the application of the positive pressure includes lowering a magnetic strength of the electromagnet.

6. A method for performing a medical procedure, comprising:
introducing a distal end of a medical device to a region proximate a target tissue;
applying a positive pressure to a fluid within a single lumen of the medical device to cause the fluid to exit the distal end of the medical device and enter a space underneath or within the target tissue to lift the target tissue,
wherein an application of the positive pressure moves a plunger contained within a valve to a first configuration, wherein the plunger includes a first plug, a second plug, and a shaft extending between the first plug and the second plug, wherein, in the first configuration, the first plug is positioned to permit fluid communication between a first port of the valve and a second port of the valve and prevent fluid communication between both of the first and second ports and a third port of the valve, wherein, in the first configuration, the second port is between the first port and the first plug, and
wherein the shaft of the plunger defines a longitudinal axis, wherein the first port and the second port are positioned on a first side of the longitudinal axis, and wherein the third port is positioned on a second side of the longitudinal axis, opposite the first side; and

lowering the application of the positive pressure below a threshold, wherein lowering the application of the positive pressure below the threshold triggers a mechanical switch or an electrical signal of a flow controller to move the plunger contained within the valve to a second configuration, wherein, in the second configuration, the first plug is between the first port of the valve and the second port of the valve so as to prevent fluid communication between the first port of the valve and the second port of the valve, and the second port of the valve and the third port of the valve are between the first plug and the second plug to permit fluid communication between the second port of the valve and the third port of the valve so as to apply a negative pressure to the fluid within the single lumen such that fluid within the single lumen flows in a proximal direction.

7. The method of claim 6 , wherein lowering of the application of positive pressure causes (A) the mechanical switch to cause the flow controller to apply the negative pressure to the fluid within the single lumen, or (B) the electrical signal to be sent to the flow controller to cause the flow controller to apply the negative pressure to the fluid within the single lumen.

8. The method of claim 6 , wherein the first port of the valve is configured to be fluidly connected to a fluid source, the second port of the valve is configured to be fluidly connected to the single lumen of the medical device, and the third port of the valve is configured to be fluidly connected to a negative pressure source.

9. A system for controlling a flow of fluid through a medical device, comprising:
a medical device having a single lumen that extends to a distal end of the medical device, wherein the medical device includes an electrosurgical cutting tool;
a fluid source configured to supply fluid having a positive pressure to the single lumen of the medical device, wherein the medical device is configured to eject fluid from the distal end of the medical device while supplying fluid having a positive pressure from the fluid source to lift a target tissue; and
a flow controller having a valve with a valve body, wherein the valve includes a plunger contained within the valve body, wherein the plunger includes a first plug, a second plug, and a shaft extending between the first plug and the second plug, and wherein the valve body defines a first port configured to be fluidly connected to the fluid source, a second port configured to be fluidly connected to the single lumen of the medical device, and a third port configured to be fluidly connected to a negative pressure source;
wherein, to apply a positive pressure to the fluid within the single lumen to cause the fluid to flow in a distal direction within the single lumen, the flow controller is configured such that the plunger is in a first configuration, wherein, in the first configuration, the second port is between the first port and the first plug so as to permit fluid communication between the first port and the second port and prevent fluid communication between both of the first and second ports and the third port,
wherein to apply a negative pressure from the negative pressure source to the fluid within the single lumen to cause the fluid to flow in a proximal direction within the single lumen, the flow controller is configured such that the plunger is in a second configuration, wherein, in the second configuration, the first plug of the plunger permits fluid communication between the second port and the third port,
wherein, upon a lowering of the positive pressure from the fluid source below a threshold, the flow controller is triggered via a mechanical switch or an electrical signal to move the plunger from the first configuration to the second configuration to apply the negative pressure,
wherein, upon a further lowering of the positive pressure from the fluid source, the flow controller moves the plunger from the second configuration to a third configuration, wherein, in the third configuration, the second plug prevents fluid communication between the first port, the second port, and the third port such that the flow of fluid from the distal end of the medical device is slowed or stopped.

Assignees

• Boston Scient Scimed Inc

Inventors

• Smith Paul
• Wales Ryan V
• Fleury Sean P
• Christakis Laura Elizabeth
• Brechbiel Scott E
• Gray Jeff
• Xu Mingxiang

Classifications

• A61B17/3203 Primary

  Fluid jet cutting instruments · CPC title

• A61B17/320016

  Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes (A61B10/0233, A61B17/29, A61B17/3207 take precedence) · CPC title

• A61B18/14

  Probes or electrodes therefor · CPC title

• A61B17/32037

  for removing obstructions from inner organs or blood vessels, e.g. for atherectomy · CPC title

• A61B17/3478

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