Fastening device and related methods of use

Patent metadata

Field	Value
Publication number	US-12137888-B2
Application number	US-202016936862-A
Country	US
Kind code	B2
Filing date	Jul 23, 2020
Priority date	Jul 24, 2019
Publication date	Nov 12, 2024
Grant date	Nov 12, 2024

Abstract

A fastening mechanism that comprises an actuator, a fastening device attached to a distal end of the actuator, and a device coupler, wherein the fastening device is pivotally attached to the device coupler.

First claim

What is claimed is:

1. A fastening mechanism comprising:
an actuator;
a fastening device attached to a distal end of the actuator;
a sheath; and
a device coupler, wherein the device coupler includes a proximal support joined to a distal support by a coupler arm, wherein the coupler arm includes a curved surface configured to accommodate a shape of a medical device resting upon the coupler arm, wherein the fastening device is pivotably attached to the distal support, wherein the device coupler includes a proximal support fixed to a distal support, wherein the proximal support is fixed to the sheath, wherein the proximal support comprises at least one flexible arm, wherein the sheath covers a portion of the actuator and is fixedly coupled to the proximal support.

2. The fastening mechanism according to claim 1 , wherein the actuator moves longitudinally to pivot the fastening device relative to the device coupler.

3. The fastening mechanism according to claim 1 , wherein the actuator is longitudinally movable relative to the sheath.

4. The fastening mechanism according to claim 1 , wherein the actuator includes at least one inner drive mechanism that actuates the fastening device to one or both of (1) open and close the fastening device and (2) deploy fasteners.

5. The fastening mechanism according to claim 1 , wherein the fastening device is a stapler that includes a head and an anvil, and the head includes a stapler cartridge from which staples are held and deployed.

6. The fastening mechanism according to claim 5 , wherein the stapler cartridge includes a plurality of longitudinal slots from which a plurality of staples are deployed.

7. The fastening mechanism according to claim 5 , wherein the head is comprised of a flexible material that allows the head to flex laterally.

8. The fastening mechanism according to claim 1 , wherein a proximal end of the actuator is connected to a controller that operates the fastening mechanism.

9. The fastening mechanism according to claim 8 , wherein the controller operates at least one of (1) longitudinally moving the actuator in either direction, (2) opening the fastening device, and (3) simultaneously deploying fasteners and closing the fastening device.

10. The fastening mechanism according to claim 1 , wherein the actuator is comprised of a flexible material.

11. The fastening mechanism according to claim 1 , wherein the distal support defines a lumen with an open distal end or a clear barrier at an end of the lumen.

12. The fastening mechanism according to claim 1 , wherein the device coupler removably attaches the fastening device to an outer surface of a distal end of a medical device.

13. A fastening mechanism comprising:
an actuator;
a stapler attached to a distal end of the actuator;
a sheath covering a portion of the actuator and in which the actuator moves longitudinally relative to the sheath; and
a device coupler for attaching the stapler to an outer surface of a distal end of a medical device;
wherein the device coupler includes a proximal support fixed to a distal support by a coupler arm, wherein the proximal support is fixedly coupled to the sheath and comprises at least one flexible arm, wherein the coupler arm includes a curved surface configured to accommodate a shape of a medical device resting upon the coupler arm, and wherein the stapler is pivotably attached to the distal support of the device coupler, such that the stapler is pivotable with respect to the distal end of the medical device.

14. The fastening mechanism according to claim 13 , wherein the medical device is an endoscope, and the proximal support and the distal support are fixed to a distal end of the endoscope.

15. The fastening mechanism according to claim 13 , wherein the actuator is longitudinally movable relative to the sheath to pivot the stapler relative to the device coupler.

16. The fastening mechanism according to claim 13 , wherein the actuator includes at least one inner drive mechanism that actuates the stapler to one or both of (1) open and close the stapler and (2) deploy staples.

17. A fastening mechanism comprising:
a sheath, wherein an actuator extends through the sheath such that the sheath covers a portion of the actuator, and wherein the actuator is longitudinally movable relative to the sheath;
a fastening device attached to a distal end of the actuator; and
a device coupler including a proximal support fixed to a distal support by a coupler arm extending from the proximal support to the distal support, wherein the coupler arm includes a curved surface configured to accommodate a shape of a medical device resting upon the coupler arm, wherein the proximal support is fixedly coupled to the distal support and the sheath, wherein the proximal support comprises at least one flexible arm, and wherein the fastening device is pivotably attached to the distal support by a pivot pin that extends through a portion of the distal support and a portion of the fastening device.

18. The fastening mechanism according to claim 17 , wherein the actuator moves longitudinally to pivot the fastening device relative to the device coupler.

19. The fastening mechanism according to claim 17 , wherein the actuator includes at least one inner drive mechanism that actuates the fastening device to one or both of (1) open and close the fastening device and (2) deploy fasteners.

20. The fastening mechanism according to claim 17 , wherein the fastening device is a stapler that includes a head and an anvil, and the head includes a stapler cartridge from which staples are held and deployed.

Assignees

• Boston Scient Scimed Inc

Inventors

• Smith Paul
• Bean Jeffrey
• Golden John
• Keene Kenneth
• Melanson Douglas

Classifications

• A61B2017/07257

  characterised by its anvil · CPC title

• A61B2017/00862

  elastic or resilient · CPC title

• A61B2017/00473

  Distal part, e.g. tip or head (A61B2017/00464 takes precedence) · CPC title

• A61B2017/00398

  using powered actuators, e.g. stepper motors, solenoids · CPC title

• A61B2017/00296

  mounted on an endoscope · CPC title