Tissue retraction devices and related methods of use

Patent metadata

Field	Value
Publication number	US-12357333-B2
Application number	US-202217664598-A
Country	US
Kind code	B2
Filing date	May 23, 2022
Priority date	Oct 15, 2015
Publication date	Jul 15, 2025
Grant date	Jul 15, 2025

Abstract

The present disclosure is directed to a medical instrument. The medical instrument may include a delivery device and a retraction mechanism including a target tissue anchor and a first stabilizing anchor, wherein the target tissue anchor attaches to target tissue and connects to the delivery device.

First claim

What is claimed is:

1. A medical instrument comprising:
a delivery device; and
a target tissue anchor,
wherein:
in a first configuration, a first portion and a second portion of the target tissue anchor are each coupled to an external surface of the delivery device at a first connection location and a second connection location, respectively, a third portion of the target tissue anchor, between the first portion and the second portion, is not coupled to the external surface, and the second portion of the target tissue anchor is coupled to the external surface at the second connection location via a dock, wherein the dock is coupled to a distal portion of the delivery device via a tether between the dock and the external surface of the delivery device; and
in a second configuration, a radial distance between a central longitudinal axis of the dock and the second connection location is greater than the radial distance between the central longitudinal axis of the dock and the second connection location in the first configuration.

2. The medical instrument of claim 1 , wherein the first connection location is proximal of an articulation segment of the delivery device.

3. The medical instrument of claim 2 , wherein the second connection location is on a surface of the articulation segment.

4. The medical instrument of claim 1 , wherein the target tissue anchor includes shape-memory material.

5. The medical instrument of claim 1 , wherein the dock is coupled to a cap configured to be coupled to the delivery device.

6. The medical instrument of claim 1 , wherein the tether extends to a proximal end of the delivery device.

7. A medical instrument comprising:
a delivery device having an articulation segment that permits a distal end of the delivery device to articulate in at least one direction;
a dock coupled to the distal end of the delivery device; and
a target tissue anchor, the target tissue anchor having a first portion and a second portion, wherein the second portion is distal to the first portion, wherein the first portion of the target tissue anchor is coupled to an external surface of the delivery device at a first connection location proximal of the articulation segment such that the first portion has a fixed, unchangeable radial distance from a central longitudinal axis of the delivery device;
wherein, in a first configuration, the second portion of the target tissue anchor is coupled to the external surface at a second connection location via the dock, and
wherein, in a second configuration, the second portion of the target tissue anchor is not directly coupled to the external surface of the delivery device,
wherein, in the second configuration, a radial distance between the second portion and the central longitudinal axis of the delivery device is greater than the radial distance between the second portion and the central longitudinal axis of the delivery device in the first configuration.

8. The medical instrument of claim 7 , wherein the target tissue anchor includes one of a clip, a suture, a corkscrew, a spike, a hook, a grasper, a staple, an adhesive, a loop, a spiral loop, and a helical loop.

9. The medical instrument of claim 7 , wherein the target tissue anchor is steerable.

10. A medical instrument comprising:
a delivery device having an articulation segment that permits a distal end of the delivery device to articulate in at least one direction; and
a target tissue anchor,
wherein:
in a first configuration, a first portion of the target tissue anchor is coupled to an external surface of the delivery device at a first connection location proximal of the articulation segment, a second portion of the target tissue anchor is coupled to the external surface of the delivery device at a second connection location distal to the first connection location via a dock, and wherein the dock is coupled to the external surface by a tether so that the dock is flush against the external surface, wherein the tether extends to a proximal end of the delivery device; and
in a second configuration, a radial distance between a central longitudinal axis of the delivery device and the second portion is greater than the radial distance in the first configuration, and the target tissue anchor and the dock are moved away from the external surface of the delivery device by pulling, in a proximal direction, a wire fixed to the second portion of the target tissue anchor and the dock.

11. The medical instrument of claim 10 , wherein the target tissue anchor and the dock in the second configuration are transitioned to the first configuration by pulling the tether in the proximal direction.

12. The medical instrument of claim 10 , wherein the target tissue anchor includes shape-memory material.

13. The medical instrument of claim 10 , wherein the second connection location is on a surface of the articulation segment.

14. The medical instrument of claim 10 , wherein the target tissue anchor includes one of a clip, a suture, a corkscrew, a spike, a hook, a grasper, a staple, an adhesive, a loop, a spiral loop, and a helical loop.

15. The medical instrument of claim 10 , wherein the target tissue anchor is steerable.

16. The medical instrument of claim 10 , wherein the tether includes a spring.

17. The medical instrument of claim 10 , wherein the tether is biased away from the delivery device.

18. The medical instrument of claim 10 , wherein the medical instrument is transitionable from the first configuration to the second configuration and from the second configuration to the first configuration, and wherein the medical instrument is transitionable from the second configuration to the first configuration by pulling the tether in a proximal direction.

Assignees

• Boston Scient Scimed Inc

Inventors

• Smith Paul
• Charles Robert
• Taylor Jon
• Hamilton Daniel E
• Raybin Samuel
• Devries Robert
• Andersson Niklas
• Soens Meghan E
• Cornell Mary Ann
• Tong Ray
• Golden John

Classifications

• A61B17/122

  Clamps or clips, e.g. for the umbilical cord {(for the vas deferens A61F6/206)} · CPC title

• A61B17/10

  for applying or removing wound clamps {, e.g. containing only one clamp or staple (A61B17/076 takes precedence; containing multiple wound clamps A61B17/068)}; Wound clamp magazines · CPC title

• A61B17/04

  for suturing wounds; Holders or packages for needles or suture materials · CPC title

• A61B2017/22069

  Immobilising; Stabilising · CPC title

• A61B2017/00349

  Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue (A61B17/06066 takes precedence) · CPC title