Devices for clearing blockages in in-situ artificial lumens

Inventors

Bagwell, Roger B.Frankhouser, Paul L.Mulvihill, Maureen L.Crespo, Josue R.Park, Brian M.Mallen, Dana B.Meza, Gabriela HernandezDemers, Debora L.

Assignees

Actuated Medical Inc

Interested in licensing this patent?

MTEC can help explore whether this patent might be available for licensing for your application.

Publication Number

US-8574377-B2

Patent

Publication Date

2013-11-05

Expiration Date


Abstract

A device for the breaking-apart of occlusions includes a stationary fitting, a hollow tube and a second fitting configured to reciprocate so as to cause the hollow tube to be compressed and expanded. The hollow tube is coupled on one side to the stationary fitting, and the stationary fitting provides access to a hollow portion of the hollow tube.

Core Innovation

The invention relates to devices for breaking-apart of occlusions using in situ tube-clearing devices for artificial lumens, including feeding tubes. The device includes a stationary fitting and a hollow tube coupled to the stationary fitting, where the stationary fitting provides access to a hollow portion of the hollow tube. A second fitting is configured to reciprocate to cause compression and expansion of the hollow tube, producing an occlusion-breaking action while the tube remains coupled to the patient through the stationary fitting.

In one embodiment, the system uses a reciprocating tube clearer (TCI) with a disposable clearing stem arranged with a wire and sheath. The clearance mechanism is driven by an external controller that delivers repetitive motion to the second fitting, and a tube depth-control collar is provided. The description includes a wire-and-sheath arrangement in which the clearing stem protrudes from the stationary fitting opening, and it further includes coupling arrangements such as a magnetic/Luer-type coupling with a sealed control box for activation and control.

In another embodiment, the system uses a rotating tube clearer (TC2) with a handheld external motor driving a flexible clearing member. The rotating arrangement includes torque limiting and harmonic control to reduce instability and injury. The description also provides optional aspiration/irrigation via aspiration/irrigation ports and/or sheath channels, and it describes configurations with aspiration/irrigation through a sheath or alternatives including a hollow lumen/wire.

Claims Coverage

The supplied independent claims cover six inventive features centered on a stationary fitting providing access to a hollow portion of a hollow tube and a second fitting that reciprocates to compress and expand the hollow tube, with interface-specific variants for wire and sheath arrangements and one claim requiring an actuator generating repetitive motion.

Stationary fitting and reciprocating compression-expansion hollow tube arrangement

A device for breaking-apart of occlusions including a stationary fitting, a hollow tube, and a second fitting configured to reciprocate so as to cause the hollow tube to be compressed and expanded, with the hollow tube coupled on one side to the stationary fitting so that the stationary fitting provides access to a hollow portion of the hollow tube.

Opposite-side coupling of hollow tube to stationary fitting and second fitting

A device for breaking-apart of occlusions including a stationary fitting, a hollow tube, and a second fitting configured to reciprocate so as to cause the hollow tube to be compressed and expanded, with the hollow tube coupled on one side to the stationary fitting and a second side of the hollow tube coupled to the second fitting.

Flexible wire protruding from stationary fitting opening

A device for breaking-apart of occlusions including a flexible wire coupled to the second fitting that extends through the hollow portion and is configured to protrude from an opening of the stationary fitting.

Flexible sheath providing access to hollow portion from distal sheath end

A device for breaking-apart of occlusions including a flexible sheath extending from the stationary fitting providing access from a distal end of the sheath to the hollow portion of the hollow tube.

Concentric sheath and wire coupled to reciprocating second fitting

A device for breaking-apart of occlusions including a sheath and a wire that runs concentrically through the sheath, protrudes from a distal end of the sheath, and is coupled to the second fitting.

Actuator for generating repetitive motion to cause reciprocation

A device for breaking-apart of occlusions including an actuator for generating repetitive motion that causes the second fitting to reciprocate.

The claim coverage is directed to the stationary fitting and reciprocating hollow tube arrangement, with variants requiring a flexible wire, a flexible sheath, a concentric sheath-and-wire arrangement, or an actuator generating repetitive motion.

Stated Advantages

Fast clearing performance.

Cleaner tube walls.

Safer low penetration force.

Maintenance/clearing actions while the tube remains connected to the patient.

Documented Applications

Clearing artificial lumens, including feeding tubes such as PEG, NG, GJ, J, and NJ.

JOIN OUR MAILING LIST

Stay Connected with MTEC

Keep up with active and upcoming solicitations, MTEC news and other valuable information.