DEVICES, SYSTEMS AND METHODS FOR CLEANING OF ELONGATED INSTRUMENT SURFACE
20210290048 · 2021-09-23
Inventors
- Christopher Rylander (Austin, TX, US)
- Christopher Idelson (Austin, TX, US)
- John UECKER (Austin, TX, US)
Cpc classification
A61B90/70
HUMAN NECESSITIES
A61B2090/701
HUMAN NECESSITIES
International classification
A61B1/00
HUMAN NECESSITIES
A61B1/313
HUMAN NECESSITIES
Abstract
Devices, systems and methods for cleaning a surface of as elongated instrument held within a cavity. In particular embodiments of the device, a longitudinal wire member extends along an elongated instrument (e.g. a laparoscope) and a rotatable transverse member removes matter from a surface of the instrument (e.g. a lens).
Claims
1. A laparoscope cleaning apparatus, comprising: a retaining member adapted for having a laparoscope mounted thereon; a handle attached to a proximate end portion of the retaining member; a cleaning member adjacent to a distal end portion of the retaining member; and an actuation member translatably and rotatably engaged with the handle to enable independent axial translation movement and rotational movement of the actuation member relative to the handle, wherein the actuation member is fixedly coupled to the cleaning member to enable rotation of the actuation member to provide corresponding rotational movement of the cleaning member and axial translation of the actuation member to provide corresponding axial translation movement of the cleaning member and wherein the actuation member includes a user interface portion at an exterior surface of the handle through which rotational and translational input actions are provided by a user to the actuation member for respectively causing the corresponding rotational movement and axial translation of the cleaning member.
2. The laparoscope cleaning apparatus of claim 1 wherein the actuation member being translatably engaged with the handle includes the actuation being slidably engaged with the handle to enable axial translation along an axial reference axis about which the rotational movement of the actuation member is exhibited.
3. The laparoscope cleaning apparatus of claim 1 wherein: the actuation member includes a mounting portion attached to the user interface portion; and the mounting portion is translatably and rotatably engaged with the handle to enable the independent axial translation movement and rotational movement of the actuation member relative to the handle.
4. The laparoscope cleaning apparatus of claim 2 wherein the mounting portion being translatably engaged with the handle includes the mounting portion being slidably engaged with the handle to enable axial translation along an axial reference axis about which the rotational movement of the actuation member is exhibited.
5. The laparoscope cleaning apparatus of claim 1, further comprising: a longitudinal wire member having the cleaning member attached thereto at a distal end portion thereof and having the actuation member attached thereto at a proximate end portion thereof.
6. The laparoscope cleaning apparatus of claim 1 wherein: the actuation member includes a mounting portion attached to the user interface portion; and the mounting portion is translatably and rotatably engaged with the handle to enable the independent axial translation movement and rotational movement of the actuation member relative to the handle.
7. The laparoscope cleaning apparatus of claim 6, further comprising: a longitudinal wire member having the cleaning member attached thereto at a distal end portion thereof and having the actuation member attached thereto at a proximate end portion thereof.
8. The laparoscope cleaning apparatus of claim 7 wherein the mounting portion being translatably engaged with the handle includes the mounting portion being slidably engaged with the handle to enable axial translation along an axial reference axis about which the rotational movement of the actuation member is exhibited.
9. A laparoscope cleaning apparatus, comprising: a retaining member adapted for having a laparoscope mounted thereon; a handle attached to a proximate end portion of the retaining member; a cleaning member adjacent to a distal end portion of the retaining member; and an actuation member translatably and rotatably engaged with the handle to enable independent axial translation movement and rotational movement of the actuation member relative to the handle, wherein the actuation member is fixedly coupled to the cleaning member to enable rotation of the actuation member to provide corresponding rotational movement of the cleaning member and axial translation of the actuation member to provide corresponding axial translation movement of the cleaning member and to inhibit unrestricted rotational movement therebetween over an entire range of rotation of the actuation member whereby rotation of the actuation member causes a corresponding rotation of the cleaning member over the entire range of rotation of the actuation member.
10. The laparoscope cleaning apparatus of claim 9 wherein a longitudinal axis of the actuation member is an axis of rotation for said rotation of the actuation member and an axis of translation for said translation of the actuation member.
11. The laparoscope cleaning apparatus of claim 9 wherein a longitudinal axis of the actuation member is skewed with respect to a longitudinal axis of a central aperture of the retaining member.
12. The laparoscope cleaning apparatus of claim 11, further comprising: a longitudinal wire member having the cleaning member attached thereto at a distal end portion thereof and having the actuation member attached thereto at a proximate end portion thereof.
13. The laparoscope cleaning apparatus of claim 12 wherein: the retaining member comprises a relief extending along at least a portion of a length of the retaining member; and at least a portion of the longitudinal wire member between said distal and proximate end portions thereof is within the relief.
14. The laparoscope cleaning apparatus of claim 13 wherein at least a portion of the relief intersects the central aperture of the retaining member.
15. The laparoscope cleaning apparatus of claim 12, further comprising: a guide member attached to the handle, wherein an aperture extends within the guide member along a length thereof, wherein the longitudinal wire member extends through the aperture, wherein the guide member comprises a curved portion and wherein the guide member is positioned within the handle to cause a tangential axis extending through a first end of the curved portion extends approximately parallel with the longitudinal axis of the central aperture of the retaining member and to cause a tangential axis extending through a second end of the curve portion extends approximately colinear with the longitudinal axis of the actuation member.
16. The laparoscope cleaning apparatus of claim 15 wherein: the retaining member comprises a relief extending along at least a portion of a length of the retaining member; a longitudinal axis of the relief extends approximately parallel to the longitudinal axis of the central aperture of the retaining member; and at least a portion of the longitudinal wire member between said distal and proximate end portions thereof is within the relief.
17. The laparoscope cleaning apparatus of claim 16 wherein: the retaining member comprises a slot therein at the proximate end portion thereof; the slot intersects the relief; and the first end of the curved portion of the guide member is at least partially within the slot.
18. The laparoscope cleaning apparatus of claim 17 wherein at least a portion of the relief intersects the central aperture of the retaining member.
19. A laparoscope cleaning apparatus, comprising: a tubular member adapted for having a laparoscope engaged therewith, wherein the tubular member comprises a relief extending along at least a portion of a length of the tubular member and wherein a longitudinal axis of the relief extends approximately parallel to a longitudinal axis of the central aperture of the tubular member; a longitudinal wire member having a distal end portion and a proximate end portion, wherein at least a portion of the longitudinal wire member between said distal and proximate end portions thereof is within the relief; a cleaning member located adjacent to a distal end portion of the tubular member, wherein the cleaning member is fixedly attached the distal end portion of the longitudinal wire member; a handle attached to a proximate end portion of the tubular member; and an actuation member translatably and rotatably engaged with the handle to enable independent axial translation movement and rotational movement of the actuation member relative to the handle, wherein the actuation member is fixedly attached to the proximate end portion of the longitudinal wire member to enable rotation of the actuation member to provide corresponding rotational movement of the cleaning member and axial translation of the actuation member to provide corresponding axial translation movement of the cleaning member, wherein the longitudinal wire member extends contiguously from the cleaning member to the actuation member and to inhibit unrestricted rotational movement therebetween over an entire range of rotation of the actuation member whereby rotation of the actuation member causes a corresponding rotation of the cleaning member over the entire range of rotation of the actuation member and wherein a longitudinal axis of the actuation member is skewed with respect to the longitudinal axis of the central aperture of the tubular member.
20. The laparoscope cleaning apparatus of claim 19 wherein at least a portion of the relief intersects the central aperture of the tubular member.
21. The laparoscope cleaning apparatus of claim 20 wherein the longitudinal axis of the actuation member is an axis of rotation for said rotation of the actuation member and an axis of translation for said translation of the actuation member.
22. The laparoscope cleaning apparatus of claim 20, further comprising: a guide member attached to the handle, wherein an aperture extends withing the guide member along a length thereof, wherein the longitudinal wire member extends through the aperture, wherein the guide member comprises a curved portion and wherein the guide member is positioned within the handle to cause a tangential axis extending through a first end of the curved portion extends approximately colinear with the longitudinal axis of the relief and to cause a tangential axis extending through a second end of the curve portion extends approximately colinear with the longitudinal axis of the actuation member.
23. The laparoscope cleaning apparatus of claim 22 wherein: the tubular member comprises a slot therein at the proximate end portion thereof; the slot intersects the relief; and the first end of the curved portion of the guide member is at least partially within the slot.
24. The laparoscope cleaning apparatus of claim 23 wherein at least a portion of the relief intersects the central aperture of the tubular member.
Description
BRIEF DESCRIPTION OF THE FIGURES
[0066]
[0067]
[0068]
[0069]
[0070]
[0071]
[0072]
[0073]
[0074]
[0075]
DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS
[0076] Referring now to
[0077] In the embodiment shown, device 100 comprises a retaining member 250 configured to retain a component of device 100 (e.g. longitudinal wire member 110 in the embodiment shown) to elongated instrument 200. In this embodiment, retaining member 250 is shown as a tubular member or sheath that is coupled to device 100 and extends around elongated instrument 200. In certain embodiments, retaining member 250 may be configured as a multi-lumen tube. It is understood that in other embodiments, retaining member 250 may include other configurations, including for example, clips, wires, etc. As explained in further detail below, retaining member 250 is configured to allow sliding or lateral movement between device 100 and elongated instrument 200 in a direction parallel to an axis 101 that extends colinearly from distal end 112. In addition, retaining member 250 is also configured to allow rotational movement of device 100 about axis 101 to facilitate cleaning matter 213 (e.g. solid or liquid) from surface 210.
[0078] The embodiment shown further comprises an indicator 121 coupled to longitudinal wire member 110 near proximal end 111. Indicator 121 can indicate the orientation of rotatable transverse member 120 such that a user can determine the position of transverse member 120 with respect to elongated instrument 210 by viewing indicator 121 while rotating device 100 about longitudinal wire member 110 and axis 101.
[0079] In the embodiment shown in
[0080] As device 100 and/or elongated instrument 200 is moved in this direction, rotatable transverse member 120 eventually engages surface 210 as shown in
[0081] It is understood the views shown in
[0082] In the embodiment shown, device 100 comprises a handle 300 coupled to an actuation member 320, a guide member 330 and a coupling member 340. Actuation member 320 is coupled to longitudinal wire member 110 and can be used to manipulate longitudinal wire member 110 and rotatable transverse member 120 during use. The general operating principles of this embodiment are equivalent to those of the previously-described embodiment in
[0083] In certain embodiments, a cavity into which device 100 is inserted may be filled with pressurized gas (e.g. insufflation gas in the abdomen during laparoscopic surgery) to allow for a maintenance of cavity pressure or gas concentration. In particular embodiments, device 100 may comprise a seal that can be located at proximal and/or distal end of the device that creates a seal around the elongated instrument and/or retaining member 250 and prevents leaking of gas from the cavity. This can be done through an elastic component that compresses around scope, passively, but still allows for scope to push through longitudinal member, or it could be done through a compliant foam or rubber port, that can be moved aside as the elongated instrument pushes past the compliant part, and the compliant part forms a seal around the elongated instrument.
[0084] In the embodiment shown, coupling member 340 further comprises a second aperture 342 which is aligned with a central aperture 255 of retaining member 250 when device 100 is assembled. A seal 344 extends around aperture 342 and restricts the flow of gas through aperture 255 of coupling member 250. Seal 344 can therefore restrict insufflation gas from escaping the cavity into which device 100 is inserted during use. While seal 344 is shown in this embodiment as a unitary component with coupling member 340, it is understood that in different embodiments seal 344 and coupling member 340 may be separate components. In exemplary embodiments, coupling member 340 and/or seal 344 may be formed from an elastic, foam, or other suitably compliant material. In addition, while aperture 342 is shown as a single aperture, other embodiments may comprise multiple partitions or “leaves” that deflect out of the way and back around the shaft of the elongated instrument as the elongated instrument pushes past aperture 342.
[0085] As shown in
[0086] In the embodiment shown, retaining member 250 further comprises a slot 254 through wall 257 and near a proximal end 252 of retaining member 250. Slot 254 is configured to allow guide member 330 (and longitudinal wire member 110) to enter relief 253. In the illustrated embodiment, retaining member 250 further comprises a slot or notch 259 configured to engage a locating rib or tab 258 in handle 300 (shown in
[0087] In the embodiment shown in
[0088] In the embodiments shown in
[0089] In the embodiment shown in
[0090] In certain embodiments, device 100 and an elongated instrument can be inserted through a trocar into a cavity of a patient during use. As shown in
[0091] In particular, actuation member 320 can be rotated such that rotatable transverse member 120 is aligned with retaining member 250 as shown in
[0092] Actuation member 320 can then be rotated such that rotatable transverse member 120 is rotated via longitudinal wire member 110. The rotation of rotatable transverse member 120 can remove matter (e.g. via a wiping, cleaning or scraping action) from a surface at the distal end of the elongated instrument. In certain embodiments, actuation member 320 is only capable of being rotated one direction (e.g. either clockwise or counter-clockwise) to prevent buildup of debris on both sides of rotatable transverse member 120, and thereby prevent re-distributing debris on the surface of the elongated instrument. In other embodiments, actuation member 320 can be operated to rotate hi-directionally to allow for user-preferred actuation.
[0093] In particular embodiments, actuation member 320 can then be moved toward handle 300 (and/or the elongated instrument can be withdrawn slightly from retaining member 250) such that rotatable transverse member 120 is moved laterally away from retaining member 250 and the elongated instrument. Actuation member 320 can also be rotated to position rotatable transverse member 120 such that rotatable transverse member 120 does not interfere with operation of the elongated instrument (e.g. rotatable transverse member 120 is not aligned with retaining member 250 and does not block the view of a laparoscope inserted in retaining member 250). Accordingly, the elongated instrument can perform its desired function without interference from rotatable transverse member 120.
[0094] In exemplary embodiments, rotatable transverse member 120 may be a soft, flexible material that can remove matter from a distal end of an elongated instrument (e.g. a lens of a laparoscope or other viewing instrument) without damaging the distal end of the instrument. For example, in specific embodiments rotatable transverse member 120 may be formed from or comprise a rubber, elastomer, foam, sponge, thermoplastic polyurethane (TPU), thermoplastic elastomers (TPE), medical-grade silicone, silk, polyester, microfiber, or napped material to engage the surface to be cleaned on the elongated instrument. In certain embodiments, materials such as thermoplastic polyurethane (TPU), thermoplastic elastomers (TPE) and medical-grade silicone can be overmolded or insert molded.
[0095] It is understood that features and aspects of the embodiment shown in
[0096] In addition, certain embodiments may provide for vacuum, liquid or surfactant delivery. Such provisions could go to or from the surface of the elongated instrument, or to or from the rotatable transverse member. In certain embodiments, the rotatable transverse member could be coated in cleaning liquid, or absorb it for future distribution to scope upon contact. In certain embodiments, the surface of the elongated instrument or the rotatable transverse member could also be coated in material that prevents buildup of debris (dust, blood, oils, fats, etc.)
[0097] Particular embodiments may also provide for passive defogging of the surface of the elongated instrument that is cleaned via built in “natural” humidity collection. For example, the geometry and size of the retaining member can be selected to allow for collection of vapor on the retaining member walls when environmental conditions are favorable. When the elongated instrument is inserted through the retaining member, vapor droplets adhering to walls may contact the elongated instrument surface, thereby passively distributing the droplets onto the instrument surface. This can further create a thin film or layer of the collected liquid (which could be a warm or cold liquid) onto the instrument surface. In function, the liquid is transparent, which can maintain clear visibility through the instrument surface when the surface is a lens. In addition, the film or thin layer of liquid prevents fog buildup, as the surface does not collect additional condensation on top of the thin layer of condensation that was just collected during the insertion of the instrument into the cavity. The process may be a result of the open-nature of the tubular retaining member that allows for the movement of cool air into the warm cavity (i.e. temperature difference) to interact with the warm moist environment, which meets temperature and humidity conditions needed for vapor droplets to form on inner wall of the tubular retaining member.
[0098] Particular embodiments may also comprise an actuation mechanism for a robot in which the actuation member or members are combined with a docking station that are able to integrate with a robot. In certain embodiments, power can come via robot electrically, or can be transferred via docking station where the device itself does not take in electrical power, but docks in a manner able to accept mechanical energy. For example, the electric robot turns gears, the device docks, and gears on robot turn gears on device. Other embodiments could work with cables or other mechanisms to mechanically transfer energy, or could utilize a separate actuation station not powered by the robot that draws power elsewhere, e.g. a battery or electrical outlet.
[0099] All of the devices, systems and/or methods disclosed and claimed herein can be made and executed without undue experimentation in light of the present disclosure. While the devices, systems and methods of this invention have been described in terms of particular embodiments, it will be apparent to those of skill in the art that variations may be applied to the devices, systems and/or methods in the steps or in the sequence of steps of the method described herein without departing from the concept, spirit and scope of the invention. All such similar substitutes and modifications apparent to those skilled in the art are deemed to be within the spirit, scope and concept of the invention as defined by the appended claims.
REFERENCES
[0100] The contents of the following references are incorporated by reference herein: [0101] U.S. Pat. No. 5,392,766 [0102] U.S. Pat. No. 5,658,273 [0103] U.S. Pat. No. 6,354,992 [0104] U.S. Pat. No. 8,001,984 [0105] U.S. Pat. No. 8,047,215 [0106] U.S. Pat. No. 8,535,220 [0107] U.S. Pat. No. 8,690,764 [0108] US 20020065450 [0109] US 20060293559 [0110] US 20100139018 [0111] US 20120101338 [0112] US 20140171739 [0113] CA 2400381 [0114] CN 102578999 [0115] CN 203917219 [0116] CN 202892095 [0117] IEEE Transactions on Industry Applications; IA-15(6):681-687; December 1979; “A theoretical Study of the Mechanics of a Zerographic Cleaning Blade”, Ganesh L. Harpavat.