The present disclosure relates generally to devices used to pressurize, depressurize, or otherwise displace fluid, particularly in medical devices. More specifically, the present disclosure relates to high-pressure devices used to pressurize, depressurize, or otherwise displace fluid along a fluid line in order to inflate or deflate a medical device, such as a balloon.
The embodiments disclosed herein will become more fully apparent from the following description and appended claims, taken in conjunction with the accompanying drawings. These drawings depict only typical embodiments, which will be described with additional specificity and detail through use of the accompanying drawings in which:
In certain instances, an inflation device is in fluid communication with a balloon disposed at an end of a catheter. The inflation device may be used to generate a high pressure to inflate the balloon for a variety of medical procedures. For example, the inflation device can be used to widen a stricture of a vessel or passage, expand a stent within a vessel or passage, or occlude a vessel or passage.
The inflation device may include a syringe that utilizes threads to advance or retract a plunger by rotating the plunger relative to the body of the syringe such that the threads cause longitudinal displacement of the plunger relative to the body. In some instances, an inflation device may further include retractable threads, enabling a practitioner to disengage the threads and displace the plunger by simply pushing or pulling the plunger. The inflation device may comprise a threaded insert configured to constrain movement of the plunger within the syringe body. The threaded insert may comprise threads configured to engage with the retractable threads.
An embodiment of an inflation device within the scope of this disclosure includes a pressure member having a load transfer orifice. A threaded insert is coupled to the pressure member. The threaded insert includes a load transfer member that is disposed within the load transfer orifice and internal threads. A plunger is slidingly disposed within the pressure member and includes a thread rail selectively coupled to the threaded insert. The thread rail includes threads to engage with the threads of the threaded insert and protrusions. A plunger tip is operably coupled to a distal end of the plunger. An actuator includes a guide member coupled to the thread rail. The guide member includes ramps and slots configured to engage with the protrusions of the thread rail.
When the inflation device disclosed within this disclosure is pressurized to inflate a balloon, the protrusions of the thread rail engage the ramps of the guide member causing the threads of the thread rail to engage with the threads of the threaded insert. A handle of the actuator is rotated by a user causing the plunger tip to be displaced distally and pressurize fluid within the pressure member. An axial load applied to the threads is transferred to the pressure member through the load transfer member of the threaded insert and the load transfer orifice of the pressure member. When the inflation device is depressurized to deflate the balloon, the handle of the actuator is moved distally relative to the plunger causing the protrusions to be disposed in the slots of the guide member. This allows the thread rail to be radially inward displaced and the threads of the thread rail to disengage from the threads of the threaded insert. The disclosed embodiment of the inflation device allows the inflation device to be pressurized to a high pressure while reducing a force needed for activation of depressurization.
Embodiments may be understood by reference to the drawings, wherein like parts are designated by like numerals throughout. It will be readily understood by one of ordinary skill in the art having the benefit of this disclosure that the components of the embodiments, as generally described and illustrated in the figures herein, could be arranged and designed in a wide variety of different configurations. Thus, the following more detailed description of various embodiments, as represented in the figures, is not intended to limit the scope of the disclosure, but is merely representative of various embodiments. While the various aspects of the embodiments are presented in drawings, the drawings are not necessarily drawn to scale unless specifically indicated.
A pair of longitudinal flex members 115 may be disposed at a proximal end of the fluid reservoir 111. Slots 116 can be disposed between the flex members 115 to allow the flex members 115 to deflect radially inward and outward. A load transfer orifice 114 can be disposed in each of the flex members 115. The load transfer orifice 114 may be sized and shaped to receive a load transfer member of the threaded insert 130, as will be described below. The flex members 115 can flex radially outward over the threaded insert 130 when the threaded insert 130 is coupled to the fluid reservoir 111. One or more longitudinal ribs 117 may be disposed adjacent the flex members 115. The rib 117 can prevent rotation of the grip 140 relative to the fluid reservoir 111.
Optionally or alternatively, a pressure gage 112 can be coupled to the fluid reservoir 111 such that the pressure gage 112 is in fluid communication with the pressure chamber 119. The pressure gage 112 may be of any suitable type to measure a fluid pressure within the fluid reservoir 111. For example, the pressure gage 112 can be an analog pressure gage or a digital pressure gage. Other types of pressure gages are contemplated.
The thread rail 154 can extend distally from the trigger grip 151. As illustrated, the thread rail 154 may include a first rail 160 and a second rail 161 that extend parallel to each other. A channel 162 is disposed between the rails 160, 161. Each of the rails 160, 161 can include protrusions 156, 164 respectively, extending downward from the rails 160, 161. The protrusions 156 of the first rail 160 may be separated by gaps 163 and the protrusions 164 of the second rail 161 may be longitudinally separated by gaps 165. Further, the protrusions 156 of the first rail 160 can be longitudinally offset relative to the protrusions 164 of the second rail 161. In other words, as shown in
A distal plunger ramp 157 may be disposed adjacent a distal end 159 of the thread rail 154 to be engaged by a distal actuator ramp of the actuator 170, as will be discussed below. A pin passage 158 can be disposed through the thread rail 154 adjacent the distal end 159 to receive the coupling pin 123 of the plunger tip 120. The distal end 159 can include a flat head 166 to press against the engagement member 125 of the plunger tip 120 when the plunger 150 is displaced distally to pressurize the fluid reservoir 111. Further, the flat head 166 can slidingly interface with the engagement member 125 when the thread rail 154 is disengaged from the threaded insert 130.
The thread rail 154 can include male plunger threads 155 disposed along a length of the thread rail 154 to selectively engage with the insert threads 132 of the threaded insert 130. The plunger threads 155 may include an arc length of from about 45 degrees to about 60 degrees and may be about 52 degrees.
Each of the insert threads 132 include a proximal flank 132a and a distal flank 132b. Each of the plunger threads 155 include a proximal flank 155a and a distal flank 155b. The proximal flanks 132a, 155a are configured to engage when the plunger 150 is threaded into the threaded insert 130. In the illustrated embodiment, the proximal flank 155a of the plunger threads 155 and the proximal flank 132a of the insert threads 132 include an engagement angle β that may range from about 45 degrees to about 90 degrees and from about 70 degrees to about 80 degrees. A pitch of the threads 132, 155 can range from about 8 threads per inch to about 16 threads per inch. A height of the threads 132, 155 may range from about 0.040 inches to about 0.100 inches. With the plunger threads 155 engaged with the insert threads 132, as shown in
The plunger guide member 172 can extend distally from the handle 171. The plunger guide member 172 can include a first rail 178, a second rail 179, and a middle rail 176 that define an E-shape channel 186 including a first channel 187 and a second channel 188 separated by the middle rail 176. In another embodiment, the plunger guide member 172 may include the first rail 178 and the second rail 179 that define a U-shape channel. The first channel 187 can receive the first rail 160 and the second channel 188 can receive the second rail 161 of the thread rail 154. The middle rail 176 can be received within the channel 162 of the thread rail 154. A distal actuator ramp 174 can be disposed at a distal end of each of the rails 176, 178, 179 to engage with the distal plunger ramp 157 when the plunger guide member 172 is distally displaced relative to the thread rail 154. In other embodiments, one or more intermediate actuator ramps can be disposed along the length of the plunger guide member 172 proximal to the distal actuator ramp 174. The intermediate actuator ramps can be configured to engage with one or more intermediate plunger ramps disposed along the length of the plunger 150. The intermediate actuator ramps may facilitate displacement of an intermediate portion of the plunger guide member 172 radially inward. A resilient member 177 (e.g., compression spring) may be disposed around a proximal portion of the plunger guide member 172. The resilient member 177 can be a compression coil spring to provide a return force to the handle 171. Other types of resilient members are contemplated within the scope of this disclosure.
The first channel 187 may include support ramps 189 disposed along a length of the channel 187 with slots or gaps 181 disposed between adjacent support ramps 189. The second channel 188 may include support ramps 182 disposed along a length of the channel 188 with slots or gaps 183 disposed between adjacent support ramps 182. The support ramps 189 and the support ramps 182 may be axially offset. In other words, as shown in
In use, the inflation device 100 may be utilized to inflate an inflatable medical device (e.g., balloon).
While in the pressurization state, the handle 171 may be rotated by a first hand of a user in a clockwise direction to displace the plunger tip 120 distally while grip 140 is grasped by a second hand of the user to prevent the fluid reservoir 111 from rotating. When the handle 171 is rotated, the thread rail 154 and the plunger guide member 172 are rotated relative to the threaded insert 130 causing the plunger tip 120 to be distally displaced by way of a threaded engagement of the plunger threads 155 with the insert threads 132. As the plunger tip 120 is displaced distally, the fluid within the fluid reservoir 111 can be pushed into the tubing 102 and the balloon to inflate the balloon. Continued rotation of the handle 171 can cause pressure within the fluid reservoir 111 to increase as resistance to inflation is exerted by the balloon. The pressure within the fluid reservoir 111 can apply a proximally directed force or load to the plunger threads 155 and the insert threads 132. The proximally directed force can be transferred from the insert threads 132 to the fluid reservoir 111 through the load transfer members 133 and load transfer orifices 114. The pressure within the fluid reservoir 111 can be increased up to about 100 atmospheres. In certain embodiments, the reservoir pressure can be measured by a pressure gage, such as the pressure gage 112.
The proximal actuator ramp 173 (not shown) can engage the proximal plunger ramp 152 (not shown) and the distal actuator ramp 174 can engage the distal plunger ramp 157 to displace the thread rail 154 radially inward such that the plunger threads 155 disengage from the insert threads 132. The downward displacement of the thread rail 154 causes the proximally directed force applied to the threaded insert 130 and the fluid reservoir 111 to be released. A release force applied to the actuator 170 can range from about 2 pounds of force to about 12 pounds of force. Further, the distal end 159 of the thread rail 154 can be displaced downward within the plunger tip 120 relative to the coupling pin 123. When the plunger threads 155 are disengaged from the insert threads 132, the plunger 150 and the actuator 170 can be freely moved axially resulting in depressurization of the fluid reservoir 111 and the balloon.
In certain embodiments, the free axial movement of the plunger 150 may allow the tubing 102 to be quickly primed and allow air bubbles to be removed from the fluid reservoir 111. Any methods disclosed herein comprise one or more steps or actions for performing the described method. The method steps and/or actions may be interchanged with one another. In other words, unless a specific order of steps or actions is required for proper operation of the embodiment, the order and/or use of specific steps and/or actions may be modified. For example, a method of pressurizing and depressurizing an inflation device may include one or more of the following steps: radial outwardly displacing a thread rail to engage a threaded insert, wherein protrusions of a thread rail engage with support ramps of a guide member; distally displacing a plunger toward a distal end of a fluid reservoir to pressurize a fluid within the fluid reservoir; actuating an actuator to distally axially displace a guide member relative to the thread rail; radial inwardly displacing the thread rail to disengage the thread rail from the threaded insert, wherein the protrusions disengage from the support ramps and the guide member engages with a plunger ramp; and proximally displacing the plunger to depressurize the fluid within the fluid reservoir. Other steps are also contemplated.
Reference throughout this specification to “an embodiment” or “the embodiment” means that a particular feature, structure, or characteristic described in connection with that embodiment is included in at least one embodiment. Thus, the quoted phrases, or variations thereof, as recited throughout this specification are not necessarily all referring to the same embodiment.
Similarly, in the above description of embodiments, various features are sometimes grouped together in a single embodiment, figure, or description thereof for the purpose of streamlining the disclosure. This method of disclosure, however, is not to be interpreted as reflecting an intention that any claim requires more features than those expressly recited in that claim. Rather, as the following claims reflect, inventive aspects lie in a combination of fewer than all features of any single foregoing disclosed embodiment.
The phrase “coupled to” refers to any form of interaction between two or more entities, including mechanical, electrical, magnetic, electromagnetic, fluid, and thermal interaction. Two components may be coupled to each other even though they are not in direct contact with each other. For example, two components may be coupled to each other through an intermediate component.
The directional terms “distal” and “proximal” are given their ordinary meaning in the art. That is, the distal end of a medical device means the end of the device furthest from the practitioner during use. The proximal end refers to the opposite end, or the end nearest to the practitioner during use.
“Fluid” is used in its broadest sense, to refer to any fluid, including both liquids and gases as well as solutions, compounds, suspensions, etc., that generally behaves as a fluid.
References to approximations are made throughout this specification, such as by use of the term “substantially.” For each such reference, it is to be understood that, in some embodiments, the value, feature, or characteristic may be specified without approximation. For example, where qualifiers such as “about” and “substantially” are used, these terms include within their scope the qualified words in the absence of their qualifiers. For example, where the term “substantially perpendicular” is recited with respect to a feature, it is understood that in further embodiments the feature can have a precisely perpendicular configuration.
The terms “a” and “an” can be described as one, but not limited to one. For example, although the disclosure may recite a plunger tip having “an O-ring,” the disclosure also contemplates that the plunger tip can have two or more O-rings.
Unless otherwise stated, all ranges include both endpoints and all numbers between the endpoints.
Recitation in the claims of the term “first” with respect to a feature or element does not necessarily imply the existence of a second or additional such feature or element. It will be apparent to those having skill in the art that changes may be made to the details of the above-described embodiments without departing from the underlying principles of the invention.
The claims following this written disclosure are hereby expressly incorporated into the present written disclosure, with each claim standing on its own as a separate embodiment. This disclosure includes all permutations of the independent claims with their dependent claims. Moreover, additional embodiments capable of derivation from the independent and dependent claims that follow are also expressly incorporated into the present written description.
Without further elaboration, it is believed that one skilled in the art can use the preceding description to utilize the invention to its fullest extent. The claims and embodiments disclosed herein are to be construed as merely illustrative and exemplary, and not a limitation of the scope of the present disclosure in any way. It will be apparent to those having ordinary skill in the art, with the aid of the present disclosure, that changes may be made to the details of the above-described embodiments without departing from the underlying principles of the disclosure herein. In other words, various modifications and improvements of the embodiments specifically disclosed in the description above are within the scope of the appended claims. Moreover, the order of the steps or actions of the methods disclosed herein may be changed by those skilled in the art without departing from the scope of the present disclosure. In other words, unless a specific order of steps or actions is required for proper operation of the embodiment, the order or use of specific steps or actions may be modified. The scope of the invention is therefore defined by the following claims and their equivalents.
This application claims priority to U.S. Provisional Application No. 63/367,572, filed on Jul. 1, 2022 and titled “High-Pressure Inflation Device” which is hereby incorporated by reference in its entirety.
Number | Date | Country | |
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63367572 | Jul 2022 | US |