Embodiments of the present disclosure generally relate to medical devices and methods of use thereof. In particular, embodiments of the present disclosure relate to adapters for attaching a medical device to a port of a channel, for performing a medical procedure with the medical device.
Medical procedures often require the use of a scoping instrument to collect data such as images or samples, or to treat an area of interest in a patient's body. For example, a scoping instrument (e.g., an endoscope, colonoscope, ureteroscope, or bronchoscope, among others) may be delivered through a small body incision or a natural body orifice to reach the area of interest. The scoping instrument may include one or more ports for accepting a medical device to perform various procedures such as tissue excision, sampling, and/or other diagnostic and surgical work. In some cases, however, the medical device may not be compatible with the scoping instrument, for example if the medical device and the scoping instrument have different connection mechanisms.
Bronchoscopes, for example, are widely used in transbronchial biopsy (TBB). TBB is a medical procedure that uses special biopsy forceps designed to be used in the lungs of a patient's body. During TBB, these biopsy forceps are used to retrieve a small piece of tissue from a suspicious area of the lung or the airway. The retrieved sample of tissue is then examined for diagnosis, e.g., determination of a lung disease such as lung cancer. In such procedures, a thin flexible bronchoscope is generally inserted via a patient's mouth into the lungs of the patient's body. Bronchoscopes have been widely used for diagnosing lung cancer and other lung related diseases. During their application, bronchoscopes may be inserted through the mouth or nose of a patient, into an airway within the patient's body to diagnose various lung diseases. Among the different bronchoscopic procedures, Transbronchial Needle Aspiration (TBNA) is a minimally-invasive technique that allows a bronchoscopist to collect samples of tissue from beyond the confines of the endobronchial tree, for example, enlarged lymph nodes, extrinsic compression, certain sub-mucosal lesions, etc. TBNA may be performed to stage lung cancer by sampling mediastinal nodal stations, and to diagnose other causes of mediastinal adenopathy. During this procedure, a TBNA device is generally attached to the bronschoscope via a biopsy port.
Endobronchial Ultrasonography (EBUS) is a diagnostic modality by which a miniature ultrasonic probe is introduced to the bronchial (tracheal) lumen, providing tomographic images of the bronchial (tracheal) tissue. EBUS is used for determination of position and shape of the bronchial structure, particularly lymph nodes, during TBNA. This procedure can access tumor invasion into a bronchus and achieve depth of penetration into surrounding tissue, and is useful in guiding biopsies of peripheral lung lesions through the accessory channel of an EBUS.
Structural differences in the different kinds of conventionally manufactured bronchoscopes require different kinds of fitting mechanisms, such as through adapters, to connect a TBNA device to a biopsy channel. For example, three EBUS scope manufacturers, e.g., Pentax, Fujinon, and Olympus, may use different connections. A Pentax bronchoscope generally has a standard luer fitting, which facilitates direct connection of the TBNA device to the biopsy channel. On the other hand, an Olympus or a Fujinon scope generally includes a flange-style biopsy port, which requires the TBNA device to have a more complicated locking connection to fit over the biopsy channel. Effectively, the difference in geometry of the scopes makes it challenging for the same TBNA device to be compatible with different designs of scopes, without the need of an adapter for attachment. Further, existing adapters for attaching a TBNA device to a biopsy port do not allow for one-handed use, nor attachment of the TBNA device to the adapter prior to being inserted into the biopsy channel.
Therefore, considering the problems mentioned above, there exists a need for a mechanism for introducing a medical device into an instrument port that is compatible with different types of connection mechanisms.
Embodiments of the present disclosure provide a mechanism for attaching a medical device to a port of an instrument channel.
The present disclosure includes an adapter for attaching a device to a port, the adapter comprising a housing to receive the device, wherein the housing includes an inner cavity configured to receive the port, and a sealing member; and an engaging member coupled to and movable relative to the housing, the engaging member configured to move between a first position and a second position, wherein in the first position, the engaging member engages the housing to the port, and in the second position the engaging member unlocks the housing from the port. Embodiments of the present disclosure may include one or more of the following features: the engaging member may comprise a sliding member configured to slide within a slot in the housing between the first position and the second position; the engaging member may include at least one protrusion and the slot of the housing may include at least one groove for receiving the at least one protrusion; or the slot of the housing may include at least one protrusion and the engaging member may include at least one groove for receiving the at least one protrusion; a proximal end of the housing may include a locking mechanism configured to receive and lock the device to the housing; the engaging member may include a resilient member; the resilient member may include a spring, and compression of the spring may align an opening of the engaging member with a portion of the housing and with the port; the engaging member may be configured to fit under a flange of the port to lock the housing to the port; the locking mechanism may include a luer-lock fitting or a threaded fitting; the housing may include a lumen configured to receive the device and substantially align the device with a channel of the port; or the sealing member may include a flexible material configured to seal the device to the port.
The present disclosure further includes an adapter for attaching a device to a port, the adapter comprising a housing core to receive the device, wherein the housing core includes an inner cavity configured to receive the port, a sealing member, and a plurality of arms configured to surround and engage the port; and an engaging member coupled to and movable relative to the housing core, the engaging member configured to move between a first position and a second position, wherein in the first position, the engaging member locks the housing core to the port, and in the second position the engaging member unlocks the housing core from the port. Embodiments of the present disclosure may include one or more of the following features: the engaging member may include a collar configured to rotate and lock the housing core to the port; the housing core may include at least one protrusion and the collar may include a slot configured to receive the at least one protrusion; a proximal end of the housing may include a locking mechanism configured to receive and lock the device to the housing; the at least one protrusion may be configured to slide along a horizontal basal portion of the slot in response to rotation of the collar; a distal end of the housing core may have an outer diameter greater than an outer diameter of a proximal end of the housing core; or rotation of the collar may push the plurality of arms radially inwards to lock the housing core to the port.
The present disclosure further includes a method of introducing a device into a port, the method comprising attaching an adapter to the port, where the adapter includes a housing to receive the device, and an engaging member coupled to and moveable relative to the housing, the engaging member configured to move between a first position and a second position, wherein in the first position the engaging member locks the housing to the port, and in the second position the engaging member unlocks the housing from the port; the method further including moving the engaging member from the second position to the first position to lock the housing to the port, and introducing the device into a proximal portion of the housing. Embodiments of the present disclosure may include one or more of the following features: the engaging member may comprise a sliding member configured to slide within a slot in the housing between the first position and the second position; or the engaging member may comprise a collar that surrounds the housing, wherein moving the engaging member from the second position to the first position includes rotating the collar.
Additional objects and advantages of the described embodiments will be set forth in part in the description that follows, and in part will be apparent from the description, or, may be learned by practicing the disclosure. The objects and/or advantages of the disclosure will be realized and attained by way of the elements and combinations particularly pointed out in the appended claims.
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only, and are not restrictive of the described embodiments, as claimed.
The accompanying drawings, which are incorporated in, and constitute a part of this specification, illustrate exemplary embodiments of the present disclosure and, together with the description, serve to explain the principles of the disclosure.
Reference will now be made in detail to embodiments of the present disclosure, examples of which are illustrated in the accompanying drawings. Wherever possible, the same reference numbers will be used throughout the drawings to refer to the same or like parts.
Embodiments of the present disclosure may relate to devices used in medical procedures. In particular, embodiments of the present disclosure may be useful in compatibly introducing a medical device into a port of an instrument channel.
The present disclosure provides adapters including a mechanism for attaching a device to a port leading into a channel compatible with different kinds of instruments. For example, embodiments of the present disclosure may allow a medical device to be attached via both a luer fitting (e.g., used by a standard Pentax scope) and a flange style port (e.g., used by an Olympus or Fujinon scope). Further, the mechanisms may completely seal the port when the device is attached to the scope to keep the port airtight, for example, when suction is applied. This may avoid contamination of blood in collected samples. Some embodiments of the present disclosure allow a user to orient the medical device in a preferred position.
While engaging the port 110, the housing 105 may be positioned over, and may align symmetrically with, the port 110 such that a proximal portion 112 of the port 110 may be received into the housing 105. Specifically, the housing 105 may include an inner cavity to receive the port 110 and allow engagement of the housing 105 to the port 110. An outer wall 115 of the housing 105 may surround the port 110 when the housing 105 is positioned over the port 110. In some embodiments, the housing 105 may have a generally cylindrical shape suitable for surrounding the port. However, other suitable shapes for the housing 105 may also be contemplated and suitable for surrounding a port, such as, e.g., rectangular, elliptical, or other regular or irregular shapes.
An engaging member 125 may be disposed within the outer wall 115 of the housing 105 via a slot 130 within the outer wall 115. Different shapes and structural designs for the engaging member 125 may be contemplated, examples of which are provided in conjunction with subsequent figures of the disclosure. Further, the engaging member 125 may be configured to slide laterally, e.g., back and forth, through the slot 130 in the housing 105 as indicated by the directional arrow 135 shown in
A sealing member 165 may be provided within the housing 105 and configured to fit over the proximal portion 112 of the port 110. For example, in some embodiments, the sealing member 165 maintains an airtight seal between a medical device inserted into the adapter 100 and the channel 120 within the port 110. For example, the sealing member 165 may be configured to maintain an airtight seal when suction is applied, e.g., to prevent substantial blood contamination of a tissue sample. The sealing member 165 may have a shape compatible with the top of port 110, e.g., fitting securely over the flange 182 of the port 110 to create a seal. In some embodiments, the sealing member 165 and the top of the port 110 may both have a generally circular cross-section. Other alternative shapes may also serve the purpose of the sealing member 165, for example, based on the cross-sectional shape of the port 110.
Any appropriate material may constitute the sealing member 165, including, for example, natural or synthetic rubber. Other materials, including flexible materials, suitable for creating a seal may be used. The sealing member 165 may include a slit or other opening to allow passage of the device through the housing and into the port. In some embodiments, for example, the sealing member 165 includes a small elastomeric aperture for receiving the device. A flexible material of the sealing member 165 therefore may flex radially outward when the device is introduced into the elastomeric aperture.
An appropriate locking mechanism 170 may be provided at the proximal portion 102 of the housing 105. The locking mechanism 170 may be configured to receive and lock a device, e.g., a TBNA device, with respect to the port 110, thus fitting the device over the port securely. In some embodiments, for example, the locking mechanism 170 may include a standard luer-lock fitting or a threaded coupling. Other suitable alternative locking mechanisms may also be contemplated. The locking mechanism 170 may include a lumen 172, which may substantially align with the channel 120 of the port 110. The sealing member 165 may be attached to a distal end of the lumen 172, as shown in
To unlock the housing 105 and to release it from the port 110, the engaging member 125 may be moved laterally or radially outwards to a second position through the slot 130 within the housing 105. The engaging member 125 may include at least one protrusion 155 provided therein, and as the engaging member 125 is moved to the second position, the protrusion 155 may vertically align with an opening or groove within the slot 130 of the housing to secure the housing 105 to the port 110. Further, once the protrusion 155 in the engaging member 125 comes out of alignment with the corresponding groove in the slot 130, e.g., via lateral movement of the engaging member 125, the housing 105 may release from the port 110.
Correspondingly,
Adapter 300 in
A locking mechanism 370, which may be a luer lock or threaded coupling, for example, as mentioned earlier, may be provided at the proximal portion 302 (the top portion in
The engaging member 425 may move back and forth through a slot or opening 455 within the housing 405 as indicated by the directional arrow 435. As the engaging member 425 slides towards the right and compresses the spring 480 as shown in
As discussed above, the sealing member 465 may align with the top portion of the port 410, and may establish a seal with the port 410 when the housing 405 engages the port 410. Further, other components such as, e.g., a locking mechanism 470, a corresponding lumen 472, and a corresponding distal portion 404, may be substantially similar in structure and function to the embodiments shown in
The outer surface 506 of the core 505 may include a protrusion 526. The protrusion 526 may include, for example, a pin configured to fit into a cavity of a corresponding engaging member (shown in
A proximal or top portion of the core 505 may include a locking mechanism 524. As the housing engages the port 510, the locking mechanism 524 facilitates connection of a medical device to the core 505, for example to secure and lock the medical device to the core 505. Examples of suitable locking mechanisms 524 include a luer-lock fitting, a threaded fitting, or other mechanisms as discussed above.
Exemplary assembly and engagement of the engaging member 525 to the core 505 is described in conjunction with
In some embodiments, one or more protrusions 540 (shown in
Here, each pair of adjacently positioned arms 522 may define a space between the corresponding pair of arms 522 in a released configuration of the adapter 500. In particular, the space may be configured to diminish in response to rotation of the engaging member 525 from the detached configuration to the locked configuration of the engaging member 525, to position the distal portions 522a of the arms 522 tightly surrounding the port 510 during engagement.
A collar 625 may act as an engaging member, and it may substantially surround and engage the core 605, to secure the core 605 over the port 610. Similar to
Embodiments of the present disclosure may include one or more biocompatible materials, and may include one or more rigid and/or a flexible materials. Exemplary materials include metals, polymers, alloys, composite, or the like, either in combination or alone. Other suitable material may also be contemplated without departing from the scope and spirit of the disclosure.
Embodiments of the present disclosure may be applicable to any medical or non-medical procedure. In addition, certain aspects of the aforementioned embodiments may be selectively used in collaboration, or removed, during practice, without departing from the scope of the disclosure.
Other embodiments of the present disclosure will be apparent to those skilled in the art from consideration of the specification and practice of the embodiments disclosed herein. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the disclosure being indicated by the following claims.
This application claims the benefit of priority of U.S. Provisional Application No. 61/780,327, filed on Mar. 13, 2013, the entirety of which is incorporated by reference herein.
Number | Date | Country | |
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61780327 | Mar 2013 | US |