There is a great need for medical probes capable of controlled entry and exploration of a patient's body, particularly in treating hemorrhoids. Generally, the probes are not flexible, or if they are flexible, are difficult to use based on inadequate controls. For example, these flexible probes are often only flexible in a single direction, requiring the user to rotate the device itself in order to rotate the direction of the probe. Also, the controls of the probe are usually fixedly integrated into the handles and manufactured in uniform sizes, thereby denying users the opportunity to manage a set of controls that is ergonomically preferable for them.
The probes tend to be unstable, increasing the difficulty in taking accurate diagnostic or surgical actions. Users of anal probes, specifically, encounter discomfort in the use of their devices because the use of their devices necessitate the expansion of and communication through the anus, which may express undesirable gasses and other fluid flow.
What is needed is a flexible probe configured to be operated easily by a user, adapt to the user's ergonomic preferences, affording the user a position of stability with which to operate the device, and provide some measure of protection against the environment created by the anus.
The probe device is designed to view, illuminate, and operate on the internal surface of a patient's organ. The device features a skirt control system which may be modified by the user to provide ergonomic conditions for the manipulation of a probe. The probe may be stabilized by a plug portion, which is connected to the skirt and provides a guide through which the probe may pass into the anus. The skirt features a set of pleats which are each coupled to segments of the probe, enabling the user to control the magnetic relationship between the segments, and consequently the curvature of the probe, by manipulating the pleats. Each segment is formed by a set of cells, and the magnetic relationship between cells in adjacent segments may be individually controlled by a pleat's “control positions”, which are orientations of the pleat with respect to a set of x, y, and z-axes.
In a preferred embodiment, as shown in
The probe is a light emitting device that operates via a single or a series of lenses or optical fiber configured to amplify or focus and direct light, including infrared light, or lasers. The body of the probe is substantially cylindrical while in its straight configuration, although as will be described later, it can be manipulated to exhibit curvature. The probe may comprise a fixed portion 113 which cannot be manipulated by the skirt, as will be discussed below, and a portion which can be rigid or flexible, 112, depending on actions taken by the user. The probe has a top 114 from which the light emanates out of the probe.
The plug portion 104 is shaped somewhat like a grommet and configured to be inserted into a patient's anus. The plug portion may comprise a primary ring body 122, and a first and second ring collars 1201124. The first ring collar has a larger outer diameter than the primary ring body so that when the primary ring body is pushed through the anus, particularly past the interior sphincter, the anus and interior sphincter will tighten around the primary ring body, adapt to the smaller diameter of the primary ring body, and thereby exert a pressure against the first ring collar if an accidental force exerts the plug portion back out of the anus. In this state, a greater force, such as an intentional force exerted by the user of the device, would be required to extract the plug portion from the anus.
The plug portion includes a membrane 118 which spans a cross section of the plug portion and which is designed to permit the passage of the probe and the scope through designated probe and scope openings 116 in the membrane. Thus, the membrane acts as a dual-guide, serving to maintain the position of the probe and scope with respect to the skirt. In a preferred variation, the membrane is capable of rotation independent of the primary ring, such that the membrane (including the respective positions of the scope and probe) can freely rotate even if the plug portion is rotationally stabilized by, for example, by being inserted and grasped firmly by the anus. The rotational independence is provided by providing a matching cylindrical cross section for the membrane outer diameter and the plug portion inner diameter. This independent motion may be “locked” via a latch fixing the membrane to the plug portion, or the alignment of interlocking teeth/gaps 119 at a designated “clock position”. Alternatively, the membrane and plug portion may be permanently integrated.
The plug portion and membrane should be at least one inch in length in order to better secure stability of the probe device as well as to maintain the probe's axial orientation.
The skirt 106 is essentially a controller for manipulating the curvature of the probe. It comprises a set of pleats 126 which join via ball-and-sockets or hinged at a waist 127, is disposed on the handle 108. The skirt may be directly connected to the plug portion, or attached via an intermediary adapter 128. The intermediary adapter share the same axis as the plug portion or may have curved or bent shape in order to provide the user, whose hands operate the skirt, a divergent trajectory from the anus.
As shown in
The probe may obtain its light-emitting power from a bulb housing, which may be disposed at the base of the probe. The bulb housing may be configured to enclose a radiation emitting unit. This radiation emitting unit in turn may be electrically connected to the control assembly.
As shown in
As shown in
As shown in
A “default position” for a given pleat, in which none of the electromagnetic elements are invoked, may be calibrated by the user. This default position, which may be set by the user and communicated to the processor through a “set” button or otherwise instructed programmatically, may be bent toward a positive or negative direction of the x and/or y axis. Deviations from this default position would then be recognized by the processor as instructions to invoke the electromagnetic elements and change the electromagnetism of the segment. By arranging the default positions of the pleats, the user can obtain an ergonomic configuration that works best for the size of the user's hand or based on other operational preferences.
The skirt also operates as a shield. The purpose of the shield is to block the projecting of gasses or liquids from the anus onto the hands of the user. When the pleats are fully extended, the outer diameter of the skirt may be between 5 and 7 inches. Each pleat may be shaped substantially trapezoidal or triangular in having an outer edge longer than the inner edge, which may be contracted to a point. The longer outer edge enables the pleats, when fully extended, to simultaneously fully block passage of air or other substances between the outer diameter and the waist by virtue of lacking gaps. In one variation, the sides of each pleat, which span from the outer edge to the waist, are each attached to the sides of adjacent pleats. These attachments may occur through the medium of a flexible material, such as vinyl.
The skirt operates as a controller, providing for both physical as well as mechanical manipulation of the probe device. The outer edges of the pleats provide a counterbalance by which the user can rotate the skirt around the center, which is an imaginary point positioned on the axis through which the skirt, and particularly the probe and scope, run. Physical rotation of the skirt may therefore result in rotation of the orientation of the membrane and thereby the scope and the probe.
Each pleat is electrically connected to an electromagnet embedded in a segment of the probe, and ideally, each pleat will be labelled with the segment to which it is coupled. The labelling may consist of a number, such as the “number” of the segment or a measurement distance from the waist, or the designated segment may be represented pictorially by distinguishing, through a color change or other graphical variation, between the segment that is designated and the segments that are not designated. Accordingly, each pleat may operate like a button, so that actuation of a given pleat actuates the electromagnet of its designated probe segment, thereby turning that electromagnet on or off. When an electromagnet is turned off, that segment is no longer magnetically attracted to its adjacent segment. In an ideal embodiment, turning off the electromagnet of a designated probe segment also turns off all electromagnets of subsequent probe segments. Once a probe segment is no longer magnetically attracted to adjacent segments, all segments thereafter become “limp”, and therefore flexible.
Thereafter, the user may manipulate the pleat control positions 906, which, through electrical contacts between the ball and socket jointure of the pleats to the waist, transmit the user instructions electrically to the processor 908. The processor may then relay these manipulation instructions along wires passing through the cells 910, which thereafter change the magnetic state of the electromagnetic elements 912, thereby effecting a curvature of the probe device 914.
This application claims the benefit of and priority to U.S. Provisional Application Ser. No. 62/292,435, filed Feb. 8, 2016, and U.S. Non-Provisional application Ser. No. 15/427,008, filed Feb. 7, 2017, of which it is a CIP. The above referenced applications are incorporated in their entirety as if restated in full.
Number | Date | Country | |
---|---|---|---|
62292435 | Feb 2016 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 15427008 | Feb 2017 | US |
Child | 17063687 | US |