# US 10,117,976 B2 · Medical device

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- Number: US 10,117,976 B2
- Document ID: US10117976B2
- Status: Granted
- Kind: B2
- Application number: 15/068,236
- Filed: 2016-03-11
- Published: 2016-09-15
- Granted: 2018-11-06
- Earliest claimed: 2015-03-13
- Assignees: Terumo Kabushiki Kaisha
- Applicants: Terumo Kabushiki Kaisha
- Inventors: Kei Honda
- Web page: https://patentgrep.com/patent/US10117976B2

## CPC

- A61M 1/79: {Filters for solid matter (specially adapted for dental use A61C17/065)}
- A61B 17/22: Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B 90/70: Cleaning devices specially adapted for surgical instruments
- A61B 2017/00473: {Distal part, e.g. tip or head (A61B2017/00464 takes precedence)}
- A61B 2017/00553: {using a turbine}
- A61B 2017/22079: {with suction of debris}
- A61B 2217/005: with suction drainage system
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A medical device and method are disclosed which can facilitate maintenance work of a filter for capturing a capturing target, and which can improve operability or convenience in the maintenance work. The medical device has an accommodation unit, an impeller holding unit, and a filter. The accommodation unit accommodates a capturing target which is present inside a living body. The impeller holding unit includes an impeller which causes a fluid to flow from a distal side toward a proximal side inside the living body so as to cause the accommodation unit to aspirate the capturing target together with the fluid. Here, the impeller holding unit is configured to be attachable to and detachable from the accommodation unit on a proximal side of the accommodation unit. The filter is arranged in the accommodation unit and/or the impeller holding unit, and captures at last one or more of the capturing target.

## Claims

### Claim 1

A medical device comprising:
an accommodation unit that includes a lumen for accommodating a capturing target present inside a living body, and a distal opening portion and a proximal opening portion which respectively communicate with the lumen;
an impeller holding unit that includes an impeller, wherein the impeller includes a shaft portion and multiple blades, and wherein each of the multiple blades is longitudinally twisted from a distal side to a proximal side based on a rotation axis so that a rotation of the shaft portion causes a fluid to flow from the distal opening portion toward the proximal opening portion inside the living body so as to allow the lumen to aspirate the capturing target together with the fluid, and wherein the impeller holding unit is configured to be attachable to and detachable from the accommodation unit on a proximal side of the accommodation unit;
multiple filters provided along an axial direction in which the fluid flows and configured to capture at least one or more of the capturing target, and wherein the multiple filters are arranged in the accommodation unit and/or the impeller holding unit;
a drive unit configured to adjust an arrangement of a first filter of the multiple filters and an arrangement of a second filter of the multiple filters along the axial direction in which the fluid flows inside the living body and/or along a circumferential direction of the lumen; and
a drive cylinder of the drive unit arranged inside of the second cylinder of the accommodation unit and configured to be rotatable between the second cylinder and the impeller in the impeller holding unit, and wherein the second filter is joined to the distal opening of the drive cylinder.

### Claim 2 (depends on 1)

The medical device according to claim 1,
wherein the multiple filters are connected to at least one of a proximal side of a first cylinder which is included in the accommodation unit and is formed in a cylindrical shape and a distal side of a second cylinder which is included in the impeller holding unit and is formed in a cylindrical shape.

### Claim 3 (depends on 1)

The medical device according to claim 1,
wherein an arrangement of a first holding portion for holding the capturing target in a first filter of the multiple filters and an arrangement of a second holding portion for holding the capturing target in a second filter of the multiple filters are different from each other along a circumferential direction of the lumen.

### Claim 4 (depends on 1)

The medical device according to claim 1,
wherein a pattern of the first holding portion for holding the capturing target in the first filter of the multiple filters and a pattern of the second holding portion for holding the capturing target in the second filter of the multiple filters are different from each other.

### Claim 5 (depends on 3)

The medical device according to claim 3,
wherein the first holding portion and the second holding portion are arranged separate from each other along the axial direction in which the fluid flows.

### Claim 6 (depends on 4)

The medical device according to claim 4,
wherein the first holding portion and the second holding portion are arranged separate from each other along the axial direction in which the fluid flows.

### Claim 7 (depends on 1)

The medical device according to claim 1,
wherein an area of the distal opening portion in a cross section orthogonal to the axis along the axial direction in which the fluid flows is smaller than an area of the proximal opening portion in a cross section orthogonal to the axis along the axial direction in which the fluid flows.

### Claim 8 (depends on 1)

The medical device according to claim 1,
wherein the multiple filters are arranged in the accommodation unit; and
wherein the accommodation unit comprises at least two first cylinders, each first cylinder is disposed at a location adjacent to another along the axial direction in which the fluid flows.

### Claim 9

A method for capturing a target present inside a living body, the method comprising:
inserting an accommodation unit into the living body, the accommodation unit including a lumen for accommodating the target present inside the living body, and a distal opening portion and a proximal opening portion which respectively communicate with the lumen;
causing a fluid to flow with an impeller holding unit that includes an impeller having a shaft portion and multiple blades, and wherein each of the multiple blades is longitudinally twisted from a distal side to a proximal side based on a rotation axis so that a rotation of the shaft portion by a motor causes the fluid to flow from the distal opening portion toward the proximal opening portion inside the living body so as to allow the lumen to aspirate the target together with the fluid, and wherein the impeller holding unit is configured to be attachable to and detachable from the accommodation unit on a proximal side of the accommodation unit;
capturing at least one or more targets with multiple filters provided along an axial direction in which the fluid flows, wherein the multiple filters are arranged in the accommodation unit and/or the impeller holding unit;
adjusting an arrangement of a first filter of the multiple filters and an arrangement of a second filter of the multiple filters along the axial direction in which the fluid flows inside the living body and/or along a circumferential direction of the lumen; and
arranging a drive cylinder of the drive unit inside of the second cylinder of the accommodation unit and configured to be rotatable between the second cylinder and the impeller in the impeller holding unit, and wherein the second filter is joined to the distal opening of the drive cylinder.

### Claim 10 (depends on 9)

The method according to claim 9, comprising:
connecting the multiple filters to at least one of a proximal side of a first cylinder which is included in the accommodation unit and is formed in a cylindrical shape and a distal side of a second cylinder which is included in the impeller holding unit and is formed in a cylindrical shape.

### Claim 11 (depends on 9)

The method according to claim 9,
wherein an arrangement of a first holding portion for holding the target in a first filter of the multiple filters and an arrangement of a second holding portion for holding the target in a second filter of the multiple filters are different from each other along a circumferential direction of the lumen.

### Claim 12 (depends on 9)

The method according to claim 9,
wherein a pattern of the first holding portion for holding the target in the first filter of the multiple filters and a pattern of the second holding portion for holding the target in the second filter of the multiple filters are different from each other.

### Claim 13 (depends on 11)

The method according to claim 11, comprising:
arranging the first holding portion and the second holding portion to be separate from each other along the axial direction in which the fluid flows.

### Claim 14 (depends on 12)

The method according to claim 12, comprising:
arranging the first holding portion and the second holding portion to be separate from each other along the axial direction in which the fluid flows.

### Claim 15 (depends on 9)

The method according to claim 9,
wherein an area of the distal opening portion in a cross section orthogonal to the axis along the axial direction in which the fluid flows is smaller than an area of the proximal opening portion in a cross section orthogonal to the axis along the axial direction in which the fluid flows.

### Claim 16 (depends on 9)

The method according to claim 9, comprising:
arranging the multiple filters in the accommodation unit; and
the accommodation unit comprises at least two first cylinders, disposing each first cylinder of the accommodation unit at a location adjacent to another along the axial direction in which the fluid flows.

### Claim 17 (depends on 1)

The medical device according to claim 1, further comprising:
a motor configured to rotate an axle portion, which is connected to the shaft portion of the impeller.

### Claim 18

A medical device comprising:
an accommodation unit that includes a lumen for accommodating a capturing target present inside a living body, and a distal opening portion and a proximal opening portion which respectively communicate with the lumen;
an impeller holding unit that includes an impeller, wherein the impeller includes a shaft portion and multiple blades, and wherein each of the multiple blades is longitudinally twisted from a distal side to a proximal side based on a rotation axis so that a rotation of the shaft portion causes a fluid to flow from the distal opening portion toward the proximal opening portion inside the living body so as to allow the lumen to aspirate the capturing target together with the fluid;
multiple filters provided along an axial direction in which the fluid flows and configured to capture at least one or more of the capturing target, and wherein the multiple filters are arranged in the accommodation unit and/or the impeller holding unit;
a drive unit configured to adjust an arrangement of a first filter of the multiple filters and an arrangement of a second filter of the multiple filters along the axial direction in which the fluid flows inside the living body and/or along a circumferential direction of the lumen; and
a drive cylinder of the drive unit arranged inside of the second cylinder of the accommodation unit and configured to be rotatable between the second cylinder and the impeller in the impeller holding unit, and wherein the second filter is joined to the distal opening of the drive cylinder.
