# US 10,307,176 B2 · Medical device and medical device assembly

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- Number: US 10,307,176 B2
- Document ID: US10307176B2
- Status: Granted
- Kind: B2
- Application number: 14/868,984
- Filed: 2015-09-29
- Published: 2016-03-31
- Granted: 2019-06-04
- Earliest claimed: 2014-09-30
- Assignees: Terumo Kabushiki Kaisha
- Applicants: Terumo Kabushiki Kaisha
- Inventors: Kei Honda; Takehisa Mori
- Web page: https://patentgrep.com/patent/US10307176B2

## CPC

- A61B 17/221: Gripping devices in the form of loops or baskets {for gripping calculi or similar types of obstructions (surgical snare instruments A61B17/32056)}
- 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 2017/00553: {using a turbine}
- A61B 2017/00561: {creating a vacuum}
- A61B 2017/22079: {with suction of debris}
- A61B 2017/320775: {Morcellators, impeller or propeller like means}
- A61B 2217/005: with suction drainage system
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A medical device for collecting a solid object together with a fluid in a living body, including: a cylindrical member having an inner cavity, a suction port provided on the distal end of the inner cavity, and a discharge port on a side wall and communicating with the inner cavity; an impeller in the inner cavity configured to carry the fluid from the suction port to the discharge port; and a filter in the inner cavity configured to collect the solid object. At least part of the wall surface of the cylindrical member, which defines a flow channel allowing movement of the fluid from the impeller to the discharge port, is inclined from a center axis of the cylindrical member toward a distal end with respect to a transverse direction of the cylindrical member.

## Claims

### Claim 1

A medical device for collecting a solid object in a living body, the medical device comprising:
a cylindrical member possessing a center axis, an inner wall surface that defines a flow channel, and a side wall, the cylindrical member having an inner cavity possessing a distal end and a proximal end, a suction port on the distal end of the inner cavity, and a discharge port in the side wall configured to communicate with the inner cavity;
an impeller in the inner cavity configured to carry fluid from the suction port to the discharge port;
a filter in the inner cavity configured to collect the solid object, the filter comprising a plurality of through holes configured to allow the fluid to pass through the filter and to prevent the solid object from passing through the filter to thereby collect the solid object in the inner cavity distal of the filter, the filter being at least one of a textile fabric, a mesh, or a porous film; and
at least part of the inner wall surface, which defines the flow channel allowing a movement of the fluid from the impeller to the discharge port, is inclined from the center axis of the cylindrical member toward the distal end with respect to a transverse direction of the cylindrical member so that the part of the inner wall surface forms an acute angle with the center axis of the cylindrical member.

### Claim 2 (depends on 1)

The medical device according to claim 1, wherein
the impeller comprises blades,
the cylindrical member includes a proximal wall portion traversing the inner cavity proximally of a proximal end of the blades of the impeller, and
the proximal wall portion is inclined from the center axis of the cylindrical member toward the distal end with respect to the transverse direction of the cylindrical member.

### Claim 3 (depends on 2)

The medical device according to claim 2, wherein the proximal wall portion and part of the side wall which possesses the discharge port are integrated and form an identical plane.

### Claim 4 (depends on 3)

The medical device according to claim 3, wherein at least part of the side wall is inclined from the center axis of the cylindrical member toward a far end side with respect to the transverse direction of the cylindrical member.

### Claim 5 (depends on 1)

The medical device according to claim 1, wherein an opening of the discharge port on an outer surface side of the cylindrical member has a width in a circumferential direction of the cylindrical member on the distal end of the opening that is larger than a width on a proximal end of the opening.

### Claim 6 (depends on 1)

The medical device according to claim 1, wherein
the impeller comprises blades, and
an opening of the discharge port on the inner cavity side faces a proximal end of the blades of the impeller.

### Claim 7 (depends on 1)

The medical device according to claim 1, wherein the impeller is a screw.

### Claim 8 (depends on 1)

The medical device according to claim 1, wherein the medical device is configured to move a fluid discharged from the discharge port in a direction toward the distal end of the cylindrical member to form a circulating flow passing back to the suction port and through the inner cavity during the operation of the impeller.

### Claim 9 (depends on 1)

The medical device according to claim 1, wherein
the impeller comprises an impeller blade, the impeller blade possessing a proximal-most end;
the discharge port is an opening with a proximal end and a distal end; and
the proximal-most end of the impeller blade is positioned between the distal end and the proximal end of the opening in an axial direction of the cylindrical member.

### Claim 10 (depends on 1)

The medical device according to claim 1, wherein the filter is disc-shaped.

### Claim 11

A medical device for collecting a solid object in a living body, the medical device comprising:
a cylindrical member possessing a center axis, an inner wall surface that defines a flow channel, and a side wall, the cylindrical member having an inner cavity possessing a distal end and a proximal end, a suction port on the distal end of the inner cavity, and a discharge port in the side wall configured to communicate with the inner cavity;
an impeller in the inner cavity configured to carry fluid from the suction port to the discharge port;
a filter in the inner cavity configured to collect the solid object, the filter comprising a plurality of through holes configured to allow the fluid to pass through the filter and to prevent the solid object from passing through the filter to thereby collect the solid object in the inner cavity distal of the filter; and
at least part of the inner wall surface, which defines the flow channel allowing a movement of the fluid from the impeller to the discharge port, is inclined from the center axis of the cylindrical member toward the distal end with respect to a transverse direction of the cylindrical member so that the part of the inner wall surface forms an acute angle with the center axis of the cylindrical member,
wherein the filter is a meshed fabric possessing uniformly sized openings.

### Claim 12

A medical device assembly for collecting a solid object in a living body together with a fluid in the living body, the medical device assembly comprising:
a cylindrical member possessing a center axis, an inner wall surface that defines a flow channel of the fluid, and a side wall, the cylindrical member having an inner cavity possessing a distal end and a proximal end, a suction port on the distal end of the inner cavity, and a discharge port in the side wall and configured to communicate with the inner cavity, the discharge port in the side wall possessing a proximal-most end;
an impeller in the inner cavity configured to carry the fluid from the suction port to the discharge port;
a filter in the inner cavity configured to collect the solid object;
at least part of the inner wall surface, which defines a flow channel allowing a movement of the fluid from the impeller to the discharge port, being inclined from a center axis of the cylindrical member toward a distal end with respect to a transverse direction of the cylindrical member so that the part of the inner wall surface forms an acute angle with the center axis of the cylindrical member, the inclined part of the inner wall surface possessing a distal-most end; and
the distal-most end of the inclined part of the inner wall surface being located at the proximal-most end of the discharge port.

### Claim 13 (depends on 12)

The medical device assembly according to claim 12, wherein
the impeller comprises blades;
the cylindrical member includes a proximal wall portion traversing the inner cavity proximally of a proximal end of the blades of the impeller, and
the proximal wall portion is inclined from the center axis of the cylindrical member toward the distal end with respect to the transverse direction of the cylindrical member.

### Claim 14 (depends on 13)

The medical device assembly according to claim 13, wherein the proximal wall portion and part of the side wall which possesses the discharge port are integrated and form an identical plane.

### Claim 15 (depends on 12)

The medical device according to claim 12, wherein
the impeller comprises an impeller blade, the impeller blade possessing a proximal-most end;
the discharge port is an opening with a proximal end and a distal end; and
the proximal-most end of the impeller blade is positioned between the distal end and the proximal end of the opening in an axial direction of the cylindrical member.

### Claim 16 (depends on 12)

The medical device assembly according to claim 12, further comprising:
a drive shaft coupled to the impeller and configured to transmit a drive force to the impeller to rotate the impeller; and
a drive unit coupled to the drive shaft and configured to rotate the drive shaft by applying the drive force.

### Claim 17 (depends on 12)

The medical device assembly according to claim 12, wherein
the filter is positioned in the inner cavity distal to the impeller to partition to the inner cavity into a collecting chamber and an impeller chamber, the impeller being in the impeller chamber and the solid object being configured to be collected in the collecting chamber; and
the flow channel of the fluid being from the suction port through the filter to the impeller and then out of the discharge port so that the solid object is configured to be collected in the collecting chamber by the filter preventing the solid object from passing therethrough while the fluid flows through the filter.

### Claim 18

A method of collecting a solid object in a living body together with a fluid in the living body, the method comprising:
inserting a medical device into the living body, the medical device comprising: a cylindrical member comprising an inner wall surface and an inner cavity, the inner cavity possessing a distal end and a proximal end, the cylindrical member further comprising a suction port and a discharge port, and the cylindrical member possessing a central axis; an impeller in the inner cavity; a filter in the inner cavity, and an inclined inner wall surface inclined from the center axis of the cylindrical member toward the distal end of the inner cavity with respect to a transverse direction of the cylindrical member so that the part of the inner wall surface forms an acute angle with the center axis of the cylindrical member, the filter being positioned distally of the impeller within the inner cavity to partition the inner cavity into a distal space distal to the filter and a proximal space proximal to the filter;
moving the medical device within the living body so that the suction port is positioned near the solid object;
activating the impeller to create a fluid flow channel from the suction port to the discharge port of the cylindrical member, the fluid in the fluid flow channel being inducted through the induction port, conveyed proximally to contact the inclined inner wall surface, and redirected by the inclined inner wall to exit the discharge port so that the fluid is moving toward the distal end of the inner cavity;
sucking the solid object together with the fluid into the inner cavity; and
collecting the solid object using the filter, the collecting of the solid object comprises retaining the solid object in the distal space while the fluid flows through the filter.

### Claim 19 (depends on 18)

The method according to claim 18, further comprising a step of introducing additional fluid into the living body.

### Claim 20 (depends on 19)

The method according to claim 19, wherein the impeller is activated to create the fluid flow channel while removing the medical device from the living body.

### Claim 21 (depends on 18)

The method according to claim 18, wherein the cylindrical member possesses a side wall, and the discharge port is located in the side wall.

### Claim 22 (depends on 18)

The method according to claim 18, comprising
removing the medical device from the living body with the solid object in the distal space of the inner cavity of the cylindrical member.

### Claim 23 (depends on 18)

The method according to claim 18, wherein
the impeller comprises blades,
the cylindrical member includes a proximal wall portion traversing the inner cavity proximally of a proximal end of the blades of the impeller, and
the proximal wall portion is inclined from the center axis of the cylindrical member toward the distal end with respect to the transverse direction of the cylindrical member.
