# US 12,178,457 B2 · Automated method of removing clog within lumen for debris removal

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- Number: US 12,178,457 B2
- Document ID: US12178457B2
- Status: Granted
- Kind: B2
- Application number: 17/821,975
- Filed: 2022-08-24
- Published: 2022-12-22
- Granted: 2024-12-31
- Earliest claimed: 2017-11-15
- Assignees: Boston Scientific Scimed, Inc.
- Applicants: Boston Scientific Scimed, Inc.
- Inventors: Peter J. Pereira; Martin Phelan; Vincent Lai
- Web page: https://patentgrep.com/patent/US12178457B2

## CPC

- A61B 17/22012: {in direct contact with, or very close to, the obstruction or concrement (for removing obstructions in blood vessels by laser A61B18/245)}
- A61B 17/320068: {using mechanical vibrations, e.g. ultrasonic (A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745)}
- B06B 1/16: operating with systems involving rotary unbalanced masses
- A61B 18/26: for producing a shock wave, e.g. laser lithotripsy
- A61B 90/361: {Image-producing devices, e.g. surgical cameras}
- A61B 2017/00017: {Electrical control of surgical instruments}
- A61B 2017/00022: {Sensing or detecting at the treatment site}
- A61B 2017/22079: {with suction of debris}
- A61B 2017/32007: {with suction or vacuum means}
- A61B 2018/00511: {Kidney}
- A61B 2090/064: {for measuring force, pressure or mechanical tension}
- A61B 2217/005: with suction drainage system
- A61B 2217/007: with irrigation system
- A61B 2218/002: Irrigation
- B06B 2201/76: Medical, dental
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- B06B: METHODS OR APPARATUS FOR GENERATING OR TRANSMITTING MECHANICAL VIBRATIONS OF INFRASONIC, SONIC, OR ULTRASONIC FREQUENCY, {e.g.} FOR PERFORMING MECHANICAL WORK IN GENERAL (for particular applications, see the relevant subclasses, e.g. B07B1/40, B23Q17/12, B24B31/06; measurement of mechanical vibrations G01H; in direction finding, locating, distance or velocity measuring G01S; {generating seismic energy G01V1/02}; control of mechanical vibrations in general G05D; sound-producing devices, e.g. bells, sirens, whistles G10K, {e.g. methods or devices for transmitting, conducting, or directing sound in general G10K11/00}; generation of electrical oscillations H03B; electromechanical resonators in general H03H; electromechanical transducers {for communication techniques, e.g. microphones, speakers} H04R)

## Abstract

A debris removal system includes an elongated shaft extending from a proximal end to a distal end and including a shaft lumen, the shaft being configured to be inserted through a bodily lumen to a target surgical site, a vibration motor coupled to the elongated shaft via a vibration collar, the vibration motor including a rotatable shaft and at least one weight coupled to the rotatable shaft, the weight being asymmetrically shaped about a central axis of the shaft such that rotation of the shaft creates vibrational energy along the length of the elongated shaft to dislodge debris within the target surgical site, and a vacuum pump connected to the elongated shaft and configured to vacuum dislodged debris from the target surgical site through the shaft lumen.

## Claims

### Claim 1

A system for removing debris during a medical procedure, comprising:
a sheath extending from a sheath proximal end to a sheath distal end and including a lumen extending therethrough, the sheath being configured to deliver fluid to a target surgical site;
a scope device including an elongated shaft extending from a scope device distal end, the elongated shaft having a working channel extending therethrough and being configured to be inserted through the lumen of the sheath;
a vibration motor coupled to the elongated shaft and configured to transmit vibration energy along a length of the elongated shaft to dislodge debris within the target surgical site, wherein the vibration motor is coupled to the elongated shaft via a vibration collar, the vibration collar extending from a vibration collar proximal end to a vibration collar distal end and including a housing configured to house the vibration motor;
a vacuum pump connected to the elongated shaft to suction dislodged debris from the target surgical site through the elongated shaft; and
a processor configured to receive fluid flow data from a flow meter at a distal end of the elongated shaft, the flow meter configured to measure a fluid flow rate in the working channel.

### Claim 2 (depends on 1)

The system of claim 1, wherein the processor is configured to automatically turn the vibration motor on when the flow meter detects that the fluid flow rate is less than a desired fluid flow rate.

### Claim 3 (depends on 1)

The system of claim 1, wherein the elongated shaft includes at least one sensor, the at least one sensor transmitting sensor data relating to the target surgical site to the processor and wherein if the at least one sensor detects an obstruction in the target surgical site, the processor automatically turns the vibration motor on.

### Claim 4 (depends on 1)

The system of claim 1, wherein the vibration collar includes a channel extending from the vibration collar proximal end to the vibration collar distal end and sized and shaped to receive the elongated shaft therethrough.

### Claim 5 (depends on 1)

The system of claim 1, wherein the vibration motor includes a rotatable shaft and at least one eccentric weight coupled thereto.

### Claim 6 (depends on 1)

The system of claim 1, further comprising a collection canister, the collection canister being fluidly connected to both the scope device and the vacuum pump so that dislodged debris is drawn from the target surgical site to the collection canister.

### Claim 7 (depends on 1)

The system of claim 1, wherein the sheath includes a seal configured to prevent back flow of fluid through the lumen.

### Claim 8 (depends on 1)

The system of claim 1, wherein the scope device further comprises a handle, the handle including at least one button configured to manually control the vibration motor or a power of the vibration motor.
