# US 2014/0194905 A1 · Low profile medical device and related methods of use > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2014/0194905 A1 - Document ID: US20140194905A1 - Status: Published application - Kind: A1 - Application number: 14/149,527 - Filed: 2014-01-07 - Published: 2014-07-10 - Earliest claimed: 2013-01-08 - Assignees: Boston Scientific Scimed, Inc. - Applicants: Boston Scientific Scimed, Inc. - Inventors: Gary KAPPEL; Doug MELANSON; Norman MAY - Web page: https://patentgrep.com/patent/US20140194905A1 ## CPC - A61B 17/0483: {Hand-held instruments for holding sutures (A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30)} - A61B 17/062: Needle manipulators - A61B 17/0625: {the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator (A61B17/06109 takes precedence)} - A61B 2017/2937: {with flexible part} - A61B 2017/2939: {Details of linkages or pivot points} - A61B 2017/294: {Connection of actuating rod to jaw, e.g. releasable} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A medical device including an elongate member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may further include an end-effector disposed at the distal end of the elongate member, the end-effector may include a first arm, the first arm may have a distal end, a proximal end, and an opening configured to receive a needle therein. The medical device may also include a second arm movably connected to the first arm and configured to alternate between a closed position and an open position relative to the first arm, wherein the second arm is movably connected to the first arm at a pivot point disposed at a location closer to the distal end of the second arm than the proximal end of the second arm. ## Claims ### Claim 1 A medical device, comprising: an elongate member having a proximal end, a distal end, and a lumen extending therebetween; an end-effector disposed at the distal end of the elongate member, the end-effector including a first arm, the first arm having a distal end, a proximal end, and an opening configured to receive a needle therein; and a second arm movably connected to the first arm and configured to alternate between a closed position and an open position relative to the first arm, wherein the second arm is movably connected to the first arm at a pivot point disposed at a location closer to the distal end of the second arm than the proximal end of the second arm. ### Claim 2 (depends on 1) The medical device of claim 1, wherein the first arm defines a mounting area, and, when in the closed position, a substantial entirety of the second arm is configured to be received within the mounting area. ### Claim 3 (depends on 1) The medical device of claim 1, wherein a distal end of the second arm is configured to substantially close the opening in the first arm when the second arm is in the closed position. ### Claim 4 (depends on 1) The medical device of claim 1, wherein the second arm includes a grasping portion that cooperates with the opening of the first arm in the closed position. ### Claim 5 (depends on 1) The medical device of claim 1, wherein the first arm includes a longitudinal slot defined therein. ### Claim 6 (depends on 5) The medical device of claim 5, wherein, in the closed position, a portion of the second arm is configured to extend through the longitudinal slot. ### Claim 7 (depends on 1) The medical device of claim 1, wherein a portion of a periphery of the opening includes an elastomeric cover. ### Claim 8 (depends on 1) The medical device of claim 1, further comprising an actuation member operably secured to a proximal end of the first arm. ### Claim 9 (depends on 1) The medical device of claim 1, wherein a width of the first arm is larger than a width of the second arm. ### Claim 10 (depends on 8) The medical device of claim 8, wherein the actuation member is a pull wire slidably disposed on a roller sleeve bearing, and wherein an elastic member is operably coupled to the actuation member to prevent buckling of the pull wire. ### Claim 11 A driver comprising: an elongate member having a proximal end, a distal end, and a lumen extending therebetween; an end-effector disposed at the distal end of the elongate member, the end-effector including a first arm, the first arm having a distal end, a proximal end, and an opening configured to receive a needle therein; and a second arm pivotably connected to the first arm, the second arm configured to alternate between a closed position and an open position relative to the first arm, wherein in the closed position, a substantial entirety of the second arm is configured to be received within a mounting area defined by the first arm. ### Claim 12 (depends on 11) The driver of claim 11, wherein a distal end of the second arm is configured to substantially close the opening in the first arm when the second arm is in the closed position. ### Claim 13 (depends on 11) The driver of claim 11, wherein the second arm includes a grasping portion that complements the opening of the first arm in the closed position. ### Claim 14 (depends on 11) The driver of claim 11, wherein the first arm includes a first longitudinal slot defined therein. ### Claim 15 (depends on 11) The driver of claim 11, wherein, in the closed position, a portion of the second arm is configured to extend through the first longitudinal slot. ### Claim 16 (depends on 11) The driver of claim 11, wherein a portion of a periphery of the opening includes an elastomeric cover. ### Claim 17 (depends on 11) The driver of claim 11, wherein one of a length and a width of the first arm is greater than a respective length and width of the second arm. ### Claim 18 (depends on 11) The driver of claim 11, further comprising an actuation member operably coupled to a proximal end of the first arm, wherein the actuation member is slidably disposed on a roller sleeve bearing. ### Claim 19 (depends on 14) The driver of claim 14, further comprising a second longitudinal slot defined by the first arm, wherein the second longitudinal slot is disposed opposite the first longitudinal slot. ### Claim 20 An end-effector connected to a distal end of an elongate member, the elongate member having a proximal end, and a lumen extending between the proximal end and the distal end, the end effector comprising: a first arm having a distal end, a proximal end, and an opening configured to receive one of a needle and a suture, wherein the first arm includes a longitudinal slot defined therein; a second arm movably coupled to the first arm and configured to alternate between a closed position and an open position relative to the first arm, wherein a width of the second arm is smaller than a width of the first arm; a grasping portion disposed on the second arm that cooperates with the opening of the first arm in the closed position to retain the one of a needle and a suture; and a pull cable extending between a proximal end of the second arm and the proximal end of the elongate member, wherein the first arm defines a mounting area, and, when in the closed position, a substantial entirety of the second arm is configured to be received within the mounting area and a portion of the second arm is configured to extend through the slot.