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EP-4736814-A2 - DEVICES, SYSTEMS, AND METHODS FOR LOCATING A BODY LUMEN

EP4736814A2EP 4736814 A2EP4736814 A2EP 4736814A2EP-4736814-A2

Abstract

The present invention discloses a medical device comprising an elongated member including a location device at a distal end of the elongated member and mounted on an outer surface of the elongated member, the location device including at least one light emitting diode, LED, the at least one LED including a first LED emitting green light, and a second LED emitting red light. The location device further includes a sidewall, a proximal end wall at a proximal end of the sidewall, and a distal end wall at a distal end of the sidewall; the sidewall, the proximal end wall, and the distal end wall define a cavity; and at least one of the LEDs is disposed within the cavity.

Inventors

  • DAYTON, PETER L.
  • NARDONE, MARCIA
  • CAUCHE, NICOLAS
  • DELATTRE, CECILIA
  • BARTHET, Marc A.
  • GONZALEZ, Jean-Michel
  • BARBATO, LOUIS J.
  • BROWN, ERIC F.
  • NGUYEN, JOHN
  • FAVREAU, John T

Assignees

  • Boston Scientific Scimed, Inc.
  • Brussels Medical Device Center ASBL

Dates

Publication Date
20260506
Application Date
20200928

Claims (15)

  1. A medical device comprising: an elongated member including a location device at a distal end of the elongated member and mounted on an outer surface of the elongated member, the location device including at least one light emitting diode, LED, the at least one LED including a first LED emitting green light, and a second LED emitting red light; wherein: the location device further includes a sidewall, a proximal end wall at a proximal end of the sidewall, and a distal end wall at a distal end of the sidewall; the sidewall, the proximal end wall, and the distal end wall define a cavity; and at least one of the LEDs is disposed within the cavity.
  2. The medical device according to claim 1, wherein the sidewall includes a transparent material or a semi-transparent material.
  3. The medical device according to claim 2, wherein at least one of the proximal end wall or the distal end wall includes one or more of an opaque material or a light attenuating material.
  4. The medical device according to any one of claims 1-3, wherein at least one of the proximal end wall or the distal end wall includes one or more of an opaque material or a light attenuating material.
  5. The medical device according to any one of claims 1-4, wherein the elongated member includes a fluid lumen extending from a proximal end of the elongated member to a distal end of the elongated member, and wherein a plurality of holes are in a sidewall of the elongated member and are fluidly connected to the fluid lumen.
  6. The medical device according to claim 5, further comprising a vacuum device and a fluid containment device, wherein each of the vacuum device and the fluid containment device are in fluid communication with the fluid lumen at the proximal end of the elongated member, and wherein the vacuum device is configured to create suction within the fluid lumen such that a fluid from a body is configured to flow through the plurality of holes and along the fluid lumen to the fluid containment device.
  7. The medical device according to any one of claims 1-6, wherein the elongated member further includes a central lumen configured to receive a guidewire.
  8. The medical device according to any one of claims 1-7, further comprising a balloon at the distal end of the elongated member, wherein the balloon is disposed on a first side of the elongated member, and the at least one LED is disposed on a circumferentially opposite side of the elongated member from the balloon.
  9. The medical device according to any one of claims 1-8, wherein the elongated member includes an elongated member main body and an elongated member distal tip, wherein a proximal end of the elongated member distal tip is connected to a distal end of the elongated member main body by a plurality of wires, and wherein an LED of the at least one LED is attached to each wire from the plurality of wires.
  10. The medical device according to claim 9, further comprising an actuation wire attached to the elongated member distal tip, wherein the actuation wire is configured to move proximally relative to the elongated member main body, and wherein at least one of the LEDs is configured to move radially outward when the actuation wire moves the elongated member distal tip proximally relative to the elongated member main body.
  11. The medical device according to any one of claims 1-10, wherein the LEDs are configured to alternatively emit light.
  12. The medical device according to any one of claims 1-10, wherein at least one of the LEDs is configured to emit light in a pulsed manner.
  13. The medical device according to any one of claims 1-12, further comprising an endoscope including an imaging device, and an end effector configured to extend from a distal end of the endoscope, wherein the imaging device is configured to detect the light having wavelengths corresponding to the green light and to the red light emitted from the LEDs.
  14. The medical device according to claim 5, wherein the holes are provided at the distal end of the elongated member, or along an intermediate length of the elongated member, or along a proximal length of the elongated member, or a combination thereof.
  15. The medical device according to claim 5, wherein the holes are provided along a substantially same circumference of the elongated member and/or around a circumference of the elongated member.

Description

PRIORITY This application claims the benefit of priority under 35 USC § 119 to United States Provisional Patent Application Serial No. 62/954,875, filed December 30, 2019, which is incorporated by reference herein in its entirety and for all purposes. FIELD This disclosure relates generally to medical devices, systems, and methods for locating devices and/or anatomy during medical procedures. More particularly, in some embodiments, the disclosure relates to medical device and/or anatomy locating devices, access devices, and systems and methods thereof, for use during gastrojejunostomy procedures. BACKGROUND Various health issues, e.g., obesity and diabetes, affect a growing population and may cause additional diseases, increasing risk of a patient's health. Surgical procedures such as bariatric surgery, e.g., to restrict a portion of a stomach and/or bypass portions of the intestine and/or other portions of the gastrointestinal (GI) tract, may be an option for certain patients with these and/or other health issues. These types of procedures may have significant side effects, e.g., such as enteric hormonal changes, and may be invasive surgical procedures with associated complications, tissue trauma, anastomotic leaks, infections, and/or additional surgeries to modify the initial surgery, e.g., to reorient the placement of a bypass device, which in some instances may put patients at increased risk. Accordingly, it may be desirable for less invasive medical devices, systems, and related methods for treating the GI tract and/or bypassing portions of the intestine, to reduce complications associated with treating some of these and other health issues. This disclosure may solve one or more of these problems or other problems in the art. SUMMARY According to an aspect, a medical device locator may comprise an elongated member including a location device at a distal end of the elongated member. The location device may include at least one light emitting diode (LED), and wherein the at least one LED may be configured to be actuated to emit a light having wavelengths corresponding to a green light and a red light. The location device may include a sidewall, a proximal end wall at a proximal end of the sidewall, and a distal end wall at a distal end of the sidewall, wherein the sidewall, the proximal end wall, and the distal end wall may define a cavity, and wherein the at least one LED may be disposed within the cavity. The sidewall may include a transparent material or a semi-transparent material, and at least one of the proximal end wall or the distal end wall may include one or more of an opaque material or a light attenuating material. The elongated member may include a fluid lumen extending from a proximal end of the elongated member to a distal end of the elongated member. A plurality of holes may be disposed in a sidewall of the elongated member and fluidly connected to the fluid lumen. A vacuum device and a fluid containment device may be connected to the elongated member, wherein each of the vacuum device and the fluid containment device may be in fluid communication with the fluid lumen at the proximal end of the elongated member, and wherein the vacuum device may be configured to create suction within the fluid lumen such that a fluid from a body may be configured to flow through the plurality of holes and along the fluid lumen to the fluid containment device. The elongated member may include a central lumen configured to receive a guidewire. The location device may include a balloon at the distal end of the elongated member, and the balloon may be configured to be inflated. The balloon may include a transparent or a semi-transparent material, the at least one LED may be disposed on a surface of the elongated member, and the light emitted from the LEDs may be configured to be transmitted through the balloon. The balloon may be disposed on a first side of the elongated member, and the at least one LED may be disposed on a circumferentially opposite side of the elongated member from the balloon. The at least one LED may include a plurality of LEDs. The plurality of LEDs may be disposed about a circumference of the balloon. The elongated member may include an elongated member main body and an elongated member distal tip, wherein a proximal end of the elongated member distal tip may be connected to a distal end of the elongated member main body by a plurality of wires, and wherein an LED of the at least one LED may be attached to each wire from the plurality of wires. An actuation wire may be attached to the elongated member distal tip, wherein the actuation wire may be configured to move proximally relative to the elongated member main body, and wherein the LEDs may be configured to move radially outward when the actuation wire moves the elongated member distal end proximally relative to the elongated member main body. The at least one LED may be configured to alternatively emit the green light and the red li