WO2011057031A1 - Appareil et système de manipulation à distance - Google Patents

Appareil et système de manipulation à distance Download PDF

Info

Publication number
WO2011057031A1
WO2011057031A1 PCT/US2010/055530 US2010055530W WO2011057031A1 WO 2011057031 A1 WO2011057031 A1 WO 2011057031A1 US 2010055530 W US2010055530 W US 2010055530W WO 2011057031 A1 WO2011057031 A1 WO 2011057031A1
Authority
WO
WIPO (PCT)
Prior art keywords
finger
finger support
distal end
payload
sensor
Prior art date
Application number
PCT/US2010/055530
Other languages
English (en)
Inventor
Ross Teggatz
Wayne Chen
Original Assignee
Triune Ip Llc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Triune Ip Llc filed Critical Triune Ip Llc
Publication of WO2011057031A1 publication Critical patent/WO2011057031A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/0045—Devices for taking samples of body liquids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00265—Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • A61B2017/00438—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping connectable to a finger
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F2013/00361—Plasters
    • A61F2013/00727—Plasters means for wound humidity control
    • A61F2013/00731—Plasters means for wound humidity control with absorbing pads
    • A61F2013/0074—Plasters means for wound humidity control with absorbing pads containing foams
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/42—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for desensitising skin, for protruding skin to facilitate piercing, or for locating point where body is to be pierced
    • A61M5/427—Locating point where body is to be pierced, e.g. vein location means using ultrasonic waves, injection site templates

Definitions

  • the invention relates to apparatus and systems for manipulating objects in hard- to-access locations. More particularly, the invention relates to apparatus for manipulating sensor, tool, or other objects in remote or confined spaces.
  • a heart rate monitor is sometimes inserted into the uterus to monitor the baby's condition.
  • the device is actually screwed into the top of the skull of the infant; however, since access is through the opening of the cervix, placement is difficult to precisely determine. In some instances, the electrode is positioned incorrectly, and screwed into another area of the infant's head.
  • the invention provides advances in the arts with useful and novel apparatus and systems for manipulating objects within very confined spaces and remote locations.
  • Exemplary embodiments described herein include apparatus related to medical, veterinary, and mechanical endeavors.
  • the embodiments described herein are intended to be exemplary and not exclusive. Variations in the practice of the invention are possible, and preferred embodiments are illustrated and described for the purposes of clarifying the invention. All possible variations within the scope of the invention cannot, and need not, be shown.
  • Various configurations are described of apparatus having a payload holder such as a syringe or roughly fingertip-sized platform for retaining a payload such as medication, tool, or other device.
  • apparatus for injecting medication in a confined area includes a finger support designed to be secured to a finger of a user.
  • a syringe assembly is substantially aligned with the distal end of the finger support and has a medicine container with a needle deployable from within a sheath.
  • a plunger is provided for ejecting the medicine from the container through the needle. The apparatus is arranged so that the plunger may be actuated at the proximal end of the finger support.
  • a preferred embodiment of apparatus for administering oral medication includes a finger support for securing the apparatus to the finger of a user by encasing the finger within.
  • the finger support is configured such that a solid medicament may be retained between the finger support surface and the finger.
  • An ejector is positioned longitudinally within the finger support extending at least from end-to-end. The ejector is operable for pushing a solid medicament retained between the finger support surface and the finger for the purpose of expelling the medicament from the apparatus.
  • apparatus for installing a sensor in a confined area includes a finger support adapted for securing to a finger of a user. A distal end of the finger support is configured such that a sensor may be retained between the finger support surface and the user's finger, maneuvered to a target location, and installed. The finger support is configured to be readily withdrawn without displacing the sensor.
  • apparatus for manipulating a tool to a target location within a confined space includes a finger support with a retainer for securing the apparatus.
  • a tool is positioned at the distal end of the finger support and a tool actuator is provided at the proximal end of the finger support such that the tool may be actuated when positioned at a target location.
  • apparatus for delivering a payload in a confined has a finger support adapted for securing to a finger of a user.
  • a payload holder is included at the distal end of the finger support for holding a payload during positioning.
  • An ejector for ejecting the payload from the payload holder is configured for actuation at the proximal end.
  • a system for positioning and depositing a payload in a confined space includes a finger support and retainer adapted for securing the apparatus to a finger of a user.
  • a camera module is situated at the distal end of the finger support along with a payload holder.
  • An ejector secured to the finger support is operable for ejecting the payload by actuation at the proximal end.
  • the invention has advantages including but not limited to providing one or more of the following features, reduced medical patient discomfort, reduced medical personnel and/or technician training and/or experience requirements, improved success in manipulating objects in difficult-to-access locations, reduced costs.
  • Figure 1 is a partial cutaway side view of an example of a preferred embodiment of apparatus according to the invention.
  • Figures 2 A through 2H are a series of side views of an example of apparatus according to a preferred embodiment of the invention.
  • Figure 3 is a perspective view of an example of an alternative embodiment of the invention.
  • Figure 4 provides perspective views of an example of another alternative embodiment of the invention.
  • Figure 5 is a perspective view of an example of an alternative embodiment of the invention.
  • Figure 6 is a perspective view of an example of an alternative embodiment of the invention.
  • Figure 7 is a perspective view of an example of another alternative embodiment of the invention.
  • Figure 8 is a perspective view of an example of an alternative embodiment of the invention.
  • Figure 9 is a perspective view of an example of an alternative embodiment of the invention.
  • a side view of a preferred embodiment of apparatus 10 for injecting medication in confined areas has a finger support 12.
  • the finger support 12 is wearable on the finger of a user, having a retaining ring 13 to encircle the finger of a user (not shown).
  • the finger support 12 also preferably includes an open area 15 at the distal end 17 to expose at least a portion of the user's finger to permit the user to obtain tactile feedback when manipulating and positioning the apparatus 10.
  • a syringe assembly 14 attached to the finger support 12 may be used for dispensing medication.
  • a protective sheath 16 is preferably used to cover the needle 18 of the syringe assembly 14 during movement and positioning.
  • a plunger 20 preferably extends from the syringe assembly 14, beyond the proximal end 22 of the finger support 12.
  • a locking mechanism such as an arrangement of tabs 21 in this example, may be disengaged so that the needle 18 can be permitted to extend past the sheath 16.
  • pushing the plunger 20 forward also moves the body 23 of the syringe assembly 14.
  • the plunger 20 causes the medication 25 within the body 30 of the syringe assembly 14 to be dispensed through the needle 18.
  • the user's opposite hand may be used to operate the plunger 20 to control the extension of the needle 18 into the uterus, and then control the injection of medication 25.
  • the user guides the apparatus 10 toward its intended target (not part of the invention), preferably using the sense of touch provided by the exposed portion of the finger.
  • the user may then deploy the syringe assembly 14, as illustrated in Figure 2C.
  • the syringe assembly 14 is propelled forward, past the distal end 17 of the finger support 12, using the plunger 20, after disengaging the locking mechanism 21.
  • the needle 18 may be inserted into the target.
  • the contents of the syringe body 23 may then be injected into the target by the operation of the plunger 20.
  • the syringe assembly 14 may be retracted by moving the plunger 20 in the reverse direction, as illustrated in Figure 2F.
  • the syringe assembly 14 includes a rotatable locking mechanism 21 having interlocking tabs, referring to Figure 2G, for locking the syringe assembly 14 with the needle 18 in a retracted position.
  • Other locking mechanisms such as springs, tensioners, or locking rings may also be used.
  • the user then removes the apparatus 10 by withdrawing the finger as indicated by the arrow Figure 2H.
  • apparatus 10 suitable for inserting a sensor device 32 into the uterus and leaving it there is shown.
  • a finger support structure 12 is used to wrap around the finger leaving the finger tip exposed as in the above- described embodiment.
  • a shim 39 designed for insertion into the finger support 12 may be used to ensure a snug fit between the finger support 12 and the finger.
  • a sensor device 32 having an electrode 31 is to be inserted and left in the womb.
  • the payload holder in this case is a platform 37 at the distal end 17 of the finger supportl2.
  • such sensors 32 are connected to external electronics by a wire 33.
  • the apparatus 10 is preferably used to install the sensor 32 in the correct location, and is then withdrawn, leaving the wire 33 in place without dislodging the sensor 32.
  • the finger support 12 contains a receptacle for holding the sensor 32 and means for holding the wire 33.
  • a tube 34 is provided in the shaft 24 of finger support structure 12.
  • the tube 34 preferably holds the sensor 32 at its distal end 17 and contains the wire 33, which exits at its proximal end 22. Once the sensor 32 is placed, the apparatus 10 may be withdrawn toward the proximal end 22 of the wire 33 and removed from the vaginal cavity, leaving the sensor 32 and wire 33 in place.
  • Figure 4 portrays apparatus for placing medication, such as pills or capsules, within the mouth of a patient, particularly in cases where the potential for biting is a concern, such as with children or animals.
  • the medicament is placed between the tip of the finger and the apparatus.
  • the finger support 12 completely surrounds the finger, thereby providing protection from biting.
  • a built- in plunger/push-rod 40 that may be used to expel the medication when the finger is bent as shown.
  • a payload holder may include a syringe 36, which may be activated by an plunger extending the length of the shaft 24 to the proximal end 22 of the apparatus as shown in other embodiments, or by a plunger actuated by the finger for dispensing a liquid or gel as in this example of a needle-less syringe 36.
  • the retainer 14 may be annulus-shaped, retaining the apparatus 10 on the finger of the user similar to the wearing of a ring.
  • an absorbent tip 38 may be carried at the distal end 17 of the apparatus 10, either incorporated into the finger support 12 of the apparatus 10, or preferably as a removable attachment at the distal end 17 of the shaft 24.
  • the absorbent tip 38 may be used for applying a fluid or powder or for gathering a sample by being brought into contact with a target location.
  • the distal end 17 of the apparatus 10 may include a clamp 40 having one or more moveable jaws 42, preferably mechanically coupled to the shaft 24 for activation at the proximal end 22. In this configuration, the apparatus 10 may be used to deliver a payload by gripping it during transport and releasing it when the target area is reached.
  • the clamping mechanism 40 may be adapted for the retrieval of a payload from a remote location.
  • Figure 8 shows apparatus 10 which includes a sensor module 44, in this example, a camera.
  • the camera module 44 is carried at the distal end 17.
  • the camera module 44 preferably includes an image sensor within, preferably actuated by the shaft 24, or by remote electronics, or by finger pressure applied by a user.
  • the camera module 44 may include internally, a power source such as a battery, and/or electronic memory for recording images (not shown).
  • the sensor, e.g., camera, module 44 may also include wiring 48 electrically connecting it with power and/or memory or display devices 50 residing off of the apparatus 10, preferably external to the hard-to-access location. Incorporation of a sensor module with the apparatus of the invention may be used for acquiring data such as still or video images, for exploratory or diagnostic purposes for example, or may be included with deliverable payloads and used to guide payload positioning and placement.
  • FIG. 9 illustrates an implementation of a device which may be used to guide the tip 90 of a screwdriver onto the head of a screw (not shown).
  • the apparatus 10 is preferably guided by the finger of a user, the fastener location determined, and the tool applied, in this example a screw and screwdriver tip 90 respectively.
  • a hand-piece 92 provided a mechanical connection 93 through the shat 24 has the capability to turn the tip 90 of the screwdriver.
  • the appropriate tool end piece may be substituted for use with screws of different geometry or sizes, for hexagonal sockets, torx, alien heads, or other types of threaded fasteners.
  • the systems and methods of the invention provide one or more advantages including but not limited to one or more of; increased accuracy and success in the placement of payloads in a confined space, decreased training time for medical and/or technician personnel, providing a cost-effective, device, facilitating faster treatment and reduced costs. While the invention has been described with reference to certain illustrative embodiments, those described herein are not intended to be construed in a limiting sense. For example, variations or combinations of features or materials in the embodiments shown and described may be used in particular cases without departure from the invention. Although the presently preferred embodiments are described herein in terms of particular examples, modifications and combinations of the illustrative embodiments as well as other advantages and embodiments of the invention will be apparent to persons skilled in the arts upon reference to the drawings, description, and claims.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

Cette invention concerne des systèmes et un appareil (10) destinés à fournir une charge utile (32) dans un espace confiné. Un support d'insertion de doigt (12) présentant une extrémité proximale (22) et une extrémité distale (17) est retenu sur le doit d'un utilisateur. Un mode de réalisation de support de charge utile (37) est disposé sur l'extrémité distale (17) du support d'insertion de doigt (12) pour retenir une charge utile (32) lors du positionnement et avant l'application. L'appareil de l'invention comprend des moyens (24, 34) destinés à éjecter la charge utile (32) hors du support de charge utile (37) suite à l'actionnement par un utilisateur.
PCT/US2010/055530 2009-11-04 2010-11-04 Appareil et système de manipulation à distance WO2011057031A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US25785209P 2009-11-04 2009-11-04
US61/257,852 2009-11-04

Publications (1)

Publication Number Publication Date
WO2011057031A1 true WO2011057031A1 (fr) 2011-05-12

Family

ID=43970344

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2010/055530 WO2011057031A1 (fr) 2009-11-04 2010-11-04 Appareil et système de manipulation à distance

Country Status (1)

Country Link
WO (1) WO2011057031A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10673489B2 (en) 2014-03-04 2020-06-02 Triune Ip Llc Isolation for communication and power
US11480068B2 (en) 2019-10-15 2022-10-25 General Electric Company Systems and method of servicing a turbomachine

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3219037A (en) * 1963-04-25 1965-11-23 Pope Charles Evans Finger-tip applicator
US4177698A (en) * 1978-03-24 1979-12-11 Greneker Lillian L Finger fit implement
GB2147813A (en) * 1983-10-14 1985-05-22 Kinpax & F T Mitchell Group Li Needle introducer
US4920974A (en) * 1988-04-13 1990-05-01 Endotherapeutics Method of obtaining cervical culture specimens and device and kit therefor
US6117443A (en) * 1994-09-12 2000-09-12 Delab Needle-less parenteral introduction device
US20030120218A1 (en) * 2001-12-21 2003-06-26 Asbaghi Hooman A. Safety device for a sheathed, prefilled injection syringe
US20040193211A1 (en) * 2003-02-14 2004-09-30 Voegele James W. Fingertip surgical instruments
US20080167553A1 (en) * 2003-08-06 2008-07-10 Yoav Paltieli Method and Apparatus For Monitoring Labor Parameter
US20080243174A1 (en) * 2007-03-30 2008-10-02 T.A.G. Medical Products A Limited Partnership Finger mounting for surgical instruments particularly useful in open and endoscopic surgery

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3219037A (en) * 1963-04-25 1965-11-23 Pope Charles Evans Finger-tip applicator
US4177698A (en) * 1978-03-24 1979-12-11 Greneker Lillian L Finger fit implement
GB2147813A (en) * 1983-10-14 1985-05-22 Kinpax & F T Mitchell Group Li Needle introducer
US4920974A (en) * 1988-04-13 1990-05-01 Endotherapeutics Method of obtaining cervical culture specimens and device and kit therefor
US6117443A (en) * 1994-09-12 2000-09-12 Delab Needle-less parenteral introduction device
US20030120218A1 (en) * 2001-12-21 2003-06-26 Asbaghi Hooman A. Safety device for a sheathed, prefilled injection syringe
US20040193211A1 (en) * 2003-02-14 2004-09-30 Voegele James W. Fingertip surgical instruments
US20080167553A1 (en) * 2003-08-06 2008-07-10 Yoav Paltieli Method and Apparatus For Monitoring Labor Parameter
US20080243174A1 (en) * 2007-03-30 2008-10-02 T.A.G. Medical Products A Limited Partnership Finger mounting for surgical instruments particularly useful in open and endoscopic surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10673489B2 (en) 2014-03-04 2020-06-02 Triune Ip Llc Isolation for communication and power
US11480068B2 (en) 2019-10-15 2022-10-25 General Electric Company Systems and method of servicing a turbomachine

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