Line management device and related method of removably coupling a medical line

Abstract

An apparatus for tubing management includes a substrate. The substrate includes a structure configured to transition the apparatus between an extended configuration and a coiled configuration upon receiving a force applied to the apparatus. The apparatus further includes a coating applied to the substrate. In the extended configuration, the apparatus includes a channel configured to receive a tube. In the coiled configuration, the apparatus is configured to circumferentially encircle a medical device shaft to removably couple the tube to the medical device shaft.

Description

Cross-references to related applications

[0001] This application claims priority to U.S. Provisional Patent Application No. 63 / 589,369, filed October 11, 2023, the entire contents of which are incorporated herein by reference. Technical Field

[0002] This disclosure generally relates to tubing management devices. More specifically, various aspects of this disclosure relate to tubing management devices and related methods of use for removably connecting medical tubing. Background Technology

[0003] Accessory devices used in conjunction with medical devices such as endoscopes to perform medical procedures typically include one or more tubing or wires inserted into a patient's body cavity via an endoscopic working channel extending internally through the endoscope shaft. However, in some examples, the accessory device may additionally or alternatively include one or more tubing or wires configured to extend externally along the endoscope shaft. For example, the external tubing may serve as an additional working channel through which instruments, irrigation fluids, and / or aspirated materials can be delivered, or through which objects can be removed from the body cavity.

[0004] Traditionally, tape or similar adhesive mechanisms have been used to attach tubing or wiring to the outside of the endoscope shaft. For example, tape may be applied around the external tubing and shaft at one or more locations along the shaft's length. This connection prevents the external tubing from floating freely when inserted into the body cavity along with the shaft, thus helping to reduce any obstruction of vision and / or tissue damage during medical procedures. Summary of the Invention

[0005] A device for tubing management may include a substrate. The substrate may include a structure configured to allow the device to switch between an extended configuration and a coiled configuration upon receiving a force applied to the device. The device may also include a coating applied to the substrate. In the extended configuration, the device may include a channel configured to receive tubing. In the coiled configuration, the device may be configured to circumferentially surround a medical device shaft to removably attach tubing to the medical device shaft.

[0006] In any of the exemplary devices disclosed herein, the extended configuration may be a substantially linear configuration, and the coiled configuration may be a substantially curved configuration.

[0007] In some aspects, the channel may be a recess in the inner surface of the device. In a coiled configuration, the device may be configured to circumferentially surround the medical device shaft and the tubing received within the channel.

[0008] In other respects, the channel may protrude from the outer surface of the device. The channel may be a partially open channel. The partially open channel may include an opening configured to receive conduit, the opening being formed by a pair of arms extending perpendicularly outward from the outer surface of the device. The channel may be a closed channel. The closed channel may include a tubular member extending substantially perpendicularly outward from the outer surface of the device, and the tubular member may include a tubular member cavity configured to receive conduit. The channel may be configured to receive conduit in both an extended configuration and a coiled configuration of the device.

[0009] In a further aspect, the coating may include a first coating and a second coating different from the first coating. The first coating may be applied to one or more surfaces of the substrate, the one or more surfaces being configured to be exposed to the body cavity when a medical device shaft to which the tubing is removably coupled via the device is partially inserted into the body cavity. The second coating may be applied to one or more surfaces of the substrate, the one or more surfaces being configured to contact at least one of the medical device shaft or tubing.

[0010] Additionally, when the device is in a coiled configuration, the substrate structure can be configured to allow the device to transition from a coiled configuration back to an extended configuration, enabling the device to be repositioned relative to at least one of the medical device shafts or tubing. The substrate may include metal, and the coating may include rubber, plastic, or a combination of rubber and plastic.

[0011] A medical system may include a first medical tubing, a second medical tubing separate from the first medical tubing, and a tubing management device configured to removably connect the first medical tubing to the second medical tubing. The tubing management device may include a substrate. The substrate may include a structure configured to allow the tubing management device to switch between an extended configuration and a coiled configuration. The substrate may also include a coating applied to the substrate. In the coiled configuration, the tubing management device may be configured to circumferentially surround the first and second medical tubing to removably connect the first medical tubing to the second medical tubing.

[0012] Any exemplary medical system disclosed herein may include any of the following features. The tubing management device may also include a channel configured to receive one of a first medical tubing or a second medical tubing. The channel may be a recess in the inner surface of the tubing management device. When the tubing management device is in a coiled configuration, the structure of the substrate may be configured to allow the tubing management device to transition from a coiled configuration back to an extended configuration, enabling the tubing management device to be repositioned relative to at least one of the first or second medical tubing.

[0013] A method for removably connecting a medical tubing may include positioning a device relative to a first medical tubing and a second medical tubing separate from the first medical tubing, wherein the device may be in an extended configuration. The method may further include applying a first force to the device to change the device from an extended configuration to a coiled configuration, such that the device circumferentially surrounds at least one of the first or second medical tubing to removably connect the first medical tubing to the second medical tubing.

[0014] In any of the exemplary methods disclosed herein, device positioning may include: receiving one of a first medical line or a second medical line within a channel of the device to connect one of the first medical line or the second medical line to the device; and positioning the device connected to one of the first medical line or the second medical line relative to the other of the first medical line or the second medical line.

[0015] It should be understood that the foregoing general description and the following detailed description are exemplary and explanatory only, and do not limit the claimed invention. As used herein, the terms “comprising,” “including,” “containing,” or any other variations thereof are intended to cover non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements may include not only those elements but also other elements not expressly listed or other elements inherent to such a process, method, article, or apparatus. The term “exemplary” is used in the meaning of “example” rather than “ideal.” The term “distal” refers to a direction away from the operator / towards the treatment site, and the term “proximal” refers to a direction towards the operator. The term “about” or similar terms (e.g., “basically”) include values ​​within a range of + / - 10% of the stated value. Attached Figure Description

[0016] The accompanying drawings, which are incorporated in and form part of this specification, illustrate examples of this disclosure and, together with the description, serve to explain the principles of this disclosure.

[0017] Figures 1A to 1H Various views of an exemplary medical system and its components are depicted, including a first tubing management device.

[0018] Figures 2A to 2D Various views of the second pipeline management device are depicted.

[0019] Figures 3A to 3D Various views of the third pipeline management device are depicted.

[0020] Figures 4A to 4D Various views of the fourth pipeline management device are depicted.

[0021] Figure 5 An exemplary method for removably connecting medical tubing is described. Detailed Implementation

[0022] As briefly described above, ancillary devices used in conjunction with medical devices such as endoscopes to perform medical procedures may include one or more tubing or cables configured to extend externally along the endoscope shaft, which includes a distal portion of the shaft inserted into a patient's body cavity. For example, the external tubing may serve as an additional working channel through which instruments, irrigation fluids, and / or aspirated materials may be delivered, or through which objects may be removed from the body cavity. In other examples, over-the-scope devices may include shafts, tubing, or similar structures that can extend externally along the endoscope shaft.

[0023] Traditionally, tape or similar adhesive mechanisms are used to attach tubing or wiring to the outside of the endoscope shaft. For example, tape can be applied around the external tubing and the endoscope shaft at one or more locations along the shaft's length. This connection prevents the external tubing from floating freely when inserted into the body cavity along with the endoscope shaft, thus helping to reduce any obstruction of vision and / or tissue damage during medical procedures.

[0024] However, tape application is inefficient. Adhesives, such as tape, are inherently sticky. Therefore, when an operator removes the tape from its packaging and applies it, the tape may accidentally adhere to unintended objects (e.g., other devices, materials, packaging, etc.) or to medical devices and / or accessories in unintended locations. Consequently, the application process can be time-consuming because the operator needs to take additional precautions to prevent such errors. Once the tape is applied to connect the tubing of an accessory to the endoscope shaft in a first location, it may be difficult to remove and reposition to a second location if necessary, and / or may not be reusable for application in a second location (e.g., the adhesive properties of the tape may be significantly reduced upon removal). Furthermore, such incorrect application and / or repositioning of the tape can potentially damage the medical device (e.g., the endoscope), accessories, or other unintended objects that the tape came into contact with during application or repositioning. Additionally, the idea of ​​inserting tape into the body is generally unpalatable to patients.

[0025] Therefore, aspects of this disclosure relate to tubing management devices and related methods of use for removably connecting two or more separate medical tubings to each other (e.g., removably connecting external tubing of an accessory device to a shaft of a medical device). An exemplary tubing management device may include a multi-layered body comprising a substrate and a coating. The tubing management device may include an extended configuration and a coiled configuration, wherein the substrate may include a structure configured to allow the tubing management device to switch between the extended and coiled configurations when a force is applied to the tubing management device (e.g., by an operator). For example, a tubing management device in an extended configuration may be positioned relative to a shaft and tubing of a medical device, and an operator may apply a first force to the tubing management device to cause the structure to convert the tubing management device to a coiled configuration, such that the tubing management device at least circumferentially surrounds the shaft of the medical device. Based on the configuration of the tubing management device, when in a coiled configuration, the tubing management device may circumferentially surround both the shaft and tubing of the medical device, for example... Figures 1A to 1H and Figures 2A to 2D The configuration of the pipeline management device shown is illustrated.

[0026] If repositioning of the piping management device along the axis is required, the base structure allows the device to quickly and easily transition from a coiled configuration back to an extended configuration for repositioning. This structure facilitates repeated switching between extended and coiled configurations without affecting or reducing the device's connectivity.

[0027] Some configurations of the piping management device may also include channels configured to receive piping. In one exemplary configuration, and as referenced below... Figures 2A to 2D The channel may be a recess in the inner surface of the body of the pipe management device. In another exemplary configuration, the channel protrudes from the outer surface of the body of the pipe management device. The protruding channel may be as described below. Figures 3A to 3D The aforementioned partially opened channel, or as referenced below. Figures 4A to 4D The aforementioned enclosed channel. The channel of the pipeline management device can help reduce or eliminate pipeline compression, allowing the entire inner diameter of the pipeline to be utilized during medical procedures.

[0028] Coatings for the tubing management device can be applied to the surfaces of the substrate and / or channel. In some examples, combinations of coatings can be applied. For example, a first coating can be applied to a first set of surfaces of the substrate and / or channel, which are exposed to the body cavity when a shaft to which the tubing is removably coupled via the tubing management device is partially inserted into the body cavity. This first coating can consist of hydrophobic and / or lubricating materials to facilitate insertion and help reduce tissue damage. A second coating can be applied to a second set of surfaces of the substrate and / or channel, which contact the shaft when the substrate circumferentially surrounds the shaft in a coiled configuration, or when the tubing is received by the channel. The second coating can differ from the first coating. For example, the second coating can consist of a high-friction material configured to help increase friction, adhesion, or gripping of the substrate to the shaft and / or tubing.

[0029] Figure 1A An exemplary medical system 100 is depicted. The medical system 100 may include a first medical device 102, a second medical device 112, and one or more first tubing management devices 116 configured to removably connect components of the first medical device 102 and the second medical device 112 to each other. Although in Figure 1A Four first tubing management devices 116 are shown in the medical system 100, but more or fewer first tubing management devices 116 may be used. The number of first tubing management devices 116 used may be based on the size or length of the first medical device 102, the type of medical procedure being performed (e.g., the function to be performed by the second medical device 112), etc.

[0030] The first medical device 102 may be an endoscope or other type of endoscope, such as a bronchoscope, ureteroscope, duodenoscope, gastroscope, endoscopic ultrasound (“EUS”), colonoscope, laparoscope, arthroscope, cystoscope, suction endoscope, sheath, catheter, or other medical tubing. Figure 1A As shown, the first medical device 102 may include a handle 104 and a shaft 106. A proximal portion 108 of the shaft 106 may be attached to and extend distally from the handle 104, and at least a distal portion 110 of the shaft 106 may be inserted into a patient's body cavity during a medical procedure. In some examples, the dimensions of the shaft 106 (e.g., at least its outer diameter) may be constant along the length of the shaft 106. In other examples, the dimensions of the shaft 106 may vary along the length of the shaft 106.

[0031] The distal tip 111, located at the most distal end of the distal portion 110, may include a distal opening of one or more working channels of the first medical device 102 and / or an imaging system of the first medical device 102, the imaging system including one or more illumination devices and / or one or more visualization devices. The working channels may extend internally along the shaft 106 and may be configured to supply fluid to the treatment site via the distal openings, apply suction and / or delivery devices, tubing and / or wiring. The illumination devices of the imaging system (e.g., one or more LEDs, fiber optics and / or other illuminators) may be configured to illuminate areas within the patient's body during surgery to, for example, facilitate imaging. The visualization devices of the imaging system (e.g., one or more cameras, one or more image sensors, endoscopic observation elements, optical components including one or more image sensors and one or more lenses, etc.) may be configured to capture images during medical procedures.

[0032] The second medical device 112 may be a device separate from the first medical device 102, used together with the first medical device 102 to perform a medical procedure. For example, the second medical device 112 may be an accessory device, such as an endoscopic suturing device. In some examples and as... Figure 1A As shown, the second medical device 112 may be fixed or otherwise connected to the first medical device 102 (e.g., via a handle 104) so ​​that both the first medical device 102 and the second medical device 112 can be operated by an operator.

[0033] The second medical device 112 may include a conduit 114 or other shaft extending distally from the second medical device 112. In other examples, the second medical device 112 may consist only of the conduit 114 (e.g., the second medical device 112 may be a medical conduit). A portion of the conduit 114 may be configured to extend externally along the shaft 106, including extending along at least a distal portion 110 of the shaft 106 inserted into a body cavity to perform surgery. In some examples and as... Figure 1AAs shown, tubing 114 may also extend at least partially along the proximal portion 108 of shaft 106. Tubing 114 can provide an external working channel in addition to one or more working channels extending within the shaft 106. For example, instruments, devices, irrigation fluids, aspirates, etc., can be delivered into a body cavity via tubing 114, and / or objects can be removed from a body cavity via tubing 114. In other examples, the second medical device 112 may be an extra-endoscopic device (e.g., a suture device, a clamping device, a ligation device, etc.) which may include a shaft (e.g., a control member for carrying a filament, etc.) extending externally along shaft 106. While the term “tubing” 114 is used herein, it should be understood that the disclosed device may alternatively include other types of shafts, cables, or filaments. In some examples, the dimensions of tubing 114 (e.g., at least the outer diameter) may be constant along the length of tubing 114. In other examples, the dimensions of tubing 114 may vary along the length of tubing 114.

[0034] When in such a situation Figure 1A In the coiled configuration shown, each first conduit management device 116 can removably connect conduit 114 to the shaft 106 at a location along the shaft 106 to facilitate insertion and prevent conduit 114 from floating freely within the body cavity. The first conduit management device 116 may include two configurations: an extended configuration and a coiled configuration. Figure 1B A top perspective view of the first pipeline management device 116 in an extended configuration is shown. Figure 1C and Figure 1D It shows along Figure 1B A cross-sectional view of the first conduit management device 116 of line AA shown in the figure, wherein Figure 1C The first multi-layer configuration of the first pipeline management device 116 is depicted, and Figure 1D The second multi-layer configuration of the first pipeline management device 116 is depicted. Figure 1E The first pipeline management device 116 is shown in a coiled configuration.

[0035] like Figure 1B As shown, in the extended configuration, the main body 118 of the first pipeline management device 116 can be substantially straight or linear along the longitudinal axis of the main body 118 from the first end 117 to the second end 119. Figure 1E As shown, in the coiled configuration, the body 118 can be substantially bent, thereby forming a channel 130 for enclosing one or more objects (such as shaft 106 and pipe 114). In some examples and as... Figure 1E As shown, a portion of the body 118 may overlap itself in a coiled configuration. For example, a first portion of the body 118 including the first end 117 may extend over (e.g., wrap around or coil) a second portion of the body 118 including the second end 119 to form a channel 130.

[0036] Also refer to Figure 1B and Figure 1E The dimensions of the body 118 can be designed to accommodate the shaft 106 and the conduit 114. For example, the length of the body 118 from the first end 117 to the second end 119 can be such that... Figure 1E In the coiled configuration shown, the inner diameter of the channel 130, which is formed to surround the shaft 106 and the conduit 114, is greater than the sum of the outer diameters of the shaft 106 and the conduit 114. When more than one first conduit management device 116 is used, such as Figure 1A As shown, each first conduit management device 116 may be identical. In other examples, the lengths of the bodies 118 of one or more first conduit management devices 116 may differ from one another to accommodate the varying outer diameters of the conduit 114 and / or shaft 106, respectively. Although the bodies 118 of the first conduit management devices 116 are shown as generally rectangular in shape with rounded ends, this disclosure is not limited thereto. In other examples, the bodies 118 may be other shapes such as circular, oval, elliptical, or square.

[0037] refer to Figure 1C The body 118 of the first conduit management device 116 may consist of multiple layers (e.g., a multi-layer body). The layers may include a substrate 120 and a coating 122. The substrate 120 may be an inner or internal layer made of metal (such as stainless steel) or plastic. The substrate 120 may include components configured to allow the first conduit management device 116 to... Figure 1B The extended configuration shown and Figure 1E The structure shown transitions between curled configurations. For example, similar to a slap bracelet, the structure can be a bistable structure with two stable equilibrium states, where the structure can be in either of the two states. These two states can be mechanical shapes, specifically an extended state or a curled state. Therefore, when the structure of the substrate 120 transitions between an extended state and a curled state, the first conduit management device 116 can correspondingly transition between an extended configuration and a curled configuration.

[0038] In some examples, when the structure is in an extended state, the body 118 can be bent in a first direction about its central longitudinal axis, such that the sides of the body 118 extend away from the central longitudinal axis in the first direction. For example, in a cross-section perpendicular to the central longitudinal axis of the body 118, the outer surface 124 of the body 118 can have a concave shape, and the inner surface 128 of the body 118 can have a convex shape. When the structure is in a rolled-up state, the body 118 can have different shapes. For example, the body 118 can be flat, or it can be bent in a second direction (opposite to the first direction) about its central longitudinal axis, such that the sides of the body 118 extend away from the central longitudinal axis in the second direction. In the rolled-up state, in a cross-section perpendicular to the central longitudinal axis of the body 118, the outer surface 124 can have a flat or convex shape. In the rolled-up state, in a cross-section perpendicular to the central longitudinal axis of the body 118, the inner surface 128 can have a flat or concave shape.

[0039] The structure of base 120 can switch between an extended state and a coiled state in response to a force applied by an operator to the first conduit management device 116. An exemplary force may include causing a portion of the first conduit management device 116 (including one of the first end 117 or the second end 119) to abut against the contact shaft 106 and / or conduit 114 with sufficient force (e.g., by abutting). Another exemplary force may include applying a bending action to the first end 117 and / or the second end 119 of the first conduit management device 116 (e.g., by pushing the first end 117 and / or the second end 119 inward toward the center of the body 118) to bend it inward.

[0040] Continue to refer to Figure 1C Coating 122 can be applied to the surface of substrate 120 such that coating 122 surrounds substrate 120 and forms the outer layer of body 118. Coating 122 may include silicone, rubber, or plastic. In some examples, particularly when substrate 120 is made of metal, substrate 120 may include sharp edges. Coating 122 may cover or otherwise protect the body cavity from sharp edges to help reduce damage to the body cavity. Furthermore, when body 118 is circumferentially surrounding shaft 106 and conduit 114 in a coiled configuration, coating 122 may help increase friction, adhesion, or grip of body 118 on shaft 106 and conduit 114. This increased friction, adhesion, or grip may help prevent the first conduit management device 116 from slipping or otherwise detaching.

[0041] The outer surface 124 of the body 118 may include a surface portion of the body 118 that is exposed to the body cavity when a portion of the shaft 106, to which the conduit 114 is removably coupled, is inserted into the body cavity via the first conduit management device 116. In some examples, the outer surface 124 may include a surface along the length of the body 118 and a surface along the height of the body 118 at each of the first end 117 and the second end 119, because at least one of the first end 117 or the second end 119 may be exposed to the body cavity when in a coiled configuration, as described in detail below. The inner surface 128 of the body 118 may include a portion of the body 118 that contacts the shaft 106 when the first conduit management device 116 at least circumferentially surrounds the shaft 106 in a coiled configuration. In some examples and as... Figure 1C As shown, the same coating 122 can be applied to both the outer surface 124 and the inner surface 128 of the body 118.

[0042] In other examples and such Figure 1D As shown, a first coating 126 may be applied to the outer surface 124, and a second coating 127, different from the first coating 126, may be applied to the inner surface 128. The first coating 126 may consist of a hydrophobic and / or lubricating material to facilitate insertion of the shaft 106, to which the tubing 114 is removably connected via the first tubing management device 116, and to help reduce tissue damage. The second coating 127 may consist of a high-friction material to increase friction, adhesion, or gripping of the body 118 on the shaft 106 and tubing 114 as the body 118 circumferentially surrounds the shaft 106 and tubing 114 in a coiled configuration. This increased friction, adhesion, or gripping may help prevent the first tubing management device 116 from slipping or otherwise detaching.

[0043] Figures 1F to 1H An exemplary method is described for removably connecting a conduit 114 to a shaft 106 using a first conduit management device 116. Figure 1F and Figure 1G A front view of the shaft 106 and the pipe 114 is depicted when the first pipe management device 116 is applied. Figure 1H A rear view (e.g., opposite to the front view) of the shaft 106 and pipe 114 is depicted after the application of the first pipe management device 116. Return to Reference Figure 1F The conduit 114, configured to extend outward along the shaft 106, can be free-floating before the application of the first conduit management device 116. The operator may wish to use the first conduit management device 116 to connect the conduit 114 to the shaft 106 at a location along the shaft 106. For this purpose, the operator can position the first conduit management device 116 in its extended configuration relative to the conduit 114 and a portion of the shaft 106 at a desired location along the shaft 106, such as... Figure 1F As shown.

[0044] When a force is applied to the first conduit management device 116, the structure of the base 120 changes the first conduit management device 116 from an extended configuration to a coiled configuration, such as Figure 1G As shown. For example, when the body 118 is substantially bent along its length from the second end 119 to the first end 117, the inner surface 128 of a portion of the body 118 including the second end 119 initially contacts and begins to surround (e.g., wrap around or curl) the shaft 106 and the conduit 114. An exemplary applied force may include an operator applying sufficient force to the second end 119 of the first conduit management device 116 against the contact shaft 106 and / or the conduit 114 (e.g., by tapping against it). Another exemplary applied force may include an operator applying a bending action to the second end 119 (e.g., by pushing the second end 119 inward toward the center of the body 118) to bend it inward. Figure 1H As shown, the first conduit management device 116, in a coiled configuration, can completely surround the shaft 106 and the conduit 114 to removably connect the conduit 114 to the shaft 106. Depending on the length of the body 118 of the first conduit management device 116 relative to the outer diameter of the shaft 106 and the outer diameter of the conduit 114, a portion of the first conduit management device 116 can overlap itself. For example, and as... Figure 1H As shown, the inner surface 128 of a portion of the first conduit management device 116, including the first end 117, can overlap and contact the outer surface 124 of another portion of the first conduit management device 116, including the second end 119.

[0045] In some examples, the operator may need to reposition the first conduit management device 116 along axis 106 (e.g., from a first position to a second position). In such an example, the structure of the base 120 in the body 118 allows the first conduit management device 116 to be quickly and easily moved from... Figure 1H The curl configuration shown is converted back Figure 1F The extended configuration shown is for repositioning. For example, an operator can lift or pull the first end 117 outward and away from the shaft 106 to expose the second end 119, and can then continue to lift or pull the first end 117 and the second end 119 outward and away from the shaft 106 with sufficient force (e.g., until the length of the body 118 from the first end 117 to the second end 119 extends along the same plane). This force can cause the structure of the base 120 to convert the first conduit management device 116 back to the extended configuration. This structure can facilitate repeated switching of the first conduit management device 116 between the extended and coiled configurations without affecting or reducing the connectivity of the first conduit management device 116.

[0046] While the specific application of the first tubing management device 116 described herein relates to connecting the tubing 114 of the second medical device 112 to the shaft 106 of the first medical device 102 for insertion into a patient's body cavity, the first tubing management device 116 is not limited to this application. For example, the first tubing management device 116 can be used to removably connect any two medical tubings to each other.

[0047] Figures 2A to 2D Various views of the second pipeline management device 200 are depicted. Figure 2A A top view of the second pipeline management device 200 in an extended configuration is depicted. Figure 2B A side view of the second pipeline management device 200 in an extended configuration is depicted. Figure 2C A top view depicts multiple second pipeline management devices 200 that have been incorporated into pipeline 114. Figure 2D Depicting Figure 2C The second pipe management device 200 is applied to the shaft 106 in a coiled configuration to removably connect the pipe 114 to the shaft 106 (side view).

[0048] Also refer to Figure 2A and Figure 2B The second conduit management device 200 may include a body 202. The body 202 may be similar to the body 118 of the first conduit management device 116. For example, the inner layer of the body 202 may include a substrate 120 having a structure configured to allow the second conduit management device 200 to switch between an extended configuration and a coiled configuration. Furthermore, the outer layer of the body 202 may include a coating 122 on both the inner surface 206 and the outer surface 208 of the body 202. Alternatively, the outer layer of the body 202 may include a first coating 126 on the outer surface 208 (including the end surface) and a second coating 127 on the inner surface 206. However, unlike the body 118, a portion of the body 202 may include a channel 204.

[0049] Channel 204 may be a recess in the inner surface 206 of body 202. In some examples, channel 204 may be positioned midway along the length of body 202 (e.g., at the center). In other examples, channel 204 may be positioned off-center. Channel 204 may extend the width of body 202, generally perpendicular to the longitudinal axis of body 202. Surface 210 of channel 204 may include the same coating 122 or a second coating 127 applied to the inner surface 206 of body 202. Channel 204 can be maintained in both extended and coiled configurations of the second conduit management device 200. In some examples and as... Figure 2BAs shown, in the extended configuration, the portion of the outer surface 208 of the body 202 corresponding to the recessed position may protrude slightly. In other examples, the outer surface 208 of the body 202 may remain substantially linear in the extended configuration.

[0050] The channel 204 can be sized to accommodate the conduit 114. For example, the size of the channel 204 can be based on the size of the conduit 114 (e.g., outer diameter). In some examples, the size of the channel 204 can be such that a portion of the conduit 114 placed or positioned within the channel 204 is secured to prevent the conduit 114 from sliding or otherwise detaching from the channel 204 (e.g., securing the conduit 114 to the second conduit management device 200).

[0051] In the extended configuration, the second conduit management device 200 can be configured to receive conduit 114 via channel 204 before connecting conduit 114 to shaft 106. For example, when the second conduit management device 200 is in the extended configuration, an operator can place or position a portion of conduit 114 within channel 204 of the second conduit management device 200 to connect conduit 114 to the second conduit management device 200.

[0052] In some examples and such Figure 2C As shown, the operator can place or position different portions of conduit 114 within each channel 204 of the plurality of second conduit management devices 200. In some examples and as... Figure 2C and Figure 2D As shown, each second conduit management device 200 may be identical. In other examples, when the outer diameter of the conduit 114 and / or the shaft 106 varies along the length of the conduit 114 and / or the shaft 106, the dimensions of each channel 204 and / or the length of the body 202 of the second conduit management device 200 may differ from each other to accommodate the varying outer diameters of the conduit 114 and / or the shaft 106, respectively.

[0053] Then, each of the second conduit management devices 200, which are in an extended configuration and connected to conduit 114, is as follows (e.g. Figure 2C (As shown) can be positioned relative to shaft 106 at a desired location along shaft 106. When force is applied to each second conduit management device 200, the structure of the base 120 in the body 202 converts each second conduit management device 200 from an extended configuration to a coiled configuration, as... Figure 2D As shown. For example, when the body 202 is substantially bent along its length in a coiled configuration, the inner surface 206 of the body 202 contacts and surrounds (e.g., wraps around or coils) the shaft 106. The shaft 106 and the conduit 114 can be enclosed in a channel formed by the body 202, similar to Figure 1EThe channel 130 is formed by the main body 118. In some examples, force can be applied to each second conduit management device 200 individually and sequentially. In other examples, force can be applied to two or more second conduit management devices 200 simultaneously.

[0054] In some examples, the operator may need to reposition one of the second piping management devices 200 along shaft 106. In such an example, the structure of the base 120 in the body 202 allows the second piping management device 200 to be quickly and easily displaced. Figure 2D The curl configuration shown is converted back Figure 2C The extended configuration shown is for repositioning. For example, an operator can lift or pull both ends of the body 202 outward and away from the shaft 106 with sufficient force (e.g., until the length of the body 202 extends along the same plane). This force can cause the structure of the base 120 to convert the second conduit management device 200 back to the extended configuration. This structure facilitates repeated switching between the extended and coiled configurations of the second conduit management device 200 without affecting or reducing its connectivity.

[0055] Because the conduit 114 is received within the channel 204 formed on the inner surface 206 of the body 202, therefore... Figure 2D In the illustrated coiled configuration, the inner surface 206 of each second conduit management device 200 can be configured to surround both the shaft 106 and the conduit 114. The coating 122 or second coating 127 (including the surface 210 of the channel 204) on the inner surface 206 of the body 202 can help improve the friction, adhesion, or gripping of the body 202 of the second conduit management device 200 on the shaft 106 and the conduit 114. When the coupled shaft 106 and conduit 114 are partially inserted into a body cavity during a medical procedure, the outer surface 208 of each second conduit management device 200 can be exposed to the body cavity. The coating 122 or first coating 126 on the outer surface 208 can help facilitate insertion and help reduce tissue damage. Furthermore, accommodating the conduit 114 within the channel 204 can at least reduce the compression of the conduit 114 when it is connected to the shaft 106, so that the entire inner diameter of the conduit 114 can be utilized during medical procedures (e.g., as an additional working channel).

[0056] Figures 3A to 3D Various views of the third pipeline management device 300 are depicted. Figure 3A A top view of the third pipeline management device 300 in an extended configuration is depicted. Figure 3B A side view of the third pipeline management device 300 in an extended configuration is depicted. Figure 3C A top view depicts multiple third pipeline management devices 300 that have been incorporated into pipeline 114. Figure 3D Depicting Figure 3C The third pipeline management device 300 is applied to the shaft 106 in a coiled configuration to removably connect the pipeline 114 to the shaft 106 (side view).

[0057] Also refer to Figure 3A and Figure 3B The third conduit management device 300 may include a body 302. The body 302 may be similar to the body 118 of the first conduit management device 116. For example, the inner layer of the body 302 may include a substrate 120 having a structure configured to allow the third conduit management device 300 to switch between an extended configuration and a coiled configuration. Furthermore, the outer layer of the body 302 may include a coating 122 on both the inner surface 312 and the outer surface 310 of the body 302. Alternatively, the outer layer of the body 302 may include a first coating 126 on the outer surface 310 (including the end surface) and a second coating 127 on the inner surface 312. However, unlike the body 118, a portion of the body 302 may include a channel 304.

[0058] Channel 304 may project outward from the outer surface 310 of body 302. In some examples, channel 304 may be positioned midway along the length of body 302 (e.g., at the center). In other examples, channel 304 may be positioned off-center. Channel 304 may extend the width of body 302, generally perpendicular to the longitudinal axis. In some examples, body 302 and channel 304 may be formed or manufactured as a single component. In other examples, body 302 and channel 304 may be formed or manufactured as separate components, wherein channel 304 is fixed or otherwise coupled to body 302. Channel 304 can be maintained when the third conduit management device 300 is in both extended and coiled configurations.

[0059] Channel 304 may be a partially open channel. For example, channel 304 may include an opening 308 formed by a pair of arms 306 extending outward and vertically from the outer surface 310. Surface 314 of channel 304 (e.g., the inner surface of the arms 306) may include the same coating 122 or a second coating 127 applied to the inner surface 312 of body 202. Outer surface 316 of arms 306 may include the same coating 122 or a first coating 126 applied to the outer surface 310 of body 302.

[0060] The channel 304 can be sized to accommodate the conduit 114. For example, the size of the channel 304 can be based on the size of the conduit 114 (e.g., outer diameter). In some examples, the channel 304 is sized such that a portion of the conduit 114 placed or positioned within the channel 304 is secured to prevent the conduit 114 from slipping or otherwise detaching from the channel 304 (e.g., connecting the conduit 114 to a third conduit management device 300). For example, the arm 306 can be slightly flexible to bend and receive the conduit 114. The arm 306 can have sufficient resilience to allow the channel 304 to hold the conduit 114 in an interference fit.

[0061] The third conduit management device 300 can be configured to receive conduit 114 via channel 304 in either an extended or coiled configuration. As an example, in the extended configuration, the third conduit management device 300 can be configured to receive conduit 114 via channel 304 before connecting conduit 114 to shaft 106. For instance, when the third conduit management device 300 is in the extended configuration, an operator can place or position a portion of conduit 114 within channel 304 of the third conduit management device 300 to connect conduit 114 to the third conduit management device 300.

[0062] In some examples and such Figure 3C As shown, an operator can place or position different portions of the conduit 114 within each channel 304 of the plurality of third conduit management devices 300. In other examples, the dimensions of each channel 304 and / or the length of the body 302 of the third conduit management device 300 may differ from each other to accommodate the varying outer diameters of the conduit 114 and / or the shaft 106, respectively.

[0063] Then, each of the third conduit management devices 300, which are in an extended configuration and connected to conduit 114, is as follows (e.g. Figure 3C (As shown) can be positioned relative to the shaft 106 at a desired location along the shaft 106. When a force is applied to each third conduit management device 300, the structure of the base 120 in the body 302 changes each third conduit management device 300 from an extended configuration to a coiled configuration, as... Figure 3D As shown. For example, when the body 302 is substantially bent along its length in a coiled configuration, the inner surface 312 of the body 302 contacts and surrounds (e.g., wraps around or coils) the shaft 106. The shaft 106 can be surrounded in a channel formed by the body 302, similar to Figure 1E The channel 130 is formed by the main body 118. In some examples, force can be applied to each third conduit management device 300 individually and sequentially. In other examples, force can be applied to two or more third conduit management devices 300 simultaneously.

[0064] Alternatively, the third conduit management device 300 can be configured to receive conduit 114 via channel 304 when it is in a curled configuration after being applied to shaft 106. For example, the third conduit management device 300 can be applied to shaft 106 first, and then the third conduit management device, now in a curled configuration, can receive conduit 114 via channel 304 to removably connect conduit 114 to shaft.

[0065] In some examples, the operator may need to reposition one of the third piping management devices 300 along shaft 106. In such an example, the structure of the base 120 in the body 302 allows the third piping management device 300 to be quickly and easily repositioned. Figure 3D The curl configuration shown is converted back Figure 3C The extended configuration shown is for repositioning. For example, an operator can lift or pull both ends of the body 302 outward and away from the shaft 106 with sufficient force (e.g., until the length of the body 302 extends along the same plane). This force can cause the structure of the base 120 to convert the third conduit management device 300 back to the extended configuration. This structure facilitates repeated switching between the extended and coiled configurations of the third conduit management device 300 without affecting or reducing its connectivity.

[0066] The coating 122 or second coating 127 on the inner surface 312 of the body 302 and the surface 314 of the channel 304 can respectively help improve the friction, adhesion, or gripping of the body 202 of the second conduit management device 200 on the shaft 106 and the conduit 114. When the coupled shaft 106 and conduit 114 are partially inserted into the body cavity during a medical procedure, the outer surface 310 of each third conduit management device 300 can be exposed to the body cavity. The coating 122 or first coating 126 on the outer surface 310 can help facilitate insertion and help reduce tissue damage. In addition, accommodating the conduit 114 within the channel 304 can reduce or eliminate compression of the conduit 114 when it is coupled to the shaft 106, so that the entire inner diameter of the conduit 114 can be utilized during the medical procedure (e.g., as an additional working channel).

[0067] Figures 4A to 4D Various views of the fourth pipeline management device 400 are depicted. Figure 4A A top view of the fourth pipeline management device 400 in an extended configuration is depicted. Figure 4B A side view of the fourth pipeline management device 400 in an extended configuration is depicted. Figure 4C A top view depicts multiple fourth pipeline management devices 400 that accommodate pipeline 114. Figure 4D Depicting Figure 4CThe fourth pipe management device 400 is applied to the shaft 106 in a coiled configuration to removably connect the pipe 114 to the shaft 106 (side view).

[0068] Also refer to Figure 4A and Figure 4B The fourth conduit management device 400 may include a body 402. The body 402 may be similar to the body 118 of the first conduit management device 116. For example, the inner layer of the body 402 may include a substrate 120 having a structure configured to allow the fourth conduit management device 400 to switch between an extended configuration and a coiled configuration. Furthermore, the outer layer of the body 402 may include a coating 122 on both the inner surface 412 and the outer surface 410 of the body 402. Alternatively, the outer layer of the body 402 may include a first coating 126 on the outer surface 410 (including the end surface) and a second coating 127 on the inner surface 412. However, unlike the body 118, a portion of the body 402 may include a channel 404.

[0069] Channel 404 may project outward from the outer surface 410 of body 402. In some examples, channel 404 may be positioned midway along the length of body 402 (e.g., at the center). In other examples, channel 404 may be positioned off-center. Channel 404 may extend the width of body 402, substantially perpendicular to the central longitudinal axis of body 402. In some examples, body 402 and channel 404 may be formed or manufactured as a single component. In other examples, body 402 and channel 404 may be formed or manufactured as separate components, wherein channel 404 is fixed or otherwise coupled to body 402. Channel 404 can be maintained in both extended and coiled configurations of the fourth conduit management device 400.

[0070] Channel 404 may be a closed channel. For example, channel 404 may include a tubular member 406 extending outwardly and substantially perpendicularly from the outer surface 410 of body 402. Tubular member 406 may include a tubular member cavity 408. Surface 414 of tubular member cavity 408 may include the same coating 122 or a second coating 127 applied to the inner surface 412 of body 202. Outer surface 416 of tubular member 406 may include the same coating 122 or a first coating 126 applied to the outer surface 410 of body 402.

[0071] The dimensions of the tubular member cavity 408 can be designed to accommodate the conduit 114. For example, the dimensions of the tubular member cavity 408 can be based on the dimensions of the conduit 114 (e.g., outer diameter). In some examples, the dimensions of the tubular member cavity 408 can allow the conduit 114 to be moved or advanced through the tubular member cavity 408 when a force is applied to it (e.g., by an operator). Otherwise, when no force is applied, the conduit 114 can be tightly fitted (e.g., by frictional interference fit) within the tubular member cavity 408 to prevent the conduit 114 from accidentally slipping or otherwise dislodging from the tubular member cavity 408 (e.g., connecting the conduit 114 to a fourth conduit management device 400).

[0072] The fourth conduit management device 400 can be configured to receive conduit 114 via the tubular member cavity 408 of the channel 404 in either an extended or coiled configuration. As an example, in the extended configuration, the fourth conduit management device 400 can be configured to receive conduit 114 before it is coupled to the shaft 106. For instance, when the fourth conduit management device 400 is in the extended configuration, an operator can advance or slide the first end of conduit 114 into or through the tubular member cavity 408 to secure conduit 114 to the fourth conduit management device 400.

[0073] In some examples and such Figure 4C As shown, the operator can sequentially advance the first end of the conduit 114 into the cavity 408 of each tubular member of the plurality of fourth conduit management devices 400 or slide it through the cavity 408 of each tubular member of the plurality of fourth conduit management devices 400. In some examples and as shown Figure 4C and Figure 4D As shown, each fourth conduit management device 400 may be identical. In other examples, when the outer diameter of conduit 114 and / or shaft 106 varies along the length of conduit 114 and / or shaft 106, the dimensions of the inner cavity 408 of each tubular member of the plurality of fourth conduit management devices 400 and / or the length of the body 202 may differ from each other to accommodate the varying outer diameters of conduit 114 and / or shaft 106, respectively.

[0074] Then, each of the fourth conduit management devices 400, which are in an extended configuration and connected to conduit 114 (e.g., Figure 4C (As shown) can be positioned relative to shaft 106 at a desired location along shaft 106. When a force is applied to each fourth conduit management device 400, the structure of the base 120 in the body 402 converts each fourth conduit management device 400 from an extended configuration to a coiled configuration, as... Figure 4DAs shown. For example, when the body 402 is substantially bent along its length in a coiled configuration, the inner surface 412 of the body 402 contacts and surrounds (e.g., wraps around or coils) the shaft 106. The shaft 106 can be surrounded in a channel formed by the body 202, similar to Figure 1E The channel 130 is formed by the main body 118. In some examples, force can be applied to each fourth conduit management device 400 individually and sequentially. In other examples, force can be applied to two or more fourth conduit management devices 400 simultaneously.

[0075] Alternatively, the fourth conduit management device 400 may be configured to receive conduits 114 pushed into or slid through each tubular member cavity 408 when in a coiled configuration after the fourth conduit management device 400 is applied to the shaft 106. For example, the fourth conduit management device 400 may be applied to the shaft 106 first, and then an operator may push conduits 114 into or slid through each tubular member cavity 408 of the fourth conduit management device 400 to removably connect conduits 114 to the shaft 106.

[0076] In some examples, the operator may need to reposition one of the fourth piping management devices 400 along shaft 106. In such an example, the structure of the base 120 in the body 402 allows the fourth piping management device 400 to be quickly and easily repositioned. Figure 4D The curl configuration shown is converted back Figure 4C The extended configuration shown is for repositioning. For example, an operator can lift or pull both ends of the body 402 outward and away from the shaft 106 with sufficient force (e.g., until the length of the body 402 extends along the same plane). This force can cause the structure of the base 120 to convert the fourth conduit management device 400 back to the extended configuration. This structure facilitates repeated switching of the fourth conduit management device 400 between the extended and coiled configurations without affecting or reducing the connectivity of the fourth conduit management device 400.

[0077] The coating 122 or second coating 127 on the inner surface 412 of the body 402 and the surface 414 of the tubular member cavity 408 can respectively help improve the friction, adhesion, or gripping of the body 402 of the fourth conduit management device 400 on the shaft 106 and the conduit 114. When the coupled shaft 106 and conduit 114 are partially inserted into the body cavity during a medical procedure, the outer surface 410 of the body 402 and the outer surface 416 of the tubular member 406 can be exposed to the body cavity. The coating 122 or first coating 126 on the outer surfaces 410 and 416 can help facilitate insertion and help reduce tissue damage. In addition, accommodating the conduit 114 within the tubular member cavity 408 can reduce or eliminate compression of the conduit 114 when it is coupled to the shaft 106, so that the entire inner diameter of the conduit 114 can be utilized during the medical procedure (e.g., as an additional working channel).

[0078] Figure 5 An exemplary method 500 for removably connecting medical tubing is depicted. At step 502, method 500 may include positioning a device in an extended configuration relative to a first medical tubing and a second medical tubing separate from the first medical tubing. The device may be one of a first tubing management device 116, a second tubing management device 200, a third tubing management device 300, or a fourth tubing management device 400. In the extended configuration, the device may be substantially linear along the longitudinal axis of the device. As a non-limiting example, the first medical tubing may include a shaft 106 of the first medical device 102, and the second medical tubing may include a conduit 114 of the second medical device 112, as referenced above. Figure 1A As described in detail.

[0079] When the device is a first tubing management device 116, the device can be positioned at a desired location along the length of the first and / or second medical tubing when the first and second medical tubing are close to each other (e.g., substantially parallel to each other along their length). When the device is one of a second tubing management device 200, a third tubing management device 300, or a fourth tubing management device 400, positioning the device may include receiving one of the first or second medical tubing within a channel of the device (e.g., one of channel 204, channel 304, or channel 404, respectively) to connect the corresponding medical tubing to the device. The connected device and medical tubing can then be positioned relative to the other of the first or second medical tubing.

[0080] At step 504, method 500 may include: applying a first force to the device to change the device from an extended configuration to a coiled configuration, such that the device circumferentially surrounds at least one of a first medical line or a second medical line to removably connect the first medical line to the second medical line. In the coiled configuration, the device may be substantially bent to enable the device to circumferentially surround the first medical line and / or the second medical line. When the device is a first line management device 116 or a second line management device 200, the device may circumferentially surround both the first and second medical lines. When the device is a third line management device 300 or a fourth line management device 400, the device may circumferentially surround only one of the first or second medical lines.

[0081] An exemplary first force may include applying a force to one end of the device against a first medical line and / or a second medical line (e.g., by tapping). Another exemplary first force may include applying a bending motion to one or both ends of the device (e.g., by pushing inward) to bend it inward.

[0082] At optional step 506, method 500 may optionally include applying a second force to the device to reposition it from a coiled configuration back to an extended configuration. An exemplary second force may include a pulling action at both ends of the device to lift both ends outward and away from the first and second medical lines until the length of the device from one end to the other extends along the same plane.

[0083] The above method 500 is provided only as an example and may include more than Figure 5 The steps may include more, fewer, different, or different arrangements as described herein. For example, when the device is a third tubing management device 300 or a fourth tubing management device 400, the method may alternatively include: positioning the device relative to one of a first medical tubing or a second medical tubing; applying a first force to the device to change the device from an extended configuration to a coiled configuration such that the device circumferentially surrounds one of the first medical tubing or the second medical tubing; and receiving the other of the first medical tubing or the second medical tubing via a channel of the device to secure the first medical tubing and the second medical tubing to each other.

[0084] While the principles of this disclosure have been described herein with reference to illustrative examples for specific applications, it should be understood that this disclosure is not limited thereto. Those skilled in the art, upon receiving the teachings provided herein, will recognize that additional modifications, applications, and equivalent substitutions fall within the scope of the examples described herein. Therefore, this invention should not be considered as limited to the foregoing description.

Claims

1. An apparatus for pipeline management, the apparatus comprising: A substrate, the substrate including a structure configured to allow the device to switch between an extended configuration and a coiled configuration when a force is applied to the device; as well as A coating, which is applied to the substrate, In the extended configuration, the device includes a channel configured to receive a conduit, and In the coiled configuration, the device is arranged to circumferentially surround the shaft of the medical device to removably connect the tubing to the shaft of the medical device.

2. The apparatus according to claim 1, wherein, The extended configuration is a substantially linear configuration, and the curled configuration is a substantially curved configuration.

3. The apparatus according to claim 1 or claim 2, wherein, The channel is a recess in the inner surface of the device.

4. The apparatus according to claim 3, wherein, In the coiled configuration, the device is arranged to circumferentially surround the medical device shaft and the tubing received within the channel.

5. The apparatus according to claim 1 or claim 2, wherein, The channel protrudes from the outer surface of the device.

6. The apparatus according to claim 5, wherein, The channel is a partially open channel.

7. The apparatus according to claim 6, wherein, The partially open channel includes an opening configured to receive the conduit, the opening being formed by a pair of arms extending outward and vertically from the outer surface of the device.

8. The apparatus according to claim 5, wherein, The passage is a closed passage.

9. The apparatus according to claim 8, wherein, The enclosed channel includes a tubular member extending outward and substantially vertically from the outer surface of the device, wherein the tubular member includes a tubular member cavity configured to receive the conduit.

10. The apparatus according to any one of claims 5 to 9, wherein, The channel is configured to receive the conduit while the device is in both the extended and coiled configurations.

11. The apparatus according to any one of claims 1 to 10, wherein, The coating includes a first coating and a second coating that is different from the first coating.

12. The apparatus according to claim 11, wherein, The first coating is applied to one or more surfaces of the substrate, the one or more surfaces being configured to be exposed to the body cavity when the shaft of the medical device, to which the tubing is removably coupled via the device, is partially inserted into the body cavity.

13. The apparatus according to claim 11 or claim 12, wherein, The second coating is applied to one or more surfaces of the substrate that are configured to contact at least one of the medical device shaft or the tubing.

14. The apparatus according to any one of claims 1 to 13, wherein, When the device is in the coiled configuration, the structure of the base is configured to allow the device to transition from the coiled configuration back to the extended configuration, so that the device can be repositioned relative to at least one of the medical device shaft or the tubing.

15. The apparatus according to any one of claims 1 to 14, wherein, The substrate is made of metal, and the coating is made of rubber, plastic, or a combination of rubber and plastic.

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