Endoscopic system for holding medical devices

Abstract

A catheterization system including a medical clip, an imaging, and a display. The medical clip includes a clip body that includes a clip channel. The clip includes an upper jaw rotatably coupled to the clip body. The clip includes an elastomeric insert configured to be positioned in a distal section of the upper jaw and between the upper jaw and the clip body, the elastomeric insert defining a contact surface. A System includes a first and second lever configured to control each of the clip body and the upper jaw between the closed position and the open position. Based on the medical clip being in the closed position, the contact surface of the elastomeric insert of the upper jaw is configured to contact a portion of a medical device positioned in the clip channel.

Description

Attorney Docket No.: 52484-0008WOIENDOSCOPIC SYSTEM FOR HOLDING MEDICAL DEVICES

[0001] This document describes devices, systems, and methods related to positional securing of medical devices. Specifically, a device that can assist in treating patients while utilizing catheter or endoscopic-based therapies. For example, devices that can secure a catheter adjacent to a camera system, fix the catheter in position, and provide visualization of the catheter distal end. Some implementations described herein facilitate self-insertion (intubation) of the catheter into the urethra or other bodily orifices while under direct video visualization.BACKGROUND

[0002] In general, minimally invasive medical procedures can utilize catheters, endoscopes, and other medical instruments to perform therapies and imaging to patients. Minimally invasive medical procedures can be complex and involve several medical instruments in use concurrently and / or at various times during a procedure. The positional relationship between medical instruments is important for patient safety, successful procedures, consistency of treatment, and ease of use for medical professionals.

[0003] Previous approaches to ensure a fixed positioning of a catheter instrument while performing other steps in minimally invasive surgical procedures include using an assistant to hold the instruments such as a catheter or endoscope or other instrument, adding cost to the procedure. Additionally, self-catheterization is challenging. 25 million Americans and 200 million people worldwide experience urinary incontinence. Many of these patients are older and self-catheterization of these patients can be a difficultAttorney Docket No.: 52484-0008WOItask. Adult females can have a harder time performing self-catheterization than males. The process of finding the meatus even when using a mirror to perform self¬ catheterization can be challenging for some. Many older women can have recession of the urethra due to changes in estrogen levels as they age, making identification of the urethral meatus difficult.

[0004] Previous approaches to self-catheterization have included the use of mirrors for visualization of the urethra in young and older females or the insertion of a guide into the vagina which then facilitates the blind insertion of the catheter into the urethra. Other approaches also include adaptive devices for patients with disabilities to be able to hold a catheter in their hand when afflicted with a deformity or a stroke. Previous approaches may also compromise the sterility of the urinary catheter.SUMMARY

[0005] The document generally relates to devices for holding and / or securing medical instruments together during medical procedures. More specifically, the document relates to medical clips with inserts that are configured to receive medical devices.

[0006] In some aspects, the techniques described herein relate to a catheterization clip and imaging system, including a medical clip, an imaging system, and a display. The medical clip can include a clip body that includes a clip channel that extends from a clip channel proximal end at a lateral face of the clip body to a clip channel distal end at a distal end of the clip body. The clip can include an upper jaw, the upper jaw being rotatably coupled to the clip body, the clip body and the upper jaw being rotatable with respect to each other between a closed position and an open position. The clip can include an elastomeric insert configured to be positioned in a distal section of the upper jaw andAttorney Docket No.: 52484-0008WOIbetween the upper jaw and the clip body, the elastomeric insert defining a contact surface. The clip can include a first lever connected to the clip body and a second lever connected to the upper jaw, the first lever and the second lever being configured to control each of the clip body and the upper jaw between the closed position and the open position. The system includes the imaging system positioned in the clip body, the imaging system includes a camera disposed at a distal end of the clip body. The system can include a display connected to each of the imaging system and a proximal end of the clip body. Based on the medical clip being in the closed position, the contact surface of the elastomeric insert of the upper jaw is configured to contact a portion of a medical device positioned in the clip channel.

[0007] In some implementations, the system can optionally include one or more of the following features. The clip body includes a socket at the proximal end of the clip body, the socket is configured to receive at least a portion of the imaging system. The socket facilitates a connection between the medical clip, the imaging system, and the display. The imaging system extends through an imaging channel of the clip body to position a distal end of the imaging system at a distal end of the medical clip. The imaging channel is separate from the clip channel. The clip body includes raised walls that extend on opposing sides of the clip channel proximal of the elastomeric insert. The clip channel has a curved shape in a proximal section of the clip channel and a straight profile in a distal section of the clip channel. The distal section of the clip channel is positioned along a midline of the clip body. The elastomeric insert has a durometer from 20A to 80A. The contact surface is flat and, based on the medical clip being in the closed position, is oriented to faces towards the clip body. The upper jaw has a proximal sectionAttorney Docket No.: 52484-0008WOIand a distal section, the proximal section of the upper jaw has a depth that is smaller than a depth of the distal section of the upper jaw. The elastomeric insert is positioned in the distal section of the upper jaw.

[0008] In some aspects, the techniques described herein relate to a medical clip. The medical clip can include a clip body that includes a clip channel that extends from a clip channel proximal end at a lateral face of the clip body to a clip channel distal end at a distal end of the clip body. The clip can include an upper jaw, the upper jaw being rotatably coupled to the clip body, the clip body and the upper jaw being rotatable with respect to each other between a closed position and an open position. The clip can include an elastomeric insert configured to be positioned in a distal section of the upper jaw and between the upper jaw and the clip body, the elastomeric insert defining a contact surface. The clip can include a first lever connected to the clip body and a second lever connected to the upper jaw, the first lever and the second lever being configured to control each of the clip body and the upper jaw between the closed position and the open position.

[0009] In some implementations, the system can optionally include one or more of the following features. The clip body includes raised walls that extend on opposing sides of the clip channel proximal of the elastomeric insert. The clip channel has a curved shape in a proximal section of the clip channel and a straight profile in a distal section of the clip channel. The distal section of the clip channel is positioned along a midline of the clip body. The elastomeric insert has a durometer from 20A to 80A. The contact surface is flat and, based on the medical clip being in the closed position, is oriented to faces towards the clip body. The upper jaw has a proximal section and a distal section, the proximal section of the upper jaw has a depth that is smaller than a depth of the distalAttorney Docket No.: 52484-0008WOIsection of the upper jaw. The elastomeric insert is positioned in the distal section of the upper jaw.

[0010] Particular implementations include medical clips with inserts that are configured to receive catheters and imaging systems. Some embodiments include a device that can assist in hygienic catheterizing of patients while utilizing imaging techniques. One aspect includes a clip device for simultaneously stabilizing the distal end of a urinary catheter and fixing an imaging system in proximity to the catheter such that the catheter may be inserted into the urethra under direct video control.

[0011] Particular implementations described herein include a medical clip for holding a plurality of medical devices. The medical clip also includes a first jaw and a second jaw, the second jaw being rotatably coupled to the first jaw, the first jaw and the second jaw being rotatable with respect to each other between a closed position and an open position. The clip also includes an elastomeric insert configured to be positioned between the first jaw and the second jaw, the elastomeric insert, defining a first cavity and a second cavity, the first cavity and the second cavity are separated from each other and each of the first cavity and the second cavity having cavity depths that are dimensioned to receive respective medical devices between the first jaw and the second jaw. The clip also includes a first lever connected to the first jaw. The clip also includes a second lever connected to the second jaw, the first lever and the second lever being configured to control each of the first jaw and the second jaw between the closed position and the open position. The clip also includes where, based on the medical clip being in the closed position, a distal face of the first jaw and the second jaw define first and second distal openings configured to receive a portion of the medical devices through the first andAttorney Docket No.: 52484-0008WOIsecond distal openings. The clip also includes where, based on the medical clip being in the closed position, a proximal face of the first jaw and the second jaw define first and second proximal openings configured to receive a second portion of the medical devices through the first and second proximal openings.

[0012] In some implementations, the medical clip can optionally include one or more of the following features. The medical clip where the first cavity extends between the first proximal opening and the first distal opening and the second cavity extends between the second proximal opening and the second distal opening. The elastomeric insert has a first insert connected to the first jaw and a second insert connected to the second jaw, the first insert and second insert being symmetrical. The elastomeric insert has a durometer from 20a to 80a. The second cavity may include collapsible ribs that extend from the second proximal opening to the second distal opening, the collapsible ribs being configured to collapse when a medical device is inserted within the second cavity. The first cavity has a first cavity proximal portion and a first cavity distal portion, the first cavity proximal portion extends from the first proximal opening to the first cavity distal portion, the first cavity distal portion extends from the first cavity proximal portion to the first distal opening. The first cavity proximal portion has a smaller depth than the first cavity distal portion. The first cavity and the second cavity are each offset from a longitudinal axis of the elastomeric insert in opposite directions. The first cavity and the second cavity extend parallel to each other through the elastomeric insert. The first cavity and the second cavity have different depths. Each of the first jaw and the second jaw has a curved shape that extends between the proximal face and the distal face. The elastomeric insert may include cavities that align with mechanical features on theAttorney Docket No.: 52484-0008WOIimaging system to assure proper alignment of the imaging system when assembled to the insert.

[0013] Particular implementations described herein include a clip for securing a medical device. The clip includes a first jaw having a curved shape that extends between a proximal face of the clip to a distal face of the clip. The clip also includes a second jaw having a curved shape that extends between the proximal face of the clip and the distal face of the clip, the first jaw and the second jaw being rotatable with respect to each other between a closed position and an open position. The clip also includes an elastomeric insert having a first insert configured to be received within the first jaw and a second insert configured to be received within the second jaw, the elastomeric insert defining a first cavity and a second cavity, the first cavity and the second cavity are separated from each other and each of the first cavity and the second cavity having cavity depths that are dimensioned to receive respective medical devices between the first jaw and the second jaw. The clip also includes a first lever connected to the first jaw. The clip also includes a second lever connected to the second jaw, the first lever and the second lever being configured to control each of the first jaw and the second jaw between the closed position and the open position. The clip also includes where, based on the clip being in the closed position, a distal face of the first jaw and the second jaw define first and second distal openings configured to receive a portion of multiple medical devices through the first and second distal openings. The clip also includes where, based on the clip being in the closed position, a proximal face of the first jaw and the second jaw define first and second proximal openings configured to receive a second portion of the medical devices through the first and second proximal openings.Attorney Docket No.: 52484-0008WOI

[0014] In some implementations, the clip can optionally include one or more of the following features. The clip can have the first cavity extend between the first proximal opening and the first distal opening and the second cavity extends between the second proximal opening and the second distal opening. The elastomeric insert has a first insert connected to the first jaw and a second insert connected to the second jaw, the first insert and second insert being symmetrical. The elastomeric insert has a durometer from 20a to 80a. The first jaw and the second jaw are symmetrical. The first cavity has a first cavity proximal portion and a first cavity distal portion, the first cavity proximal portion extends from the first proximal opening to the first cavity distal portion, the first cavity distal portion extends from the first cavity proximal portion to the first distal opening. The first cavity and the second cavity are each offset from a longitudinal axis of the elastomeric insert in opposite directions. The first cavity and the second cavity extend parallel to each other through the elastomeric insert.

[0015] Particular implementations described herein include a method of holding a medical device using a clip. The method can include providing a clip for holding the medical device, the clip may include: a first jaw, a second jaw, the second jaw being rotatably coupled to the first jaw and a second jaw, the first jaw and the second jaw being rotatable with respect to each other about a hinge between a closed position and an open position, an elastomeric insert positioned between an internal surface of the first jaw and an internal surface of the second jaw, the elastomeric insert having a first cavity and a second cavity, the first and second cavities, the first cavity and the second cavity are separated from each other and each of the first cavity and the second cavity with cavity depths that are dimensioned to receive respective medical devices between the first jawAttorney Docket No.: 52484-0008WOIand the second jaw, a first lever connected to the first jaw, and a second lever connected to the second jaw, the first lever and the second lever being configured to control each of the first jaw and the second jaw between the closed position and the open position. The method also includes opening the first and second jaws to place the clip in the open position. The method also includes inserting a portion of a first medical device in the first cavity of the elastomeric insert. The method also includes inserting a portion of a second medical device in the second cavity. The method also includes closing the first and second jaws to place the clip in the closed position such that the first and second medical devices are held in position relative to each other by the elastomeric insert.

[0016] The devices, systems, and techniques described herein may provide one or more of the following advantages. For example, embodiments described herein can facilitate self-catheterization (e.g., at home) for catheterization procedures that typically involve professional insertion. Second, some embodiments facilitate the single-handed use of a video device, disposed at a fixed position to the catheter distal end to visualize catheter intubation, simplifying the procedure. Third, embodiments provided herein facilitate hygienic catheterization processes that include video tracking while being provided in sterile single use packaging. Embodiments provided herein advantageously maintain relative positioning between the catheter and camera to view the targeted anatomy. Embodiments herein facilitate multiple sizes and types of catheters to be fixed with a single clip.

[0017] Further, embodiments described herein facilitate a method that allows patients, with and without physical limitations, to self-catheterize with one hand. The device assists in visualization of the anatomy that is critical to enhancing the ease andAttorney Docket No.: 52484-0008WOIadoption of self-catheterization. This procedure can reduce incontinence, skin breakdown and recurrent urinary tract infections. Inability to perform self-catheterization in females due to the anatomy is an impediment to many women. Additionally, for some care takers, it can be difficult to perform catheterization on obese females where multiple caretakers are required to catheterize a single patient.

[0018] Many factors may compound this problem. For example, obesity may result in the inability to bend adequately at the waist and / or limit visibility of the target area by obscuration. Additionally, the device provides visual augmentation to these patients by providing a magnified and illuminated view of the anatomy. Other factors include limited mobility, limited manual dexterity, limited visual acuity, anatomical issues (such as atrophic and retracted urethra) and limited knowledge of anatomy. The ability to visualize the urethral opening as well as the ability to control the placement of the distal tip of the catheter is paramount for successful catheter placement. This device also provides a method of training patients to perform self-catheterization while in a natural sitting position, at the toilet, or recumbent with an educator.

[0019] Embodiments described herein facilitate the simultaneous holding and stabilizing catheters while under direct imaging to allow the user to hold and insert a catheter into the urethra while under direct video visualization. Simultaneous visualization and catheterization with one hand allows the user’s other hand to be free to hold the labia apart, which simplifies the catheterization process for many patients and care givers.

[0020] Further, the medical clip can be disposable and configured to receive and secure an imaging system in a desired position and orientation (e.g., including a cameraAttorney Docket No.: 52484-0008WOIand an illumination source), providing a 120-degree field of view of the target anatomy. The medical clip can hold the catheter in a fixed position with respect to the distal tip of the camera allowing the user to insert the catheter into the urethra single handed and under direct visualization.

[0021] The details of one or more implementations are set forth in the accompanying drawings and the description below. Other features and advantages will be apparent from the description and drawings, and from the claims.DESCRIPTION OF DRAWINGS

[0022] FIG. 1 shows a perspective view of an example medical clip in an open position.

[0023] FIG. 2 shows another perspective view of the medical clip of FIG. 1 in an open position.

[0024] FIG. 3 shows a perspective view of the medical clip of FIG. 1 in a closed position.

[0025] FIGS. 4A and 4B show perspective views of example elastomeric inserts that can be implemented in the medical clip.

[0026] FIG. 5 shows a perspective view of an example catheter assembly compatible with elastomeric inserts described herein.

[0027] FIG. 6 shows a top, front perspective view of an example imaging assembly, consistent and compatible with the elastomeric insert shown in FIGS. 4A and 4B.Attorney Docket No.: 52484-0008WOI

[0028] FIG. 7 shows a perspective view of the medical clip of FIG. 1 in the open position with a catheter assembly and an imaging assembly positioned in the medical clip.

[0029] FIG. 8 shows a perspective view of an example medical clip having an extended length and a display connected to a proximal end of the clip.

[0030] FIG. 9 shows a perspective view of an example medical clip with a catheter inserted into the clip and the clip having an extended length and a display connected to a proximal end of the clip.

[0031] FIG. 10 shows a perspective view of the example medical clip of FIG. 9 with a catheter inserted into the clip and the clip having an extended length and a display connected to a proximal end of the clip.

[0032] FIG. 11 shows a perspective exploded view of the example medical clip, imaging system, and catheter of FIG. 9.

[0033] FIG. 12 shows a perspective view of the medical clip of FIG. 9.

[0034] FIG. 13 shows another perspective view of the medical clip of FIG. 9.

[0035] FIG. 14 shows another perspective view of the medical clip of FIG. 9.

[0036] FIG. 15 shows the medical clip of FIG 9 with a catheter inserted into the clip and an imaging system connected to the medical clip.

[0037] Like reference symbols in the various drawings indicate like elements.DETAILED DESCRIPTION

[0038] This document describes devices, systems, and methods related to positional securing of medical devices. Specifically, a device that can assist in treating patients while utilizing a catheter-based therapy. For example, devices that can secure aAttorney Docket No.: 52484-0008WOIcatheter, relative to an imaging system, fix the catheter in position and provide visualization of the catheter distal end. Some embodiments facilitate self-insertion (intubation) of the catheter into the urethra or other bodily orifices while under direct video visualization.

[0039] Referring to the figures, FIGS. 1 and 2 illustrate an example medical clip 100 as described herein. The medical clip 100 is depicted in an open position in FIGS. 1 and 2 to show’ components contained therein. The medical clip 100 can include a first j a w’ 101 and a second jaw 102, the first jaw 101 and the second jaw 102 have a hollow section to accept various inserts 103 that are internally shaped with multiple cavities 104, 105 to mate with medical instruments such as catheters and imaging systems (e.g., medical cameras). The first jaw 101 and the second jaw 102 are attached together at a hinge 106. A torsion spring 140 can be wound around the hinge 106 to provide resistance to opening and automatic closure of the first jaw 101 and second jaw 102. The hinge 106 is connected to a first lever 107 and a second lever 108 that can provide a gripping and / or pinching area where a user can apply an opening force to the medical clip 100 to open the first jaw 101 and second jaw 102.

[0040] In some aspects, the first jaw 101 and second jaw 102 are symmetrical. For example, each of the first jaw 101 and the second jaw 102 has a curved exterior shell 110, 111 that extends between a distal face 112 of each of the first jaw 101 and the second jaw 102 and a proximal face 114 of each of the first jaw 101 and the second jaw 102. The curved exterior shell 110, 111 of each of the first jaw 101 and second jaw 102 also extends between a medial face 130 and a lateral face 132.Attorney Docket No.: 52484-0008WOI

[0041] The distal face 112 includes a curved inner surface 116 on the first jaw 101 and a curved surface 117 on the second jaw 102, the curved inner surfaces 116, 117 can include a similar curved profile to the curved exterior shells 110, 111. In some aspects, the curved inner surfaces 116, 117 match the curvature of the curved outer shells 110, 111. In some aspects, the curved inner surface 116 in the distal face 112 of the first jaw 101 aligns with the curved inner surface 117 in the second jaw 102 when the medical clip 100 is in the closed position shown in FIG. 3. The alignment of the curved inner surfaces 116, 117 at the distal face 112 defines a distal opening 120 that is configured to receive a portion of multiple medical devices through the distal opening 120, as described in further detail below.

[0042] As illustrated in FIG. 2, the proximal face 114 includes a curved inner surface 122 on the first jaw 101 and a curved surface 124 on the second jaw 102, the curved inner surfaces 122, 124 can include a similar curved profile to the curved exterior shells 110, 111. In some aspects, the curved inner surfaces 122, 124 match the curvature of the curved outer shells 110, 111. In some aspects, the curved inner surface 122 in the proximal face 114 of the first jaw 101 aligns with the curved inner surface 124 in the second jaw 102 when the medical clip 100 is in the closed position shown in FIG. 3. The alignment of the curved inner surfaces 122, 124 at the proximal face 114 defines a proximal opening 126 that is configured to receive a portion of multiple medical devices through the proximal opening 126, as described in further detail below. In some aspects, the proximal opening 126 can be the same size and shape as the distal opening 120. In other aspects, the proximal opening 126 and the distal opening 120 can be different sizes and / or different shapes.Attorney Docket No.: 52484-0008WOI

[0043] As illustrated in FIGS. 1-3, the curved exterior shell 110, 111 of each of the first jaw 101 and second jaw 102 extends between the medial face 130 and the lateral face 132. The medial face 130 of each of the first jaw 101 and the second jaw 102 extends between the distal face 112 and proximal face 114 and extends across and between each of the first lever 107 and the second lever 108, respectively. The medial face 130 of each of the first jaw 101 and second jaw 102 are configured to align with each other when the medical clip 100 is in the closed position shown in FIG. 3.

[0044] FIG. 2 shows the hinge 106 connected to each of the first jaw 101 and the second jaw 102. In some aspects, the hinge 106 is connected to the first jaw 101 via the first lever 107, and the hinge 106 is connected to the second jaw 102 via the second lever 108. The first jaw 101 and the second jaw 102 are rotatably coupled to each other at the hinge 106. In some aspects, the term "rotatably coupled" can refer to the connection mechanism (e.g., hinge 106 between the first jaw 101 and second jaw 102 that allows the first jaw 101 and second jaw 102 to rotate with respect to each other. In some aspects, the hinge 106 includes a pin that extends between the first lever 107 and the second lever 108. The first jaw 101 and the second jaw 102 are rotatable with respect to each other about the hinge 106 between a closed position (e.g., FIG. 3) and an open position (e.g., FIG. 1).

[0045] In some aspects, the torsion spring 140 is disposed about the hinge 106. The torsion spring 140 provides a force to close the first jaw 101 and the second jaw 102 automatically when the first lever 107 and the second lever 108 are released. The torsion spring 140 biases the first jaw 101 and second jaw 102 in the closed position shown in FIG. 3. Actuation of the first lever 107 and second lever 108 towards each other with aAttorney Docket No.: 52484-0008WOIforce that overcomes the force of the torsion spring 140 allows the first jaw 101 and the second jaw 102 to open into the open position shown in FIGS. 1 and 2. In some aspects, the torsion spring 140 can include elastic elements other than a spring to bias the first jaw 101 and the second jaw 102 in the closed position. Non-limiting examples of elastic elements that could be implemented include: one or more tension bars, one or more tensioning belts, one or more clamps, and other elastic elements that can bias the first jaw 101 and the second jaw 102 in the closed position.

[0046] The first lever 107 is connected to the first jaw 101 and is positioned along the medial face 130 of the first jaw 101. The first lever 107 includes an arm portion 142 that extends outwardly from the medial face 130 of the first jaw 101. The arm portion 142 of the first jaw 101 provides a surface area for a user to grip the first jaw 101. The arm portion 142 is connected to a base portion 144 of the first jaw 101, The base portion 144 extends vertically from the arm portion 142 on each of the proximal side and the distal side to openings that are configured to receive the hinge 106. The arm portion 142 and the base portion 144 are dimensioned to match the contouring of curved exterior shell 110. The base portion 144 has a width that is configured to receive a base portion 154 of the second lever 108 within the base portion 144.

[0047] The second lever 108 is connected to the second jaw 102 and is positioned along the medial face 130 of the second jaw 102. The second lever 108 includes an arm portion 152 that extends outwardly from the medial face 130 of the second jaw 102. The arm portion 152 of the second lever 108 provides a surface area for a user to grip the second lever 108. The arm portion 152 is connected to the base portion 154 of the second lever 108. The base portion 154 extends vertically from the arm portion 152 on each ofAttorney Docket No.: 52484-0008WOIthe proximal side and the distal side to openings that are configured to receive the hinge 106. The arm portion 152 and the base portion 154 are dimensioned to match the contouring of curved exterior shell 111. The base portion 154 has a width that is configured to fit within the width of the base portion 144 of the first lever 107.

[0048] The first lever 107 and the second lever 108 can be actuated toward each other by a user that can grip the first arm portion 142 and the second arm portion 152 which causes the lateral face 132 of each of the first jaw 101 and second jaw 102 to rotate away from each other, placing the medical clip 100 in the open position. The medical clip 100 is in the open position shown in FIGS. 1 and 2, which exposes the elastomeric insert 103 of the medical clip 100.

[0049] Referring to FIGS. 1 and 2, the elastomeric insert 103 is dimensioned to be positioned between the first jaw 101 and the second jaw 102. The elastomeric insert 103 can include a first insert 160 that is positioned in the first jaw 101 and a second insert 162 that is positioned in the second jaw 102. In some aspects, the first insert 160 and the second insert 162 can be symmetrical. In some aspects, the first insert 160 is dimensioned to fill an internal profile of the first jaw 101 and the second insert 162 is dimensioned to fill an internal profile of the second jaw 102.

[0050] The elastomeric insert 103 defines the first cavity 104 and the second cavity 105 that can extend between the distal face 112 and the proximal face 114 of the first insert 160 and the second insert 162. In some embodiments, the second cavity 105 can include a proximal portion 105a and a distal portion 105b, the distal portion 105b can be in a distal portion of the first insert 160 and the second insert 162, the distal portion is closer to the distal face 112 than the proximal face 114. The first and second cavities 104,Attorney Docket No.: 52484-0008WOI105 have cavity depths “dl”, “d2”, respectively, in each of the first insert 160 and the second insert 162 that are dimensioned to receive multiple medical devices between the first jaw 101 and the second jaw 102. The cavity depths “dl”, “d2” can be dimensioned and shaped to align the cavities 104, 105 with each of the curved inner surfaces 116, 117 at the distal face 112 of the first jaw 101 and the second jaw 102. The alignment of the cavity depths “dl”, “d2” and the curved inner surfaces 116, 117 provides access to the cavities 104, 105 via the distal opening 120 that is configured to receive a portion of multiple medical devices through the distal opening 120. In some embodiments, the cavity depth d2 can be in the distal portion 105b of the cavity 105 and the proximal portion 105a can have a different depth than cavity depth d2.

[0051] Additionally, the cavities 104, 105 can be separated such that the first cavity 104 and the second cavity 105 are each offset from a longitudinal axis 113 (see e.g., FIG. 4A) of the elastomeric insert 103 in opposite directions. A central portion 121 of the elastomeric insert 103 can be positioned between the first cavity 104 and the second cavity' 105 and extend from the proximal face 114 to the distal face 112. The central portion 121 can be flat in the open configuration or include no depth such that the central portion 121 can be completely closed between the first cavity 104 and the second cavity 105 in the closed position. The central portion 121 can seal the first cavity 104 and the second cavity 105 from each other. The central portion 121 can extend parallel to each of the first cavity 104 and the second cavity 105. The first cavity 104 and the second cavity 105 can extend parallel to each other.

[0052] In some aspects, the elastomeric insert 103 is made from and / or includes elastomeric materials. The elastomeric insert 103 may be manufactured from variousAttorney Docket No.: 52484-0008WOIelastomeric materials and durometers, the various materials and durometers can change the coefficient of friction between the engaged devices (e.g., medical devices within medical clip 100) to provide increased or decreased grip on the device. In some aspects, lower durometer materials will have a higher static coefficient of friction. Examples of appropriate elastomeric materials include, but are not limited to: polyurethane in durometers of 20Ato 80A (soft to firm), which can be cast, or injection molded; polyether urethane in durometers of 40A-80A, which can be injection molded;Fluoroelastomers such as Viton™ in Durometers of 55A-90A, which can be injection molded; ethylene propylene diene monomer (EPDM) rubber in durometers from 50A- 70A, which can be injection molded; silicone rubber in durometers of 20A to 80A, where silicone rubber can allow the medical clip 100 to be sterilized via autoclave due to the thermal properties of silicone rubber, which can be cast, or injection molded. Additional examples of materials for the elastomeric insert 103 include, but. are not limited to: medical grade elastomeric materials, natural rubbers, styrene-butadiene block copolymers, polyisoprene, polybutadiene, ethylene propylene rubber, ethylene propylene diene rubber, silicone elastomers, Fluoroelastomers, polyurethane elastomers, and nitrile rubbers. The elastomeric insert 103 may be coated with various materials (such as hydrophilic or hydrophobic materials) to provide higher or lower coefficient of friction.

[0053] In some aspects, the elastomeric insert 103 has a durometer from 20A to 80A, from 40A to 80A, from 55A-90A, from 50A to 70A, from 30A to 70A, from 40A to 60A, from 50A to 60A, from 20A to 30A, from 30A to 40A. While the elastomeric insert 103 can be manufactured from elastomeric materials, it is not limited to elastomeric materials.Attorney Docket No.: 52484-0008WOI

[0054] FIGS. 4 A and 4B illustrate elastomeric inserts that are configured to accommodate a variety of medical instruments (e.g., catheters along with imaging systems such as a miniature video camera and illumination system shown in FIGS. 5 and 6). The elastomeric inserts 103, can be configured to be inserted into the medical clips described herein (e.g., medical clip 100).

[0055] FIGS. 4A and 4B show the elastomeric insert 103 removed from the medical clip 100, as described above. The elastomeric insert 103 includes the first insert 160 that is configured to be positioned in the first jaw 101 and the second insert 162 that is configured to be positioned in the second jaw 102. In some aspects, the first insert 160 and the second insert 162 can be symmetrical.

[0056] The elastomeric insert 103 defines the first, and second cavities 104, 105 that can extend into each of the first, insert. 160 and the second insert 162. The cavities 104, 105 have cavity depths “dl”, “d2” in each of the first, insert. 160 and the second insert 162, each of the cavities 104, 105 are separated from each other and have cavity depths dl and d2 dimensioned to receive multiple medical devices between the first jaw 101 and the second jaw 102. The elastomeric insert 103 includes a curved insert surface 164 on the first insert 160 and a curved insert surface 166 on the second insert 162. The elastomeric insert 103 can include a ring 170 that extends circumferentially within each of the first insert 160 and the second insert 162. The ring 170 can have a thickness that reduces the cavity depth d2 across the width of the ring 170. In some embodiments, the ring 170 tapers inwardly from the distal surface of the cavity 105 such that the ring 170 tapers inwardly from a maximum outer dimension at the distal surface to the cavity depth d2.Attorney Docket No.: 52484-0008WOI

[0057] In some embodiments, the elastomeric insert 103 can include a cavity 109. The cavity 109 can include a depth d3. The depth d3 can be less than the depths dl and d2. The cavity 109 can be positioned between cavities 104, 105. In some embodiments, the cavity 109 can be at least partially positioned along the longitudinal axis 113 of the elastomeric insert while the cavities 104, 105 can be offset from the longitudinal axis 113. The cavity 109 can extend inwardly (e.g., towards the longitudinal axis 113) from the distal portion 105b of the cavity 105. The cavity 109 can extend along a length of the distal portion 105b of the cavity 105 that is less than a length of the distal portion 105b of the cavity 105. In some embodiments, a distal end of the cavity 109 is spaced inwardly from the distal face 112. In some embodiments, the depth d3 can provide an indexing feature to align with tab 602 of imaging system 601 (See e.g., FIGS. 6-8). This alignment can facilitate precise rotational alignment of the imaging system 601 to the elastomeric insert 103.

[0058] FIG. 4B shows an elastomeric insert 203 that is dimensioned to be positi oned between the first jaw 101 and the second jaw 102. The elastomeric insert 203 includes a first insert 260 a second insert 262. In some aspects, the first insert 260 and the second insert 262 can be symmetrical. In some aspects, the first insert 260 is dimensioned to fill an internal profile of the first jaw 101 and the second insert 262 is dimensioned to fill an internal profile of the second jaw 102.

[0059] The elastomeric insert 203 defines the cavity 204 that can be in a proximal portion of the first insert 260 and the second insert 262. The cavity 204 can share features with the cavity 104 described above including a curved insert surface 264 on the first insert 260 and a curved insert surface 266 on the second insert 262. The cavity 204 canAttorney Docket No.: 52484-0008WOIdiffer from the cavity 104 in some aspects. In some embodiments, the cavity 204 can include one or more ribs 270 that extend distally through the cavity 204 at spaced out positions around a circumference of the cavity 204 (e.g., from the proximal end to the distal end of the cavity 204). In some aspects, the ribs 270 are flexible and / or collapsible to provide an increased grip on a portion of a medical device that is inserted in cavity 204. In some aspects, the ribs 270 are flexible and or collapsible to accommodate a variety of shapes found on the medical device that is inserted in cavity 204.

[0060] FIGS. 5 and 6 illustrate non-limiting examples of various medical devices that the medical clip 100 and various elastomeric inserts 103, 203 are configured to retain and hold. The components may be configured in numerous ways to facilitate a connection to and functionality of catheters 501 and imaging systems 601. For example, the imaging system 601 includes an indexing tab 602 that extends laterally from a distal portion of the imaging system 601. The indexing tab 602 can be configured to be received in the cavity 109 of the insert 103 as described above.

[0061] The imaging system 601 can include a camera 603 and an illumination source 605. The illumination source 605 can include one or more lights that direct light outwardly from the imaging system 601 to illuminate the area for visualization. The imaging system 601 can provide a 120-degree field of view of the target anatomy. The distal optics of the camera lens can be angled to provide a clear view of both the catheter distal tip and the urethral opening. Alternatively, or in conjunction with an angled camera lens, the medical clip 100 can hold the distal end of the catheter at an appropriate angle and position for viewing (e.g., by the imaging system 601) and insertion into the urethra. A release mechanism can allow the catheter to be released with one hand such that theAttorney Docket No.: 52484-0008WOIcatheter may be left indwelling. A dedicated imaging screen may be attached to the device, or a smartphone or tablet may be used to view the procedural images. The connections may be wireless to minimize complexity and improve ease of use.

[0062] FIG. 7 shows the medical clip 100 with the shaft of a medical device (catheter 501) and an imaging system 601 received between the first jaw 101 and the second jaw 102. The imaging system 601 can connect an external display such as a video monitor device, a computer, a phone, a tablet, a wearable device (e.g., a watch or other wearable device) a smartphone, or other external display for image visualization. This connection can be a wired or wireless connection. The connection between the imaging system 601 and the display facilitates real-time visualization of the field of view of the imaging system 601 to facilitate guidance of the operator / user.

[0063] In FIG. 7 the medical clip 100 is configured to close and secure the elastomeric insert (e.g., elastomeric insert 103, 203), the shaft of a catheter 501, and an imaging system, thus providing fixation of the devices relative to each other and a means of holding the secured devices in one hand.

[0064] FIG. 8 shows an example embodiment of the medical clip 100 including a proximal extension 801. The proximal extension 801 provides an extended length configuration of the medical clip 100. The proximal extension 801 can extend from at least a portion of the proximal face 114. In some embodiments, the proximal extension 801 is at least partially open regardless of the open or closed position of the medical clip 100. For example, the proximal extension 801 can extend from a portion of the proximal face 114 that covers over half of the proximal face 114 while leaving the remainer of the circumference open along the proximal extension 801. In some embodiments, theAttorney Docket No.: 52484-0008WOIproximal extension 801 can be both a “handgrip” and a connection for the display 701. For example, the display 701 can connect to a proximal end of the proximal extension 801. The medical clip 100 with the shaft of a medical device (e.g., catheter 501) and an imaging system 601 received between the first jaw 101 and the second jaw 102. The imaging system 601 can connect as an integrated or detachable display such as a video monitor device, a phone, a tablet, a wearable device (e.g., a watch or other wearable device) a smartphone, or other external display for image visualization. This connection can be a wired or wireless connection. The connection between the imaging system 601 and the display facilitates real-time visualization of the field of view of the imaging system 601 to facilitate guidance of the operator / user.

[0065] As illustrated herein, the medical clip 100 can be modified so that components are configured for particular implementations. For example, various lengths of the first jaw 101 and the second jaw 102 and various lengths of elastomeric inserts 103, 203, can be implemented to change the engagement contact area with catheters 501 and imaging systems 601, and to provide fixation points for imaging monitors. Various torsion springs 140 can be implemented to provide increased or decreased forces for closure of the medical clip 100. The medical clip 100 may be constructed of various plastics and elastomers to provide optimal cost benefits of a disposable device. The medical clip 100 components may be produced by various manufacturing processes including injection molding, elastomer casting, machining, and additive manufacturing processes. The medical clip 100 may be of various dimensions to accommodate various catheter diameters and various imaging systems including miniature cameras, illumination systems, combinations thereof, among other configurations. The medicalAttorney Docket No.: 52484-0008WOIclip 100 may be constructed with cavities in a parallel fashion, as depicted, or may have features (e.g., cavities, different depths, different materials, etc.) placed off axis to direct the exit of the catheter, or to direct the field of view of the imaging system.

[0066] The medical clip described herein can be implemented in medical procedures that incorporate the use of catheters 501 and imaging system 601. The medical clip 100 can secure the catheter 501 and imaging system 601 individually and in positional relationship to each other and thus eliminate differential movement between the two.

[0067] As described above, the medical clip 100 includes a first jaw 101 and a second jaw 102 that are connected at the hinge 106 that has the torsion spring 140 that biases the first jaw 101 and second jaw 102 towards each other such that, the medical clip is in the closed position shown in FIG. 3, The medical clip 100 can be closed to secure the elastomeric insert 103 to the shaft 502 of the catheter 501 and the imaging system 601.

[0068] The medical clip 100 secures the catheter 501 and imaging system 601 such that it will maintain position without damaging or misshaping either. When utilized to secure a catheter 501, the medical clip 100 fixes the catheter 501 in a targeted position and allows the user to intubate the urethra or other bodily orifice. This is particularly useful for patients with limited mobility, visual acuity, or obesity.

[0069] In operation, the medical clip 100 can be removed from sterile packaging. The medical clip 100 can be opened by the user (e.g., using a thumb and forefinger at levers 107, 108). The user can then simply insert the imaging system 601 and the shaft 502 of the catheter 501 into the appropriate cavity. Cavities 104, 105, 204 in theAttorney Docket No.: 52484-0008WOIelastomeric insert 103, 203 of the medical clip 100 are configured to separately receive and secure the imaging system 601 and the shaft 502 of the catheter 501. The catheter can include a marking or indica 503 to indicate the proper position of insertion into the cavity 104, 204 relative to the imaging system 601. The medical clip 100 is closed by releasing the levers 107, 108 and allowing the torsion spring 140 to close the first jaw 101 and the second jaw 102. The closed position of the medical clip 100 secures the catheter 501 in positional relationship to the imaging system 601. The medical clip 100 may be removed and reinstalled any number of times to adjust position of the catheter 501. At the conclusion of the procedure, the medical clip 100 can be discarded.

[0070] FIGS. 9-14 show an example embodiment of a medical clip 900, a catheter 901, an imaging system 902, and a display 903, The medical clip 900 can be configured to receive and retain the catheter 901 (or another medical device) at least partially within the medical clip 900 to secure the catheter 901 in position. The medical clip 900 can selectively open to receive or release the catheter 901, and the open position is shown in FIGS. 9-14. The medical clip 900 can selectively close to retain, secure, contact, or otherwise hold the catheter 901 at least partially within the medical clip 900. The medical clip 900, imaging system 902, and display 903 can be a self-catheterization system 909 that facilitates imaging of a target area for the catheter 901 while contemporaneously securing the catheter 901 in position within the medical clip 900.

[0071] The medical clip 900 extends between a proximal end 910 and a distal end 911. The proximal end 910 of the medical clip 900 includes a socket 912 that facilitates a secure connection to the imaging system 902 and / or display 903. For example, the proximal end 910 of the medical clip 900 can include a locking tab 913 that snaps intoAttorney Docket No.: 52484-0008WOIengagement with a portion of the imaging system 902 and / or display 903. The locking tab 913 can be actuated downwardly away from the imaging system 902 and / or display 903 to disengage and release the imaging system 902 and / or display 903. In some embodiments, the imaging system 902 can be inserted into the medical clip 900 through the proximal end 910 and the socket 912 so that a distal end 904 of the imaging system 902 extends through the medical clip 900 to the distal end 911 of the medical clip 900.

[0072] The medical clip 900 includes a clip body 920 and an upper jaw 921. The clip body 920 extends from the proximal end 910 to the distal end 911 of the medical clip 900. The upper jaw 921 has a length that is shorter than the length of the clip body 920. For example, the upper jaw 921 can extend from around a midpoint (e.g., between the proximal end 910 and the distal end 911) of the medical clip 900 to the distal end 911. The clip body 920 and the upper jaw 921 can be selectively actuated towards or away from each other using first and second levers 907 and 908 that operate in a same or similar manner to first and second levers 107 and 108,

[0073] The upper jaw 921 includes a proximal section 922 and a distal section 923. The proximal section 922 of the upper jaw 921 connects to the second lever 908 and extends over a portion of a clip channel 930. In some embodiments, the proximal section 922 of the upper jaw 921 has a curved profile that has a smaller depth relative to a depth of the distal section 923 of the upper jaw 921, where the depth of the distal section 923 of the upper jaw 921 includes a curved portion 924 of the distal section and an insert 925 received within the curved portion of the distal section of the upper jaw 921. In some embodiments, the insert 925 can share features with elastomeric insert 103. In some embodiments, the insert 925 can include a contact surface 926 that is flat and facesAttorney Docket No.: 52484-0008WOItowards the clip body 920 and the clip channel 930. In some embodiments, the contact surface 926 can be a continuous surface without channels or recesses that extend into the contact surface 926. The contact surface 926 can facilitate a surface area for contact with a portion of the catheter 901 that is positioned in the clip channel 930. Contact between the insert 925 and the catheter 901 (e.g., as biased by the first and second levers 907, 908) can secure and hold the catheter 901 in the medical clip 900.

[0074] The clip body 920 includes a proximal section 927 that defines the socket 912 and extends from the proximal end 910 to a proximal end 929 of a clip channel 930. In some embodiments, the proximal section 927 of the clip body 920 does not include a channel that extends into a top surface of the clip body 920. Instead, in some embodiments, proximal section 927 of the clip body 920 can extend 360 degrees around a circumference of the medical clip 900 at the proximal section. In some embodiments, the proximal section can facilitate a secure gripping space for a user of the medical clip 900.

[0075] The clip body 920 can define the clip channel 930 that is configured to receive the catheter 901 (or other medical device). The clip channel 930 can have a curved profile that extends into a lateral wall 933 of the medical clip 900. For example, the proximal end 929 of the clip channel 930 can be positioned at a lateral wall of the medical clip 900 and the distal end of the clip channel 930 can be at a distal end 911 of the medical clip 900. In some embodiments, the proximal end 929 of the clip channel 930 can be proximal of a proximal end 937 of the proximal section 922 of the upper jaw 921 and distal of the proximal end 910 of the medical clip 900. In some embodiments, the proximal end of the clip channel 930 can be proximal of a proximal end of the distalAttorney Docket No.: 52484-0008WOIsection 923 of the upper jaw 921 and distal of the proximal end 910 of the medical clip 900.

[0076] In some embodiments, the clip channel includes a proximal channel section 931 and a distal channel section 932. The proximal channel section 931 can have a curved profile that extends from the lateral wall 933 of the medical clip towards a midline of the medical clip 900. The distal channel section 932 can be generally straight and can be centered within the medical clip 900 and extend to the distal end 911 of the medical clip 900. The clip channel 930 can extend into the clip body 920 along the length of the clip channel 930. The clip body 920 can include raised walls 934 that extend upwardly from the clip body 920 on opposing sides of the proximal channel section 931. The raised walls 934 can follow the curved shape of the proximal channel section 931. The raised walls 934 can have a height, that is greater than a height of the clip body 920 surrounding the distal channel section 932, In some embodiments, the raised walls 934 are aligned with the proximal section 922 of the upper jaw 921 and positioned proximally of the insert 925 and distal section 923 of the upper jaw 921.

[0077] The clip body 920 can include an imaging channel 940 that extends through the clip body 920 and defines an opening at the distal end 911 of the medical clip. The imaging channel 940 can receive and house portions of the imaging system 902 to position a distal end of the imaging system 902 (e.g., including a camera) at the distal end of the medical clip 900. The imaging channel 940 can extend along the length of the medical clip 900 to connect the socket 912 to the distal end of the imaging channel 940. The imaging channel 940 and the clip channel 930 can be separate from each other. For example, the imaging channel 940 can be enclosed within the clip body 920 as theAttorney Docket No.: 52484-0008WOIimaging channel 940 extends from the socket 912 to the distal end 911 of the medical clip 900. The clip channel 930 can be open along a top surface of the clip channel 930 along the length of the clip channel 930 to facilitate various sizes of catheters 901 (or other medical devices) in the clip channel. Distal end of the clip body has an opening for the imaging system 902.

[0078] In some embodiments, the catheter 901 can be a urinary catheter that is compatible with the medical clip 900 to facilitate securement of the catheter 901 during catheterization of a subject (e.g., the user of the catheter, or a caregiver assisting the user of the catheter). A portion of the catheter 901 positioned in the distal channel section 932 can be held in position within the channel when the insert 925 and / or upper jaw 921 contact the catheter 901 in the channel 930, The catheter 901 can share features with catheter 501.

[0079] The imaging system 902 can include a camera and an illumination source at. a distal end of the imaging system 902. In some embodiments, the imaging system 902 can share features with the imaging system 601. For example, the illumination source can include one or more lights that direct light outwardly from the imaging system 902 (e.g., at the distal end) to illuminate the area for visualization. The imaging system can provide a 120-degree field of view of the target anatomy. The distal optics of the camera lens can be angled to provide a clear view of both the catheter distal tip and the urethral opening. Alternatively, or in conjunction with an angled camera lens, the medical clip 900 can hold the distal end of the catheter at an appropriate angle and position for viewing (e.g., by the imaging system 902) and insertion into the urethra. A release mechanism (e.g., using first and second levers 907, 908) can allow the catheter to be released withAttorney Docket No.: 52484-0008WOIone hand such that the catheter may be left indwelling. The display 903 may be attached to the device, or a smartphone or tablet may be used to view the procedural images. In some embodiments, the connections may be wireless to minimize complexity and improve ease of use.

[0080] FIG. 15 shows another example of the medical clip 900 of FIG. 9 with the catheter 901 inserted into the clip, and the imaging system 902 connected to the medical clip 900 in a same or similar manner to FIGS. 9-14. FIG. 15 shows a display 1003 that can be connected to the system by a cord 1005 that facilitates additional space between the display 1003 and the medical clip 900. The connection interface at the clip 900 can be the same or similar as the socket and locking tab. Additionally or alternatively, the display 1003 can be a wireless display (e.g., a tablet, personal computer, a cell phone, a dedicated screen, or other display) that is freely moveable to any position in view of the user and away from the medical clip 900.

[0081] In operation, the medical clip 900 can be removed from sterile packaging. The medical clip 900 can be opened by the user (e.g., using a thumb and forefinger at levers 907, 908). The imaging system 902 can be pre-installed in the sterile packaging, or can be separately sterilized. If separate, the user can then simply insert the imaging system 902 and the catheter 901 into the appropriate channels. The medical clip 900 is closed by releasing the levers 907, 908 and allowing the torsion spring to close the upper jaw 921 and the clip body 920. The closed position of the medical clip 900 secures the catheter 901 in positional relationship to the clip 900 and imaging system 902. The medical clip 900 may be removed and reinstalled any number of times to adjust positionAttorney Docket No.: 52484-0008WOIof the catheter 901. At the conclusion of the procedure, the medical clip 900 can be discarded.

[0082] The embodiments described herein (e.g., including the medical clip 100) provide several advantages. These advantages include at least the following. First, the medical clips 100 and 900 can facilitate self-catheterization under video visualization instead of a medical professional catheterizing a patient each time catheterization is required. Second, the medical clips 100 and 900 can facilitate single-handed selfcatheterization thus freeing the second hand for manipulation of the anatomy. Third, the medical clip provides a hygienic method of holding the catheter during intubation thus preventing cross contamination. The medical clips 100 and 900 are advantageous by maintaining catheter and camera position relative to the targeted anatomy. Another advantage is the medical clips 100 and 900 allow for multiple sizes and types of catheters to be fixed with a single clip. Additionally, the medical clips 100 and 900 improve safety and cleanliness of the self-catheterization procedure by providing a sterilized medical clip that can be disposed of after one use.

[0083] While this specification contains many specific implementation details, these should not be construed as limitations on the scope of the disclosed technology or of what may be claimed, but rather as descriptions of features that may be specific to particular implementations of particular disclosed technologies. Certain features that are described in this specification in the context of separate implementations can also be implemented in combination in a single implementation in part or in whole. Conversely, various features that are described in the context of a single implementation can also be implemented in multiple implementations separately or in any suitable subcombination.Attorney Docket No.: 52484-0008WOIMoreover, although features may be described herein as acting in certain combinations and / or initially claimed as such, one or more features from a claimed combination can in some cases be excised from the combination, and the claimed combination may be directed to a subcombination or variation of a subcombination. Similarly, while operations may be described in a particular order, this should not be understood as requiring that such operations be performed in the particular order or in sequential order, or that all operations be performed, to achieve desirable results. Particular implementations of the subject matter have been described. Other implementations are within the scope of the following claims.

Claims

Atorney Docket No.: 52484-0008WOIWHAT IS CLAIMED IS:

1. A catheterization system, comprising:a medical clip comprising:a clip body that includes a clip channel that extends from a clip channel proximal end at a lateral face of the clip body to a clip channel distal end at a distal end of the clip body;an upper jaw, the upper jaw being rotatably coupled to the clip body, the clip body and the upper jaw being rotatable with respect to each other between a closed position and an open position;an elastomeric insert configured to be positioned in a distal section of the upper jaw and between the upper jaw and the clip body, the elastomeric insert defining a contact surface;a first lever connected to the clip body; anda second lever connected to the upper jaw, the first lever and the second lever being configured to control each of the clip body and the upper jaw between the closed position and the open position;an imaging system positioned in the clip body, the imaging system includes a camera disposed at a distal end of the clip body; anda display connected to each of the imaging system and a proximal end of the clip body;wherein, based on the medical clip being in the closed position, the contact surface of the elastomeric insert of the upper jaw is configured to contact a portion of a medical device positioned in the clip channel.

2. The system of claim 1, wherein the clip body includes a socket at the proximal end of the clip body, the socket is configured to receive at least a portion of the imaging system.

3. The system of claim 2, wherein the socket facilitates a connection between the medical clip, the imaging system, and the display.Attorney Docket No.: 52484-0008WOI4. The system of claim 1, wherein the imaging system extends through an imaging channel of the clip body to position a distal end of the imaging system at a distal end of the medical clip.

5. The system of claim 4, wherein the imaging channel is separate from the clip channel.

6. The system of claim 1, wherein the clip body includes raised walls that extend on opposing sides of the clip channel proximal of the elastomeric insert.

7. The system of claim 6, wherein the clip channel has a curved shape in a proximal section of the clip channel and a straight profile in a distal section of the clip channel.

8. The system of claim 7, wherein the distal section of the clip channel is positioned along a midline of the clip body.

9. The system of claim 1, wherein the elastomeric insert has a durometer from 20A to 80A.

10. The system of claim 1, wherein the contact surface is flat and, based on the medical clip being in the closed position, is oriented to faces towards the clip body.

11. The system of claim 1, wherein the upper jaw has a proximal section and a distal section, the proximal section of the upper jaw has a depth that is smaller than a depth of the distal section of the upper jaw.

12. The system of claim 11, wherein the elastomeric insert is positioned in the distal section of the upper jaw.

13. A medical clip comprising:a clip body that includes a clip channel that extends from a clip channel proximal end at a lateral face of the clip body to a clip channel distal end at a distal end of the clipAtorney Docket No.: 52484-0008WOIbody;an upper jaw, the upper jaw being rotatably coupled to the clip body, the clip body and the upper jaw being rotatable with respect to each other between a closed position and an open position;an elastomeric insert configured to be positioned in a distal section of the upper jaw and between the upper jaw and the clip body, the elastomeric insert defining a contact surface;a first lever connected to the clip body; anda second lever connected to the upper jaw, the first lever and the second lever being configured to control each of the clip body and the upper jaw between the closed position and the open position;wherein, based on the medical clip being in the closed position, the contact surface of the elastomeric insert of the upper jaw is configured to contact a portion of a medical device positioned in the clip channel,14. The medical clip of claim 13, wherein the clip body includes raised walls that extend on opposing sides of the clip channel proximal of the elastomeric insert.

15. The medical clip of claim 14, wherein the clip channel has a curved shape in a proximal section of the clip channel and a straight profile in a distal section of the clip channel.

16. The medical clip of claim 15, wherein the distal section of the clip channel is positioned along a midline of the clip body.

17. The medical clip of claim 13, wherein the elastomeric insert has a durometer from 20A to 80A.

18. The medical clip of claim 13, wherein the contact surface is flat and, based on the medical clip being in the closed position, is oriented to faces towards the clip body.Attorney Docket No.: 52484-0008WOI19. The medical clip of claim 13, wherein the upper jaw has a proximal section and a distal section, the proximal section of the upper jaw has a depth that is smaller than a depth of the distal section of the upper jaw.

20. The medical clip of claim 19, wherein an imaging system is positioned in the clip body, the imaging system includes a camera disposed at a distal end of the clip body.

Images