Fundus bumper mechanical reference for easier mechanism deployment
View Patent ↗Intrauterine devices and methods for facilitating deployment thereof using a bumper are disclosed. In one embodiment, an intrauterine device comprises a structure including a first central support member and a deployment mechanism coupled to the first central support member. The intrauterine device further comprises a bumper positioned at a distal end of a second central support member and at a more distal position relative to a distal end of the structure so as to prevent the distal end of the structure from contacting the fundus of the uterus of a patient during deployment of the deployment mechanism. In another embodiment, the intrauterine device comprises a bumper coupled to the deployment mechanism and configured to move from a more distal to a more proximal position relative to a distal end of the structure.
1. An intrauterine ablation device, comprising:
an elongate tubular member configured for transcervical insertion;
an elongate central member slidably disposed within the elongate tubular member, the elongate central member comprising a distal bumper; and
an energy applicator operatively coupled to the elongate tubular member, the energy applicator comprising a tissue contacting member, and an expandable-collapsible support structure underlying the tissue contacting member, the expandable-collapsible support structure comprising a first flexure having a first flexure distal tip and a second flexure having a second flexure distal tip, wherein the first and second flexures are adjustable between a collapsed configuration, in which the first and second flexure distal tips are closely apposed to the elongate central member and disposed proximally of and adjacent to the distal bumper, and an expanded configuration in which the first and second flexure distal tips extend laterally in opposite directions away from the elongate central member and the distal bumper;
wherein the distal bumper has an insertion profile at least as large as an insertion profile of the expandable-collapsible support structure in the collapsed configuration,
wherein the distal bumper is distal to the first and second flexure distal tips in the collapsed configuration and is configured to contact a fundal wall of the uterus upon distal advancement of the elongate central member relative to the elongate tubular member within the uterus to thereby prevent the first and second flexure distal tips from engaging the fundal wall during transition of the expandable-collapsible support structure from the collapsed configuration to the expanded configuration, and
wherein the elongate central member and the expandable-collapsible support structure are configured to move relative to each other along a longitudinal direction of the elongate central member so as to change a position of the distal bumper relative to the first and second flexure distal tips.
2. The intrauterine ablation device of claim 1 , wherein the distal bumper is further configured to move to a retracted position when the expandable-collapsible support structure is in the expanded configuration, so that the distal bumper in the retracted position is disposed proximally of the first and second flexure distal tips.
3. The intrauterine ablation device of claim 1 , wherein the tissue contacting member of the energy applicator and the distal bumper of the elongate central member are configured to deliver ablation energy to the tissue of the uterus.
4. The intrauterine ablation device of claim 3 , wherein the distal bumper comprises an electrically conductive material, including one of a porous material, a hydrophilic material, a conductive polymer and/or a material infused with an electrically conductive particulate.
5. An intrauterine ablation device, comprising:
an elongate tubular member configured for transcervical insertion;
an elongate central member coaxially and slidably disposed within the tubular member;
an energy applicator operatively coupled to the elongate tubular member, the energy applicator comprising a tissue contacting member and an expandable-collapsible support structure underlying the tissue contacting member, the expandable-collapsible support structure comprising a first flexure having a first flexure distal tip, and a second flexure having a second flexure distal tip, with the elongate central member extending between the first flexure and the second flexure, wherein the first and second flexures are adjustable between a collapsed configuration, in which the first and second flexure distal tips are closely apposed to the elongate central member, and an expanded configuration, in which the first and second flexure distal tips extend laterally in opposite directions away from the elongate central member; and
an elongate distal bumper having a first end coupled to the first flexure and a second end coupled to the second flexure, so that when the first and second flexures are in the collapsed configuration, the elongate distal bumper is configured to arc, thereby forming an arch between, and extend distally from, the first and second flexure distal tips, and when the first and second flexures are in the expanded configuration, the elongate distal bumper is configured to straighten between the first and second flexure distal tips,
wherein the distal bumper is configured to contact a fundal wall of the uterus upon distal advancement of the elongate central member relative to the elongate tubular member within the uterus to thereby prevent the first and second flexure distal tips from engaging the fundal wall during transition of the expandable-collapsible support structure from the collapsed configuration to the expanded configuration.
6. The intrauterine ablation device of claim 5 , wherein the elongate distal bumper comprises a flexible ribbon and/or a thin flexible membrane configured to contact a fundal wall of a uterus.
7. The intrauterine ablation device of claim 5 , wherein the elongate distal bumper is configured to conform to a fundal wall of a uterus, and wherein the elongate distal bumper extends transversely between the first and second flexure distal tips of the expandable-collapsible support structure in the expanded configuration.
8. The intrauterine ablation device of claim 5 , wherein the elongate distal bumper comprises an electrically conductive material, including one of a porous material, a hydrophilic material, a conductive polymer and/or a material infused with an electrically conductive particulate.
9. The intrauterine ablation device of claim 5 , wherein the elongate distal bumper is positioned distally of the energy applicator.