Methods, apparatus and systems for facilitating introduction of shaped medical instruments into the body of a subject
A method for introducing a shaped portion of an elongate medical instrument into a body of a subject includes at least partially straightening the shaped portion of the elongate medical instrument. A retention element may be introduced into an interior of the shaped portion of the elongate medical instrument to place and/or maintain the shaped portion in an at least partially straightened configuration. Such straightening may be accomplished without application of external force to an exterior of the shaped portion. With the retention element in place, the shaped portion may be introduced to a desired location within a hollow interior of an internal organ. The retention element may then be removed to enable the shaped portion to return to its desired shape. A straightening apparatus includes a retention element that can place and/or maintain a shaped portion of an elongate medical instrument in an at least partially straightened configuration without assistance of external force.
1. An apparatus for straightening a shaped portion of an elongate medical instrument, comprising:
an internal element including an elongate element that retains the shaped portion of the elongate medical instrument in an at least partially straightened configuration while present within a lumen that extends through a length of the elongate medical instrument:
without assistance of external force on the shaped portion of the elongate medical instrument from an exterior of the shaped portion of the elongate medical instrument; and
while the shaped portion of the elongate medical instrument is introduced into a hollow organ of a subject,
the internal element being completely removable from the lumen of the elongate medical instrument.
2. The apparatus of claim 1 , wherein the internal element is capable of retaining a tortuous shaped portion of the elongate medical instrument in an at least partially straightened configuration.
3. The apparatus of claim 2 , wherein the internal element is capable of retaining a serpentine portion of the elongate medical instrument in an at least partially straightened configuration.
4. The apparatus of claim 1 , wherein the internal element has a length sufficient to reside within an entirety of the shaped portion of the elongate medical instrument.
5. The apparatus of claim 1 , wherein the internal element is substantially linear.
6. The apparatus of claim 1 , wherein the internal element is curvilinear.
7. The apparatus of claim 1 , wherein the internal element comprises a wire.
8. The apparatus of claim 1 , wherein a rigidity of the internal element exceeds a rigidity of at least the shaped portion of the elongate medical instrument.
9. An apparatus for straightening a shaped portion of an elongate medical instrument, comprising:
an internal element:
comprising an elongate element having sufficient flexibility to follow a curvilinear path but having sufficient rigidity to resist conformation to a shape of the shaped portion of the elongate medical instrument;
positionable within a portion of a lumen of the elongated medical instrument extending through the shaped portion of the elongate medical instrument to place the shaped portion of the elongate medical instrument in an at least partially straightened configuration and removable from the lumen of the elongated medical instrument to enable the shaped portion of the elongate medical instrument to assume a relaxed configuration; and
the internal element holding the shaped portion of the elongate medical instrument in the at least partially straightened configuration:
without assistance of external force on an exterior of the shaped portion of the elongate medical instrument; and
while the shaped portion of the elongate medical instrument is introduced into a body of a subject.
10. The apparatus of claim 9 , wherein the internal element at least partially places the shaped portion of the elongate medical instrument in the at least partially straightened configuration upon advancement of the internal element into the portion of the lumen of the elongate medical instrument extending through the shaped portion.
11. The apparatus of claim 9 , wherein the internal element has a length sufficient to reside within an entirety of the shaped portion of the elongate medical instrument in the at least partially straightened configuration.
12. The apparatus of claim 9 , wherein the internal element is substantially curvilinear.
13. The apparatus of claim 9 , wherein the internal element is substantially linear.
14. A method for introducing a shaped portion of an elongate medical instrument into a hollow interior of an internal organ of a body of a subject, comprising:
advancing an elongate element into an interior of the shaped portion of the elongate medical instrument to retain the shaped portion of the elongate medical instrument in an at least partially straightened configuration without application of an external force to the shaped portion of the elongate medical instrument;
introducing at least the shaped portion of the elongate medical instrument into a hollow interior of an internal organ of a body of a subject while the elongate element resides within the interior of the shaped portion of the elongate medical instrument; and
withdrawing the elongate element from the interior of the elongate medical instrument and enabling the shaped portion to assume a desired shape within the hollow interior of the internal organ.
15. The method of claim 14 , wherein enabling the shaped portion of the elongate medical instrument to assume the desired shape comprises causing at least part of the shaped portion of the elongate medical instrument to contact in inner surface of the internal organ.
16. The method of claim 14 , wherein enabling the shaped portion of the elongate medical instrument to assume the desired shape comprises causing at least part of the shaped portion of the elongate medical instrument to modify a shape of the internal organ.
17. The method of claim 14 , wherein introducing the elongate element comprises introducing the elongate element into an entirety of the interior of the shaped portion of the elongate medical instrument.
18. The method of claim 14 , wherein introducing the elongate element comprises introducing a wire into the interior of the shaped portion of the elongate medical instrument.
19. The method of claim 14 , wherein withdrawing the elongate element comprises withdrawing an entirety of the elongate element from the interior of the elongate medical instrument.