Devices and methods for tissue retraction
The present disclosure pertains to medical devices. More particularly, the present disclosure pertains to tissue retraction devices and related delivery systems and methods.
1. A device configured and adapted to be mounted over a distal end of a tubular device having a lumen extending therethrough, the device comprising:
a cap extending along a longitudinal axis and having a proximal end, a distal end, and a wall with an inner surface defining a lumen through the cap sized to fit over the distal end of the tubular device-to hold the proximal end of the cap on the distal end of the tubular device with the cap lumen communicating with the tubular device lumen; and
an extension member having a proximal end fixedly mounted to the distal end of the cap along the inner surface of the wall of the cap offset from the longitudinal axis of the cap lumen;
wherein the extension member is configured to engage an elongated first tissue engagement member having a first end and a second end a length therebetween, and to hold the first end of the elongated first tissue engagement member in a mounted position with a terminal end of the first end of the elongated first tissue engagement member radially outward of the inner surface of the wall of the cap-and the length of the elongated first tissue engagement member extending radially-inwardly toward the second end of the elongated first tissue engagement member and across the cap lumen to be grasped by a grasping member translated through the tubular device lumen and the cap lumen,
further comprising the first tissue engagement member, wherein the first tissue engagement member has a first end and a second end, the extension member engages the first end of the first tissue engagement member, and the first end of the first tissue engagement member is formed such that the first tissue engagement member may be slid off the extension member by the grasping member as the grasping member is extended distally out of the tubular member.
2. The device of claim 1 , wherein the extension member is configured to engage the first end of the first tissue engagement member to hold the first end of the first tissue engagement member at the periphery of the cap with the first tissue engagement member extending from the first end to a second end at an angle of about 90 degrees with respect to the longitudinal axis of the cap lumen.
3. The device of claim 1 , wherein the extension member is configured to engage a spring of the first tissue engagement member such that the spring is capable of being disposed about the extension member at a position radially outward from the longitudinal axis of the cap lumen.
4. The device of claim 1 , further comprising a clip mounted on the inner surface of the wall of the cap, wherein the clip is configured to engage a second tissue engagement member within the cap lumen.
5. The device of claim 4 , wherein the clip is configured to grasp a spring of the second tissue engagement member.
6. The device of claim 4 , further comprising an elastic member having a distal end, a proximal end, and a length therebetween, wherein the elastic member is configured to be connected at the distal end and the proximal end thereof to the respective first and second tissue engagement members.
7. The tissue retraction device of claim 4 , wherein the clip is configured to orient the second tissue engagement member substantially parallel to the lumen of the cap in a mounted position.
8. The device of claim 1 , wherein: the first end of the first tissue engagement member is in the form of a spring; and the spring holds the first end in a tissue engagement configuration.
9. The device of claim 1 , wherein the extension member extends along the perimeter of the cap lumen offset from the longitudinal axis of the cap lumen.
10. The device of claim 1 , further comprising the first tissue engagement member having a first end and a second end, wherein:
the first tissue engagement member further includes a pair of gripping members disposed between the first end and the second end of the first tissue engagement member; and
the pair of gripping member extends across the cap lumen, with the extension member along the perimeter of the cap lumen offset from the longitudinal axis of the cap lumen, so that the gripping members are accessible across the cap lumen by a grasping member translated through the tubular device lumen and the cap lumen.
11. The device of claim 1 , further comprising a clip mounted on an inner surface of the wall of the cap and extending radially inwardly into the cap lumen.
12. The device of claim 1 , wherein the extension member is configured such that the first tissue engagement member is slidable off the extension member.
13. The device of claim 1 , further comprising a grasping member translatable into the lumen of the cap to grasp a first tissue engagement member engaged with the extension member.
14. The device of claim 13 , wherein the grasping member has a pair of arms configured to interface with one or more gripping members of the first tissue engagement member.
15. The device of claim 14 , wherein the grasping member arms are configured to engage a pair of gripping members each having a substantially convex surface, the convex surface of one of the pair of gripping members facing away from the other one of the pair of gripping members.
16. The device of claim 1 , wherein the first tissue engagement member comprises: a pair of gripping members; a destructible member connected between the gripping members; and a tether having a loop at a distal end that is connected to the destructible member.
17. The device of claim 16 , wherein the destructible member is separable when the gripping members are compressed towards each other.
18. The device of claim 13 , wherein the extension member is configured such that the first tissue engagement member is slidable off the extension member by distal translation of the grasping member.
19. The device of claim 1 , wherein the extension member is a post having a proximal end disposed on a distal end of the wall of the cap.