DESC:A DEVICE FOR CONTROLLED INSERTION OF A MEDICAL APPARATUS
FIELD OF INVENTION
The invention generally relates to medical technology. More particularly, a device for enabling insertion of medical canula, tube, needle, device or capsule, K wires, intercostal devices, biochemical sensors, nano robots, other medical implants.
BACKGROUND
Generally, medical tools that require to be inserted into the human body either partially or completely is introduced surgically or medically with the assistance of guided devices to ensure precision. For example, the process of inserting the chest tube into intercostal space called Intercostal Drain (ICD) requires ultrasound guidance for chest tube insertions. ICD insertion is either done as an elective procedure or performed as an emergency life saving procedure. An elective procedure is adopted during condition such as pleurodesis-sticking of two pleura, recurrent fluid collection, while ICD is also performed during medical emergencies such as pneumothorax, massive pleural effusion, blood in pleural cavity. The chest tube insertion is a life saving procedure performed by physicians of many specialties such as the cardio-thoracic surgeons, general surgeons, general physicians, pulmonologists and radiologists, however the procedure takes around 20-25 minutes in expert hands and longer with an inexperienced physicians. Moreover, the conventional method involves making an incision over the chest wall in the lateral aspect and dissecting and creating a path through the chest wall and entering the pleural space, followed by insertion of a chest tube, which makes it burdensome for the physician to hold the guided device in one hand and to insert the chest tube using the other hand. Further, medical procedures that require precision in inserting a canula or K wires also require precision in ensuring error-free insertion of such tool into the identified anatomical positions accurately. Therefore, necessitating a device for enabling unassisted, precision controlled insertion of multiple medical apparatus such as the medical needle, chest tube, trocar, canula, tube insertion, K wires, sensors, nano robot.
SUMMARY
The present invention overcomes the drawbacks in the prior art by providing a universal device for enabling unassisted insertion of medical apparatus with precision control.
According to one aspect of the invention, the invention provides a device to enable controlled insertion of a medical apparatus. The device for controlled insertion of a medical apparatus into a region of interest includes a housing unit, having a proximal end and a distal end, a handle, coupled to the distal end of the housing unit for holding the device, a trigger adjoining the handle to enable controlled insertion of the medical apparatus to the patient. The housing unit further includes a barrel, configured to deliver the medical apparatus at a predetermined depth through the proximal end of the housing unit. A cartridge with an open slot is positioned above the barrel, for carrying at least one medical apparatus. An adapter is configured to detachably attach to the cartridge and a knob is configured to control the release of the medical apparatus into the barrel from the cartridge. A control element and a control button are configured to enable controlled insertion of the medical apparatus.
According to another aspect of the invention, the specific medical apparatus is selected from a group comprising medical needles to deliver medicines or draw blood, guided insertion of intercostal device, post surgery drains, K wires for orthopaedic applications, biochemistry monitoring chips or devices or sensors, nanotechnology medical application capsules, intra uterine devices, insert diagnostics medical devices/ calipers/probes.
BRIEF DESCRIPTION OF THE DRAWINGS
Fig. 1a shows the medical insertion device, according to an embodiment of the invention.
Fig. 1b shows the detailed parts of the medical insertion device, according to an embodiment of the invention.
Fig. 2 shows the medical apparatus for insertion, according to an example of the invention.

DETAILED DESCRIPTION OF THE INVENTION
The definitions, terms and terminology adopted in the disclosure have their usual meaning and interpretations, unless otherwise specified.
The term “Region of Interest (ROI)” refers to the precise anatomical location for performing a medical/surgical procedure.
Various embodiments of the invention disclose a device to enable controlled insertion of a medical apparatus in to a region of interest. The device includes a housing unit having a proximal end and a distal end, a handle and a trigger. The device enables controlled insertion of a medical apparatus in to a region of interest of a patient. The invention disclosed herein is described in detail below.
Fig. 1a shows the medical insertion device, according to an embodiment of the invention. The device (100) includes a housing unit (101) having a proximal end (101a) and a distal end (101b), a handle (103), coupled to the distal end (101b) of the housing unit (101) for holding the device (100), a trigger (105) adjoining the handle (103) to enable the insertion of the medical apparatus into the region of interest of a patient. The components of the medical insertion device as described herein shall be explained in detail below.
Fig. 1b shows the detailed parts of the medical insertion device, according to an embodiment of the invention. The housing unit (101) further includes a barrel (107), a cartridge (109), an adapter (111), a knob (113), a control element (115) and a control button (117). The barrel (107) is configured to deliver the medical apparatus at a predetermined depth through the proximal end (101a) of the housing unit (101). The medical apparatus is carried in the cartridge (109), which is a cylindrical structure with an open slot facing the barrel (109) for releasing the medical apparatus in to the barrel (109) while performing a medical procedure that requires insertion of a medical apparatus. The cartridge (109) is fixed to the adapter (111), which adjusts to the aperture size, shape and length of the cartridge (109). The adapter (111) is positioned adjacent to the cartridge (109) and is configured to detachably attach to the housing unit (101). In order to prevent accidental insertion of the medical apparatus from the cartridge (109), the knob (113) locks or unlocks of the medical apparatus in the cartridge (109). When the knob (113) is in unlock position, the medical apparatus is released from the cartridge (111) into the barrel (109), and when the knob (113) is in lock position the medical apparatus is not released from the cartridge (111) to the barrel (109). Thus, preventing accidental insertion of the medical apparatus. During an emergency or while performing a medical procedure the medical apparatus is required to be inserted to a patient, with sufficient force for controlled insertion. Additionally, it is also essential to ensure that the force is sufficient to insert the medical apparatus at the identified region of interest, the required pullback tension or sufficient force for controlled insertion of the medical apparatus is enabled by the control element (115), while the control button (117) controls the insertion depth based on the region of interest. The control button is an electronic button, a mechanical button or a combination thereof. In one example, the control button (117) is a rotatable knob for manually adjusting the predetermined depth based on the region of interest.
According to yet another embodiment of the invention, the distal end (101b) is provided with an USB port to connect the medical device (100) to an external screen. The functioning of the control button (117) and the control element (115) is regulated by the external screen such as a handheld device, a tablet, a laptop or a smart phone to integrate diagnostic inputs, AR or VR inputs to enable precision in inserting the medical apparatus into the identified region of interest. The external screen aids in presetting the insertion depth and the required force based on the region of interest and the procedure to be performed.
According to another embodiment of the invention, the control button (117) is provided with a digital display unit to display the preset insertion depth based on the region of interest and the procedure to be performed. In one alternate embodiment, an actuator (not shown) is provided along with the control element (115) for enabling the force required for inserting the needle at the precise region of interest. The predetermined depth depends on the region of interest for performing a medical procedure.
According to another embodiment of the invention, the cartridge (109) comes in variable sizes and shapes based on the medical apparatus to be carried. The cartridge (109) is a cylindrical structure, having an open slot on the side facing the barrel (107) to load at least one medical apparatus. The cartridge (109) is fixed to the adapter (111) by a slide-on mechanism on the barrel (107). In one example, the cartridge (109) is fixed to the adapter (111) by a click-fit arrangement or a push-fit arrangement or a threaded connection.
In one example, the medical apparatus is required for a subcutaneous injection, and the cartridge (109) is designed for carrying a medical needle, wherein the control button (117) and the control element (115) is preset for enabling the insertion of the medical needle within a range of 4mm to 5mm. The insertion depth and the force required is either manually provided or set by means of the input device based on the procedure performed. In another example, an intravenous injection would require a depth of 1 to 2 cm. The depth of insertion is adjusted by setting the control button (117) with the required depth information, while the force required for insertion or the pullback tension is provided by the control element (115).
According to another embodiment of the invention, the trigger (105) is provided as a push button or a switch for insertion of the medical apparatus.
According to yet another embodiment of the invention, the medical device is operable by robotic mechanics to control the operations of the control element (115) and the control button (117). The medical device does not require Human intervention and can be remotely operable by creating a virtual platform through IOT, enabling connectivity with expert practitioners for remote surgery.
According to another embodiment of the invention, the specific medical apparatus is selected from a group comprising medical needles to deliver medicines or draw blood, guided insertion of intercostal device, post surgery drains, K wires for orthopaedic applications, biochemistry monitoring chips or devices or sensors, nanotechnology medical application capsules, intra uterine devices, insert diagnostics medical devices/ callipers/probes. Various medical procedures such as cardiac catherization, thoracic surgery, dental procedures, gynaecological, anaesthesia, or events which require emergency medical procedures is enabled by the medical device with guides such as the X-ray, CT scan, ultrasound, Magnetic resonance imaging (MRI) Scan, Cone Beam Computed Tomography (CBCT).
In one example, the medical device (100) is used to perform intercostal drain (ICD) by enabling insertion of a chest tube for draining fluids from the chest. The medical device (100) assists in chest tube insertion with one hand, thereby reducing the time required for performing ICD. Fig. 2 shows the medical apparatus for insertion, according to an example of the invention. The medical apparatus is used for performing the ICD, wherein the cartridge (109) accommodates at least one trocar, which is dropped into the barrel once the knob (113) is unlocked for dispensing the medical apparatus for inserting into the identified region of interest. The physician places the tip of the device in the subcutaneous tissue over the chest wall after making a 1 cm incision and pushes the trigger (105). The trocar moves a distance of around 5 cm (thickness of chest wall) to reach the pleural cavity. Once the physician confirms the trocar is inside the pleural cavity, the device and trocar are removed, one end of a chest tube is inserted into the pleural cavity and fixed to the skin while the other end is connected to an external device for draining the accumulated fluids. Thus, the invention provides a controlled insertion of the medical apparatus for various medical procedures with precision.
The present invention provides a universal device for controlled insertion of medical apparatus that includes medical canula, tube, needle, trocar, capsule, nano robots, K wires, and sensors. Further, the medical device simplifies the procedure of the insertion of medical apparatus for a physician with minimum skills and training to perform the same through remote video consultation or guidance to reduce mortality in emergency situation. The device assists battlefield military doctors for quick insertion of the chest tube for soldiers suffering from chest trauma. Further, the invention enables controlled insertion under ultrasound guidance, X-Ray, C T scan, CBCT or MRI scan, without the assistance from additional medical practitioner. Additionally, scientific advancement to the medical device enables implementation of AI and ML for better learning and facilitation of robotic surgery to increase precision and decrease failures & errors in surgery / clinical procedures. AR and VR tools is incorporated to aid in medical education, remote digital surgery, precise guided insertion of medical device to carry out the desired or planned surgical or clinical procedure.
The foregoing description of the invention has been set merely to illustrate the invention and is not intended to be limiting. Since modifications of the disclosed embodiments incorporating the spirit and substance of the invention may occur to person skilled in the art, the invention should be construed to include everything within the scope of the appended claims and equivalents thereof.

,CLAIMS:WE CLAIM:

1. A device for controlled insertion of a medical apparatus into a region of interest, the device comprising:
a housing unit (101), having a proximal end (101a) and a distal end (101b), wherein the housing unit (101) comprises:
a barrel (107), configured to deliver the medical apparatus at a predetermined depth through the proximal end (101a) of the housing unit (107);
a cartridge (109) having a cylindrical structure with an open slot positioned above the barrel (107), for carrying at least one medical apparatus, wherein the open slot of the cartridge (109) faces the barrel (107) for releasing the medical apparatus into the barrel (107);
an adapter (111) configured to detachably attach the cartridge (109) to the housing unit (101);
a knob (113) on the distal end (101b) of the housing unit (101), wherein the knob (113) is configured to control the release of the medical apparatus into the barrel (107); and
a control element (115) and a control button (117) provided on the distal end (101b) of the housing unit (101), configured to enable controlled insertion of the medical apparatus;
a handle (103), coupled to the distal end (101b) of the housing unit (101) for holding the device; and
a trigger (105) adjoining the handle (103) for insertion of the medical apparatus into the region of interest of the patient.
2. The device as claimed in claim 1, wherein the adapter (111) adjusts to aperture size, shape and length of the cartridge (109).
3. The device as claimed in claim 1, wherein the cartridge (109) is fixed to the adapter (111) by a click-fit arrangement or a push-fit arrangement or a threaded connection.
4. The device as claimed in claim 1, wherein the control button (117) is either an electronic button, mechanical button or a combination thereof.
5. The device as claimed in claim 1, wherein the distal end (101b) is provided with a USB port for connecting the medical device (100) to an external screen to enable operation of the control button (117) and the control element (115).
6. The device as claimed in claim 1, wherein the external screen is selected from a list comprising a handheld device, a tablet, a laptop or a smart phone to integrate diagnostic inputs, AR or VR inputs.
7. The device as claimed in claim 1, wherein the control element (115) provides a pullback tension or an adequate force for insertion of the medical apparatus.
8. The device as claimed in claim 1, wherein the control button (117) regulates the insertion depth based on the region of interest.
9. The device as claimed in claim 1, wherein the predetermined depth depends on the region of interest for performing a medical procedure on a patient.
10. The device as claimed in claim 1, wherein the device is operable by robotic mechanics for controlling the operations of the control element (115) and the control button (117) for remote surgery.
11. The device as claimed in claim 1, wherein the proximal end (101a) is positioned closer to a patient for inserting the medical apparatus.
12. The device as claimed in claim 1, wherein the medical apparatus includes but is not limited to medical needles to deliver medicines or draw blood, guided intercostal device, post surgery drains, K wires for orthopaedic applications, biochemistry monitoring chips or devices or sensors, nanotechnology medical application capsules, intra uterine devices, diagnostics medical devices, callipers, or probes.

Bangalore SUSHMA K C
05th September 2023 (IN/PA/2226)
AGENT FOR APPLICANT
INTELLOCOPIA IP SERVICES