Methods and devices for creating tissue plications

• US 10,595,852 B2
• Filed: 04/09/2018
• Issued: 03/24/2020
• Est. Priority Date: 03/21/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Harris, Jason L., Felder, Kevin D., Sherrill, Justin W.
• Primary Examiner(s): Miles, Wade
• Assistant Examiner(s): Mannan, Mikail A
• Application Number:
  US15/948,692
• Publication Number:
  US 20180256154A1
• Time in Patent Office: 715 Days
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft

Abstract

Devices and methods for forming and securing a tissue plication are disclosed herein. In one aspect, a tissue manipulation device is described that includes a first jaw member pivotally coupled to a distal end of an elongate shaft and having an articulating portion located distal to the proximal end of the first jaw member. The device also includes a second jaw member pivotally coupled to the first jaw member such that the jaws move in a first plane, and a fastener delivery member attached to the second jaw member. The articulating portion of the first jaw member is configured to move the first and second jaw members between a straight configuration in which a longitudinal axis of the elongate shaft is contained within the first plane and an articulated configuration in which the longitudinal axis of the elongate shaft is transverse to the first plane.

Claims

1. A surgical device, comprising:

an elongate shaft;

a first jaw pivotally connected to a distal end of the elongate shaft at a first pivot point, the first jaw being configured to pivot relative to the elongate shaft at the first pivot point;

a second jaw pivotally connected to the first jaw at a second pivot point that is distal to the first pivot point, the second jaw being configured to pivot relative to the first jaw at the second pivot point;

an articulation portion located between the first and second pivot points; and

an actuating member coupled to the first jaw and configured to be actuated to cause the first and second jaws to articulate at the articulation portion relative to the elongate shaft.

2. The device of claim 1, further comprising a flexible member configured to have a fastener delivered therethrough to fasten tissue held between the first and second jaws;

wherein the flexible member is configured to move relative to the elongate shaft and thereby cause the second jaw to pivot relative to the first jaw at the second pivot point.

3. The device of claim 2, wherein the flexible member is pivotally connected to the second jaw at a third pivot point.

4. The device of claim 1, wherein the actuation of the actuating member is configured to cause the first and second jaws to be articulated at a substantially ninety degree angle relative to a longitudinal axis of the elongate shaft.

5. The device of claim 1, wherein the articulation portion includes a plurality of jointed segments.