Devices for use in Transluminal and Endoluminal Surgery

• US 20070255273A1
• Filed: 04/28/2007
• Published: 11/01/2007
• Est. Priority Date: 04/29/2006
• Status: Active Grant

• Current Assignee: Board of Regents of the University of Texas System (University of Texas System)
• Original Assignee: Board of Regents of the University of Texas System (University of Texas System)
• Inventors: Fernandez, Raul, Tang, Shou-Jiang, Scott, Daniel, Bergs, Richard, Cadeddu, Jeffrey
• Granted Patent: US 7,691,103 B2
• Time in Patent Office: Days
• US Class Current: 606/41
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2017/00278 Transorgan operations, e.g. transgastric
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 34/72 Micromanipulators

Abstract

The present invention is a device and method of using a variety of laparoscopic or NOTES surgical tools at a confined or inaccessible space, e.g., an intra-abdominal surgical and NOTES tool inserted through a single incision through the skin or hollow viscus. Generally, the laparoscopic or NOTES surgical devices include a device body having a first side and a second side, wherein the first side includes a positioning mechanism and the second side includes one or more of a variety of laparoscopic or NOTES tools.

Claims

1. A surgical electro-cautery device comprising:

a device body having a first side comprising an anchoring and positioning mechanism and a second side comprising a electro-cautery surgical mechanism.

2. The device of claim 1, wherein the positioning mechanism comprises a magnetic region, a ferrous region, a suction region, a pin-holder or combination thereof

3. The device of claim 1, further comprises a camera, a light or combination thereof disposed in or about the laparoscopic and NOTES device body.

4. The device of claim 1, wherein the electro-cautery surgical mechanism comprises an electro-cautery tip positioned on a moveable extension.

5. The device of claim 1, wherein the electro-cautery surgical mechanism comprises a pivot mechanism, a rotation mechanism, a flexible shaft or combination thereof.

6. The device of claim 1, wherein the electro-cautery surgical device is internally powered, externally powered, or combination thereof.

7. The device of claim 1, wherein the electro-cautery surgical device is hydraulically or pneumatically powered.

8. The device of claim 1, wherein the electro-cautery surgical device comprises a drawstring for removing the electro-cautery surgical device.

9. The device of claim 1, wherein the electro-cautery surgical device is of unitary construction.

10. The device of claim 1, wherein the surgical anchor comprises a surgical plastic, stainless steel, titanium or combination thereof.

11. The device of claim 1, further comprising a magnet or ferrous material positioned externally from the electro-cautery surgical device that is within a body cavity, wherein manipulation of the magnet directs movement of the device within the body cavity.

12. A surgical retention device comprising a first side comprising a positioning mechanism and a second side comprising a retention device having one or more movable members, wherein the one or more movable members are used to grasp an item.

13. The device of claim 12, wherein the positioning mechanism comprises a magnetic region, a ferrous region or combination thereof.

14. The device of claim 12, further comprises a camera, a light or combination thereof disposed in or about the laparoscopic and NOTES device body.

15. The device of claim 12, wherein the retention device comprises a moveable telescopic structure.

16. The device of claim 12, wherein the retention device comprises a pivot mechanism, a rotation mechanism, a flexible shaft or combination thereof.

17. The device of claim 12, wherein the retention device is internally powered, externally powered, or combination thereof.

18. A surgical needle device comprising a device body having a first side comprising a positioning mechanism and a second side comprising a needle positioned in a needle driving device, wherein the needle has a lumen.

19. The device of claim 18, wherein the positioning mechanism comprises a magnetic region, a ferrous region or combination thereof.

20. The device of claim 18, wherein the needle driving device comprises a moveable telescopic structure, a pivot mechanism, a rotation mechanism, a flexible shaft or combination thereof.

21. The device of claim 18, wherein the needle driving device is internally powered, externally powered, hydraulically or pneumatically powered or combination thereof.

22. The device of claim 18, further comprising an insertion rod moveably positioned in the lumen, wherein the insertion rod extends through the hole created by the needle and into the interior of the opening.

23. A surgical vacuum cup device comprising a first side comprising a positioning mechanism and a second side comprising a vacuum cup extension that engages extendably a moveable telescopic structure connected to a vacuum cup.

24. The device of claim 23, wherein the positioning mechanism comprises a magnetic region, a ferrous region or combination thereof.

25. The device of claim 23, wherein the vacuum cup extension comprises a moveable extension, a pivot mechanism, a rotation mechanism, a flexible shaft or combination thereof.

26. The device of claim 23, wherein the vacuum cup is connected to a vacuum source.

27. A method of using one or more surgical devices introduced through a single orifice comprising the steps of;

positioning the surgical device within a cavity or hollow viscus;

securing the surgical device using a magnet, a vacuum or a pin; and

activating the surgical device, wherein the surgical device is used to perform a surgical process.

28. The method of claim 27, wherein the laparoscopic and NOTES surgical device comprises an electro-cautery surgical device, a surgical retention device, a surgical needle device, a surgical vacuum cup device or a combination thereof.