TEMPORARILY POSITIONABLE MEDICAL DEVICES

• US 20100010294A1
• Filed: 07/10/2008
• Published: 01/14/2010
• Est. Priority Date: 07/10/2008
• Status: Abandoned Application

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Conlon, Sean P., Trusty, Robert M.
• Application Number:
  US12/170,862
• Publication Number:
  US 20100010294A1
• Time in Patent Office: Days
• US Class Current: 600/104
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/0125 Endoscope within endoscope
• CPC Class Codes: A61B 1/042 characterised by a proximal camera, e.g. a CCD camera
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/0676 at distal tip of an endoscope
• CPC Class Codes: A61B 1/3132 for laparoscopy
• CPC Class Codes: A61B 2017/00278 Transorgan operations, e.g. transgastric
• CPC Class Codes: A61B 2017/00283 with a device releasably connected to an inner wall of the abdomen during surgery, e.g. an illumination source
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure

Abstract

A temporarily positionable device includes a temporarily positionable body and an attachment mechanism formed integral with the temporarily positionable body. The attachment mechanism is to attach to body tissue. The attachment mechanism includes a fastener integral with the temporarily positionable body to attach the temporarily positionable body to the body tissue. At least one fastener has a deployed position and an undeployed position. An applier is used to move the fastener from the undeployed position to the deployed position. The temporarily positionable device can be disposed at a first location adjacent to body tissue. The temporarily positionable device can be attached to the body tissue at the first location fastener by simultaneously moving the fastener from the undeployed position to the deployed position.

Claims

1. A temporarily positionable device comprising:

a temporarily positionable body;

an attachment mechanism formed integral with the temporarily positionable body to attach to body tissue, the attachment mechanism comprising at least one fastener integral with the temporarily positionable body to attach the temporarily positionable body to the body tissue, at least one fastener has a deployed position and an undeployed position; and

an applier to move at least one fastener from the undeployed position to the deployed position.

2. The device of claim 1, comprising:

a trigger; and

a lockout button coupled to the trigger;

wherein the applier is to move the at least one fastener from the undeployed position to the deployed position by the actuating the trigger in a first direction; and

wherein the applier is to move the at least one fastener form the deployed position to the undeployed position by engaging the lockout button and actuating the trigger.

3. The device of claim 1, comprising a plurality of fasteners.

4. The device of claim 1, comprising a camera disposed in the temporarily positionable body;

5. The device of claim 4, wherein the camera comprises at least one lens.

6. The device of claim 5, comprising a first image sensor optically coupled to the at least one lens.

7. The device of claim 5, wherein the camera comprises a second lens.

8. The device of claim 5, comprising a second image sensor optically coupled to the second lens.

9. The device of claim 1, comprising a tissue retraction clip disposed in the temporarily positionable body.

10. The device of claim 1, comprising a tissue clamp disposed in the temporarily positionable body.

11. The device of claim 1, comprising an endoscope stabilizer disposed in the temporarily positionable body.

12. The device of claim 1, comprising an electrical power distributor disposed in the temporarily positionable body.

13. The device of claim 1, comprising a temporary space creation device disposed in the temporarily positionable body.

14. The device of claim 1, comprising first and second power input terminals.

15. The device of claim 14, wherein the first and second power input terminals are adapted to couple to corresponding first and second input terminals of a battery.

16. The device of claim 14, wherein the first and second power input terminals are adapted to couple to corresponding first and second percutaneous needle electrodes to couple the camera to a power source external to the body tissue.

17. The device of claim 14, wherein the first and second power input terminals are adapted to couple to corresponding first and second flexible conductors to couple the camera to a power source external to the body tissue via a path through a natural orifice of the patient.

18. The device of claim 1, comprising at least one percutaneously located conductor to transmit captured images to an external monitor.

19. The device of claim 1, comprising a flexible conductor that egresses the patient via a natural orifice of the patient to transmit captured images to an external monitor.

20. The device of claim 1, comprising a radio frequency (RF) component coupled to the camera to wirelessly transmit images to the external monitor using RF energy.

21. The device of claim 1, comprising an actuator to move the fastener from the undeployed position to the deployed position.

22. The device of claim 21, wherein the actuator is to move the fastener from the undeployed position to the deployed position.

23. The device of claim 21, wherein the actuator is configured to resist an undeploying force applied to the fastener when the fastener is disposed in the deployed position.

24. The device of claim 23, wherein the undeploying force is a rotational force.

25. The device of claim 21, wherein the fastener is configured to rotate about a respective axis as it moves from the undeployed position to the deployed position.

26. The device of claim 25, wherein the actuator is configured to rotate about a respective axis, and comprises an associated surface for the fastener, the surface is configured to exert a rotational force on the fastener when the actuator is rotated in a deploying direction to move the fastener from the undeployed position to the deployed position.

27. The device of claim 25, wherein the actuator is configured to resist being rotated by an undeploying rotational force applied to the fastener when the fastener is disposed in the deployed position.

28. The device of claim 27, wherein the attachment mechanism comprises a detent system configured to resist unintended rotation of the actuator.

29. The device of claim 25, wherein the actuator is configured to rotate about a respective axis, and the attachment mechanism comprises an associated member for the fastener, the member being carried by the actuator, the actuator, the fastener and its associated member being configured such that the member exerts a rotational force on each associated fastener when the actuator is rotated in an undeploying direction to move the fastener from the deployed position to the undeployed position.

30. The device of claim 29, wherein the fastener and its associated member are configured such that the member does not exert a deploying force when the actuator is rotated in a deploying direction.

31. The device of claim 21, wherein the actuator is rotatable.

32. The device of claim 31, wherein the actuator comprises a generally annular ring which is rotatably carried by the temporarily positionable body.

33. The device of claim 21, wherein the actuator is configured to be manipulated to move the fastener by any of one or more standard surgical instruments.

34. The device of claim 21, wherein the fastener comprises a distal tip configured to pierce body tissue, the fastener being disposed in an associated recess of the temporarily positionable body, the distal tip being disposed in the associated recess when the fastener is disposed in the undeployed position.

35. The device of claim 34, wherein the fastener is disposed completely within the associated recess when the fastener is disposed in the undeployed position.

36. The device of claim 34, wherein the distal tip is disposed in an associated recess, the distal tip being disposed in the associated recess when the fastener is disposed in the deployed position.

37. The device of claim 21, wherein the fastener comprises a distal tip configured to pierce body tissue, the fastener being disposed in an associated recess, the distal tip being disposed in the associated recess when the fastener is disposed in the deployed position.

38. A method of surgically positioning a temporarily positionable medical device, the method comprising:

disposing a temporarily positionable medical device and a fastener integral to the temporarily positionable medical device at a first location adjacent to body tissue; and

simultaneously moving the fastener from an undeployed position to a deployed position to attach the temporarily positionable medical device to the body tissue at the first location.

39. The method of claim 38, comprising the moving the fastener from the deployed position to the undeployed position to detach the temporarily positionable medical device from the body tissue.

40. The method of claim 38, comprising:

guiding the temporarily positionable medical device to the first location by viewing images from a camera contained within the temporarily positionable medical device.

41. The method of claim 40, comprising:

transmitting images from the camera while guiding the temporarily positionable medical device to the first location.

42. The method of claim 38, comprising:

disposing the temporarily positionable medical device at a second location adjacent body tissue; and

simultaneously moving the fastener from the undeployed position to the deployed position to attach the temporarily positionable medical device to the body tissue at the second location.

43. The method of claim 38, comprising disposing the temporarily positionable medical device and the fastener integral to the temporarily positionable medical device through a flexible portion of a flexible trocar.

44. A method comprising:

obtaining a temporarily positionable device comprising;

a temporarily positionable body;

an attachment mechanism formed integral with the temporarily positionable body to attach the camera to a body tissue, the attachment mechanism comprising a fastener integral to the temporarily positionable body to attach the temporarily positionable body to tissue, the fastener has a deployed position and an undeployed position; and

an applier to move the fastener from the undeployed position to the deployed position;

sterilizing the temporarily positionable device; and

storing the temporarily positionable device in a sterile container.