Apparatus and method for resectioning gastro-esophageal tissue

• US 7,090,684 B2
• Filed: 05/27/2004
• Issued: 08/15/2006
• Est. Priority Date: 01/31/2001
• Status: Active Grant

• Current Assignee: REX Medical LP
• Original Assignee: REX Medical LP
• Inventors: McGuckin, James F. Jr., Hinchliffe, Peter W. J.
• Primary Examiner(s): Robert, Eduardo C.
• Assistant Examiner(s): Baxter, Jessica R.
• Application Number:
  US10/855,908
• Publication Number:
  US 20050033320A1
• Time in Patent Office: 810 Days
• Field of Search: 606/139, 606/142, 606/143, 606/213, 606/215, 606/216, 606219-221, 227/175.1
• US Class Current: 606/139
• CPC Class Codes: A61B 1/2736 Gastroscopes
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 2017/00278 Transorgan operations, e.g. transgastric
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07221 curved
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion

Abstract

A system for stapling tissue comprises a flexible endoscope and an operative head including a pair of opposed, curved tissue clamping jaws sized to pass through an esophagus, the jaws being moveable with respect to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface, the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof in combination with a control handle which, when the operative head is in an operative position within one of a patient'"'"'s stomach and esophagus, remains outside the patient, the control handle including a first actuator for moving the jaws relative to one another and a second actuator for operating the stapling mechanism.

Claims

1. A method for stapling tissue comprising the steps of:

inserting into a patients mouth a flexible endoscope device including an operative head having a pair of opposed, curved tissue clamping jaws, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface;

moving the jaws relative to one another from a closed position to an open tissue receiving position;

drawing a folded, full-thickness portion of tissue from one of the patient'"'"'s stomach and esophagus between the jaws;

actuating a first jaw moving mechanism to move the jaws from the open position toward the closed position;

actuating a second jaw moving mechanism to finely adjust the position of the jaws relative to one another to clamp the tissue between staple slots formed in the first jaw through which staples are fired by the stapling mechanism and the staple forming surface, wherein the staple slots are arranged in a row extending from a proximal end of the first jaw to a distal end thereof; and

actuating the stapling mechanism to drive staples out of the staple slots through the tissue and against the staple forming surface to couple the folds of tissue to one another.

2. The method according to claim 1, wherein the tissue is located in the patient'"'"'s stomach and the folds of tissue are coupled to one another to reduce a size of an interior space of the stomach.

3. The method according to claim 2, wherein tissue radially within the row of staples is left in place.

4. The method according to claim 1, wherein tissue radially within the row of staples is severed from the stapled tissue.

5. The method according to claim 1, wherein the second jaw moving mechanism includes a substantially C-shaped clamp received around the jaws.