Articulating blunt dissector/gastric band application device

• US 7,763,039 B2
• Filed: 06/09/2006
• Issued: 07/27/2010
• Est. Priority Date: 06/09/2006
• Status: Expired due to Fees

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Ortiz, Mark S., Plescia, David N.
• Primary Examiner(s): Ho; (Jackie) Tab-Uyen T.
• Assistant Examiner(s): DANG, PHONG SON H
• Application Number:
  US11/449,875
• Publication Number:
  US 20070288048A1
• Time in Patent Office: 1,509 Days
• Field of Search: 600/37, 606/139, 606/142, 606/144, 606/145, 606/148, 606/153, 606/113
• US Class Current: 606/148
• CPC Class Codes: A61B 17/0483 Hand-held instruments for holding sutures A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/06042 located close to needle tip
• CPC Class Codes: A61B 2017/06085 having a blunt tip blunt dissectors A61B2017/320044
• 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
• CPC Class Codes: A61F 5/0089 Instruments for placement or removal

Abstract

A single handed articulating blunt dissector/gastric band application device includes a support shaft connecting a handle at a first end of the device to an articulating assembly at a second end of the device. The handle includes an actuation mechanism linked to the articulating assembly for controlling movement thereof. The second end includes a proximal end and a distal end, wherein the distal end includes a blunt distal tip shaped and dimensioned for dissecting tissue without unduly causing trauma to the tissue. The second end also includes a suture grasping notch shaped and dimensioned for engaging and pulling a gastric band.

Claims

1. A single handed articulating blunt dissector/gastric band application device, comprising:

a support shaft connecting a handle at a first end of the device to an articulating assembly at a second end of the device;

the handle includes an actuation mechanism linked to the articulating assembly for controlling movement thereof wherein the actuation mechanism includes a flexing finger which one may hold and move to cause articulation of the articulating assembly, and the handle is formed with a central opening in which the flexing finger is positioned, the central opening including a first end and a second end with a first end of the flexing finger being coupled to the handle at the first end of the central opening and a remainder of the flexing finger is spaced from the handle allowing the flexing finger to bend about the first end thereof as pressure is applied along the second end of the flexing finger resulting in controlled movement of the articulating assembly;

the second end includes a proximal end and a distal end, wherein the distal end includes a blunt distal tip, and the second end also includes a suture grasping notch shaped and dimensioned for engaging and pulling a gastric band, the suture grasping notch being formed in the blunt distal tip wherein the suture grasping notch is obliquely oriented relative to a longitudinal axis of the application device when the application device is in a straight configuration.

2. The device according to claim 1, wherein the suture grasping notch is oriented at 45 degree angle relative to the longitudinal axis of the device.

3. The device according to claim 1, wherein the articulating assembly is proximally oriented relative to the suture grasping notch.

4. The device according to claim 1, wherein the articulating assembly includes a flex member composed of a first side member and a second side member.

5. The device according to claim 4, wherein the first side member and the second side member are substantially parallel and are spaced from each other as they extend along the second end of the device.

6. The device according to claim 4, wherein the first side member includes an inner surface with a plurality of necked down regions and the second side member includes an inner surface with a plurality of necked down regions.

7. The device according to claim 4, wherein a constraining band is fitted about the flex member.

8. The device according to claim 1, wherein the flexing finger includes a constant stress beam having a tapered down cross section as it extends from the second end of the handle to the first end of the handle so that the flexing finger bends down in a smooth arc.

9. The device according to claim 1, wherein the actuation mechanism includes a cable having a first end and a second end, the first end of the cable being coupled to the flexing finger and the second end being coupled adjacent the articulation assembly such that the cable moves to cover the increased arc length over which it is stretched as the flexing finger is bent.

10. The device according to claim 9, further including first and second pulleys about which the cable is wrapped for amplifying the displacement of the cable.