System for tissue approximation and fixation

• US 8,007,505 B2
• Filed: 08/03/2006
• Issued: 08/30/2011
• Est. Priority Date: 10/14/2003
• Status: Expired due to Fees

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Gannoe, Jamy, Sutton, Douglas S., Gerbi, Craig, Hancock, Andrew H., Mata, Gilbert Jr., Weller, Gary
• Primary Examiner(s): Woo; Julian W
• Application Number:
  US11/499,349
• Publication Number:
  US 20060271076A1
• Time in Patent Office: 1,853 Days
• Field of Search: 606/153, 606/219, 606/142, 227/175.1, 227/176.1, 227/179.1
• US Class Current: 606/153
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping channel for multiple instruments A61B2017/3445; instrument channel A61B2017/22072; replaceable heads A61B2017/2931; suction A61M1/00
• CPC Class Codes: A61B 2017/00946 malleable
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/1103 Approximator
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/306 holding by means of suction

Abstract

A system for tissue approximation and fixation is described herein. The devices are advanced in a minimally invasive manner within a patient'"'"'s body to create one or several divisions or plications within a hollow body organ. The system comprises a tissue acquisition and folding device and a tissue stapling or fixation device, each of which is used together as a system. The acquisition device is used to approximate tissue regions from within the hollow body organ and the stapling device is advanced through a main lumen defined through the acquisition device and is used to affix the approximated tissue. The stapling device is keyed to maintain its rotational orientation relative to the acquisition device as well as to provide the user positional information of the stapling device. The acquisition device is also configured to provide lateral stability to the stapling device prior to the stapling device being clamped onto tissue.

Claims

1. A tissue acquisition and fixation system, comprising:

a tissue acquisition device having a flexible, elongate main body comprising a plurality of links, each link having a central aperture defining a main lumen therethrough the flexible, elongate body, each link further defining a passage cooperating with adjacent passages in adjoining links to define a routing channel, wherein a distal end of the acquisition device includes a first pod member including a vacuum source adapted to acquire tissue from within a hollow body organ, and a second pod member including a vacuum source adapted to acquire tissue from within the hollow body organ, the first and second pod members adapted to separate apart and separate in an offset condition such that the acquired tissue is adjacent and forms and at least one overlap region such that four layers of tissue are positioned in an adjacent configuration; and

a tissue fixation device having an articulatable cartridge assembly adapted to be advanced through the main lumen while maintaining a fixed orientation relative to the main lumen and adapted to staple the four layers of tissue positioned by the first and second pod members together while the pod members are in the apart and offset condition.

2. The system of claim 1, wherein the tissue acquisition device further comprises at least two opposing members longitudinally positioned relative to one another at a distal end of the main lumen such that the cartridge assembly is stabilized from lateral movement between the at least two opposing members.

3. The system of claim 1, wherein the tissue acquisition device further comprises an atraumatic distal tip.

4. The system of claim 3, wherein the distal tip is tapered.

5. The system of claim 1, wherein the elongate main body of the tissue acquisition device is configured to be curved.

6. The system of claim 1, further comprising a handle connected to a proximal end of the main body.

7. The system of claim 6, wherein the handle further comprises at least one actuation mechanism adapted to articulate the distal end of the acquisition device.