Remote tissue retraction device

• US 8,403,838 B2
• Filed: 12/12/2007
• Issued: 03/26/2013
• Est. Priority Date: 11/17/2004
• Status: Expired due to Fees

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Roth, Alex T., Gerbi, Craig, Hancock, Andrew H., Weller, Gary, Julian, Christopher, Gannoe, James
• Primary Examiner(s): MERENE, JAN CHRISTOP L
• Application Number:
  US11/954,649
• Publication Number:
  US 20080091079A1
• Time in Patent Office: 1,931 Days
• Field of Search: 600/104, 600/201, 600/205, 600/235, 600/114, 600/156, 600/204, 600206-209, 606/139, 606/142, 606/159, 606/153, 606/151, 604/118
• US Class Current: 600/204
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/306 holding by means of suction

Abstract

A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

Claims

1. A method of manipulating tissue within a stomach, comprising:

inserting a therapeutic device transorally into the stomach, the therapeutic device having an elongated body with a proximal end and a distal end, a working element disposed adjacent the distal end of the elongated body, and a vacuum pod disposed near the distal end of the elongated body, and the therapeutic device being inserted transorally into the stomach with the vacuum pod in a first position relative to the working element;

with the vacuum pod in the first position, acquiring tissue at a target area within the stomach with the vacuum pod via a vacuum; and

after acquiring the tissue, translating the vacuum pod distally relative to the working element and relative to the elongated body from the first position to a second, different position relative to the working element to manipulate the tissue within the stomach, wherein the vacuum pod is translated along a longitudinal axis of the elongated body to manipulate the tissue at the target area.

2. The method of claim 1, further comprising grasping the tissue within the stomach with the working element.

3. The method of claim 2, further comprising performing a therapy to the grasped tissue with the working element.

4. The method of claim 3, wherein performing the therapy comprises securing the grasped tissue.

5. The method of claim 4, wherein securing the grasped tissue comprises stapling the grasped tissue.

6. The method of claim 1, further comprising, prior to acquiring the tissue, articulating a distal portion of the elongated body including the vacuum pod relative to a proximal portion of the elongate body.

7. The method of claim 1, further comprising, after translating the first pod distally, translating the vacuum pod in a proximal direction relative to the elongated body to manipulate the tissue at the target area.

8. A method of manipulating tissue within a stomach, comprising:

inserting a retractor device transorally into the stomach, the retractor device having an elongated body having a proximal end and a distal end, a first pod near the distal end of the elongated body including at least one vacuum port, the first pod leading the retractor device transorally into the stomach;

acquiring tissue within the stomach with the first pod via a vacuum; and

after acquiring the tissue, translating the first pod distally relative to the elongated body to manipulate the tissue at a target area within the stomach, wherein the first pod is translated along a longitudinal axis thereof relative to the elongated body to manipulate the tissue.

9. The method of claim 8, further comprising inserting a therapeutic device transorally to the stomach along the retractor device and performing a therapy to the target area of tissue after the retractor device manipulates the stomach tissue.

10. The method of claim 9, wherein performing the therapy comprises securing the target area of tissue.

11. The method of claim 10, wherein securing the target area of tissue comprises stapling the target area of tissue.

12. The method of claim 8, wherein the retractor device includes a therapeutic device attached at the distal end of the elongated body, and the therapeutic device performs a therapy to the target area of tissue after the retractor device manipulates the stomach tissue.

13. The method of claim 12, further comprising, prior to translating the first pod, articulating a distal portion of the elongated body including the first pod relative to a proximal portion of the elongate body to position the first pod adjacent to the therapeutic device, which is located in the proximal portion of the elongate body.

14. The method of claim 8, wherein manipulating the tissue at the target area comprises applying axial tension to the target area.

15. The method of claim 8, wherein the retractor device is inserted transorally into the stomach with the first pod in a first position relative to the elongated body, the tissue is acquired with the first pod in the first position, and translating the first pod moves the first pod from the first configuration to a second, different position relative to the elongated body.

16. The method of claim 8, further comprising, after translating the first pod distally, translating the first pod in a proximal direction to manipulate the tissue at the target area.