Remote tissue retraction device

• US 8,403,839 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:
  US11/955,036
• Publication Number:
  US 20080091076A1
• Time in Patent Office: 1,931 Days
• Field of Search: 606/139, 606/149, 606/153, 606/142, 606/151, 600/153, 600/156, 600204-209, 600/215, 600/235, 600/114
• 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 surgical method, comprising:

inserting a retractor device transorally to a cavity of a stomach;

actuating the retractor device to smooth a lining of a wall of the stomach by removing wrinkles formed by rugae of the stomach, wherein actuating the retractor device comprises applying a vacuum to suction the lining onto a vacuum port in a distal portion of the retractor device, and then translating the vacuum port distally relative to a proximal portion of the retractor device positioned within the cavity of the stomach; and

after applying the vacuum and translating the vacuum port distally, applying a tissue treatment device to the smoothed lining, wherein translating the vacuum port distally comprises moving the vacuum port along a longitudinal axis of the proximal portion of the retractor device.

2. The method of claim 1, wherein the vacuum port is located at a distal tip of the retractor device.

3. The method of claim 1, wherein translating the vacuum port comprises moving a rod at least partially positioned within the cavity to reposition the vacuum port within the cavity.

4. The method of claim 1, wherein applying the vacuum also suctions the lining onto at least one additional vacuum port in the proximal portion of the retractor device.

5. The method of claim 1, wherein when the retractor device is inserted transorally to the cavity of the stomach, the vacuum port leads the retractor device transorally to the cavity of the stomach.

6. A surgical method, comprising:

inserting a retractor device transorally to a cavity of a stomach, the retractor device having an elongate body with a vacuum port located distal to a distal end of the elongate body;

applying a vacuum via the retractor device to suction stomach tissue onto the vacuum port;

with the stomach tissue suctioned onto the vacuum port, moving the vacuum port relative to the elongate body and away from the elongate body to move the suctioned stomach tissue; and

after moving the vacuum port and with the stomach tissue suctioned onto the vacuum port, moving the elongate body to reposition the suctioned stomach tissue, wherein moving the vacuum port comprises moving the vacuum port along a longitudinal axis of the elongate body.

7. The method of claim 6, wherein moving the vacuum port comprises moving the vacuum port in a distal direction relative to the elongate body to thereby apply axial tension to the suctioned stomach tissue.

8. The method of claim 7, wherein a vacuum pod at a distal end of the elongate body includes the vacuum port, and moving the vacuum port comprises actuating a rod that connects the vacuum pod to the elongate body such that the vacuum pod moves in the distal direction relative to the elongate body.

9. The method of claim 6, wherein applying the vacuum also suctions stomach tissue onto at least one additional vacuum port formed in the elongate body, and moving the elongate body moves the at least one additional vacuum port relative to the vacuum port.

10. The method of claim 6, further comprising:

inserting a tissue treatment device transorally to the cavity of the stomach; and

after moving the elongate body, applying a tissue treatment to the suctioned stomach tissue with the tissue treatment device.

11. The method of claim 10, wherein applying the tissue treatment comprises stapling the suctioned stomach tissue.

12. The method of claim 6, wherein when the retractor device is inserted transorally to the cavity of the stomach, the vacuum port is located external to the elongate body.

13. The method of claim 6, wherein when the retractor device is inserted transorally to the cavity of the stomach, the vacuum port leads the elongate body transorally to the cavity of the stomach.