Remote tissue retraction device

• US 8,784,306 B2
• Filed: 12/12/2007
• Issued: 07/22/2014
• Est. Priority Date: 11/17/2004
• Status: Active Grant

• 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:
  US11/955,079
• Publication Number:
  US 20080091078A1
• Time in Patent Office: 2,414 Days
• Field of Search: 600/204, 600/206, 600/214, 600/208, 600201-203, 600/205, 600/207, 600209-213, 600215-246, 606110-115, 606/127, 606/128
• US Class Current: 600/219
• 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 device for managing tissue in an organ, comprising:

a flexible, elongated body having a proximal end and a distal end, the elongated body being configured to extend into a patient'"'"'s body with the proximal end positioned outside of the patient'"'"'s body and the distal end positioned inside of the patient'"'"'s body;

a tissue treatment device coupled to the distal end of the elongated body, the tissue treatment device having a first jaw opposite a second jaw, the first jaw and the second jaw being configured to acquire tissue and being pivotable about relative to one another; and

a septum coupled to the tissue treatment device and being configured to be seated between the first and second jaws, a first end of the septum being pivotably attached to the tissue treatment device at a pivot point, the septum being operatively connected to an actuator that extends longitudinally along the elongated body;

wherein the actuator is configured to move relative to the elongated body so as to pivot the septum about the pivot point, thereby moving a second end of the septum distally relative to the first and second jaws with the septum pivoting from a first position in which the second end of the septum is proximal to the pivot point, to a second position in which the second end of the septum is distal to the pivot point wherein the septum includes a plurality of septum blades, and further comprising a sheet attached to the plurality of septum blades.

2. The device of claim 1, wherein the plurality of septum blades are configured to fan out when the septum pivots about the pivot point.

3. The device of claim 1, wherein the plurality of septum blades include first and second septum blades, the sheet being attached to the first and second septum blades, the first septum blade being configured to pivot about the pivot point so as to move the second end of the first septum blade distally and to move the sheet so as to stretch the sheet between the first and second septum blades.

4. The device of claim 3, wherein a size of the sheet determines a maximum possible angle between the first septum blade and the second septum blade when the sheet is stretched between the first and second septum blades.

5. The device of claim 1, wherein moving the second end of the septum distally moves the second end distally beyond a distal end of the tissue treatment device.

6. A device for managing tissue in an organ, comprising:

a flexible, elongated body having a proximal end and a distal end;

a tissue treatment device attached to the distal end of the elongated body, the tissue treatment device having a first jaw opposite a second jaw, the first and second tissue jaws including vacuum pods configured to acquire tissue, and the first jaw and the second jaw being pivotable about a longitudinal axis of the tissue treatment device;

a retractor positioned distal to the tissue treatment device, the retractor having a slot formed therein; and

a septum seated in a space between the first and second jaws of the tissue treatment device, the septum being configured to pivot relative to the first and second jaws to move from being seated in the space to being seated in the slot.

7. The device of claim 6, wherein when the septum is seated in the space, the tissue treatment device, the retractor, and the septum are longitudinally aligned.

8. The device of claim 6, wherein the septum pivots about a distal end thereof to move from being seated in the space to being seated in the slot.

9. The device of claim 6, further comprising a cable extending along the elongated body, the cable being coupled to the septum and being configured to be pulled proximally so as to pivot the septum relative to the first and second jaws.

10. The device of claim 6, wherein when the septum is seated in the space and when the septum is seated in the slot, the septum is aligned with a longitudinal axis of the tissue treatment device, and when the septum is pivoting relative to the first and second jaws, the septum is angularly offset from the longitudinal axis of the tissue treatment device.

11. The device of claim 6, wherein the retractor is configured to move from a first position in which a distal portion of the retractor is aligned with a longitudinal axis of the tissue treatment device to a second position in which the retractor is arc-shaped and is not aligned with the longitudinal axis of the tissue treatment device.

12. A device for managing tissue in an organ, comprising:

a flexible, elongated body having a proximal end and a distal end;

a tissue treatment device coupled to the distal end of the elongated body, the tissue treatment device having a first jaw opposite a second jaw, the first jaw and the second jaw being configured to acquire tissue and being pivotable about relative to one another; and

a septum coupled to the tissue treatment device and being configured to be seated between the first and second jaws, a distal end of the septum being pivotably attached to the tissue treatment device at a pivot point, the septum being configured to pivot about the pivot point so as to move a proximal end of the septum distally relative to the first and second jaws;

wherein the septum includes a plurality of septum blades, and further comprising a sheet attached to the plurality of septum blades.

13. The device of claim 12, wherein the plurality of septum blades include first and second septum blades, the sheet being attached to the first and second septum blades, the first septum blade being configured to pivot about the pivot point so as to move a proximal end of the first septum blade distally and to move the sheet so as to stretch the sheet between the first and second septum blades.

14. The device of claim 13, wherein a size of the sheet determines a maximum possible angle between the first septum blade and the second septum blade when the sheet is stretched between the first and second septum blades.

15. The device of claim 12, wherein moving the proximal end of the septum distally moves the proximal end distally beyond a distal end of the tissue treatment device.