Remote tissue retraction device

• US 8,939,902 B2
• Filed: 12/15/2011
• Issued: 01/27/2015
• 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:
  US13/326,709
• Publication Number:
  US 20120083657A1
• Time in Patent Office: 1,139 Days
• Field of Search: 606/115, 606/153, 600204-206, 600/156
• US Class Current: 600/205
• 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 medical device, comprising:

a flexible elongated body, a flexible distal end of the flexible elongated body being configured to be advanced into a body of a patient; and

a vacuum pod disposed at the flexible distal end of the flexible elongated body, the vacuum pod being movable relative to the flexible distal end of the flexible elongated body when the flexible distal end of the flexible elongated body is within the body of the patient, the vacuum pod having no more than one vacuum port configured to suction tissue of the patient thereto when the flexible distal end of the flexible elongated body is within the body of the patient;

wherein the vacuum pod is configured to move between a first position and a second position when the tissue is suctioned to the no more than one vacuum port so as to move the tissue relative to the flexible distal end of the flexible elongated body with the tissue only being attached to the device via suction, the vacuum pod in the first position directly contacting the flexible distal end of the flexible elongated body, and the vacuum pod in the second position being positioned distal to the flexible elongated body and not directly contacting the flexible distal end of the flexible elongated body, wherein the flexible elongated body has a plurality of vacuum ports formed through a sidewall thereof.

2. The device of claim 1, further comprising an actuator configured to be positioned outside the body of the patient when the distal end of the elongated body is within the body of the patient, and the actuator being configured to be actuated to cause movement of the vacuum pod relative to the distal end of the elongated body when the distal end of the elongated body is within the body of the patient.

3. The device of claim 1, further comprising an elongated member coupled to the distal end of the elongated body and coupled to the vacuum pod, the elongated member being configured to be movable relative to the distal end of the elongated body when the distal end of the elongated body is within the body of the patient and to extend between the distal end of the elongated body and the vacuum pod.

4. The device of claim 3, wherein the elongated member is movable relative to the distal end of the elongated body;

wherein when the elongated member is in one position relative to the elongated body, a first distance extends between the vacuum pod and the distal end of the elongated body; and

wherein when the elongated member is in another position relative to the elongated body, a second distance that is greater than the first distance extends between the vacuum pod and the distal end of the elongated body.

5. The device of claim 3, wherein the elongated member is movable within a lumen of the elongated body.

6. The device of claim 1, wherein the elongated body defines a longitudinal axis between the proximal and distal ends thereof, and the vacuum pod is movable relative to the distal end of the elongated body by being movable along the longitudinal axis.

7. The device of claim 1, wherein the vacuum pod is configured to move toward the distal end of the elongated body when the tissue is suctioned thereto so as to move the tissue relative to the distal end of the elongated body.

8. The device of claim 1, wherein the distal end of the elongated body includes a distal opening that the vacuum pod directly contacts when in the first position.

9. A medical device, comprising:

a flexible tubular body having a proximal end and a distal end, the distal end of the tubular body being configured to be advanced into a body of a patient;

no more than one vacuum port being disposed at the distal end of the tubular body and at least one vacuum port being formed through a sidewall of the tubular body, the no more than one vacuum port and the at least one vacuum port each being configured to suction tissue of the patient thereto when the distal end of the tubular body is within the body of the patient; and

a coupling element that couples the no more than one vacuum port to the tubular body, the coupling element being movable relative to the distal end of the tubular body from a first position to a second position and from the second position to the first position, the movement of the coupling element between the first and second positions moving the no more than one vacuum port relative to the distal end of the tubular body and to the at least one vacuum port, a first distance extending between the no more than one vacuum port and the distal end of the tubular body when the coupling element is in the first position, and a second distance that is greater than the first distance extending between the no more than one vacuum port and the distal end of the tubular body when the coupling element is in the second position.

10. The device of claim 9, wherein the coupling element in the first position has a portion thereof disposed within an inner lumen of the tubular body, and the coupling element in the second position has the portion thereof located outside the inner lumen.

11. The device of claim 9, further comprising an actuator disposed at the proximal end of the tubular body, the actuator being configured to be positioned outside the body of the patient when the distal end of the tubular body is within the body of the patient, and the actuator being configured to be actuated to cause movement of the coupling element between the first and second positions.

12. The device of claim 9, wherein the coupling element is configured to be movable between the first and second positions along a longitudinal axis of the tubular body.

13. The device of claim 9, wherein moving the coupling element from the first position to the second position moves the no more than one vacuum port distally relative to the distal end of the tubular body.

14. The device of claim 13, wherein moving the coupling element from the second position to the first position moves the no more than one vacuum port proximally relative to the distal end of the tubular body.

15. The device of claim 9, wherein the no more than one vacuum port is configured to move the tissue suctioned thereto relative to the distal end of the tubular body using the suction without the tissue being pierced.

16. The device of claim 9, wherein the distal end of the tubular body defines an open end of the tubular body, and the coupling element extends through the open end when the coupling element is in the second position.

17. The device of claim 9, further comprising a handle at the proximal end of the tubular body, the handle being configured to be positioned outside the body of the patient when the distal end of the tubular body is within the body of the patient, and the handle being configured to be manipulated to move the coupling element relative to the distal end of the tubular body.