METHODS AND DEVICES FOR CREATING TISSUE PLICATIONS
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Accused Products
Abstract
Devices and methods for forming and securing a tissue plication are disclosed herein. In one aspect, a tissue manipulation device is described that includes a first jaw member pivotally coupled to a distal end of an elongate shaft and having an articulating portion located distal to the proximal end of the first jaw member. The device also includes a second jaw member pivotally coupled to the first jaw member such that the jaws move in a first plane, and a fastener delivery member attached to the second jaw member. The articulating portion of the first jaw member is configured to move the first and second jaw members between a straight configuration in which a longitudinal axis of the elongate shaft is contained within the first plane and an articulated configuration in which the longitudinal axis of the elongate shaft is transverse to the first plane.
0 Citations
40 Claims
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1-20. -20. (canceled)
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21. A surgical method, comprising:
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positioning first and second jaws of a surgical device in a first position relative to a wall of tissue in a body of a patient and then articulating the first and second jaws relative to the wall and relative to an elongate shaft of the surgical device to move the first and second jaws from the first position to a second position relative to the wall, the first and second jaws in the first position being substantially perpendicular to the wall and the first and second jaws in the second position being substantially parallel to the wall; moving the first and second jaws from a closed configuration to an open configuration; with the first and second jaws in the second position and in the open configuration, drawing the tissue between the first and second jaws and thereby creating a fold of the tissue between the first and second jaws; and fastening the fold with a fastener. - View Dependent Claims (22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34)
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35. A surgical method, comprising:
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advancing an end effector of a surgical device into a body of a patient, the end effector being connected to an elongate shaft of the surgical device; positioning the end effector in a first position relative to a wall of tissue in the body of the patient such that a longitudinal axis of the end effector is transverse to the wall and such that a longitudinal axis of the elongate shaft is transverse to the wall; moving the end effector from the first position to a second position such that the longitudinal axis of the end effector is substantially parallel to the wall and such that the longitudinal axis of the elongate shaft remains transverse to the wall; moving the tissue transversely through the end effector in the second position such that a first portion of the tissue is located outside the end effector on one side of the end effector, a second portion of the tissue is located outside the end effector on an opposite side of the end effector, and a third portion of the tissue is located within the end effector, the third portion of the tissue being located between the first and second portions of the tissue; and fastening the third portion of the tissue located within the end effector with a fastener to secure a fold in the tissue.
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36. A surgical device, comprising:
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an elongate shaft; a first jaw pivotally connected to a distal end of the elongate shaft at a first pivot point, the first jaw being configured to pivot relative to the elongate shaft at the first pivot point; a second jaw pivotally connected to the first jaw at a second pivot point that is distal to the first pivot point, the second jaw being configured to pivot relative to the first jaw at the second pivot point; an articulation portion located between the first and second pivot points; and an actuating member coupled to the first jaw and configured to be actuated to cause the first and second jaws to articulate at the articulation portion relative to the elongate shaft. - View Dependent Claims (37, 38, 39, 40)
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Specification