CA2507803A1 - Apparatus and method for manipulating tissue - Google Patents
Apparatus and method for manipulating tissue Download PDFInfo
- Publication number
- CA2507803A1 CA2507803A1 CA002507803A CA2507803A CA2507803A1 CA 2507803 A1 CA2507803 A1 CA 2507803A1 CA 002507803 A CA002507803 A CA 002507803A CA 2507803 A CA2507803 A CA 2507803A CA 2507803 A1 CA2507803 A1 CA 2507803A1
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- Prior art keywords
- shaft
- tissue
- effector
- distal end
- mechanisms
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Links
- 230000007246 mechanism Effects 0.000 claims abstract 155
- 239000012636 effector Substances 0.000 claims abstract 115
- 210000002784 stomach Anatomy 0.000 claims 10
- 210000001015 abdomen Anatomy 0.000 claims 1
- 208000021302 gastroesophageal reflux disease Diseases 0.000 claims 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00349—Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
- A61B2017/00827—Treatment of gastro-esophageal reflux
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00876—Material properties magnetic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
- A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
Abstract
Apparatus for reconfiguring tissue, the apparatus comprising a shaft (15) having a distal end and a proximal end; at least one effector mechanism (35) movably mounted to the distal end of the shaft (15), each effector mechanism (35) comprising at least one gripping element for gripping tissue to that effector mechanism, the at least one effector mechanism (35) being configure d to capture the gripped tissue against said shaft (15), at least one actuatin g mechanism (45) mounted to the proximal end of the shaft (50), and at least o ne connection mechanism connecting the at least one actuating mechanism (45) to the at least one effector mechanism (35), whereby a user may utilize the at least one actuating mechanism (45) to actuate the at least one effector mechanism (35) so as to reconfigure tissue.
Claims (53)
1. Apparatus for reconfiguring tissue, said apparatus comprising:
a shaft having a distal end and a proximal end;
at least one effector mechanism movably mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said at least one effector mechanism being configured to capture the gripped tissue against said shaft;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said at least one effector mechanism, whereby a user may utilize said at least one actuating mechanism to actuate said at least one effector mechanism so as to reconfigure tissue.
a shaft having a distal end and a proximal end;
at least one effector mechanism movably mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said at least one effector mechanism being configured to capture the gripped tissue against said shaft;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said at least one effector mechanism, whereby a user may utilize said at least one actuating mechanism to actuate said at least one effector mechanism so as to reconfigure tissue.
2. Apparatus according to claim 1 wherein said shaft is flexible.
3. Apparatus according to claim 1 wherein said shaft has a lumen extending therethrough.
4. Apparatus according to claim 3 wherein said lumen is sized to receive another instrument therein.
5. Apparatus according to claim 4 wherein said instrument comprises a working tool.
6. Apparatus according to claim 5 wherein said working tool comprises a stapler.
7. Apparatus according to claim 4 wherein said instrument comprises a scope.
8. Apparatus according to claim 1 wherein said apparatus comprises two effector mechanisms.
9. Apparatus according to claim 8 wherein said two effector mechanisms are pivotally mounted to said shaft.
10. Apparatus according to claim 9 wherein said distal end of said shaft comprises a longitudinal axis, and further wherein said two effector mechanisms are pivotally mounted to said shaft along a pivot axis extending parallel to said longitudinal axis of said distal end of said shaft.
11. Apparatus according to claim 10 wherein said two effector mechanisms are configured to move between (i) a closed position wherein said two effector mechanisms fold concentrically about said distal end of said shaft, and (ii) an open position wherein said two effector mechanisms rise like wings over said shaft.
12. Apparatus according to claim 11 wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained.
13. Apparatus according to claim 12 wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for maintaining the tissue in such engagement while suction is maintained.
14. Apparatus according to claim 13 wherein said distal end of said shaft comprises a plurality of gripping elements, with said gripping elements being positioned about the circumference of said shaft in the region covered by said effector mechanisms when said effector mechanisms are in said closed position.
15. Apparatus according to claim 14 wherein said gripping elements comprise suction pods.
16. Apparatus according to claim 15 wherein said distal end of said shaft comprises at least one fastening mechanism for securing tissue to tissue.
17. Apparatus according to claim 16 wherein said at least one fastening mechanism is adapted to extend radially outward from said distal end of said shaft.
18. Apparatus according to claim 17 wherein said mechanism comprises a staple.
19. Apparatus according to claim 1 wherein said at least one connection mechanism comprises a cable.
20. Apparatus according to claim 1 wherein said apparatus comprises one effector mechanism.
21. Apparatus according to claim 20 wherein said effector mechanism is pivotally mounted to said shaft.
22. Apparatus according to claim 21 wherein said distal end of said shaft comprises a longitudinal axis, and further wherein said effector mechanism is pivotally mounted to said shaft along a pivot axis extending transverse to said longitudinal axis of said distal end of said shaft.
23. Apparatus according to claim 22 wherein said effector mechanism is configured to move between (i) a closed position wherein said effector mechanism folds concentrically about said distal end of said shaft, and (ii) an open position wherein said effector mechanism rises over said shaft.
24. Apparatus according to claim 23 wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained.
25. Apparatus according to claim 24 wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for maintaining the tissue in such engagement while suction is maintained.
26. Apparatus according to claim 25 wherein said distal end of said shaft comprises a plurality of gripping elements, with said gripping elements being positioned about the circumference of said shaft in the region covered by said effector mechanism when said effector mechanism is in said closed position.
27. Apparatus according to claim 26 wherein said gripping elements comprise suction pods.
28. Apparatus according to claim 27 wherein said apparatus further comprises a septum extending between said shaft and said effector mechanism.
29. Apparatus according to claim 28 wherein said distal end of said shaft comprises at least one fastening mechanism for securing tissue to tissue.
30. Apparatus according to claim 29 wherein said at least one fastening mechanism is adapted to extend radially outward from said distal end of said shaft.
31. Apparatus according to claim 30 wherein said fastening mechanism comprises a staple.
32. Apparatus according to claim 1 wherein said apparatus comprises a plurality of effector mechanisms.
33. Apparatus according to claim 32 wherein said plurality of effector mechanisms extend out of the distal end of said shaft.
34. Apparatus according to claim 33 wherein said distal end of said shaft comprises a longitudinal axis, and further wherein said plurality of effector mechanisms extend parallel to said longitudinal axis of said distal end of said shaft.
35. Apparatus according to claim 34 wherein said plurality of effector mechanisms are configured to move between (i) a first position wherein said plurality of effector mechanisms collectively form a tubular configuration, and (ii) a second position wherein said plurality of effector mechanisms collectively form a non-tubular configuration.
36. Apparatus according to claim 35 wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained.
36. Apparatus according to claim 35 wherein said plurality of gripping elements comprise at least one fastening mechanism for securing tissue.
36. Apparatus according to claim 35 wherein said plurality of gripping elements comprise at least one fastening mechanism for securing tissue.
37. Apparatus for reconfiguring tissue, said apparatus comprising:
a shaft having a distal end and a proximal end, wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for selectively maintaining the tissue in such engagement;
two effector mechanisms movably mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said two effector mechanisms being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said two effector mechanisms are pivotally mounted to said shaft along a pivot axis extending parallel to said longitudinal axis of said distal end of said shaft, wherein said two effector mechanisms are configured to move between (i) a closed position wherein said two effector mechanisms fold concentrically about said distal end of said shaft, and (ii) an open position wherein said two effector mechanisms rise like wings over said shaft, and wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; arid at least one connection mechanism connecting said at least one actuating mechanism to said two effector mechanisms, whereby a user may utilize said at least one actuating mechanism to actuate said two effector mechanisms so as to reconfigure tissue.
a shaft having a distal end and a proximal end, wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for selectively maintaining the tissue in such engagement;
two effector mechanisms movably mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said two effector mechanisms being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said two effector mechanisms are pivotally mounted to said shaft along a pivot axis extending parallel to said longitudinal axis of said distal end of said shaft, wherein said two effector mechanisms are configured to move between (i) a closed position wherein said two effector mechanisms fold concentrically about said distal end of said shaft, and (ii) an open position wherein said two effector mechanisms rise like wings over said shaft, and wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; arid at least one connection mechanism connecting said at least one actuating mechanism to said two effector mechanisms, whereby a user may utilize said at least one actuating mechanism to actuate said two effector mechanisms so as to reconfigure tissue.
38. Apparatus for reconfiguring tissue, said apparatus comprising:
a shaft having a distal end and a proximal end, wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for maintaining the tissue in such engagement while suction is maintained;
an effector mechanism movably mounted to said distal end of said shaft, said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said effector mechanism being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said effector mechanism is pivotally mounted to said shaft along a pivot axis extending transverse to said longitudinal axis of said distal end of said shaft, wherein said effector mechanism is configured to move between (i) a closed position wherein said effector mechanism folds concentrically about said distal end of said shaft, and (ii) an open position wherein said effector mechanism rises over said shaft, and wherein said at least one griping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said effector mechanism, whereby a user may utilize said at least one actuating mechanism to actuate said effector mechanism so as to reconfigure tissue.
a shaft having a distal end and a proximal end, wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for maintaining the tissue in such engagement while suction is maintained;
an effector mechanism movably mounted to said distal end of said shaft, said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said effector mechanism being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said effector mechanism is pivotally mounted to said shaft along a pivot axis extending transverse to said longitudinal axis of said distal end of said shaft, wherein said effector mechanism is configured to move between (i) a closed position wherein said effector mechanism folds concentrically about said distal end of said shaft, and (ii) an open position wherein said effector mechanism rises over said shaft, and wherein said at least one griping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said effector mechanism, whereby a user may utilize said at least one actuating mechanism to actuate said effector mechanism so as to reconfigure tissue.
39. Apparatus for reconfiguring tissue, said apparatus comprising:
a shaft having a distal end and a proximal end;
a plurality of effector mechanisms mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said plurality of effector mechanisms being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said plurality of effector mechanisms extend parallel to said longitudinal axis of said distal end of said shaft, wherein said plurality of effector mechanisms are configured to move between (i) a first position wherein said plurality of effector mechanisms collectively form a tubular configuration, and (ii) a second position wherein said plurality of effector mechanisms collectively form a non-tubular configuration, and wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said plurality of effector mechanisms, whereby a user may utilize said at least one actuating mechanism to actuate said plurality of effector mechanisms so as to reconfigure tissue.
a shaft having a distal end and a proximal end;
a plurality of effector mechanisms mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said plurality of effector mechanisms being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said plurality of effector mechanisms extend parallel to said longitudinal axis of said distal end of said shaft, wherein said plurality of effector mechanisms are configured to move between (i) a first position wherein said plurality of effector mechanisms collectively form a tubular configuration, and (ii) a second position wherein said plurality of effector mechanisms collectively form a non-tubular configuration, and wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said plurality of effector mechanisms, whereby a user may utilize said at least one actuating mechanism to actuate said plurality of effector mechanisms so as to reconfigure tissue.
40. A method for reconfiguring tissue, said method comprising:
providing apparatus comprising:
a shaft having a distal end and a proximal end, wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for selectively maintaining the tissue in such engagement;
two effector mechanisms movably mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said two effector mechanisms being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said two effector mechanisms are pivotally mounted to said shaft along a pivot axis extending parallel to said longitudinal axis of said distal end of said shaft, wherein said two effector mechanisms are configured to move between (i) a closed position wherein said two effector mechanisms fold concentrically about said distal end of said shaft, and (ii) an open position wherein said two effector mechanisms rise like wings over said shaft, and wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said two effector mechanisms, whereby a user may utilise said at least one actuating mechanism to actuate said two effector mechanisms so as to reconfigure tissue;
positioning said two effector mechanisms in said closed position;
advancing said apparatus so that said distal end of said shaft is positioned adjacent tissue to be reconfigured;
positioning said two effector mechanisms in said open position;
gripping tissue against said distal end of said shaft and against said two effector mechanisms; and positioning said two effector mechanisms in said closed position so as to reconfigure the gripped tissue and capture that tissue against said shaft.
providing apparatus comprising:
a shaft having a distal end and a proximal end, wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for selectively maintaining the tissue in such engagement;
two effector mechanisms movably mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said two effector mechanisms being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said two effector mechanisms are pivotally mounted to said shaft along a pivot axis extending parallel to said longitudinal axis of said distal end of said shaft, wherein said two effector mechanisms are configured to move between (i) a closed position wherein said two effector mechanisms fold concentrically about said distal end of said shaft, and (ii) an open position wherein said two effector mechanisms rise like wings over said shaft, and wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said two effector mechanisms, whereby a user may utilise said at least one actuating mechanism to actuate said two effector mechanisms so as to reconfigure tissue;
positioning said two effector mechanisms in said closed position;
advancing said apparatus so that said distal end of said shaft is positioned adjacent tissue to be reconfigured;
positioning said two effector mechanisms in said open position;
gripping tissue against said distal end of said shaft and against said two effector mechanisms; and positioning said two effector mechanisms in said closed position so as to reconfigure the gripped tissue and capture that tissue against said shaft.
41. A method according to claim 40 wherein said method comprises the additional step of securing the tissue in its reconfigured condition.
42. A method according to claim 40 wherein said tissue comprises stomach tissue reconfigured into a neoesophagus.
43. A method according to claim 42 wherein said tissue comprises stomach tissue reconfigured into a neoesophagus wrapped by stomach tissue.
44. A method for reconfiguring tissue, said method comprising:
providing apparatus comprising:
a shaft having a distal end and a proximal end, wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for maintaining the tissue in such engagement while suction is maintained;
an effector mechanism movably mounted to said distal end of said shaft, said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said effector mechanism being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said effector mechanism is pivotally mounted to said shaft along a pivot axis extending transverse to said longitudinal axis of said distal end of said shaft, wherein said effector mechanism is configured to move between (i) a closed position wherein said effector mechanism folds concentrically about said distal end of said shaft, and (ii) an open position wherein said effector mechanism rises over said shaft, and wherein said at least one griping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said effector mechanism, whereby a user may utilize said at least one actuating mechanism to actuate said effector mechanism so as to reconfigure tissue;
positioning said effector mechanism in said closed position;
advancing said apparatus so that said distal end of said shaft is positioned adjacent tissue to be reconfigured;
positioning said effector mechanism in said open position;
gripping tissue against said distal end of said shaft and against said effector mechanism; and positioning said effector mechanism in said closed position 5o as to reconfigure the gripped tissue and capture that tissue against said shaft.
providing apparatus comprising:
a shaft having a distal end and a proximal end, wherein said distal end of said shaft comprises at least one gripping element for drawing tissue against said shaft and for maintaining the tissue in such engagement while suction is maintained;
an effector mechanism movably mounted to said distal end of said shaft, said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said effector mechanism being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said effector mechanism is pivotally mounted to said shaft along a pivot axis extending transverse to said longitudinal axis of said distal end of said shaft, wherein said effector mechanism is configured to move between (i) a closed position wherein said effector mechanism folds concentrically about said distal end of said shaft, and (ii) an open position wherein said effector mechanism rises over said shaft, and wherein said at least one griping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said effector mechanism, whereby a user may utilize said at least one actuating mechanism to actuate said effector mechanism so as to reconfigure tissue;
positioning said effector mechanism in said closed position;
advancing said apparatus so that said distal end of said shaft is positioned adjacent tissue to be reconfigured;
positioning said effector mechanism in said open position;
gripping tissue against said distal end of said shaft and against said effector mechanism; and positioning said effector mechanism in said closed position 5o as to reconfigure the gripped tissue and capture that tissue against said shaft.
45. A method according to claim 44 wherein said method comprises the additional step of securing the tissue in its reconfigured condition.
46. A method according to claim 42 wherein said tissue comprises stomach tissue reconfigured into a neoesophagus.
47. A method according to claim 46 wherein said tissue comprises stomach tissue reconfigured into a neoesophagus wrapped by stomach tissue.
48. A method for reconfiguring tissue, said method comprising:
providing apparatus comprising:
a shaft having a distal end and a proximal end;
a plurality of effector mechanisms mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said plurality of effector mechanisms being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said plurality of effector mechanisms extend parallel to said longitudinal axis of said distal end of said shaft, wherein said plurality of effector mechanisms are configured to move between (i) a first position wherein said plurality of effector mechanisms collectively form a tubular configuration, and (ii) a second position wherein said plurality of effector mechanisms collectively form a non-tubular configuration, and wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said plurality of effector mechanisms, whereby a user may utilize said at least one actuating mechanism to actuate said plurality of effector mechanisms so as to reconfigure tissue;
positioning said effector mechanisms in said first position;
advancing said apparatus so that said distal end of said shaft is positioned adjacent tissue. to be reconfigured;
gripping tissue against said distal end of said shaft and against said effector mechanisms; and positioning said effector mechanisms in said second position so as to reconfigure the gripped tissue and capture that tissue against said shaft.
providing apparatus comprising:
a shaft having a distal end and a proximal end;
a plurality of effector mechanisms mounted to said distal end of said shaft, each said effector mechanism comprising at least one gripping element for gripping tissue to that effector mechanism, said plurality of effector mechanisms being configured to capture the gripped tissue against said shaft, wherein said distal end of said shaft comprises a longitudinal axis, wherein said plurality of effector mechanisms extend parallel to said longitudinal axis of said distal end of said shaft, wherein said plurality of effector mechanisms are configured to move between (i) a first position wherein said plurality of effector mechanisms collectively form a tubular configuration, and (ii) a second position wherein said plurality of effector mechanisms collectively form a non-tubular configuration, and wherein said at least one gripping element comprises a suction pod for drawing tissue against the effector mechanism and for maintaining the tissue in such engagement while suction is maintained;
at least one actuating mechanism mounted to said proximal end of said shaft; and at least one connection mechanism connecting said at least one actuating mechanism to said plurality of effector mechanisms, whereby a user may utilize said at least one actuating mechanism to actuate said plurality of effector mechanisms so as to reconfigure tissue;
positioning said effector mechanisms in said first position;
advancing said apparatus so that said distal end of said shaft is positioned adjacent tissue. to be reconfigured;
gripping tissue against said distal end of said shaft and against said effector mechanisms; and positioning said effector mechanisms in said second position so as to reconfigure the gripped tissue and capture that tissue against said shaft.
49. A method according to claim 48 wherein said method comprises the additional step of securing the tissue in its reconfigured condition.
50. A method according to claim 48 wherein said tissue comprises stomach tissue reconfigured into a neoesophagus.
51. A method according to claim 50 wherein said tissue comprises stomach tissue reconfigured into a neoesophagus wrapped by stomach tissue.
52. A method for treating GERD, comprising:
creating a neoesophagus that extends into the abdomen.
creating a neoesophagus that extends into the abdomen.
53. A method according to claim 52 wherein said method further comprises the step of wrapping the stomach around the neoesophagus.
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US42956802P | 2002-11-29 | 2002-11-29 | |
US60/429,568 | 2002-11-29 | ||
US45329403P | 2003-03-11 | 2003-03-11 | |
US60/453,294 | 2003-03-11 | ||
US45812803P | 2003-03-27 | 2003-03-27 | |
US60/458,128 | 2003-03-27 | ||
PCT/US2003/038110 WO2004050971A2 (en) | 2002-11-29 | 2003-12-01 | Apparatus and method for manipulating tissue |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2507803A1 true CA2507803A1 (en) | 2004-06-17 |
CA2507803C CA2507803C (en) | 2012-12-04 |
Family
ID=32475403
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2507803A Expired - Fee Related CA2507803C (en) | 2002-11-29 | 2003-12-01 | Apparatus and method for manipulating tissue |
Country Status (5)
Country | Link |
---|---|
US (2) | US7892245B2 (en) |
EP (1) | EP1590517A4 (en) |
AU (1) | AU2003293191B2 (en) |
CA (1) | CA2507803C (en) |
WO (1) | WO2004050971A2 (en) |
Families Citing this family (537)
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US7083629B2 (en) | 2001-05-30 | 2006-08-01 | Satiety, Inc. | Overtube apparatus for insertion into a body |
US20020193851A1 (en) | 2001-06-14 | 2002-12-19 | Silverman David E. | Energy treatment apparatus for treating gastrointestinal tract and method for using same |
EP1455656A1 (en) | 2001-12-20 | 2004-09-15 | Rex Medical, L.P. | Apparatus and method for treating gastroesophageal reflux disease |
US20030176883A1 (en) | 2002-03-12 | 2003-09-18 | Sauer Jude S | Tissue manipulation apparatus and method of use |
-
2003
- 2003-12-01 US US10/724,854 patent/US7892245B2/en not_active Expired - Fee Related
- 2003-12-01 WO PCT/US2003/038110 patent/WO2004050971A2/en not_active Application Discontinuation
- 2003-12-01 EP EP03790182A patent/EP1590517A4/en not_active Withdrawn
- 2003-12-01 AU AU2003293191A patent/AU2003293191B2/en not_active Ceased
- 2003-12-01 CA CA2507803A patent/CA2507803C/en not_active Expired - Fee Related
-
2011
- 2011-02-18 US US12/932,218 patent/US8617189B2/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
EP1590517A4 (en) | 2010-03-10 |
US7892245B2 (en) | 2011-02-22 |
WO2004050971A2 (en) | 2004-06-17 |
WO2004050971A3 (en) | 2004-11-04 |
AU2003293191A1 (en) | 2004-06-23 |
AU2003293191B2 (en) | 2008-08-07 |
US20040193190A1 (en) | 2004-09-30 |
US20120010639A1 (en) | 2012-01-12 |
CA2507803C (en) | 2012-12-04 |
EP1590517A2 (en) | 2005-11-02 |
US8617189B2 (en) | 2013-12-31 |
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