Devices and methods for manipulating bodily tissues

Patent metadata

Field	Value
Publication number	US-9282956-B2
Application number	US-201213610285-A
Country	US
Kind code	B2
Filing date	Sep 11, 2012
Priority date	Sep 15, 2011
Publication date	Mar 15, 2016
Grant date	Mar 15, 2016

Abstract

A medical device and a method for manipulating bodily tissues are described. The medical device includes an elongated portion having a proximal end portion and a distal end portion. The elongated portion has a defined width referred to as first width. The medical device further includes a head portion extending from the distal end portion of the elongated portion. The head portion includes a first flat surface on a first side and a second flat surface on a second side opposite the first side. The head portion has a defined width referred to as second width. The second width is greater than the first width.

First claim

What is claimed is:

1. A medical device comprising:
an elongated portion having a proximal end portion and a distal end portion, the elongated portion having a first width, the elongated portion having a longitudinal axis;
a head portion extending from the distal end portion of the elongated portion, wherein the head portion includes a first surface on a first side and a second surface on a second side opposite the first side, the head portion having a second width, the second width being greater than the first width, the head portion defining a perimeter portion around a circumference of the head portion;
an expandable member coupled to the head portion, the expandable member configured to expand from a first configuration to a second configuration, the expandable member configured to increase the surface area of the first surface and the second surface of the head portion when expanded to the second configuration;
a handle;
an articulating member coupled to the handle and the proximal end portion of the elongated portion, the distal end portion of the elongated portion being configured to move about the articulating member such that the articulating member alters an angle defined by the longitudinal axis of the elongated portion and the longitudinal axis of the handle; and
a plurality of light sources provided on both the first and second surfaces and disposed around the perimeter portion, wherein each of the plurality of light sources is configured to project light through the bodily tissue such that both the first and second surfaces can be used for suturing.

2. The medical device of claim 1 , wherein the expandable member defines a hole in a center of the head portion.

3. The medical device of claim 1 , wherein the head portion includes a first rounded portion that bulges out of the first surface and a second rounded portion that bulges out of the second surface.

4. The medical device of claim 1 , wherein the first and second surfaces of the head portion are configured to extend to edges of the expandable member.

5. The medical device of claim 1 , wherein the expandable member has a third width when in the first configuration and a fourth width when in the second configuration, the fourth width being larger than the third width, the fourth width being larger than the first and second widths, the expandable member configured to expand from the first configuration to the second configuration when the medical device is disposed inside a body opening thereby increasing the surface area of the first surface and the second surface of the head portion.

6. The medical device of claim 1 , wherein the handle has a larger diameter than the elongated portion.

7. The medical device of claim 1 , wherein the head portion includes a tapered section that tapers towards the elongated portion.

8. The medical device of claim 1 , wherein the first and second surface are flat surfaces, and lateral sides of the flat surfaces are curved.

9. A medical device for manipulating a bodily tissue, the medical device comprising:
an elongated portion having a proximal end portion and a distal end portion, the elongated portion having a first width;
a head portion extending from the distal end portion of the elongated portion, the head portion having a second width, the second width being greater than the first width, the head portion defining a top flat surface and a bottom flat surface opposite to the top flat surface, the head portion defining a perimeter portion around a circumference of the head portion; and
a plurality of light sources provided on both the top and bottom flat surfaces and disposed around the perimeter portion, wherein each of the plurality of light sources is configured to project light through the bodily tissue such that both the top and bottom flat surfaces can be used for suturing.

10. A method of suturing a bodily implant, the method comprising:
delivering a bodily implant within a patient's body;
advancing a medical device into a body opening, the medical device comprising:
an elongated portion having a first width;
a head portion extending from the elongated portion, wherein the head portion includes a top surface and a bottom surface, the bottom surface being opposite to the top surface, the head portion having a second width such that the second width is more than the first width, the head portion defining a through-hole extending between and through the top surface and the bottom surface, the through-hole defining a hollow center in a middle portion of the head portion, the head portion defining a perimeter portion that fully surrounds the hollow center; and
a plurality of light sources disposed around the perimeter portion of the head portion of the elongated portion, the plurality of light sources include light sources disposed on the top surface of the head portion and light sources disposed on the bottom surface of the head portion such that both the top and bottom flat surfaces can be used for suturing;

projecting light through the bodily tissue from the plurality of light sources; and
fixing a suture coupled to an end of the bodily implant with a bodily tissue by using one of the top surface and the bottom surface of the head portion.

11. The method of claim 10 , wherein the bodily implant is a mesh-based device.

12. The method of claim 10 further comprising:
inserting the bodily implant inside the patient's body through an abdominal access.

13. The method of claim 10 , wherein the bodily implant includes a first elongate member and a second elongate member, the method further comprising:
attaching a first end portion of the first elongate member to an anterior vaginal wall;
attaching a first end portion of the second elongate member to a posterior vaginal wall; and
attaching a second end portion of the first elongate member and a second end portion of the second elongate member to a sacrum.

14. The method of claim 13 further comprising:
adjusting tensions of the first elongate member and the second elongate member.

15. The method of claim 10 further comprising:
inserting the medical device through a vaginal opening.

16. The method of claim 10 , wherein the medical device further includes a handle, and an articulating member coupled to the handle and a proximal end portion of the elongated portion, the method further comprising:
moving the elongated portion in relation to the handle via the articulating member for manipulating the bodily tissue.

17. The method of claim 16 , wherein the manipulating the bodily tissue comprises pushing a vagina upward to assist suturing of the bodily implant.

18. The method of claim 10 , wherein the end of the bodily implant is a first end of the bodily implant, the bodily tissue is a first bodily tissue, the method further comprising:
fixing the suture coupled to a second end of the bodily implant with a second bodily tissue by using one of the top surface and the bottom surface of the medical device.

Assignees

• Fairneny Ty
• Miller Dennis
• Weiser Michael F
• Boston Scient Scimed Inc

Inventors

• Fairneny Ty
• Miller Dennis
• Weiser Michael F

Classifications

• A61B17/0469

  Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery · CPC title

• A61B90/30

  Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure · CPC title

• A61B17/02 Primary

  for holding wounds open, e.g. retractors; Tractors · CPC title

• A61B17/0218

  for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B17/4241

  Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery · CPC title