Apparatus and method for effecting at least one anatomical structure

Patent metadata

Field	Value
Publication number	US-9833250-B2
Application number	US-201213716184-A
Country	US
Kind code	B2
Filing date	Dec 16, 2012
Priority date	Apr 26, 2010
Publication date	Dec 5, 2017
Grant date	Dec 5, 2017

Abstract

An apparatus for treating hemorrhoids including a first member having a proximal portion, a distal portion and a window formed therein to receive tissue. A third member is operably connected to the second member and movable between a first position and a second position, the third member having a clamping surface movable to the second position to provide a clamping force on tissue received through the window. Movement of the second member in a distal direction moves the third member in the distal direction toward the second position, the third member movable in a distal direction until such movement is limited due to contact and compression of tissue within the window, the second member continuing movement in the distal direction after movement of the third member in the distal direction has been limited.

First claim

What is claimed is:

1. An apparatus for treating hemorrhoids comprising:
a first member having a proximal portion, a distal portion and a window formed therein to receive tissue;
a second member; and
a third member operably connected to the second member and movable between a first position and a second position, the third member having a clamping surface movable to the second position to provide a clamping force on tissue received through the window;
wherein movement of the second member in a distal direction moves the third member in the distal direction toward the second position, the third member movable in a distal direction until such movement is limited due to contact and compression of tissue within the window, the second member continuing movement in the distal direction after movement of the third member in the distal direction has been limited by compression of tissue, the second member remaining connected to the third member during the continuing movement of the second member and subsequent hemorrhoid treatment.

2. The apparatus of claim 1 , wherein continuing movement of the second member after movement of the third member in the distal direction has been limited does not cause additional significant compression of the tissue extending within the window.

3. The apparatus of claim 1 , further comprising a spring linking the third and second members.

4. The apparatus of claim 3 , wherein the spring is tensioned upon movement of the second member after movement of the third member in the distal direction has been limited.

5. The apparatus of claim 1 , wherein the second member slides over the third member after movement of the third member in the distal direction has been limited.

6. The apparatus of claim 1 , further comprising a handle to move the third member, wherein an applied approximately constant tissue compression is independent of the force exerted on the handle to move the third member.

7. The apparatus of claim 1 , further comprising a spring connected to the second member and the third member, wherein movement of the second member in the distal direction tensions the spring.

8. The apparatus of claim 1 , further comprising a handle to move the third member and a handle spring connected to the second member and the first member, wherein movement of the second member in the distal direction tensions the spring, wherein release of the handle causes the handle spring to return the second member to the first position.

9. The apparatus of claim 8 , wherein return of the second member by the handle spring pulls back the third member.

10. The apparatus of claim 1 , further comprising an electrode at the tissue clamping surface.

11. The apparatus of claim 1 , further comprising an illumination arrangement to provide light to the anatomical structure.

12. The apparatus of claim 1 , wherein further compression of tissue is prevented if the pressure on tissue by the third member exceeds a predetermined amount of pressure.

13. The apparatus of claim 9 , further comprising a handle spring connected to the first member and second member, the spring biasing a handle of the second member to an open position.

14. An apparatus for treating hemorrhoids comprising:
a first member having a proximal portion, a distal portion and a window formed therein to receive tissue;
a second member;
a third member movable between a first position and a second position, the third member having a clamping surface movable to the second position to provide a clamping force on tissue received through the window to compress the tissue;
a movable actuating member for moving the third member to the second position to apply the clamping force on tissue; and
an electrode at or near the clamping surface, the electrode connectable to an energy source,
wherein the third member is movable in a distal direction until such movement is limited due to contact and compression of tissue within the window to apply approximately constant compression of tissue upon movement of the actuating member to clamp tissue, the electrode applying energy to the compressed tissue.

15. The apparatus of claim 14 , wherein the third member includes a clamping surface on a distal edge.

16. The apparatus of claim 15 , wherein the first member includes a clamping surface on a proximal edge thereof.

17. The apparatus of claim 14 , further comprising an illumination arrangement to provide light to the anatomical structure.

18. The apparatus of claim 14 , wherein the apparatus has a closed distal end positioned distal of the window.

19. The apparatus of claim 16 , further comprising a spring connected to the second member, the spring being tensioned upon distal advancement of the second member a predetermined amount.

Assignees

• Piskun Gregory
• Gutelius Patrick
• Shikhman Oleg
• Covidien Lp

Inventors

• Piskun Gregory
• Gutelius Patrick
• Shikhman Oleg

Classifications

• A61B17/12013

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

• A61B18/18

  by applying electromagnetic radiation, e.g. microwaves · 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

• A61B2018/005

  Rectum · CPC title