IP Library Granted Patent US 9,888,922
Granted Patent B2
US 9,888,922 · App. 14/690,655 · Granted Feb 13, 2018

Natural orifice bariatric procedure and apparatus for use therewith

Inventors: Marc Bessler (Teaneck, NJ); Robert DeSantis (San Jose, CA); Stanislaw Marczyk (Stratford, CT)
Assignee: COVIDIEN LP
A61B17/068A61B17/07207A61B17/2812A61F5/0076A61F5/0083
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Quick Facts
Patent No.
US 9,888,922
App. No.
14/690,655
Granted
Feb 13, 2018
Kind
B2
Abstract

A method of performing a bariatric procedure through a natural body orifice is disclosed. The method comprises the step of providing a surgical instrument, comprising a handle portion, an elongated portion extending distally from the handle portion, and an end effector disposed adjacent a distal end of the elongated portion. The method also comprises the steps of inserting the surgical instrument through a natural body orifice of a patient such that the end effector is adjacent a portion of the patient's stomach, and using the surgical instrument to perform a surgical task.

Claims (22)

1. A method of performing a bariatric procedure, the method comprising:

inserting a surgical instrument through a vaginal orifice of a patient such that an end effector of the surgical instrument is adjacent a portion of the patient's stomach;

positioning a portion of an elongated portion of the surgical instrument adjacent the patient's pelvis; and

pivoting the surgical instrument while using the pelvis as a fulcrum.

2. The method of claim 1 , further comprising performing a surgical task while the end effector of the surgical instrument is adjacent the portion of the patient's stomach.

3. The method of claim 2 , wherein performing a surgical task includes performing one or more steps of a vertical sleeve gastrectomy procedure.

4. The method of claim 1 , wherein inserting a surgical instrument includes inserting a surgical instrument having a length between about 30 inches and about 45 inches.

5. The method of claim 1 , wherein inserting a surgical instrument includes inserting a stapling instrument.

6. The method of claim 5 , wherein inserting a surgical instrument includes inserting a surgical stapling instrument having a length and a ratio of the length of the surgical stapling instrument to a diameter of the elongated portion is between about 63.5 and about 95.

7. The method of claim 1 , wherein inserting a surgical instrument includes inserting a surgical instrument having an elongated portion that is non-flexible along its entire length.

8. The method of claim 1 , wherein inserting a surgical instrument includes inserting a surgical instrument wherein a distal portion of the elongated portion is flexible and a proximal portion of the elongated portion is non-flexible.

9. A method of performing a transvaginal bariatric procedure, the method comprising:

creating an incision in a vaginal wall of a patient;

inserting at least a portion of a surgical instrument through the incision;

positioning a portion of an elongated portion of the surgical instrument adjacent a patient's pelvis; and

pivoting the surgical instrument while using the pelvis as a fulcrum.

10. The method of claim 9 , further comprising using the surgical instrument to perform a bariatric procedure.

11. The method of claim 9 , wherein inserting at least a portion of a surgical instrument includes inserting a surgical instrument having a length between about 30 inches and about 45 inches.

12. The method of claim 9 , wherein inserting at least a portion of a surgical instrument includes inserting a surgical instrument wherein an entire length of the elongated portion of the surgical instrument is non-flexible.

13. The method of claim 9 , wherein inserting at least a portion of a surgical instrument includes inserting a surgical instrument wherein a distal portion of the elongated portion is flexible and a proximal portion of the elongated portion is non-flexible.

14. The method of claim 9 , further comprising removing excised tissue through the incision in the vaginal wall.

15. The method of claim 9 , further comprising positioning an end effector of the surgical instrument adjacent a portion of the patient's stomach.

Assignments (2)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 20, 2015
From: BESSLER, MARC; DESANTIS, ROBERT; MARCZYK, STANISLAW
To: TYCO HEALTHCARE GROUP LP
Reel/Frame 035446/0769 →
CHANGE OF NAME Recorded Apr 20, 2015
From: TYCO HEALTHCARE GROUP LP
To: COVIDIEN LP
Reel/Frame 035463/0234 →
Continuity (4)
Continuation 13472836 · May 16, 2012
Continuation 12272846 · Nov 18, 2008
Provisional Application 61003820 · Nov 19, 2007
Related Publication 20150238341A1 · Aug 27, 2015