Devices and methods facilitating sleeve gastrectomy and other procedures
A device for use in bariatric surgery includes a flexible hollow tube extending from a proximal end to a distal end and defines a channel therebetween. A series of openings is defined in a distal portion of the tube allowing for fixation of tissue using suction. A flexible member has an initial position disposed alongside the tube and is deployable to a subsequent position in which the flexible member engages a greater curvature of a stomach. The flexible member is configured to be deployable to automatically assume a shape of a greater curvature of a stomach. The flexible member includes a bulging region and a tapering region when deployed. The flexible member is releasably attached to the distal end of the tube.
1. A method of performing a sleeve gastrectomy in a stomach, comprising:
inserting a tube into the stomach;
sliding a distal end portion of a flexible member in a distal direction relative to and along a length of the tube from a contracted position, in which a section of the flexible member is adjacent and external of the tube to a deployed position in which the section of the flexible member bows laterally outward from the tube against a greater curvature of the stomach, wherein the distal end portion of the flexible member is positioned distally of the section of the flexible member when the flexible member is in the deployed position;
retracting the flexible member; and
resecting the stomach, thereby forming a sleeve-shaped portion of the stomach.
2. The method according to claim 1 , further comprising applying suction to a series of openings in a distal end portion of the tube, thereby placing the tube along a lesser curvature of the stomach and fixing anterior and posterior walls of the stomach.
3. The method according to claim 1 , further comprising activating a plurality of illumination devices distributed along a length of the flexible member.
4. The method according to claim 1 , wherein in the deployed position, the flexible member pushes the tube toward a lesser curvature of the stomach.
5. A surgical system, comprising:
a medical device configured for use in resection of a stomach, the medical device including:
a tube defining a longitudinally-extending channel therethrough, at least one opening being defined in a distal end portion of the tube; and
a flexible member coupled to the tube and configured to move relative to the tube from a contracted position, in which a section of the flexible member is adjacent and external of the tube to a deployed position in which the section of the flexible member bows laterally outward from the tube against a greater curvature of the stomach, wherein the flexible member has a distal end portion slidably connected to the tube, such that the distal end portion of the flexible member slides distally relative to and along a length of the tube as the section of the flexible member moves toward the deployed position, wherein the distal end portion of the flexible member is positioned distally of the section of the flexible member when the flexible member is in the deployed position; and
a reusable portion including:
a first tank having a fluid stored therein;
a second tank;
a third tank in communication with atmospheric pressure; and
first, second, and third valves in communication with the respective first, second, and third tanks, the first valve and the second valve each having at least a first position and a second position, wherein the first tank is configured to deliver the fluid from the first tank to the channel of the tube when the first valve and the second valve are both in the first position.
6. The surgical system according to claim 5 , wherein the second position of the first and second valves is a closed position.
7. The surgical system according to claim 5 , wherein the first valve is a pressure valve for moving the fluid from the first tank to the channel of the tube.
8. The surgical system according to claim 5 , wherein the second valve is a vacuum valve configured to receive the fluid from the channel of the tube.
9. The surgical system according to claim 5 , wherein the third valve has a position in which a vacuum is provided to the channel.
10. The surgical system according to claim 5 , further comprising a safety feature configured to prevent the third valve from moving to an open position unless the first valve and the second valve are moved to the second position in which the first valve and the second valve are closed.