# US 11,076,843 B2 · Organ retention device and system, and use of same for laparoscopic surgery

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- Number: US 11,076,843 B2
- Document ID: US11076843B2
- Status: Granted
- Kind: B2
- Application number: 16/248,164
- Filed: 2019-01-15
- Published: 2019-08-01
- Granted: 2021-08-03
- Earliest claimed: 2018-01-15
- Assignees: Mariner Endosurgery Inc.
- Applicants: Mariner Endosurgery Inc.
- Inventors: David Allan Langlois
- Web page: https://patentgrep.com/patent/US11076843B2

## CPC

- A61B 17/0218: {for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- A61B 17/0483: {Hand-held instruments for holding sutures (A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30)}
- A61B 17/4241: {Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery}
- A61B 90/94: coded with symbols, e.g. text
- A61B 2017/0225: {flexible, e.g. fabrics, meshes, or membranes}
- A61B 2017/06042: {located close to needle tip}
- A61B 2034/2057: {Details of tracking cameras}
- A61B 2034/2065: {Tracking using image or pattern recognition}
- A61B 2090/3612: {with images taken automatically}
- A61B 2090/3937: {Visible markers}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An organ retention device and system, and use of the same for laparoscopic surgery is provided. The organ retention device includes a biologically compatible flexible barrier configured to restrain one or more organs. First and second anchor strings extend from first and second connection regions of the flexible barrier respectively and have a first and a second loop distal from the flexible barrier. At least one expansion element is configured to expand the flexible barrier generally perpendicularly to an axis between the first connection region and the second connection region when the first loop and the second loop are held apart in tension. A retraction device is also provided having a sharp distal end configured to enter an abdominal cavity by puncturing the abdominal wall, and a hook proximate to the sharp distal end configured to catch and retract one of the loops.

## Claims

### Claim 1

An organ retention device, comprising:
a biologically compatible flexible barrier configured to restrain one or more organs;
a first anchor string extending from a first connection region of the flexible barrier;
a second anchor string extending from a second connection region of the flexible barrier, a top peripheral region of the flexible barrier extending between the first connection region and the second connection region; and
at least one expansion element coupled to the flexible barrier at a weighted peripheral region spaced from the top peripheral region to expand the flexible barrier generally perpendicularly to the top peripheral region, wherein the at least one expansion element comprises supplementary weighting along the weighted peripheral region of the flexible barrier and spaced from the top peripheral region to cause the weighted peripheral region to hang down from the top peripheral region when the first connection region and the second connection region are held apart in tension.

### Claim 2 (depends on 1)

The organ retention device according to claim 1, wherein the flexible barrier comprises a netting.

### Claim 3 (depends on 2)

The organ retention device according to claim 2, wherein the first anchor string has a first loop distal from the flexible barrier and wherein the second anchor string has a second loop distal from the flexible barrier.

### Claim 4 (depends on 3)

An organ retention system for laparoscopic surgery, comprising:
the organ retention device according to claim 3; and
an anchor string retraction device having a sharp distal end configured to enter an abdominal cavity by puncturing the abdominal wall of a patient, and a hook proximate to the sharp distal end configured to catch one of the loops of the organ retention device and retract the captured loop through viscera of the abdominal wall to anchor the corresponding connection region of the flexible barrier.

### Claim 5 (depends on 2)

The organ retention device according to claim 2, further comprising a stiffening structure of the flexible barrier reducing the flexibility of the netting.

### Claim 6 (depends on 5)

The organ retention device according to claim 5, wherein the stiffening structure extends at least partially between the top peripheral region and the weighted peripheral region.

### Claim 7 (depends on 6)

The organ retention device according to claim 6, wherein the stiffening structure comprises silicone beading secured to the netting.

### Claim 8 (depends on 7)

The organ retention device according to claim 7, wherein the silicone beading is applied along a line that is generally non-parallel to the top peripheral region when the first connection region and the second connection region are held apart in tension.

### Claim 9 (depends on 2)

The organ retention device according to claim 2, wherein the at least one expansion element comprises:
a third anchor string extending from a third connection region of the flexible barrier; and
a fourth anchor string extending from a fourth connection region of the flexible barrier.

### Claim 10 (depends on 9)

The organ retention device according to claim 9, further comprising:
a fifth anchor string extending from a fifth connection region of the flexible barrier, the fifth connection region being positioned within a central region of the flexible barrier delimited by the first, second, third, and fourth connection regions.

### Claim 11 (depends on 10)

The organ retention device according to claim 10, wherein the third anchor string has a third loop distal from the flexible barrier, wherein the fourth anchor string has a fourth loop distal from the flexible barrier, and wherein the fifth anchor string has a fifth loop distal from the flexible barrier.

### Claim 12 (depends on 10)

The organ retention device according to claim 10, wherein the flexible barrier is generally rectangular, and wherein each of the first, second, third, and fourth connection regions are proximate to a separate vertex of the flexible barrier.

### Claim 13 (depends on 2)

The organ retention device according to claim 2, further comprising marking on the netting indicating orientation.

### Claim 14 (depends on 13)

The organ retention device according to claim 13, wherein the marking comprises silicone beading on the netting.

### Claim 15 (depends on 1)

The organ retention device according to claim 1, wherein the supplementary weighting comprises material secured to the weighted peripheral region.

### Claim 16 (depends on 15)

The organ retention device according to claim 15, wherein the weighting material comprises silicone.

### Claim 17 (depends on 16)

The organ retention device according to claim 16, wherein the supplementary weighting comprises silicone beading secured along the weighted peripheral region of the flexible barrier.