Abdominal instrument and method

A surgical instrument for abdominal placement of a movement restriction device, adapted to restrict the movement of the cardia sphincter, for use in a surgical procedure for treating reflux disease in a patient, the instrument comprising:

• a sleeve,
• a holding device configured to engage the movement restriction device, wherein the holding device is configured to be placed within the sleeve and be displaceable in relation to the sleeve,
• a first handling portion connected to the sleeve, and
• a second handling portion connected to the holding device,
• wherein the handling of at least one of the first and second handling portion creates relative displacement of the holding device in relation to the sleeve, which disengages the holding device from the movement restriction device for performing the placement of the movement restriction device
• wherein the first handling portion is rotationally displaceable in relation to the second handling portion around a primary length axis of the instrument, and
• wherein the first handling portion comprises a threaded portion and at least one of the second handling portion and the sleeve comprises a corresponding threaded portion, such that rotational displacement of the first handling portion in relation to the second handling portion creates linear displacement of the first handling portion in relation to the second handling portion, along the primary length axis of the instrument.

A surgical instrument for abdominal placement of a movement restriction device, adapted to restrict the movement of the cardia sphincter, for use in a surgical procedure for treating reflux disease in a patient, the instrument comprising:

• a sleeve,
• a holding device configured to engage the movement restriction device, wherein the holding device is configured to be placed within the sleeve and be displaceable in relation to the sleeve,
• a first handling portion connected to the sleeve, and
• a second handling portion connected to the holding device,
• wherein the handling of at least one of the first and second handling portion creates relative displacement of the holding device in relation to the sleeve, which disengages the holding device from the movement restriction device for performing the placement of the movement restriction device,
• wherein the instrument further comprises:
• a distal portion, configured to enter the body of the patient in use, and a proximal portion, configured to remain outside of the body of the patient in use,
• wherein the holding device is positioned in the distal portion and the first and second handling portions are positioned in the proximal portion
• wherein the distal portion is flexible such that the distal portion can be bent in relation to the primary length axis of the instrument, and
• wherein the proximal portion further comprises a third handling portion for operating the flexible distal portion during the surgical procedure.

A surgical instrument for abdominal placement of a movement restriction device, adapted to restrict the movement of the cardia sphincter, for use in a surgical procedure for treating reflux disease in a patient, the instrument comprising:

• a sleeve,
• a holding device configured to engage the movement restriction device, wherein the holding device is configured to be placed within the sleeve and be displaceable in relation to the sleeve,
• a first handling portion connected to the sleeve, and
• a second handling portion connected to the holding device,
• wherein the handling of at least one of the first and second handling portion creates relative displacement of the holding device in relation to the sleeve, which disengages the holding device from the movement restriction device for performing the placement of the movement restriction device
• wherein the distal portion is bent in relation to the primary length axis of the instrument.