# US 2019/0167306 A1 · Apparatus for treating a portion of a reproductive system and related methods of use > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2019/0167306 A1 - Document ID: US20190167306A1 - Status: Published application - Kind: A1 - Application number: 16/022,909 - Filed: 2018-06-29 - Published: 2019-06-06 - Earliest claimed: 2010-12-06 - Assignees: SurgiGyn, Inc. - Applicants: SurgiGyn, Ins. - Inventors: Roger M. BRECHEEN; John H. KOEHLER - Web page: https://patentgrep.com/patent/US20190167306A1 ## CPC - A61B 17/42: Gynaecological or obstetrical instruments or methods {(ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708)} - A61B 17/4241: {Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery} - A61B 18/1482: {having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy} - A61B 18/14: Probes or electrodes therefor - A61B 2017/2929: {with a head rotatable about the longitudinal axis of the shaft} - A61B 2017/4216: {Operations on uterus, e.g. endometrium} - A61B 2017/4225: {Cervix uteri} - A61B 2018/00601: {Cutting} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A medical device for performing a surgical procedure may include an elongate member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may also include a handle connected to the proximal end of the elongate member, an end effector assembly connected to the distal end of the elongate member, and a cutting device configured to extend from the end effector assembly, wherein the cutting device has a retracted configuration in which the cutting device is withdrawn into the end effector assembly and a deployed configuration in which the cutting device extends from the end effector assembly. ## Claims ### Claim 1 A medical device for performing a surgical procedure, the medical device comprising: an elongate member having a proximal end, a distal end, and a lumen extending therebetween; a handle connected to the proximal end of the elongate member; an end effector assembly connected to the distal end of the elongate member; and a cutting device configured to extend from the end effector assembly, wherein the cutting device has a retracted configuration in which the cutting device is withdrawn into the end effector assembly and a deployed configuration in which the cutting device extends from the end effector assembly. ### Claim 2 (depends on 1) The medical device of claim 1, wherein the end effector assembly includes a cup. ### Claim 3 (depends on 1) The medical device of claim 1, wherein the end effector assembly includes an elongate manipulation member having a proximal portion, a distal portion, and a central portion extending therebetween, wherein the central portion includes a substantially uniform cross-section. ### Claim 4 (depends on 1) The medical device of claim 1, wherein the cutting device is further configured to rotate about a longitudinal axis of the end effector assembly. ### Claim 5 (depends on 4) The medical device of claim 4, wherein a first actuator controls deployment of the cutting device and a second actuator controls rotation of the cutting device. ### Claim 6 (depends on 1) The medical device of claim 1, wherein the cutting device is a monopolar cauterizing instrument. ### Claim 7 (depends on 1) The medical device of claim 1, wherein the cutting device is a bipolar cauterizing instrument. ### Claim 8 (depends on 1) The medical device of claim 1, further comprising an expandable member secured to a distal portion of the medical device. ### Claim 9 (depends on 8) The medical device of claim 8, wherein the expandable member is secured to the elongate member. ### Claim 10 (depends on 3) The medical device of claim 3, further comprising an expandable member secured to the elongate manipulation member. ### Claim 11 (depends on 2) The medical device of claim 2, further comprising an elongate manipulation member extending distally from within the cup. ### Claim 12 (depends on 11) The medical device of claim 11, further comprising a first expandable member secured to a distal portion of the elongate member. ### Claim 13 (depends on 12) The medical device of claim 12, further comprising a second expandable member secured to the elongate manipulation member. ### Claim 14 (depends on 2) The medical device of claim 2, wherein the cup includes a first cup portion and a second cup portion disposed within the first cup portion, wherein a gap exists between the first and second cup portions, and the cutting device is slidably disposed within the gap. ### Claim 15 (depends on 1) The medical device of claim 1, wherein the cutting device is a cautery ring. ### Claim 16 (depends on 15) The medical device of claim 15, wherein the cautery ring includes a segmented ring. ### Claim 17 (depends on 9) The medical device of claim 9, wherein the expandable member is disposed proximally of the end effector assembly. ### Claim 18 (depends on 1) The medical device of claim 1, wherein the end effector assembly is configured to pivot relative to the elongate member. ### Claim 19 (depends on 1) The medical device of claim 1, wherein the end effector assembly is removably secured to the distal end of the elongate member. ### Claim 20 (depends on 1) The medical device of claim 1, wherein the end effector assembly is longitudinally movable relative to a distal end of the elongate member. ### Claim 21 A method for performing a laparoscopic hysterectomy procedure, the method comprising: inserting a medical device into a vaginal canal of a patient, the medical device comprising: an elongate member having a proximal end, a distal end, and a lumen extending therebetween; a handle connected to the proximal end of the elongate member; an end effector assembly connected to the distal end of the elongate member; and a cutting device configured to extend from the end effector assembly, wherein the cutting device has a retracted configuration in which the cutting device is withdrawn into the end effector assembly and a deployed configuration in which the cutting device extends from the end effector assembly; positioning the end effector adjacent tissue associated with one of uterine or cervical tissues; deploying the cutting device; and creating an incision to excise at least a uterus of the patient from surrounding tissue. ### Claim 22 (depends on 21) The method of claim 21, wherein the end effector includes a cup and an elongate manipulation member extending distally from within the cup. ### Claim 23 (depends on 22) The method of claim 22, wherein the medical device further includes a first expandable member disposed on the elongate member at a location proximal of the end effector assembly. ### Claim 24 (depends on 23) The method of claim 23, further comprising expanding the expandable member to occlude the vaginal canal. ### Claim 25 (depends on 22) The method of claim 22, wherein, prior to the step of deploying the cutting device, the method further includes pivoting the elongate manipulation member to alter a positioning of the uterus. ### Claim 26 (depends on 22) The method of claim 22, wherein, prior to the step of deploying the cutting device, the method further includes positioning a rim of the cup against a vaginal fornice and exerting a cephalad force on the vaginal fornice. ### Claim 27 (depends on 21) The method of claim 21, wherein creating an incision to separate at least a uterus of the patient from surrounding tissue includes rotating the cutting device. ### Claim 28 (depends on 21) The method of claim 21, wherein the cutting device is a monopolar cautery instrument. ### Claim 29 (depends on 21) The method of claim 21, wherein the cutting device is a bipolar cautery instrument. ### Claim 30 (depends on 23) The method of claim 23, wherein the medical device includes a second expandable member secured to the elongate manipulation member. ### Claim 31 (depends on 21) The method of claim 21, wherein the cutting device is a cautery ring. ### Claim 32 (depends on 21) The method of claim 21, wherein the cautery ring includes a segmented ring. ### Claim 33 (depends on 27) The method of claim 27, wherein rotating the cutting device includes rotating the end effector assembly. ### Claim 34 (depends on 21) The method of claim 21, wherein the end effector assembly is removably secured to the distal end of the elongate member. ### Claim 35 (depends on 21) The method of claim 21, wherein the end effector assembly is longitudinally moveable relative to the distal end of the elongate member. ### Claim 36 (depends on 21) The method of claim 21, further comprising the step of removing cervical tissue. ### Claim 37 (depends on 21) The method of claim 21, wherein creating an incision to excise at least a uterus of the patient from surrounding tissue includes excising the uterus and a cervix of the patient. ### Claim 38 A medical device for performing a surgical procedure, the medical device comprising: an elongate member having a proximal end, a distal end, and a lumen extending therebetween; a handle connected to the proximal end of the elongate member; an end effector assembly connected to the distal end of the elongate member; a cutting device configured to extend from the end effector assembly, wherein the cutting device has a retracted configuration in which the cutting device is withdrawn into the end effector assembly and a deployed configuration in which the cutting device extends from the end effector assembly, wherein the cutting device is configured to rotate about a longitudinal axis of the end effector assembly, and wherein the cutting device includes a cauterizing instrument; and an expandable member positioned on the elongate member at a location proximal of the end effector assembly.