# US 8,784,306 B2 · Remote tissue retraction device > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 8,784,306 B2 - Document ID: US8784306B2 - Status: Granted - Kind: B2 - Application number: 11/955,079 - Filed: 2007-12-12 - Published: 2008-04-17 - Granted: 2014-07-22 - Earliest claimed: 2004-11-17 - Assignees: Ethicon Endo-Surgery, Inc. - Applicants: Alex T. Roth; Craig Gerbi; Andrew H. Hancock; Gary Weller; Christopher Julian; James Gannoe - Inventors: Alex T. Roth; Craig Gerbi; Andrew H. Hancock; Gary Weller; Christopher Julian; James Gannoe - Web page: https://patentgrep.com/patent/US8784306B2 ## CPC - A61B 17/0218: {for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)} - A61B 17/072: for applying a row of staples in a single action, e.g. the staples being applied simultaneously - A61B 2017/003: {Steerable} - A61B 2017/00314: {Separate linked members} - A61B 2017/00323: {Cables or rods} - A61B 2017/00827: {Treatment of gastro-esophageal reflux} - A61B 2017/07214: {Stapler heads} - A61B 2017/306: {holding by means of suction} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately. ## Claims ### Claim 1 A device for managing tissue in an organ, comprising: a flexible, elongated body having a proximal end and a distal end, the elongated body being configured to extend into a patient's body with the proximal end positioned outside of the patient's body and the distal end positioned inside of the patient's body; a tissue treatment device coupled to the distal end of the elongated body, the tissue treatment device having a first jaw opposite a second jaw, the first jaw and the second jaw being configured to acquire tissue and being pivotable about relative to one another; and a septum coupled to the tissue treatment device and being configured to be seated between the first and second jaws, a first end of the septum being pivotably attached to the tissue treatment device at a pivot point, the septum being operatively connected to an actuator that extends longitudinally along the elongated body; wherein the actuator is configured to move relative to the elongated body so as to pivot the septum about the pivot point, thereby moving a second end of the septum distally relative to the first and second jaws with the septum pivoting from a first position in which the second end of the septum is proximal to the pivot point, to a second position in which the second end of the septum is distal to the pivot point wherein the septum includes a plurality of septum blades, and further comprising a sheet attached to the plurality of septum blades. ### Claim 2 (depends on 1) The device of claim 1, wherein the plurality of septum blades are configured to fan out when the septum pivots about the pivot point. ### Claim 3 (depends on 1) The device of claim 1, wherein the plurality of septum blades include first and second septum blades, the sheet being attached to the first and second septum blades, the first septum blade being configured to pivot about the pivot point so as to move the second end of the first septum blade distally and to move the sheet so as to stretch the sheet between the first and second septum blades. ### Claim 4 (depends on 3) The device of claim 3, wherein a size of the sheet determines a maximum possible angle between the first septum blade and the second septum blade when the sheet is stretched between the first and second septum blades. ### Claim 5 (depends on 1) The device of claim 1, wherein moving the second end of the septum distally moves the second end distally beyond a distal end of the tissue treatment device. ### Claim 6 A device for managing tissue in an organ, comprising: a flexible, elongated body having a proximal end and a distal end; a tissue treatment device attached to the distal end of the elongated body, the tissue treatment device having a first jaw opposite a second jaw, the first and second tissue jaws including vacuum pods configured to acquire tissue, and the first jaw and the second jaw being pivotable about a longitudinal axis of the tissue treatment device; a retractor positioned distal to the tissue treatment device, the retractor having a slot formed therein; and a septum seated in a space between the first and second jaws of the tissue treatment device, the septum being configured to pivot relative to the first and second jaws to move from being seated in the space to being seated in the slot. ### Claim 7 (depends on 6) The device of claim 6, wherein when the septum is seated in the space, the tissue treatment device, the retractor, and the septum are longitudinally aligned. ### Claim 8 (depends on 6) The device of claim 6, wherein the septum pivots about a distal end thereof to move from being seated in the space to being seated in the slot. ### Claim 9 (depends on 6) The device of claim 6, further comprising a cable extending along the elongated body, the cable being coupled to the septum and being configured to be pulled proximally so as to pivot the septum relative to the first and second jaws. ### Claim 10 (depends on 6) The device of claim 6, wherein when the septum is seated in the space and when the septum is seated in the slot, the septum is aligned with a longitudinal axis of the tissue treatment device, and when the septum is pivoting relative to the first and second jaws, the septum is angularly offset from the longitudinal axis of the tissue treatment device. ### Claim 11 (depends on 6) The device of claim 6, wherein the retractor is configured to move from a first position in which a distal portion of the retractor is aligned with a longitudinal axis of the tissue treatment device to a second position in which the retractor is arc-shaped and is not aligned with the longitudinal axis of the tissue treatment device. ### Claim 12 A device for managing tissue in an organ, comprising: a flexible, elongated body having a proximal end and a distal end; a tissue treatment device coupled to the distal end of the elongated body, the tissue treatment device having a first jaw opposite a second jaw, the first jaw and the second jaw being configured to acquire tissue and being pivotable about relative to one another; and a septum coupled to the tissue treatment device and being configured to be seated between the first and second jaws, a distal end of the septum being pivotably attached to the tissue treatment device at a pivot point, the septum being configured to pivot about the pivot point so as to move a proximal end of the septum distally relative to the first and second jaws; wherein the septum includes a plurality of septum blades, and further comprising a sheet attached to the plurality of septum blades. ### Claim 13 (depends on 12) The device of claim 12, wherein the plurality of septum blades include first and second septum blades, the sheet being attached to the first and second septum blades, the first septum blade being configured to pivot about the pivot point so as to move a proximal end of the first septum blade distally and to move the sheet so as to stretch the sheet between the first and second septum blades. ### Claim 14 (depends on 13) The device of claim 13, wherein a size of the sheet determines a maximum possible angle between the first septum blade and the second septum blade when the sheet is stretched between the first and second septum blades. ### Claim 15 (depends on 12) The device of claim 12, wherein moving the proximal end of the septum distally moves the proximal end distally beyond a distal end of the tissue treatment device.