Device for use in laparoscopic surgery and method of use

A method, comprising:

• providing a device for use in laparoscopic surgery, the device comprising a distal end configured to operatively couple to a tissue interaction device;
• a proximal end configured to operatively couple to a device actuator;
• at least one sheath having a distal end and a proximal end;
• at least one surgical action mechanism having a distal end configured to deliver an action, and a proximal end configured to limit the device to a single use, the surgical action mechanism further configured to move within the sheath;
• at least one telescoping section configured to structurally support a first portion of the at least one surgical action mechanism, the at least one telescoping section further configured to move within the sheath;
• a first spacer coupled to the at least one telescoping section and configured to structurally support a second portion of the at least one surgical action mechanism, the first spacer further configured to move within the sheath;
• and a second spacer, the second spacer configured to operatively couple to the device actuator, to engage the proximal end of the at least one surgical action mechanism, and to move within the sheath;
• wherein the at least one surgical action mechanism, the at least one telescoping section, the first spacer, and the second spacer are configured to move from a pre-action configuration, to an action configuration, and to a return configuration;
• displacing the device between a first position and a second position;
• and
• preventing longitudinal displacement of the at least one surgical action mechanism during displacing;
• actuating the device to simultaneously cause the first spacer, the second spacer, the at least one telescoping section, and the at least one surgical action mechanism to move relative to the at least one sheath from a pre-action configuration to an action configuration;
• and
• after actuating, causing the first spacer, the second spacer, the at least one telescoping section, and the at least one surgical action mechanism to form a return configuration, by causing the second spacer and the at least one surgical action mechanism to move relative to the at least one sheath while simultaneously causing the first spacer and the at least one telescoping section to remain stationary relative to the at least one sheath.

A tissue manipulation system, the system comprising:

• a distal end comprising a tissue interaction portion;
• a proximal end comprising a device actuator;
• and
• an extension portion having at least one sheath having a distal end and a proximal end, the extension portion operatively coupled to the tissue interaction portion and the device actuator;
• at least one surgical action mechanism having a distal end configured to deliver an action, and a proximal end configured to limit the device to a single use, the at least one surgical action mechanism further configured to move within the sheath;
• at least one telescoping section configured to structurally support a first portion of the at least one surgical action mechanism, the at least one telescoping section further configured to move within the sheath;
• a first spacer coupled to the at least one telescoping section and configured to structurally support a second portion of the at least one surgical action mechanism, the first spacer further configured to move within the sheath;
• and
• a second spacer, the second spacer configured to operatively couple to the device actuator, to engage the proximal end of the at least one surgical action mechanism, and to move within the sheath;
• wherein
• the at least one surgical action mechanism, the at least one telescoping section, the first spacer, and the second spacer are configured to move relative to each other and in response to one or more user manipulations of the device actuator to cause the system to form a pre-action configuration, an action configuration, and a return configuration;
• the device actuator is configured to cause the at least one surgical action mechanism to engage at least one of the tissue interaction portion and tissue;
• and
• the proximal end of the at least one surgical action mechanism is configured to prevent shifting of the at least one surgical action mechanism while the system is in the pre-action configuration.