Surgical rotary capture instrument for gastric band closing

Abstract

An endoscopic surgical rotary capture instrument is used in minimally invasive laparoscopic surgery for closing a gastric band having a buckle end a free end. The rotary capture instrument includes a pusher end that has a stationary jaw and a movable jaw. The movable jaw is actuated by rotary motion of an inner shaft. The jaws are used to gasp securely and push the tube end of the gastric band after it has been threaded through the buckle end of the band. A hook instrument is used to hold the buckle end securely while the rotary capture instrument is used to push the free end of the gastric band.

1 . An endoscopic surgical capture tool used in minimally invasive surgery for grasping and tightening a ligature band, wherein said ligature band comprises an elongated strap having a buckle end and a distal end, said buckle end having an aperture and a pull tab having a hole thereon and wherein said elongated strap is configured to encircle an internal organ and said distal end is configured to pass through and lockingly engage said aperture thereby tightening said ligature band around said internal organ, the capture tool comprising: 
 an elongated shaft comprising an outer shaft, a rotatable inner shaft, a capture end and a handle, wherein said capture end is configured to engage a protuberance of said distal end and push said distal end after it has been threaded through said aperture; and    wherein said capture end comprises a stationary jaw and a rotationally movable jaw and wherein said rotationally movable jaw is actuated by rotational motion of said inner shaft.    
     
     
         2 . The endoscopic surgical capture tool of  claim 1  wherein said elongated shaft is inserted through a cannula into a patient's body and is dimensioned to enter one end, pass through and extend beyond the other end of said cannula.  
     
     
         3 . The endoscopic surgical capture tool of  claim 1  wherein said handle comprises a mechanism for actuating said rotational motion of said inner shaft, thereby actuating said rotationally movable jaw.  
     
     
         4 . The endoscopic surgical capture tool of  claim 3  wherein said mechanism comprises squeezing a handle component.  
     
     
         5 . The endoscopic surgical capture tool of  claim 3  wherein said handle comprises a cylindrical body having first and second side indentations opposite to each other and a thumb indentation on a top surface of said cylindrical body, said thumb indentation being aligned with said rotationally movable jaw.  
     
     
         6 . The endoscopic surgical capture tool of  claim 3  wherein said handle further comprises a latch for keeping said rotationally movable jaw closed.  
     
     
         7 . The endoscopic surgical capture tool of  claim 1  wherein said stationary jaw and said rotationally movable jaw form a circle when closed.  
     
     
         8 . The endoscopic surgical capture tool of  claim 1  wherein said stationary jaw and said rotationally movable jaw comprise rounded edges.  
     
     
         9 . The endoscopic surgical capture tool of  claim 1  wherein said stationary jaw and said rotationally movable jaw comprise a material selected from a group consisting of metal, ceramic, polymer, Teflon, alloys, rubber and composites.  
     
     
         10 . The endoscopic surgical capture tool of  claim 1  wherein said stationary jaw and said rotationally movable jaw comprise inner surfaces selected from a group consisting of spherical, slopped, conical, having one or more steps and having one or more grooves.  
     
     
         11 . The endoscopic surgical tool of  claim 1  wherein said internal organ is selected from a group consisting of stomach, artery, intestines, heart, lung, pancreas, kidney, bone and liver.  
     
     
         12 . An endoscopic surgical capture tool used in minimally invasive surgery for grasping an organ or another tool having a circular cross-section, the capture tool comprising: 
 an elongated shaft comprising an outer shaft, a rotatable inner shaft, a capture end and a handle, wherein said capture end is configured to engage a protuberance of said organs or other tools; and    wherein said capture end comprises a stationary jaw and a rotationally movable jaw and wherein said rotationally movable jaw is actuated by rotational motion of said inner shaft.    
     
     
         13 . The endoscopic surgical capture tool of  claim 12  wherein said elongated shaft is inserted through a cannula into a patient's body and is dimensioned to enter one end, pass through and extend beyond the other end of said cannula.  
     
     
         14 . The endoscopic surgical capture tool of  claim 12  wherein said handle comprises a mechanism for actuating said rotational motion of said inner shaft, and thereby actuating said rotationally movable jaw.  
     
     
         15 . The endoscopic surgical capture tool of  claim 14  wherein said mechanism comprises squeezing a handle component.  
     
     
         16 . The endoscopic surgical capture tool of  claim 14  wherein said handle comprises a cylindrical body having first and second side indentations opposite to each other and a thumb indentation on a top surface of said cylindrical body, said thumb indentation being aligned with said rotationally movable jaw.  
     
     
         17 . The endoscopic surgical capture tool of  claim 14  wherein said handle further comprises a latch for keeping said rotationally movable jaw closed.  
     
     
         18 . The endoscopic surgical capture tool of  claim 12  wherein said stationary jaw and said rotationally movable jaw form a circle when closed.  
     
     
         19 . The endoscopic surgical capture tool of  claim 12  wherein said stationary jaw and said rotationally movable jaw comprise rounded edges.  
     
     
         20 . The endoscopic surgical capture tool of  claim 12  wherein said stationary jaw and said rotationally movable jaw comprise a material selected from a group consisting of metal, ceramic, polymer, Teflon, alloys, rubber and composites.  
     
     
         21 . The endoscopic surgical capture tool of  claim 12  wherein said stationary jaw and said rotationally movable jaw comprise inner surfaces selected from a group consisting of spherical, slopped, conical, having one or more steps and having one or more grooves.  
     
     
         22 . An endoscopic surgical instrument used in minimally invasive surgery for grasping and tightening a ligature band around an internal organ, wherein said ligature band comprises an elongated strap having a buckle end and a distal end, said buckle end having an aperture and a pull tab having a hole thereon and wherein said elongated strap is configured to encircle said internal organ and said distal end is configured to pass through and lockingly engage said aperture thereby tightening said ligature band around said internal organ, the instrument comprising: 
 a hook tool configured to engage said hole and pull said pull tab in a first direction while said distal end is pushed through said aperture opposite to said first direction;    a capture tool configured to engage a protuberance of said distal end and push said distal end after it has been threaded through said aperture;    wherein said hook tool comprises a hook having a flat portion and a bend portion extending from said flat portion and wherein said flat portion is configured to slide along a flat surface of said pull tab and said bend portion has an inner surface radius matching a radius of said hole; and    wherein said capture tool comprises a stationary jaw and a rotationally movable jaw and wherein said rotationally movable jaw is actuated by rotational motion of an elongated shaft.    
     
     
         23 . The endoscopic surgical instrument of  claim 22  wherein said hook tool and said capture tool apply opposing forces on said ligature band for tightening said ligature band around said internal organ.  
     
     
         24 . A method for tightening a ligature band around an internal organ via minimally invasive surgery comprising: 
 providing a ligature band comprising an elongated strap having a buckle end and a distal end, wherein said buckle end has an aperture and a pull tab having a hole thereon;    inserting said ligature band into a patient's body through a minimally invasive cannula and encircling said internal organ with said elongated strap;    inserting a surgical hook tool through said cannula, wherein said hook tool comprises an elongated shaft having a hook end and a handle and wherein said hook end comprises a flat portion and a bend portion extending from said flat portion and wherein said flat portion is configured to slide along a flat surface of said pull tab and said bend portion has an inner surface radius matching a radius of said hole;    engaging said hole with said hook end;    inserting a surgical capture tool through said cannula, wherein said capture tool comprises an elongated shaft comprising an outer shaft, a rotatable inner shaft, a capture end and a handle, and wherein said capture end comprises a stationary jaw and a rotationally movable jaw and wherein said rotationally movable jaw is actuated by rotational motion of said inner shaft    engaging a protuberance in said distal end with said capture tool and inserting said distal end through said aperture; and    pulling said pull tab in a first direction with said hook tool while pushing said distal end through said aperture with said capture tool opposite to said first direction.