Integrated surgical staple retainer for a full thickness resectioning device

• US 20030132267A1
• Filed: 02/21/2003
• Published: 07/17/2003
• Est. Priority Date: 06/19/1998
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Adams, Ronald D., Sullivan, Roy H., Nunez, George
• Granted Patent: US 6,840,423 B2
• Time in Patent Office: Days
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping channel for multiple instruments A61B2017/3445; instrument channel A61B2017/22072; replaceable heads A61B2017/2931; suction A61M1/00
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07221 curved
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2090/038 during shipment
• CPC Class Codes: A61B 2090/306 using optical fibres

Abstract

The present invention is directed to a full-thickness resection system comprising a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism includes an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another. A position adjusting mechanism is provided for moving the anvil and the stapling head relative to one another.

An integrated surgical retainer for use in the full thickness resectioning device is described. The integrated surgical staple retainer comprises a calibrating portion, a retaining portion, and a grasping portion. The calibrating portion defines a circular opening which has a diameter substantially equal to a diameter of a working channel of the full thickness resectioning device. The retaining portion has a lower surface adapted to limit movement of the surgical staples in the full thickness resectioning device and is adjacent to the calibrating portion of the integrated surgical staple retainer.

Claims

1. An integrated surgical staple retainer of a FTRD, comprising:

a calibrating portion defining a circular opening, the circular opening having a diameter substantially equal to a diameter of a working channel of the FTRD; and

a retaining portion having a surface adapted to limit movement of the surgical staples held in the FTRD, the retaining portion being adjacent to the calibrating portion; and

a grasping portion adjacent to the retaining portion.

2. The integrated surgical staple retainer according to claim 1, further comprising:

a positioning element disposed on the retaining portion, the positioning element holding the integrated surgical staple retainer in position relative to the FTRD.

3. The integrated surgical staple retainer according to claim 1, wherein the positioning element comprises a plurality of protrusions.

4. The integrated surgical staple retainer according to claim 1, wherein the calibrating portion is adapted to be placed in a cavity formed by a head assembly of the FTRD.

5. The integrated surgical staple retainer according to claim 1, wherein the retaining portion is adapted to be placed between a proximal housing and an anvil member of the FTRD.

6. The integrated surgical staple retainer according to claim 5, wherein the retaining portion is adapted to be placed between staple slits of a proximal housing of the FTRD and staple forming grooves of an anvil member of the FTRD.

7. The surgical integrated surgical staple retainer according to claim 1, wherein the retaining portion is adapted to immobilize the staples held in the FTRD.

8. A method of gauging an outermost diameter of an endoscope for use in an FTRD comprising:

removing an integrated surgical staple retainer from between an anvil member and a proximal housing of an FTRD to release surgical staples held in the proximal housing;

sliding through a calibrating portion of the integrated surgical staple retainer an endoscope; and

determining that a maximum diameter of the endoscope fits through the calibrating portion.

9. The method of gauging the outermost diameter of an endoscope for use in an FTRD according to claim 8 further comprising the preliminary step of increasing a distance between the anvil member and the proximal housing.

10. A method of retaining staples in a FTRD comprising:

placing a retaining portion of an integrated surgical staple retainer between a proximal housing and an anvil member of the FTRD; and

minimizing the distance between the anvil member and the proximal housing such that the retaining portion remains in position relative to a head assembly of the FTRD.

11. The method of retaining staples in a FTRD according to claim 10 further comprising;

placing a retaining portion of the integrated surgical staple retainer between staple slits of a proximal housing of the FTRD and staple forming grooves of an anvil member of the FTRD, the retaining portion being adjacent to a calibrating portion of the integrated surgical staple retainer; and

minimizing the distance between the anvil member and the proximal housing such that the retaining portion contacts the staple forming grooves of the anvil member and covers the staple slits of the proximal housing.