ELECTROACTIVE POLYMER-BASED ACTUATION MECHANISM FOR CIRCULAR STAPLER

• US 20060047308A1
• Filed: 09/30/2005
• Published: 03/02/2006
• Est. Priority Date: 07/28/2004
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Ortiz, Mark S., Shelton, Frederick E. IV, Swayze, Jeffrey S., Hueil, Joseph Charles
• Granted Patent: US 7,410,086 B2
• Time in Patent Office: Days
• US Class Current: 606/219
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00871 polymeric
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395

Abstract

Methods and devices are provided for actuating and/or articulating a circular stapler. In one exemplary embodiment, a circular stapler is provided having an elongate shaft with a stapling apparatus coupled thereto. An electrically expandable and contractible actuator, such as an electroactive polymer actuator, can be used to pivotally or angularly adjust a position of the stapling apparatus relative to the elongate shaft by delivering energy to the electroactive polymer actuator. In another embodiment, an electroactive polymer actuator can be used to actuate the stapling apparatus, thereby driving one or more staples, preferably in a substantially curved pattern, into tissue. The actuator can alternatively or additionally drive a blade distally to cut tissue being stapled.

Claims

1. A circular stapling device, comprising:

an elongate shaft having proximal and distal ends;

a staple applying assembly coupled to the distal end of the elongate shaft and adapted to deliver staples into tissue in a substantially curved pattern;

an anvil coupled to the staple applying assembly and movable between an open tissue-receiving position and a closed staple-applying position; and

an electroactive polymer actuator coupled to the staple applying assembly and adapted to drive one or more staples from the staple applying assembly into tissue positioned between the staple applying assembly and the anvil.

2. The device of claim 1, further comprising a driver disposed within the staple applying assembly and adapted to move distally to drive staples through the staple applying assembly toward the anvil, the electroactive polymer actuator being coupled to the driver and adapted to move the driver distally when energy is delivered to the electroactive polymer actuator.

3. The device of claim 2, wherein the driver includes a blade formed thereon and adapted to cut tissue being stapled.

4. The device of claim 2, wherein the electroactive polymer actuator includes a first end coupled to a portion of the staple applying assembly, and a second end coupled to the driver.

5. The device of claim 4, wherein the first end is positioned distal of the second end of the electroactive polymer.

6. The device of claim 5, wherein the electroactive polymer actuator comprises at least one electroactive polymer cord that is adapted to axially contract when energy is delivered thereto to pull the driver distally.

7. The device of claim 1, further comprising a handle formed on the proximal end of the elongate shaft and including a control mechanism adapted to selectively deliver energy to the electroactive polymer actuator.

8. The device of claim 1, further comprising a second electroactive polymer actuator coupled to the anvil and adapted to move the anvil from the open tissue-receiving position to the closed staple-applying position when energy is delivered to the second electroactive polymer actuator.

9. The device of claim 1, wherein the staple applying assembly is angularly adjustable relative to the distal end of the elongate shaft, and wherein the device further includes a second electroactive polymer actuator coupled between the staple applying assembly and the elongate shaft and adapted to angularly adjust a position of the staple applying assembly relative to the elongate shaft when energy is delivered to the second electroactive polymer actuator.

10. A method for stapling tissue, comprising:

inserting a circular stapler into a lumen;

positioning tissue to be stapled between an anvil and a staple applying assembly located on a distal end of the circular stapler; and

delivering energy to an electroactive polymer actuator coupled to the staple applying assembly to drive a plurality of staples through the staple applying assembly and against the anvil to staple the tissue positioned therebetween with staples positioned in a substantially curved pattern.

11. The method of claim 10, wherein delivering energy to the electroactive polymer actuator is effective to move a driver disposed within the staple applying assembly to drive staples therethrough and against the anvil.

12. The method of claim 11, wherein the electroactive polymer actuator axially contracts when energy is delivered thereto to pull the driver through the staple applying assembly.

13. The method of claim 10, wherein positioning tissue to be stapled between the anvil and the staple applying assembly comprises drawing the tissue into a gap formed between the anvil and the staple applying assembly, and moving the anvil toward the staple applying assembly to engage the tissue therebetween.

14. The method of claim 13, wherein moving the anvil toward the staple applying assembly comprises delivering energy to a second electroactive polymer actuator coupled to the anvil to cause the electroactive polymer actuator to pull the anvil toward the staple applying assembly.

15. The method of claim 10, further comprising cutting away a portion of stapled tissue.

16. The method of claim 10, further comprising, prior to positioning tissue, angularly adjusting a position of the staple applying assembly and the anvil.

17. The method of claim 16, wherein the staple applying assembly and the anvil are angularly adjusted by delivering energy to a second electroactive polymer actuator that is coupled to the staple applying assembly.