Surgical Stapling Instrument

• US 20100133320A1
• Filed: 02/04/2010
• Published: 06/03/2010
• Est. Priority Date: 09/10/2004
• Status: Abandoned Application

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Longo, Antonio, Kuhns, Jesse J., D'Arcangelo, Michele, Bilotti, Federico
• Application Number:
  US12/699,910
• Publication Number:
  US 20100133320A1
• Time in Patent Office: Days
• US Class Current: 227/176.100
• CPC Class Codes: A61B 1/0014 Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
• 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 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07221 curved
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/2905 flexible

Abstract

A surgical stapling instrument (1) comprises a staple fastening assembly (2) including a curved cartridge device (10) and a curved anvil (12). The cartridge device (10) comprises at least one curved open row of staples which are formed by a staple forming face of the anvil (12). The anvil (12) can be moved relatively with respect to the cartridge device (10). A handle (4) in the proximal end region of the instrument is operatively connected to the staple fastening assembly (2). A flexible backbone, preferably an endoscope (6), is arranged between the handle (4) and the staple fastening assembly (2) and guides force transmitters (8, 9) of the moving device and the staple driving device.

Claims

1. Surgical stapling instrument comprising:

a staple fastening assembly (2;

102) in the distal end region of the instrument (1;

100), including a curved cartridge device (10), which comprises at least one curved open row (76, 77, 78) of staples (70) having a concave side and a convex side, and, opposite to the cartridge device (10), a curved anvil (12), which has a staple forming face (80) and is adapted to cooperate with the cartridge device (10) for forming the ends of the staples (70) exiting from the cartridge device (10),

a moving device (8, 24, 26, 28, 29, 30, 53, 60) adapted to move the anvil (12) relatively with respect to the cartridge device (10), essentially in parallel relationship, from a spaced position for positioning tissue therebetween to a closed position for clamping the tissue,

a staple driving device (9, 32, 34, 36, 37, 38, 57, 64) adapted to drive the staples (70) out of the cartridge device (10) towards the anvil (12),

a handle (4;

104) in the proximal end region of the instrument (1;

100), which handle (4;

104) is operatively connected to the staple fastening assembly (2;

102) and which comprises actuating members (24, 32) coupled to force transmitters (8, 9) of the moving device and of the staple driving device,

characterized in that a flexible backbone (6;

106, 108) is arranged between the handle (4;

104) and the staple fastening assembly (2;

102), which flexible backbone (6;

106, 108) guides the force transmitters (8, 9) of the moving device and of the staple driving device.

2. Stapling instrument according to claim 1, characterized by

a knife (72), which is contained in the cartridge device (10) and which is positioned on the concave side of at least one row (76, 77) of staples (70), and

a knife actuating device (9, 32, 34, 36, 37, 38, 57, 64) adapted to move the knife (72) towards the anvil (12), which knife actuating device preferably is coupled to the staple driving device.

3. Stapling instrument according to claim 1 or 2, characterized in that the flexible backbone (6;

106, 108) comprises a flexible endoscope (6;

106), which preferably is removably mounted.

4. Stapling instrument according to claim 1 or 2, characterized in that the stapling instrument (1;

100) is adapted to be used with an independent flexible endoscope (6;

106) forming at least part of the flexible backbone (6;

106, 108).

5. Stapling instrument according to claim 3 or 4, characterized in that the force transmitters (8, 9) of the moving device and of the staple driving device are located at the outside of the endoscope (6) and are attached to the endoscope (6) by a plurality of spaced holders (16).

6. Stapling instrument according to claim 3 or 4, characterized in that the flexible backbone (106, 108) comprises a flexible guide (108), which is arranged alongside the endoscope (106) and which accommodates the force transmitters of the moving device and of the staple driving device.

7. Stapling instrument according to one of claims 1 to 6, characterized in that at least one of the force transmitters (8, 9) of the moving device and of the staple driving device comprises a flexible rotary rod (50, 54) adapted to be rotated around its longitudinal axis upon actuation of the related actuating member (24, 32) of the handle (4) and adapted to transform its rotary motion to a longitudinal motion at the staple fastening assembly (2).

8. Stapling instrument according to claim 7, characterized in that the at least one of the force transmitters (8, 9) is adapted to be rotated via a gear transmission (26, 28, 29;

34, 36, 37) operated by the related actuating member (24, 32).

9. Stapling instrument according to claim 7 or 8, characterized in that the at least one of the force transmitters (8, 9) is adapted to transform its rotary motion to a longitudinal motion via a screw drive (53, 57).

10. Stapling instrument according to one of claims 1 to 9, characterized in that the staple fastening assembly (2) is adapted to allow unobstructed access towards concave inner faces of the cartridge device (10) and of the anvil (12).

11. Stapling instrument according to one of claims 1 to 10, characterized in that the staple forming face (80) of the anvil (12) is generally planar.

12. Stapling instrument according to one of claims 1 to 11, characterized in that the cartridge device (10) and the anvil (12) have a generally arc-like shape in a cross-sectional plane, the arc extending over an angle in the range 10°

to 350°

.

13. Stapling instrument according to one of claims 1 to 12, characterized in that the anvil (12) is supported by means of at least one arm (60, 74) extending from an end of the anvil (12) and generally running in parallel to the direction of relative movement of the anvil (12) with respect to the cartridge device (10).

14. Stapling instrument according to one of claims 1 to 13, characterized in that the distance between the cartridge device (10) and the anvil (12) in the closed position is adjustable.

15. Stapling instrument according to one of claims 1 to 14, characterized in that the cartridge device comprises a replaceable cartridge containing the staples.

16. Stapling instrument according to one of claims 1 to 15, characterized in that the staple fastening assembly is removably mounted.

17. Stapling instrument according to one of claims 1 to 16, characterized in that the handle is removably mounted.