CIRCULAR STAPLER INTRODUCER WITH RIGID DISTAL END PORTION

• US 20110118761A1
• Filed: 11/19/2009
• Published: 05/19/2011
• Est. Priority Date: 11/19/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Wiley, Jeffrey P., Franer, Paul T., Schulte, John B., Silkaitis, Danius P., Abbott, Daniel J., Hunt, John V., Baxter, Chester O. III
• Granted Patent: US 8,622,275 B2
• Time in Patent Office: Days
• US Class Current: 606/148
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• 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 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/3425 for internal organs, e.g. heart ports
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 46/13 the drapes entering the patient's body
• CPC Class Codes: A61B 46/17 closed at the distal end

Abstract

Introducers for introducing a surgical circular stapler into a patient. Various embodiments comprise a hollow flexible sheath that has a distal end and an open proximal end that is sized to receive a stapling head portion of the circular stapler therein. A rigid cap assembly is attached to the distal end of the hollow flexible sheath. The rigid cap assembly may be configured to selectively move between a closed position wherein a distal face of the stapling head is covered when inserted therein and an open position wherein the cap assembly may be withdrawn from around the stapling head and elongated shaft. A release arrangement interfaces with the rigid cap assembly such that upon an application of a release motion thereto, the rigid cap is movable from the closed position to the open position.

Claims

1. An introducer for introducing a surgical circular stapler having a handle portion, an elongated shaft protruding from the handle portion, and stapling head coupled to the elongated shaft into a patient, said introducer comprising:

a hollow flexible sheath having a distal end and an open proximal end, said hollow flexible sheath sized to receive the stapling head and at least a portion of the elongated shaft therein;

a rigid cap assembly attached to said distal end of said hollow flexible sheath, said rigid cap assembly configured to selectively move between a closed position wherein a distal face of the stapling head is covered when inserted therein and an open position wherein said cap assembly may be withdrawn from around the stapling head and elongated shaft; and

a release arrangement interfacing with said rigid cap assembly such that upon an application of a release motion thereto, said rigid cap is movable from said closed position to said open position.

2. The introducer of claim 1 wherein said release arrangement comprises:

a latch member interfacing with said rigid cap assembly; and

a release member coupled to said latch member and being coextensive with said hollow sheath such that a distal portion of said release member is accessible from the handle portion of the circular stapler when the stapling head thereof is inserted through said sheath into a portion of said cap assembly.

3. The introducer of claim 2 wherein said release member comprises a suture.

4. The introducer of claim 3 wherein said suture extends through a lumen formed in a wall of said sheath.

5. The introducer of claim 4 wherein said latch member is received in a distal end of said lumen and is selectively movable between a latched position wherein said rigid cap assembly is retained in said closed position and an unlatched position wherein the rigid cap assembly is movable to said open position.

6. The introducer of claim 5 wherein application of an amount of release motion to said suture in a proximal direction moves said latch member to said unlatched position and upon the further application of release motion to said suture causes said sheath to be proximally withdrawn over the stapling head and elongated shaft.

7. The introducer of claim 1 wherein said introducer further comprises a handle assembly attached to said open proximal end of said sheath, said handle assembly being configured to extend over a portion of the handle portion of the circular stapler when the circular stapler has been inserted into said hollow sheath to a fully inserted position.

8. The introducer of claim 7 wherein the circular stapler has an indicator on the handle portion and wherein said handle assembly covers the indicator when the circular stapler has been inserted into said hollow sheath to said fully inserted position.

9. The introducer of claim 3 wherein a proximal end of said suture is attached to a release slider configured to be slidably supported about the handle portion of the circular stapler when the circular stapler has been inserted into said hollow sheath to a fully inserted position.

10. The introducer of claim 7 wherein said release member comprises a suture and wherein said introducer further comprises:

a release slider attached to a proximal end of said suture and configured to be slidably supported about the handle portion of the circular stapler when the circular stapler has been inserted to said fully inserted position; and

means for multiplying a proximal travel distance of said suture relative to a distance that the release slider is moved on the handle portion of the circular stapler.

11. The introducer of claim 10 wherein said means for multiplying comprises a fixed post on said handle assembly such that said proximal end portion of the suture passes through a hole in the handle assembly and is looped through another hole in a distal end of said release slider to be attached to said fixed post.

12. The introducer of claim 9 further comprising a stop arrangement on said handle assembly for limiting proximal travel of said release slider such that movement of said release slider a first proximal distance into contact with said stop arrangement causes said latch member to move to an unlatched position corresponding to said open position and the further movement of said release slider in a proximal direction causes said introducer to move proximally on the stapler.

13. The introducer of claim 9 wherein said release slider is configured to extend around a portion of the handle portion of the circular stapler and has a finger hole therein.

14. The introducer of claim 13 further comprising a laterally extending wing portion formed on each side of said finger hole in said release slider.

15. An introducer for introducing a surgical circular stapler having a handle portion, an elongated shaft protruding from the handle portion, and stapling head coupled to a distal end of the elongated shaft into a patient, said introducer comprising:

a hollow flexible sheath having a distal end and an open proximal end, said hollow flexible sheath being sized to receive the stapling head and the elongated shaft therein;

a handle assembly attached to said open proximal end of said sheath and being configured to extend over a portion of the handle portion of the circular stapler when the circular stapler has been inserted into said hollow sheath to a fully inserted position;

a rigid cap assembly attached to said distal end of said hollow flexible sheath, said rigid cap assembly configured to selectively move between a closed position wherein a distal face of the stapling head is covered by a portion of said rigid cap assembly when the stapling head has been inserted to said fully inserted position and an open position wherein said cap assembly may be proximally withdrawn from around the stapling head and elongated shaft;

a latch member supported by said sheath in movable engagement with said rigid cap assembly, said latch member being selectively movable from a latched position wherein said rigid cap assembly is retained in said closed position and an unlatched position wherein a portion of said rigid cap assembly is movable to said open position;

a suture attached to said latch member, said suture extending through a lumen in said sheath to said handle assembly; and

a release slider attached to a proximal end of said suture and configured to be slidably supported about the handle portion of the circular stapler when the circular stapler has been inserted to said fully inserted position.

16. A method of introducing a surgical circular stapler having a handle portion, an elongated shaft protruding from the handle portion, a stapling head coupled to a distal end of the elongated shaft, and a removably attachable anvil into a patient, said method comprising:

removing the anvil from the circular stapler;

inserting the stapling head and elongated shaft of the circular stapler into an introducer such that the stapling head is received within a rigid cap assembly of the introducer and the elongated shaft is received within a flexible sheath portion of the introducer;

inserting the circular stapler and introducer into the patent such that handle portion of the circular stapler remains outside of the patient; and

causing the cap assembly to expose the distal face of the stapling head without removing the stapling head from the patient.

17. The method of claim 16 further comprising withdrawing the introducer from the patient without removing the circular stapler from the patient.

18. The method of claim 17 further comprising coupling the anvil to the stapling head after said introducer has been withdrawn from the patient.

19. The method of claim 16 further comprising preventing observation of an indicator on the handle portion of the circular stapler when the stapling head of the circular stapler has been inserted to a fully inserted position within the cap assembly.

20. The method of claim 16 wherein said causing the rigid cap assembly to expose a distal face of the stapling head therein comprises:

unlatching a portion of the cap assembly to permit a rigid cap member to move to open position; and

applying a withdrawal force to the introducer to move the cap assembly proximally on the stapling head.