Surgical instrument for suturing tubular organs with U-shaped staples

• US 4,202,479 A
• Filed: 02/12/1979
• Issued: 05/13/1980
• Est. Priority Date: 02/12/1979
• Status: Expired due to Term

• Current Assignee: Mikhail M. Razgulov, Tamara A. Razgulova
• Original Assignee: Mikhail M. Razgulov, Tamara A. Razgulova
• Inventors: Razgulova, Tamara A., Razgulov, Mikhail M.
• Primary Examiner(s): Bell, Paul A.
• Application Number:
  US06/011,697
• Time in Patent Office: 456 Days
• Field of Search: 128/334 R, 227/19, 227/120, 227/8, 227/110, 227/111, 227/155
• US Class Current: 227/8
• CPC Class Codes: A61B 17/1152 applying the staples on the outside of the lumen
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections Y-shaped blood vessel prostheses A61F2002/065

Abstract

The instrument is characterized in that provision is made therein for a means preventing the staple semibushes from being disjoined in the course of operation and fixing the position of the center of the hole of said staple semibushses with respect to the position of the center of the hole of the supporting semibushes so as to provide a uniform suturing of the tubular organ, whereas the magazines are so mounted as to be replaced after the operation, for which purpose the magazine and staple semirings have through curvilinear grooves and are detachable with respect to said staple semibushes, the outer walls of the latter having recesses for said magazines to reload, said recesses being arranged along the radius coinciding with the radius of the radial slots in said staple semibushes. In addition, provision is made in the instrument for an automatic restrictor of synchronous radial movement of said magazines and said ejectors towards the center.

Claims

1. A surgical instrument for suturing tubular organs with U-shaped staples, comprising:

a supporting body;

a supporting strip fixed in position with respect to said supporting body;

two supporting semibushes;

a first of said supporting semibushes made fast with one of its ends on said supporting body;

a second of said supporting semibushes made fast with one of its ends on said supporting strip and establishing, when brought together with said first supporting semibush, the supporting member of the instrument having a cylindrical bore for the tubular organ to pass;

a staple body;

a staple strip locked in position with respect to said staple body;

two staple semibushes;

a first of said staple semibushes made fast with one of its ends on said staple body and externally embracing said first supporting semibush;

a second of said staple semibushes made fast with one of its ends on said staple strip and externally embracing said second supporting semibush, and adapted to establish, when brought together with said first staple semibush, the staple member of the instrument having a cylindrical bore for the tubular organ to pass;

an annular gap adapted for accommodating the walls of the tubular organ being sutured, said gap being established by said staple semibushes when the latter embrace said supporting semibushes;

staples;

depressions for said staples to bend, said depressions being situated on the outer cylindrical surface of said supporting semibushes;

a means for preventing said staple semibushes from being disjoined during the operation and for fixing the position of the centre of the hole thereof with respect to the position of the centre of the hole of said supporting semibushes so as to attain a uniform suturing of the tubular organ being handled;

radial slots in said staple semibushes, arranged opposite said respective depressions on said supporting semibushes;

magazine semirings mounted detachably with respect to said staple semibushes;

staple semirings mounted detachably with respect to said staple semibushes;

magazines mounted movably in said radial slots of said staple semibushes so as to be replaced after the operation;

ejectors for said staples to push out, said ejectors being accommodated inside said magazines;

curvilinear grooves in said magazine semirings, said grooves being open-end ones for said magazines to be mounted with a possibility of being replaced after the operation;

curvilinear grooves in said staple semirings, said grooves being open-end ones for said staple ejectors to accommodate;

pivots of said magazines, arranged in said curvilinear grooves of said magazine semirings and adapted to engage movably said grooves;

pivots of said staple ejectors, arranged in said curvilinear grooves of said staple semirings so as to movably engage said grooves;

recesses for said magazines to reload, said recesses being made on the outer walls of said staple semibushes and arranged along the radius coinciding with the radius of said radial slots;

an automatic restrictor of a synchronous movement of said magazines and said ejectors in a radial direction towards the centre;

a mechanical actuator for said magazine semirings to traverse;

a lug of said mechanical actuator of said magazine semirings, made fast on said magazine semiring of said first staple semibush;

a strip of said mechanical actuator of said magazine semirings, said strip being traversable with respect to said staple body, the first end of said strip being threaded, while the second end is adapted to interact with said lug;

a sliding nut of said mechanical actuator of said magazine semirings, said nut being fitted on the threaded end of said strip;

a mechanical actuator for said staple semirings to traverse;

a double-arm actuating lever of said mechanical actuator of said staple semirings, said lever being engaged involutely with said staple semirings.

2. A surgical instrument as claimed in claim 1, wherein said means for preventing said staple semibushes from being disjoined during the operation and for fixing the position of the centre of the hole thereof with respect to the position of the centre of the hole of said supporting semibushes for the tubular organ to suture uniformly, comprises:

a hinge lock of said means, provided on the outer surface of said staple semibushes so as to prevent these from being disjoined during the operation;

shanks of said means, each of them being located on the outer surface of the vacant end of each of said supporting semibushes;

detents of said means, situated on the inner surface of the vacant end of each of said staple semibushes and adapted to interact with said shanks so as to fix the position of the centre of the hole of said staple semibushes with respect to the position of the centre of the hole of said supporting semibushes for the tubular organ to suture uniformly.

3. A surgical instrument as claimed in claim 1, comprising:

one more row of U-shaped staples located in said magazines under said staples, the backs of said staples of the other row being square with the longitudinal axis of said supporting semibushes;

the surface of said supporting semibushes being a polyhedral one;

one more row of said depressions for said staples to bend, said depressions being made on the faces of said polyhedral surface of said supporting semibushes.

4. A surgical instrument as claimed in claim 1, wherein said automatic restrictor of a synchronous radial movement of said magazines and said ejectors towards the centre comprises:

a shaped recess in said automatic restrictor, in the form resembling the letter P, said recess being situated on the surface of the shorter arm of said actuating lever, facing said staple body, while the narrower portion of said recess faces the hinge hoint of said actuating lever and is bounded by a longitudinal slot whose axis coincides with the longitudinal axis of said staple body, whereas the wider portion of said recess is defined by two arcuate walls of different radii, the centre of which coincides with the fulcrum of said actuating lever, by a first inclined wall conjugated with the larger-radius arcuate wall and with a first wall of the longitudinal slot, and by a second inclined wall conjugated with the larger-radius arcuate wall and with the smaller-radius arcuate wall which is conjugated with a second wall of the longitudinal slot;

a pivot of said automatic restrictor, positively locked to said strip of said mechanical actuator of said magazine semirings, said pivot passing through said staple body so that interaction of said pivot with the first inclined wall of said shaped recess provides for a synchronous radial travel of said magazines and said ejectors towards the centre, and after the tubular organ has been sutured, said interaction restricts the movement of said ejectors away from the centre, whereas the interaction of said pivot with the second inclined wall of said shaped recess restricts the radial travel of said ejectors towards the centre at the moment of suturing the tubular organ, and when said pivot engages the longitudinal slot of said shaped recess said actuating lever gets arrested which prevents its operation upon an accidental pressing of said lever before the moment of suturing the tubular organ.

5. A surgical instrument as claimed in claim 4, wherein the other end of said strip is articulated at the other end of said pivot of said automatic restrictor, said other end of the strip being made as a lever whose vacant end is articulated to said lug on said magazine semiring, said lug being situated within the zone restricted by a minimum effort applied to said lever while said magazines are being moved radially away from the centre, and while these are being moved radially towards the centre.

6. A surgical instrument as claimed in claim 4, comprising L-shaped detents positively locked on said staple body and on said staple strip and adapted for holding the supporting member of the instrument with respect to the staple member thereof.

7. An attachment to said staple body of a surgical instrument, comprising:

a strip;

a means for holding said strip to said staple body;

an operative end of said strip having a radial projection to the outer surface of which said supporting semibush is positively locked, provided with two rows of said depression;

a pivot;

a lever movably mounted on said pivot at the centre of said supporting semibush at the supporting operative end of said strip;

a first end of said lever shaped as a segment having on its inner surface said curvilinear grooves, and on its outer surface, a number of teeth for an involute meshing with said actuating lever;

a second end of said lever adapted for said staple semiring and said segment to return into the initial position after the suturing has been over.