Surgical stapler apparatus with improved tissue shield

• US 4,881,544 A
• Filed: 12/19/1988
• Issued: 11/21/1989
• Est. Priority Date: 12/19/1988
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Aranyi, Ernest, Green, David T.
• Primary Examiner(s): Coven, Edward M.
• Assistant Examiner(s): Jackson, Gary
• Application Number:
  US07/286,507
• Time in Patent Office: 337 Days
• Field of Search: 128/334 R, 227/19, 227/DIG. 1
• US Class Current: 227/178.1
• 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 2017/07214 Stapler heads
• 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: Y10S 227/901 Surgical clip appliers

Abstract

An improved surgical stapler for simultaneously applying a plurality of surgical fasteners to body tissue, incorporating a flexible and resilient shield assembly comprising a substantially U-shaped wedge member mounted to and around the end of the anvil assembly, for separating extraneous body tissue from tissue to be fastened, and two shutter blades mounted on the sides of the wedge member for preventing extraneous body tissue from entering into the gap between the anvil assembly and fastener holder.

Claims

1. In an improved surgical stapler for substantially simultaneously applying a plurality of surgical fasteners to body tissue comprising a handle, a gripping lever, a frame with a U-shaped distal portion, an anvil assembly mounted at the distal leg of the U-shaped distal portion, a fastener holder pivotally connected to the anvil assembly adjacent one end of the anvil assembly thereby defining a gap between them and containing a plurality of surgical fasteners and optionally including a knife means for cutting body tissue, the stapler mechanism further including a fastener driving means for substantially simultaneously driving all of the fasteners from the fastener holder, and means for actuating the fastener holder, the improvement comprising:

shield assembly means mounted on the sides of the anvil assembly for preventing extraneous body tissue from being operated upon the surgical stapler, said shield assembly means comprising a wedge member for separating the extraneous tissue from the body tissue to be fastened and two shutter blades acting in cooperation with the wedge member for deflecting the extraneous tissue from entering the gap between the anvil assembly and the fastener holder.

2. The surgical stapler of claim 1 wherein the wedge member is a substantially U-shaped member having a rounded end and two prongs, the inside surfaces of said prongs being fixed at one end to the sides of the anvil assembly, and the rounded end of the wedge extending beyond the anvil assembly.

3. The surgical stapler of claim 2 wherein the shield assembly is flexibly moveable in response to pressure between a first proximal position and a second distal position.

4. The surgical stapler of claim 3 wherein the wedge means and the shutter blades are flexibly pivotable in opposite directions of rotation.

5. The surgical stapler of claim 4 wherein the two prongs of the wedge means each have an indentation on the edge of the prong distal to the stapler to facilitate flexing, and the shutter blades each have an indentation on the edge of the blade distal to the stapler to facilitate flexing.

6. The surgical stapler of claim 3 wherein the shield assembly is resiliently biased to its proximal first position.

7. The invention of claim 2 wherein the two shutter blades each have a relatively narrow end fixedly mounted to one of each of two opposite sides of the wedge member in proximity to the rounded end of said wedge member, and having a relatively wider end in proximity to the fixed end of the prongs of the wedge member.

8. The surgical stapler of claim 1 wherein the shield assembly is made of resilient material.

9. The surgical stapler of claim 7 wherein the resilient material is a polymeric material.

10. The surgical stapler of claim 8 wherein the polymeric material is a polycarbonate.

11. In an improved surgical stapler for substantially simultaneously applying a plurality of surgical fasteners to body tissue comprising a handle, a gripping lever, a frame with a U-shaped distal portion, an anvil assembly mounted at the distal leg of the U-shaped distal portion, a fastener holder pivotally connected to the anvil assembly adjacent one end of the anvil assembly thereby defining a gap between them and containing a plurality of surgical fasteners and including a knife means for cutting body tissue, the stapler mechanism further including a fastener driving means for substantially simultaneously driving all of the fasteners from the fastener holder, and means for actuating the fastener holder, the improvement comprising:

shield assembly means mounted on the sides of the anvil assembly for preventing extraneous body tissue from being operated upon the surgical stapler, said shield assembly means comprising a wedge member for separating the extraneous tissue from the body tissue to be fastened and two shutter blades acting in cooperation with the wedge member for deflecting the extraneous tissue from entering the gap between the anvil assembly and the fastener holder.

12. The surgical stapler of claim 11 wherein the wedge member is a substantially U-shaped member having a rounded end and two prongs, the inside surfaces of said prongs being fixed at one end to the sides of the anvil assembly, and the rounded end of the wedge extending beyond the anvil assembly.

13. The surgical stapler of claim 12 wherein the shield assembly is flexibly moveable in response to pressure between a first proximal position and a second distal position.

14. The surgical stapler of claim 13 wherein the wedge means and the shutter blades are flexibly pivotable in opposite directions of rotation.

15. The surgical stapler of claim 14 wherein the two prongs of the wedge means each have an indentation on the edge of the prong distal to the stapler to facilitate flexing, and the shutter blades each have an indentation on the edge of the blade distal to the stapler to facilitate flexing.

16. The surgical stapler of claim 13 wherein the shield assembly is resiliently biased to its proximal first position.

17. The surgical stapler of claim 11 wherein the shield assembly is made of resilient material.

18. The surgical stapler of claim 17 wherein the resilient material is a polymeric material.

19. The surgical stapler of claim 18 wherein the polymeric material is a polycarbonate.

20. The invention of claim 11 wherein the two shutter blades each have a relatively narrow end fixedly mounted to one of each of two opposite sides of the wedge member in proximity to the rounded end of said wedge member, and having a relatively wider end in proximity to the fixed end of the prongs of the wedge member.