Surgical stapler apparatus with tissue shield

• US 4,915,100 A
• Filed: 12/19/1988
• Issued: 04/10/1990
• 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: Green, David T.
• Primary Examiner(s): Coven, Edward M.
• Assistant Examiner(s): Jackson, Gary
• Application Number:
  US07/286,506
• Time in Patent Office: 477 Days
• Field of Search: 128/334 R, 227/19, 227/DIG. 1
• US Class Current: 227/176.1
• 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: A61B 2090/08021 of the patient or his organs

Abstract

An improved surgical stapler for simultaneously applying a plurality of surgical fasteners to body tissue incorporating a flexible resilient U-shaped shield mounted to and around the end of the anvil assembly for separating extraneous body tissue from tissue to be fastened, and for preventing extraneous body tissue from entering 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 means mounted on the sides of the anvil assembly for preventing extraneous body tissue from being operated upon the surgical stapler, said shield means having a wedge means for separating extraneous tissue from the body tissue to be fastened and having deflecting means 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 said shield means is a substantially U-shaped member having a rounded end and two legs,

said two legs providing deflecting means for deflecting extraneous tissue from entering the gap between the anvil assembly and the fastener holder,

the inside surfaces of said legs being fixed at one end to the sides of the anvil assembly, and the rounded end of the shield means extending beyond the anvil assembly.

3. The surgical stapler of claim 2 wherein the rounded end of said shield means has a tip angled at less than 90°

in a direction transverse to that of the curvature of the end, said tip providing wedge means for separating extraneous tissue from the body tissue to be fastened.

4. The surgical stapler of claim 1 wherein the shield means is flexibly pivotable in response to pressure between a first proximal position and a second distal position.

5. The surgical stapler of claim 2 wherein the width of the shield legs near the rounded end is greater than the width of the shield legs near their respective fixed ends, and the shield legs close off entry into the gap between the anvil assembly and fastener holder

6. The surgical stapler of claim 4 wherein the shield means is resiliently biased to its proximal position.

7. The surgical stapler of claim 1 wherein the shield legs each have an indentation on the edge of the legs distal to the stapler.

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

9. The surgical stapler of claim 8 wherein the resilient material is a polymeric material.

10. The surgical stapler of claim 9 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 means mounted on the sides of the anvil assembly for preventing extraneous body tissue from being operated upon the surgical stapler, said shield means having a wedge means for separating extraneous tissue from the body tissue to be fastened and having deflecting means 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 said shield means is a substantially U-shaped member having a rounded end and two legs,

said two legs providing deflecting means for deflecting extraneous tissue from entering the gap between the anvil assembly and the fastener holder,

the inside surfaces of said legs being fixed at one end to the sides of the anvil assembly, and the rounded end of the shield means extending beyond the anvil assembly.

13. The surgical stapler of claim 12 wherein the rounded end of said shield means has a tip angled at less than 90°

in a direction transverse to that of the curvature of the end, said tip providing wedge means for separating extraneous tissue from the body tissue to be fastened.

14. The surgical stapler of claim 11 wherein the shield means is flexibly pivotable in response to pressure between a first proximal position and a second distal position.

15. The surgical stapler of claim 12 wherein the width of the shield legs near the rounded end is greater than the width of the shield legs near their respective fixed ends, and the shield legs close off entry into the gap between the anvil assembly and fastener holder

16. The surgical stapler of claim 14 wherein the shield means is resiliently biased to its proximal position.

17. The surgical stapler of claim 12 wherein the shield legs each have an indentation on the edge of the legs distal to the stapler.

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

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

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