Endoscopic stapling device and method

• US 5,156,609 A
• Filed: 05/03/1991
• Issued: 10/20/1992
• Est. Priority Date: 12/26/1989
• Status: Expired due to Term

• Current Assignee: Granit Medical Innovations LLC
• Original Assignee: Naomi L. Nakao, Peter J. Wilk
• Inventors: Wilk, Peter J., Nakao, Naomi L.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Jackson, Gary
• Application Number:
  US07/695,702
• Time in Patent Office: 536 Days
• Field of Search: 606/138, 606/142, 606/143, 606/205, 606/139, 227/175, 227/179, 227/180, 227/904, 227/901, 128/4, 128/751
• US Class Current: 606/142
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/1222 Packages or dispensers therefor clip magazines incorporated in a clip-applying instrument A61B17/128; for surgical articles A61B50/30
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/2905 flexible

Abstract

A surgical instrument comprises an elongate forceps member having a diameter sufficiently small so that the forceps member is slidably insertable into a biopsy channel extending longitudinally through a tubular endoscope member, the forceps member being provided at a distal end with a pair of forceps jaws each formed on an inwardly facing surface with a longitudinally extending groove. A staple having a spring bias construction tending to force the staple into an opened configuration is disposed in a closed prefiring configuration between the jaws and has a pair of legs each disposed in the closed prefiring configuration in a respective one of the grooves in the forceps jaws. The provided with locking elements for locking the staple in a closed postfiring configuration.

Claims

1. A method for stapling internal body tissues, comprising the steps of:

providing a staple having a spring bias tending to force said staple into an opened configuration, said staple having a pair of legs connected to one another by a bight portion and further having means for maintaining said staple in a closed postfiring configuration;

exerting a closure force on said staple to hold said staple in a closed prefiring configuration inside the distal end of a surgical instrument in opposition to said spring bias;

shifting said staple in a distal direction to eject said staple from said surgical instrument;

relaxing said closure force, thereby permitting said staple to open under said spring bias;

inserting distal ends of said legs into the internal body tissues to be stapled; and

closing said staple and maintaining said staple in said closed postfiring configuration.

2. The method set forth in claim 1 wherein said means for maintaining includes a first locking element on one of said legs and a second locking element on another of said legs, said step of closing said staple including the step of engaging said first locking element and said second locking element to lock said staple in said closed postfiring configuration in opposition to said spring bias.

3. The method set forth in claim 2 wherein said first locking element includes a hook on a distal side and a smooth face on a proximal side, said second locking element having a hook on a proximal side and a smooth face on a distal side, the smooth face of said first locking element being in contact with the smooth face of said second locking element in said closed prefiring configuration of said staple, the hook of said first locking element engaging the hook of said second locking element in said closed postfiring configuration of said staple.

4. A method for performing a surgical operation on internal body tissues of a patient, comprising the steps of:

inserting a tubular member through an aperture in the patient'"'"'s body;

using an endoscopic member to visually located the internal body tissues inside the patient'"'"'s body;

upon locating said surgical site, pushing an elongate forceps member in a distal direction through a biopsy channel in said tubular member to eject a staple stored in a closed configuration between jaws of said forceps member inside said channel at a distal end of said tubular member;

upon ejection of said staple from said channel, opening said jaws and opening said staple from said closed configuration to an opened configuration;

pushing said forceps member further in the distal direction to move the opened staple and said jaws towards said internal body tissues;

closing said jaws to grip said internal body tissues and to close said staple in said body tissues;

maintaining said staple in a closed postfiring configuration in said internal body tissues;

upon closure of said staple, opening said forceps member to release said internal body tissues;

upon such opening of said forceps member, retracting said forceps member into said channel; and

upon retraction of said forceps member into said channel, withdrawing said tubular endoscope member out of the patient'"'"'s body through said aperture.

5. The method defined in claim 4 wherein said aperture is a natural body opening.

6. The method defined in claim 4, further comprising the step of piercing the patient'"'"'s body to form said aperture.

7. The method defined in claim 6 wherein said step of piercing is performed by using a trocar.

8. A method for performing a surgical operation on internal body tissues of a patient, comprising the steps of:

inserting a tubular member through an aperture in the patient'"'"'s body;

using an endoscopic member to visually locate the internal body tissues inside the patient'"'"'s body;

upon locating said surgical site, pushing an elongate ejector member in a distal direction through a biopsy channel in said tubular member to eject a staple stored in a closed configuration inside said channel at a distal end of said tubular member;

upon ejection of said staple from said channel, opening said staple from said closed configuration to an opened configuration;

pushing the opened staple towards said internal body tissues;

upon contact of said opened staple with said internal body tissues, closing said staple about a portion of said internal body tissues, and

upon closure of said staple, withdrawing said tubular member out of the patient'"'"'s body through said aperture.

9. The method defined in claim 8 wherein said step of pushing the opened staple comprises the step of pushing said elongate ejector member further in the distal direction.

10. The method defined in claim 9 wherein said step of closing comprises the step of pushing an elongate inner tubular member, disposed in said channel about said ejector member, in the distal direction to engage legs of said staple and thereby collapse said legs towards one another.

11. The method defined in claim 8 wherein said staple is spring biased towards an opened configuration, said step of opening being accomplished automatically by internal forces in said staple upon ejection of said staple from said channel.

12. The method defined in claim 11, further comprising the step of locking said staple upon closure thereof in the patient'"'"'s body.

13. The method defined in claim 8 wherein said aperture is a natural body opening.

14. The method defined in claim 8, further comprising the step of piercing the patient'"'"'s body to form said aperture.

15. The method defined in claim 14 wherein said step of piercing is performed by using a trocar.

16. A surgical instrument utilizable with an endoscope or rigid tubular member for performing an endoscopic or laparoscopic stapling operation, comprising:

an elongate forceps member having a diameter sufficiently small so that said forceps member is slidably insertable into a biopsy channel extending longitudinally through an outer tubular member, said forceps member being provided at a distal end with a pair of forceps jaws each formed on an inwardly facing surface with a longitudinally extending groove;

actuating means for manipulating said jaws between an opened position and a closed position;

a first staple having a spring bias tending to force said staple into an opened configuration, said staple being disposed in a closed prefiring configuration between said jaws when said jaws are closed, said staple having legs each disposed in said closed prefiring configuration in a respective one of the grooves, said staple having closure means for maintaining said staple in a closed postfiring configuration upon a closing of said jaws;

a plurality of second staples each having a spring bias tending to force the respective second staple into an opened configuration;

holder means for holding said second staples so that said second staples are disposed end to end in a closed prefiring configuration and in a substantially linear array having a predetermined position relative to said forceps jaws; and

means for advancing said second staples in a distal direction towards said jaws upon a firing of said first staple.

17. The surgical instrument set forth in claim 16, further comprising means for preventing an advance of said second staples in said distal direction while said jaws are opened.

18. The surgical instrument set forth in claim 17 wherein said means for preventing includes a part on at least one of said jaws, said part engaging a most distal of said second staples upon an opening of said jaws.

19. The surgical instrument set forth in claim 16 wherein said means for advancing includes a spring.

20. The surgical instrument set forth in claim 16 wherein said means for advancing includes a manually actuatable push member.

21. A surgical device utilizable with an endoscope or rigid tubular member for performing an endoscopic or laparoscopic stapling operation, comprising:

a first staple having a spring bias tending to force said staple into an opened configuration;

means for holding said first staple in a closed prefiring configuration at a distal end of an elongate surgical instrument;

ejector means for ejecting said first staple from the distal end of said instrument;

actuating means operatively connected to said ejector means for actuating same;

a plurality of second staples each having a spring bias tending to force the respective second staple into an opened configuration;

holder means in said instrument for holding said second staples so that said second staples are disposed end to end in a closed prefiring configuration and in a substantially linear array having a predetermined position relative to said means for holding; and

means for advancing said second staples towards the distal end of said instrument upon a firing of said first staple.

22. The surgical device set forth in claim 21, further comprising means for closing said first staple upon ejection thereof from the distal end of said instrument.

23. The surgical device set forth in claim 22 wherein said first staple is provided with closure means for maintaining said first staple in closed configuration upon a closure of said first staple at a surgical site.

24. The surgical device set forth in claim 21 wherein said means for holding includes an elongate forceps member having a pair of forceps jaws each provided with a groove, said first staple being disposed in a closed prefiring configuration between said jaws when said jaws are closed, said staple having legs each disposed in said closed prefiring configuration in a respective one of the grooves, said staple having closure means for maintaining said staple in a closed postfiring configuration upon a closing of said jaws.

25. A surgical device utilizable with an endoscope or rigid tubular member for performing an endoscopic or laparoscopic stapling operation, comprising:

a forceps member slidably disposable inside a biopsy channel of an endoscopic or laparoscopic instrument;

actuating means operatively connected to said forceps member for manipulating jaws of said forceps member between opened and closed positions;

a staple disposed in a closed prefiring configuration between said jaws when said jaws are closed; and

locking means for temporarily locking said staple to said jaws at least during an opening motion of said jaws.

26. The surgical device set forth in claim 25 wherein said locking means includes longitudinally slidable rods.

27. The surgical device set forth in claim 26 wherein said locking means further includes aperture forming elements on said legs.

28. The surgical device set forth in claim 25 wherein said forceps jaws each formed on an inwardly facing surface with a longitudinally extending groove, said staple including legs seated in said grooves.

29. The surgical device set forth in claim 25 wherein said staple has a spring bias tending to force said staple into a closed configuration.