Surgical anastomosis stapling instrument

• US 5,205,459 A
• Filed: 09/01/1992
• Issued: 04/27/1993
• Est. Priority Date: 08/23/1991
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Nobis, Rudolph H., Zeiner, Mark S., Bilotti, Federico, Wolf, Helmut, Fox, William, Allen, E. David, Brinkerhoff, Ronald J.
• Primary Examiner(s): Yost, Frank T.
• Assistant Examiner(s): Smith, Scott A.
• Application Number:
  US07/938,982
• Time in Patent Office: 238 Days
• Field of Search: 227/176, 227/177, 227/178, 227/179, 227/175, 227/19
• US Class Current: 227/179.1
• 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 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2919 details of linkages or pivot points

Abstract

A surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. The stapling head assembly includes a longitudinally movable trocar detachably secured by one or more retainer clips on a hollow shaft of the anvil. When the trocar is retracted, the anvil shaft slides into a central support tube which aligns the anvil axially and circumferentially with a staple holder on the stapling head assembly. The retainer clips are locked against the trocar by the support tube and transmit tension from the trocar to the anvil with no tension load on the anvil shaft. The aotuator mechanism permits adjustment of the anvil gap to produce a desired staple heiqht and precludes actuation of the staple head assembly if the anvil gap is set outside of a predetermined range. Also, the actuator mechanism is adapted to both advance and retract the staple driver relative to the staple holder in the stapling head assembly. Further, an improved arrangement for attaching the support shaft to the stapling head assembly and to the actuator handle assembly is provided.

Claims

1. A surgical stapling instrument for applying one or more surgical staples to tissue, comprising:

a stapling head assembly including a staple holder for receiving one or more surgical staples, an anvil fo clamping the tissue against said staple holder, and driver means for engaging and driving the staples from said staple holder into the tissue and against said anvil;

an actuator handle assembly for actuating said staple driver;

a shaft assembly including a longitudinally curved support shaft for mounting said stapling head assembly on said actuator handle assembly said shaft assembly having a tubular shape with a circular cross section, defined by a diameter and containing a hollow interior;

a tension member contained within said hollow interior of said support shaft for transmitting tension from said actuator handle assembly to said anvil to resist the forces exerted on said anvil when the staples are formed said tension band placed generally along the center of said shaft along said diameter;

a compression member contained within said hollow interior of support shaft for transmitting a compressive force from said actuator handle assembly to advance said staple driver to drive the staples from said staple holder into the tissue and to form the staples against said anvil; and

said compression member placed entirely on one side of said diameter with said hollow interior and having an elongated wall section extending through said support shaft and including an integral guide surface thereon for engaging and supporting said tension member.

2. The stapling instrument of claim 1, wherein:

said wall section of said compression member has a non-tubular cross section.

3. The stapling instrument of claim 1, wherein:

said tension member comprises an elongated flexible band.

4. The stapling instrument of claim 1, wherein:

said guide surface on said compression member is a curved surface with a planar ramp extending longitudinally along said wall section said ramp engaging said tension member.

5. The stapling instrument of claim 1, wherein:

said compression member consists of material which is flexible relative to said support shaft.

6. The stapling instrument of claim 5, wherein:

said compression member consists of fiber filled plastic material.

7. The stapling instrument of claim 1, wherein:

said longitudinally curved support shaft has a uniform radius of curvature between said stapling head assembly and said actuator assembly.

8. A surgical stapling instrument for joining a pair of hollow organ sections with a plurality of surgical staples around a hollow lumen between the organ sections, comprising:

a stapling head assembly including a staple holder containing a plurality of surgical staples, an anvil for forming the staples, said anvil being mounted on an anvil shaft slidable supported for movement relative to said stapling head assembly to allow the tissue of the organ sections to be clamped between said anvil and said staple holder, and a staple driver for engaging and driving the staples from said staple holder into the tissue and against said anvil;

an actuator handle assembly remote from said stapling head assembly and having first actuator means for controlling the motion of said anvil and second actuator means for controlling the motion of said staple driver;

a shaft assembly including a longitudnially curved tubular support shaft for mounting said stapling head assembly on said actuator hand assembly said shaft assembly having a tubular shape with a circular cross section defined by a diameter and containing a hollow interior;

a tension member contained within said hollow interior of said tubular support shaft for transmitting longitudinal tension and longitudinal motion relative to said support shaft from said first actuator means to said anvil shaft to move said anvil toward said staple holder to clamp the tissue and resist the forces exerted on said anvil when the staples are driven through the tissue and formed against said anvil said tension band placed generally along the center of said shaft along said diameter;

a compression member contained within said tubular support shaft for transmitting longitudinal compressive force and longitudinal motion relative to said support shaft from said second actuator means to said staple driver to advance said staple driver to drive the staples from said staple holder into the tissue and against said anvil; and

said compression member placed entirely on one side of said diameter within said hollow interior and having an elongated wall section extending through said tubular support shaft and including an integral guide surfae thereon for engaging and supporting said flexible band.

9. The stapling instrument of claim 8, wherein:

said wall section of said compression member has a non-tubular cross section.

10. The stapling instrument of claim 8, wherein:

said tension member comprises an elongated flexible band.

11. The stapling instrument of claim 8, wherein:

said guide surface on said compression member is a curved surface with a planar ramp extending longitudinally along said wall section said ramp engaging said tension member.

12. The stapling instrument of claim 8, wherein:

said compression member consists of material which is flexible relative to said support shaft.

13. The stapling instrument of claim 12, wherein:

said compression member consists of fiber filled plastic material.

14. The stapling instrument of claim B, wherein:

said longitudinally curved support shaft has a uniform radius of curvature between said stapling head assembly and said actuator assembly.

15. A surgical stapling instrument for joining a pair of hollow organ sections with a plurality of surgical staples around a hollow lumen between the organ sections, comprising:

a stapling head assembly including a staple holder containing a plurality of surgical staples, an anvil for forming the staples, said anvil being mounted on an anvil shaft slidable supported for movement relative to said stapling head assembly to allow the tissue of the organ sections to be clamped between said anvil and said staple holder, and a staple driver for engaging and driving the staples from said staple holder into the tissue and against said anvil;

an actuator handle assembly remote from said stapling head assembly and having first actuator means for controlling the motion of said anvil and second actuator means for controlling the motion of said staple driver;

a shaft assembly including a longitudnially curved tubular support shaft for mounting said stapling head assembly on said actuator hand assembly;

a tension member contained within said tubular support shaft for transmitting longitudinal tension and longitudinal motion relative to said support shaft from said first actuator means to said anvil shaft to move said anvil toward said staple holder to clamp the tissue and resist the forces exerted on said anvil when the staples are driven through the tissue and formed against said anvil;

a compression member contained within said tubular support shaft for transmitting longitudinal compressive force and longitudinal motion relative to said support shaft from said second actuator means to said staple driver to advance said staple driver to drive the staples from said staple holder into the tissue and against said anvil; and

said compression member having an elongated wall section extending through said tubular support shaft and including an integral guide surface thereon for engaging and supporting said flexible band;

a trocar secured to said tension member and slidably received in said stapling head assembly for longitudinal movement relative to said staple holder; and

retainer means for detachably securing said trocar to said anvil shaft;

wherein said second actuator means is adapted to retract said staple driver after said staples are formed;

wherein said anvil shaft supports a pair of spring-like retainer clips for releasably engaging said trocar tip when said trocar is inserted into said anvil shaft; and

said anvil shaft further comprsiing a raised circumferential section to fit on such said support tube such that said anvil is aligned with said staple holder;

and further comprising a backup member mounted on said anvil and means to secure said backup member to said anvil to prevent dislodgement of said backup member from said anvil;

latch means responsive to said first actuator means for preventing operation of said second actuator means when the gap between said anvil and said staple holder is outside a predetermined distance;

a casing supporting said stapling head assembly, said casing containing a hollow connector;

a ferrule compressed radially inward over said support shaft and said connector.