Pull-through circular anastomosic intraluminal stapler with absorbable fastener means

• US 5,222,963 A
• Filed: 01/17/1991
• Issued: 06/29/1993
• Est. Priority Date: 01/17/1991
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Transue, James A., Miller, Michael B., Zeiner, Mark S., Brinkerhoff, Ronald J.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Jackson, Gary
• Application Number:
  US07/642,496
• Time in Patent Office: 894 Days
• Field of Search: 606/153, 606/154, 606/220, 227/175-180, 227/19, 411/457, 411/509, 411/512, 24/616, 24/615, 24/590, 24/548, 24/621, 24/295, 24/297
• US Class Current: 606/153
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• 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 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: Y10T 24/45534 having connected leading edge and separated trailing arms

Abstract

A mechanism which is capable of anastomosis of two lumens by an absorbable fastener. The fastener is made from two washer-like plates. One such plate has holes to receive latching prongs protruding from the other plate. Fastening is done through a single linear motion that causes the prongs to pierce the tissue, latches the prongs into a receiver and causes a knife blade to cut through excess fastener material and tissue. The ease of removal, by pulling the mechanism thorugh the formed anastomosis, is greatly enhanced. The system can be used such that the plates can be placed in any configuration to properly anastomose tissue.

Claims

1. An absorbable anastomotic tissue fastener comprising:

(a) a tissue piercing plate containing a plurality of tissue piercing prongs for insertion through tissue; and

(b) a receiving plate containing a plurality of receptors capable of locking said prongs therein;

wherein said tissue is held between said piercing plate and said receiving plate by being maintained on said prongs locked within said receptors and wherein said plates are circular in shape, and said prongs and receptors are positioned on the circumference of said plates and such that said plates are frangible inside said circumferences, such that upon breaking said piercing plate, said prongs contained on a ring on said circumference, and such that upon breaking said receiving plate, said receptors are contained on a ring on said circumference.

2. The fastener of claim 1 wherein said plates are absorbable by the human body.

3. The fastener of claim 1 where said prongs are sharpened to readily pierce tissue.

4. The fastener of claim 3 wherein said prongs contain detent means and said receptors contain latch means such that said detent means locks on said latch means.

5. The fastener of claim 1 wherein said plates are generally flat.

6. The fastener of claim 1 wherein each of said plates are frangible along a weakened portion of said plate, each said weakened portion comprising a ring of reduced thickness located on said plate and capable of breaking upon the exertion of a shear force on said plate.

7. An instrument for anastomotic tissue fastening comprising:

an anvil capable of holding a first absorbable staple ring;

a driving mechanism capable of holding a second absorbable staple ring which mates and locks with said first absorbable staple ring, said driving mechanism capable of placing said rings into proximity of each other;

knife means for cutting tissue, said knife means held within said driving mechanism; and

first and second absorbable staple rings, wherein one of said absorbable staple rings contains a plurality of tissue piercing prongs arranged circumferentially about said ring for insertion through tissue and the other of said absorbable staple rings contains a plurality of receptors capable of locking said prongs therein with tissue placed between said rings on said prongs, said receptor shaped to engage said prongs so that each said prong is separated by at least a portion of a said receptor, and wherein said knife means are capable of cutting excess tissue contained inside the circumferences of said absorbable staple rings and being pulled through the joined staple rings, and wherein said prongs contain detent means and said receptors contain locking means for locking said receptors when said driving means bring said rings into proximity of each other and wherein said rings are frangible inside their respective circumferences, such that upon said knife means cutting tissue said knife means similarly breaks said rings, such that said prongs are contained on a ring on said circumference, and such that upon breaking said receiving ring said receptors are contained on a ring on said circumference.

8. The instrument of claim 7 wherein said anvil further contains a die into which said knife means are actuable, said knife means exerting a shear force on said tissue against said die.

9. The instrument of claim 8 wherein said die is a female die and said knife shears said tissue against said female die.

10. The instrument of claim 7 further containing actuation means for bringing said rings into proximity, piercing the tissue, locking the rings and then cutting the excess tissue.

11. The instrument of claim 10 wherein said anvil and driving means are removable through the center of said rings such that said rings maintain proximated tissue therein upon the retraction of said instrument.

12. An instrument for anastomotic tissue fastening comprising:

an anvil capable of holding a first absorbable staple ring;

a driving mechanism capable of holding a second absorbable staple ring which mates and locks with said first absorbable staple ring, said driving mechanism capable of placing said rings into proximity of each other;

knife means for cutting tissue, said knife means held within said driving mechanism; and

first and second absorbable staple rings, wherein one of said absorbable staple rings contains a plurality of tissue piercing prongs arranged circumferentially about said ring for insertion through tissue and the other of said absorbable staple rings contains a plurality of receptors capable of locking said prongs therein with tissue placed between said rings on said prongs, said receptor shaped to engage said prongs so that each said prong is separated by at least a portion of a said receptor, and wherein said knife means are capable of cutting excess tissue contained inside the circumferences of said absorbable staple rings and being pulled through the joined staple rings, and wherein said prongs contain detent means and said receptors contain locking means for locking said receptors when said driving means bring said rings into proximity of each other; and

wherein said die is a male die and said driving means further contains a spring such that said spring causes said rings to lock together by holding said rings against one another, and after said locking takes place, said knife means shears the tissue against said male die.

13. An instrument for anastomosic tissue fastening comprising:

an anvil capable of holding a first absorbable staple plate;

driving means capable of holding a second absorbable staple plate which self-aligns and locks with said first plate, said driving means capable of placing said plates into proximity of each other;

knife means for cutting tissue, said knife means held within said driving means; and

first and second absorbable staple plates wherein one of said plates contains a plurality of tissue piercing prongs arranged circumferentially about said plate for insertion through tissue and the other of said plate contains a plurality of receptors capable of locking said prongs therein with tissue placed between said plates and on said prongs, said receptor shaped to engage said prongs so that each said prong is separated by at least a portion of a said receptor and wherein said knife means are capable of cutting excess tissue held between said plates and wherein said prongs contain detent means and said receptors contain locking means for locking said receptors when said driving means being said plates into proximity of each other and wherein said plates are circular in shape, and said prongs and receptors are positioned on the circumferences of said plates, such that said plates are frangible inside said circumferences.

14. The instrument of claim 13 wherein said anvil further contains a die into which said knife means are actual, said knife means exerting a shear force on said tissue against said die.

15. The instrument of claim 14 wherein said die is a female die and said knife shears said tissue against said female die.

16. The instrument of claim 13 wherein said die is a male die and said driving means further contains a spring such that said spring causes said rings to lock together by holding said plates against one another, and after said locking takes place, said knife means shears the tissue against said male die.

17. The instrument of claim 13 further containing actuation means for bringing said plates into proximity, piecing the tissue, locking the plates and then cutting the excess tissue.

18. The instrument of claim 17 wherein said anvil and driving means are removable through the center of said rings such that said rings maintain proximated tissue therein upon the retraction of said instrument.

19. The instrument of claim 18 wherein upon breaking said piercing plate, said prongs are contained on a ring on said circumference and such that upon breaking said receiving plate, said receptors are contained on a ring on said circumference.

20. The instrument of claim 19 wherein said anvil further contains a die into which said knife means are actual, said knife means exerting a shear force on said tissue against said die.

21. The instrument of claim 20 wherein said prongs are sharpened to readily pierce tissue.

22. The instrument of claim 21 wherein said prongs contain detent means and said receptors contain latch means such that said detent means locks on said latch means.

23. The instrument of claim 20 wherein said plates are generally flat.

24. The instrument of claim 20 wherein each of said plates are frangible along a weakened portion of said plate, each said weakened portion comprising a ring of reduced thickness located on said plate and capable of breaking upon the exertion of a shear force along said plate.

25. The instrument of claim 24 wherein said die is a male die and said driving means further contain a spring such that said spring causes said plates to lock together by holding said plates against one another, and after said locking takes place, said knife means shears the tissue and the weakened portion of said plates against the male die.

26. The instrument of claim 24 wherein said die is a female die and said knife shears said tissue and the weakened portion of said plates against the female die.

27. The instrument of claim 24 further containing actuation means for bring said plates into proximity, piercing the tissue, locking said plates and then cutting the excess tissue and the weakened portion of said plates

28. The instrument of claim 27 wherein said anvil and driving means are removable through the center of said rings such that said rings maintain proximated tissue therein upon the retraction of said instrument.

29. A stapler comprising:

a head portion having a circular cross section;

a driving mechanism, said driving mechanism connected by a longitudinal shaft to said head portion;

an anvil portion, said anvil portion connectable to said head portion and having a circular cross section smaller in diameter than said head portion; and

fastener means inserted between said head portion and said anvil portion;

wherein said fastener means are circular and frangible circumferentially into an outer and inner portion and said anvil portion fits through the outer circumference portion of said fastener means.

30. A method of stapling tissue together comprising:

clamping tissue between an anvil of a surgical stapling apparatus and a head portion of a surgical stapling apparatus;

driving a circular tissue-piercing ring containing a circumferentially arranged plurality of tissue-piercing prongs through said tissue;

attaching said circular tissue-piercing ring to a circular receiving ring containing a plurality of receptors capable of locking said prongs therein;

severing the claimed tissued on a circular knife held within the head portion of the apparatus;

severing a circular portion of one of said tissue piercing ring or said receiving ring while severing said tissue, said circular portion having a smaller radial length than that of said tissue piercing prongs; and

pulling the stapling anvil apparatus through the stapled together tissue.