Surgical instrument and staples for applying purse string sutures

• US 5,242,457 A
• Filed: 05/08/1992
• Issued: 09/07/1993
• Est. Priority Date: 05/08/1992
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Akopov, Ernest, Ramm, Anatoly, Astashev, Vyacheslav, Reztsov, Alexandr
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US07/881,010
• Time in Patent Office: 487 Days
• Field of Search: 606/75, 606/148, 606/219, 606/220, 606/144, 606/151, 227/175-178, 227/19, 227/181, 227/902, 24/533, 24/534, 411/457, 411/458, 411/473, 411/456, 411/471, 411/459-464, 411/472, 411/483, 411/485
• US Class Current: 606/144
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/04 for suturing wounds; Holders or packages for needles or suture materials suture materials A61L17/00
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/1125 Forceps, specially adapted for performing or assisting anastomosis
• CPC Class Codes: A61B 2017/1142 Purse-string sutures
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: F16B 15/0015 Staples
• CPC Class Codes: Y10S 227/902 Surgical clips or staples

Abstract

A surgical staple for securing a purse string suture to human tissue comprises a staple body of deformable material formed into a loop through which the purse string suture is threaded. The staple body includes a pair of legs which are deformable into an overlapping configuration upon insertion into the tissue to secure the staple body and the purse string suture to the tissue. Alternatively, the staple body includes two or more legs including barbed ends for anchoring the legs to the tissue. To secure the purse string suture, a plurality of staples is positioned about the periphery of the tubular section of tissue, the purse string suture is threaded through the loops in the staples, and the staples are driven into the tissue to secure the purse string suture thereto. In addition, a surgical instrument is provided for applying the staples and the purse string suture to the tissue. The instrument includes a pair of staple cartridges each having a row of staple receiving slots intersected by an elongated central slot which allows the purse string suture to be attached to the staples in the cartridge prior to the operation of the instrument.

Claims

1. A surgical instrument for applying a purse string suture to tissue, comprising:

a pair of staple cartridges having opposed tissue clamping surfaces for clamping the tissue therebetween;

a row of staple receiving slots defining an axis formed in each of said cartridges, each slot being able to receive a staple with its legs pointing toward the tissue clamping surface of said cartridge;

a central slot extending along said tissue clamping surface of each staple cartridge for receiving a purse string suture connected to the staples in each of said staple receiving slots;

a staple pusher bar slidably mounted in each cartridge and able to engage and bend the legs of each staple toward the tissue clamping surface of said cartridge upon movement of said staple pusher bar relative to said cartridge; and

actuating means for sliding the pusher bar in each staple cartridge to bend the staple legs and secure the staples and the purse string suture to the tissue clamped between said cartridges wherein;

said staple pusher bar is movable relative to said cartridge in a direction parallel to the axis of the row of staples therein.

2. The surgical instrument of claim 1, wherein:

said central slot in each cartridge intersects each of said staple receiving slots therein.

3. The surgical instrument of claim 1, wherein:

said pusher bar includes a series of opposed pairs of wedge-shaped protrusions corresponding to the staple receiving slots in said cartridge, each pair of wedge-shaped protrusions being adapted to engage and bend the legs of the staple toward the tissue clamping surface into an overlapped configuration when said staple pusher bar is moved longitudinally relative to said cartridge.

4. A surgical instrument of applying a purse string suture to tissue, comprising:

a plurality of staples, each said staple having a pair of legs;

a pair of elongated handles pivotally connected together, said handles supporting a pair of jaws for receiving the tissue therebetween;

a pair of staple cartridges mounted on said jaws, said cartridges having opposed tissue jaws, said cartridges having opposed tissue clamping surfaces for clamping the tissue therebetween;

a row of staple receiving slots defining an axis formed in each of said cartridges, each slot being able to receive a staple with its legs pointing toward the tissue clamping surface of said cartridge;

a central slot extending along said tissue clamping surface of each staple cartridge for receiving a purse string suture connected to the staples in each of said staple receiving slots;

a staple pusher bar slidably mounted in each cartridge and able to engage and bend the legs of each staple toward the tissue clamping surface of said cartridge upon movement of said staple pusher bar in a direction parallel to the axis of said cartridge; and

actuating means on one of said handles for sliding the pusher bar in each staple cartridge to bend the staple legs and secure the staples and the purse string suture to the tissue clamped between said cartridges.

5. The surgical instrument of claim 4, wherein said actuating means comprises:

a staple actuating lever pivotally mounted on one of said handles;

means for connecting said staple actuating lever to the staple pusher bar in each of said cartridges; and

said staple actuating lever being manually pivotable to displace said connecting means to move the staple pusher bar in each of said cartridges.

6. The surgical instrument of claim 5, which includes;

a locking member pivotally mounted on one of said handles and movable between a first position in which said staple actuating lever is locked against movement and a second position in which said staple actuating lever is unlocked for movement.

7. A staple cartridge, comprising:

a plurality of staples, each said staple having a pair of legs;

an elongated housing including a tissue engaging surface, a plurality of transverse slots extending into said housing from said tissue engaging surface for receiving said staples therein, and an elongated central slot for receiving a purse string suture attached to each of the staples, said central slot extending longitudinally along said housing and intersecting said transverse slots; and

a staple pusher bar slidably mounted for longitudinal movement in said housing, said staple pusher bar being able to engage and bend the legs of each staple toward the tissue clamping surface to secure the staples and the purse string suture to the tissue.

8. The staple cartridge of claim 7, wherein:

said pusher bar includes a series of opposed pairs of wedge-shaped protrusions corresponding to the staple receiving slots formed in said housing, each pair of wedge-shaped protrusions being able to engage and bend the legs of the staple toward the tissue clamping surface into an overlapped configuration when said staple pusher bar is moved longitudinally relative to said housing.

9. The staple cartridge of claim 8, wherein:

each wedge-shaped protrusion has a staple forming edge slanted inwardly toward the center of said staple pusher bar for engaging and bending the staple legs inwardly toward each other as said staple pusher bar is moved relative to said cartridge.

10. The staple cartridge of claim 7, wherein:

each staple receiving slot is located between a pair of ridges which extend upwardly from the top of the housing.

11. The staple cartridge of claim 10, wherein:

each pair of ridges is separated by a depression from the next adjacent pair of ridges.

12. The staple cartridge of claim 10, wherein:

said elongated central slot opens into a longitudinal V-shaped groove defined by inclined surfaces which are sloped upwardly and outwardly from the central slot and terminate at the top of said ridges.

13. The staple cartridge of claim 7, wherein:

each staple includes an eyelet which extends in the opposite direction from the staple legs for receiving the purse string suture; and

said housing includes a plurality of recesses at the bottom of said staple receiving slots for receiving the eyelets of the staples therein.

14. A surgical staple for securing a purse string suture to tissue, comprising:

a staple body shaped into a ring to provide an eyelet for receiving a purse string suture, said staple body including two or more legs with barbed ends for anchoring said legs to the tissue wherein;

said legs are bent alternately forward and rearward relative to said ring.

15. The staple of claim 14, which includes:

a plurality of legs extending in a fan-like configuration from said staple body.

16. A method for securing a purse string suture to a tubular section of tissue, comprising:

positioning a plurality of staples about the periphery of a tubular section of tissue, each of said staples including an eyelet for receiving the purse string suture;

threading the purse string suture through the eyelets of said staples to attach the purse string suture to the staples; and

driving the staples into the tissue to secure the purse string suture thereto.

17. A method for securing a purse string suture to a tubular section of tissue, comprising:

positioning a plurality of staples about the periphery of a tubular section of tissue, each of said staples including a loop for receiving the purse string suture and a pair of deformable legs;

threading the purse string suture through the loops of each staple; and

deforming the staple legs into an overlapping configuration to form another loop extending into the tissue to secure the staples and the purse string suture to the tissue.