Surgical anastomosis stapling instrument

• US 5,275,322 A
• Filed: 01/28/1993
• Issued: 01/04/1994
• Est. Priority Date: 08/23/1991
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Smith, Richard, Grant, Richard, Hildwein, Roger, Wolf, Helmut, Fox, William, Reckelhoff, Jerome, Hughett, J. David, Brinkerhoff, Ronald J., Coles, Clifton, Churchill, Philip, Nobis, Rudolph H., Zeiner, Mark S., Bilotti, Federico, Allen, E. David, Lawrence, W. Thompson
• Primary Examiner(s): SMITH, SCOTT A
• Application Number:
  US08/010,682
• Time in Patent Office: 341 Days
• Field of Search: 227/19, 227/175, 227/179, 72/56
• US Class Current: 227/175.1
• 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 actuator mechanism permits adjustment of the anvil gap to produce a desired staple height 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 a plurality of surgical staples to tissue, comprising:

a stapling head assembly for clamping the tissue to be stapled and for applying a plurality of surgical staples to the tissue;

a casing for supporting said stapling head assembly, said casing including a hollow connector defining a first radius;

a shaft assembly including a hollow support shaft for mounting said casing thereon defining a second radius;

a ferrule overlapping said support shaft and said connector said ferrule having a third radius larger than said first and second radii; and

said ferrule having a radial indentation compared to said third radius along at least a portion of both said shaft and said connector.

2. The stapling instrument of claim 1, which includes:

a key formed on said connector; and

a slot formed on said support shaft for receiving said key to align said casing with said support shaft.

3. The stapling instrument of claim 1, wherein:

said support shaft and said connector are adapted to telescope together.

4. The stapling instrument of claim 1, which includes:

one or more raised circumferential collars on said support shaft and said connector providing a series of alternating ridges and depressions over which said ferrule is radially indented to join said support shaft and said casing together.

5. The stapling instrument of claim 1, wherein:

said ferrule is radially indented by a magnetic deforming process.

6. The stapling instrument of claim 1, wherein:

said ferrule is radially indented by heating.