Apparatus for creating partial anastomoses

• US 5,360,154 A
• Filed: 07/17/1992
• Issued: 11/01/1994
• Est. Priority Date: 07/17/1992
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Green, David T.
• Primary Examiner(s): Jones, Eugenia
• Assistant Examiner(s): SCHROCK, ALLAN
• Application Number:
  US07/915,109
• Time in Patent Office: 837 Days
• Field of Search: 227/179, 227/176, 227/175, 227/178, 227/113, 227/180, 227/19, 606/219, 72/393, 72/49, 72/283, 354/296, 354/195.1
• 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 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• CPC Class Codes: A61B 2017/2904 curved, but rigid

Abstract

An end-to-end anastomosis stapling apparatus is provided with a shroud for creating a partial anastomosis. The shroud is provided with a collar, portion for mounting the shroud onto the distal end of the stapling apparatus, and a tissue shield for shielding a predetermined portion of tissue from entering between an anvil and a staple cartridge on the stapling apparatus.

Claims

1. A circular anastomosis fastening apparatus comprising:

p1 an elongated housing;

a staple cartridge mounted at a distal end of said elongated housing; and

shroud means detachably mounted adjacent to said staple cartridge for shielding a predetermined portion of tissue from being engaged by said staple cartridge, wherein upon actuation of the circular anastomosis fastening device, a full circular anastomosis is prevented and a partial anastomosis is created.

2. An apparatus according to claim 1, wherein said shroud means includes attaching means incorporated in said proximal end of said shroud means.

3. An apparatus according to claim 1, wherein said shroud means further comprises a C-shaped portion incorporated in said distal end extending longitudinally away from an attaching means whereby upon drawing together of a purse string suture formed near an end of the tissue to be anastomosed, a predetermined portion of tissue is shielded from being engaged by said staple cartridge.

4. An apparatus according to claim 1, wherein said shroud means includes an attaching means having a collar portion adapted for removably mounting said shroud means adjacent to said staple cartridge.

5. An apparatus according to claim 4, wherein said collar portion comprises a wall having an inner surface and an outer surface, said collar portion further comprising means disposed on said inner surface for engaging said elongated housing.

6. An apparatus according to claim 5, wherein said engaging means includes at least one compressible raised portion.

7. An apparatus according to claim 5, wherein said engaging means includes at least one slot adapted for mating with at least one tab on said elongated housing.

8. An apparatus according to claim 4, wherein said collar portion is substantially C-shaped having an open portion adapted for snapping said collar portion onto said elongated housing.

9. A surgical stapler apparatus comprising:

a tubular housing having proximal and distal end portions;

a staple cartridge mounted in said distal end portion of said housing adapted for expelling an annular array of staples therefrom;

an anvil assembly connected to said distal end portion of said housing, said anvil assembly including an anvil and an anvil shaft, said anvil shaft received within said tubular housing, said anvil including at least one annular array of buckets configured to form said staples;

means mounted on said housing for shielding a predetermined portion of tissue from entering between said staple cartridge and said at least one annular array of buckets on said anvil assembly wherein upon actuation of the surgical stapler apparatus, a full anastomosis is prevented and a partial anastomosis is created.

10. An apparatus according to claim 9, wherein said shielding means is detachably mounted on said housing.

11. A surgical stapler apparatus according to claim 9, further comprising means for retaining loose staples discharged from said staple cartridge.

12. A surgical stapler apparatus according to claim 11, wherein said staple retaining means includes at least one magnetized portion of said stapler apparatus.

13. A surgical stapler apparatus according to claim 11, wherein said staple retaining means includes said at least one annular array of buckets being magnetized.

14. A surgical stapler apparatus according to claim 9, wherein said tissue shielding means further comprises a shroud detachably mounted on said distal end of said tubular housing.

15. A surgical stapler apparatus according to claim 14, wherein said shroud further comprises:

a collar portion adapted for detachably mounting said shroud adjacent to said distal end of said tubular housing; and

a C-shaped portion extending longitudinally from said collar portion for shielding a predetermined portion of tissue from entering between said staple cartridge and said at least one annular array of buckets on said anvil assembly.

16. A surgical stapler apparatus according to claim 15, wherein said collar portion comprises a wall having an inner surface and an outer surface, said collar portion further comprising means disposed on said inner surface for engaging said tubular housing.

17. A surgical stapler apparatus according to claim 16, wherein said engaging means includes at least one compressible raised portion.

18. A surgical stapler apparatus according to claim 16, wherein said engaging means includes at least one slot adapted for mating with at least one tab on said tubular housing.

19. A surgical stapler apparatus according to claim 15, wherein said collar portion is substantially C-shaped having an open portion adapted for snapping said collar portion onto said tubular housing.

20. A surgical stapler apparatus comprising:

a tubular housing;

a shaft extending from said tubular housing;

a fastener cartridge for holding an array of fasteners;

an anvil assembly adapted to be removably connected to said shaft, said anvil assembly having an array of staple forming depressions;

means for moving one of said anvil assembly and said cartridge assembly from a first spaced apart position to a second position to grasp a tissue portion therebetween; and

means for blocking penetration of tissue in a region between said cartridge and said anvil assembly wherein upon actuation of said surgical stapler apparatus, a full anastomosis is prevented and a partial anastomosis is created.

21. An apparatus according to claim 20, wherein said blocking means comprises a member mounted on said tubular housing.

22. A surgical stapler apparatus according to claim 21, wherein said member further comprises a shroud detachably mounted on a distal end of said tubular housing.

23. A surgical stapler apparatus according to claim 22, wherein said shroud further comprises a collar portion for detachably mounting said shroud on said distal end of said tubular housing and a C-shaped portion extending longitudinally from said collar portion for shielding a predetermined portion of tissue from entering between said staple cartridge and said array of staple forming depressions on said anvil assembly.