Surgical device for stapling and/or fastening body tissues

• US 5,389,098 A
• Filed: 05/14/1993
• Issued: 02/14/1995
• Est. Priority Date: 05/19/1992
• Status: Expired due to Term

• Current Assignee: Olympus Optical Company Ltd. (Olympus Corporation)
• Original Assignee: Olympus Optical Company Ltd. (Olympus Corporation)
• Inventors: Saito, Keisuke, Mizno, Hitoshi, Takayama, Shuichi, Kimura, Shuichi, Tsukagoshi, Tsuyoshi, Taguchi, Akihiro, Tsuruta, Minoru, Nakata, Akio, Oaki, Yoshinao, Suzuta, Toshihiko, Kuramoto, Seiji, Bito, Shiro, Mukaizawa, Akito, Oozeki, Kazuhiko
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/062,182
• Time in Patent Office: 641 Days
• Field of Search: 606/32, 606/41, 606/45-47, 606/51, 606/52, 606/139, 606/142, 606/143, 227/901, 227/902
• US Class Current: 606/41
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0684 having a forming anvil staying above the tissue during stapling
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• 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 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07221 curved
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• 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: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00601 : Cutting
• CPC Class Codes: A61B 2018/1253 : monopolar
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1432 : curved
• CPC Class Codes: A61B 2090/032 : pressure limiting, e.g. hydrostatic

Abstract

A surgical device for stapling and fastening body tissues, comprises an insertion section extending from an operation section for insertion into a body cavity, stapling member connected to a distal end of the insertion section, for treating body tissues with a high-frequency current within a body cavity. The stapling member includes an anvil and a cartridge between which the tissues are sandwiched, and a cutter. Staples are applied to the anvil from the cartridge for stapling the tissues and the cutter cuts the tissue while it applies a high-frequency current thereto.

Claims

1. A surgical device for stapling and fastening body tissues, comprising:

an operation section operated outside a body cavity;

an insertion section extending from said operation section for insertion into a body cavity;

high-frequency applying means provided at a distal end portion of said insertion section, for applying a high-frequency wave to body tissues within a body cavity;

a cartridge provided at the distal end portion of the insertion section, said cartridge containing a plurality of staples, the staples each having at least two legs which are to be inserted into the body tissues;

staple-applying means provided at the distal end portion of the insertion section, and coupled to said cartridge for applying at least one staple from said cartridge to target tissues through said distal end portion of said insertion section;

staple-deforming means provided at the distal end portion of the insertion section for deforming the at least one staple applied to the target tissues by said staple-applying means, thereby stapling the target tissues together; and

current-supplying means, extending through said insertion section from said operation section to said high-frequency applying means, for supplying a high-frequency current to said high-frequency applying means to prevent bleeding of treated target tissues, said high-frequency applying means being electrically connected to the at least one staple applied to the target tissues and applying high-frequency waves to the at least one staple;

said cartridge, said staple-applying means and said staple-deforming means all being operatable by operating said operation section.

2. The surgical device according to claim 1, further comprising:

a cutter for cutting the target tissues, said cutter being provided at said distal end portion of said insertion section; and

wherein;

said staple-deforming means and said cartridge are located near said high-frequency applying means in order to staple the target tissues to be cut by said cutter.

3. The surgical device according to claim 2, wherein:

said cutter comprises an electrically conductive cutter; and

said high-frequency applying means includes means for applying a high-frequency wave to said cutter to prevent bleeding due to cutting of the target tissues.

4. The surgical device according to claim 1, wherein said staple-deforming means comprises:

first deforming means for deforming a first leg of the at least one staple;

second deforming means for deforming a second leg of the at least one staple; and

drive means for selectively driving said first and second deforming means.

5. A surgical device for stapling and fastening body tissues, comprising:

an operation section operated outside a body cavity;

an insertion section extending from said operation section for insertion into a body cavity;

high-frequency applying means provided at a distal end portion of said insertion section for applying a high-frequency wave to body tissues within a body cavity;

a cartridge provided at the distal end portion of the insertion section, said cartridge containing a plurality of staples, the staples each having at least two legs which are to be inserted into the body tissues;

staple-applying means provided at the distal end portion of the insertion section, and coupled to said cartridge for applying at least one staple from said cartridge to target tissues through said distal end portion of said insertion section;

staple-deforming means, including an anvil, provided at the distal end portion of the insertion section for deforming the at least one staple applied to the target tissues by said staple-applying means, thereby stapling the target tissues together; and

current-supplying mean, extending through said insertion section from said operation section to said high-frequency frequency applying means, for supplying a high-frequency current to said high-frequency applying means to prevent bleeding of treated target tissues, said high-frequency applying means being electrically connected to the at least one staple applied to the target tissues and applying high-frequency waves to the at least one staple;

said cartridge, said staple-applying means and said staple-deforming all means being operatable by operating said operation section;

said anvil and said cartridge being rotatably connected to said distal end portion of said insertion section and have opposing surfaces between which target tissues are held;

said staple-applying means applying the staples from said cartridge toward said anvil such that the legs of a staple pierce the target tissues;

said anvil and said cartridge each having a proximal portion extending in a same direction as said insertion section, and a distal portion curving in a plane perpendicular to a direction of applying the staple;

an electrically conductive cutter for cutting the target tissues, said cutter being provided at said distal end portion of said insertion section;

said staple-deforming means and said cartridge being located near said high-frequency applying means in order to staple the target tissues to be cut by said cutting; and

said high-frequency applying means includes means for applying a high-frequency wave to said cutter to prevent bleeding due to cutting of the target tissues.

6. The surgical device according to claim 5, wherein said cutter comprises:

a cutter guide formed in the opposing surfaces of said anvil and cartridge and curving along the lengths of the distal portions of said anvil and cartridge; and

drive means for moving said cutter along said cutter guide.

7. The surgical device according to claim 6, wherein:

said staple-applying means comprises a plurality of holes formed in the opposing surface of said cartridge, through which to apply the staples, said holes being arranged on both sides of said cutter guide; and

said staple deforming means comprises a plurality of grooves formed in the opposing surface of said anvil, said grooves opposing said holes of said staple-applying means.

8. The surgical device according to claim 6, wherein said operation section comprises:

a connecting section for connecting said current-supplying means to a high frequency cautery device;

an operating section for opening and closing said anvil and said cartridge; and

a drive section for driving said cutter and said staple-applying means.

9. The surgical device according to claim 6, wherein said drive means and said staple-applying means each respectively include flexible portions which are bendable along the cutter guide.

10. A surgical device for stapling and fastening body tissues, comprising:

an operation section operated outside a body cavity;

an insertion section extending from said operation section for insertion into a body cavity;

high-frequency applying means provided at a distal end portion of said insertion section, for applying a high-frequency wave to body tissues within a body cavity;

a cartridge provided at the distal end portion of the insertion section, said cartridge containing a plurality of staples, the staples each having at least two legs which are to be inserted into the body tissues;

staple-applying means provided at the distal end portion of the insertion section, and coupled to said cartridge for applying at least one staple from said cartridge to target tissues through said distal end portion of said insertion section;

staple-deforming means provided at the distal end portion of the insertion section for deforming the at least one staple applied to the target tissues by said staple-applying means, thereby stapling the target tissues together; and

current-supplying means, extending through said insertion section from said operation section to said high-frequency applying means, for supplying a high-frequency current to said high-frequency, applying means to prevent bleeding of treated target tissues;

said cartridge, said staple-applying means and said staple-deforming all means being operatable by operating said operation section;

and wherein;

said distal end portion of said insertion section has an end face;

said staple-applying means is formed in said end face and has a staple-applying opening; and

said high-frequency applying means comprises a member projecting from said end face for supplying the high-frequency current to the target tissues when set in contact with the target tissues and for moving the target tissues in the direction of applying the staples.

11. The surgical device according to claim 10, wherein said insertion section comprises:

a rigid distal end portion;

a rigid proximal portion;

a coupling section connecting said rigid distal end portion rotatably to said rigid proximal portion; and

a drive section for rotating said rigid distal end portion.

12. The surgical device according to claim 10, wherein said high-frequency applying means is electrically connected to the at least one staple applied to the target tissues, and applies high-frequency waves to the at least one staple.

13. A surgical device for stapling and fastening body tissues, comprising:

an operation section operated outside a body cavity;

an insertion section extending from said operation section for insertion into a body cavity;

high-frequency applying means provided at a distal end portion of said insertion section for applying a high-frequency wave to body tissues within a body cavity;

a cartridge provided at the distal end portion of the insertion section, said cartridge containing a plurality of staples, the staples each having at least two legs which are to be inserted into the body tissues;

staple-applying means provided at the distal end portion of the insertion section, and coupled to said cartridge for applying at least one staple from said cartridge to target tissues through said distal end portion of said insertion section;

staple-deforming means provided at the distal end portion of the insertion section for deforming the at least one staple applied to the target tissues by said staple-applying means, thereby stapling the target tissues together; and

current-supplying means, extending through said insertion section from said operation section to said high-frequency applying means, for supplying a high-frequency current to said high-frequency applying means to prevent bleeding of treated target tissues;

said cartridge, said staple-applying means and said staple-deforming all means being operatable by operating said operation section;

and wherein;

the distal portion of said insertion section has an end face, a staple-applying opening formed in said end face, and a staple-applying section for applying a staple to the target tissues; and

the device further comprises a member projecting from said end face for moving the target tissues in the direction of applying the staples, when set in contact with the target tissues.

14. The surgical device according to claim 13, wherein said high-frequency applying means is electrically connected to the at least one staple applied to the target tissues, and applies high-frequency waves to the at least one staple.

15. The surgical device according to claim 13, wherein said high-frequency applying means is electrically connected to the at least one staple applied to the target tissues, and applies high-frequency waves to the at least one staple.

16. A surgical device for stapling and fastening body tissues, comprising:

an operation section operated outside a body cavity;

an insertion section extending from said operation section for insertion into a body cavity;

high-frequency applying means provided at a distal end portion of said insertion section, for applying a high-frequency wave to body tissues within a body cavity;

a cartridge provided at the distal end portion of the insertion section, said cartridge containing a plurality of staples, the staples each having at least two legs which are to be inserted into the body tissues;

staple-applying means provided at the distal end portion of the insertion section, and coupled to said cartridge for applying at least one staple from said cartridge to target tissues through said distal end portion of said insertion section;

staple-deforming means provided at the distal end portion of the insertion section for deforming the at least one staple applied to the target tissues by said staple-applying means, thereby stapling the target tissues together;

current-supplying means, extending through said insertion section from said operation section to said high-frequency applying means, for supplying a high-frequency current to said high-frequency applying means to prevent bleeding of treated target tissues;

said cartridge, said staple-applying means and said staple-deforming all means being operatable by operating said operation section;

a cutter for cutting the target tissues, said cutter being provided at said distal end portion of said insertion section;

said staple-deforming means and said cartridge being located near said high-frequency applying means in order to staple the target tissues to be cut by said cutter; and

tying means, mounted at said distal end portion of said insertion section, for applying a tying thread to the target tissues cut by said cutter, along cut edges of the target tissues;

said tying means including means for passing a thread in a zigzag fashion into an edge of the target tissues, which are to be cut by the cutter, and for pulling the thread to contract the eden of the target tissues.