Method of stapling anatomical tissue

• US 5,662,259 A
• Filed: 04/09/1996
• Issued: 09/02/1997
• Est. Priority Date: 07/13/1994
• Status: Expired due to Fees

• Current Assignee: Inbae Yoon
• Original Assignee: Inbae Yoon
• Inventors: Yoon, InBae
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US08/629,705
• Time in Patent Office: 511 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/179.1, 227/178.1, 227/180.1, 606/219
• US Class Current: 227/176.1
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• 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 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/32113 with extendable or retractable guard or blade

Abstract

A method for a surgical stapler for applying multiple rows of surgical staples to biological tissue which includes a pair of opposed jaws adapted to receive tissue therebetween, a plurality of surgical staples and staple-forming anvils carried by each jaw in alignment with the staples and staple-forming anvils carried by the other jaw, and a mechanism for driving the tissue penetrating legs of the staples through the biological tissue and bending the legs against opposed anvils on the opposite side of the tissue to produce rows of finished surgical staples on both sides of the tissue being ligated. The staples and anvils in each of the jaws are arranged in spaced, parallel rows, with each row of staples being adjacent a row of anvils and adjacent rows of staples and anvils being either longitudinally staggered or aligned. Further, the staples and anvils are carried either alone or in combination in a pair of cartridges held by the opposed jaws, which are either linear or curved depending on the procedure to be performed with the surgical stapler.

Claims

1. A method of stapling biological tissue comprising the steps of

positioning a first plurality of staples in at least two rows on a first side of the biological tissue to be stapled;

positioning a first plurality of staple-forming anvils in at least two rows on the first side of the biological tissue such that each row of staple-forming anvils is adjacent at least one row of staples;

positioning a second plurality of staples in at least two rows on a second side of the biological tissue in alignment with the first plurality of staple-forming anvils;

positioning a second plurality of staple-forming anvils in at least two rows on the second side of the biological tissue in alignment with the first plurality of staples;

piercing the biological tissue from the first side of the biological tissue with tissue piercing legs of the first plurality of staples;

piercing the biological tissue from the second side of the biological tissue with tissue piercing legs of the second plurality of staples;

bending the tissue piercing legs of the first plurality of staples against the second plurality of staple-forming anvils on the second side of the biological tissue;

bending the tissue piercing legs of the second plurality of staples against the first plurality of staple-forming anvils on the first side of the biological tissue; and

cutting the biological tissue between the rows of staples such that at least two rows of staples extending through the biological tissue in opposite directions are disposed on each side of the cut.

2. A method as recited in claim 1 wherein said step of positioning a plurality of staples on first and second sides of the biological tissue includes placing the tissue between opposed jaws of a surgical stapler having a plurality of staples and staple-forming anvils carried by each jaw.

3. A method of stapling biological tissue as recited in claim 1 wherein said positioning steps include aligning at least one row of staple-forming anvils with interstices between a row of staples on the same side of the biological tissue.

4. A method of stapling biological tissue as recited in claim 1 wherein said positioning steps include aligning at least one row of staple-forming anvils with a row of staples on the same side of the biological tissue.

5. A method of stapling biological tissue as recited in claim 1 wherein each of the staples includes a pair of tissue piercing legs connected by a cross-member and said piercing step includes positioning a plurality a staple drivers on first and second sides of the biological tissue in engagement with the staple cross-members.

6. A method of stapling biological tissue as recited in claim 5 wherein said piercing step further includes supporting the staples and staple drivers in a pair of cartridges held within a pair of jaws and exposing tips of the tissue piercing legs of the staples by allowing the cartridges to recede into the jaws as the jaws are closed against the biological tissue.

7. A method of stapling biological tissue as recited in claim 5 wherein said piercing step further includes advancing a pair of pushers axially on opposite sides of the biological tissue to drive the staple-drivers.

8. A method of stapling biological tissue as recited in claim 1 wherein said positioning step includes arranging the staples and staple-forming anvils in spaced, parallel rows of linear configuration such that staple cross-members are oriented end-to-end in each row.

9. A method of stapling biological tissue as recited in claim 1 wherein said positioning step includes arranging the staples and staple-forming anvils in spaced rows of openly curved configuration such that opposite ends of each row do not meet to form a closed curved configuration.