Surgical apparatus and detachable anvil rod therefor

• US 5,718,360 A
• Filed: 11/17/1994
• Issued: 02/17/1998
• Est. Priority Date: 09/08/1992
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Flanagan, Patrick, Wilson, Jonathan, Green, David T.
• Primary Examiner(s): Rada, Rinaldi I.
• Assistant Examiner(s): ASHLEY, BOYER DOLINGER
• Application Number:
  US08/341,680
• Time in Patent Office: 1,188 Days
• Field of Search: 227/179.1, 227/19, 227/180.1, 227/175.1
• US Class Current: 227/179.1
• 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 17/1114 of the digestive tract, e.g. bowels or oesophagus
• 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 2017/00429 with a roughened portion
• CPC Class Codes: A61B 2017/00433 knurled
• CPC Class Codes: A61B 2017/1125 Forceps, specially adapted for performing or assisting anastomosis

Abstract

A detachable anvil rod for use with an apparatus for circular fastening of hollow organs is provided. An elongated rod member has a proximal end portion, a distal end portion and an irregular surface portion intermediate the proximal and distal end portions. The irregular surface portion includes a plurality of grooves which define a plurality of raised ridges. The ridges are adapted to engage grasping surfaces of a grasping tool so as to minimize potential of slippage, thus enhancing the maneuvering procedure of the anvil rod about the operative site. The anvil rod also includes a narrowly configured mounting portion which enables the rod to be applied to and mounted within the distal end of the stapling apparatus from a variety of angular positions. An apparatus which incorporates the improved detachable anvil rod is also described.

Claims

1. A detachable anvil assembly which comprises an elongated anvil rod including a proximal end portion, a distal end portion and an irregular surface portion intermediate the proximal and distal end portions, the irregular surface portion including a recessed portion, the recessed portion defining a reduced cross-section relative to portions of the anvil rod adjacent the recessed portion, the recessed portion including a plurality of grooves wherein adjacent grooves define ridges therebetween, and an anvil head mounted to the distal end portion of the anvil rod, the anvil head defining a generally annular staple forming surface.

2. The detachable anvil assembly according to claim 1, wherein the recessed portion defines a generally circular cross section.

3. The detachable anvil assembly according to claim 2, wherein the grooves and ridges are disposed about the circumference of the recessed portion.

4. The detachable anvil assembly according to claim 1, wherein the grooves of the recessed portion intersect and are oriented at generally opposite angles with respect to each other.

5. The detachable anvil assembly according to claim 1, wherein the anvil rod includes at least one frusto-conical surface adjacent the recessed portion.

6. The detachable anvil assembly according to claim 5, including two opposed frusto-conical surfaces adjacent the recessed portion.

7. The detachable anvil assembly according to claim 1, wherein the proximal end portion of the anvil rod defines a generally tapered mounting portion for mounting to an apparatus for ejecting a circular array of surgical staples.

8. The detachable anvil assembly according to claim 7, wherein the mounting portion is generally frusto-conically shaped.

9. The detachable anvil assembly according to claim 1, wherein the anvil rod includes a second recessed portion, the second recessed portion being disposed between the first mentioned recessed portion having the grooves and ridges and the distal end portion of the anvil rod, the second recessed portion for accommodating a purse string stitch and defining a reduced cross section relative to portions of the anvil rod adjacent the second recessed portion.

10. The detachable anvil assembly according to claim 9, wherein the second recessed portion defines a generally circular cross section.

11. In combination, an apparatus for performing circular anastomosis and an anvil rod detachably mounted to the apparatus, the anvil rod comprising an elongated rod member having a proximal end portion for mounting the rod member to the apparatus, a distal end portion for supporting an anvil head and an intermediate portion disposed between the proximal and distal end portions, the intermediate portion including a grasping portion to be engaged by grasping surfaces of a grasping instrument so as to enhance gripping engagement therebetween, the grasping portion including a first recessed portion defining a reduced cross-section relative to portions of the rod member adjacent the first recessed portion, the first recessed portion having a plurality of grooves wherein adjacent grooves define ridges therebetween, and a second recessed portion disposed between the grasping portion and the distal end portion for accommodating a purse string stitch, the second recessed portion defining a reduced-cross section relative to portions of the rod member adjacent the recessed portion.

12. A detachable anvil rod for use with an apparatus for performing circular anastomosis, which comprises an elongated shaft member having a proximal end portion defining a tapered mounting portion for mounting to the apparatus, a distal end portion for supporting an anvil head and an intermediate portion disposed between the proximal and distal end portions, the intermediate portion including a recessed portion having a reduced cross section relative to portions of the shaft member adjacent the recessed portion, the recessed portion including a plurality of ridges, the ridges engageable with grasping surfaces of a grasping instrument so as to facilitate gripping engagement therebetween.

13. The detachable anvil rod according to claim 12, wherein the mounting portion is conically shaped.

14. A detachable anvil assembly, which comprises an elongated anvil rod including a proximal end portion having a generally tapered mounting portion to facilitate mounting to an apparatus for performing circular anastomosis, a distal end portion and an irregular surface portion disposed intermediate the proximal and distal end portions, the irregular surface portion defining a roughened surface portion having a plurality of ridges for facilitating engagement with grasping surfaces of a grasping instrument, and an anvil head mounted to the distal end portion of the anvil rod, the irregular surface portion defining a cross-sectional dimension less than a cross-sectional dimension of portions of the anvil rod proximate the irregular surface portion, the proximal end portion of the anvil rod further including at least one spline disposed adjacent the irregular surface portion, the one spline of the anvil rod engageable with a cooperating spline at the distal end of the apparatus to assist in mounting the anvil rod to the apparatus.

15. The detachable anvil assembly according to claim 14 wherein the at least one spline of the anvil rod is an external spline.

16. The detachable anvil assembly according to claim 15 wherein the distal end portion of the anvil rod includes at least one spline for engaging with a corresponding spline disposed within the anvil head to assist in mounting the anvil head to the anvil rod.

17. The detachable anvil assembly according to claim 16 wherein the one spline of the distal end portion of the anvil rod is an external spline and wherein the corresponding spline of the anvil head is an internal spline.

18. A detachable anvil assembly which comprises an elongated rod including a proximal end portion having a generally tapered mounting portion for facilitating mounting to an apparatus for performing circular anastomosis, a distal end portion and an irregular surface portion intermediate the proximal and distal end portions, and an anvil head supported by the distal end portion, the irregular surface portion defining a roughened surface having a plurality of intersecting grooves defined therein, the roughened surface to be engaged by grasping surfaces of a grasping instrument to enhance gripping engagement therebetween.

19. In combination, an apparatus for performing circular anastomosis and an anvil rod, the anvil rod including an elongated rod member having a proximal end portion, a distal end portion with an anvil head mounted thereto and an intermediate portion disposed between the proximal and distal end portions, the proximal end portion of the anvil rod including a generally tapered mounting portion for facilitating mounting to the apparatus and having at least one spline to cooperate with a corresponding spline at the distal end of the apparatus to detachably mount the anvil rod, the intermediate portion of the anvil rod including a grasping portion, the grasping portion reduced in cross-section relative to portions of the anvil rod proximate the grasping portion and defining a roughened surface to be engaged by grasping surfaces of a grasping instrument so as to enhance gripping engagement therebetween.