Surgical stapling instrument

• US 5,732,872 A
• Filed: 02/06/1996
• Issued: 03/31/1998
• Est. Priority Date: 06/17/1994
• Status: Expired due to Term

• Current Assignee: Heartport, Inc. (Johnson & Johnson)
• Original Assignee: Heartport, Inc. (Johnson & Johnson)
• Inventors: Bolduc, Lee R., Heck, Christopher F.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US08/597,691
• Time in Patent Office: 784 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/179.1, 606/194, 606/219
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1152 applying the staples on the outside of the lumen
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00252 for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
• CPC Class Codes: A61B 2017/081 Tissue approximator A61B2017/1103, A61B17/8866 take precedence
• CPC Class Codes: A61B 2017/1103 Approximator
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 2017/1135 End-to-side connections, e.g. T- or Y-connections
• CPC Class Codes: A61F 2/064 with special features to facilitate anastomotic coupling anastomosis of natural blood vessels A61B17/11

Abstract

A stapler for stapling a tubular structure to another structure. The stapler has an anvil which is expandable from a collapsed position to an expanded position. The stapler has a recess which receives at least a portion of the tubular structure and a shoulder which receives an everted end of the tubular structure. A first actuator moves the anvil relative to the shoulder for compressing the structures which are to be stapled together. A second actuator is used for driving the staples through the structures to be stapled together.

Claims

1. A stapler for stapling a tubular structure to another structure, comprising:

a body having a recess and a shoulder at a distal portion, the recess extending proximally from the shoulder, the recess being sized and configured to receive at least a portion of the tubular structure, the body also having a staple cavity extending proximally from the shoulder;

a staple positioned in the staple cavity;

an anvil coupled to the body and being movable between an expanded condition and a collapsed position; and

a staple pusher movably coupled to the body for driving the staple from the staple cavity and against the anvil when the anvil is in the expanded position to staple the tubular structure to another structure.

2. The stapler of claim 1, wherein:

the shoulder is sized to receive an everted end of the tubular structure which extends from the portion of the tubular structure contained in the recess.

3. The stapler of claim 1, wherein:

the anvil has a plurality of segments biased toward the collapsed position.

4. The stapler of claim 1, further comprising:

an expander passing through the anvil and being slidably coupled to the anvil, the expander and anvil engaging one another with a rib and slot configuration, the rib and slot configuration being in engagement with one another when the anvil is in the expanded position.

5. The stapler of claim 1, further comprising:

a first actuator coupled to the body and configured to provide relative movement between the anvil and the shoulder for compressing the tubular structure and the another structure together between the anvil and shoulder; and

a second actuator operably coupled to the staple pusher for driving the staple toward the anvil.

6. A stapler for surgical stapling, comprising:

a body having a shoulder at a distal portion and a staple cavity extending proximally from the shoulder;

a staple positioned in the staple cavity;

an anvil coupled to the body and movable between an expanded condition and a collapsed position, the anvil having a plurality of segments naturally biased toward the collapsed position;

a staple pusher movably coupled to the body for driving the staple from the staple cavity and against the anvil when the anvil is in the expanded position to staple a structure to another structure; and

an expander slidably coupled to the anvil between a first position and a second position, the expander moving the anvil from the collapsed position to the expanded position when the expander moves from the first position to the second position.

7. The stapler of claim 6, wherein:

the expander and anvil engage one another with a rib and slot configuration, the rib and slot configuration being in engagement with one another when the anvil is in the expanded condition.

8. The stapler of claim 6, wherein:

the body has a recess extending proximally from the shoulder, the recess being sized and configured to receive at least a portion of the structure to be stapled.