Apparatus and method for applying surgical staples to attach an object to body tissue

• US 5,817,109 A
• Filed: 09/17/1996
• Issued: 10/06/1998
• Est. Priority Date: 10/18/1991
• Status: Expired due to Term

• Current Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Castro, Salvatore, Bolanos, Henry, Young, Wayne P., McGarry, Richard A., Green, David T., Heaton, Lisa W.
• Primary Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/714,972
• Time in Patent Office: 749 Days
• Field of Search: 606/139, 606/142, 606/143, 227/175.1-182.1, 227/19, 227/901
• US Class Current: 606/143
• 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 17/0684 having a forming anvil staying above the tissue during stapling
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• CPC Class Codes: A61B 2017/2837 with a locking ratchet
• 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 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: Y10S 227/902 Surgical clips or staples

Abstract

An apparatus is disclosed for endoscopic application of surgical staples in laparoscopic hernia surgery. The apparatus includes a handle and a generally elongated endoscopic section connected to the handle and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section. The staple storage magazine is pivotable between a first position in alignment with the longitudinal axis of the endoscopic section and a second position at an acute angle to the longitudinal axis. An elongated pusher system is provided for individually advancing at least one staple at a time distally. A trigger mechanism is provided to actuate the pusher.

Claims

1. An apparatus for applying surgical staples for endoscopic hernia repair comprising:

a handle portion having a stationary grip portion and a movable trigger pivotally mounted with respect to the stationary grip portion;

an elongated tubular portion extending from the handle portion, the elongated tubular portion having a longitudinal axis and dimensioned and configured for insertion through a cannula;

a staple supporting portion pivotally connected to a distal end portion of the elongated tubular portion, the staple supporting portion pivotable between a first position in alignment with the longitudinal axis of the tubular portion and a second position at an acute angle to the longitudinal axis;

a plurality of staples supported in the staple supporting portion;

an actuator spaced from the staple supporting portion and operatively associated therewith, wherein the actuator is slidable in a direction parallel to the longitudinal axis of the tubular portion to thereby pivot the staple supporting portion between the first and second positions;

a staple pusher operatively associated with the trigger and movable between a proximal and distal position, wherein movement of the trigger towards the stationary grip portion advances the staple pusher distally; and

an anvil positioned at a distal end of the staple supporting portion, wherein distal advancement of the staple pusher advances one of the staples into engagement with the anvil to deform the staple, the staple pusher being movable to advance one of the staples in both the first and the second position of the staple supporting portion.

2. An apparatus for applying surgical staples for endoscopic hernia repair according to claim 1, further comprising a pivot pin pivotally mounting the staple supporting portion to the tubular portion.

3. An apparatus for applying surgical staples for endoscopic hernia repair according to claim 1, wherein a distal end portion of the staple pusher is positioned at an angle to an intermediate portion of the staple pusher when advancing the staple in the second position of the staple supporting portion.

4. An apparatus for applying surgical staples for endoscopic hernia repair according to claim 3, wherein the anvil has a pair of perpendicularly extending members configured to receive leg portions of the staple.

5. An apparatus for applying surgical staples for endoscopic hernia repair according to claim 1, wherein the elongated tubular portion is rotatably mounted to the handle portion.

6. An apparatus for applying surgical staples for endoscopic hernia repair according to claim 5, wherein sliding movement of the actuator in a proximal direction pivots the staple supporting portion to the second position.

7. An apparatus for applying surgical staples for endoscopic hernia repair according to claim 6, wherein the staple supporting portion is pivotable to an angle of 45°

with respect to the longitudinal axis of the tubular portion.

8. An apparatus for applying surgical staples for endoscopic hernia repair according to claim 7, wherein the anvil has a pair of perpendicularly extending members configured to receive leg portions of the staple.

9. An apparatus for applying surgical staples for endoscopic hernia repair according to claim 6, further comprising a rotatable collar, wherein rotation of the rotatable collars rotates the elongated tubular portion about its longitudinal axis.

10. An apparatus for applying surgical staples for endoscopic hernia repair according to claim 9, wherein the staple supporting portion is pivotable to an angle of 45°

with respect to the longitudinal axis of the tubular portion.

11. An apparatus for applying surgical staples in endoscopic hernia procedures comprising:

a handle portion having a stationary grip portion and a movable handle movably mounted with respect to the stationary grip portion;

an endoscopic portion having a longitudinal axis and extending distally from the handle portion, the endoscopic portion being rotatably mounted to the handle portion and dimensioned and configured for insertion through a cannula to access the surgical site;

a staple support pivotably connected to a distal end portion of the endoscopic portion;

a plurality of staples supported in the staple support, each staple having a pair of legs extending from a backspan;

a stationary anvil mounted to a distal portion of the staple support;

a staple pusher operatively associated with the movable handle and moveable in a distal direction to advance a staple distally for deformation by the anvil;

a slidable actuator operatively connected to the staple support;

wherein the staple support is pivotable from an aligned position in alignment with the longitudinal axis of the endoscopic portion to an articulated position at an angle to the longitudinal axis of the endoscopic portion by movement of the actuator, and the staple pusher is actuable by the movable handle to advance one of the staples when the staple support is in the first position and in the second position.

12. An apparatus for applying surgical staples according to claim 11, further comprising a rotatable control member wherein rotation of the control member rotates the endoscopic portion with respect to the handle portion.

13. An apparatus for applying surgical staples according to claim 12, wherein the rotatable control member is mounted on the endoscopic portion.

14. An apparatus for applying surgical staples according to claim 12, wherein the anvil has a pair of leg members, each configured to receive one of the legs of the staple.

15. An apparatus for applying surgical staples according to claim 12, wherein the plurality of staples are stacked parallel to the longitudinal axis.

16. An apparatus for applying surgical staples according to claim 12, wherein a proximal portion of the staple support is mounted by a pivot pin to the endoscopic portion.

17. An apparatus for applying surgical staples according to claim 12, wherein the actuator is slidable in a direction parallel to the longitudinal axis of the endoscopic portion.

18. An apparatus for applying surgical staples according to claim 17, wherein movement of the actuator proximally pivots the staple support to the articulated position.

19. An apparatus for applying surgical staples according to claim 18, further comprising a pivot pin pivotably mounting the staple support to the endoscopic portion.

20. An apparatus for applying surgical staples according to claim 19, further comprising at least one longitudinally extending rod for moving the staple support to the articulated position.

21. An apparatus for applying surgical staples according to claim 19, wherein in the articulated position, a distal end portion of the staple pusher is at an acute angle to an intermediate portion of the staple pusher.