Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof
First Claim
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1. An assembly to divide and seal visceral tissue, said assembly comprising:
- first and second strips, each of said strips having an aperture extending through said strip adjacent a leading end, an intermediate section extending from said aperture and terminating in a trailing end spaced from said leading end;
a surgical stapler comprising an operating handle and first and second jaws mounted on said handle, said first and second jaws being movable relative to each other between open and closed positions, said first jaw having a first distal end and a first proximal end, said second jaw having a second distal end and a second proximal end, said first distal end and said second distal end being remote from said handle, said first proximal end and said second proximal end being adjacent said handle;
said first strip being on said first jaw with said aperture thereof receiving part of said first jaw to releasably secure the leading end of said first strip to said first distal end of said first jaw, said second strip being on said second jaw with said aperture thereof receiving part of said second jaw to releasably secure the leading end of said second strip to said second distal end of said second jaw; and
said stapler being adapted to drive said staples through said first strip, said visceral tissue, and said second strip.
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Abstract
A pericardial strip and surgical stapler assembly, and method of use thereof, in which at least one pericardial strip is releasably attached to the jaws of the stapler by passing the outer ends of the stapler through holes in the strip(s). Preferably, the trailing end(s) of the strip(s) are secured to the proximal ends of the jaws by O-ring(s), suture(s) attached to the trailing end of the strip(s), or opening(s) in the strip(s). When the tissue is cut, the O-ring(s), suture(s), or opening(s) are also cut, thus permitting removal of the stapler and allowing at least a portion of the pericardial strips to remain.
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Citations
31 Claims
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1. An assembly to divide and seal visceral tissue, said assembly comprising:
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first and second strips, each of said strips having an aperture extending through said strip adjacent a leading end, an intermediate section extending from said aperture and terminating in a trailing end spaced from said leading end; a surgical stapler comprising an operating handle and first and second jaws mounted on said handle, said first and second jaws being movable relative to each other between open and closed positions, said first jaw having a first distal end and a first proximal end, said second jaw having a second distal end and a second proximal end, said first distal end and said second distal end being remote from said handle, said first proximal end and said second proximal end being adjacent said handle; said first strip being on said first jaw with said aperture thereof receiving part of said first jaw to releasably secure the leading end of said first strip to said first distal end of said first jaw, said second strip being on said second jaw with said aperture thereof receiving part of said second jaw to releasably secure the leading end of said second strip to said second distal end of said second jaw; and said stapler being adapted to drive said staples through said first strip, said visceral tissue, and said second strip. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 20)
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18. An assembly to divide and seal visceral tissue, said assembly comprising:
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a strip having a first aperture extending through said strip adjacent a leading end thereof, said strip having an intermediate section extending from said first aperture and terminating in a trailing end spaced from said leading end, a second aperture extending through said strip adjacent said trailing end; a surgical stapler comprising an operating handle and first and second jaws mounted on said handle, said first and second jaws being movable relative to each other between open and closed positions, said first jaw having a first distal end and a first proximal end, said second jaw having a second distal end and a second proximal end, said first distal end and said second distal end being remote from said handle, said first proximal end and said second proximal end being adjacent said handle; said first distal end of said first jaw projecting into said first aperture and said second distal end of said second jaw projecting into said second aperture, a fold being formed in said intermediate section of said strip adjacent said handle, such that said stapler is operative to drive staples through a first length of said strip between said fold and said first aperture, visceral tissue located between said first and second jaws, and a second length of said strip between said fold and said second aperture. - View Dependent Claims (19, 21, 22)
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- 23. A strip for use with a surgical stapler for dividing and sealing visceral tissue, said strip comprising an elongated sheet having an aperture extending through said sheet adjacent a leading end thereof, said aperture being dimensioned for receiving a jaw of a surgical stapler, said sheet having an intermediate section extending from said aperture and terminating in a trailing end spaced from said leading end.
- 28. A strip for use with a surgical stapler for dividing and sealing visceral tissue, said strip comprising an elongated sheet having a first aperture extending through said sheet adjacent a leading end thereof, an intermediate portion extending from said aperture and terminating in a trailing end spaced from said leading end, a second aperture extending through said sheet adjacent said trailing end, each of said first and second apertures being dimensioned for receiving part of a jaw of the surgical stapler.
Specification