Stapling apparatus and method for heart valve replacement

• US 6,676,671 B2
• Filed: 03/02/2001
• Issued: 01/13/2004
• Est. Priority Date: 09/15/1998
• Status: Expired due to Fees

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Robertson, John Charles, Moulder, Brian W., Ratcliff, Keith
• Primary Examiner(s): Nerbun, Peter
• Application Number:
  US09/798,827
• Publication Number:
  US 20010031972A1
• Time in Patent Office: 1,047 Days
• Field of Search: 606/139, 606/151, 606/153, 606/155, 227/19, 227/181.1, 623/2.1
• US Class Current: 606/139
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• 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 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61F 2/2403 with pivoting rigid closure members check valves with hinged closure members in general F16K15/03
• CPC Class Codes: A61F 2/2427 Devices for manipulating or deploying heart valves during implantation

Abstract

A surgical stapler for securing a prosthetic heart valve within a patient is disclosed and generally includes a first cylindrical portion for carrying a staple assembly on a distal end thereof, a second cylindrical portion positioned concentrically about the first cylindrical portion and having a camming arm on a distal end thereof and a third cylindrical portion positioned concentrically about the second cylindrical portion and having an anvil flange on a distal end thereof, the camming arm configured to cam the staple assembly radially outward and drive the staple assembly distally such that a first leg of the staple assembly penetrates a cuff of the prosthetic heart valve and a second leg of the staple assembly pierces a portion of heart tissue surrounding the prosthetic heart valve to secure the valve. A method of installing a heart valve within a patient utilizing the surgical stapler is also disclosed.

Claims

1. A surgical stapling system for securing a prosthetic heart valve within a patient comprising:

a prosthetic heart valve having a cuff; and

a surgical stapler including at least two concentric cylinders configured to move along a common longitudinal axis and relative to each other, the at least two concentric cylinders further configured to carry at least one staple assembly on a distal end thereof and to drive the at least one staple assembly in a direction such that a first leg of the at least one staple assembly penetrates the cuff of the prosthetic heart valve and at least a first portion of the surrounding heart tissue and a second leg of the at least one staple assembly penetrates a second portion of heart tissue surrounding the prosthetic heart valve, the surgical stapling system being configured and dimensioned to position the second leg of the at least one staple assembly in a substantially radial direction from the first leg of the at least one staple assembly to secure the prosthetic heart valve to the surrounding heart tissue.

2. The surgical stapling system in claim 1, wherein the at least two cylinders are further configured to crimp the second leg of the at least one staple assembly toward the first leg of the at least one staple assembly to secure the prosthetic heart valve to the surrounding heart tissue.

3. The surgical stapling system in claim 1, wherein the at least two cylinders are further configured to removably engage a heart valve holder.

4. A surgical stapler comprising:

a first cylindrical assembly for carrying at least one staple assembly on a distal end thereof;

a second cylindrical assembly positioned concentrically about said first cylindrical assembly;

said first and second cylindrical assemblies configured to move along a common longitudinal axis and relative to each other;

said second cylindrical assembly including a camming arm and being configured and dimensioned to be repositionable from a first position to a second position, wherein in the first position the camming arm is positioned separate from the at least one staple assembly and in the second position the camming arm is repositioned to move the at least one staple assembly.

5. The surgical stapler of claim 4, wherein the at least one staple assembly has a first leg and a second leg and the camming arm is configured and dimensioned to move at least one leg of the staple assembly.

6. The surgical stapler of claim 4, wherein the at least one staple assembly is moved by the camming arm in a radial direction.

7. The surgical stapler of claim 6, wherein the at least one staple assembly is moved by the camming arm in a radial direction towards the center of the surgical stapler.

8. A surgical stapler for securing a prosthetic heart valve within a patient comprising:

at least two concentric cylinders configured to move along a common longitudinal axis and relative to each other, the at least two concentric cylinders further configured to carry at least two staple assemblies on a distal end thereof and to drive the at least two staple assemblies in a direction such that a first leg of each said staple assembly penetrates a cuff of the prosthetic heart valve and a second leg of each said staple assembly pierces a portion of heart tissue surrounding the prosthetic heart valve to secure the prosthetic heart valve to the surrounding heart tissue, wherein the at least two staple assemblies are substantially diametrically opposed to each other, wherein the at least two cylinders are further configured to removably engage a heart valve holder.