Surgical stapling instrument and method thereof

• US 7,122,044 B2
• Filed: 04/28/2004
• Issued: 10/17/2006
• Est. Priority Date: 06/17/1994
• Status: Expired due to Fees

• Current Assignee: Heartport, Inc. (Johnson & Johnson)
• Original Assignee: Heartport, Inc. (Johnson & Johnson)
• Inventors: Heck, Christopher F., Bolduc, Lee R.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US10/833,753
• Publication Number:
  US 20040200876A1
• Time in Patent Office: 902 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/179.1, 606/194, 606/219
• US Class Current: 606/219
• 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 method of connecting a first hollow structure to a second hollow structure, comprising:

creating an opening in a second hollow tissue structure;

providing a device having a housing and a plurality of rod segments attached to the housing, at least the distal ends of the plurality of rod segments being movable between a first position, where the distal ends of the rod segments are separated by a first distance, and a second position, where the distal ends of the rod segments are separated by a second distance, the second distance being greater than the first distance;

positioning at least a portion of each of the plurality of rod segments within the opening of the second hollow tissue structure;

moving at least the distal ends of each of the plurality of rod segments between the first position and the second position; and

creating an anastomosis between the first hollow structure and the second hollow structure.

2. The method of claim 1, wherein the causing step comprises flexing at least the distal ends of each of the plurality of rod segments radially outward from the first position to the second position.

3. The method of claim 2, wherein the distal portions have a diameter less than the diameter of the proximal portions.

4. The method of claim 2, wherein the positioning step includes positioning at least a portion of each of the plurality of rod segments within the opening of the second hollow tissue structure while the plurality of rod segments are in the first position.

5. The method of claim 2, wherein the positioning step includes positioning at least a portion of each of the plurality of rod segments within the opening of the second hollow tissue structure while the plurality of rod segments are in the second position.

6. The method of claim 5, further comprising the step of causing at least the distal ends of each of the plurality of rod segments to move from the second position to the first position.

7. The method of claim 1, wherein the creating step further comprises creating an anastomosis by clamping tissue of the first hollow structure and tissue of the second hollow structure to one another about the opening.

8. The method of claim 7, wherein the creating step further comprises creating an anastomosis by clamping tissue of the first hollow structure and tissue of the second hollow structure to one another at multiple locations about the opening.

9. The method of claim 7, wherein the creating step further comprises creating an anastomosis by clamping tissue of the first hollow structure and tissue of the second hollow structure to one another at separate locations about the opening.

10. The method of claim 1, wherein the providing step further comprises providing a plurality of staples, each staple having a first end and a second end, end wherein the creating step further comprises creating an anastomosis by clamping tissue of the first hollow structure and tissue of the second hollow structure to one another about the opening between the first ends and the second ends of the plurality of staples.

11. The method of claim 10, further comprising the step of positioning one of the first end and the second end of each of the plurality of staples within the second hollow tissue structure.

12. The method of claim 10, further comprising the step of positioning the other of the one of the first end and the second end of each of the plurality of staples within the first hollow tissue structure.

13. The method of claim 10, wherein the creating step further comprises creating an anastomosis by deforming each of the plurality of staples to clamp tissue of the first hollow structure and tissue of the second hollow structure to one another at separate locations about the opening.

14. A method of connecting a first hollow structure to a second hollow structure, comprising:

creating an opening in a second hollow tissue structure;

providing a device having a housing and a plurality of rod segments attached to the housing, each of the plurality of rod segments having a proximal portion and a distal portion, each distal portion being configured to be more flexible than the proximal portion, each distal portion having a distal end, and at least the distal ends of each of the plurality of rod segments being movable between a first position, where the distal ends are separated by a first distance, and a second position, where the distal ends are separated by a second distance, the second distance being greater than the first distance;

positioning at least a portion of each of the plurality of rod segments within the opening of the second hollow tissue structure while the plurality of rod segments are in the first position;

moving the plurality of rod segments between the first position and the second position; and

creating an anastomosis between the first hollow structure and the second hollow structure.

15. The method of claim 14, wherein the distal portions have a diameter less than the diameter of the proximal portions.

16. A method of connecting a first hollow structure to a second hollow structure, comprising:

creating an opening in a second hollow tissue structure;

providing a device having a housing and a plurality of rod segments attached to the housing, at least the distal ends of the plurality of rod segments being movable between a first position, where the distal ends of the rod segments are separated by a first distance, and a second position, where the distal ends of the rod segments are separated by a second distance, the second distance being greater than the first distance;

positioning at least a portion of each of the plurality of rod segments within the opening of the second hollow tissue structure when at least the distal ends of each of the plurality of rod segments are in the first position;

moving at least the distal ends of each of the plurality of rod segments from the first position to the second position, and

creating an anastomosis between the first hollow structure and the second hollow structure.