Anastomosis instrument and method for performing same

• US 7,438,718 B2
• Filed: 01/08/2002
• Issued: 10/21/2008
• Est. Priority Date: 01/24/2001
• Status: Expired due to Fees

• Current Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Milliman, Keith, Orban, Joseph P III, Sniffen, Kevin, Heaton, Lisa W.
• Primary Examiner(s): Woo; Julian W
• Application Number:
  US10/480,964
• Publication Number:
  US 20040199182A1
• Time in Patent Office: 2,478 Days
• Field of Search: 606/139, 606/142, 606/219, 606/104, 606/116, 606/117, 227/175.1, 227/176.1, 227/178.1, 227/179.1, 227/180.1, 227/153
• US Class Current: 606/142
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/1152 applying the staples on the outside of the lumen
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• 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 Y-shaped blood vessel prostheses A61F2002/065

Abstract

A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends and an actuator disposed therebetween. The actuator includes a handle and a link assembly, the link assembly being movable through a firing stroke in response to movement of the handle. The instrument also includes a disposable loading unit releasably attached to the distal end of the housing in mechanical cooperation with the actuator. The disposable loading unit supports a plurality of surgical fasteners, which deform upon movement of the actuator and the link assembly through the firing stroke.

Claims

1. A surgical instrument for anastomosis of first and second blood vessels, comprising:

a housing having distal and proximal ends and a horizontal axis and an actuator disposed therebetween, the actuator including;

a handle which is moveable from a first position relative to the housing to at least one subsequent position in closer proximity to the housing; and

a link assembly mechanically engaged with the handle and being moveable through a firing stroke in response to the movement of the handle from the first position to the at least one subsequent position, the link assembly includes a three bar link assembly at least three links linked together;

a disposable loading unit releasably attached to the distal end of the housing in mechanical cooperation with the actuator, the disposable loading unit including a plurality of surgical fasteners which are deformed and released upon movement of the actuator through the firing stroke,

wherein the firing stroke of the handle and the link assembly includes;

a first stage wherein;

the links are each respectively disposed at a first angle relative to the horizontal axis disposed through the housing;

the handle is in the first position relative to the housing, and

the plurality of surgical fasteners are maintained within the disposable loading unit;

an intermediate stage wherein;

the links move through a range of motion to a fully-extended and substantially parallel position relative to the horizontal axis,

the handle moves to a position in closer proximity to the housing, and

the plurality of surgical fasteners deform within the disposable loading unit; and

a third, post-firing stage wherein;

the links each move through a range of motion to a respective angle relative to the horizontal axis,

the handle moves to a position in closest proximity to the housing, and

the plurality of surgical fasteners release from engagement within the disposable loading unit.

2. A surgical instrument according to claim 1 wherein the link assembly biases a spring through the first and intermediate stages of the firing stroke.

3. A surgical instrument according to claim 2 wherein the biasing of the spring during the movement of link assembly through the first and intermediate stages mechanically facilitates movement of the link assembly from the intermediate to third stages to release the surgical fasteners.

4. A surgical instrument according to claim 2 wherein the link assembly unbiases the spring through the third stage of the firing stroke.

5. A surgical instrument according to claim 1 further comprising a second handle to facilitate activation of the actuator.

6. A surgical instrument according to claim 1 wherein the handle includes a tab which locks the handle in proximate relation to the housing after completion of the firing stroke.

7. A surgical instrument according to claim 1, wherein the links are in a substantially linear arrangement in the intermediate stage.

8. A surgical instrument according to claim 1, wherein the arrangement of the link assembly in the third, post-firing stage locks the handle.

9. A surgical instrument for deploying surgical fasteners, comprising:

a housing having distal and proximal ends and a horizontal axis defined therethrough and between the distal and proximal ends;

a handle which is moveable in a stroke from a first position relative to the housing to at least one subsequent position in closer proximity to the housing;

a link assembly mechanically engaged with the handle and being moveable through the stroke in response to the movement of the handle from the first position to at least one subsequent position, the link assembly including at least three links linked together;

a loading unit releasably attached at the distal end of the housing and including a plurality of surgical fasteners which are deformed and released upon movement of the actuator through the stroke,

wherein the stroke of the handle and the link assembly includes a first stage wherein the links each are positioned at a respective angle relative to the horizontal axis and, a second stage wherein the links move to a fully-extended and substantially parallel position relative to the horizontal axis, and a third stage wherein the links each are positioned at a respective angle relative to the horizontal axis and the handle is in a position in closest proximity to the housing.

10. The surgical instrument of claim 9, wherein the surgical fasteners are deformed in the second stage.

11. The surgical instrument of claim 10, wherein the surgical fasteners are released in the third stage.

12. The surgical instrument of claim 9, further comprising a handle lock.