Anastomotic ring applier device utilizing an electroactive polymer

• US 7,462,186 B2
• Filed: 05/03/2005
• Issued: 12/09/2008
• Est. Priority Date: 05/03/2005
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Ortiz, Mark S.
• Primary Examiner(s): Manahan; Todd E
• Assistant Examiner(s): HORNBERGER, JENNIFER LEA
• Application Number:
  US11/120,854
• Publication Number:
  US 20060253135A1
• Time in Patent Office: 1,316 Days
• Field of Search: 606/151, 606153-157, 606/139
• US Class Current: 606/139
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/00871 polymeric
• CPC Class Codes: A61B 2017/0408 Rivets
• CPC Class Codes: A61B 2017/2905 flexible

Abstract

A surgical instrument is operable to deploy an anastomotic ring device. The instrument comprises a ring deployment mechanism configured to receive and deploy the anastomotic ring through an actuating force. The instrument further comprises an electroactive polymer that is configured to receive voltage from a power source. The electroactive polymer is configured to convert the voltage to a mechanical actuating force. The electroactive polymer is further configured to apply the actuating force to the ring deployment mechanism to deploy the anastomotic ring.

Claims

1. A surgical instrument for implanting an anastomotic ring device, comprising:

(i) a ring deployment mechanism configured to receive and deploy an anastomotic ring under a mechanical actuation force, the anastomotic ring comprising a first plurality of petals and a second plurality of petals, wherein the ring deployment mechanism comprises a plurality of distal fingers, a plurality of proximal fingers, and a central member positioned longitudinally between the plurality of distal fingers and the plurality of proximal fingers, wherein each distal finger comprises a proximal segment and a distal segment, wherein the proximal segment of each distal finger is hingedly connected at a first end to a corresponding distal segment of each distal finger and hingedly connected at a second end to the central member, wherein the distal segment of each distal finger is hingedly connected at a first end to a corresponding proximal segment of each distal finger and hingedly connected at a second end to a distal portion of the ring deployment mechanism, wherein the distal segment of each distal finger comprises an integral gripping slot, wherein each gripping slot of each distal finger is configured to receive a respective petal of the first plurality of petals of the anastomotic ring, wherein each proximal finger comprises a proximal segment and a distal segment, wherein the distal segment of each proximal finger is hingedly connected at a first end to a corresponding proximal segment of each proximal finger and hingedly connected at a second end to the central member, wherein the proximal segment of each proximal finger is hingedly connected at a first end to a corresponding distal segment of each proximal finger and hingedly connected at a second end to a proximal portion of the ring deployment mechanism, wherein the proximal segment of each proximal finger comprises an integral gripping slot, wherein each gripping slot of each proximal finger is configured to receive a respective petal of the second plurality of petals of the anastomotic ring, wherein the central member longitudinally separates the proximal segments of the distal fingers from the distal segments of the proximal fingers;

(ii) a power source for generating voltage; and

(iii) an electroactive polymer in communication with the ring deployment mechanism and operatively configured to produce the mechanical actuation force in response to the generated voltage.

2. The surgical instrument of claim 1, wherein the power source comprises a battery.

3. The surgical instrument of claim 1, wherein the electroactive polymer comprises a conductive material applied to a polymer substrate.

4. The surgical instrument of claim 3, wherein the polymer substrate is configured to expand in one direction and contract in a perpendicular direction in response to inducement of voltage across the electroactive polymer.

5. The surgical instrument of claim 1, further comprising an actuator moveable from a first, unactuated position to a second, actuated position, wherein the actuator is operable to cause the power source to induce voltage across the electroactive polymer at the second, actuated position.

6. The surgical instrument of claim 1, wherein the ring deployment mechanism comprises a proximal portion and a distal portion, wherein the electroactive polymer is configured to communicate actuating force to the proximal portion of the ring deployment mechanism.

7. The surgical instrument of claim 6, further comprising a second electroactive polymer.

8. The surgical instrument of claim 7, wherein the second electroactive polymer is configured to communicate actuating force to the distal portion of the ring deployment mechanism.

9. The surgical instrument of claim 8, further comprising a second actuator moveable from a first, unactuated position to a second, actuated position, wherein the second actuator is operable to cause the power source to induce voltage across the second electroactive polymer at the second, actuated position.

10. The surgical instrument of claim 1, wherein the electroactive polymer comprises a plurality of electroactive polymer sheets stacked atop one another to generate an additive force.

11. A surgical instrument for implanting an anastomotic ring device, comprising:

(i) a handle;

(ii) an elongate shaft comprising a proximal portion and a distal portion, the proximal portion being connected to the handle;

(iii) a ring deployment mechanism located on the distal portion of the elongate shaft, the ring deployment mechanism comprising

(a) a proximal portion and a distal portion responsive respectively to opposing distal and proximal mechanical actuation forces, and

(b) a plurality of fingers configured to receive an anastomotic ring, the anastomotic ring having a plurality of petals, the fingers being moveable from a first position longitudinally aligned with the elongate shaft to a second position in which the fingers actuate outwardly from a longitudinal axis of the elongate shaft to actuate at least a portion of an anastomotic ring, wherein each finger comprises a gripping slot, wherein each gripping slot of each finger is configured to receive a respective petal of the anastomotic ring, wherein each gripping slot is oriented substantially parallel with the longitudinal axis of the elongate shaft when the ring deployment mechanism is in an unactuated position, wherein the gripping slots open in a longitudinal direction substantially parallel to the axis of the elongate shaft when the ring deployment mechanism is in an unactuated position, wherein the number of gripping slots is equivalent to the number of fingers, wherein each of the plurality of fingers further comprises an inwardly directed retention tip adjacent to each gripping slot;

(iv) a power source operatively configured to generate voltage;

(v) a first electroactive polymer connected to the proximal portion of the ring deployment mechanism and operatively configured to produce the distal mechanical actuation force in response to the generated voltage; and

(vi) a second electro active polymer connected to the distal portion of the ring deployment mechanism and operatively configured to produce the proximal mechanical actuation force in response to the generated voltage.

12. The surgical instrument of claim 11, wherein the power source is housed in the handle.

13. The surgical instrument of claim 11, wherein the ring deployment mechanism further comprises a central portion attached to a stationary first tube.

14. The surgical instrument of claim 11, wherein the proximal portion of the ring deployment mechanism is attached to a first end of the first electroactive polymer by a first tube slideably contained within the shaft, wherein the first electroactive polymer is further attached at a second end of the first electroactive polymer to a stationary element of the surgical instrument.

15. The surgical instrument of claim 14, wherein inducement of voltage across the first electroactive polymer is configured to cause the first tube to move distally, forcing the proximal portion of the ring deployment mechanism distally.

16. The surgical instrument of claim 14, wherein the distal portion of the ring deployment mechanism is attached to a first end of the second electroactive polymer by a second tube slideably contained within the shaft, wherein the second electroactive polymer is further attached at a second end of the second electroactive polymer to a stationary element of the surgical instrument.

17. The surgical instrument of claim 16, wherein inducement of voltage across the second electroactive polymer is configured to cause the second tube to move proximally, forcing the distal portion of the ring deployment mechanism proximally.

18. The surgical instrument of claim 11, wherein the proximal portion of the ring deployment mechanism is associated with at least one of the plurality of fingers, wherein the at least one of the plurality of fingers is configured to move distally and articulate outwardly in response to the actuation force.

19. The surgical instrument of claim 11, wherein the distal portion of the ring deployment mechanism is associated with at least one of the plurality of fingers, wherein the at least one of the plurality of fingers is configured to move proximally and articulate outwardly in response to the actuation force.

20. A surgical instrument for implanting an anastomotic ring device, comprising:

(i) a handle;

(ii) an elongate shaft comprising a proximal portion and a distal portion, the proximal portion being connected to the handle;

(iii) a ring deployment mechanism configured to receive and deploy the anastomotic ring, the anastomotic ring having a plurality of petals, wherein the ring deployment mechanism comprises a plurality of distal fingers, a plurality of proximal fingers, and a central member positioned longitudinally between the plurality of distal fingers and the plurality of proximal fingers, wherein each distal finger comprises a proximal segment and a distal segment, wherein the proximal segment of each distal finger is hingedly connected at a first end to a corresponding distal segment of each distal finger and hingedly connected at a second end to the central member, wherein the distal segment of each distal finger is hingedly connected at a first end to a corresponding proximal segment of each distal finger and hingedly connected at a second end to a distal portion of the ring deployment mechanism, wherein the proximal segment of each distal finger extends radially inward from the corresponding distal segment of each distal finger toward the central member when the ring deployment mechanism is in an actuated position, wherein the distal segment of each distal finger comprises an integral gripping slot, wherein each gripping slot of each distal finger is configured to receive a respective petal of the anastomotic ring, wherein each proximal finger comprises a proximal segment and a distal segment, wherein the distal segment of each proximal finger is hingedly connected at a first end to a corresponding proximal segment of each proximal finger and hingedly connected at a second end to the central member, wherein the proximal segment of each proximal finger is hingedly connected at a first end to a corresponding distal segment of each proximal finger and hingedly connected at a second end to a proximal portion of the ring deployment mechanism, wherein the distal segment of each proximal finger extends radially inward from the corresponding proximal segment of each distal finger toward the central member when the ring deployment mechanism is in an actuated position, wherein the proximal segment of each proximal finger comprises an integral gripping slot, wherein each gripping slot of each proximal finger is configured to receive a respective petal of the anastomotic ring, wherein the central member longitudinally separates the proximal segments of the distal fingers from the distal segments of the proximal fingers;

(iv) a power source adapted to generate voltage; and

(v) an electroactive polymer in communication with the ring deployment mechanism and adapted to receive voltage from the power source and convert it to mechanical actuation force, wherein the electroactive polymer is configured to communicate the mechanical actuation force to the ring deployment mechanism.