Resposable anastomotic ring applier device

• US 7,591,828 B2
• Filed: 07/22/2005
• Issued: 09/22/2009
• Est. Priority Date: 07/22/2005
• 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): Ho; (Jackie) Tan-Uyen T.
• Assistant Examiner(s): Anderson; Gregory A
• Application Number:
  US11/187,083
• Publication Number:
  US 20070021757A1
• Time in Patent Office: 1,523 Days
• Field of Search: 606/139, 606153-156
• US Class Current: 606/153
• 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 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/0408 Rivets other bone rivets A61B17/68; rivets for connecting prosthetic parts A61F2002/30433, A61F2220/0041
• CPC Class Codes: A61B 2017/2905 flexible

Abstract

A surgical instrument that is operable to deploy an anastomotic ring device comprises a proximal portion and a distal portion. The distal portion comprises a ring deployment mechanism, which is configured to receive and deploy an anastomotic ring. The proximal portion comprises a mechanism that is operable to remotely actuate the ring deployment mechanism. The distal portion is removable from the proximal portion. The distal portion may be selectively engaged with the proximal portion by a series of annular flanges and clamp arms that are configured to engage the annular flanges. The ability to remove the distal portion of the instrument permits the replacement of the ring deployment mechanism without requiring the replacement of the instrument in its entirety.

Claims

1. A surgical instrument for deploying an anastomotic ring device at an anastomosis site, the instrument comprising:

(a) a distal portion, the distal portion comprising a ring deployment mechanism, wherein the ring deployment mechanism is configured to receive and deploy an anastomotic ring;

(b) a proximal portion in communication with the distal portion, the proximal portion comprising one or more actuation members operable to actuate at least a portion of the ring deployment mechanism; and

(c) a shaft comprising a distal portion and a proximal portion, wherein the distal portion of the shaft comprises a first plurality of tubes, wherein the proximal portion of the shaft comprises a second plurality of tubes, wherein each tube in the first plurality of tubes in the distal portion of the shaft comprises a flange, wherein each tube in the second plurality of tubes in the proximal portion of the shaft comprises a clip arm configured to selectively engage the flange of a corresponding tube of the first plurality of tubes, wherein the distal portion of the shaft is selectively removable from the proximal portion of the shaft;

wherein the distal portion of the instrument is selectively removable from the proximal portion of the instrument, wherein the distal portion of the instrument and the proximal portion of the instrument are in communication via the shaft.

2. The surgical instrument of claim 1, wherein the plurality of tubes are concentrically aligned.

3. The surgical instrument of claim 1, wherein each tube of the first plurality of tubes is configured to be selectively coupled with a corresponding tube of the second plurality of tubes by respectively engaging the flange of each tube from the first plurality of tubes with the clip arm of a corresponding tube from the second plurality of tubes.

4. The surgical instrument of claim 1, wherein the shaft further comprises a retractable sheath, wherein the sheath is operable to selectively cover at least a portion of the ring deployment mechanism.

5. The surgical instrument of claim 4, wherein the sheath comprises a distal portion and a proximal portion, wherein the distal portion of the sheath is selectively removable from the proximal portion of the sheath.

6. The surgical instrument of claim 1, wherein the distal portion further comprises a tip, wherein the tip is configured to selectively cover at least a portion of the ring deployment mechanism.

7. The surgical instrument of claim 6, wherein the tip is moveable from a retracted position to an extended position via at least one tube.

8. The surgical instrument of claim 3, wherein the clamp arm is configured to transfer at least one longitudinal force to the flange with which it is respectively engaged.

9. The surgical instrument of claim 8, wherein at least one of the one or more actuation members is operable to provide the at least one longitudinal force to the clamp arm.

10. The surgical instrument of claim 9, wherein the flange is configured to communicate the at least one longitudinal force to at least a portion of the ring deployment mechanism.

11. The surgical instrument of claim 10, wherein the ring deployment mechanism is configured to deploy at least a portion of an anastomotic ring in response to the at least one longitudinal force.

12. The surgical instrument of claim 1, wherein the proximal portion comprises a handle, wherein the handle comprises the one or more actuator members.

13. The surgical instrument of claim 1, wherein the ring deployment mechanism comprises a plurality of fingers.