Surgical fastening device with cutter

• US 7,922,064 B2
• Filed: 09/28/2007
• Issued: 04/12/2011
• Est. Priority Date: 05/16/2007
• Status: Expired due to Fees

• Current Assignee: Enterprise Science Fund, LLC (Intellectual Ventures LLC)
• Original Assignee: The Invention Science Fund I, L.L.C. (Intellectual Ventures LLC)
• Inventors: Smith, Michael A., Wood, Victoria Y. H., Ishikawa, Muriel Y., Weaver, Thomas A., Myhrvold, Nathan P., Tegreene, Clarence T., Wood, Lowell L. Jr., Boyden, Edward S., Whitmer, Charles, Rivet, Dennis J., Hyde, Roderick A., Leuthardt, Eric C.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US11/906,165
• Publication Number:
  US 20080283576A1
• Time in Patent Office: 1,292 Days
• Field of Search: 227/19, 227/176.1, 227/180.1, 227/178.1, 227/175.1, 600/117, 600/118, 606/139, 606/219, 606/142, 606/143, 606/151
• US Class Current: 227/180.1
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00402 Piezo electric actuators
• CPC Class Codes: A61B 2017/00871 polymeric
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2905 flexible

Abstract

Embodiments include a surgical device and a method. An embodiment of the surgical fastening device includes at least one grasping jaw, the at least one grasping jaw being adapted to deliver surgical fasteners by a force generated from a force generator mechanism that is contained within the at least one grasping jaw or is in a proximity to the at least one grasping jaw. Another embodiment includes at least one grasping jaw, at least one actuation mechanism adapted to deliver surgical fasteners, the actuation mechanism being located in a proximity to or contained within the at least one grasping jaw, the surgical fasteners containing at least one shape-transforming material, at least one sensor, at least one chemical tissue sealant and at least one cutter. A method includes: grasping a body tissue with at least one grasping jaw, adjusting a configuration of the grasping in response to a signal or a datum or an image, and releasing a surgical staple/fastener in response to the signal, datum or image.

Claims

1. A surgical fastening device comprising:

at least one grasping jaw configured for grasping a body tissue and including a shape memory alloy;

at least one delivery mechanism adapted to deliver one or more surgical fasteners, said delivery mechanism contained within said at least one grasping jaw;

and at least one cutter operably coupled to control circuitry, and a trigger operably coupled to the control circuitry, wherein said at least one cutter is responsive to a signal generated by said trigger.

2. The surgical fastening device of claim 1, further comprising at least one sensor.

3. The surgical fastening device of claim 2, wherein said at least one sensor includes an image-acquisition device.

4. The surgical fastening device of claim 3, wherein said image-acquisition device is wirelessly coupled or hardwired to at least one visual display.

5. The surgical fastening device of claim 3, wherein said image-acquisition device includes at least one of a camera, charge coupled device, X-ray receiver, acoustic energy receiver, photodetector, electromagnetic energy receiver, or imaging device.

6. The surgical fastening device of claim 2, wherein said at least one sensor includes a data-transmission device.

7. The surgical fastening device of claim 2, wherein said at least one sensor includes a proximity detector.

8. The surgical fastening device of claim 7, wherein said proximity detector is adapted to detect proximity of a biological tissue to said surgical fastening device.

9. The surgical fastening device of claim 7, wherein said proximity detector is adapted to detect whether a biological tissue is fully within grasping distance of said grasping jaw.

10. The surgical fastening device of claim 7, wherein said proximity detector is operably configured to assess whether an entire organ or a portion of a bodily organ is fully or partly grasped within said grasping jaw.

11. The surgical fastening device of claim 7, wherein said proximity detector includes at least one electromagnetic energy emitter or electromagnetic energy receiver.

12. The surgical fastening device of claim 7, wherein said proximity detector includes at least one acoustic energy emitter or acoustic energy receiver.

13. The surgical fastening device of claim 7, wherein said proximity detector includes a communications medium for communication with at least one image display.

14. The surgical fastening device of claim 7, wherein said proximity detector includes at least one image-transmission device.

15. The surgical fastening device of claim 7, wherein said proximity detector is wirelessly coupled to at least one image display.

16. The surgical instrument of claim 2, wherein said sensor is configured to provide at least one of a feedback signal, datum, or image to a human or robotic user.

17. The surgical instrument of claim 2, wherein said sensor is configured to provide at least one signal to said cutter.

18. The surgical fastening device of claim 1, further comprising a flexually deformable and steerable shaft including a shape memory alloy, and operably connected to at least one grasping jaw.

19. The surgical fastening device of claim 1, wherein said at least one grasping jaw is configured to movably operate in an opposing manner with respect to at least one other grasping jaw.

20. The surgical fastening device of claim 1, further comprising at least one energy module, said energy module including at least one of a battery, capacitor, fuel cell, mechanical energy storage device, or fluid energy storage device.

21. The surgical fastening device of claim 20, wherein said energy module transmits energy through a wireless device.

22. The surgical fastening device of claim 1, wherein said shape memory alloy includes at least one of titanium, nickel, zinc, copper, aluminum, cadmium, platinum, iron, manganese, cobalt, gallium, or tungsten.

23. The surgical fastening device of claim 1, wherein said shape memory alloy includes Nitinol™

.

24. The surgical fastening device of claim 1, wherein said shape memory alloy includes an electro-active polymer.

25. The surgical instrument of claim 1, wherein said grasping jaw is fully redeployable following at least one grasp-and-release cycle in a grasping operation of a biological tissue or bodily organ.

26. A surgical fastening device comprising:

at least one grasping jaw configured for grasping a body tissue and including a shape memory alloy;

at least one delivery mechanism adapted to deliver one or more surgical fasteners, said delivery mechanism contained within said at least one grasping jaw;

and at least one laser-mediated cutter.

27. The surgical fastening device of claim 26, further comprising at least one sensor.

28. The surgical fastening device of claim 27, wherein said at least one sensor includes an image-acquisition device.

29. The surgical fastening device of claim 28, wherein said image-acquisition device is wirelessly coupled or hardwired to at least one visual display.

30. The surgical fastening device of claim 27, wherein said at least one sensor includes a data-transmission device.

31. The surgical fastening device of claim 27, wherein said at least one sensor includes a proximity detector.

32. The surgical fastening device of claim 31, wherein said proximity detector is adapted to detect proximity of a biological tissue to said surgical fastening device

33. The surgical fastening device of claim 26, further comprising a flexually deformable and steerable shaft including a shape memory alloy, and operably connected to at least one grasping jaw.

34. A surgical fastening device, comprising:

at least one grasping jaw configured for grasping a body tissue and including a shape memory alloy, the at least one grasping jaw further including at least one delivery mechanism adapted to deliver one or more surgical fasteners, the at least one grasping jaw configured to grasp a body tissue and adjust configuration of the grasping in response to a signal, datum, or image;

and at least one cutter operably coupled to control circuitry.

35. A surgical fastening device, comprising:

at least one grasping jaw including a shape memory alloy, and configured to grasp a body tissue;

the at least one grasping jaw further including at least one delivery mechanism adapted to deliver one or more surgical fasteners in response to a signal, datum, or image;

and at least one cutter operably coupled to control circuitry.

36. A surgical fastening device comprising:

at least one grasping jaw configured for grasping a body tissue and including a shape memory alloy;

at least one delivery mechanism adapted to deliver one or more surgical fasteners, said delivery mechanism contained within said at least one grasping jaw;

at least one energy module contained within said at least one grasping jaw; and

at least one cutter.