Stapler for endoscopes

• US 8,006,886 B2
• Filed: 06/30/2009
• Issued: 08/30/2011
• Est. Priority Date: 11/20/2000
• Status: Expired due to Fees

• Current Assignee: Gerd IP, Inc. (Medigus Limited)
• Original Assignee: Medigus Limited
• Inventors: Sonnenschein, Elazar, Sonnenschein, Minelu, Crainich, Lawrence
• Primary Examiner(s): LOW, LINDSAY M
• Application Number:
  US12/494,853
• Publication Number:
  US 20090272785A1
• Time in Patent Office: 791 Days
• Field of Search: 2271751-1821, 227/19, 606/1, 606/30, 606/117, 606/142, 606/143, 606/173, 606/219, 600/106
• US Class Current: 227/175.1
• CPC Class Codes: A61B 1/0005 combining images e.g. side-by-side, superimposed or tiled
• CPC Class Codes: A61B 1/00181 for multiple fixed viewing angles A61B1/00193 takes precedence
• CPC Class Codes: A61B 1/00193 adapted for stereoscopic vision
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/0055 Constructional details of insertion parts, e.g. vertebral elements
• CPC Class Codes: A61B 1/2736 Gastroscopes
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• 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 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2905 flexible

Abstract

A stapling device for a surgical endoscopic device provided with at least one flexible portion, comprising a staple-firing portion and an anvil portion, wherein one of the staple firing portions and one of the anvil portions are located longitudinally displaced from one another along the longitudinal axis of the endoscopic device, with at least a part of said flexible portion between them. The parts of the stapling device are in correct working relationship when one or more alignment and/or locking pins or screws that are stored in one of the staple firing portions or one of the anvil portions are extended and engage and lock or screw into receptacles that have been provided on the other of the staple firing portion or of the anvil portion.

Claims

1. A surgical tissue fastening apparatus, comprising:

(i) one longitudinal member having a proximal end, a distal end, a first location positioned between said proximal end and said distal end, and a second location positioned between said first location and said distal end;

(ii) a surgical fastener ejector disposed in line with a longitudinal axis of the longitudinal member at said first location;

(iii) an essentially planar tissue contacting and moving surface disposed at said distal end; and

(iv) at least one articulation joint disposed at said second location, the at least one articulation joint being configured to enable said one longitudinal member to be bent from a straight configuration wherein the planar tissue contacting and moving surface and the surgical fastener ejector are aligned with the longitudinal axis of said longitudinal member into a curved configuration wherein the planar tissue contacting and moving surface is moved into opposing relationship to the surgical fastener ejector.

2. The apparatus of claim 1, further comprising an optical channel disposed along the length of the longitudinal member and through the essentially planar tissue contacting and moving surface.

3. The apparatus of claim 1, wherein:

the essentially planar tissue contacting and moving surface comprises at least one indentation is positionable in opposing relationship to the surgical fastener ejector upon articulation of the longitudinal member about the at least one articulation joint; and

(ii) the surgical fastener ejector is configured to eject a surgical fastener toward the at least one indentation.

4. The apparatus of claim 3, further comprising at least one surgical fastener in the surgical fastener ejector.

5. The apparatus of claim 3, further comprising a holding mechanism configured to hold the essentially planar tissue contacting and moving surface at a fixed distance from the surgical fastener ejector.

6. The apparatus of claim 1, further comprising a mechanical linkage configured to forcibly urge the essentially planar tissue contacting and moving surface toward the surgical fastener ejector, whereby biological tissue disposed between the essentially planar tissue contacting and moving surface and the surgical fastener is restrained.

7. The apparatus of claim 1, wherein the surgical fastener ejector is a staple firing device.

8. The apparatus of claim 4, wherein the surgical fastener is a surgical staple and the fastener ejector is a staple firing device.

9. The apparatus of claim 8, wherein the surgical staple has legs, the indentation has a thickness, the depth of the indentation is less than the thickness of the support and the portion of the tissue support defining the bottom of the indentation is configured to bend the legs of the surgical staple upon actuation of the staple firing device and a resulting contact of the surgical staple with the bottom of the indentation.

10. The apparatus of claim 1, wherein the longitudinal member is an insertion tube.

11. The apparatus of claim 1, wherein the surgical fastener is a staple.

12. The apparatus of claim 1, wherein the surgical fastener ejector is a staple ejector.

13. The apparatus of claim 1, wherein the essentially planar tissue contacting and moving surface is a distal tip.

14. The apparatus of claim 1, wherein the articulation joint is a link.

15. The apparatus of claim 1, wherein the indentation is a depression.

16. The apparatus of claim 1, comprising a holding mechanism comprised of locking pins or screws.

17. The apparatus of claim 1, wherein the mechanical linkage is an articulating section.

18. The apparatus of claim 1, wherein the essentially planar tissue contacting and moving surface is a planar surface having structures thereon wherein the structures consists of at least one aperture, at least one channel, a rounded edge, a squared edge, and/or at least one indentation.

19. A surgical tissue stapling apparatus, comprising:

(i) one insertion tube having a proximal end, a distal end, a first location positioned between the proximal end and the distal end, and a second location positioned between the first location and the distal end;

(ii) a staple ejector disposed in line with a longitudinal axis of said insertion tube at said first location;

(iii) a non-gripping distal tip disposed at said distal end; and

(iv) at least one link disposed at said second location, the at least one link being configured to enable said one insertion tube to be bent from a straight configuration wherein the tissue support and the surgical fastener ejector are aligned with the longitudinal axis of said insertion tube into a curved configuration wherein the distal tip is moved into opposing relationship to the staple ejector.