Maneuverable surgical stapler

• US 8,172,120 B2
• Filed: 07/27/2010
• Issued: 05/08/2012
• 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: Boyden, Edward S., Hyde, Roderick A., Ishikawa, Muriel Y., Leuthardt, Eric C., Myhrvold, Nathan P., Rivet, Dennis J., Weaver, Thomas A., Whitmer, Charles, Wood, Lowell L. Jr., Wood, Victoria Y. H., Smith, Michael A., Tegreene, Clarence T.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US12/804,738
• Publication Number:
  US 20100294827A1
• Time in Patent Office: 651 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/180.1, 227/178.1, 606/139, 606/219
• US Class Current: 227/175.1
• 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 instrument includes at least one grasping jaw, the at least one grasping jaw being adapted to deliver surgical staples 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 delivery mechanism adapted to deliver surgical fasteners, the delivery 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 instrument comprising:

a flexually deformable and steerable shaft including at least one shape memory alloy, operably connected to at least one grasping jaw configured for grasping a body tissue, and adapted to deliver surgical staples, and at least one image-acquisition device contained within the grasping jaw.

2. The surgical instrument of claim 1, wherein the 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.

3. The surgical instrument of claim 1, wherein the image-acquisition device is operably coupled to an illumination device.

4. The surgical instrument of claim 1, wherein the image-acquisition device is wirelessly coupled to at least one visual display.

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

6. The surgical instrument of claim 1, wherein the at least one shape memory alloy is preconfigured to a particular application and to a body part geometry.

7. The surgical instrument of claim 1, wherein the at least one shape memory alloy assumes a different shape compared to an originally preconfigured shape to conform to an optimal orientation upon insertion of the surgical instrument into a body.

8. The surgical instrument of claim 1, wherein the shape memory alloy includes Nitinol™

.

9. The surgical instrument of claim 1, wherein the at least one shape memory alloy includes electro-active polymer.

10. The surgical instrument of claim 1, wherein the flexually deformable and steerable shaft being controllably deformable to permit a high degree of maneuverability of the surgical instrument includes controllable deformation of the shaft that is mediated by at least one of a temperature profile, a pressure profile, an electrical circuitry, a magnetic profile, an acoustic wave profile or an electro-magnetic radiation profile.

11. The surgical instrument of claim 1, wherein the flexually deformable and steerable shaft being controllably deformable to permit a high degree of maneuverability of the surgical instrument includes maneuverability and steerability of the surgical instrument around anatomical corners or difficult-to-reach anatomical body parts that are normally inaccessible on a straight trajectory.

12. The surgical instrument of claim 1, wherein the flexually deformable and steerable shaft being controllably deformable to permit a high degree of maneuverability of the surgical instrument includes bending the shaft in real time to navigate within a body space.

13. The surgical instrument of claim 1, wherein the flexually deformable and steerable shaft returns to an original shape or configuration for easy removal of the surgical instrument from a body.

14. The surgical instrument of claim 1, further comprising at least one data-transmission device.

15. The surgical instrument of claim 14, wherein the at least one data-transmission device is operably coupled to the image-acquisition device.

16. The surgical instrument of claim 1, further comprising at least one proximity detector disposed in the at least one grasping jaw or located in proximity to the at least one grasping jaw.

17. The surgical instrument of claim 16, wherein the proximity detector is adapted to detect whether a biological tissue is partly within grasping distance of the grasping jaw.

18. The surgical instrument of claim 16, wherein the proximity detector is adapted to detect whether a biological tissue is fully within grasping distance of the grasping jaw.

19. The surgical instrument of claim 16, wherein the proximity detector is operably coupled to at least one data-transmission device.

20. The surgical instrument of claim 16, wherein the proximity detector includes an electromagnetic energy emitter or an electromagnetic energy receiver.

21. The surgical instrument of claim 16, wherein the proximity detector includes an acoustic energy emitter or an acoustic energy receiver.

22. The surgical instrument of claim 16, wherein the proximity detector includes a point source emitter or a source illuminator.

23. The surgical instrument of claim 22, wherein the point source emitter or source illuminator includes at least one of an ultrasonic source, acoustic source, visible source, ultraviolet source, gamma ray source, X-ray source, or infrared source.

24. The surgical instrument of claim 16, wherein the proximity detector includes a communication medium for communication with at least one image display.

25. The surgical instrument of claim 16, wherein the proximity detector includes at least one image-transmission device.

26. The surgical instrument of claim 16, wherein the proximity detector is wirelessly coupled to at least one image display.

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