Circular stapler introducer with rigid cap assembly configured for easy removal

• US 8,353,438 B2
• Filed: 11/19/2009
• Issued: 01/15/2013
• Est. Priority Date: 11/19/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Baxter, Chester O. III, Hunt, John V., Silkaitis, Danius P., Wiley, Jeffrey P., Franer, Paul T., Schulte, John B., Abbott, Daniel J.
• Primary Examiner(s): LOW, LINDSAY M
• Application Number:
  US12/621,679
• Publication Number:
  US 20110114698A1
• Time in Patent Office: 1,153 Days
• Field of Search: 2271751-1821, 227/19
• US Class Current: 227/176.1
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• 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 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/3425 for internal organs, e.g. heart ports
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 46/13 the drapes entering the patient's body
• CPC Class Codes: A61B 46/17 closed at the distal end

Abstract

Introducers for introducing a surgical circular stapler into a patient. Various embodiments comprise a hollow flexible sheath that has a distal end and an open proximal end that is sized to receive a stapling head portion of the circular stapler therein. A rigid cap assembly may be attached to the distal end of the hollow flexible sheath The rigid cap assembly may be configured to selectively move between a closed position wherein a distal face of the stapling head is covered and an open position wherein the distal face of the stapling head is exposed. A portion of the rigid cap assembly has a shape that substantially matches a perimetrical shape of a portion of the stapling head to enable the rigid cap assembly to pass proximally over the stapling head when the introducer is withdrawn from the patient.

Claims

1. An introducer for introducing a surgical circular stapler into a patient, the circular stapler having a handle portion, an elongated shaft protruding from the handle portion, and a stapling head coupled to the elongated shaft, said introducer comprising:

a hollow flexible sheath having a distal end and an open proximal end, said hollow flexible sheath sized to receive the stapling head and at least a portion of the elongated shaft therein; and

a rigid cap assembly attached to said distal end of said hollow flexible sheath, said rigid cap assembly configured to selectively move between a closed position wherein a distal face of the stapling head is covered by said rigid cap assembly when the stapling head has been inserted therein to a fully inserted position and an open position wherein said cap assembly may be proximally withdrawn from around the stapling head and elongated shaft, said cap assembly having a portion shaped to match a shape of a perimeter of a corresponding portion of the stapling head to enable the rigid cap assembly to pass proximally past the stapling head when being withdrawn therefrom.

2. The introducer of claim 1 further comprising a release arrangement interfacing with said rigid cap assembly to releaseably retain said rigid cap assembly in said closed position.

3. The introducer of claim 1 wherein said rigid cap assembly comprises:

a barrel member coupled to said distal end of said hollow flexible shaft and defining an opening sized to receive the stapling head therethrough; and

a rigid cap member hingably attached to said barrel member and being movable between said closed position and said open position.

4. The introducer of claim 3 wherein said rigid cap member has a substantially smooth distal surface.

5. The introducer of claim 3 wherein said portion shaped to match a shape of a perimeter of a corresponding portion of the stapling head comprises an underside of said rigid cap member.

6. The introducer of claim 5 wherein the stapling head has a circular perimetrical shape and wherein said underside of said rigid cap member has an arcuate shape that substantially matches a portion of said circular perimetrical shape of the stapling head.

7. The introducer of claim 3 further comprising a release arrangement interfacing with said barrel member such that upon an application of a release motion thereto, said rigid cap member is movable to said open position.

8. The introducer of claim 7 wherein said release arrangement comprises a release latch in movable engagement with latch portions on said barrel member.

9. The introducer of claim 8 wherein said cap member is hingably attached to said barrel member by a tether attached to said barrel member in a position that is substantially diametrically opposite from said latch portions on said barrel member.

10. The introducer of claim 8 wherein said cap member is hingably attached to said barrel member by a tether attached to said barrel member in a position that is located at a substantial right angle from said latch portions on said barrel member.

11. The introducer of claim 3 wherein said cap member has a cross-sectional area that is larger than a cross-sectional area of the barrel member.

12. The introducer of claim 3 wherein said cap member is more rigid than said barrel member.

13. The introducer of claim 6 further comprising a plurality of ribs formed in said underside of said cap member.

14. An introducer for introducing a surgical circular stapler into a patient, the circular stapler having a handle portion, an elongated shaft protruding from the handle portion, and a stapling head coupled to the elongated shaft, said introducer comprising:

a hollow flexible sheath having a distal end and an open proximal end, said hollow flexible sheath sized to receive the stapling head and at least a portion of the elongated shaft therein;

a radially-openable barrel member attached to a distal end of said hollow flexible sheath and defining an opening for receiving the stapling head therein,

a latch member in engagement with a pair of opposed ends of said radially-openable barrel member, said latch member being selectively movable from a latched position engaging said opposed ends of said barrel member and an unlatched position wherein said opposed ends may move radially away from each other; and

a rigid cap member hingably attached to said radially-openable barrel member and being movable between a closed position wherein said rigid cap member is retained in a closed position covering a distal end of said opening in said barrel member and an open position wherein said rigid cap member is movable to a position exposing said distal end of said opening in said barrel member, said rigid cap member having an underside with a shape that matches a shape of a perimeter of a corresponding portion of the stapling head to enable said rigid cap member to pass proximally past the stapling head when being proximally withdrawn therefrom.

15. The introducer of claim 14 wherein the stapling head has a circular perimetrical shape and wherein said underside of said cap member has an arcuate shape that substantially matches a portion of said circular perimetrical shape of the stapling head.

16. The introducer of claim 14 wherein said cap member is hingably attached to said barrel member by a tether attached to said barrel member in a position that is substantially diametrically opposite from said latch member.

17. The introducer of claim 14 wherein said cap member is hingably attached to said barrel member by a tether attached to said barrel member in a position that is located a substantial right angle from said latch member.

18. The introducer of claim 15 wherein said cap member has a blunt distal end surface that is substantially smooth.

19. An introducer for introducing a surgical circular stapler into a patient, the circular stapler having a handle portion, an elongated shaft protruding from the handle portion, and a stapling head coupled to the elongated shaft, said introducer comprising:

flexible means for removably encasing the stapling head and at least a portion of the elongated shaft of the circular stapler; and

end means for selectively presenting a rigid blunt surface covering a distal face of the stapling head, said end means on a distal end of said means for removably encasing, and said end means comprising;

means for selectively exposing the distal face of the stapling head; and

means for presenting a surface configured to match a portion of a perimetrical shape of the stapling head when in an open position to enable the end means to pass proximally past the stapling head when being proximally withdrawn therefrom.

20. The introducer of claim 19 wherein said flexible means comprises an open-ended sheath extending from said end means to the handle portion of the circular stapler when the stapling head and elongated shaft portion are fully inserted therein.