Tool member cover and cover deployment device

• US 8,579,937 B2
• Filed: 07/31/2003
• Issued: 11/12/2013
• Est. Priority Date: 07/31/2002
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Gresham, Richard D.
• Primary Examiner(s): MCEVOY, THOMAS M
• Application Number:
  US10/522,914
• Publication Number:
  US 20050236459A1
• Time in Patent Office: 3,757 Days
• Field of Search: 383/50, 600/106, 604/104, 604/263, 606/114, 606/127, 606205-211, 606/219, 2271751-1821
• US Class Current: 606/219
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/3431 being collapsible, e.g. made of thin flexible material A61B17/3423 takes precedence
• CPC Class Codes: A61B 17/3494 with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors for the peridural space A61B17/3401
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/3435 using everted sleeves
• CPC Class Codes: A61B 2050/314 Flexible bags or pouches
• CPC Class Codes: A61B 2090/0427 Prevention of contact
• 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 46/27 tubular, e.g. for arms or legs A61B46/13 takes precedence
• CPC Class Codes: A61B 90/04 Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery protection of eyes against laser radiation A61F9/022

Abstract

A surgical instrument including a tool member cover and a cover deployment device are disclosed. The cover is supported adjacent to or on the tool assembly of the surgical instrument and is movable from a first position in which the tool assembly is uncovered to a second position in which the tool assembly is at least partially encompassed by the cover. The deployment device is provided for moving the cover from the first position to the second position.

Claims

1. A surgical instrument comprising:

a body portion;

a tool assembly supported on the distal end of the body portion;

an elongated cover supported about the body portion of the instrument, the elongated cover being formed from a collapsible material and having a substantially tubular configuration having open proximal and distal ends, the elongated cover being movable about the body portion of the instrument from a first position located proximally of the tool assembly to a second position at least partially encompassing the tool assembly, wherein when the elongated cover is in the first position the distal end of the elongated cover is secured to the instrument adjacent to the tool assembly such that the elongated cover can be inverted about the tool assembly as the elongated cover is moved from the first position to the second position; and

a cover deployment device at least partially disposed about the body portion between the body portion and the elongated cover when the elongated cover is in the first position, the cover deployment device being in releasable engagement with the cover and being advanceable along the body portion to move the cover from the first position to the second position.

2. A surgical instrument according to claim 1, wherein the cover is liquid impermeable.

3. A surgical instrument according to claim 1, wherein the cover deployment device includes a sleeve slidably positioned about the body portion between a retracted and an advanced position, the sleeve being slidable from the retracted position to the advanced position to move the cover from the first position to the second position.

4. A surgical instrument according to claim 3, wherein the sleeve includes first and second half-sections, the first and second half-sections being urged into abutment with one another by at least one expandable member, the expandable member being expandable to permit the first and second half-sections to move outwardly with respect to each other.

5. A surgical instrument according to claim 4, wherein the expandable member is a resilient O-ring.

6. A surgical instrument according to claim 4, wherein the sleeve includes a proximally located annular ring dimensioned to facilitate movement of the sleeve between the retracted and advanced positions.

7. A surgical instrument according to claim 4, wherein the first sleeve half-section includes at least one projection and the second sleeve half-section includes at least one slot, the at least one projection being slidable into the at least one slot to maintain alignment between the first and second half-sections when the half-sections move outwardly with respect to each other.

8. A surgical instrument according to claim 1, wherein the cover defines a lumen and the cover is positioned about the body portion and the cover deployment device, wherein movement of the cover deployment device from the retracted position to the advanced position inverts the cover over the tool assembly.

9. A surgical instrument according to claim 8, wherein the cover deployment device includes a distal engagement member, a proximal guide portion and a central body portion interconnecting the engagement member and the guide portion, the cover deployment device being slidably supported on the body portion to enable the cover deployment device to be moved to move the cover to the second position.

10. A surgical instrument according to claim 1, wherein the cover defines a lumen, the proximal end of the cover being movable over the tool assembly to at least partially encompass the tool assembly.

11. A surgical instrument according to claim 10, further including a closure device for closing the proximal end of the cover after it has moved over the tool assembly.

12. A surgical instrument according to claim 11, wherein the closure device includes an elastic band supported by the cover.

13. A surgical instrument according to claim 11, wherein the closure device includes a drawstring.

14. A surgical instrument according to claim 13, wherein the distal end of the cover is removably fastened to the surgical instrument.

15. A surgical instrument according to claim 14, wherein the surgical instrument is a circular stapler.

16. A surgical instrument according to claim 14, wherein the surgical instrument is an ultrasonic dissector.

17. A surgical instrument according to claim 14, wherein surgical instrument is a linear stapler.

18. A method of performing a surgical procedure comprising the following steps:

providing a surgical instrument including a body portion, a tool assembly, a cover deployment device and a cover, the distal end of the cover being secured about the instrument adjacent a proximal end of the tool assembly, the cover deployment device being positioned on the body portion and the cover being positioned about the cover deployment device such that the cover is movable from a first position wherein the tool assembly is uncovered to a second position wherein the tool assembly is at least partially covered by advancing the cover deployment device along the body portion;

positioning the surgical instrument adjacent a surgical site and performing a surgical operation on desired tissue;

moving the cover from the first position to the second position by advancing the cover deployment device to invert the cover at least partially over the tool assembly; and

subsequently removing the surgical instrument from the surgical site, while maintaining the cover at least partially over the tool assembly.

19. A method according to claim 18, wherein the surgical instrument is a circular stapler.

20. A method according to claim 18, wherein the surgical instrument is a linear stapler.

21. A method according to claim 18, wherein the surgical instrument is an ultrasonic dissector.

22. A method according to claim 18, wherein the surgical instrument includes a closure device, and further including the step of actuating the closure device to close the cover at a location distally of the tool assembly.

23. A method according to claim 22, wherein the closure device is a drawstring.