Surgical stapler

• US 8,590,760 B2
• Filed: 05/24/2005
• Issued: 11/26/2013
• Est. Priority Date: 05/25/2004
• Status: Expired due to Fees

• Current Assignee: Abbott Vascular Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Vascular Incorporated (Abbott Laboratories Incorporated)
• Inventors: Cummins, Christy, Coleman, James
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): YABUT, DIANE D
• Application Number:
  US10/908,721
• Publication Number:
  US 20050274768A1
• Time in Patent Office: 3,108 Days
• Field of Search: 606/219, 606/139, 606/75, 606142-143, 227/175.1, 441/457, 604/168.01
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/0684 having a forming anvil staying above the tissue during stapling
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00668 the implement being a tack or a staple
• CPC Class Codes: A61B 2017/00672 Locating means therefor, e.g. bleed back lumen
• CPC Class Codes: A61B 2017/0641 having at least three legs as part of one single body
• CPC Class Codes: A61B 2017/22065 Functions of balloons dilating A61M29/02

Abstract

Methods and devices for closing a puncture wound in a liquid carrying vessel are provided. In one exemplary embodiment, a surgical stapler is provided having a locator tube with an inflatable member formed thereon and adapted to be positioned within a liquid carrying vessel adjacent a puncture wound, and a staple applying apparatus that is slidably disposed on a portion of the locator tube and that is adapted to apply a surgical staple to seal a puncture wound in a liquid carrying vessel.

Claims

1. A surgical stapler for closing a puncture wound in a liquid carrying vessel, comprising:

a locator tube having a proximal end and a distal end with an elongate lumen extending through at least a portion thereof for receiving a removable guide wire, the distal end being insertable into the liquid carrying vessel and the lumen extending from a guide wire entry port formed at the distal end of the locator tube toward a guide wire exit port formed in the locator tube and spaced proximally from the distal end of the locator tube, the guide wire exit port being distal to the proximal end of the locator tube, the locator tube further including a position indicator having a lumen extending through the locator tube and having a distal, blood inlet port formed in the locator tube and a proximal, blood outlet port formed in the locator tube, the locator tube further including an expandable member being formed radially about the locator tube and movable between a closed position and an open position, the expandable member distal end being proximal to the guide wire exit port and the guide wire entry port, the position indicator being effective to indicate a position of the expandable member relative to a liquid carrying vessel, the distal, blood inlet port in the locator tube being proximal and adjacent to the expandable member proximal end; and

a staple applying apparatus slidably disposed on a portion of the locator tube proximal to the expandable member and slidable over the blood outlet port, the staple applying apparatus being adapted to apply a surgical staple to seal a puncture wound in a liquid carrying vessel.

2. The surgical stapler of claim 1, wherein the locator tube has a locator tube longitudinal axis, the expandable member has an expandable member longitudinal axis, the elongate lumen for receiving the removable guide wire has a guide wire lumen longitudinal axis, and the position indicator lumen has a position indicator lumen longitudinal axis where the locator tube longitudinal axis, the expandable member longitudinal axis, the guide wire lumen longitudinal axis, and the position indicator lumen longitudinal axis are substantially collinear.

3. The surgical stapler of claim 1, wherein the expandable member comprises an inflatable balloon having a substantially constant diameter transverse to a longitudinal axis of the locator tube.

4. The surgical stapler of claim 1, wherein the staple applying apparatus includes a sheath having a staple pusher slidably disposed therein and adapted to push a staple against an anvil disposed within a distal end of the staple applying apparatus, and a staple former slidably disposed around the staple pusher and the anvil and adapted to deform a staple.

5. The surgical stapler of claim 4, wherein the sheath has a distal end that is expandable from a closed position, in which the sheath is adapted to be deployed through a tissue tract, and an open position, in which the sheath is retracted relative to the staple pusher, staple former, and anvil.

6. The surgical stapler of claim 5, wherein the distal end of the sheath includes opposed cut-out portions formed therein to allow the sheath to move between the open and closed positions.

7. The surgical stapler of claim 4, further comprising at least one staple having a central portion with an opening formed therein and disposed around the locator tube, and opposed legs extending distally from opposed ends of the central portion, the opposed legs being generally Y-shaped.

8. The surgical stapler of claim 7, wherein, when the staple is pushed against the anvil by the staple pusher, the anvil is adapted to move the legs a distance apart from one another such that the staple is adapted to be deployed into a liquid carrying vessel.

9. The surgical stapler of claim 7, wherein the at least one staple is bioabsorbable.

10. The surgical stapler of claim 9, wherein the at least one staple is formed from a magnesium alloy.

11. The surgical stapler of claim 1, wherein the expandable member is inflatable, and the locator tube includes an inflation lumen formed therein and coupled to a pressure relief valve that is adapted to regulate a pressure within the inflatable expandable member.

12. The surgical stapler of claim 1, wherein the blood inlet port is formed just proximal to the expandable member that the inlet port will be positioned external to a liquid carrying vessel when the expandable member is positioned against an internal surface of a liquid carrying vessel adjacent puncture wound.

13. A surgical stapler for closing a puncture wound in a liquid carrying vessel, comprising:

a locator tube having a proximal end and a distal end with an elongate lumen extending through at least a portion thereof for receiving a removable guide wire, the locator tube including a position indicator having a lumen extending through the locator tube and having a distal, blood inlet port formed in the locator tube and a proximal, blood outlet port formed in the locator tube, the locator tube further including an expandable member being formed radially about the locator tube and movable between a closed position and an open position, the position indicator being effective to indicate a position of the expandable member relative to a liquid carrying vessel, the distal, blood inlet port and the proximal, blood outlet port in the locator tube being proximal and adjacent to the expandable member proximal end prior to and at a time of stapling; and

a staple applying apparatus slidably disposed on a portion of the locator tube proximal to the expandable member and slidable over the blood outlet port, the staple applying apparatus being adapted to apply a surgical staple to seal a puncture wound in a liquid carrying vessel.

14. The surgical stapler of claim 13, wherein the locator tube has a locator tube longitudinal axis, the expandable member has an expandable member longitudinal axis, the elongate lumen for receiving the removable guide wire has a guide wire lumen longitudinal axis, and the position indicator lumen has a position indicator lumen longitudinal axis where the locator tube longitudinal axis, the expandable member longitudinal axis, the guide wire lumen longitudinal axis, and the position indicator lumen longitudinal axis are substantially collinear.

15. The surgical stapler of claim 13, wherein the expandable member comprises an inflatable balloon having a substantially constant diameter transverse to a longitudinal axis of the locator tube.

16. The surgical stapler of claim 13, wherein the staple applying apparatus includes a sheath having a staple pusher slidably disposed therein and adapted to push a staple against an anvil disposed within a distal end of the staple applying apparatus, and a staple former slidably disposed around the staple pusher and the anvil and adapted to deform a staple.

17. The surgical stapler of claim 16, wherein the sheath has a distal end that is expandable from a closed position, in which the sheath is adapted to be deployed through a tissue tract, and an open position, in which the sheath is retracted relative to the staple pusher, staple former, and anvil.

18. The surgical stapler of claim 17, wherein the distal end of the sheath includes opposed cut-out portions formed therein to allow the sheath to move between the open and closed positions.

19. The surgical stapler of claim 16, further comprising at least one staple having a central portion with an opening formed therein and disposed around the locator tube, and opposed legs extending distally from opposed ends of the central portion, the opposed legs being generally Y-shaped.

20. The surgical stapler of claim 19, wherein, when the staple is pushed against the anvil by the staple pusher, the anvil is adapted to move the legs a distance apart from one another such that the staple is adapted to be deployed into a liquid carrying vessel.

21. The surgical stapler of claim 19, wherein the at least one staple is bioabsorbable.

22. The surgical stapler of claim 21, wherein the at least one staple is formed from a magnesium alloy.

23. The surgical stapler of claim 13, wherein the expandable member is inflatable, and the locator tube includes an inflation lumen formed therein and coupled to a pressure relief valve that is adapted to regulate a pressure within the inflatable expandable member.

24. The surgical stapler of claim 13, wherein the blood inlet port is formed just proximal to the expandable member that the inlet port will be positioned external to a liquid carrying vessel when the expandable member is positioned against an internal surface of a liquid carrying vessel adjacent puncture wound.

25. A surgical stapler for closing a puncture wound in a liquid carrying vessel, comprising:

a locator tube including a position indicator that is effective to indicate a position of the expandable member relative to a liquid carrying vessel, the position indicator including an elongate lumen extending through the locator tube and having a distal, blood inlet port formed in the locator tube and a proximal, blood outlet port formed in the locator tube, the locator tube further including an expandable member formed radially about the locator tube and movable between a closed position and an open position, the distal, blood inlet port and the proximal, blood outlet port formed in the locator tube being proximal and adjacent to the expandable member proximal end prior to and at a time of stapling; and

a staple applying apparatus slidably disposed on a portion of the locator tube proximal to the expandable member and slidable over the blood outlet port, the staple applying apparatus being adapted to apply a surgical staple to seal a puncture wound in a liquid carrying vessel.

26. The surgical stapler of claim 25, wherein the locator tube has a locator tube longitudinal axis, the expandable member has an expandable member longitudinal axis, and the position indicator lumen has a position indicator lumen longitudinal axis where the locator tube longitudinal axis, the expandable member longitudinal axis, and the position indicator lumen longitudinal axis are substantially collinear.

27. The surgical stapler of claim 25, wherein the expandable member comprises an inflatable balloon having a substantially constant diameter transverse to a longitudinal axis of the locator tube.

28. The surgical stapler of claim 25, wherein the staple applying apparatus includes a sheath having a staple pusher slidably disposed therein and adapted to push a staple against an anvil disposed within a distal end of the staple applying apparatus, and a staple former slidably disposed around the staple pusher and the anvil and adapted to deform a staple.

29. The surgical stapler of claim 28, wherein the sheath has a distal end that is expandable from a closed position, in which the sheath is adapted to be deployed through a tissue tract, and an open position, in which the sheath is retracted relative to the staple pusher, staple former, and anvil.

30. The surgical stapler of claim 29, wherein the distal end of the sheath includes opposed cut-out portions formed therein to allow the sheath to move between the open and closed positions.

31. The surgical stapler of claim 28, further comprising at least one staple having a central portion with an opening formed therein and disposed around the locator tube, and opposed legs extending distally from opposed ends of the central portion, the opposed legs being generally Y-shaped.

32. The surgical stapler of claim 31, wherein, when the staple is pushed against the anvil by the staple pusher, the anvil is adapted to move the legs a distance apart from one another such that the staple is adapted to be deployed into a liquid carrying vessel.

33. The surgical stapler of claim 31, wherein the at least one staple is bioabsorbable.

34. The surgical stapler of claim 33, wherein the at least on staple is formed from a magnesium alloy.

35. The surgical stapler of claim 25, wherein the expandable member is inflatable, and the locator tube includes an inflation lumen formed therein and coupled to a pressure relief valve that is adapted to regulate a pressure within the inflatable expandable member.

36. The surgical stapler of claim 25, wherein the blood inlet port is formed just proximal to the expandable member that the inlet port will be positioned external to a liquid carrying vessel when the expandable member is positioned against an internal surface of a liquid carrying vessel adjacent puncture wound.

37. The surgical stapler of claim 25, wherein the locator tube includes a proximal end and a distal end with a lumen extending through at least a portion thereof for receiving a removable guide wire.

38. The surgical stapler of claim 37, wherein the distal end of the locator tube is insertable into the liquid carrying vessel and the lumen of the locator tube extends from a guide wire entry port at the distal end of the locator tube toward a guide wire exit port spaced proximally from the distal end of the locator tube, the guide wire exit port being distal to the proximal end of the locator tube.

39. A locator tube extending from a distal end toward a proximal end about a locator tube longitudinal axis, the locator tube comprising:

an elongate, flexible guide wire lumen extending through at least a portion of said locator tube having a guide wire lumen longitudinal axis, said guide wire lumen configured to receive a removable guide wire, said guide wire lumen extending from a guide wire entry port at said distal end of said locator tube toward a guide wire exit port spaced proximally from said distal end of said locator tube, said guide wire exit port being distal to said proximal end of said locator tube;

an expandable member having an expandable member proximal end, an expandable member distal end, and an expandable member longitudinal axis, said expandable member being formed radially about said locator tube and having a substantially constant diameter transverse to said locator tube longitudinal axis, said expandable member distal end being proximal to said guide wire exit port and said guide wire entry port;

a position indicator including a position indicator lumen extending through a portion of said locator tube and having a distal, blood inlet port, a proximal, blood outlet port, and a position indicator lumen longitudinal axis, said position indicator being configured to indicate a position of said expandable member relative to a liquid carrying vessel, said distal, blood inlet port being proximal and adjacent to said expandable member proximal end prior to and at said time of locating a body lumen such that said distal, blood inlet port will be external to an outer surface of the body lumen when said expandable member is positioned against an internal surface of the body lumen puncture wound; and

an inflation lumen extending through said locator tube and having an inflation lumen longitudinal axis, said inflation lumen being configured to transition said expandable member between a closed position and an open position, said locator tube longitudinal axis being substantially collinear with at least one of said inflation lumen longitudinal axis and said position indicator lumen longitudinal axis.