Stapler for mucosectomy

• US 8,684,251 B2
• Filed: 08/24/2012
• Issued: 04/01/2014
• Est. Priority Date: 03/07/2007
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Rebuffat, Carlo, David, Dante
• Primary Examiner(s): Long, Robert
• Application Number:
  US13/594,071
• Publication Number:
  US 20130037599A1
• Time in Patent Office: 585 Days
• Field of Search: 2271751-1821, 606/53
• US Class Current: 227/179.1
• 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 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 2017/00269 endoscopic mucosal resection EMR
• CPC Class Codes: A61B 2017/1142 Purse-string sutures
• CPC Class Codes: A61B 2017/2901 Details of shaft

Abstract

A head for a stapler used during a mucosectomy is disclosed that includes an external body, an internal body, an anvil, and a blade. The internal body includes a central hole into which a rod is slidingly inserted. One or more annular grooves are formed on a lateral surface of the rod, and are intended to receive a portion of mucosa which is included in a purse string suture as the mucosa is tied around the rod. By retracting the rod in the central hole of the internal body, the mucosa to be removed is carried into the internal body.

Claims

1. A surgical fastener applying apparatus, comprising:

a head assembly including a body;

an anvil rod configured and dimensioned for slidable insertion into the body of the head assembly; and

an anvil attached to a distal end of the anvil rod, wherein the anvil rod includes three annular grooves formed in an outer surface thereof arranged in perpendicular relation to a longitudinal axis of the anvil rod, the grooves being spaced from one another along the longitudinal axis of the anvil rod such that a portion of the outer surface of the anvil rod is positioned between adjacent grooves, the grooves being arranged at varying distances from the anvil, and being configured and dimensioned to selectively receive a portion of mucosa to be tied around the anvil rod in a purse string suture such that varying amounts of mucosa can be drawn into the body of the head assembly during approximation of the head assembly and the anvil dependent upon the groove to which the mucosa is secured.

2. The surgical fastener applying apparatus according to claim 1, wherein one of the grooves is spaced 10 mm from the anvil, one of the grooves is spaced 20 mm from the anvil, and one of the grooves is spaced 30 mm from the anvil.

3. The surgical fastener applying apparatus according to claim 1, wherein each groove defines a depth between 0.5 mm and 3 mm.

4. The surgical fastener applying apparatus according to claim 3, wherein each groove defines a depth equal to 1 mm.

5. The surgical fastener applying apparatus according to claim 1, wherein the anvil rod has a circular cross-sectional configuration.

6. The surgical fastener applying apparatus according to claim 1, wherein each groove defines a cylindrical surface having a smaller diameter than remaining portions of the outer surface of the anvil rod, each groove being connected to the outer surface of the anvil rod by a fillet surface.

7. The surgical fastener applying apparatus according claim 6, wherein the fillet surface defines a radius of 1 mm.

8. The surgical fastener applying apparatus according to claim 1, wherein the body of the head assembly includes an external body and an internal body, the internal body being smaller than the external body, and positioned concentrically within the external body, the internal body being configured and dimensioned to slidingly receive the anvil rod.

9. The surgical fastener applying apparatus according to claim 8, further including a blade connected to an edge of the internal body.

10. A surgical fastener applying apparatus, comprising:

a head assembly including a body;

an anvil rod configured and dimensioned for slidable insertion into the body of the head assembly; and

an anvil attached to a distal end of the anvil rod, the anvil rod including three grooves integrally formed in an outer surface thereof arranged at varying distances from the anvil, each of the grooves being configured and dimensioned to selectively receive a portion of mucosa to be tied around the anvil rod in a purse string suture such that varying amounts of mucosa can be drawn into the head assembly during approximation of the head assembly and the anvil dependent upon the groove to which the mucosa is secured.

11. The surgical fastener applying apparatus according to claim 10, wherein each groove extends in perpendicular relation to a longitudinal axis of the anvil rod.

12. The surgical fastener applying apparatus according to claim 10, wherein each groove is annular in configuration.

13. The surgical fastener applying apparatus according to claim 10, wherein the grooves are spaced apart from one another along a longitudinal axis of the anvil rod such that a portion of the outer surface of the anvil rod is positioned between each adjacent groove.

14. The surgical fastener applying apparatus according to claim 10, wherein one of the grooves is spaced 10 mm from the anvil, one of the grooves is spaced 20 mm from the anvil, and one of the grooves is spaced 30 mm from the anvil.

15. The surgical fastener applying apparatus according to claim 10, wherein each groove defines a depth between 0.5 mm and 3 mm.

16. The surgical fastener applying apparatus according to claim 15, wherein each groove defines a depth equal to 1 mm.

17. The surgical fastener applying apparatus according to claim 10, wherein each groove defines a cylindrical surface having a smaller diameter than remaining portions of the outer surface of the anvil rod, each groove being connected to the outer surface of the anvil rod by a fillet surface.

18. The surgical fastener applying apparatus according claim 17, wherein the fillet surface defines a radius of 1 mm.

19. A method of performing a surgical procedure, comprising:

securing a flexible member to a section of target tissue;

inserting an anvil of a surgical fastener applying apparatus into an opening in a patient;

selecting one of three grooves formed in an outer surface of an anvil rod extending proximally from the anvil, to which the flexible member will be secured;

securing the flexible member directly to the selected groove in the outer surface of the anvil rod; and

approximating the anvil and a head assembly of the surgical fastener applying apparatus to draw the target tissue into a body of the head assembly with the anvil rod.