Surgical circular stapler with tissue retention arrangements

• US 8,801,735 B2
• Filed: 07/30/2010
• Issued: 08/12/2014
• Est. Priority Date: 07/30/2010
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Willis, John W.
• Primary Examiner(s): Bui, Vy Q
• Application Number:
  US12/846,978
• Publication Number:
  US 20120029547A1
• Time in Patent Office: 1,474 Days
• Field of Search: 606/139, 606/142, 606/153, 606/170, 606/108, 606/180, 606/221, 606/219, 227/176.1, 227/179.1, 227/180.1, 128/898, 623/1.35, 623/1.36
• US Class Current: 606/153
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take 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 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3431 being collapsible, e.g. made of thin flexible material A61B17/3423 takes precedence
• CPC Class Codes: A61B 2017/00057 Light
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/1132 End-to-end connections
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/2943 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/320052 : Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2090/0427 : Prevention of contact
• CPC Class Codes: A61B 2090/061 : for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/0801 : Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 2090/08021 : of the patient or his organs
• CPC Class Codes: A61B 2090/0807 : Indication means
• CPC Class Codes: A61B 2090/0816 : for preventing adhesion
• CPC Class Codes: A61B 2090/309 : using white LEDs
• CPC Class Codes: A61B 2090/3912 : Body cavities
• CPC Class Codes: A61B 2090/3945 : Active visible markers, e.g. light emitting diodes
• CPC Class Codes: A61B 2090/3966 : Radiopaque markers visible in an X-ray image

Abstract

Surgical instruments and procedures for performing a circular anastomosis of a tubular organ. The surgical instruments may include selectively deployable tissue acquisition members configured to puncture through a portion of the tubular organ and position the portion of the organ adjacent to a fastener face of a staple cartridge supported in the instrument. At least one cutting member may be radially deployed and rotated to sever the positioned portion of organ from a distal portion of the organ. An anvil may be employed to draw another portion of the organ adjacent to the portion of organ positioned adjacent to the fastener face of the staple cartridge. The staples may then be deployed through the adjacent portions of organ and an annular knife may be advanced through the adjacent organ portions to complete the anastomosis.

Claims

1. A surgical instrument comprising:

an elongated shaft defining a central axis, said elongated shaft having a distal end portion configured to operably support a circular staple cartridge therein;

a plurality of acquisition members operably supported within said elongated shaft, each said acquisition member having a flexible tissue-piercing distal portion that is radially deployable away from said central axis such that upon application of a deployment motion to said plurality of said acquisition members, said plurality of acquisition members extend simultaneously in a plurality of radial directions relative to an outer perimeter of said elongated shaft;

at least one flexible knife member movably supported in said elongated shaft, each said knife member having a distal cutting portion that is axially advanceable out of said distal end portion of said elongated shaft upon application of an axial actuation motion thereto;

a rotary actuator operably interfacing with each said knife member such that each said knife member is selectively rotatable about said central axis upon application of a rotary actuation motion to said rotary actuator.

2. The surgical instrument of claim 1 further comprising a tissue-piercing barb on said tissue-piercing distal portion of each said acquisition member.

3. The surgical instrument of claim 1 wherein each said acquisition member is movably supported in an acquisition housing that is movably supported within said elongated shaft.

4. The surgical instrument of claim 1 wherein said distal cutting portion of each said knife member naturally bends radially away from said central axis when said distal cutting portion is axially advanced out of said distal end portion of said elongated shaft.

5. The surgical instrument of claim 4 wherein each said knife member has a tissue-piercing point formed thereon.

6. The surgical instrument of claim 1 wherein each said knife member is supported in a cutter housing that is axially and rotatably supported within said elongated shaft.

7. The surgical instrument of claim 1 further comprising an annular cutting member that is supported by said distal end of said elongated shaft for selective axial travel relative thereto.

8. The surgical instrument of claim 7 wherein said annular cutting member is supported to receive axial firing motions from a firing member operably supported in said elongated shaft.

9. The surgical instrument of claim 1 wherein said at least one acquisition member comprises a plurality of acquisition members.

10. The surgical instrument of claim 1 wherein said at least one flexible knife member comprises a plurality of flexible knife members.

11. A surgical instrument comprising:

a handle assembly;

an elongated shaft protruding from said handle assembly and defining a central axis, said elongated shaft terminating in a stapler head comprising;

a circular staple cartridge having a fastener face; and

an axially movable cutting member;

a firing member operably supported in said elongated shaft and oriented to apply a firing motion to said circular staple cartridge;

an anvil shaft assembly operably supported within said elongated shaft and configured to receive actuation motions from said handle assembly to cause said anvil shaft assembly to move axially within said elongated shaft such that a distal connection portion thereof moves axially relative to said fastener face;

an anvil removably attachable to said distal connection portion of said anvil shaft assembly;

an acquisition housing movably supported with said elongated shaft and operably supporting therein a plurality of acquisition members that each have a distal tissue acquisition portion that is selectively axially advanceable out of a distal end of said acquisition housing, each said tissue acquisition portion configured to flex radially away from said central axis when axially advanced out of said distal end of said acquisition housing;

a cutter housing movably supported within said elongated shaft such that said cutter housing may be selectively axially and rotatably moved relative to said elongated shaft; and

a plurality of knife members movably supported in said cutter housing, each said knife member having a distal cutting portion that is axially advanceable out of a distal end portion of said cutter housing upon application of an axial actuation motion thereto.

12. The surgical instrument of claim 11 wherein each said acquisition member has a tissue-piercing acquisition tip formed thereon.

13. The surgical instrument of claim 11 wherein each said knife member has a tissue-piercing knife point formed thereon.