Modular tool heads for use with circular surgical instruments

• US 8,827,903 B2
• Filed: 07/13/2011
• Issued: 09/09/2014
• Est. Priority Date: 03/14/2011
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Morgan, Jerome R., Aronhalt, Taylor W., Johnson, Gregory W., Baxter, Chester O. III, Young, Joseph E., Worrell, Barry C., Schall, Christopher J.
• Primary Examiner(s): Hammond, Ellen C
• Application Number:
  US13/181,807
• Publication Number:
  US 20120238829A1
• Time in Patent Office: 1,154 Days
• Field of Search: 606/153, 600/235, 600/208, 600/224, 600/210, 600/214, 600/215, 600/217, 600/219, 600/222
• US Class Current: 600/217
• 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 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0293 with ring member to support retractor elements
• 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 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/0287 with elastic retracting members connectable to a frame, e.g. hooked elastic wires
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2560/0443 Modular apparatus
• CPC Class Codes: F04C 2270/0421 Controlled or regulated

Abstract

Various universal ports for installation into a colon are disclosed. Some embodiments include means for permitting an anvil of a surgical stapler to pass through a port in a first direction and means for permitting a portion of the patient'"'"'s colon to pass through the port in a second direction. Some embodiments also employ a flexible sleeve that may extend from the port out through the anus to provide a passageway for passing surgical instruments into and out of the rectum and also for removing severed specimens therefrom.

Claims

1. A port for insertion into a patient'"'"'s colon and use during a surgical technique using a surgical stapler, the surgical stapler including a tool head and an anvil attachable to the tool head, said port comprising:

a frame configured to engage the colon, the frame comprising;

an annular inner ring portion defining an aperture that is sized and configured to permit the anvil in its entirety to be passed therethrough, said annular inner ring portion operably supporting a plurality of radially deployable barbs thereon; and

an annular outer ring portion supported on said annular inner ring portion such that said annular inner ring portion may be selectively rotated relative to said annular outer ring portion between a first position wherein each of said radially deployable barbs does not protrude radially beyond an outermost perimeter of said annular outer ring portion to a second deployed position wherein a tissue engaging portion of each said barb protrudes radially beyond the outermost perimeter of said annular outer ring portion and wherein the port further comprises a sleeve that extends from said annular outer ring portion and is sized and configured to receive at least a portion of the tool head therein.

2. The port of claim 1 wherein said sleeve further comprises a proximal end coupled to said annular outer ring portion, a distal end, and a length extending between said proximal end and said distal end, and wherein said length is sized and configured such that said distal end can reside within the patient'"'"'s colon while said proximal end can reside outside of said patient'"'"'s colon.

3. The port of claim 1, further comprising a seal which is configured to at least partially seal said aperture.

4. The port of claim 1 wherein each said radially deployable barb comprises a suture barb.

5. The port of claim 4 wherein each said suture barb comprises:

a first portion attached to the annular inner ring portion; and

an end portion received in a corresponding slot in said annular outer ring portion.

6. The port of claim 1 further comprising an installation tool comprising:

a first portion releasably engagable with said annular outer ring portion; and

a second portion releasably engagable with said annular inner ring portion and configured to apply a rotary motion thereto for radially deploying said radially deployable barbs.

7. The port of claim 6 wherein said first portion of said installation tool comprises:

a hollow support shaft; and

a plurality of first support arms radially protruding from said hollow support shaft and wherein each said first support arm has a first attachment end configured to releasably engage the annular outer ring portion and wherein said second portion of said installation tool comprises;

a rotary drive shaft extending through said hollow support shaft; and

a plurality of second support arms radially protruding from said rotary drive shaft wherein each said second support arm has a second attachment end configured to releasably engage said annular inner ring portion.

8. The port of claim 7 wherein each said first attachment end of said first support arms is configured to releasably engage a corresponding outer slot formation in said annular outer ring portion and wherein each said second attachment end of said second support arms is configured to releasably engage a corresponding inner slot formation in said annular inner ring portion.

9. The port of claim 1 further comprising a hollow stiffening tube configured to engage said annular outer ring portion.

10. The port of claim 1 wherein said annular outer ring portion has a proximal end and wherein said sleeve extends beyond said proximal end.

11. A port for insertion into a patient'"'"'s colon and use during a surgical technique using a surgical stapler, the surgical stapler including a tool head and an anvil attachable to the tool head, said port comprising:

a first frame means for defining an aperture that is sized and configured to permit the anvil in its entirety to be passed therethrough;

a plurality of tissue-piercing means operably supported on the first frame means, each of said tissue-piercing means being selectively radially deployable from a first orientation to a second deployed orientation; and

a second frame means supported on said first frame means such that said first frame means may be selectively rotated relative to said second frame means between a first position wherein each of said tissue-piercing means remain in the first orientation wherein none of said tissue-piercing means protrude radially beyond an outermost perimeter of the second frame means to said second deployed orientation wherein each said tissue-piercing means protrudes radially beyond the outermost perimeter of said second frame means.