Circular stapler with increased lumen diameter

• US 9,022,274 B2
• Filed: 02/15/2012
• Issued: 05/05/2015
• Est. Priority Date: 02/15/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Penna, Christopher
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US13/397,039
• Publication Number:
  US 20130206816A1
• Time in Patent Office: 1,175 Days
• Field of Search: 227/175.1, 227/176.1, 227/179.1, 128/898
• US Class Current: 227/179.1
• 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 17/115 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 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/111 with means for removing a constriction after performing anastomosis
• CPC Class Codes: A61B 2017/1132 End-to-end connections

Abstract

A surgical stapling device is provided having a shell assembly including an outer housing portion having areas of varying wall thicknesses. Individual staple pockets in a row of staple pockets are positioned in areas of thinner wall thicknesses. Areas of increased wall thicknesses form longitudinally extending strengthening ribs along an inner surface of the outer housing portion. The longitudinally extending strengthening ribs may be solid, indented in the wall of the outer housing portion and or bisected by a slot extending through the outer housing portion.

Claims

1. A surgical stapling device comprising:

a handle assembly including a firing trigger;

a body portion extending distally from the handle assembly; and

a head portion disposed adjacent the body portion and including an anvil assembly and a shell assembly, the anvil assembly being movable in relation to the shell assembly between spaced and approximated positions, the shell assembly including;

an outer housing portion having a wall including areas of thinner and thicker wall thicknesses, wherein the areas of thicker wall thickness form longitudinally extending ribs extending along an inner surface of the wall of the outer housing portion; and

an outer row of staple pockets.

2. The surgical stapling device as recited in claim 1, wherein the outer row of staple pockets is located in the areas of thinner wall thickness.

3. The surgical stapling device as recited in claim 2, wherein the outer housing portion is cylindrical and the outer row of staple pockets is circular.

4. The surgical stapling device as recited in claim 1, wherein the ribs are solid.

5. The surgical stapling device as recited in claim 4, wherein the ribs are formed integrally with the wall of the outer housing portion.

6. The surgical stapling device as recited in claim 1, wherein the ribs are indented in the wall of the outer housing portion.

7. The surgical stapling device as recited in claim 1, wherein each rib is bisected by a slot.

8. The surgical stapling device as recited in claim 7, wherein each slot extends through each rib and the wall of the outer housing portion.

9. The surgical stapling device as recited in claim 1, wherein the ribs include angled sidewalls such that the ribs taper inwardly away from the inner surface of the wall of the outer housing portion.

10. A surgical stapling device comprising:

a handle assembly including a firing trigger;

a body portion extending distally from the handle assembly; and

a head portion disposed adjacent the body portion and including an anvil assembly and a shell assembly, the anvil assembly being movable in relation to the shell assembly between spaced and approximated positions, the shell assembly including;

a cylindrical outer housing portion having a wall including areas of thinner and thicker wall thicknesses, wherein the areas of thicker wall thickness form longitudinally extending ribs extending along an inner surface of the wall of the outer housing portion;

an outer ring of staple pockets aligned with the areas of thinner wall thickness, and

a pusher back movably mounted within the cylindrical outer housing portion for driving staples contained within the outer ring of staple pockets out of the outer ring of staple pockets and into the anvil assembly.

11. The surgical stapling device as recited in claim 10, wherein the pusher back includes longitudinally extending slots to accommodate the areas of thicker wall thickness.

12. The surgical stapling device as recited in claim 10, wherein the ribs are solid.

13. The surgical stapling device as recited in claim 10, wherein the ribs are indented in the wall of the outer housing portion.

14. The surgical stapling device as recited in claim 10, wherein each rib is bisected by a slot.

15. A method of increasing a lumen diameter of a pair of stapled tubular tissue sections comprising:

providing a surgical stapling device including;

an outer housing portion having areas of increased and decreased wall thicknesses, wherein the areas of increased wall thickness form longitudinally extending ribs extending along an inner surface of the wall of the outer housing portion;

an anvil member associated with the outer housing portion; and

a row of staple containing pockets disposed adjacent the areas of decreased wall thickness;

positioning the outer housing portion of the surgical stapling device within a first tubular tissue section;

positioning the anvil member of the surgical stapling device within a second tubular tissue section;

approximating the first tubular tissue section adjacent the second tubular tissue section; and

driving staples out of the row of staple containing pockets through the first and second tubular tissue sections and into the anvil member.

16. The method as recited in claim 15, further comprising severing excess tubular tissue of at least one of the first tubular tissue section or the second tubular tissue section with a cylindrical knife blade located adjacent the row of staple containing pockets.