Tool member cover and cover deployment device

• US 9,119,604 B2
• Filed: 05/29/2013
• Issued: 09/01/2015
• Est. Priority Date: 07/31/2002
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Gresham, Richard D.
• Primary Examiner(s): MCEVOY, THOMAS M
• Application Number:
  US13/904,425
• Publication Number:
  US 20130256381A1
• Time in Patent Office: 825 Days
• Field of Search: 604/263, 606/114, 606/127, 606205-211, 606/219, 2271751-1821
• US Class Current: 1/1
• 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 17/068 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 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/3431 being collapsible, e.g. made of thin flexible material A61B17/3423 takes precedence
• CPC Class Codes: A61B 17/3494 with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors for the peridural space A61B17/3401
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/3435 using everted sleeves
• CPC Class Codes: A61B 2050/314 Flexible bags or pouches
• CPC Class Codes: A61B 2090/0427 Prevention of contact
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 46/13 the drapes entering the patient's body
• CPC Class Codes: A61B 46/27 tubular, e.g. for arms or legs A61B46/13 takes precedence
• CPC Class Codes: A61B 90/04 Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery protection of eyes against laser radiation A61F9/022

Abstract

A surgical instrument including a tool member cover and a cover deployment device are disclosed. The cover is supported adjacent to or on the tool assembly of the surgical instrument and is movable from a first position in which the tool assembly is uncovered to a second position in which the tool assembly is at least partially encompassed by the cover. The deployment device is provided for moving the cover from the first position to the second position.

Claims

1. A surgical instrument for insertion into a body lumen comprising:

an elongated body portion having an outer surface;

a tool assembly supported on a distal end of the elongated body portion;

a cover fitted about the elongated body portion, the cover movable from a first proximal position to a second position to cover a distal end of the tool assembly, the cover having a distal end secured to the elongated body portion adjacent the tool assembly; and

a cover deployment member separable from the cover, the cover deployment member being positioned about the elongated body portion between the elongated body portion and the cover and being slidable in a distal direction along the body portion to move the cover to the second position.

2. A surgical instrument according to claim 1, wherein the cover deployment member is releasably engaged with the cover.

3. A surgical instrument according to claim 2, wherein the cover deployment member includes a sleeve slidably positioned about the body portion between a retracted position and an advanced position to move the cover from the first proximal position to the second position.

4. A surgical instrument according to claim 3, wherein the sleeve includes first and second half-sections, the first and second half-sections being urged into abutment with one another by at least one expandable member, the expandable member being expandable to permit the first and second half-sections to move outwardly with respect to each other.

5. A surgical instrument according to claim 4, wherein the expandable member is a resilient O-ring.

6. A surgical instrument according to claim 4, wherein the sleeve includes a proximally located annular ring dimensioned to facilitate movement of the sleeve between the retracted and advanced positions.

7. A surgical instrument according to claim 4, wherein the first sleeve half-section includes at least one projection and the second sleeve half-section includes at least one slot, the at least one projection being slidable into the at least one slot to maintain alignment between the first and second half-sections when the first and second half-sections move outwardly with respect to each other.

8. A surgical instrument according to claim 1, wherein the cover is fitted about the elongated body portion such that movement of the cover deployment member from the retracted position to the advanced position inverts the cover over the tool assembly.

9. A surgical instrument according to claim 1, wherein the cover deployment member includes a distal engagement member, a proximal guide portion and a central body portion interconnecting the engagement member and the guide portion, the cover deployment device being slidably supported on the elongated body portion to enable the cover deployment member to be moved to move the cover to the second position.

10. A surgical instrument according to claim 1, further including a closure device configured to enclose a proximal end of the cover after the cover is in the second position.

11. A surgical instrument according to claim 10, wherein the closure device includes an elastic band supported by the cover.

12. A surgical instrument according to claim 10, wherein the closure device includes a drawstring.

13. A surgical instrument according to claim 1, wherein the surgical instrument is a circular stapler.

14. A surgical instrument according to claim 1, wherein the surgical instrument is an ultrasonic dissector.

15. A surgical instrument according to claim 1, wherein surgical instrument is a linear stapler.

16. A surgical instrument according to claim 1, wherein the tool assembly includes a stationary shell having a plurality of staples.

17. A surgical instrument for insertion into a body lumen comprising:

an elongated body portion;

a tool assembly supported on a distal end of the elongated body portion;

a cover having open proximal and distal ends and defining a lumen between the proximal and distal ends, the distal end of the cover attached to the surgical instrument adjacent a proximal end of the tool assembly, the cover being movable from a proximal position in which a portion of the elongated body portion is disposed within the lumen of the cover to a distal position in which the tool assembly of the surgical instrument is disposed within the lumen of the cover; and

a cover deployment member having an annular engagement portion extending at least partially about the elongated body portion, the cover deployment member being slidable about the elongated body portion to engage and move the cover from the proximal position to the distal position.

18. A surgical instrument according to claim 17, wherein the cover deployment member is separable from the cover.

19. A surgical instrument for insertion into a body lumen comprising:

an elongated body portion;

a tool assembly supported on a distal end of the elongated body portion;

a cover having open proximal and distal ends and defining a lumen between the proximal and distal ends, the distal end of the cover attached the surgical instrument adjacent a proximal end of the tool assembly, the cover being movable from a proximal position in which a portion of the elongated body portion is disposed within the lumen of the cover to a distal position in which the tool assembly of the surgical instrument is disposed within the lumen of the cover; and

a cover deployment member having an annular engagement portion extending at least partially about the elongated body portion, the cover deployment member being slidable about the elongated body portion to engage and move the cover from the proximal position to the distal position, the cover deployment member including a first half-section and a second half-section coupled together by at least one expandable member such that the cover deployment member is movable between a contracted configuration and an expanded configuration, the annular engagement portion having a diameter less than the diameter of the tool assembly in the contracted configuration and a diameter greater than the diameter of the tool assembly in the expanded configuration, wherein the first and second half-sections of the annular engagement portion are configured to expand outwardly to the expanded configuration as the annular engagement portion rides over the tool assembly.