Tissue acquisition arrangements and methods for surgical stapling devices

• US 9,597,075 B2
• Filed: 06/09/2014
• Issued: 03/21/2017
• Est. Priority Date: 07/30/2010
• Status: Expired due to Fees

• 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): CHUKWURAH, NATHANIEL C
• Application Number:
  US14/299,713
• Publication Number:
  US 20140284373A1
• Time in Patent Office: 1,016 Days
• Field of Search: 227/179.1, 227/180.1, 227/19
• US Class Current: 1/1
• 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 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/1125 Forceps, specially adapted for performing or assisting anastomosis
• CPC Class Codes: A61B 2017/1142 Purse-string sutures
• CPC Class Codes: G07F 17/3239 Tracking of individual players
• CPC Class Codes: G07F 17/3255 Incentive, loyalty and/or promotion schemes, e.g. comps, gaming associated with a purchase, gaming funded by advertisements

Abstract

In various embodiments, a surgical instrument is disclosed comprising a firing member, an anvil shaft assembly operably supported within an elongated shaft, and an anvil removably attachable to a distal connection portion of an anvil shaft assembly. The instrument further comprises a tissue acquisition shaft rotatably supported within the elongated shaft, tissue acquisition members pivotally attached to a distal end portion of the tissue acquisition shaft and being selectively pivotable between a retracted position to deployed positions, and at least one tissue acquisition pin corresponding to each one of the tissue acquisition members, each tissue acquisition pin radially protruding outward from the distal end portion of the tissue acquisition shaft to impale tissue drawn in towards the tissue acquisition shaft by the tissue acquisition members when the tissue acquisition members are moved from the deployed positions to the retracted position.

Claims

1. 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, said 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;

a tissue acquisition shaft rotatably supported within said elongated shaft;

a plurality of tissue acquisition members pivotally attached to a distal end portion of the tissue acquisition shaft and being selectively pivotable between a retracted position to deployed positions upon application of a deployment motion thereto; and

at least one tissue acquisition pin corresponding to each one of said plurality of tissue acquisition members, each said tissue acquisition pin radially protruding outward from said distal end portion of said tissue acquisition shaft to impale tissue drawn in towards said tissue acquisition shaft by said tissue acquisition members when said tissue acquisition members are moved from said deployed positions to said retracted position.

2. The surgical instrument of claim 1 wherein each said tissue acquisition member has a tissue piercing acquisition tip formed thereon.

3. The surgical instrument of claim 1 wherein each said tissue acquisition member has an arcuate shaped tissue cutting edge formed thereon.

4. The surgical instrument of claim 3 further comprising a shear plate on said elongated shaft and being configured to cooperate with the tissue cutting edge on each said tissue acquisition member to shear tissue captured between the tissue cutting edges and the shear plate.

5. The surgical instrument of claim 1 wherein said elongated shaft further comprises a rotatable deployment shaft including a drive gear thereon and wherein each said tissue acquisition member includes a driven gear in meshing engagement with the drive gear such that rotation of said deployment shaft in one rotary direction causes said tissue acquisition members to pivot to said deployed positions and rotation of said deployment shaft in an opposite rotary direction causes said tissue acquisition members to pivot from said deployed positions to said retracted position.

6. A surgical procedure for performing a circular anastomosis of a tubular organ, said surgical procedure comprising:

inserting a surgical instrument into the tubular organ adjacent a targeted portion thereof;

said 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, said 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;

a tissue acquisition shaft rotatably supported within said elongated shaft;

a plurality of tissue acquisition members pivotally attached to a distal end portion of the tissue acquisition shaft and being selectively pivotable between a retracted position to deployed positions upon application of a deployment motion thereto; and

at least one tissue acquisition pin corresponding to each one of said plurality of tissue acquisition members, each said tissue acquisition pin radially protruding outward from said distal end portion of said tissue acquisition shaft to impale tissue drawn in towards said tissue acquisition shaft by said tissue acquisition members when said tissue acquisition members are moved from said deployed positions to said retracted position;

acquiring a proximal portion of the tubular organ that is adjacent to the targeted portion with a plurality of tissue acquisition members of the surgical instrument;

severing the proximal portion of the tubular organ from the targeted portion with the plurality of tissue acquisition members;

retaining the proximal portion of the tubular organ adjacent to the fastener face of the staple cartridge;

severing the targeted portion of the tubular organ from a distal portion of the tubular organ;

inserting an anvil into the distal portion of the tubular organ such that a connection portion of the anvil protrudes proximally out of an open end of the distal portion of the tubular organ;

securing the distal portion of the tubular organ to the anvil;

coupling the connection portion of the anvil to the surgical instrument;

drawing the anvil proximally toward the stapler head such that a proximal end of the distal portion of the tubular organ and the retained proximal portion of the tubular organ are adjacent to each other and captured between the anvil and the fastener face;

stapling the proximal end of the distal portion and the retained proximal portion together to form a repaired tubular organ; and

cutting through the proximal end of the distal portion and retained proximal portion adjacent to the stapled proximal end and retained proximal portion.

7. The surgical procedure of claim 6 wherein said retaining comprises impaling the proximal portion of the tubular organ on said tissue acquisition pins on the surgical instrument adjacent to the fastener face.

8. The surgical procedure of claim 7 wherein said acquiring comprises radially deploying said plurality of tissue acquisition members from said retracted position to said deployed positions wherein a tissue-piercing end of each acquisition member punctures through the proximal portion of the tubular organ.

9. The surgical procedure of claim 8 wherein said severing comprises retracting the tissue acquisition members from said deployed positions to said retracted position such that the punctured proximal portion is drawn between a cutting edge on each of the tissue acquisition members and a shearing edge in the surgical instrument.

10. The surgical procedure of claim 6 wherein said securing the distal portion of the tubular organ to the anvil comprises suturing the distal portion of the tubular organ to the connection portion of the anvil such that a proximal end portion of the connection portion protrudes proximally out of the open end of the distal portion of the tubular organ.

11. The surgical procedure of claim 6 wherein said cutting through the proximal end of the distal portion and the retained proximal portion comprises axially advancing an annular cutting member through the retained proximal portion and the proximal end of the distal portion to sever an inner portion of the retained proximal portion from an outer stapled portion thereof and to sever an inner portion of the proximal end of the distal portion from an outer stapled portion thereof.

12. The surgical procedure of claim 11 further comprising:

removing the severed inner portion of the retained proximal portion from the repaired tubular organ; and

removing the severed inner portion of the proximal end of the distal portion from the repaired tubular organ.

13. The surgical procedure of claim 12 further comprising:

retaining the severed inner portion of the retained proximal portion in engagement with the surgical instrument to be withdrawn therewith; and

capturing the severed inner portion of the proximal end of the distal portion within the anvil to be withdrawn from the repaired tubular organ therewith.

14. A surgical instrument comprising:

an elongated shaft terminating in a stapler head including a circular staple cartridge comprising a fastener face;

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 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; and

means for shearing tissue operably supported on said elongated shaft adjacent said stapler head, said means for shearing being radially deployable from a retracted position to radially deployed positions to engage tissue, said means for shearing configured to shear the engaged tissue upon return of said means for shearing from said deployed positions to said retracted position.

15. The surgical instrument of claim 14 further comprising means on said elongated shaft for impaling tissue thereon.

16. The surgical instrument of claim 14 further comprising means for cutting tissue supported for axial movement within a central portion of said circular staple cartridge.

17. A surgical instrument comprising:

an elongated shaft defining a central axis and terminating in a stapler head, said 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 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;

a tissue acquisition shaft rotatably supported within said elongated shaft;

a plurality of tissue acquisition members pivotally attached to a distal end portion of the tissue acquisition shaft and being selectively pivotable between a retracted position to deployed positions upon application of a deployment motion thereto; and

at least one tissue acquisition element radially protruding outward from said distal end portion of said elongated shaft adjacent to at least one of said tissue acquisition members.