Circular surgical fastening devices with tissue acquisition arrangements

• US 10,470,770 B2
• Filed: 01/18/2017
• Issued: 11/12/2019
• Est. Priority Date: 07/30/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Willis, John W.
• Primary Examiner(s): Chukwurah, Nathaniel C
• Application Number:
  US15/408,931
• Publication Number:
  US 20170119395A1
• Time in Patent Office: 1,028 Days
• Field of Search: 2271791, 2271781, 2271801, 227 19
• 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

A surgical instrument comprising an elongate shaft assembly operably supporting a circular surgical staple cartridge in a distal end thereof and a plurality of arcuate tissue acquisition members pivotally attached to the elongate shaft assembly and configured to be selectively radially deployable from a first position wherein the plurality of arcuate tissue acquisition members cooperate to form a continuous ring defining a continuous outer ring diameter and a second deployed position wherein each arcuate tissue acquisition member extends radially outward from the elongate shaft assembly is disclosed. The surgical instrument further comprises means for selectively deploying the plurality of arcuate tissue acquisition members between the first position and the second deployed position, a tissue cutting member comprising two diametrically opposed ends forming a plurality of tissue cutting edges, and means for selectively rotating the tissue cutting member relative to the plurality of arcuate tissue acquisition members.

Claims

1. A surgical instrument, comprising:

an elongate shaft assembly operably supporting a circular surgical staple cartridge in a distal end thereof;

a plurality of arcuate tissue acquisition members pivotally attached to said elongate shaft assembly and configured to be selectively radially deployable from a first position wherein said plurality of arcuate tissue acquisition members cooperate to form a continuous ring defining a continuous outer ring diameter and a second deployed position wherein each said arcuate tissue acquisition member extends radially outward from said elongate shaft assembly;

means for selectively deploying said plurality of arcuate tissue acquisition members between said first position and said second deployed position;

a tissue cutting member comprising two diametrically opposed ends forming a plurality of tissue cutting edges, said tissue cutting member comprising a tissue cutting diameter that does not exceed said continuous outer ring diameter formed by said plurality of arcuate tissue acquisition members when said plurality of arcuate tissue acquisition members are in said first position; and

means for selectively rotating said tissue cutting member relative to said plurality of arcuate tissue acquisition members.

2. The surgical instrument of claim 1, wherein said plurality of arcuate tissue acquisition members are distal to said circular surgical staple cartridge.

3. The surgical instrument of claim 1, wherein said diametrically opposed ends of said tissue cutting member are each formed by at least one corresponding said tissue cutting edge that terminates in a tissue piercing point.

4. The surgical instrument of claim 3, wherein said at least one corresponding tissue cutting edge comprises:

a first tissue cutting edge on one side of said tissue cutting member; and

a second tissue cutting edge on another side of said tissue cutting member and parallel to said first tissue cutting edge.

5. The surgical instrument of claim 3, wherein said continuous outer ring diameter is less than a diameter of said circular surgical staple cartridge.

6. The surgical instrument of claim 3, wherein said continuous outer ring diameter is less than a diameter of said circular surgical staple cartridge.

7. The surgical instrument of claim 1, wherein said plurality of arcuate tissue acquisition members are deployed from said first position to said second deployed position by applying a rotary deployment motion to said tissue acquisition members with said means for selectively deploying said plurality of arcuate tissue acquisition members.

8. The surgical instrument of claim 7, wherein said means for selectively deploying said plurality of arcuate tissue acquisition members between said first position and said second deployed position comprises a rotary drive gear that is in meshing engagement with a rotary driven gear on each of said arcuate tissue acquisition members.

9. The surgical instrument of claim 8, wherein said rotary drive gear is actuated by a rotary drive shaft that protrudes through said circular surgical staple cartridge.

10. The surgical instrument of claim 9, wherein said surgical instrument further comprises an anvil shaft assembly supported for selective axial travel relative to said rotary drive shaft and configured to be operably coupled to an anvil supported in confronting relationship relative to said circular surgical staple cartridge.

11. The surgical instrument of claim 8, wherein each said tissue acquisition member further comprises an arcuate body comprising a first end and a second end, and wherein said first end comprises said rotary driven gear and said second end comprises a tissue piercing acquisition tip.

12. The surgical instrument of claim 11, wherein each said tissue piercing acquisition tip is formed at an end of an arcuate surface formed on said second end of said arcuate body.

13. The surgical instrument of claim 1, wherein each said tissue acquisition member comprises a tissue piercing acquisition tip formed thereon.

14. A circular surgical fastening instrument, comprising:

an elongate shaft assembly operably supporting a circular surgical fastener cartridge in a distal end thereof;

a plurality of arcuate tissue acquisition members pivotally attached to said elongate shaft assembly and configured to be selectively radially deployable from a first position wherein said plurality of arcuate tissue acquisition members cooperate to form a continuous ring defining a continuous outer ring diameter and a second deployed position wherein each said arcuate tissue acquisition member extends radially outward from said elongate shaft assembly;

a rotary drive shaft protruding through said circular surgical fastener cartridge and operably interfacing with said plurality of arcuate tissue acquisition members for applying rotary deployment motions thereto;

a tissue cutting member comprising two diametrically opposed ends forming a plurality of tissue cutting edges, said tissue cutting member comprising a tissue cutting diameter that does not exceed said continuous outer ring diameter formed by said plurality of arcuate tissue acquisition members when said plurality of arcuate tissue acquisition members are in said first position;

an anvil shaft assembly supported for selective axial travel relative to said rotary drive shaft;

an anvil configured to be removably attached to a distal end of said anvil shaft assembly such that when attached thereto, said anvil is in confronting relationship relative to said circular surgical fastener cartridge; and

means for selectively deploying fasteners from said circular surgical fastener cartridge.

15. The circular surgical fastening instrument of claim 14, wherein said means for deploying fasteners comprises an axially movable fastener driver shaft configured to eject said fasteners from said circular surgical fastener cartridge.

16. The circular surgical fastening instrument of claim 15, further comprising a handle assembly coupled to said elongate shaft assembly, said handle assembly comprising a firing trigger configured to apply axial firing motions to said axially movable fastener drive shaft.

17. The circular surgical fastening instrument of claim 14, wherein said plurality of arcuate tissue acquisition members are distal to said circular surgical fastener cartridge.

18. The circular surgical fastening instrument of claim 14, wherein said diametrically opposed ends of said tissue cutting member are each formed by at least one corresponding said tissue cutting edge that terminates in a tissue piercing point.

19. The circular surgical fastening instrument of claim 18, wherein said at least one corresponding tissue cutting edge comprises:

a first tissue cutting edge on one side of said tissue cutting member; and

a second tissue cutting edge on another side of said tissue cutting member and parallel to said first tissue cutting edge.