Stapler for mucosectomy

• US 8,272,555 B2
• Filed: 03/07/2007
• Issued: 09/25/2012
• Est. Priority Date: 03/07/2007
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Rebuffat, Carlo, David, Dante
• Primary Examiner(s): Long, Robert
• Application Number:
  US12/529,909
• Publication Number:
  US 20100213239A1
• Time in Patent Office: 2,029 Days
• Field of Search: 227/19, 2271751-1821, 606/153
• US Class Current: 227/179.1
• 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 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 2017/00269 endoscopic mucosal resection EMR
• CPC Class Codes: A61B 2017/1142 Purse-string sutures
• CPC Class Codes: A61B 2017/2901 Details of shaft

Abstract

The head of a stapler for mucosectomy comprises an external goblet-shaped body (1) wherein an internal goblet-shaped body (2) is concentrically and slidingly located, at the edge of which a circular blade (3) is fixed. The internal goblet-shaped body (2) is provided with a central hole (5) wherein a rod (6) is slidingly inserted, at the end (7) of which an anvil (8; 8′) is fixed. One or more annular grooves (11), which are parallel and suitably spaced one from the other, are formed on the lateral surface of the rod (6) perpendicularly to the axis thereof. Said grooves (11) are intended to receive a portion of mucosa (9a) which is included in a purse string suture as the mucosa is tied around the rod (6). By retracting the rod (6) in the central hole (5) of the stem (2a) of the internal goblet-shaped body (2) the mucosa to be removed is carried into the internal goblet-shaped body (2). The anvil (8; 8′) and the circular blade (3) are moved closer one to the other, by suitable means, in order to cut the tissues when the stapler is in a closed position.

Claims

1. A stapler for mucosectomy, comprising:

a stapler head comprising at least one body provided with a central hole wherein a rod is slidingly inserted;

an anvil attached to an end of said rod opposite to said central hole; and

three annular grooves formed in a lateral surface of the rod and perpendicularly to a longitudinal axis thereof, the annular grooves being spaced from one another along the longitudinal axis of the rod such that a portion of the lateral surface of the rod is positioned between adjacent grooves, the portion of the lateral surface of the rod extending between each groove defining an axial dimension greater than an axial dimension defined each groove, wherein the axial dimensions are parallel to the longitudinal axis of the rod, the grooves being arranged at varying distances from the anvil, and being configured and dimensioned to individually and selectively receive a portion of mucosa to be tied around the rod in a purse string suture in correspondence of one of said grooves such that varying amounts of mucosa can be drawn into the at least one body during approximation of the stapler head and the anvil dependent upon the groove to which the mucosa is secured.

2. The stapler according to claim 1, wherein the three annular grooves are arranged at 10, 20 and 30 mm from the anvil, respectively.

3. The stapler according to claim 1 wherein the annular grooves have a depth between 0.5 mm and 3 mm.

4. The stapler according to claim 3, wherein depth of the annular grooves is equal to 1 mm.

5. The stapler according to claim 1, wherein the rod has a circular cross-sectional configuration.

6. The stapler according to claim 1, wherein each annular groove consists of a cylindrical surface having a smaller diameter than remaining portions of the lateral surface of the rod and is connected by a fillet surface to the lateral surface of the rod.

7. The stapler according claim 6, wherein the fillet surface between the cylindrical surface and the remaining lateral surface of the rod defines a radius of 1 mm.

8. The stapler according to claim 1, wherein the at least one body comprises an external body and an internal body, the internal body being smaller than the external body and positioned concentrically within the external body, wherein the central hole in which the rod is slidingly inserted is provided in the internal body.

9. The stapler according to claim 8, further comprising a circular blade connected to an edge of the internal body.

10. The stapler according to claim 1, wherein the at least one body is goblet-shaped.

11. The stapler according to claim 8, wherein the external body and the internal body are each goblet-shaped.