Surgical stapling device

• US 8,360,295 B2
• Filed: 05/21/2012
• Issued: 01/29/2013
• Est. Priority Date: 09/10/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Milliman, Keith L., Hessler, Thomas R., Wenchell, Thomas
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US13/476,438
• Publication Number:
  US 20120228356A1
• Time in Patent Office: 253 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/180.1, 227/178.1
• US Class Current: 227/175.1
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes
• CPC Class Codes: A61B 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• 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 17/07207 the staples being applied sequentially
• 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 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/1142 Purse-string sutures
• CPC Class Codes: A61B 2018/005 Rectum
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback

Abstract

A surgical stapling device an elongated body portion having proximal and distal portions, and a head portion positioned adjacent the distal portion of the elongated body portion. The head portion includes a shell assembly and an anvil assembly movable relative to the shell assembly between un-approximated and approximated positions. The anvil assembly includes a center rod and an anvil head connected to the center rod. The center rod includes at least one aperture extending transversely therethrough and configured and dimensioned to receive a flexible member such that the flexible member extends transversely through the center rod.

Claims

1. A surgical stapling device, including:

an elongated body portion having proximal and distal portions; and

a head portion positioned adjacent the distal portion of the body portion, the head portion including;

a shell assembly; and

an anvil assembly movable relative to the shell assembly along a longitudinal axis between unapproximated and approximated positions, the anvil assembly including an anvil head and a center rod extending proximally from the anvil head, the center rod including a plurality of receiving structures each configured and dimensioned to receive a flexible member securable to tissue to selectively draw tissue into the shell assembly during approximation of the anvil assembly and the shell assembly, the center rod including a marker positioned between the receiving structures in a location indicating an amount of tissue to be drawn into the shell assembly, the marker being visually distinct from both an outer surface of the center rod, and from the receiving structures.

2. The surgical stapling device of claim 1, wherein the center rod includes a proximal receiving structure, a distal receiving structure, and an intermediate receiving structure positioned between the proximal receiving structure and the distal receiving structure.

3. The surgical stapling device of claim 2, wherein the marker is positioned between the proximal receiving structure and the intermediate receiving structure.

4. The surgical stapling device of claim 2, wherein the proximal receiving structure and the intermediate receiving structure define a first distance therebetween, and the intermediate receiving structure and the distal receiving structure define a second distance therebetween.

5. The surgical stapling device of claim 4, wherein the first distance is different than the second distance.

6. The surgical stapling device of claim 4, wherein the first distance is equivalent to the second distance.

7. The surgical stapling device of claim 1 further including an approximation mechanism facilitating movement of the anvil assembly relative to the shell assembly between the approximated and unapproximated positions.

8. The surgical stapling device of claim 7, wherein the approximation mechanism includes a drive screw extending through the body portion, the drive screw being operably connected to an anvil retainer configured and dimensioned to at least partially receive the center rod.

9. The surgical stapling device of claim 8, wherein the center rod further includes a first annular engagement member, the anvil retainer being configured and dimensioned to releasably engage the first annular engagement member.

10. The surgical stapling device of claim 9, wherein the first annular engagement member is configured and dimensioned for positioning within an annular recess formed in the anvil retainer to attach the center rod to the anvil retainer.

11. The surgical stapling device of claim 9, wherein the center rod further includes a second annular engagement member configured and dimensioned to frictionally engage the shell assembly to enhance stability of the anvil assembly with respect to the anvil retainer.

12. An anvil assembly movable in relation to a shell assembly of a surgical stapling device, the anvil assembly comprising:

an anvil head; and

a center rod extending proximally from the anvil head, the center rod including a plurality of receiving structures each configured and dimensioned to receive a flexible member securable to tissue to selectively draw tissue into the shell assembly, the center rod including a marker positioned between the receiving structures in a location indicating an amount of tissue to be drawn into the shell assembly, the marker being visually distinct from both an outer surface of the center rod, and from the receiving structures.

13. The anvil assembly of claim 12, wherein the center rod includes a proximal receiving structure, a distal receiving structure, and an intermediate receiving structure positioned between the proximal receiving structure and the distal receiving structure.

14. The anvil assembly of claim 13, wherein the marker is positioned between the proximal receiving structure and the intermediate receiving structure.

15. The anvil assembly of claim 13, wherein the proximal receiving structure and the intermediate receiving structure define a first distance therebetween, and the intermediate receiving structure and the distal receiving structure define a second distance therebetween.

16. The anvil assembly of claim 15, wherein the first distance is different than the second distance.

17. The anvil assembly of claim 15, wherein the first distance is equivalent to the second distance.

18. The anvil assembly of claim 12, wherein the center rod further includes a first annular engagement member configured and dimensioned for engagement with an anvil retainer positioned within the shell assembly for receipt of the center rod, and a second annular engagement member configured and dimensioned to frictionally engage the shell assembly to enhance stability of the anvil assembly on the anvil retainer.

19. A head portion of a surgical stapling device, the head portion comprising:

a shell assembly; and

an anvil assembly movable relative to the shell assembly, the anvil assembly comprising;

an anvil head; and

a center rod extending proximally from the anvil head, the center rod including a proximal receiving structure, a distal receiving structure, and an intermediate receiving structure positioned between the proximal receiving structure and the distal receiving structure, each of the receiving structures being configured and dimensioned to receive a flexible member securable to tissue to selectively draw tissue into the shell assembly during approximation of the shell assembly and the anvil assembly, the center rod including a marker positioned between the proximal receiving structure and the intermediate receiving structure in a location indicating an amount of tissue to be drawn into the shell assembly, the marker being visually distinct from both an outer surface of the center rod, and from each of the receiving structures.

20. The head portion of claim 19, wherein the marker is configured as a ring.