Circular surgical stapler with mating anvil and shell assembly

• US 8,424,535 B2
• Filed: 07/05/2012
• Issued: 04/23/2013
• Est. Priority Date: 11/06/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Hessler, Thomas R., Milliman, Keith L.
• Primary Examiner(s): Nash, Brian D
• Application Number:
  US13/542,471
• Publication Number:
  US 20120280018A1
• Time in Patent Office: 292 Days
• Field of Search: 227/179.1, 227/19, 227/175.1, 227/180.1
• US Class Current: 128/898
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• 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 17/115 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 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/1142 Purse-string sutures
• CPC Class Codes: A61B 2017/1157 applying the staples radially
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length

Abstract

A surgical stapler comprising a handle assembly, an elongated body portion extending distally from the handle assembly, and a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The anvil assembly has an anvil head and a plurality of projections extending proximally of the anvil head, the projections engageable with a portion of the shell assembly.

Claims

1. A surgical fastener applying apparatus comprising:

an elongated body portion having proximal and distal ends; and

a head portion disposed adjacent the distal end of the elongated body portion, the head portion comprising;

a shell assembly defining a central aperture and including an annular tissue contacting surface with a plurality of slots formed therein through which a plurality of surgical fasteners are ejected during firing of the surgical apparatus, the plurality of slots arranged in an annular configuration, the tissue contacting surface having an opening formed therein spaced radially from the plurality of slots and spaced radially from the central aperture; and

an anvil assembly movable in relation to the shell assembly, the anvil assembly including an annular tissue contacting surface, and a projection extending proximally therefrom, the projection in alignment with the opening formed in the tissue contacting surface of the shell assembly, the projection being configured and dimensioned for positioning within the opening formed in the tissue contacting surface of the shell assembly.

2. The surgical apparatus according to claim 1, wherein the tissue contacting surface of the shell assembly includes first and second openings, and the tissue contacting surface of the anvil assembly includes first and second projections extending proximally therefrom in alignment with the first and second openings.

3. The surgical apparatus according to claim 2, wherein the plurality of openings are spaced equidistant from one another, and the plurality of projections are spaced equidistant from one another.

4. The surgical apparatus according to claim 2, wherein the first and second openings are positioned in diametrical opposition, and the first and second projections are positioned in diametrical opposition.

5. The surgical apparatus according to claim 1, wherein the opening is configured and dimensioned to frictionally receive the projection.

6. The surgical apparatus according to claim 1, wherein the projection includes a tapered proximal end.

7. The surgical apparatus according to claim 1, wherein the tissue contacting surface of the anvil assembly includes a plurality of pockets configured and dimensioned to receive the surgical fasteners to facilitate formation thereof, the pockets arranged in an annular configuration.

8. The surgical apparatus according to claim 1, wherein the opening is spaced radially inward from the plurality of slots formed in the tissue contacting surface of the shell assembly with respect to the central aperture.

9. The surgical apparatus according to claim 8, further including an annular cutting member movable in relation to the shell assembly, the projection being positioned radially inward of the cutting member with respect to the central aperture of the shell assembly.

10. The surgical apparatus according to claim 1, wherein the anvil assembly includes an anvil head, and an anvil shaft extending proximally from the anvil head, wherein the projection extends in parallel relation to the anvil shaft.

11. A method of performing a surgical procedure comprising:

inserting an anvil assembly of a surgical fastener applying apparatus into an opening in a patient;

connecting the anvil assembly to a shell assembly of the surgical apparatus;

approximating the anvil assembly and the shell assembly such that a projection extending proximally from an annular tissue contacting surface of the anvil assembly is inserted into a corresponding opening formed in an annular tissue contacting surface of the shell assembly in alignment with the projection, wherein the opening is spaced radially inward from a plurality of slots formed in the tissue contacting surface of the shell assembly and spaced radially outward from a central aperture of the shell assembly; and

firing the surgical apparatus to eject a plurality of surgical fasteners through the plurality of slots formed in the tissue contacting surface of the shell assembly, and into tissue positioned between the anvil assembly and the shell assembly.

12. The method according to claim 11, wherein approximating the anvil assembly and the shell assembly includes inserting the projection into the opening such that the projection is frictionally received by the opening.

13. The method according to claim 12, wherein approximating the anvil assembly and the shell assembly includes inserting a plurality of projections extending proximally from the tissue contacting surface of the anvil assembly into a corresponding plurality of openings formed in the tissue contacting surface of the shell assembly.

14. The method according to claim 11, wherein approximating the anvil assembly and the shell assembly includes inserting a first projection extending proximally from the tissue contacting surface of the anvil assembly into a first opening formed in the tissue contacting surface of the shell assembly, and inserting a second projection extending proximally from the tissue contacting surface of the anvil assembly into a second opening formed in the tissue contacting surface of the shell assembly.

15. The method according to claim 11, wherein approximating the anvil assembly and the shell assembly includes inserting a tapered proximal end of the projection into the opening.

16. The method according to claim 11, wherein firing the surgical apparatus includes advancing an annular cutting member distally in relation to the shell assembly to sever the tissue positioned between the anvil assembly and the shell assembly, wherein the projection is positioned radially inward of the cutting member with respect to the central aperture of the shell assembly.