Transwall visualization arrangements and methods for surgical circular staplers

• US 8,672,207 B2
• Filed: 07/30/2010
• Issued: 03/18/2014
• Est. Priority Date: 07/30/2010
• Status: Active Grant

• 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): Elve, Alexandra
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US12/846,956
• Publication Number:
  US 20120024934A1
• Time in Patent Office: 1,327 Days
• Field of Search: 227/179.1, 227/180.1, 227/181.1, 606/151, 606/153, 606/219
• US Class Current: 227/179.1
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3431 being collapsible, e.g. made of thin flexible material A61B17/3423 takes precedence
• CPC Class Codes: A61B 2017/00057 Light
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/1132 End-to-end connections
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/2943 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/320052 : Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2090/0427 : Prevention of contact
• CPC Class Codes: A61B 2090/061 : for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/0801 : Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 2090/08021 : of the patient or his organs
• CPC Class Codes: A61B 2090/0807 : Indication means
• CPC Class Codes: A61B 2090/0816 : for preventing adhesion
• CPC Class Codes: A61B 2090/309 : using white LEDs
• CPC Class Codes: A61B 2090/3912 : Body cavities
• CPC Class Codes: A61B 2090/3945 : Active visible markers, e.g. light emitting diodes
• CPC Class Codes: A61B 2090/3966 : Radiopaque markers visible in an X-ray image

Abstract

A surgical instrument is disclosed. Various embodiments include an elongated shaft that defines a central axis and has a distal end portion that is configured to operably support a circular staple cartridge therein. At least one detection member may be operably supported within the elongated shaft. Each detection member may have a distal portion that is radially deployable away from the central axis upon application of a deployment motion thereto. The distal end portions may have a bumper or light mounted thereto.

Claims

1. A surgical procedure for treating a tubular organ, said surgical procedure comprising:

inserting a circular stapler head of a surgical instrument into the tubular organ;

deploying at least one lighted detection member operably supported by the surgical instrument from a retracted position to a deployed position adjacent a wall of the tubular organ;

observing light from the lighted detection member through the organ wall to assess the location of the circular stapler head within the tubular organ;

retracting each lighted detection member into the retracted position;

puncturing through a proximal portion of the tubular organ with a plurality of tissue acquisition members of the surgical instrument;

positioning the punctured proximal portion of the tubular organ adjacent to the stapler head;

severing the punctured proximal 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 another portion of the distal portion of the tubular organ and the punctured proximal portion of the tubular organ are adjacent to each other and captured between the anvil and the stapler head;

stapling the another portion and the punctured proximal portion together with staples; and

cutting through the another portion and punctured proximal portion adjacent to the staples.

2. The surgical procedure of claim 1 wherein said deploying the at least one lighted detection member from the retracted position to the deployed position comprises radially advancing the lighted detection member into the organ wall to create observable deflections in the organ wall.

3. A surgical instrument comprising:

an elongated shaft defining a central axis and having a distal end portion configured to operably support a circular staple cartridge therein;

at least one acquisition member operably supported within said elongated shaft, each said acquisition member having a tissue-piercing distal portion that is radially deployable away from said central axis upon application of a deployment motion to said acquisition member;

at least one knife member movably supported in said elongated shaft, each said knife member having a distal cutting portion that is axially advanceable out of said distal end portion of said elongated shaft upon application of an axial actuation motion thereto, each said knife member being selectively rotatable about said central axis upon application of a rotary actuation motion thereto;

at least one detection member operably supported within said elongated shaft, each detection member having a distal portion that is radially deployable away from said central axis upon application of a deployment motion thereto; and

a light on said distal portion of said detection member.

4. The surgical instrument of claim 3 wherein each said detection member is movably supported in a detection and acquisition housing that is movably supported within said elongated shaft.

5. The surgical instrument of claim 3 wherein said distal portion of each said detection member naturally bends radially away from said central axis when said distal portion is axially advanced out of a distal end of said detection and acquisition housing.

6. The surgical instrument of claim 3 further comprising a tissue piercing barb on said tissue-piercing distal portion of each said acquisition member.

7. The surgical instrument of claim 3 wherein each said knife member has a tissue-piercing point formed thereon.

8. The surgical instrument of claim 3 further comprising an annular cutting member that is supported by said distal end portion of said elongated shaft for selective axial travel relative thereto.

9. The surgical instrument of claim 8 wherein said annular cutting member is supported to receive axial firing motions from a firing member operably supported in said elongated shaft.

10. The surgical instrument of claim 3 wherein said at least one acquisition member comprises a plurality of acquisition members.

11. The surgical instrument of claim 3 wherein said at least one knife member comprises a plurality of knife members.

12. The surgical instrument of claim 3 wherein said knife member is flexible.

13. A surgical instrument comprising:

an elongated shaft defining a central axis and having a distal end portion configured to operably support a circular staple cartridge therein;

a plurality of detection members operably supported within said elongated shaft, each detection member having a distal portion that is radially deployable away from said central axis and a proximal portion operably interfacing with an actuator operably supported on said elongated shaft such that upon application of an actuation motion to said actuator, said distal portion of said plurality of detection members are simultaneously radially deployed away from said central axis; and

at least one acquisition member operably supported within said elongated shaft, each said acquisition member having a tissue-piercing distal portion that is radially deployable away from said central axis upon application of a deployment motion to said acquisition member.

14. The surgical instrument of claim 13 further comprising at least one flexible knife member movably supported in said elongated shaft, each said knife member having a distal cutting portion that is axially advanceable out of said distal end portion of said elongated shaft upon application of an axial actuation motion thereto, each said knife member being selectively rotatable about said central axis upon application of a rotary actuation motion thereto.

15. The surgical instrument of claim 13 wherein each said detection member has a blunted distal end portion.

16. The surgical instrument of claim 14 further comprising a light on said distal portion of said detection member.

17. A surgical instrument comprising:

an elongated shaft defining a central axis and having a distal end portion configured to operably support a circular staple cartridge therein;

at least one detection member operably supported within said elongated shaft, each detection member having a distal portion that is radially deployable away from said central axis upon application of a deployment motion thereto; and

at least one knife member movably supported in said elongated shaft, each said knife member having a distal cutting portion that is axially advanceable out of said distal end portion of said elongated shaft upon application of an axial actuation motion thereto, each said knife member being selectively rotatable about said central axis upon application of a rotary actuation motion thereto.

18. The surgical instrument of claim 17 wherein each said detection member has a blunted distal end portion.

19. The surgical instrument of claim 17 further comprising a light on said distal portion of said detection member.

20. The surgical instrument of claim 17 wherein said knife member is flexible.

21. A surgical instrument comprising:

an elongated shaft defining a central axis and having a distal end portion configured to operably support a circular staple cartridge therein;

at least one knife member movably supported in said elongated shaft, each said knife member having a distal cutting portion that is axially advanceable out of said distal end portion of said elongated shaft upon application of an axial actuation motion thereto, each said knife member being selectively rotatable about said central axis upon application of a rotary actuation motion thereto;

at least one detection member operably supported within said elongated shaft, each said detection member having a distal portion that is radially deployable away from said central axis upon application of a deployment motion thereto; and

at least one acquisition member operably supported within said elongated shaft, each said acquisition member having a tissue-piercing distal portion that is radially deployable away from said central axis upon application of a deployment motion to said acquisition member.

22. The surgical instrument of claim 21 wherein each said detection member has a blunted distal end portion.

23. The surgical instrument of claim 21 further comprising a light on said distal portion of said detection member.

24. The surgical instrument of claim 21 wherein said knife member is flexible.