Devices and methods for introducing a surgical circular stapling instrument into a patient

• US 8,899,466 B2
• Filed: 11/19/2009
• Issued: 12/02/2014
• Est. Priority Date: 11/19/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Baxter, Chester O. III, Hunt, John V., Silkaitis, Danius P., Wiley, Jeffrey P., Schulte, John B.
• Primary Examiner(s): Long, Robert
• Application Number:
  US12/621,672
• Publication Number:
  US 20110114700A1
• Time in Patent Office: 1,839 Days
• Field of Search: 2271751-1821, 227/19
• US Class Current: 227/179.1
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes 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 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/3425 for internal organs, e.g. heart ports
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 46/13 the drapes entering the patient's body
• CPC Class Codes: A61B 46/17 closed at the distal end

Abstract

Introducers for introducing a surgical circular stapler into a patient. Various embodiments comprise cover members that are applied over a stapling head portion of the circular stapler. In some embodiments, the cover members are fabricated from a flexible stretchable material and have a bumper portion that protrudes distally beyond the distal face of the stapling head. The staples may be fired through the cover member and the balance of the cover member is withdrawn from the patient with the stapling head. Other cover embodiments are selectively movable from a position wherein the distal face of the stapling head is covered and other positions wherein the distal face of the stapling head is exposed.

Claims

1. An introducer for introducing a surgical circular stapler having a stapling head that supports an annular staple cartridge therein into a patient, said introducer comprising a hollow sheath having an open proximal end sized to be inserted over at least a distal portion of the stapling head, said hollow sheath further comprising a distal end that includes a circumferentially-extending raised bumper area that extends above a plane that is coplanar with a distal face of the staple cartridge and wherein said hollow sheath further comprises a continuous central portion that extends inwardly from said circumferentially-extending raised bumper area to completely cover an open central area that is formed in said cartridge, and wherein the introducer further comprises a plurality of discrete, completely enclosed and frangible non-annular hollow areas within said circumferentially-extending raised bumper area.

2. The introducer of claim 1 wherein each said hollow area is filled with air or liquid.

3. The introducer of claim 1 wherein said sheath is fabricated from elastomeric material.

4. The introducer of claim 1 wherein at least one said hollow area is filled with liquid.