Circular stapling devices with tissue-puncturing anvil features

• US 9,033,204 B2
• Filed: 07/13/2011
• Issued: 05/19/2015
• Est. Priority Date: 03/14/2011
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Morgan, Jerome R., Weisenburgh, William B. II, Heeb, Emily A., Hess, Christopher J.
• Primary Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US13/181,786
• Publication Number:
  US 20120234898A1
• Time in Patent Office: 1,406 Days
• Field of Search: 227/175.1, 227/176.1, 227/179.1, 227/180.1, 606/219, 606/153, 606/151, 606/142
• US Class Current: 227/179.1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/0293 with ring member to support retractor elements
• 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 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping channel for multiple instruments A61B2017/3445; instrument channel A61B2017/22072; replaceable heads A61B2017/2931; suction A61M1/00
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/0287 with elastic retracting members connectable to a frame, e.g. hooked elastic wires
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2560/0443 Modular apparatus
• CPC Class Codes: F04C 2270/0421 Controlled or regulated

Abstract

Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed. Various embodiments have a tissue-piercing feature.

Claims

1. An anvil for a surgical stapling instrument, comprising:

a plurality of anvil plates movably coupled together for selective movement between a collapsed orientation and an expanded orientation, wherein said plurality of anvil plates form at least a portion of a substantially planar anvil plate assembly when in said expanded orientation;

an anvil expansion member movably supported relative to said plurality of anvil plates and being selectively movable between a first unactuated position and a second position, wherein said anvil expansion member moves said plurality of anvil plates to said expanded orientation, and wherein said plurality of anvil plates comprise;

a first anvil plate movable between a first collapsed location and a first expanded location, wherein said first collapsed location is distal to said first expanded location; and

a second anvil plate movable between a second collapsed location and a second expanded location, wherein said second collapsed location is proximal to said second expanded location, and wherein said anvil expansion member is configured to move said first anvil plate proximally toward said first expanded location and move said second anvil plate distally toward said second expanded location to form said at least a portion of said substantially planar anvil plate assembly in said expanded orientation; and

a tissue-piercing tip portion.

2. The anvil of claim 1 wherein said plurality of anvil plates comprises:

a first arcuate anvil plate segment; and

a second arcuate anvil plate segment supported for movement relative to said first arcuate anvil plate segment.

3. The anvil of claim 2 wherein said anvil expansion member has a pair of diametrically opposed anvil plate sections that extend between confronting ends of said first and second arcuate anvil plate segments when said anvil expansion member is in said second position to form said substantially planar anvil plate assembly.

4. The anvil of claim 2 wherein said tissue-piercing tip portion is couplable to a trocar of a surgical circular stapling instrument.

5. The anvil of claim 1 wherein said anvil expansion member has at least two anvil plate sections that form a portion of said anvil plate assembly.

6. The anvil of claim 1 wherein at least one of said first anvil plate and said second anvil plate comprises at least one second at least one staple-forming pocket therein.

7. The anvil of claim 1 wherein said anvil expansion member comprises a trocar of a circular stapling instrument.

8. A circular surgical stapling device, comprising:

a staple cartridge operably supporting a plurality of surgical staples therein;

a trocar shaft having a tissue-piercing tip formed thereon, said trocar shaft being selectively axially movable relative to said staple cartridge; and

an umbrella-like anvil assembly movably supported relative to said staple cartridge, said umbrella-like anvil assembly comprising a plurality of distal anvil plate segments movably supported relative to each other for selective movement from an unexpanded orientation to an expanded orientation in response to an application of actuation motion applied thereto by said trocar shaft, said plurality of distal anvil plate segments forming an annular anvil plate assembly in a substantial confronting relationship to said staple cartridge when said umbrella-like anvil assembly is in said expanded orientation, wherein said first trocar shaft comprises a plurality of proximal anvil plate segments positioned at a proximal location to said plurality of distal anvil plate segments in said unexpanded orientation, wherein said plurality of proximal anvil plate segments are moved distally to be leveled with said plurality of distal anvil plate segments in said expanded orientation.

9. The circular surgical stapling device of claim 8 wherein said surgical staples are operably supported in said staple cartridge in at least two concentrically positioned orientations and wherein each said anvil plate segment has at least one staple-forming pocket therein such that when said anvil assembly is in said expanded orientation, said staple-forming pockets form at least two concentrically aligned orientations of said staple-forming pockets in said annular anvil plate assembly that substantially correspond to said at least two concentrically positioned orientations of said surgical staples in said staple cartridge.

10. A surgical procedure for forming an anastomosis comprising:

providing a circular stapler having a staple cartridge end with an anvil attached thereto that is selectively movable between a collapsed configuration and an expanded configuration, wherein said anvil comprises a first anvil plate segment and a second anvil plate segment, wherein said first anvil plate segment is located distal to said second anvil plate segment in said collapsed configuration, and wherein said first anvil plate segment and said second anvil plate segment are aligned together in said expanded configuration;

orienting the anvil in said collapsed configuration;

inserting the staple cartridge end with said collapsed anvil attached thereto through an opening in a patient;

piercing through target tissues through which the anastomosis is to be formed with the staple cartridge end with said anvil attached thereto;

expanding the anvil such that the target tissues are located between the expanded anvil and the staple cartridge end, wherein said expanding of said anvil comprises causing said first anvil plate segment to move proximally and said second anvil plate segment to move distally to align said first anvil plate segment and said second anvil plate segment in said expanded configuration;

firing the circular stapler to drive said surgical staples supported in the staple cartridge into forming contact with the expanded anvil; and

removing the staple cartridge end with an anvil attached thereto from the patient.

11. The surgical procedure of claim 10 wherein said removing comprises:

collapsing the anvil; and

removing the staple cartridge end and anvil from the patient.

12. The surgical procedure of claim 10 wherein said inserting comprises inserting the staple cartridge end with said collapsed anvil attached thereto through the patient'"'"'s anus into the patient'"'"'s colon.

13. The surgical procedure of claim 10 wherein said inserting comprises:

forming an opening through the patient'"'"'s abdominal wall;

installing a trocar cannula through the opening; and

inserting the staple cartridge end with said collapsed anvil attached thereto through the trocar cannula.

14. A surgical stapling device, comprising:

a staple cartridge operably supporting a plurality of surgical staples therein;

an anvil assembly comprising a plurality of anvil segments each including at least one staple pocket, said plurality of anvil segments selectively movable between a collapsed orientation and an expanded orientation; and

an anvil expansion member movably supported relative to said plurality of anvil segments, wherein said anvil expansion member is selectively movable between a first unactuated position and a second position, wherein said plurality of anvil segments are moved from said collapsed orientation to said expanded orientation in response to movement of said anvil expansion member from said first unactuated position to said second position, and wherein said plurality of anvil segments comprise;

at least one first anvil segment; and

at least one second anvil segment, wherein said at least one first anvil segment is at a distal location relative to said at least one second anvil segment in said collapsed orientation, wherein said at least one first anvil segment and said at least one second anvil segment are substantially planar in said expanded orientation, and wherein said at least one first anvil segment is moved proximally toward said at least one second anvil segment to be aligned with said at least one second anvil segment in said expanded orientation.

15. The surgical stapling device of claim 14, wherein said at least one second anvil segment is moved distally toward said at least one first anvil segment to be aligned with said at least one first anvil segment in said expanded orientation.