Stapler for mucosectomy

• US 9,119,621 B2
• Filed: 09/29/2014
• Issued: 09/01/2015
• Est. Priority Date: 03/07/2007
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Rebuffat, Carlo, David, Dante
• Primary Examiner(s): Long, Robert
• Application Number:
  US14/499,682
• Publication Number:
  US 20150028079A1
• Time in Patent Office: 337 Days
• Field of Search: 2271751-1821
• US Class Current: 1/1
• 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 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 2017/00269 endoscopic mucosal resection EMR
• CPC Class Codes: A61B 2017/1142 Purse-string sutures
• CPC Class Codes: A61B 2017/2901 Details of shaft

Abstract

The head of a stapler for mucosectomy comprises an external goblet-shaped body (1) wherein an internal goblet-shaped body (2) is concentrically and slidingly located, at the edge of which a circular blade (3) is fixed. The internal goblet-shaped body (2) is provided with a central hole (5) wherein a rod (6) is slidingly inserted, at the end (7) of which an anvil (8; 8′) is fixed. One or more annular grooves (11), which are parallel and suitably spaced one from the other, are formed on the lateral surface of the rod (6) perpendicularly to the axis thereof. Said grooves (11) are intended to receive a portion of mucosa (9a) which is included in a purse string suture as the mucosa is tied around the rod (6). By retracting the rod (6) in the central hole (5) of the stem (2a) of the internal goblet-shaped body (2) the mucosa to be removed is carried into the internal goblet-shaped body (2). The anvil (8; 8′) and the circular blade (3) are moved closer one to the other, by suitable means, in order to cut the tissues when the stapler is in a closed position.

Claims

1. A surgical fastener applying apparatus, comprising:

a compression device including first and second components;

a head assembly supporting the second component of the compression device;

a rod moveable through the head assembly, the rod supporting the first component and defining a plurality of grooves in an outer surface thereof, the plurality of grooves being axially spaced along the rod, the first and second components of the compression device configured to be coupled together to capture tissue therebetween, each of the grooves providing a fixing position for a purse-string suture on the rod to prevent sliding movement of the suture along the rod.

2. The surgical fastener applying apparatus of claim 1, wherein each of the plurality of grooves extends in perpendicular relation to a longitudinal axis of the rod.

3. The surgical fastener applying apparatus of claim 1, wherein each of the plurality of grooves is annular in configuration.

4. The surgical fastener applying apparatus of claim 1, wherein the plurality of grooves are spaced apart from one another along a longitudinal axis of the rod such that a portion of the outer surface of the rod is positioned between each adjacent groove.

5. The surgical fastener applying apparatus of claim 1, wherein each of the plurality of grooves is spaced 10 mm from an adjacent one of the plurality of grooves.

6. The surgical fastener applying apparatus of claim 1, wherein each of the plurality of grooves defines a depth between 0.5 mm and 3 mm.

7. The surgical fastener applying apparatus of claim 6, wherein each of the plurality of grooves defines a depth equal to 1 mm.

8. The surgical fastener applying apparatus of claim 1, wherein each of the plurality of grooves defines a cylindrical surface having a smaller diameter than remaining portions of the outer surface of the rod, each of the plurality of grooves being connected to the outer surface of the rod by a fillet surface.

9. The surgical fastener applying apparatus of claim 8, wherein the fillet surface defines a radius of 1 mm.

10. A surgical fastener applying apparatus, comprising:

a compression device including first and second components;

a head assembly supporting the second component of the compression device; and

a rod configured and dimensioned for slidable insertion within the head assembly, the rod supporting the first component and extending through the second component of the compression device, wherein the rod defines a plurality of grooves integrally formed in an outer surface thereof arranged at varying distances from a distal end of the rod, each of the plurality of grooves being configured to fixedly receive a suture, wherein the rod is movable to move the first component in relation to the second component to couple the first and second components together, the first and second components being configured to capture varying amounts of tissue within the head assembly during approximation of the first and second components.

11. The surgical fastener applying apparatus of claim 10, wherein the compression device includes a third component supported on the head assembly within the second component.

12. The surgical fastener applying apparatus of claim 11, wherein the head assembly defines a central hole, and wherein the rod is sized and dimensioned to pass through the central hole.

13. The surgical fastener applying apparatus of claim 12, wherein the head assembly includes a blade that is disposed within the central hole and is configured to advance within the central hole to separate portions of the mucosa disposed within the head assembly.