CA2435522A1 - Apparatus for stapling and resectioning gastro-esophageal tissue - Google Patents
Apparatus for stapling and resectioning gastro-esophageal tissue Download PDFInfo
- Publication number
- CA2435522A1 CA2435522A1 CA002435522A CA2435522A CA2435522A1 CA 2435522 A1 CA2435522 A1 CA 2435522A1 CA 002435522 A CA002435522 A CA 002435522A CA 2435522 A CA2435522 A CA 2435522A CA 2435522 A1 CA2435522 A1 CA 2435522A1
- Authority
- CA
- Canada
- Prior art keywords
- tissue
- jaws
- staple
- jaw
- staples
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
- A61B17/105—Wound clamp magazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/273—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
- A61B1/2736—Gastroscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00278—Transorgan operations, e.g. transgastric
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
- A61B2017/00827—Treatment of gastro-esophageal reflux
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07221—Stapler heads curved
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
Abstract
A system for stapling tissue comprises a flexible endoscope (20) and an operative head including a pair of opposed, curved tissue clamping jaws (17) sized to pass through an esophagus, the jaws (17) being moveable with respec t to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws (17) including a stapling mechanism (40) and a second one of the jaws (17) including a staple forming anvil surface (50A), the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof in combination with a control handle (12) which, when the operative head is in an operative position withi n one of a patient's stomach and esophagus, remains outside the patient, the control handle including a first actuator (12A) for moving the jaws relative to one another and a second actuator (12B) for operating the stapling mechanism.
Claims (20)
1. A system for stapling tissue comprising:
an operative head including a pair of opposed, curved tissue clamping jaws sized to pass through an esophagus, the jaws being moveable with respect to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface, the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof; and a control handle which, when the operative head is in an operative position within one of a patient's stomach and esophagus, remains outside the patient, the control handle including a first actuator for moving the jaws relative to one another and a second actuator for operating the stapling mechanism.
an operative head including a pair of opposed, curved tissue clamping jaws sized to pass through an esophagus, the jaws being moveable with respect to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface, the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof; and a control handle which, when the operative head is in an operative position within one of a patient's stomach and esophagus, remains outside the patient, the control handle including a first actuator for moving the jaws relative to one another and a second actuator for operating the stapling mechanism.
2. The system according to claim 1, further comprising a tissue cutting mechanism for severing from the patient's body tissue located radially within the row of staples.
3. The system according to claim 1, further comprising a staple pusher mounted for movement within the first jaw along a path substantially parallel to the row of staples.
4. The system according to claim 3, wherein the stapling mechanism fires staples in a plurality of substantially parallel rows.
5. The system according to claim 3, further comprising a tissue cutting mechanism far severing from the patient's body tissue located radially within the row of staples wherein the tissue cutting mechanism comprises a blade coupled to the staple pusher.
6. The system according to claim 1, wherein the operative head further includes a first jaw moving mechanism for gross adjustment of the position of the jaws relative to one another and a second jaw moving mechanism for fine adjustment of the jaws relative to one another.
7. The system according to claim 6, wherein the second jaw moving mechanism includes a substantially C-shaped clamp received around the first and second jaws.
8. The system according to claim 7, wherein the substantially C-shaped clamp includes a tissue cutting blade integrally formed therewith.
9. The system according to claim 6, wherein the first jaw includes a curved cam slot substantially parallel to the row of staples and wherein the substantially C-shaped clamp includes a cam follower riding within the cam slot.
10. The system according to claim 9, wherein the staple pusher is coupled to the C-shaped clamp for movement therewith.
11. The system according to claim 10, wherein the stapling mechanism includes a plurality of staple driving members, each staple driving member being received within a respective staple slot and wherein the staple pusher includes an angled surface which, when the staple pusher is driven along the path substantially parallel to the row of staples, the angled surface sequentially contacts the staple pushers to drive the staples out of the first jaw toward the second jaw.
12. The system according to claim 11, wherein the tissue cutting blade is coupled to the C-shaped clamp so that, as the stapling mechanism is operated, it trails the angled surface of the staple pusher so that tissue is cut only after a corresponding radially outer portion of tissue has been staped.
13. The system according to claim 6, wherein the second jaw moving mechanism includes an I-beam member a web of which extends through corresponding slots in the first and second jaws with a first portion of the I-beam member being received within the first jaw and a second portion of the I-beam member being received within the second jaw.
14. The system according to claim 13, wherein the I-beam member serves as the staple pusher and wherein a first portion of the I-beam member includes a camming surface which sequentially contacts each of a plurality of staple pushers as the I-beam member is moved through the corresponding slots in the first and second jaws.
15. The system according to claim 13, wherein the I-beam member includes a tissue cutting blade extending from the web between the first and second portions of the I-beam member.
16. The system according to claim 1, wherein the gross adjustment mechanism includes a cable extending between the control handle and the operative head, wherein the cable extends around a pivot member coupled to one of the first and second jaws to couple to the other of the first and second jaws.
17. A method for stapling tissue comprising the steps of:
inserting into a patient's mouth a flexible endoscope device including an operative head having a pair of opposed, curved tissue clamping jaws, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface;
moving the jaws relative to one another from a closed position to an open tissue receiving position;
drawing a folded, full-thickness portion of tissue from one of the patient's stomach and esophagus between the jaws;
moving the jaws from the open position to the closed position to clamp the tissue between staple slots formed in the first jaw through which staples are fired by the stapling mechanism and the staple forming surface, wherein the staple slots are arranged in a row extending from a proximal end of the first jaw to a
inserting into a patient's mouth a flexible endoscope device including an operative head having a pair of opposed, curved tissue clamping jaws, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface;
moving the jaws relative to one another from a closed position to an open tissue receiving position;
drawing a folded, full-thickness portion of tissue from one of the patient's stomach and esophagus between the jaws;
moving the jaws from the open position to the closed position to clamp the tissue between staple slots formed in the first jaw through which staples are fired by the stapling mechanism and the staple forming surface, wherein the staple slots are arranged in a row extending from a proximal end of the first jaw to a
18 distal end thereof; and actuating the stapling mechanism to drive staples out of the staple slots through the tissue and against the staple forming surface to couple the folds of tissue to one another.
18. The method according to claim 17, wherein the tissue is located in the patient's stomach and the folds of tissue are coupled to one another to reduce a size of an interior space of the stomach.
18. The method according to claim 17, wherein the tissue is located in the patient's stomach and the folds of tissue are coupled to one another to reduce a size of an interior space of the stomach.
19. The method according to claim 18, wherein tissue radially within the row of staples is left in place.
20. The method according to claim 17, wherein tissue radially within the row of staples is severed from the stapled tissue.
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US26546901P | 2001-01-31 | 2001-01-31 | |
US60/265,469 | 2001-01-31 | ||
PCT/US2002/003069 WO2002060328A1 (en) | 2001-01-31 | 2002-01-31 | Apparatus and method for stapling and resectioning gastro-esophageal tissue |
US10/062,760 US6835199B2 (en) | 2001-01-31 | 2002-01-31 | Apparatus and method for resectioning gastro-esophageal tissue |
USUNKNOWN | 2003-08-20 |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2435522A1 true CA2435522A1 (en) | 2002-08-08 |
CA2435522C CA2435522C (en) | 2010-02-23 |
Family
ID=23010567
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2435522A Expired - Fee Related CA2435522C (en) | 2001-01-31 | 2002-01-31 | Apparatus for stapling and resectioning gastro-esophageal tissue |
Country Status (6)
Country | Link |
---|---|
US (8) | US6835199B2 (en) |
EP (1) | EP1359851B1 (en) |
JP (1) | JP4202138B2 (en) |
AU (1) | AU2002242071B2 (en) |
CA (1) | CA2435522C (en) |
WO (1) | WO2002060328A1 (en) |
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- 2002-01-31 EP EP02707678A patent/EP1359851B1/en not_active Expired - Lifetime
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2016
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2017
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CA2435522C (en) | 2010-02-23 |
US20160151065A1 (en) | 2016-06-02 |
US20020143346A1 (en) | 2002-10-03 |
EP1359851A1 (en) | 2003-11-12 |
US7090684B2 (en) | 2006-08-15 |
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