CA2106601A1 - Apparatus and Method for Applying Surgical Staples to Attach an Object to Body Tissue - Google Patents

Apparatus and Method for Applying Surgical Staples to Attach an Object to Body Tissue

Info

Publication number
CA2106601A1
CA2106601A1 CA2106601A CA2106601A CA2106601A1 CA 2106601 A1 CA2106601 A1 CA 2106601A1 CA 2106601 A CA2106601 A CA 2106601A CA 2106601 A CA2106601 A CA 2106601A CA 2106601 A1 CA2106601 A1 CA 2106601A1
Authority
CA
Canada
Prior art keywords
staple
body tissue
attach
endoscopic section
mesh
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.)
Granted
Application number
CA2106601A
Other languages
French (fr)
Other versions
CA2106601C (en
Inventor
David T. Green
Stephan A. Defonzo
Samson Pennatto
Wayne Young
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
United States Surgical Corp
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2106601A1 publication Critical patent/CA2106601A1/en
Application granted granted Critical
Publication of CA2106601C publication Critical patent/CA2106601C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0684—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying above the tissue during stapling
    • 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
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/2833—Locking means
    • A61B2017/2837—Locking means with a locking ratchet
    • 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
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • 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
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes

Abstract

An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides fox individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple. The staple storage cartridge may he pivoted with respect to the longitudinal axis of the endoscopic section from 0° to about 32.5° and about 65°. Further, the cartridge may be rotated from a proximal location about its own axis independent of the endoscopic section while pivoted to any of the predetermined angles relative to the longitudinal axis of the endoscopic section.
CA002106601A 1992-09-23 1993-09-21 Apparatus and method for applying surgical staples to attach an object to body tissue Expired - Lifetime CA2106601C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/950,425 1992-09-23
US07/950,425 US5356064A (en) 1991-10-18 1992-09-23 Apparatus and method for applying surgical staples to attach an object to body tissue

Publications (2)

Publication Number Publication Date
CA2106601A1 true CA2106601A1 (en) 1994-03-24
CA2106601C CA2106601C (en) 1999-08-31

Family

ID=25490412

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002106601A Expired - Lifetime CA2106601C (en) 1992-09-23 1993-09-21 Apparatus and method for applying surgical staples to attach an object to body tissue

Country Status (7)

Country Link
US (1) US5356064A (en)
EP (1) EP0600173B1 (en)
JP (1) JP2581507B2 (en)
AU (1) AU669561B2 (en)
CA (1) CA2106601C (en)
DE (1) DE69310106T2 (en)
ES (1) ES2100413T3 (en)

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CA2106601C (en) 1999-08-31
AU4757693A (en) 1994-03-31
EP0600173B1 (en) 1997-04-23
DE69310106D1 (en) 1997-05-28
JPH06315486A (en) 1994-11-15
JP2581507B2 (en) 1997-02-12
EP0600173A1 (en) 1994-06-08
DE69310106T2 (en) 1997-09-25
ES2100413T3 (en) 1997-06-16
AU669561B2 (en) 1996-06-13
US5356064A (en) 1994-10-18

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