CA2427986A1 - Stapler for endoscopes - Google Patents

Stapler for endoscopes Download PDF

Info

Publication number
CA2427986A1
CA2427986A1 CA002427986A CA2427986A CA2427986A1 CA 2427986 A1 CA2427986 A1 CA 2427986A1 CA 002427986 A CA002427986 A CA 002427986A CA 2427986 A CA2427986 A CA 2427986A CA 2427986 A1 CA2427986 A1 CA 2427986A1
Authority
CA
Canada
Prior art keywords
staple
anvil
alignment
staples
stapling
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
CA002427986A
Other languages
French (fr)
Other versions
CA2427986C (en
Inventor
Elazar Sonnenschein
Minelu Sonnenschein
Lawrence Crainich
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.)
Medigus Ltd
Original Assignee
Medigus Ltd.
Elazar Sonnenschein
Minelu Sonnenschein
Lawrence Crainich
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=11074832&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CA2427986(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Medigus Ltd., Elazar Sonnenschein, Minelu Sonnenschein, Lawrence Crainich filed Critical Medigus Ltd.
Publication of CA2427986A1 publication Critical patent/CA2427986A1/en
Application granted granted Critical
Publication of CA2427986C publication Critical patent/CA2427986C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00002Operational features of endoscopes
    • A61B1/00043Operational features of endoscopes provided with output arrangements
    • A61B1/00045Display arrangement
    • A61B1/0005Display arrangement combining images e.g. side-by-side, superimposed or tiled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00163Optical arrangements
    • A61B1/00174Optical arrangements characterised by the viewing angles
    • A61B1/00181Optical arrangements characterised by the viewing angles for multiple fixed viewing angles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00163Optical arrangements
    • A61B1/00193Optical arrangements adapted for stereoscopic vision
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055Constructional details of insertion parts, e.g. vertebral elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/273Instruments 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
    • A61B1/2736Gastroscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0686Surgical 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 below the tissue during stapling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00305Constructional details of the flexible means
    • A61B2017/00314Separate linked members
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • A61B2017/00827Treatment of gastro-esophageal reflux
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2905Details of shaft flexible

Abstract

A stapling device for a surgical endoscopic device provided with at least one flexible portion, comprising a staple-firing portion and an anvil portion, wherein one of the staple firing portions and one of the anvil portions are located longitudinally displaced from one another along the longitudinal axis of the endoscopic device, with at least a part of said flexible portion between them. The parts of the stapling device are in correct working relationship when one or more alignment and/or locking pins or screws that are stored in one of the staple firing portions or one of the anvil portions are extended and engage and lock or screw into receptacles that have been provided on the other of the staple firing portion or of the anvil portion.

Claims (39)

1. A stapling device for a surgical endoscopic device provided with at least one flexible portion, said stapler comprising:
i.) a staple-firing portion and an anvil portion, wherein said staple firing portions and said anvil portion are located longitudinally displaced from one another along the longitudinal axis of said endoscopic device, with at least a part of said flexible portion between them; and ii.) a positioning assembly comprising two separate elements, one of which as located near said staple ejecting portion, and the other near said anvil portion, wherein said positioning assembly is provided to assist in bringing the portions of said stapling device into correct working relationship,
2. A device according to claim 1, wherein the portions of the stapling device are in correct working relationship when one or more alignment and/or locking members that are stored in either the staple firing portion or the anvil portion are extended by use of a dual rack and single pinion system and engage and lock into receptacles that have been provided on the other of said staple firing portion or of said anvil portion.
3. A device according to claim 2, wherein the one or more alignment and/or locking members can be released from the receptacles into which they are locked and the dual rack and single pinion system is used to withdraw said one or more alignment and/or locking members from the portion of the stapling device in which they are engaged and return them to the portion of said stapling device in which they were originally stored.
4. A device according to claim 2, wherein the alignment and/or locking members comprise one or more pine.
5. A device according to claim 2, wherein two alignment and/or locking pins are provided.
6. A device according to claim 2, wherein the alignment and/or locking pins are stored in the anvil portion.
7. A device according to claim 1, wherein the portions of the stapling device are in correct working relationship when one or more alignment and/or locking member s that are stored in either the staple firing portion or the anvil portion are extended by rotation of a screw drive cable and engage and lock into receptacles that have been provided on the other of said staple firing portion or of said anvil portion.
8. A device according to claim 7, wherein rotation of a screw drive cable is used to unlock and withdraw the one or more alignment and/or locking members from the portion of the stapling device in which they are engaged and return them to the portion of said stapling device in which they were originally stared.
9. A device according to claim 7, wherein the alignment and/or locking members comprise one or more screws.
10. A device according to claim 7, wherein two screws are provided.
11. A device according to claim 7, wherein the screws are stored in the anvil portion.
12. A device according to claim 1, wherein either the staple firing portion or the anvil portion is located proximately to the proximal end of the flexible portion and the other of said staple bring portion or of said anvil portion is located proximately to the distal end of said flexible portion.
13. A device according to claim 12, wherein the staple firing portion is located proximately to the proximal end of the flexible portion and the anvil portion is located on the distal tip of said flexible portion
14. A device according to claim 1, wherein either the staple firing portion or the anvil portion is located on the flexible portion of the endoscope and the other of said staple firing portion or of said anvil portion is located proximately to the distal end of said flexible portion.
15. A device according to claim 1, wherein the staple firing portions and the anvil portions are located on the flexible portion.
16. A device according to any one of claims 1 wherein the flexible portion is an articulation section.
17. A device according to claim 16, wherein the articulation section is a two-way articulation section.
18. A device according to claim 16, wherein the articulation section is a four-way articulation section.
19. A device according to claim 16, wherein activation of the articulation section causes the parts of the stapling device to be brought into correct working relationship.
20. A device according to claim 1, wherein the elements of the positioning device are an ultrasound transducer and receiver.
21. A device according to claim 1, wherein the elements of the positioning device are an ultrasound transducer/receiver and a reflector.
22. A device according to claim 1, wherein one of the elements of the positioning device is a device that is capable of generating light, radio frequency or piezoelectric signals, or a magnetic field and the other of the elements of said positioning device is a device that is capable of detecting light, radio frequency or piezoelectric signals, or a magnetic field.
23. A device according to claim 1, wherein the staple firing portion contains a staple cartridge containing one or more arrays of staples, each array consisting of one or more staples.
24. A device according to claim 23, wherein the arrays of staples are fired by staple pushers actuated by cams actuable by proximal means.
25. A device according to claim 23, wherein the staple cartridge is indexable after the firing of each of the arrays of staples by the action of a proximal actuating device.
26. A device according to claim 23 and claim 26, wherein the staple cartridge contains windows for assisting in locking the staple cartridge in position after indexing.
27. A device according to claim 23, wherein the number of the arrays of staples is three and the number of staples in each of said arrays is five.
28. A device according to claim 23, wherein the number of the arrays of staples is two and the number of staples in each of said arrays is five.
29. A device according to claim 28, wherein the staples of each array are arranged in three rows with the pinholes aligned with the middle row.
30. A device according to claim 26, wherein the number of windows in the staple cartridge is six.
31. A device according to claim 28, wherein the number of windows in the staple cartridge is four.
32. A device according to claim 1, comprising safety means for disabling the reparation of the staple firing portion when the two separate elements of the stapling device are not aligned.
33. A device according to either of claim 2 or claim 7, wherein the alignment and/or locking means are manufactured such that they can be broken by the force exerted by unbending the articulation section.
34. An endoscopic device comprising a stapling assembly according to any one of claims 1 to 33.
35. A device according to claim 34, comprising conventional endoscopic devices and accessories.
36. A device according to claim 35, wherein the conventional endoscopic devices and accessories comprise water and/or six supply and/or suction and/or ultrasound.
37. A device according to claim 34, comprising viewing means.
38. A device according to claim 37, wherein the viewing means comprise a video camera.
39. A device according to claim 37, wherein the viewing means comprise illumination apparatus.
CA2427986A 2000-11-20 2001-08-02 Stapler for endoscopes Expired - Lifetime CA2427986C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
IL139788A IL139788A (en) 2000-11-20 2000-11-20 Stapler for endoscopes
IL139788 2000-11-20
PCT/IL2001/000719 WO2002039909A1 (en) 2000-11-20 2001-08-02 Stapler for endoscopes

Publications (2)

Publication Number Publication Date
CA2427986A1 true CA2427986A1 (en) 2002-05-23
CA2427986C CA2427986C (en) 2010-03-30

Family

ID=11074832

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2427986A Expired - Lifetime CA2427986C (en) 2000-11-20 2001-08-02 Stapler for endoscopes

Country Status (12)

Country Link
US (8) US6872214B2 (en)
EP (1) EP1335671B1 (en)
JP (1) JP4237488B2 (en)
AT (1) ATE365021T1 (en)
AU (2) AU2001277661B2 (en)
CA (1) CA2427986C (en)
DE (1) DE60129034T2 (en)
IL (1) IL139788A (en)
MX (1) MXPA03004389A (en)
NZ (1) NZ525557A (en)
WO (1) WO2002039909A1 (en)
ZA (1) ZA200303417B (en)

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US8006886B2 (en) 2011-08-30
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US20070251975A1 (en) 2007-11-01
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US8807415B2 (en) 2014-08-19
US8328827B2 (en) 2012-12-11
US8128645B2 (en) 2012-03-06
US20140319198A1 (en) 2014-10-30
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US20070251976A1 (en) 2007-11-01

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