CA2447768A1 - Surgical instrument for invagination and fundoplication - Google Patents

Surgical instrument for invagination and fundoplication Download PDF

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Publication number
CA2447768A1
CA2447768A1 CA002447768A CA2447768A CA2447768A1 CA 2447768 A1 CA2447768 A1 CA 2447768A1 CA 002447768 A CA002447768 A CA 002447768A CA 2447768 A CA2447768 A CA 2447768A CA 2447768 A1 CA2447768 A1 CA 2447768A1
Authority
CA
Canada
Prior art keywords
surgical instrument
shaft
base
endoscopic surgical
fastener part
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
CA002447768A
Other languages
French (fr)
Other versions
CA2447768C (en
Inventor
Juergen A. Kortenbach
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.)
Boston Scientific Miami Corp
Original Assignee
Symbiosis Corporation
Juergen A. Kortenbach
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 Symbiosis Corporation, Juergen A. Kortenbach filed Critical Symbiosis Corporation
Publication of CA2447768A1 publication Critical patent/CA2447768A1/en
Application granted granted Critical
Publication of CA2447768C publication Critical patent/CA2447768C/en
Anticipated expiration legal-status Critical
Expired - Fee Related 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
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0643Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • 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
    • 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
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • 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
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • 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
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T24/00Buckles, buttons, clasps, etc.
    • Y10T24/36Button with fastener
    • Y10T24/3651Separable
    • Y10T24/3655Spring
    • Y10T24/366Resilient socket

Abstract

An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, includes a tube having a proximal end and a distal end. An end effector is coupled to said distal end of said tube and is configured to hold the male fastener part and the female fastener part in opposed relation. An actuator is coupled to said proximal end of said tube and is configured to actuate the end effector. A shearing device may be positioned proximate the end effector to shear off a tip of the male fastener part after the male and female fastener parts are moved into locking relation. In addition, the surgical instrument may include a male fastener part having a shaft with a plurality of detent positions. Further, the male fastener part may include a base and a shaft pivotally connected to the base.

Claims (24)

1. An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, comprising:
a tube having a proximal end and a distal end;
an end effector coupled to said distal end of said tube, said end effector configured to hold the male fastener part and the female fastener part in opposed relation;
an actuator coupled to said proximal end of said tube and configured to actuate the end effector; and a shearing device proximate said end effector and configured to shear off a tip of said male fastener part after the male and female fastener parts are moved into a locking relation.
2. The endoscopic surgical instrument of claim 1, wherein said end effector comprises first and second effector arms connected in pivotal relation, wherein the first effector arm is configured to hold the male fastener and the second effector arm is configured to hold the female fastener.
3. The endoscopic surgical instrument of claim 2, wherein said effector arms each include a frame member and an ejector arm, wherein said frame member and said ejector arm are configured to move in a sliding relation so as to eject the respective male and female fastener parts in said locking relation from the end effector.
4. The endoscopic surgical instrument of claim 2, wherein said shearing device is positioned at a distal end of said second effector arm.
5. The endoscopic surgical instrument of claim 4, wherein said shearing device includes a hole defined by said second effector arm, the hole having an edge that is capable of shearing the tip.
6. The endoscopic surgical instrument of claim 1, wherein said male fastener part includes a base and a shaft pivotally connected to the base.
7. The endoscopic surgical instrument of claim 6, wherein the shaft is pivotally connected to the base by a hinge.
8. The endoscopic surgical instrument of claim 6, wherein said shaft is configured to move between a first position in which the shaft is positioned in substantially the same plane as the base and a second position in which the shaft is positioned substantially perpendicular to said base.
9. The endoscopic surgical instrument of claim 1, wherein said male fastener part includes a base and a shaft connected to the base, wherein the shaft includes a plurality of detent positions.
10. The endoscopic surgical instrument of claim 9, wherein the female fastener part is capable of resting in said locking relation at each of said detent positions.
11. The endoscopic surgical instrument of claim 1, wherein said tube is a flexible tube.
12. The endoscopic surgical instrument of claim 1, further comprising at least one control member extending through the tube and connecting at a proximal end to the actuator and at a distal end to the end effector.
13. An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, comprising:
a tube having a proximal end and a distal end;
an end effector coupled to said distal end of said tube, said end effector configured to hold the male fastener part and the female fastener part in opposed relation, the male fastener part including a shaft having a plurality of detent positions; and an actuator coupled to said proximal end of said tube and said actuator configured to actuate the end effector.
14. The endoscopic surgical instrument of claim 13, wherein the female fastener part is capable of resting in a locking relation at each of said detent positions.
15. The endoscopic surgical instrument of claim 13, wherein said male fastener part includes a base and a shaft pivotally connected to the base.
16. The endoscopic surgical instrument of claim 15, wherein the shaft is pivotally connected to the base by a hinge.
17. The endoscopic surgical instrument of claim 15, wherein said shaft is configured to move between a first position in which the shaft is positioned in substantially the same plane as the base and a second position in which the shaft is positioned substantially perpendicular to said base.
18. An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, comprising:
a tube having a proximal end and a distal end;
an end effector coupled to said distal end of said tube, said end effector configured to hold the male fastener part and the female fastener part in opposed relation, said male fastener part including a base and a shaft pivotally connected to the base; and an actuator coupled to said proximal end of said tube and said actuator configured to actuate the end effector.
19. The endoscopic surgical instrument of claim 18, wherein the shaft is pivotally connected to the base by a hinge.
20. The endoscopic surgical instrument of claim 19, wherein said shaft is configured to move between a first position in which the shaft is positioned in substantially the same plane as the base and a second position in which the shaft is positioned substantially perpendicular to said base.
21. An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, comprising:
a tube having a proximal end and a distal end;
an end effector coupled to said distal end of said tube, said end effector configured to hold the male fastener part and the female fastener part in opposed relation, wherein said male fastener part includes a base and a shaft pivotally connected to the base, the shaft having a plurality of detent positions;
an actuator coupled to said proximal end of said tube and said actuator configured to actuate the end effector; and a shearing device proximate said end effector and configured to shear off a tip of said male fastener part after the male and female fastener parts are moved into a locking relation.
22. The endoscopic surgical instrument of claim 21, wherein said female fastener part is capable of resting in said locking relation at each of said detent positions.
23. The endoscopic surgical instrument of claim 21, wherein the shaft is pivotally connected to the base by a hinge.
24. The endoscopic surgical instrument of claim 23, wherein said shaft is configured to move between a first position in which the shaft is positioned in substantially the same plane as the base and a second position in which the shaft is positioned substantially perpendicular to said base.
CA2447768A 2001-06-04 2002-06-03 Surgical instrument for invagination and fundoplication Expired - Fee Related CA2447768C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/871,981 2001-06-04
US09/871,981 US6551328B2 (en) 1997-11-03 2001-06-04 Surgical instrument for invagination and fundoplication
PCT/US2002/017201 WO2002098299A2 (en) 2001-06-04 2002-06-03 Surgical instrument for invagination and fundoplication

Publications (2)

Publication Number Publication Date
CA2447768A1 true CA2447768A1 (en) 2002-12-12
CA2447768C CA2447768C (en) 2010-05-11

Family

ID=25358582

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2447768A Expired - Fee Related CA2447768C (en) 2001-06-04 2002-06-03 Surgical instrument for invagination and fundoplication

Country Status (8)

Country Link
US (4) US6551328B2 (en)
EP (1) EP1392180B1 (en)
JP (1) JP4301002B2 (en)
AT (1) ATE379988T1 (en)
AU (1) AU2002257351B2 (en)
CA (1) CA2447768C (en)
DE (1) DE60223918T2 (en)
WO (1) WO2002098299A2 (en)

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JP4301002B2 (en) 2009-07-22
ATE379988T1 (en) 2007-12-15
AU2002257351B2 (en) 2006-10-26
US7553315B2 (en) 2009-06-30
US9510826B2 (en) 2016-12-06
WO2002098299A3 (en) 2003-03-06
US20010049469A1 (en) 2001-12-06
US20090299381A1 (en) 2009-12-03
CA2447768C (en) 2010-05-11
US7083636B2 (en) 2006-08-01
WO2002098299A2 (en) 2002-12-12
JP2004535228A (en) 2004-11-25
US20030120285A1 (en) 2003-06-26
EP1392180A2 (en) 2004-03-03
DE60223918T2 (en) 2008-11-27
US20060229644A1 (en) 2006-10-12
EP1392180B1 (en) 2007-12-05
DE60223918D1 (en) 2008-01-17
US6551328B2 (en) 2003-04-22

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