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EP0137685A2 Expired / Lapsed EP ⏱️ 0.0 years remaining

Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods

Assignee: Ethicon Inc
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Filing: 1984-08-24
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Granted: —
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Expires: 2004-08-24
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Abstract

Abstract A tissue retention spool is disposed on the anvil actuating rod of an intraluminal anastomotic surgical stapling instrument. Tubular tissue is gathered and held on the spool by a suture tie, thus eliminating the previously required purse-stringing procedure. The spool and rod are constructed to initially resist relative sliding motion as the spool is withdrawn into the staple carrier/cylindrical scalpel area prior to setting of staples and internal tissue excision. The combined spool and instrument serve to hold tubular tissue in an erect, closed condition, facilitating the use of closed surgical techniques, without purse-stringing, in lim- i ted access areas such as lower colon resections. Alternative spools and methods are included.

Inventors

  • 👤 Robert G. Rothfuss

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 12:48
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/11; A61B17/115; A61B17/1155; A61B2017/1142

Claims Analysis

Total Claims: 15
Claim 1
Independent Claim 84 words
An intraluminal anastomotic surgical stapling instrument having a staple cartridge, a cylindrical scalpel within the cartridge, and a staple anvil mounted on a rod extending from the staple cartridge, the anvil being shiftable toward said staple cartridge for bringing ends of a transected tubular tissue structure together for stapling, characterised in that tissue retention means are mounted on the rod accessible between the staple cartridge and the anvil for holding an end of a tubular tissue structure prior to and during an anastomotic procedure.
Claim 2
Dependent Claim 84 words
An intraluminal anastomotic surgical stapling instrument having a staple cartridge, a cylindrical scalpel within the cartridge, and a staple anvil mounted on a rod extending from the staple cartridge, the anvil being shiftable toward said staple cartridge for bringing ends of a transected tubular tissue structure together for stapling, characterised in that tissue retention means are mounted on the rod accessible between the staple cartridge and the anvil for holding an end of a tubular tissue structure prior to and during an anastomotic procedure.
Claim 3
Dependent Claim 23 words
An instrument as claimed in Claim 1, wherein the tissue retention means is frictionally mounted on the rod and is yieldably slidable therealong.
Claim 4
Dependent Claim 25 words
An instrument as claimed in Claim 1 or 2 wherein the tissue retention means is movable to a position radially inwardly of the cylindrical scalpel.
Claim 5
Dependent Claim 21 words
4 . An instrument as claimed in any of the preceding claims, wherein the tissue retention means comprises a flanged spool.
Claim 6
Dependent Claim 27 words
An instrument as claimed in Claim 4, wherein the spool has a flange at each end and includes radially extending tissue engaging projections disposed between the flanges.
Claim 7
Dependent Claim 35 words
An instrument as claimed in either Claim 4 or 5, wherein the spool has an internal bore receiving the rod, and elongated, axially extending, raaially inwardly projecting projections frictionally engage the rod within the bore.
Claim 8
Dependent Claim 21 words
An instrument as claimed in Claim 6, wherein the ends of the axially extending projections are tapered away from the rod.
Claim 9
Dependent Claim 29 words
An instrument as claimed in either Claim 4 or 5 wherein the spool has an internal bore defined by a resilient surface for frictional, yieldable engagement with the rod.
Claim 10
Dependent Claim 50 words
A tissue retention spool for an intraluminal anastomotic surgical stapling instrument, characterised in that the spool has at least one flanged end extending radially outwardly of the spool, and a cylindrical tissue retention surface including a plurality of radial tissue engaging projection means for holding the tissue against sliding thereon.
Claim 11
Dependent Claim 50 words
A tissue retention spool for an intraluminal anastomotic surgical stapling instrument, characterised in that the spool has at least one flanged end extending radially outwardly of the spool, and a cylindrical tissue retention surface including a plurality of radial tissue engaging projection means for holding the tissue against sliding thereon.
Claim 12
Dependent Claim 31 words
A tissue retention spool as claimed in Claim 9, and having an internal bore for slidably receiving a rod of said instrument, said bore comprising means for yieldably gripping said rod.
Claim 13
Dependent Claim 27 words
A tissue retention spool as claimed in Claim 10, wherein said yieldable gripping means comprises a plurality of axially extending, inwardly projecting lugs for engaging said rod.
Claim 14
Dependent Claim 16 words
A tissue retention spool as claimea in Claim 11, wherein ends of said lugs are tapered.
Claim 15
Dependent Claim 23 words
A tissue retention spool as claimed in Claim 10, wherein said yieldable gripping means comprises a resilient material for frictionally gripping said rod.

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