Anvil assemblies for circular staplers

Patent metadata

Field	Value
Publication number	US-11864747-B2
Application number	US-202217834164-A
Country	US
Kind code	B2
Filing date	Jun 7, 2022
Priority date	Mar 14, 2011
Publication date	Jan 9, 2024
Grant date	Jan 9, 2024

Abstract

Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed.

First claim

What is claimed is:

1. An anvil plate assembly for a surgical stapling instrument, wherein said anvil plate assembly comprises a plurality of anvil plate segments, wherein each said anvil plate segment comprises a plurality of staple-forming pockets, wherein said plurality of anvil plate segments are linked together by a plurality of flexible couplers to facilitate selective movement of said anvil plate assembly between a collapsed configuration wherein said anvil plate segments are linked together in an end-to-end orientation and an interlocked orientation wherein said anvil plate segments are interlocked to form an annular and planar anvil plate.

2. The anvil plate assembly of claim 1 , wherein said plurality of anvil plate segments comprises four arcuate anvil plate segments, wherein each said arcuate anvil plate segment comprises:
an inner arcuate array of said staple-forming pockets; and
an outer arcuate array of other said staple-forming pockets.

3. The anvil plate assembly of claim 1 , wherein each said anvil plate segment comprises a first end, and wherein said first end of a first one of said anvil plate segments is movably coupled to said first end of a second one of said anvil plate segments by a corresponding first flexible coupler.

4. The anvil plate assembly of claim 3 , wherein each said anvil plate segment comprises a second end, and wherein said second end of said first one of said anvil plate segments is movably coupled to said second end of a third one of said anvil plate segments by a corresponding second flexible coupler.

5. The anvil plate assembly of claim 4 , wherein said second end of said second one of said anvil plate segments is movably coupled to said second end of a fourth one of said anvil plate segments by another corresponding second flexible coupler.

6. The anvil plate assembly of claim 5 , wherein each first flexible coupler comprises a first spring clip, and wherein each said second flexible coupler comprises a second spring clip.

7. The anvil plate assembly of claim 4 , wherein said first end of said first one of said anvil plate segments comprises a first coupler tab configured to be received within a first tab slot in said first end of said second one of said anvil plate segments, and wherein said first end of said second one of said anvil plate segments comprises a second coupler tab configured to be received within a second tab slot in said first end of said first one of said anvil plate segments.

8. The anvil plate assembly of claim 7 , wherein said second end of said first one of said anvil plate segments comprises another first coupler tab configured to be received within another first tab slot in said second end of said third one of said anvil plate segments, and wherein said second end of said third one of said anvil plate segments comprises another second coupler tab configured to be received within another second tab slot in said second end of said first one of said anvil plate segments.

9. The anvil plate assembly of claim 1 , further comprising a releasable tether configured to releasably retain said anvil plate assembly in said collapsed configuration.

10. The anvil plate assembly of claim 1 , wherein said anvil plate assembly is configured to be releasably attached to a collapsible anvil support member.

11. The anvil plate assembly of claim 10 , wherein said collapsible anvil support member is selectively movable from another collapsed configuration to an expanded configuration, and wherein said anvil plate assembly is configured to be releasably coupled to said collapsible support member when said anvil plate assembly is in said interlocked orientation and said collapsible support member is in said expanded configuration.

12. The anvil plate assembly of claim 11 , wherein each said anvil plate segment comprises a latch member configured to releasably engage a corresponding latch feature on said collapsible anvil support member.

13. The anvil plate assembly of claim 12 , wherein each said latch member comprises a magnet.

14. An anvil assembly for a circular surgical stapler, wherein said anvil assembly comprises:
a collapsible anvil support member comprising:
an anvil shaft configured to be releasably coupled to the circular surgical stapler; and
a collapsible support structure coupled to said anvil shaft, wherein said collapsible support structure is movable between a collapsed configuration and an expanded configuration, and wherein said anvil assembly further comprises;

an anvil plate assembly comprising four discreet anvil plate segments movably linked together to facilitate movement of said discrete anvil plate segments between an end-to-end orientation and an interlocked orientation in which said four discrete anvil plate segments form a planar and interlocked annular anvil plate member configured for removable attachment to said collapsible support structure.

15. The anvil assembly of claim 14 , wherein each said discreet anvil plate segment comprises:
an arcuate plate body comprising a first plate end and a second plate end;
an inner arcuate array of staple-forming pockets; and
an outer arcuate array of other staple-forming pockets.

16. The anvil assembly of claim 15 , wherein said first end of one said discreet anvil plate segments is attached to another first end of another said discrete anvil plate segment by a first spring member.

17. The anvil assembly of claim 16 , wherein said second end of one said discreet anvil plate segment is attached to another second end of another said discreet anvil plate segment by a second spring member.

18. The anvil assembly of claim 14 , wherein each said discreet anvil plate segment comprises a latch member configured to releasably engage a corresponding latch feature on said collapsible support structure.

19. The anvil assembly of claim 18 , wherein each said latch member comprises a magnet.

20. A method of deploying the anvil assembly of claim 14 into a patient, wherein said method comprises:
installing a trocar through an abdominal wall of the patient, wherein the trocar comprises a trocar cannula configured to form a passage through the abdominal wall;
inserting the collapsible anvil support member into the patient with the collapsible support structure oriented in the collapsed configuration;
reconfiguring the collapsible support structure into the expanded configuration;
configuring the anvil plate assembly into the end-to-end orientation;
inserting the anvil plate assembly in the end-to-end orientation through the trocar cannula into the patient adjacent to the collapsible support structure;
reconfiguring the anvil plate assembly into the interlocked orientation;
coupling the anvil plate assembly in the interlocked orientation to the collapsible support structure;
coupling the anvil shaft to the circular surgical stapler;
positioning the anvil plate assembly in a desired position relative to a staple cartridge of the circular surgical stapler; and
actuating the circular surgical stapler.

21. The method of claim 20 , further comprising:
detaching the anvil shaft from the circular surgical stapler;
detaching the anvil plate assembly from the collapsible support structure;
reconfiguring the anvil plate assembly into the end-to-end orientation;
removing the anvil plate assembly from the patient through the trocar cannula;
reconfiguring the collapsible support structure into the collapsed configuration; and
removing the collapsible anvil support member from the patient.

Assignees

• Cilag Gmbh Int

Inventors

• Aronhalt Taylor W
• Shelton Iv Frederick E
• Schall Christopher J
• Young Joseph E
• Worrell Barry C
• Morgan Jerome R
• Weisenburgh Ii William B
• Hess Christopher J
• Schellin Emily A

Classifications

• A61B17/0293 Primary

  with ring member to support retractor elements · CPC title

• A61B17/00234

  for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B17/0218

  for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B17/068

  Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) · CPC title

• A61B17/072

  for applying a row of staples in a single action, e.g. the staples being applied simultaneously · CPC title