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WO2025155653A1 - Collapsible circular staplers - Google Patents

Collapsible circular staplers

Info

Publication number
WO2025155653A1
WO2025155653A1 PCT/US2025/011769 US2025011769W WO2025155653A1 WO 2025155653 A1 WO2025155653 A1 WO 2025155653A1 US 2025011769 W US2025011769 W US 2025011769W WO 2025155653 A1 WO2025155653 A1 WO 2025155653A1
Authority
WO
WIPO (PCT)
Prior art keywords
anvil
head
diameter
collapsed
patient
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.)
Pending
Application number
PCT/US2025/011769
Other languages
French (fr)
Inventor
Kristopher Yee
Corbet HEATH
Matthew Giere
Thomas Mcnamara
Aniruddha RAINA
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.)
Intuitive Surgical Operations Inc
Original Assignee
Intuitive Surgical Operations Inc
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 Intuitive Surgical Operations Inc filed Critical Intuitive Surgical Operations Inc
Publication of WO2025155653A1 publication Critical patent/WO2025155653A1/en
Pending legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
    • A61B17/1155—Circular staplers comprising a plurality of staples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/066—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring torque
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B34/37—Leader-follower robots

Definitions

  • ca-on “ ” : - , . ,. . , , . . . , , . . . , , . . , . , . , . , - - naerernneaoen.a: ca-on , re.: - , . . . , . , . , . . . . , , . . . . , . . . - naerernneaoen.a: ca-on , .
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  • , t ., t . , , - - naerernneaoen.a ca-on . re.: - t , , t . . t t , t , . , . t , s t , ., . n , r . ,. t , - - naerernnearoeen.a:.: ca-on .- t , . . t t t , t. , t . , t . , s t . . , - - - naerernnearoeen.a:.: ca-on .- t , . . t t t , t. , t . , s t . . , - - -

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Superconductors And Manufacturing Methods Therefor (AREA)
  • Materials For Medical Uses (AREA)

Abstract

Systems, devices and methods are provided for introducing and removing collapsible anvils to and from a target site in a patient, such as a proximal bowel during a colon resection procedure. A circular stapler instrument comprises a staple assembly comprising a plurality of staples and a cutting element and an anvil movably coupled to the stapling assembly. The anvil comprises a head and a shaft. The head comprises a tissue contacting surface defining staple forming pockets. The anvil head is configured for deploying between a collapsed configuration with a first diameter and an expanded configuration with a second diameter larger than the first diameter. This allows the surgeon to introduce the anvil in a collapsed state through a percutaneous penetration in the patient, such as a cannula, and then expand the anvil within the target site, such as the proximal bowel, for the stapling operation. In addition, the anvil may be collapsed after the procedure to facilitate removal of the anvil and reduction of stress on the staple line.

Description

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Claims

naerernnearoeen.a:.: c-a-on. , , . ,. , . . , . . , . . , , , , .. ,, . . . , - - naerernnearoeen.a:. ca-on. , : -. , . , , . . , . . , . . , , . , . ,, ., , . , . . , , , . . ., . , - - naerernneaoen.a: ca-on , re.: - . . , . . , . . , , , .. , . . . , . . , . ,. . ,. - - naerernnearoeen.a:.: c-a-on . , , . . ,, . . , , . . , ,. . , . . , . . , , . , - - naerernnearoeen.a:.: c-a-on. , . . , .,. , , . . .,. . ,. , , . . , , . . , . - - naerernnearoeen.a:.: c-a-on. , , . . , .. , . . , . . , . . , . . , . - - naerernnaoen.a: ca-on . , ere.: - . . , .. , .. ,. - -
PCT/US2025/011769 2024-01-16 2025-01-16 Collapsible circular staplers Pending WO2025155653A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US202463621490P 2024-01-16 2024-01-16
US63/621,490 2024-01-16

Publications (1)

Publication Number Publication Date
WO2025155653A1 true WO2025155653A1 (en) 2025-07-24

Family

ID=94481023

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2025/011769 Pending WO2025155653A1 (en) 2024-01-16 2025-01-16 Collapsible circular staplers

Country Status (1)

Country Link
WO (1) WO2025155653A1 (en)

Citations (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5184601A (en) 1991-08-05 1993-02-09 Putman John M Endoscope stabilizer
US5445166A (en) 1991-06-13 1995-08-29 International Business Machines Corporation System for advising a surgeon
US5797900A (en) 1996-05-20 1998-08-25 Intuitive Surgical, Inc. Wrist mechanism for surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5800423A (en) 1993-05-14 1998-09-01 Sri International Remote center positioner with channel shaped linkage element
US5808665A (en) 1992-01-21 1998-09-15 Sri International Endoscopic surgical instrument and method for use
US5855583A (en) 1996-02-20 1999-01-05 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US6132368A (en) 1996-12-12 2000-10-17 Intuitive Surgical, Inc. Multi-component telepresence system and method
US6246200B1 (en) 1998-08-04 2001-06-12 Intuitive Surgical, Inc. Manipulator positioning linkage for robotic surgery
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US6389187B1 (en) 1997-06-20 2002-05-14 Qinetiq Limited Optical fiber bend sensor
US6676669B2 (en) 2001-01-16 2004-01-13 Microdexterity Systems, Inc. Surgical manipulator
US6702805B1 (en) 1999-11-12 2004-03-09 Microdexterity Systems, Inc. Manipulator
US6758843B2 (en) 1993-05-14 2004-07-06 Sri International, Inc. Remote center positioner
US6902560B1 (en) 2000-07-27 2005-06-07 Intuitive Surgical, Inc. Roll-pitch-roll surgical tool
US6936042B2 (en) 1999-01-22 2005-08-30 Intuitive Surgical Surgical tools for use in minimally invasive telesurgical applications
US20060013523A1 (en) 2004-07-16 2006-01-19 Luna Innovations Incorporated Fiber optic position and shape sensing device and method relating thereto
US6994703B2 (en) 1992-08-10 2006-02-07 Intuitive Surgical Method and apparatus for performing minimally invasive cardiac procedures
US20060201989A1 (en) * 2005-03-11 2006-09-14 Ojeda Herminio F Surgical anvil and system for deploying the same
US7594912B2 (en) 2004-09-30 2009-09-29 Intuitive Surgical, Inc. Offset remote center manipulator for robotic surgery
US8529582B2 (en) 1996-12-12 2013-09-10 Intuitive Surgical Operations, Inc. Instrument interface of a robotic surgical system
US8597280B2 (en) 2006-06-13 2013-12-03 Intuitive Surgical Operations, Inc. Surgical instrument actuator
US20140131420A1 (en) * 2012-11-13 2014-05-15 Ohio State Innovation Foundation Collapsible anvil head and stapling apparatus
US20140183244A1 (en) 2012-12-31 2014-07-03 Intuitive Surgical Operations, Inc. Surgical staple cartridge with enhanced knife clearance
US8912746B2 (en) 2011-10-26 2014-12-16 Intuitive Surgical Operations, Inc. Surgical instrument motor pack latch
CN104939884A (en) * 2014-03-31 2015-09-30 瑞奇外科器械(中国)有限公司 Surgical instrument and nail anvil thereof
US10016244B2 (en) 2013-08-15 2018-07-10 Intuitive Surgical Operations, Inc. Robotic instrument driven element
US20200289121A1 (en) * 2016-06-29 2020-09-17 Norwegian University Of Science And Technology Surgical stapler, anvil for a surgical stapler, and a method of stapling tissue
CN113057704A (en) * 2021-03-30 2021-07-02 中国人民解放军总医院 Nail anvil assembly, guiding device and surgical instrument for complete laparoscope
CN214549497U (en) * 2020-12-29 2021-11-02 南通市第一人民医院 Peritoneoscope umbrella can anastomat convenient to use

Patent Citations (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5445166A (en) 1991-06-13 1995-08-29 International Business Machines Corporation System for advising a surgeon
US5184601A (en) 1991-08-05 1993-02-09 Putman John M Endoscope stabilizer
US5808665A (en) 1992-01-21 1998-09-15 Sri International Endoscopic surgical instrument and method for use
US6994703B2 (en) 1992-08-10 2006-02-07 Intuitive Surgical Method and apparatus for performing minimally invasive cardiac procedures
US6758843B2 (en) 1993-05-14 2004-07-06 Sri International, Inc. Remote center positioner
US5800423A (en) 1993-05-14 1998-09-01 Sri International Remote center positioner with channel shaped linkage element
US5855583A (en) 1996-02-20 1999-01-05 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5797900A (en) 1996-05-20 1998-08-25 Intuitive Surgical, Inc. Wrist mechanism for surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US6132368A (en) 1996-12-12 2000-10-17 Intuitive Surgical, Inc. Multi-component telepresence system and method
US8529582B2 (en) 1996-12-12 2013-09-10 Intuitive Surgical Operations, Inc. Instrument interface of a robotic surgical system
US6389187B1 (en) 1997-06-20 2002-05-14 Qinetiq Limited Optical fiber bend sensor
US6246200B1 (en) 1998-08-04 2001-06-12 Intuitive Surgical, Inc. Manipulator positioning linkage for robotic surgery
US6441577B2 (en) 1998-08-04 2002-08-27 Intuitive Surgical, Inc. Manipulator positioning linkage for robotic surgery
US7048745B2 (en) 1998-12-08 2006-05-23 Intuitive Surgical Surgical robotic tools, data architecture, and use
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US6936042B2 (en) 1999-01-22 2005-08-30 Intuitive Surgical Surgical tools for use in minimally invasive telesurgical applications
US6702805B1 (en) 1999-11-12 2004-03-09 Microdexterity Systems, Inc. Manipulator
US6902560B1 (en) 2000-07-27 2005-06-07 Intuitive Surgical, Inc. Roll-pitch-roll surgical tool
US6676669B2 (en) 2001-01-16 2004-01-13 Microdexterity Systems, Inc. Surgical manipulator
US20060013523A1 (en) 2004-07-16 2006-01-19 Luna Innovations Incorporated Fiber optic position and shape sensing device and method relating thereto
US7594912B2 (en) 2004-09-30 2009-09-29 Intuitive Surgical, Inc. Offset remote center manipulator for robotic surgery
US20060201989A1 (en) * 2005-03-11 2006-09-14 Ojeda Herminio F Surgical anvil and system for deploying the same
US8597280B2 (en) 2006-06-13 2013-12-03 Intuitive Surgical Operations, Inc. Surgical instrument actuator
US8912746B2 (en) 2011-10-26 2014-12-16 Intuitive Surgical Operations, Inc. Surgical instrument motor pack latch
US20140131420A1 (en) * 2012-11-13 2014-05-15 Ohio State Innovation Foundation Collapsible anvil head and stapling apparatus
US20140183244A1 (en) 2012-12-31 2014-07-03 Intuitive Surgical Operations, Inc. Surgical staple cartridge with enhanced knife clearance
US10016244B2 (en) 2013-08-15 2018-07-10 Intuitive Surgical Operations, Inc. Robotic instrument driven element
CN104939884A (en) * 2014-03-31 2015-09-30 瑞奇外科器械(中国)有限公司 Surgical instrument and nail anvil thereof
US20200289121A1 (en) * 2016-06-29 2020-09-17 Norwegian University Of Science And Technology Surgical stapler, anvil for a surgical stapler, and a method of stapling tissue
CN214549497U (en) * 2020-12-29 2021-11-02 南通市第一人民医院 Peritoneoscope umbrella can anastomat convenient to use
CN113057704A (en) * 2021-03-30 2021-07-02 中国人民解放军总医院 Nail anvil assembly, guiding device and surgical instrument for complete laparoscope

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