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WO2025155683A1 - Circular stapling instrument - Google Patents

Circular stapling instrument

Info

Publication number
WO2025155683A1
WO2025155683A1 PCT/US2025/011814 US2025011814W WO2025155683A1 WO 2025155683 A1 WO2025155683 A1 WO 2025155683A1 US 2025011814 W US2025011814 W US 2025011814W WO 2025155683 A1 WO2025155683 A1 WO 2025155683A1
Authority
WO
WIPO (PCT)
Prior art keywords
staples
tissue
cutting element
anvil
staple
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/US2025/011814
Other languages
French (fr)
Inventor
Jonathan BORST
Kristopher Yee
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 WO2025155683A1 publication Critical patent/WO2025155683A1/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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots

Definitions

  • , - - naeernnaoen.a ca-on , rere.: - . , . . . . , .,., .. , ...-., , . , . . ., . . . , ., .. . . , - - naerernnearoeen.a:. ca-on , : - . , . . . , . - . , . . . . , , , , . , . . . ,., ., . . . ,., ., . . . ,., ., . . . ,., ., . . . ,., ., . . . ,., ., . . . ,., ., .
  • ca-on t arere.: - s t . . , n .. , , r .

Landscapes

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

Abstract

A circular stapling instrument for joining tissue structures comprises a staple assembly comprising a plurality of staples and a cutting element and an anvil positioned distal to the staple assembly. The instrument further includes a driver configured to advance the staples and the cutting element such that the staples contact the anvil before the cutting element is advanced distal of the staple assembly. The driver is configured to advance the staples and the cutting element such that that the staples are fully formed prior to the cutting element contacting the tissue. Cutting of the tissue only begins after the staples have deformed against the anvil and joined the tissue structures together. This inhibits or prevents tissue displacement during staple formation, resulting in proper staple formation, a more uniform thickness of stapled tissue and an improvement in cut quality, which reduces the risk of an anastomotic leak.

Description

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Claims

naerernnearoeen.a:.: c-a-on . . . . , . , . , . ,. . , . . , . . , ,. . , . - - naerernnearoeen.a:.: c-a-on. , . . , . . , . , , . , . . . , . , . . ., . , . . , - - naerernneaoen.a: ca-on , re.: - . . ,, . . , . . , .. , , . . , . . , , .. . ,. , - - naerernnearoeen.a:.: ca-on . -. .,. , . . , , . . , .,. , . , . , . , - - naerernnearoeen.a:.: c-a-on. , , . , . . ,. . .,. .. ,. , .. , ., . , - - naerernneaoen.a: ca-on . re.: -. , . . , . ,... , ... , . , , . , . . ,, , . . , . - - naerernnearoen.a: ca-on . , e.: -. . ., . , . , ,. , ,, . .. . , . , . , . , , . . , . . - - naerernnearoeen.a:.: c-a-on. - -
PCT/US2025/011814 2024-01-16 2025-01-16 Circular stapling instrument Pending WO2025155683A1 (en)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US202463621462P 2024-01-16 2024-01-16
US202463621490P 2024-01-16 2024-01-16
US202463621461P 2024-01-16 2024-01-16
US63/621,461 2024-01-16
US63/621,490 2024-01-16
US63/621,462 2024-01-16

Publications (1)

Publication Number Publication Date
WO2025155683A1 true WO2025155683A1 (en) 2025-07-24

Family

ID=94478933

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2025/011814 Pending WO2025155683A1 (en) 2024-01-16 2025-01-16 Circular stapling instrument

Country Status (1)

Country Link
WO (1) WO2025155683A1 (en)

Citations (33)

* 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
US20040087977A1 (en) * 2000-03-06 2004-05-06 United States Surgical Apparatus and method for performing a bypass procedure in a digestive system
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
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
US20160157855A1 (en) * 2014-12-09 2016-06-09 Covidien Lp Anvil assembly delivery system
US20170027571A1 (en) * 2015-07-30 2017-02-02 Ethicon Endo-Surgery, Llc Surgical instrument comprising systems for assuring the proper sequential operation of the surgical instrument
EP3225195A1 (en) * 2016-04-01 2017-10-04 Ethicon LLC Surgical stapling system comprising an unclamping lockout
US10016244B2 (en) 2013-08-15 2018-07-10 Intuitive Surgical Operations, Inc. Robotic instrument driven element
US20180368836A1 (en) * 2017-06-27 2018-12-27 Ethicon Llc Surgical stapler with independently actuated drivers to provide varying staple heights
US20200054568A1 (en) 2018-08-14 2020-02-20 Yossi Gross Expandable pill
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
US20220395274A1 (en) * 2021-06-11 2022-12-15 William Fox Surgical stapler

Patent Citations (35)

* 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
US5800423A (en) 1993-05-14 1998-09-01 Sri International Remote center positioner with channel shaped linkage element
US6758843B2 (en) 1993-05-14 2004-07-06 Sri International, Inc. Remote center positioner
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
US6441577B2 (en) 1998-08-04 2002-08-27 Intuitive Surgical, Inc. Manipulator positioning linkage for robotic surgery
US6246200B1 (en) 1998-08-04 2001-06-12 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
US20040087977A1 (en) * 2000-03-06 2004-05-06 United States Surgical Apparatus and method for performing a bypass procedure in a digestive system
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
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
US20160157855A1 (en) * 2014-12-09 2016-06-09 Covidien Lp Anvil assembly delivery system
US20170027571A1 (en) * 2015-07-30 2017-02-02 Ethicon Endo-Surgery, Llc Surgical instrument comprising systems for assuring the proper sequential operation of the surgical instrument
EP3225195A1 (en) * 2016-04-01 2017-10-04 Ethicon LLC Surgical stapling system comprising an unclamping lockout
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
US20180368836A1 (en) * 2017-06-27 2018-12-27 Ethicon Llc Surgical stapler with independently actuated drivers to provide varying staple heights
US20200054568A1 (en) 2018-08-14 2020-02-20 Yossi Gross Expandable pill
US20220395274A1 (en) * 2021-06-11 2022-12-15 William Fox Surgical stapler

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