Endovascular stapler
View Patent ↗An endovascular stapler for securing an endograft to a vessel is disclosed. The stapler includes a staple housing adapted for storing at least one staple therein, the staple housing having an exit area for discharge of the at least one staple therethrough, an actuating assembly adapted for discharging the at least one staple through the exit area, and a displacement mechanism in operative association with the staple housing near the exit area. The displacement member is operative for pushing the exit area against the endograft when discharging the at least one staple therethrough. The discharged staple forms a plurality of opposed loops connected by a central element upon discharge. Also disclosed are staples and displacement mechanisms adapted for use with surgical instruments such as the present endovascular staplers. The staples may be formed from memory metal or other metal. The displacement mechanisms disclosed include balloons and rigid offsetting devices.
1. A method of attaching an endograft to a vessel wall with an endovascular stapler having a distal end and a proximal end with a biasing mechanism associated therewith, said method comprising:
inserting the distal end of the endovascular stapler into the endograft;
activating the biasing mechanism so as to push the distal end of the endovascular stapler against the endograft;
discharging through a trigger mechanism and/or staple housing a first staple having a pair of legs connected by a central portion from the endovascular stapler into the endograft and vessel such that the staple legs form a pair of equi-distantly spaced circular parallel loops connected by the central portion when in a natural condition, and having a pair of straight parallel legs joined by said central portion when in a deformed condition; said staple transformed from said deformed condition to said natural condition as it moves forward during discharge along a staple channel, and said parallel loops of said staple are formed in a direction that is substantially parallel to a longitudinal direction of said staple channel and not toward each other, the parallel loops being formed inwardly and perpendicular to the central portion of the staple, and further including respective pointed ends oriented in the same direction perpendicular to the central portion of the staple, forming a 3-dimensional staple structure.
2. The method of claim 1 , further comprising the steps of:
partially deactivating the biasing mechanism to permit rotation of the distal end of the endovascular stapler;
rotating the distal end of the endovascular stapler;
reactivating the biasing mechanism so as to push the distal end of the endovascular stapler against the endograft;
discharging a second staple having a pair of legs connected by a central portion from the endovascular stapler into the endograft and vessel such that the staple legs of the second staple form a pair of circular loops connected by the central portion of the second staple.
3. The method of claim 1 , wherein the first staple is constructed from a memory alloy.
4. The method of claim 3 , wherein the legs of the first staple are predominantly straight while within the stapler prior to said step of discharging.
5. The method of claim 4 , wherein the natural condition of the first staple is where the legs form circular loops.
6. The method of claim 5 , wherein the step of discharging permits the first staple to return to its natural condition.
7. The method of claim 5 , wherein said step of discharging serves to advance a staple pusher within said stapler for discharging the first staple.
8. The method of claim 7 , wherein the first staple advances along a staple guide, the staple guide retarding the return of the first staple to its natural condition.
9. The method of claim 4 , wherein the straight legs are substantially parallel to the longitudinal axis of the endograft during said step of inserting.
10. The method of claim 1 , wherein the endovascular stapler includes a removable cartridge containing a plurality of staples, each of the staples having a pair of legs connected by a central portion.
11. The method of claim 10 , wherein the legs of the plurality of staples are predominantly straight while within the stapler cartridge.
12. The method of claim 11 , wherein a natural condition of the plurality of staples is where the legs form circular loops, and said step of discharging permits the first staple to return to its natural condition.
13. The method of claim 10 , wherein the cartridge is replaceable.
14. The method of claim 1 , wherein the vessel flows blood from a heart and said step of discharging drives the first staple toward the heart against the direction of blood flow.
15. The method of claim 14 , wherein said step of discharging is conducted by a trigger mechanism that pushes a staple pusher.
16. The method of claim 1 , wherein the vessel flows blood from a heart and said step of discharging drives the first staple away from the heart in the direction of blood flow.
17. The method of claim 16 , wherein said step of discharging is conducted by a trigger mechanism that pulls a staple pusher.
18. The method of claim 1 , wherein the step of discharging advances the first staple through a staple exit area, the staple exit area being radio opaque.
19. A method of attaching an endograft to a vessel wall with an endovascular stapler having a distal end and a proximal end with a biasing mechanism associated therewith, said method comprising:
inserting the distal end of the endovascular stapler into the endograft;
activating the biasing mechanism so as to push the distal end of the endovascular stapler against the endograft;
discharging through a trigger mechanism and/or staple housing a first staple having a pair of legs connected by a central portion from the endovascular stapler into the endograft and vessel such that the staple legs form a pair of circular parallel loops connected by the central portion when in a natural condition, and having a pair of straight parallel legs joined by said central portion when in a deformed condition; said staple transformed from said deformed condition to said natural condition as it moves forward during discharge along a staple channel, and said parallel loops of said staple are formed in a direction that is substantially parallel to a longitudinal direction of said staple channel and not toward each other, the parallel loops being formed inwardly and perpendicular to the central portion of the stable forming a 3-dimensional staple structure;
wherein the first staple is constructed from a memory alloy;
wherein the legs of the first staple are predominantly straight while within the stapler prior to said step of discharging;
wherein the natural condition of the first staple is where the legs form circular loops;
wherein said step of discharging serve to advance a staple pusher within said stapler for discharging the first staple;
wherein the first staple advances along a staple guide, the staple guide retarding the return of the first staple to its natural condition; and
wherein the staple pusher includes a pivoting portion and the step of discharging rotates the pivoting portion into the central portion of the first staple such that the central portion of the first staple abuts the endograft.