Endoscopic purse string surgical device
An endoscopic surgical stapler for applying a suture to tissue including an elongated tubular member, a first jaw positioned at the distal end portion of the tubular member and having a longitudinal axis, and a second jaw disposed in substantially parallel relation to the first jaw at the distal end portion of the tubular member. The second jaw is movable in a direction substantially perpendicular to its longitudinal axis toward the first jaw, while maintaining the substantially parallel relation between the first and second jaws. A stapling assembly is disposed in each of the first and second jaws and configured to apply surgical staples to the tissue such that a suture, in combination with the surgical staples, forms a purse string with the tissue when the surgical stapler is activated.
1. An endoscopic surgical stapler for applying a suture to tissue comprising:
an elongated tubular member having a proximal end and a distal end;
first and second jaws positioned adjacent the distal end of the elongated tubular member and movable relative to one another between spaced apart position and an approximated position, each of the jaws including a plurality of staples and a portion of the suture; and
a suture retaining member for mounting the suture along the elongated tubular member.
2. The surgical stapler of claim 1 , wherein the suture retaining member is positioned proximal to the distal end of the elongated tubular member.
3. The surgical stapler of claim 1 , further comprising a second suture retaining member positioned proximal to the suture retaining member.
4. The surgical stapler of claim 1 , wherein the suture is supported on an outer surface of the elongated tubular member.
5. The surgical stapler of claim 1 , wherein the suture retaining member defines a slot defined in an outer surface of the elongated tubular member.
6. The surgical stapler of claim 1 , further comprising a clamp releasably mounted to the elongated tubular member adjacent the proximal end of the elongated tubular member, the clamp holding first and second segments of the suture.
7. The surgical stapler of claim 6 , wherein the portions of the suture within the jaws are between the first and second segments of the suture.
8. The surgical stapler of claim 1 , wherein the first jaw has a first length and the second jaw has a second length greater than the first length.
9. The surgical stapler of claim 1 , wherein the elongated tubular member is flexible along a longitudinal axis thereof.
10. The surgical stapler of claim 9 , further comprising a spring operatively associated with the plunger, the spring being configured to bias the plunger towards a proximal position relative to the elongated tubular member.
11. The surgical stapler of claim 9 , wherein the plunger has a proximal position in which the jaws are in the spaced apart position, and a distal position in which the jaws are in the approximated position.
12. The surgical stapler of claim 11 , wherein the safety mechanism is a removable tab that acts to limit longitudinal movement of the plunger in relation to the elongated tubular member.
13. The surgical stapler of claim 11 , wherein the elongated tubular member includes a proximal flange at the proximal end thereof defining a lock recess, and wherein the safety mechanism is a pivotable catch that is sized and shaped to removably couple with the lock recess to limit longitudinal movement of the plunger in relation to the elongated tubular member.
14. The surgical stapler of claim 9 , further comprising a safety mechanism for preventing unintended movement of the first and second jaws towards the approximated position.
15. The surgical stapler of claim 1 , further comprising a plunger longitudinally movable in relation to the elongated tubular member to move the jaws between the spaced apart and approximated positions.
16. The surgical stapler of claim 1 , wherein the first jaw or the second jaw includes an anvilless stapling assembly for forming the staples and applying a purse string with the suture.
17. The surgical stapler of claim 16 , wherein the anvilless stapling assembly includes a housing and a former, the former configured to move towards a tissue contacting surface of the first jaw or the second jaw to form the plurality of staples.
18. The surgical stapler of claim 17 , wherein the former is configured to engage the plurality of staples to fire the plurality of staples through the tissue contacting surface of the anvilless stapling assembly.
19. The surgical stapler of claim 18 , wherein the housing includes lips adjacent the tissue contacting surface that are configured to deform first and second legs of the plurality of staples towards one another as the former fires the plurality of staples through the tissue contacting surface.