Surgical stapling apparatus with reusable components

• US 10,178,994 B2
• Filed: 03/14/2014
• Issued: 01/15/2019
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Lee, Kin Ying, Zhan, Hui, Wang, Feng
• Primary Examiner(s): Tecco, Andrew M
• Assistant Examiner(s): JALLOW, EYAMINDAE CHOSSAN
• Application Number:
  US14/759,948
• Publication Number:
  US 20150351769A1
• Time in Patent Office: 1,768 Days
• Field of Search: 2271751, 2271761
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 2090/0813 Accessories designed for easy sterilising, i.e. re-usable

Abstract

A surgical stapling apparatus includes a handle, an elongated body, a firing assembly, and a stapling assembly. The body extends from the handle and includes an engagement member rotatably supported on to a distal portion of the body. The engagement member defines an engagement slot and is axially movable about the body from a retracted position to an advanced position. The firing assembly includes a trigger, firing link, and pusher link. The pusher link is movably supported for distal translation through the body in response to actuation of the trigger. The stapling assembly houses a plurality of surgical staples and includes an outer shell having an engagement tab. The engagement member is rotatable relative to the body and the stapling assembly to releasably position the engagement tab within the engagement slot, thereby securing the stapling assembly at the distal end of the body.

Claims

1. A surgical stapling apparatus, comprising:

a handle portion;

an elongated body portion extending distally from the handle portion, an engagement member rotatably supported on a distal portion of the elongated body portion, and a biasing member disposed about the elongated body portion, the engagement member defining an engagement slot and being axially movable about the elongated body portion from a retracted position to an advanced position, the biasing member configured to bias the engagement member towards the retracted position;

a firing assembly including a firing trigger, a firing link, and a pusher link extending through the elongated body portion, the pusher link being movably supported for distal translation through the elongated body portion in response to actuation of the firing trigger; and

a stapling assembly configured to house a plurality of surgical staples and including an outer shell having an engagement tab, the engagement member being rotatable relative to the elongated body portion and the stapling assembly to releasably position the engagement tab within the engagement slot to releasably secure the stapling assembly at the distal end of the elongated body portion such that, in response to distal advancement of the pusher link, the plurality of surgical staples are ejected from the stapling assembly.

2. The surgical stapling apparatus according to claim 1, further comprising an approximation assembly, the approximation assembly including a drive member configured to extend distally from the elongated body potion and the stapling assembly, the distal end of the drive member configured to releasably engage an anvil assembly.

3. The surgical stapling apparatus according to claim 2, further comprising an approximation knob extending from the handle portion, the approximation knob coupled to the drive member and selectively actuatable to move the anvil assembly between a spaced-apart position and an approximated position relative to the stapling assembly.

4. The surgical stapling apparatus according to claim 3, wherein the drive member defines a helical channel and wherein the approximation knob is coupled to a pin disposed within the helical channel such that rotation of the approximation knob effects translation of the drive member.

5. The surgical stapling apparatus according to claim 3, wherein the handle portion includes an indicator window configured to permit visualization into the handle portion to confirm a position of the anvil assembly relative to the stapling assembly.

6. The surgical stapling apparatus according to claim 1, wherein the engagement tab is retained in engagement within the engagement slot under the bias of the biasing member.

7. The surgical stapling apparatus according to claim 1, wherein the stapling assembly includes a cartridge assembly disposed within the outer shell.

8. The surgical stapling apparatus according to claim 7, wherein the cartridge assembly includes a pusher including a plurality of pusher fingers configured to support the plurality of surgical staples and a staple guide member configured to guide ejection of the surgical staples from the stapling assembly.

9. The surgical stapling apparatus according to claim 1, wherein the handle portion is formed from first and second handle sections, the first and second handle sections being movable relative to one another between a closed configuration and an open configuration.

10. The surgical stapling apparatus according to claim 9, wherein the handle portion further includes a chassis interconnecting the first and second handle sections, the chassis configured to support at least one of a portion of the approximation assembly and a portion of the firing assembly.

11. The surgical stapling apparatus according to claim 1, wherein the elongated body portion defines a curved configuration and wherein the pusher link includes a plurality of link segments, the plurality of link segments pivotably coupled to one another to facilitate translation of the pusher link through the curved elongated body portion.

12. The surgical stapling apparatus according to claim 11, wherein ball-and-socket joints pivotably couple the link segments to one another.

13. A surgical stapling apparatus, comprising:

a handle portion;

an elongated body portion extending distally from the handle portion and an engagement member rotatably supported on to a distal portion of the elongated body portion, the engagement member defining an engagement slot having an engagement notch, the engagement member being axially movable about the elongated body portion from a retracted position to an advanced position;

a firing assembly including a firing trigger, a firing link, and a pusher link extending through the elongated body portion, the pusher link being movably supported for distal translation through the elongated body portion in response to actuation of the firing trigger; and

a stapling assembly configured to house a plurality of surgical staples and including an outer shell having an engagement tab including an engagement nub, and the engagement slot further including an engagement notch, the engagement member being rotatable relative to the elongated body portion and the stapling assembly to releasably position the engagement nub of the engagement tab within the engagement notch of the engagement slot to releasably secure the stapling assembly at the distal end of the elongated body portion such that, in response to distal advancement of the pusher link, the plurality of surgical staples are ejected from the stapling assembly.

14. The surgical stapling apparatus according to claim 13, further comprising an approximation assembly, the approximation assembly including a drive member configured to extend distally from the elongated body potion and the stapling assembly, the distal end of the drive member configured to releasably engage an anvil assembly.

15. The surgical stapling apparatus according to claim 14, further comprising an approximation knob extending from the handle portion, the approximation knob coupled to the drive member and selectively actuatable to move the anvil assembly between a spaced-apart position and an approximated position relative to the stapling assembly.

16. The surgical stapling apparatus according to claim 15, wherein the drive member defines a helical channel and wherein the approximation knob is coupled to a pin disposed within the helical channel such that rotation of the approximation knob effects translation of the drive member.

17. The surgical stapling apparatus according to claim 13, wherein the stapling assembly includes a cartridge assembly disposed within the outer shell, the cartridge assembly including a pusher having a plurality of pusher fingers configured to support the plurality of surgical staples and a staple guide member configured to guide ejection of the surgical staples from the stapling assembly.

18. The surgical stapling apparatus according to claim 13, wherein the handle portion is formed from first and second handle sections, the first and second handle sections being movable relative to one another between a closed configuration and an open configuration.

19. The surgical stapling apparatus according to claim 18, wherein the handle portion further includes a chassis interconnecting the first and second handle sections, the chassis configured to support at least one of a portion of the approximation assembly and a portion of the firing assembly.

20. The surgical stapling apparatus according to claim 13, wherein the elongated body portion defines a curved configuration and wherein the pusher link includes a plurality of link segments, the plurality of link segments pivotably coupled to one another to facilitate translation of the pusher link through the curved elongated body portion.