Tool assembly for a surgical stapling device

• US 10,271,847 B2
• Filed: 11/20/2018
• Issued: 04/30/2019
• Est. Priority Date: 10/04/2002
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Racenet, David C., Roy, Philip, Beardsley, John, Olson, Lee, Stearns, Ralph, Emmons, Clifford
• Primary Examiner(s): Weeks, Gloria R
• Assistant Examiner(s): Seif, Dariush
• Application Number:
  US16/196,877
• Publication Number:
  US 20190083094A1
• Time in Patent Office: 161 Days
• Field of Search: 2271751-1821, 606 75, 606219, 606220
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395

Abstract

A surgical device comprising a first jaw member, a second jaw member, a clamping member and a clamp apparatus is disclosed. The clamping member is slidably positioned to translate at least partially through the first jaw member. The clamping member engages the first jaw member and the second jaw member, and has a knife blade for cutting tissue. A flange of the clamping member is configured to engage a cam surface to pivot the second jaw member with respect to the first jaw member from an open position toward an approximated position. The clamp apparatus is movable from a retracted position to an advanced position for preventing a gap between proximal portions of the first jaw member and the second jaw member from exceeding a predetermined distance. The clamping member and the clamp apparatus are separately movable.

Claims

1. A surgical tool for performing robotic surgery, the surgical tool comprising:

a shaft having a proximal end and a distal end; and

a tool assembly attached at the distal end of the shaft, the tool assembly comprising;

a clamping member comprising;

a lower flange comprising first and second transverse protrusions extending in substantially opposite directions along a first axis, each of the first and second transverse protrusions having an inner surface,

an upper flange comprising third and fourth transverse protrusions extending in substantially opposite directions along a second axis substantially parallel to the first axis, each of the third and fourth transverse protrusions having an inner surface, and

a central portion connected to and extending between the lower flange and the upper flange along a third axis substantially perpendicular to the first and second axes, the upper flange and the lower flange being substantially transverse to the central portion,

a first jaw comprising;

a proximal end,

a distal end,

an elongated channel extending between the proximal end of the first jaw and the distal end of the first jaw, the elongated channel being configured to receive a cartridge, and

a surface of the first jaw having a first longitudinal slot extending between the proximal end of the first jaw and the distal end of the first jaw, the surface of the first jaw being configured to engage with the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member as the central portion travels through the first longitudinal slot such that the inner surfaces of the first and transverse protrusions slide along the surface of the first jaw,

a second jaw pivotable relative to the first jaw, the second jaw comprising;

a proximal end,

a distal end,

an anvil having at least one staple forming surface thereon, the at least one staple forming surface having at least one staple forming pocket, and

an upper surface of the second jaw having a second longitudinal slot therein extending between the proximal end of the anvil and the distal end of the anvil, the upper surface of the second jaw configured to engage with inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member as the central portion travels through the second longitudinal slot such that the inner surfaces of the third and fourth transverse protrusions slide along the upper surface of the second jaw,

at least one flexible cable extending distally through the elongated channel, wherein force on the at least one flexible cable causes the clamping member to move along the first and second jaws such that the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member move along the surface of the first jaw and the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member move along the upper surface of the second jaw, wherein said movement causes at least one of;

the first and second jaws to clamp, and

staples to be ejected from a cartridge when a cartridge is received within the elongated channel of the first jaw, and

a sled having at least one cam wedge and a knife blade, the knife blade being formed as one of part of the sled, and at least one of fixedly, removably, and pivotally secured to the sled, wherein the movement of the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member along the surface of the first jaw and the movement of the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member along the upper surface of the second jaw further causes;

the sled to ride in front of the clamping member along the elongated channel, and

the at least one cam wedge to cooperate with at least one pusher member of the cartridge to eject at least one of the staples from the cartridge when the cartridge is received within the elongated channel of the first jaw.

2. The surgical tool of claim 1, wherein the first jaw includes a cartridge received within the elongated channel of the first jaw, the cartridge having a third longitudinal slot and having at least three rows of staples disposed on each side of the third longitudinal slot, the at least three rows of staples on each side of the third longitudinal slot being substantially parallel to the third longitudinal slot.

3. The surgical tool of claim 2, further comprising the tool assembly being connected to the distal end of the shaft by a connection mechanism, the connection mechanism comprising:

a pivot axis being substantially perpendicular to a longitudinal axis of the shaft, wherein the tool assembly is pivotable about the first pivot axis.

4. The surgical tool of claim 3, further comprising the at least one flexible cable extending through the connection mechanism.

5. The surgical tool of claim 3, wherein the tool assembly is rotatable about the longitudinal axis of the shaft.

6. The surgical tool of claim 2, further comprising the at least one flexible cable being secured to the clamping member within the recess by crimping.

7. The surgical tool of claim 1, wherein the anvil includes an anvil body and an anvil plate.

8. A surgical tool for performing robotic surgery, the surgical tool comprising:

a shaft having a proximal end and a distal end; and

a tool assembly attached at the distal end of the shaft, the tool assembly comprising;

a clamping member comprising;

a lower flange comprising first and second transverse protrusions extending in substantially opposite directions along a first axis, each of the first and second transverse protrusions having an inner surface,

an upper flange comprising third and fourth transverse protrusions extending in substantially opposite directions along a second axis substantially parallel to the first axis, each of the third and fourth transverse protrusions having an inner surface,

a central portion connected to and extending between the lower flange and the upper flange along a third axis substantially perpendicular to the first and second axes, the upper flange and the lower flange being substantially transverse to the central portion, and

the clamping member having a recess,

a first jaw comprising;

a proximal end,

a distal end,

an elongated channel extending between the proximal end of the first jaw and the distal end of the first jaw, the elongated channel being configured to receive a cartridge, and

a surface of the first jaw having a first longitudinal slot extending between the proximal end of the first jaw and the distal end of the first jaw, the surface of the first jaw being configured to engage with the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member as the central portion travels through the first longitudinal slot such that the inner surfaces of the first and transverse portions slide along the surface of the first jaw,

a second jaw pivotable relative to the first jaw, the second jaw comprising;

a proximal end,

a distal end,

an anvil having at least one staple forming surface thereon, the at least one staple forming surface having at least one staple forming pocket, and

an upper surface of the second jaw having a second longitudinal slot disposed between the proximal end of the second jaw and the distal end of the second jaw, the upper surface of the second jaw configured to engage with the inner surfaces of the third and fourth transverse protrusions of the upper transverse portion of the clamping member as the central portion travels through the second longitudinal slot such that the inner surfaces of the third and fourth transverse protrusions slide along the upper surface of the second jaw,

a connection mechanism attaching the tool assembly to the shaft, the connection mechanism comprising a pivot axis, the pivot axis being substantially perpendicular to a longitudinal axis of the shaft, the tool assembly being pivotable about the first pivot axis, and

at least one flexible cable extending through the connection mechanism and the elongated channel and secured within the recess, wherein force on the at least one flexible cable causes the clamping member to move along the first and second jaws such that the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member move along the surface of the first jaw and the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member move along the upper surface of the second jaw, wherein said movement causes at least one of;

the first and second jaws to clamp, and

staples to be ejected from a cartridge when a cartridge is received within the elongated channel of the first jaw.

9. The surgical tool of claim 8, wherein the first jaw further includes a cartridge received within the elongated channel of the first jaw, the cartridge having a third longitudinal slot and having at least three rows of staples disposed on each side of the third longitudinal slot, the at least three rows of staples on each side of the third longitudinal slot being substantially parallel to the third longitudinal slot.

10. The surgical tool of claim 9, further comprising a sled having at least one cam wedge, wherein the movement of the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member along the surface of the first jaw and the movement of the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member along the upper surface of the second jaw further causes:

the sled to ride in front of the clamping member along the elongated channel, and

the at least one cam wedge to cooperate with at least one pusher member of the cartridge to eject at least one of the staples from the cartridge.

11. The surgical tool of claim 8, wherein the tool assembly is rotatable about the longitudinal axis of the shaft.

12. The surgical tool of claim 8, further comprising the at least one flexible cable being secured to the clamping member within the recess by crimping.

13. The surgical tool of claim 8, wherein the anvil includes an anvil body and an anvil plate.

14. A surgical tool for performing robotic surgery, the surgical tool comprising:

a shaft having a proximal end and a distal end; and

a tool assembly attached at the distal end of the shaft, the tool assembly comprising;

a clamping member comprising;

a lower flange comprising first and second transverse protrusions extending in substantially opposite directions along a first axis, each of the first and second transverse protrusions having an inner surface,

an upper flange comprising third and fourth transverse protrusions extending in substantially opposite directions along a second axis substantially parallel to the first axis, each of the third and fourth transverse protrusions having an inner surface,

a central portion connected to and extending between the lower flange and the upper flange along a third axis substantially perpendicular to the first and second axes, the upper flange and the lower flange being substantially transverse to the central portion, and

the clamping member having a recess,

a first jaw comprising;

a proximal end,

a distal end,

an elongated channel disposed between the proximal end of the first jaw and the distal end of the first jaw, the elongated channel being configured to receive a cartridge, and

a surface of the first jaw having a first longitudinal slot disposed between the proximal end of the first jaw and the distal end of the first jaw, the surface of the first jaw being configured to engage with the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member as the central portion travels through the first longitudinal slot such that the inner surfaces of the first and transverse portions slide along the surface of the first jaw, a second jaw pivotable relative to the first jaw, the second jaw comprising;

a proximal end,

a distal end,

a rigid anvil being formed to reduce bowing during clamping of the tool assembly and having at least one staple forming surface thereon, the at least one staple forming surface having at least one staple forming pocket, and

an upper surface of the second jaw having a second longitudinal slot extending between the proximal end of the second jaw and the distal end of the second jaw, the upper surface of the second jaw configured to engage with the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member as the central portion travels through the second longitudinal slot such that the inner surfaces of the third and fourth transverse protrusions slide along the upper surface of the second jaw, and

at least one flexible cable extending through the elongated channel and secured within the recess, wherein force on the at least one flexible cable causes the clamping member to move along the first and second jaws such that the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member move along the surface of the first jaw and the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member move along the upper surface of the second jaw, wherein said movement causes at least one of;

the first and second jaws to clamp with reduced bowing of the anvil, and

staples to be ejected from a cartridge with reduced bowing of the anvil when a cartridge is received within the elongated channel of the first jaw.

15. The surgical tool of claim 14, wherein the first jaw further includes a cartridge received within the elongated channel of the first jaw, the cartridge having a third longitudinal slot and having at least three rows of staples disposed on each side of the third longitudinal slot, the at least three rows of staples on each side of the third longitudinal slot being substantially parallel to the third longitudinal slot.

16. The surgical tool of claim 14, the tool assembly being connected to the distal end of the shaft by a connection mechanism, the connection mechanism comprising:

a pivot axis being substantially perpendicular to a longitudinal axis of the shaft, wherein the tool assembly is pivotable about the first pivot axis.

17. The surgical tool of claim 16, further comprising the at least one flexible cable extending through the connection mechanism.

18. The surgical tool of claim 16, wherein the tool assembly is rotatable about the longitudinal axis of the shaft.

19. The surgical tool of claim 16, further comprising a sled having at least one cam wedge, wherein the movement of the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member along the surface of the first jaw and the movement of the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member along the upper surface of the second jaw further causes:

the sled to ride in front of the clamping member along the elongated channel, and

the at least one cam wedge to cooperate with at least one pusher member of the cartridge to eject at least one of the staples from the cartridge.

20. The surgical tool of claim 19, further comprising a knife blade being one of fixedly, removably and pivotally secured to the sled.