Tool assembly for a surgical stapling device

• US 10,342,538 B2
• Filed: 11/20/2017
• Issued: 07/09/2019
• 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): Lopez, Michelle
• Application Number:
  US15/818,625
• Publication Number:
  US 20180070945A1
• Time in Patent Office: 596 Days
• Field of Search: 2271751, 2271801, 2271761
• 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

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 stapling instrument having a tool assembly for use with a robotic surgical stapling device, the tool assembly comprising:

an anvil and a cartridge assembly, the cartridge assembly having a plurality of fasteners, the anvil and cartridge assembly having a spaced position and an approximated position, the anvil and cartridge assembly defining a tissue gap in the approximated position;

a clamp member being movable to move the anvil and cartridge assembly to the approximated position;

means to eject the plurality of fasteners from the cartridge assembly into tissue;

a clamping member movably positioned in relation to the anvil and cartridge assembly to maintain the tissue gap, the clamping member engaging a cam surface of the tool assembly; and

a flexible cable connected to the clamping member, the flexible cable being longitudinally movable within the stapling instrument to move the clamping member longitudinally in relation to the anvil and the cartridge assembly to maintain the tissue gap.

2. The tool assembly according to claim 1, wherein the flexible cable is used to move the clamp member and bring the anvil and cartridge assembly to the approximated position.

3. The tool assembly according to claim 1, wherein the tool assembly is pivotably secured to a body portion.

4. The tool assembly according to claim 1, wherein the tool assembly is connected to a body portion that is configured for endoscopic use.

5. The tool assembly according to claim 1, wherein the means to eject the plurality of fasteners includes a sled member having a cam wedge, the sled member being movable in a distal direction.

6. The tool assembly according to claim 1, wherein the means to eject the plurality of fasteners includes staple pushers.

7. The tool assembly according to claim 1, further comprising a knife blade that translates distally.

8. The tool assembly according to claim 1, wherein a knife blade is associated with the clamping member.

9. The tool assembly according to claim 1, wherein the cartridge assembly defines linear rows of fasteners.

10. A stapling instrument having a tool assembly for use with a robotic surgical stapling device, the tool assembly comprising:

an anvil and a cartridge assembly, the cartridge assembly having a plurality of fasteners, the anvil and cartridge assembly having a spaced position and an approximated position, the anvil and cartridge assembly defining a tissue gap in the approximated position;

a clamp member being movable to move the anvil and cartridge assembly to the approximated position;

means to eject the plurality of fasteners from the cartridge assembly into tissue, the means to eject the plurality of fasteners including a sled member having a cam wedge, the sled member being movable in a distal direction;

a knife blade that translates distally; and

a clamping member movably positioned in relation to the anvil and cartridge assembly to maintain the tissue gap, the clamping member engaging a cam surface to of the tool assembly; and

a flexible cable connected to the clamping member, the flexible cable being longitudinally movable within the stapling instrument to move the clamping member longitudinally in relation to the anvil and the cartridge assembly to maintain the tissue gap.

11. The tool assembly according to claim 10, wherein the cartridge assembly defines linear rows of fasteners.

12. The tool assembly according to claim 10, wherein the means to eject the plurality of fasteners includes staple pushers.

13. A tool assembly comprising:

an anvil;

a cartridge assembly having a plurality of fasteners and a sled member, the sled member being movable to eject the plurality of fasteners from the cartridge assembly, the anvil and cartridge assembly positioned for relative movement between a spaced position and an approximated position and defining a tissue gap in the approximated position;

a clamping member movably positioned in relation to the anvil and cartridge assembly to maintain the tissue gap between the anvil and the cartridge assembly; and

a flexible cable for moving the clamping member, the flexible cable being longitudinally movable within the stapling instrument to move the clamping member longitudinally in relation to the anvil and the cartridge assembly to maintain the tissue gap.

14. The tool assembly of claim 13, further including a clamp member movable to move the anvil and cartridge assembly from the spaced position to the approximated position.

15. The tool assembly of claim 14, wherein the clamping member engages a cam surface of the tool assembly.

16. The tool assembly of claim 14, wherein the flexible cable includes a center rod and an outer sheath, the center rod including an end attached to the clamp member.

17. The tool assembly of claim 14, wherein the outer sheath is formed of a material adapted to stabilize the center rod.

18. The tool assembly of claim 13, wherein the flexible cable has an end that is attached to the clamping member.

19. The tool assembly of claim 13, further including a collar, wherein the anvil and cartridge assembly are rotatable supported on the collar.

20. The tool assembly of claim 19, wherein the proximal end of the anvil includes a cylindrical portion and the collar defines a bore, the cylindrical portion being rotatably received within the bore.

21. The tool assembly of claim 13, wherein the flexible cable is positioned to move through the tool assembly.