SURGICAL STAPLING DEVICE

• US 20100200639A1
• Filed: 03/26/2010
• Published: 08/12/2010
• Est. Priority Date: 10/05/2001
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Whitfield, Kenneth H., Marczyk, Stanislaw, Maffei, Frank C., Wenchell, Thomas, Czernik, Roman, Holsten, Henry E.
• Granted Patent: US 8,033,440 B2
• Time in Patent Office: Days
• US Class Current: 227/176.100
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/0808 for indicating correct assembly of components, e.g. of the surgical apparatus
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly. An axial drive assembly is slidably positioned between the support members and is translatable through the cartridge assembly to eject staples from the cartridge assembly. The support members prevent outward buckling of the axial drive assembly during actuation of the device especially when the tool assembly is articulated. Preferably, a protrusion is provided in the proximal body portion of the disposable loading unit at a position to frictionally engage an articulation link. Engagement between the protrusion and the articulation link retains the articulation link at a fixed position within the proximal body portion to maintain the tool assembly in a desired orientation until a predetermined axial force is applied to the articulation link. The disposable loading unit also preferably includes a locking member which is operably connected to the axial drive assembly. The locking member provides an audible and/or tactile indication that the device has been actuated.

Claims

1. A surgical stapling device comprising:

an elongated body portion defining a longitudinal axis, and having proximal and distal ends;

a tool assembly pivotally supported at the distal end of the elongated body portion about a pivot axis which is substantially perpendicular to the longitudinal axis of the elongated body portion such that the tool assembly is pivotable in first and second directions, the tool assembly including an anvil assembly and a cartridge assembly housing a plurality of staples, the anvil assembly being movably mounted in relation to the cartridge assembly between open and closed positions;

a flexible drive assembly having a distal end configured to translate through the cartridge assembly to eject the staples therefrom, the flexible drive assembly being bendable relative to the longitudinal axis when the tool assembly pivots in the first direction; and

a first support member positioned adjacent the pivot axis on a side of the flexible drive assembly, the first support member having a first end fixedly attached to the tool assembly and a second end fixedly attached to the elongated body portion, the first support member defining a longitudinal axis extending between the first and second ends, and including a U-shaped portion positioned between the first and second ends, the U-shaped portion extending transversely with respect to the longitudinal axis of the first support member, and being configured to effect lengthening of the first support member at the U-shaped portion when the tool assembly pivots.

2. A surgical stapling device according to claim 1, further comprising a second support member axial to the first support member, and wherein the flexible drive assembly is bendable relative to the longitudinal axis when the tool assembly pivots in the second direction, the second support member lengthening when the tool assembly pivots in the second direction.

3. A surgical stapling device according to claim 1, wherein the U-shaped portion flexes when the tool assembly pivots.

4. A surgical stapling device according to claim 3, further including a limit member positioned about the U-shaped portion to limit the extent to which the U-shaped portion can flex.

5. A surgical stapling device according to claim 1, wherein the U-shaped portion extends outwardly with respect to the flexible drive assembly.

6. A surgical stapling device according to claim 1, wherein at least one of the first end and the second end of the first support member extends outwardly with respect to the flexible drive assembly.

7. A surgical stapling device according to claim 1, wherein at least one of the first end and the second end of the first support member includes a J-shaped member.

8. A surgical stapling device according to claim 7, further including a mounting assembly secured to the tool assembly and the elongated body portion, the mounting assembly including at least one recess configured and dimensioned to fixedly receive the J-shaped member.

9. A surgical stapling device according to claim 1, wherein the first support member includes a first portion positioned adjacent the first end and a second portion positioned adjacent the second end, the first and second portions defining a gap bridged by the U-shaped portion.

10. A surgical stapling device according to claim 9, wherein the U-shaped portion of the first support member is formed from a resilient material to facilitate enlargement of the gap defined between the first and second portions upon pivoting of the tool assembly, whereupon the first portion and the second portion are moved relative to each other along the longitudinal axis of the first support member to lengthen the first support member.

11. A surgical stapling device comprising:

an elongated body portion defining a longitudinal axis;

a tool assembly pivotally supported at the distal end of the elongated body portion about a pivot axis which is substantially perpendicular to the longitudinal axis of the elongated body portion;

a flexible drive assembly having a distal end configured to translate through the tool assembly to eject staples therefrom, the flexible drive assembly being bendable relative to the longitudinal axis when the tool assembly pivots in a first direction; and

a support member positioned adjacent the pivot axis on a side of the flexible drive assembly, the first support member including a proximal portion and a distal portion spaced apart along a longitudinal axis, the proximal portion being fixedly attached to the elongated body portion and the distal portion being fixedly attached to the tool assembly, the proximal and distal portions of the support member defining a gap bridged by a U-shaped portion.

12. A surgical stapling device according to claim 11, wherein the U-shaped portion is formed from a resilient material to facilitate enlargement of the gap defined between the proximal and distal portions of the support member upon pivoting of the tool assembly, whereupon the first portion and the second portion are moved relative to each other along the longitudinal axis of the first support member to lengthen the first support member.

13. A surgical stapling device according to claim 11, wherein the U-shaped portion extends transversely with respect to the longitudinal axis of the support member.

14. A method of inhibiting binding of a drive member in a surgical stapling device including a pivotable tool assembly having a lateral drive member support, the method comprising the steps of:

positioning the lateral drive member support adjacent a pivot axis on at least one side of the drive member; and

providing the lateral drive member support with a U-shaped portion to facilitate axial lengthening of the lateral drive member support upon pivoting of the tool assembly.

15. The method of claim 14, wherein the providing step includes providing the U-shaped portion between proximal and distal ends of the lateral drive member support.

16. The method of claim 15, wherein the providing step includes providing the lateral drive member support with proximal and distal portions defining a gap therebetween bridged by the U-shaped portion.

17. The method of claim 14, wherein the providing step includes orienting the U-shaped portion such that the U-shaped portion extends transversely with respect to a longitudinal axis of the support member.