SURGICAL STAPLING DEVICE INCLUDING ADJUSTABLE FASTENER CRIMPING

• US 20140252064A1
• Filed: 03/05/2013
• Published: 09/11/2014
• Est. Priority Date: 03/05/2013
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Mozdzierz, Patrick, Slisz, Kevin
• Application Number:
  US13/785,138
• Publication Number:
  US 20140252064A1
• Time in Patent Office: Days
• US Class Current: 227/176.1
• 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 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots

Abstract

An end effector includes an anvil member, a cartridge member, and a pivot plate connected to the anvil member and the cartridge member. The anvil member defines fastener forming pockets. The cartridge member defines fastener retaining slots. The cartridge member supports fasteners in the fastener retaining slots. The pivot plate is movable relative to the anvil member and the cartridge member to adjust a formation height of the fasteners upon a firing of the end effector. The pivot plate defines a channel within a body portion of the pivot plate. At least one of the anvil member and the cartridge member includes a pin extending therefrom. The channel is dimensioned to receive the pin. A movement of the pivot plate enables the pin to move along the channel and move at least one of the anvil member and the cartridge member relative to the other.

Claims

1. An end effector for a surgical stapling device, the end effector comprising:

an anvil member defining a plurality of fastener forming pockets in a tissue engaging surface thereof;

a cartridge member defining a plurality of fastener retaining slots in a tissue engaging surface thereof, the cartridge member supporting a plurality of fasteners in the fastener retaining slots; and

at least one pivot plate connected to the anvil member and the cartridge member, the at least one pivot plate having one of a U-shaped body or a circular body, the at least one pivot plate being movable relative to the anvil member and the cartridge member to adjust a formation height of one or more of the plurality of fasteners upon a firing of the end effector, the at least one pivot plate defining at least one channel within the at least one pivot plate, at least one of the anvil member and the cartridge member including a pin extending therefrom, the at least one channel being dimensioned to receive the pin, wherein a movement of the at least one pivot plate enables the pin to move along the at least one channel to move at least one of the anvil member and the cartridge member relative to the other of the anvil member and the cartridge member.

2. The end effector of claim 1, wherein the at least one pivot plate moves axially between a proximal position and a distal position.

3. The end effector of claim 2, wherein the at least one channel is disposed at an angle relative to a longitudinal axis defined through the end effector.

4. The end effector of claim 3, wherein a first channel is defined through one of the pair of arms and a second channel is defined through the other arm of the pair of arms.

5. The end effector of claim 1, wherein the at least one pivot plate is rotatable relative to the anvil member and the cartridge member, a rotation of the at least one pivot plate moving the anvil member and the cartridge member relative to one another to adjust the formation height of one or more of the plurality of fasteners.

6. The end effector of claim 5, wherein the anvil member includes a first pin that extends therefrom and the cartridge member includes a second pin that extends therefrom, the at least one pivot plate defining a first arcuate channel and a second arcuate channel, the first arcuate channel dimensioned to receive the first pin, the second arcuate channel dimensioned to receive the second pin.

7. The end effector of claim 6, wherein a rotation of the at least one pivot plate enables the first pin to slide along the first arcuate channel and the second pin to slide along the second arcuate channel.

8. A knife assembly for a surgical stapling device, the knife assembly comprising:

a base assembly including a body member and a support member;

an adjusting assembly movably supported on the support member and including a linking member and a driving member, the driving member being rotatable to axially move the linking member; and

a knife pivotally coupled to the body member and pivotally coupled to the linking member, the knife being pivotable between a first orientation and a second orientation in response to a rotation of the driving member, the first orientation being different from the second orientation.

9. The knife assembly of claim 8, wherein the knife is positioned in coaxial alignment with a longitudinal axis defined by the knife assembly when disposed in the first orientation and axially offset from the longitudinal axis defined by the knife assembly when disposed in the second orientation.

10. The knife assembly of claim 8, wherein an axial movement of the linking member pivots a top portion of the knife proximally relative to a bottom portion of the knife from the first orientation to the second orientation, the top and bottom portions of the knife being longitudinally aligned in the first orientation and the top portion being disposed proximally of the bottom portion in the second orientation.

11. The knife assembly of claim 8, wherein the linking member moves between proximal and distal orientations, the knife defining a first height in the distal orientation and a second height in the proximal orientation, the first height and the second height being different.

12. A surgical stapling device, comprising:

an anvil member defining a plurality of fastener forming pockets in a tissue engaging surface thereof;

a cartridge member defining a plurality of fastener retaining slots in a tissue engaging surface thereof, the cartridge member supporting a plurality of fasteners in the fastener retaining slots;

a pivot plate connected to the anvil member and the cartridge member, the pivot plate being movable relative to the anvil member and the cartridge member to adjust a formation height of one or more of the plurality of fasteners upon a firing of the surgical stapling device, wherein a movement of the pivot plate moves at least one of the anvil member and the cartridge member relative to the other of the anvil member and the cartridge member;

a knife assembly defining a longitudinal axis therethrough and being operatively coupled to at least one of the anvil member and the cartridge member, the knife assembly including;

a base;

an adjusting assembly movably supported on the base and including a linking member and a driving member, the driving member being rotatable to axially move the linking member; and

a knife pivotally coupled to the base and the linking member of the adjusting assembly, the knife being pivotable between a first orientation and a second orientation in response to a rotation of the driving member, the first orientation being different from the second orientation.

13. The surgical stapling device of claim 12, wherein the pivot plate defines at least one channel within a body portion of the pivot plate, and wherein at least one of the anvil member and the cartridge member includes a pin extending therefrom, the at least one channel being dimensioned to receive the pin.

14. The surgical stapling device of claim 13, wherein a movement of the pivot plate enables the pin to move along the at least one channel.

15. The surgical stapling device of claim 12, wherein the pivot plate moves axially between a proximal position and a distal position.

16. The surgical stapling device of claim 12, wherein the pivot plate is rotatable relative to the anvil member and the cartridge member, and wherein a rotation of the pivot plate moves the anvil member and the cartridge member relative to one another to adjust the formation height of one or more of the plurality of fasteners.

17. The surgical stapling device of claim 16, wherein the anvil member includes a first pin that extends therefrom and the cartridge member includes a second pin that extends therefrom, the pivot plate defining a first arcuate channel and a second arcuate channel, the first arcuate channel dimensioned to receive the first pin, the second arcuate channel dimensioned to receive the second pin.

18. The surgical stapling device of claim 12, wherein the knife is positioned in coaxial alignment with a longitudinal axis defined by the knife assembly when disposed in the first orientation and axially offset from the longitudinal axis defined by the knife assembly when disposed in the second orientation.

19. The surgical stapling device of claim 12, wherein an axial movement of the linking member pivots a top portion of the knife proximally relative to a bottom portion of the knife from the first orientation to the second orientation, the top and bottom portions of the knife being longitudinally aligned in the first orientation and the top portion being disposed proximally of the bottom portion in the second orientation.

20. The surgical stapling device of claim 12, wherein the linking member moves between proximal and distal orientations, the knife defining a first height in the distal orientation and a second height in the proximal orientation, the first height and the second height being different.

21. A method for inserting an end effector into an opening having a first diameter, wherein the end effector includes a first jaw member and a second jaw member, and wherein outer surfaces of the first and second jaw members together have a second diameter, the method comprising:

moving at least one pivot plate secured to the first and second jaw members to reduce a tissue gap defined between a tissue engaging surface of the first jaw member and a tissue engaging surface of the second jaw member;

reducing the second diameter from a size larger than the first diameter to a size that is smaller than the first diameter by reducing the tissue gap; and

inserting the end effector into the opening.