SURGICAL STAPLER HAVING ACTUATION MECHANISM WITH ROTATABLE SHAFT

• US 20140263562A1
• Filed: 03/14/2014
• Published: 09/18/2014
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Patel, Atal, Covach, Jonathan, Reed, Christina N.
• Granted Patent: US 9,668,732 B2
• Time in Patent Office: Days
• US Class Current: 227/178.1
• 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 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/07257 characterised by its anvil

Abstract

A handle assembly for a surgical stapler can comprise a rotatable actuation shaft. The actuation shaft can have a first rotational orientation in which it can actuate a jaw assembly in a repeatable open and close mode, a second rotational orientation in which it can actuate a jaw assembly in a staple firing mode, and a third rotational orientation in which it can actuate a jaw assembly in a reversing mode. The handle assembly can include a rotational mechanism arranged to discretely position the rotatable actuation shaft in one of the rotational orientations. The rotational mechanism can be arranged for single handed operation such as by including a slideable switch or selector to rotate the actuation shaft.

Claims

1. A surgical stapler comprising:

an elongate shaft having a proximal end and a distal end and defining a longitudinal axis between the proximal end and the distal end;

a jaw assembly positioned at the distal end of the elongate shaft, the jaw assembly comprising;

a first jaw;

a second jaw; and

a plurality of staples;

wherein the jaw assembly is selectively positionable in one of a closed configuration, an open configuration, and a firing configuration; and

a handle assembly positioned at the proximal end of the elongate shaft, the handle assembly comprising;

a stationary handle;

a movable trigger pivotably coupled to the stationary handle

an actuation shaft longitudinally slideable within the handle assembly with respect to the longitudinal axis the actuation shaft and rotatable within the handle assembly with respect to the longitudinal axis;

wherein the actuation shaft is operably coupled to the jaw assembly and the actuation shaft is longitudinally slideable in a first direction from a first position corresponding to the open configuration of the jaw assembly to a second position corresponding to the closed configuration of the jaw assembly and from the second position to a third position corresponding to the firing configuration; and

wherein the actuation shaft is operably coupled to the movable trigger and the actuation shaft is rotatable between a first orientation in which movement of the trigger moves the actuation shaft between the second position and the third position and a second orientation in which movement of the trigger moves the actuation shaft from the third position to the first position.

2. The surgical stapler of claim 1, wherein the handle assembly further comprises:

an advancing driver operably coupled to the movable trigger;

a reversing driver operably coupled to the movable trigger;

an advancing surface extending along the actuation shaft; and

a reversing surface extending along the actuation shaft at a location angularly offset from the advancing surface; and

wherein with the actuation shaft in the first orientation, the advancing driver engages the advancing surface and in the second orientation, the reversing driver engages the reversing surface.

3. The surgical stapler of claim 2, wherein the advancing driver comprises a pawl and the advancing surface comprises a first rack formed along the actuation shaft.

4. The surgical stapler of claim 2, wherein the reversing driver comprises a pawl and the reversing surface comprises a second rack formed along the actuation shaft.

5. The surgical stapler of claim 2, wherein the handle assembly further comprises an idler operably coupled to the movable trigger, the advancing driver, and the reversing driver such that movement of the trigger moves the advancing driver in a first direction and moves the reversing driver in a second direction opposite the first direction.

6. The surgical stapler of claim 2, wherein the handle assembly further comprises an opening driver operably coupled to the actuation shaft, the opening driver biasing the actuation shaft from the second position to the first position, and the opening driver selectively disengageable from the actuation shaft.

7. A handle assembly for a surgical stapler comprising an elongate shaft having a proximal end and a distal end, the elongate shaft defining a longitudinal axis between the proximal end and the distal end, and a jaw assembly disposed at the distal end of the elongate shaft, the handle assembly comprising:

a housing;

a stationary handle disposed on the housing;

a movable handle pivotably coupled to the housing and pivotable between an open position spaced apart from the stationary handle and a closed position adjacent the stationary handle;

an actuation mechanism comprising;

an advancing driver operably coupled to the movable handle and translatable distally with respect to the longitudinal axis responsive to movement of the movable handle from the open position to the closed position;

a reversing driver operably coupled to the movable handle and translatable proximally with respect to the longitudinal axis responsive to movement of the movable handle from the open position to the closed position; and

an actuation shaft extending along the longitudinal axis, the actuation shaft rotatably coupled to the housing with respect to the longitudinal axis, and the actuation shaft comprising;

an advancing surface extending longitudinally along the actuation shaft; and

a reversing surface extending longitudinally along the actuation shaft, the reversing surface angularly offset from the advancing surface; and

wherein the actuation shaft is rotatable between a first orientation in which the advancing driver engages the advancing surface and a second orientation in which the reversing driver engages the reversing surface; and

a coupler adapted to engage the elongate shaft of the surgical stapler.

8. The handle assembly of claim 7, wherein the actuation mechanism further comprises an idler operably coupled to the movable handle, the advancing driver, and the reversing driver.

9. The handle assembly of claim 7, further comprising a rotation mechanism to selectively rotate the actuation shaft between the first orientation and the second orientation.

10. The handle assembly of claim 7, wherein the coupler comprises a bayonet connector.

11. The handle assembly of claim 7, wherein the advancing driver comprises a pawl and the advancing surface comprises a first rack formed on the actuation shaft.

12. The handle assembly of claim 11, wherein the reversing driver comprises a pawl and the reversing surface comprises a second rack formed on the actuation shaft.

13. A handle assembly for a surgical stapler comprising:

a housing;

a trigger pivotably coupled to the housing; and

an actuation mechanism comprising;

a forward driver operably coupled to the trigger;

a reverse driver operably coupled to the trigger;

an actuation shaft having a longitudinal axis, the actuation shaft rotatably coupled to the housing relative to the longitudinal axis, the actuation shaft comprising a forward interface surface and a reverse interface surface angularly offset from the forward interface surface, wherein the actuation shaft is rotatable between a first orientation in which the forward interface surface engages the forward driver to move the actuation shaft in a first direction responsive to pivotal movement of the trigger and a second orientation in which the reverse interface surface engages the reverse driver to move the actuation shaft in a second direction opposite the first direction responsive to pivotal movement of the trigger; and

a selector operably coupled to the actuation shaft to selectively rotate the actuation shaft between the first orientation and the second orientation.

14. The handle assembly of claim 13, wherein the selector comprises:

a slider extending transversely through the housing relative to the longitudinal axis of the actuation shaft, the slider slideable between a first position in which the actuation shaft is in the first orientation and a second position in which the actuation shaft is in the second orientation.

15. The handle assembly of claim 14, wherein the selector further comprises:

a rack movable by the slider; and

a gear engaged with the rack and rotationally coupled to the actuation shaft.

16. The handle assembly of claim 13, wherein the selector comprises:

a switch selectively longitudinally slideable with respect to the longitudinal axis of the actuation shaft;

a hub collar operably coupled to the switch, rotationally fixed to the housing, and positioned around the actuation shaft, the hub collar having a first edge and a second edge and comprising;

a plurality of ramps formed in the first edge; and

a plurality of recesses formed in the second edge; and

a first plurality of projections extending radially outward from the actuation shaft at a location adjacent the first edge of the hub collar; and

a second plurality of projections extending radially outward from the actuation shaft at a location adjacent the second edge of the hub collar;

the first plurality of projections and second plurality of projections positioned such that sliding the switch in a first direction engages each of the first plurality of projections with a corresponding one of the ramps and rotates the actuation shaft with respect to the housing and returning the switch in a second direction opposite the first direction engages each of the second plurality of projections within a corresponding recess.

17. The handle assembly of claim 16, wherein the switch is biased in the second direction.

18. The handle assembly of claim 13, wherein the selector comprises a handle rotationally fixed to the actuation shaft.

19. The handle assembly of claim 18, wherein the actuation shaft has a proximal end and a distal end and wherein the handle extends from the distal end of the actuation shaft.