SURGICAL STAPLING DEVICE WITH RESETTABLE ANVIL ASSEMBLY

• US 20180206846A1
• Filed: 12/20/2017
• Published: 07/26/2018
• Est. Priority Date: 01/24/2017
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Guerrera, Joseph
• Granted Patent: US 11,241,232 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0293 with ring member to support retractor elements
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/07257 characterised by its anvil

Abstract

A surgical stapler includes an anvil assembly including an anvil head assembly pivotally secured to an anvil center rod. The anvil head assembly includes a housing having a post and a cut ring assembly supported about the post and movable between retracted and advanced positions. A cut ring retainer is positioned about the post and movable between a retracted position in which the cut ring retainer retains the cut ring assembly in its retracted position and an advanced position to permit movement of the cut ring assembly to its advanced position. In its retracted position, the cut ring retainer can be received in a retainer slot formed about the post. The cut ring retainer can be ring shaped and/or formed of a resilient material to facilitate movement of the cut ring retainer into and out of the retainer slot.

Claims

1. A surgical stapling device comprising:

a handle assembly;

an adaptor assembly having a proximal portion coupled to the handle assembly, a distal portion, and an anvil retainer, the anvil retainer extending from the distal portion of the adaptor assembly and being movable from a retracted position to an advanced position; and

a tool assembly supported on the distal portion of the adaptor assembly, the tool assembly including a shell assembly having an annular staple cartridge having a plurality staples and an anvil assembly, the anvil assembly including;

a center rod assembly including an anvil center rod defining a longitudinal axis and having a proximal portion configured to releasably engage the anvil retainer of the adaptor assembly and a distal portion; and

an anvil head assembly pivotally secured to the distal portion of the anvil center rod, the anvil head assembly including a housing and a cut ring assembly, the housing defining a recess and including a post centrally disposed within the recess and an annular tissue contact surface positioned about the recess, the post defining a longitudinal axis, the tissue contact surface of the housing defining a plurality of staple deforming pockets, the cut ring assembly being supported about the post and movable between retracted and advanced positions, and a cut ring retainer positioned about the post and movable between a retracted position in which the cut ring retainer retains the cut ring assembly in its retracted position and an advanced position to permit movement of the cut ring assembly to its advanced position, the anvil head assembly being pivotal from an operative position in which the longitudinal axis of the anvil center rod is aligned with the longitudinal axis of the post to a tilted position in which the longitudinal axis of the anvil center rod and the longitudinal axis of the post define an acute angle, wherein in its retracted position, the cut ring assembly is positioned to engage the center rod to retain the anvil head assembly in the operative position and in its advanced position, the cut ring assembly is positioned to permit pivotal movement of the anvil head assembly to the tilted position.

2. The surgical stapling device of claim 1, wherein the housing of the anvil head assembly includes a distal face defining at least one reset hole, the at least one reset hole communicating with the recess and being configured to provide access to the recess to facilitate movement of the cut ring retainer from its advanced position back to its retracted position.

3. The surgical stapling device of claim 1, wherein the post defines a retainer slot having an annular configuration, the cut ring retainer being positioned within the retainer slot when the cut ring retainer is in its retracted position.

4. The surgical stapling device of claim 3, wherein a distal end of the retainer slot includes an outwardly tapered surface, the outwardly tapered surface being positioned to cause expansion of the cut ring retainer as the cut ring retainer is moved from its retracted position towards its advanced position.

5. The surgical stapling device of claim 4, wherein the cut ring retainer is ring shaped and is formed of a resilient material.

6. The surgical stapling device of claim 4, wherein the cut ring retainer has a spiral configuration.

7. The surgical stapling device of claim 1, wherein the center rod assembly includes a plunger and a plunger spring, the plunger spring being positioned to urge the plunger towards the anvil head assembly to urge the anvil head assembly from the operative position towards the tilted position.

8. The surgical stapling device of claim 1, further including a backup member that is movably supported about the post of the anvil head assembly, the cut ring assembly being supported on the backup member.

9. The surgical stapling device of claim 8, wherein the backup member defines a central opening dimensioned to receive the post and includes a flange positioned about the central opening, the cut ring assembly being supported about the flange of the backup member.

10. The surgical stapling device of claim 9, wherein the cut ring assembly includes an inner sleeve and a body, the inner sleeve and the body each defining a central opening, the inner sleeve being secured within the central opening of the body, wherein the central opening of the inner sleeve is dimensioned to receive the flange of the backup member.

11. The surgical stapling device of claim 10, wherein the cut ring assembly includes a base member that is positioned between a proximal surface of the body and a distal surface of the backup member.

12. The surgical stapling device of claim 11, wherein the backup member is formed of metal.

13. The surgical stapling device of claim 11, wherein the body is formed from a first material having a first durometer and the base member is formed of a second material having a second lower durometer.

14. A pivotal anvil assembly comprising:

a center rod assembly including an anvil center rod defining a longitudinal axis and having a proximal portion and a distal portion; and

an anvil head assembly pivotally secured to the distal portion of the anvil center rod, the anvil head assembly including a housing and a cut ring assembly, the housing defining a recess and including a post centrally disposed within the recess and an annular tissue contact surface positioned about the recess, the post defining a longitudinal axis, the cut ring assembly being supported about the post and movable between retracted and advanced positions, and a cut ring retainer positioned about the post and movable between a retracted position in which the cut ring retainer retains the cut ring assembly in its retracted position and an advanced position to permit movement of the cut ring assembly to its advanced position, the anvil head assembly being pivotal from an operative position in which the longitudinal axis of the anvil center rod is aligned with the longitudinal axis of the post to a tilted position in which the longitudinal axis of the anvil center rod and the longitudinal axis of the post define an acute angle, wherein in its retracted position, the cut ring assembly is positioned to engage the center rod to retain the anvil head assembly in the operative and in its advanced position, the cut ring assembly is positioned to facilitate pivotal movement of the anvil head assembly to the tilted position.

15. The surgical stapling device of claim 14, wherein the housing of the anvil head assembly includes a distal face defining at least one reset hole, the at least one reset hole communicating with the recess and being configured to provide access to the recess to facilitate movement of the cut ring retainer from its advanced position back to its retracted position.

16. The surgical stapling device of claim 14, wherein the post defines a retainer slot having an annular configuration, the cut ring retainer being positioned within the retainer slot when the cut ring retainer is in its retracted position.

17. The surgical stapling device of claim 16, wherein a distal end of the retainer slot includes an outwardly tapered surface, the outwardly tapered surface being positioned to cause expansion of the cut ring retainer as the cut ring retainer is moved from its retracted position towards its advanced position.

18. The surgical stapling device of claim 14, wherein the cut ring retainer is ring shaped and is formed of a resilient material.

19. The surgical stapling device of claim 14, wherein the cut ring retainer has a spiral configuration.

20. The surgical stapling device of claim 14, wherein the center rod assembly includes a plunger and a plunger spring, the plunger spring being positioned to urge the plunger towards the anvil head assembly to urge the anvil head assembly from the operative position towards the tilted position.

21. The surgical stapling device of claim 14, further including a backup member that is movably supported about the post of the anvil head assembly, the cut ring assembly being supported on the backup member.

22. The surgical stapling device of claim 21, wherein the backup member defines a central opening dimensioned to receive the post and includes a flange positioned about the central opening, the cut ring assembly being supported about the flange of the backup member.

23. The surgical stapling device of claim 22, wherein the cut ring assembly includes an inner sleeve and a body, the inner sleeve being secured within a central opening of the body and configured to receive the flange of the backup member.

24. The surgical stapling device of claim 23, wherein the cut ring assembly includes a base member that is positioned between a proximal surface of the body and a distal surface of the backup member.

25. The surgical stapling device of claim 24, wherein the backup member is formed of metal.

26. The surgical stapling device of claim 25, wherein the body is formed from a first material having a first durometer and the base member is formed of a second material having a second lower durometer.