Fast closure device for linear surgical stapling instrument

• US 5,137,198 A
• Filed: 02/16/1991
• Issued: 08/11/1992
• Est. Priority Date: 05/16/1991
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Hamblin, Steven W., Nobis, Rudolph H., Cronin, Michael D., VanOverloop, Ronald R.
• Primary Examiner(s): Yost, Frank T.
• Assistant Examiner(s): SCHROCK, ALLAN
• Application Number:
  US07/701,259
• Time in Patent Office: 542 Days
• Field of Search: 227/19, 227/175, 227/176, 227/177, 227/178, 227/179, 227/180, 227/181, 227/182
• US Class Current: 227/175.3
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 34/74 Manipulators with manual electric input means

Abstract

A fast closure mechanism for a linear surgical stapling device as described. This comprises a double four-bar linkage which operates to both place a retaining pin into an anvil and properly and quickly approximate the staple cartridge to the anvil. Thereafter, a gap-setting screw is used so that the proper gap is set between the anvil and the cartridge. Firing is accomplished only after the gap is properly set and within the appropriate gap described pre-determined for the instrument. After firing, opening of the stapler may be accomplished with a similar fast opening motion.

Claims

1. A surgical stapler comprising a shaft containing firing means and with a cartridge of staples and an anvil surface for forming said staples, and a fast closure mechanism to bring said cartridge into proximal contact with said anvil surface to fire said staples using said firing means, wherein said fast closure mechanism is a slider-crank four bar linkage;

and

wherein said slider is a block attached to said cartridge constrained in the shaft of said stapler such that said block with said cartridge attached may move linearly toward or away from said anvil; and

wherein said crank portion of said four-bar linkage has a crank pivotable about said shaft and a connecting arm, and is attached to said slider block by means of a pin held within said slider block; and

wherein said connecting arm contains a cam mechanism cooperating with a link containing a camming surface, said link operating a placement pin moving parallel to said slider block said placement pin movable relative to said cartridge to become emplaced in said anvil.

2. The stapler of claim 1 wherein said cam surface on said link is two-sided so that it cooperates with said cam on said connecting arm when moving in either a proximal or a distal direction from said anvil surface.

3. The stapler of claim 2 wherein said link operates as a crank mechanism with respect to said placement pin, and said placement pin operates as a slider, such that said crank, said link and said placement pin operate as a second distinct four-bar linkage.

4. The stapler of claim 3 wherein said pair of four-bar linkages cooperate to bring said placement pin and said cartridge in proximity to said anvil.

5. The stapler of claim 4 further comprising a gap-setting screw cooperating with said anvil in order to place said anvil at a desirable distance away from said proximally located cartridge.

6. The stapler of claim 5 containing an interlocking mechanism operable in cooperation with said gap-setting screw and said firing means in order to prevent operation of said firing means until said screw has placed said cartridge within a predetermined distance from said anvil.

7. The stapler of claim 1 wherein said sliding block is connected to said shaft by spring means, such that said spring means tend to keep said cartridge spaced apart from said anvil.

8. The stapler of claim 1 further comprising a slot on said connecting arm cooperating with aid pin to insure motion of said slider block along said shaft.

9. A surgical stapler comprising a shaft having a longitudinal axis, firing means, a cartridge of staples, an anvil surface for forming said staples, and a placement pin for enclosing tissue between said anvil and said cartridge, said placement pin movable relative to said cartridge, wherein said placement pin and said cartridge move parallel to each other along said shaft longitudinal axis, and said parallel motion of said cartridge and placement pin are controlled by a pair of separate but cooperating four-bar linkages.

10. The stapler of claim 9 wherein said first linkage is a slider-crank mechanism comprising a slider block attached to said cartridge and constrained in said shaft such that said cartridge may slide linearly along said shaft toward or away from said anvil.

11. The stapler of claim 10 wherein said first linkage further comprises a crank and connecting arm and a pin on said slider block operable on a slot contained within said connecting arm.

12. The stapler of claim 9 wherein said second four-bar linkage contains a link with a camming surface, said link in sliding contact with said placement pin, and said camming surface in contact with a cam member on a connecting arm, wherein said camming surface is two-sided such that it contacts said cam independent of the direction of motion of said placement pin.

13. The stapler of claim 11 wherein said second four-bar linkage contains a link with a camming surface, said link in sliding contact with said placement pin, and said camming surface in contact with a cam member on a connecting arm, wherein said camming surface is two-sided such that it contacts said cam independent of the direction of motion of said placement pin.

14. The stapler of claim 13 wherein said placement pin and said cartridge are brought into proximity of said anvil when said crank and said connecting arm are parallel to said shaft.

15. The stapler of claim 14 further comprising a gap-setting screw cooperating with said anvil in order to place said anvil at a desirable distance away from said proximally located cartridge.

16. The stapler of claim 15 containing an interlocking mechanism operable in cooperation with said gap-setting screw and said firing means in order to prevent operation of said firing means until said screw has placed said cartridge within a predetermined distance from said anvil.

17. The stapler of claim 9 wherein said trigger is prevented from firing by an interlocking mechanism actuable dependent upon the operation of said four-bar linkages to bring said cartridge into proximity with said anvil surface.

18. The stapler of claim 10 wherein said sliding block is connected to said shaft by spring means, such that said spring means tend to keep said cartridge spaced apart from said anvil.