Apparatus and method for assembly of surgical instruments

• US 5,382,255 A
• Filed: 01/08/1993
• Issued: 01/17/1995
• Est. Priority Date: 01/08/1993
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Gonzalez, Giovanni, Castro, Salvatore, Phillips, Paul J.
• Primary Examiner(s): Graysay, Tamara L.
• Application Number:
  US08/002,208
• Time in Patent Office: 739 Days
• Field of Search: 606/139, 606/142, 606/143, 227/175, 227/181, 227/901, 403/315, 403/316, 403/348, 403/350
• US Class Current: 606/143
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: F16B 2200/69 Redundant disconnection blocking means
• CPC Class Codes: Y10S 227/901 Surgical clip appliers

Abstract

The present invention relates to surgical instruments having a housing or elongated cartridge, a frame and an apparatus for releasably connecting the housing to the frame. Typically, the housing has active elements which perform a particular function during a surgical procedure, such as forceps, graspers, clip appliers or staplers. The frame includes an actuating system for actuating the active elements, such as a pivotal handle or a release lever.

Claims

1. A surgical instrument which comprises:

housing means having at least one active element for performing a function during surgical procedures;

frame means having element actuating means for actuating said at least one active element, and a distal end portion adapted to receive at least a portion of said housing means; and

connecting means associated with said frame means for releasably connecting said housing means to said frame means such that said at least one active element is operatively connected to said element actuating means and said connecting means is maintained in a fixed relationship with respect to said frame means when said housing means and said frame means are connected, and said housing means is permitted to rotate with respect to said connecting means and said frame means.

2. The surgical instrument according to claim 1, wherein said connecting means comprises a locking member adaptable for positioning about said housing means adjacent said frame means, said locking member having at least one locking tab spatially positioned at a proximal end of said locking member for engagement with a corresponding locking channel positioned at said distal end portion of said frame.

3. The surgical instrument according to claim 1, wherein said housing means includes an array of surgical fasteners.

4. The surgical instrument according to claim 3, wherein said surgical fasteners comprise surgical clips.

5. The surgical instrument according to claim 1, wherein said at least one active element includes:

jaw means positioned at a distal end of said housing means;

means for individually advancing said surgical fasteners into a position within said jaw means; and

means for closing said jaw means.

6. The surgical instrument according to claim 5, wherein said frame means includes:

fastener advancing actuating means for actuating said fastener advancing means; and

jaw closing actuating means for actuating said jaw closing means.

7. An endoscopic apparatus for releasably connecting endoscopic means to handle means such that at least a portion of said endoscopic means is removably maintained within said handle means and active elements within said endoscopic means are operatively connected to said handle means, said apparatus comprising:

a locking member adapted for positioning adjacent a proximal end of the endoscopic means and having at least one locking tab positioned at a proximal end portion of said locking member for engagement with a corresponding locking channel positioned adjacent a distal end portion of the handle means, wherein upon engagement of said locking tab with said locking channel, said locking member is maintained in a fixed relationship with respect to said handle means and said endoscopic means is permitted to rotate with respect to said locking member and said handle means.

8. A disposable apparatus for endoscopic application of surgical clips to body tissue which comprises:

a) a frame;

b) an elongated endoscopic section removably connected at the proximal end thereof to said frame and extending distally from said frame, said endoscopic section including;

i) means for storing a plurality of surgical clips;

ii) a pair of jaws positioned at the distal portion of said endoscopic section and adapted for reception of said clips;

iii) means for individually advancing said clips distally for positioning within said pair of jaws to be positioned adjacent the body tissue to be clipped;

iv) means for at least partially closing said jaws about each said clip to close said clips at least partially about the body tissue;

v) gaseous sealing means for preventing communication of gases through the apparatus; and

c) connecting means associated with said frame for removably connecting said endoscopic section to said frame and wherein said connecting means is maintained in a fixed relationship with respect to said frame when said endoscopic section and said frame are connected, and said endoscopic section is permitted to rotate with respect to said connecting means and said frame.

9. The apparatus according to claim 8, wherein said connecting means comprises a locking member rotatably, slidably positioned about said endoscopic section adjacent a proximal end thereof, said locking member having coupling means positioned at a proximal end thereof, configured, dimensioned and adapted to engage said frame such that said endoscopic section is removably connected to said frame.

10. The apparatus according to claim 9, wherein said coupling means comprises at least one tab extending proximally from said locking member.

11. The apparatus according to claim 10, wherein said at least one tab engages a corresponding keyway positioned in said frame.

12. A disposable apparatus for endoscopic application of surgical clips to body tissue which comprises:

a) a frame configured and dimensioned for manual gripping;

b) an elongated endoscopic section connected at the proximal end thereof to said frame and extending distally therefrom, said endoscopic section including;

i) means for storing a plurality of surgical clips in generally aligned relation facing the distal portion thereof;

ii) jaw means positioned at the distal end thereof and adapted for sequential reception of said clips;

iii) means for individually advancing said clips distally as to be positioned between said jaw means for positioning adjacent the body tissue to be clipped;

iv) means for selectively at least partially closing said jaw means about each said clip after the clip is advanced therebetween while simultaneously repositioning said clip advancing means for distal advancement of the next clip;

v) gaseous sealing means for preventing communication of gases through the apparatus; and

c) connecting means associated with said frame for removably connecting said endoscopic section to said frame and wherein said connecting means is maintained in a fixed relationship with respect to said frame when said endoscopic section and said frame are connected, and said endoscopic section is permitted to rotate with respect to said connecting means and said frame.

13. The apparatus according to claim 12, wherein said frame further comprises an instrument body and an actuating handle mounted to said instrument body.

14. The apparatus according to claim 12, wherein said connecting means comprises a locking member adaptable for positioning about said endoscopic section adjacent said frame, said locking member having at least one locking tab spatially positioned at a proximal end of said locking member for engagement with a corresponding locking channel positioned adjacent a distal end of said frame.

15. The apparatus according to claim 13, wherein said endoscopic section is rotatable independent of said frame.

16. The apparatus according to claim 13, wherein said jaw means comprises a pair of jaws positioned in spaced relation and configured and dimensioned for reception of a surgical clip therebetween, said pair of jaws being resiliently movable toward and away from each other in response to distal movement of said means for closing said jaw means from a proximal position to a distal position.

17. The apparatus according to claim 13 further comprising first transmission means for linearly transferring motion from said actuating handle to said clip advancing means.

18. The apparatus according to claim 13, further comprising transmission means for linearly transferring motion from said actuating handle to said jaw closing means.

19. A method for manufacturing a surgical instrument which comprises:

inserting at least a portion of a proximal end of an endoscopic housing into a corresponding opening at a distal end of a handle assembly, said opening having at least one key way positioned at least partially around the perimeter of said opening;

positioning connecting means adjacent said proximal end of said housing, said connecting means being rotatable with respect to said housing and having at least one tab positioned at proximal end thereof;

positioning said at least one tab into engagement with said at least one keyway; and

rotating said connecting means such that said proximal end portion of said housing is releasably, rotatably maintained within said handle assembly.