Safety device for a surgical stapler cartridge

• US 5,445,304 A
• Filed: 07/05/1994
• Issued: 08/29/1995
• Est. Priority Date: 12/18/1990
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Plyley, Alan K., Barker, John M., Petrich, Robert W., Foslien, Floyd L.
• Primary Examiner(s): Rada, Rinaldi I.
• Application Number:
  US08/270,397
• Time in Patent Office: 420 Days
• Field of Search: 227/19, 227/8, 227/175, 227/176, 227/178, 227/180
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 2090/0814 Preventing re-use

Abstract

The present invention provides a staple cartridge assembly adapted for use in a surgical stapler having a cartridge retention portion and an anvil portion which are movable between a closed position and an open position. The cartridge assembly comprises (1) a firing assembly for firing staples which is movable between a pre-fired and a fired position, (2) a safety member, (3) means mounting the safety member on the cartridge assembly for movement between a free-movement position which affords movement of the cartridge retention portion and the anvil portion between the open and closed position and a blocking position which prevents the cartridge retention portion and the anvil portion from being moved to the closed position, and (4) means for releasably retaining the safety member in the free-movement position and for releasing the safety member to afford movement of the safety member toward the blocking position when the firing assembly is moved from the pre-fired to the fired position such that upon movement of the cartridge retention portion and anvil portion to the open position, the safety member prevents the cartridge portion and the anvil portion from thereafter being moved to the closed position while the stapler is loaded with the spent cartridge.

Claims

1. A staple cartridge assembly adapted for use in a surgical stapler having first and second structural members each being elongate in a first direction, said first structural member having a handle part having first and second ends, said second structural member having a base portion having first and second ends, and each of said first and second structural members having a jaw part projecting from their first ends, said jaw parts having proximal ends adjacent the first ends of said structural members and distal ends spaced from said proximal ends,

said handle part and said base portion having pivot means at said second ends adapted for free engagement and disengagement for affording, when engaged, relative pivotal movement of said structural members in said plane between a closed position with said jaw parts in closely spaced relationship, and an open position with said jaw parts spaced farther from each other than in said closed position, said handle part of said first structural member and said base portion of said second structural member in said closed position defining a space between said structural members when said structural members are in said closed position;

an elongate locking member having first and second ends, a locking member handle part and a pivot point closely adjacent the first end of the locking member, the pivot point of said locking member being mounted on said second structural member adjacent the first end of said second structural member for pivotal movement of said locking member between a locking position generally aligned with the base portion of said second structural member, and a release position with the second end of said locking member spaced from the second end of said second structural member, said first end of said locking member and said first end of said first structural member having surfaces adapted, when said pivot means are engaged with said first and second structural members in said open position, for engagement during movement of said locking member from said release position to said locking position to forcefully move said structural members to said closed position,

and means adapted for releasable engagement between said elongate locking member and said second structural member for holding said locking member in said locking position;

said first structural member being adapted to receive said staple cartridge assembly and said jaw part of said second structural member being adapted to receive an anvil;

said second structural member having a safety stop surface adjacent the proximal end of its jaw part;

wherein said staple cartridge assembly comprises;

a cartridge housing for enclosing a plurality of staples,

a pusher for sequentially pressing said plurality of staples within said cartridge housing against said anvil to engage and close the plurality of staples in tissues between said jaw parts when said structural members are in said closed position, said pusher being movable in said first direction between a retracted position with said plurality of staples enclosed within said cartridge housing and an extended position with said plurality of staples closed within tissue,

manually actuatable means within said space between said handle part of said first structural member and said base portion of said second structural member for moving said pusher from said retracted to said extended position, and

a safety arm having first and second ends, said safety arm having a base portion adjacent said first end and an abutment surface adjacent said second end adapted to abut said safety stop surface,

pivotal mounting means for mounting said first end of said safety arm on said cartridge housing for pivotal movement of said safety arm between a pre-fired position for affording movement of said structural members between said closed and open position and a fired position with said abutment surface of said safety arm adapted to be in engagement with said safety stop surface,

biasing means for biasing said safety arm toward said fired position,

latch means adapted for releasable engagement between said safety arm and said cartridge housing for retaining said safety arm in said pre-fired position when said pusher is in said retracted position and

release means for releasing said latch means to afford movement of said safety arm from said pre-fired to said fired position when said pusher is moved from said retracted to said extended position,

wherein after said pusher has been moved from said retracted to said extended position, said latch means has been released, said biasing means has moved said safety arm from said pre-fired position to said fired position, and said first and second structural members are moved from said closed to said open position, said abutment surface will be in a position to prevent said first and second members from being engaged to thereby prevent accidental tissue trauma.

2. A staple cartridge assembly according to claim 1 wherein said latch means comprises retention surfaces on said cartridge housing, and

said safety arm having an integral flexible projecting portion having a distal end portion, said projecting portion affording movement of said distal end portion between a latched position with the distal end portion engaging said retention surfaces to retain said safety arm in said pre-fired position, and an unlatched position with said distal end portion spaced from said retention surfaces to afford movement of said release arm to said fired position under the influence of said biasing means, and said release means comprises cam surfaces on said pusher adapted to engage said distal end portion to move said distal end portion from said latched to said unlatched position when said pusher is moved from said retracted toward said extended position.

3. A stapler cartridge assembly according to claim 1 wherein said stapler includes a pin having surface portions adapted to be engaged by said safety arm at an intermediate release position during its movement from said pre-fired toward said fired position.

4. The stapler cartridge assembly according to claim 1 wherein said cartridge assembly further comprises surfaces defining a longitudinal channel extending in said first direction through a middle portion of said cartridge housing, and

a blade having a leading and trailing edge, said blade having a cutting surface on said leading edge for cutting tissue, said blade being adapted to travel in said first direction within said channel between a retracted position adjacent the proximal end of said jaw part of said first structural member and an extended position adjacent the distal end of said jaw part of said first structural member.

5. A staple cartridge assembly according to claim 1 wherein said cartridge assembly includes means for aligning said anvil relative to said staple cartridge assembly.

6. A linear surgical stapler having a proximal end adapted to be held by the hand of a surgeon and a distal end for stapling tissue, said linear surgical stapler comprising:

a) an elongate stapler body comprising an elongate cartridge retention portion comprising a cartridge chamber retaining a staple cartridge containing a plurality of staples and an elongate anvil retention portion comprising a blocking surface, said elongate cartridge retention portion and said elongate anvil retention portion both being elongated along the direction of elongation of said elongate stapler body, said elongate cartridge retention portion and said elongate anvil retention portion each having tissue engagement surfaces in planes at least generally parallel to the direction of elongation of said elongate stapler body, said elongate cartridge retention portion and said elongate anvil retention portion being relatively movable between a closed position in which said elongate cartridge retention portion and said elongate anvil retention portion are closely spaced for clamping tissue to be stapled between their tissue engagement surfaces and an open position in which said elongate cartridge retention portion and said elongate anvil retention portion are spaced farther from each other than in their closed position, said elongate cartridge retention portion having a first latching surface;

b) a firing assembly for sequentially firing staples, said firing assembly having a distal end, said firing assembly being mounted on said elongate cartridge retention portion so that said firing assembly is movable along the direction of elongation of said elongate stapler body between a pre-fired position in which the distal end of said firing assembly is proximal of where said plurality of staples are positioned in said cartridge chamber and an intermediate firing position in which the distal end of said firing assembly is distal of its pre-fired position;

c) an elongate safety member comprising a blocking surface and a second latching surface, said elongate safety member being mounted on said elongate cartridge retention portion proximal of positions in said cartridge chamber where said plurality of staples are housed in said cartridge, said elongate safety member having a retained position in which the direction of elongation of said elongate safety member is at least generally parallel to the direction of elongation of said elongate stapler body, the retained position allowing movement of said elongate cartridge retention portion and said elongate anvil retention portion from their open to their closed position, said elongate safety member also having a blocking position in which the direction of elongation of said elongate safety member is at least generally perpendicular to the direction of elongation of said elongate stapler body so that said blocking surface of said elongate safety member is opposed to said blocking surface of said elongate anvil retention portion and abuts said blocking surface of said elongate anvil retention portion when said elongate anvil retention portion is moved toward said elongate cartridge retention portion, thereby blocking movement of said elongate cartridge retention portion and said elongate anvil retention portion from their open position to their closed position; and

d) means for generating a biasing force on said elongate safety member to urge said elongate safety member from its retained position towards its blocking position, wherein;

e) said first latching surface of said elongate cartridge retention portion and said second latching surface of said elongate safety member have a latching position in which they oppose one another, thereby retaining said elongate safety member in its retained position, and a non-latching position in which they do not oppose one another, thereby releasing said elongate safety member from its retained position; and

f) when said firing assembly is moved from said pre-fired position to said intermediate firing position, said second latching surface of said elongate safety member is pushed by said firing assembly to its non-latching position and said elongate safety member moves out of its retained position toward its blocking position, whereby, when said elongate cartridge retention portion and said elongate anvil retention portion are subsequently moved to their open position, said elongate safety member moves into its blocking position.

7. An apparatus for applying surgical fasteners comprising:

a) an elongated first jaw member configured to support a staple carrying cartridge which houses a plurality of surgical fasteners;

b) an elongated second jaw member configured to support an anvil which defines a fastener forming surface against which fasteners ejected from the cartridge are driven, the first and second jaws members being configured to removably mate with one another in such a manner so that the cartridge and the anvil are arranged in close cooperative alignment;

c) an actuation mechanism mounted for movement through the cartridge in a longitudinal direction to sequentially eject surgical fasteners from the cartridge to be driven against the fastener forming surface of the anvil; and

d) a blocking mechanism actuated when the fasteners have been ejected and while the cartridge is disposed within the first jaw member, the blocking mechanism rotating into a blocking position to prevent subsequent arrangement of the cartridge and the anvil in close cooperative alignment.

8. An apparatus as recited in claim 7, further comprising biasing means for urging the blocking mechanism into a blocking position.

9. An apparatus as recited in claim 7, further comprising retaining means for maintaining the blocking mechanism in a non-blocking position prior to moving the actuation mechanism through the cartridge to eject fasteners therefrom.

10. An apparatus as recited in claim 9, wherein the retaining means includes a latch member having retention surfaces for releasably engaging the blocking mechanism.

11. An apparatus as recited in claim 8, wherein the blocking mechanism is releasable from the retaining means upon moving the actuation mechanism through the cartridge and is movable into the blocking position when the cartridge and anvil are out of close cooperative alignment.

12. An apparatus as recited in claim 9, wherein the blocking mechanism includes an elongated safety arm which is disposed parallel to the first jaw member in a non-blocking position and transverse to the first jaw member in a blocking position.

13. An apparatus as recited in claim 7, wherein the first jaw member includes an alignment pin for reception in a corresponding alignment slot in the second jaw member to facilitate aligned mating of the jaw members with one another.

14. An apparatus as recited in claim 13, wherein the blocking mechanism is movable into a blocking position in which reception of the alignment pin within the alignment slot is prohibited.

15. An apparatus as recited in claim 7, further comprising a cutting member operatively associated with the actuation mechanism and movable through the cartridge in conjunction therewith for incising tissue.

16. An apparatus as recited in claim 7, wherein the cartridge is configured as a removable and replaceable unit.

17. An apparatus for applying surgical fasteners comprising:

a) an elongated first jaw member configured to support a staple carrying cartridge which houses a plurality of surgical fasteners and defines a tissue engaging surface;

b) an elongated second jaw member configured to support an anvil which defines a fastener forming surface against which fasteners ejected from the cartridge are driven, the first and second jaws members being configured to removably mate with one another in such a manner so that the cartridge and the anvil are arranged in close cooperative alignment;

c) an actuation mechanism mounted for movement through the cartridge in a longitudinal direction to sequentially eject surgical fasteners from the cartridge to be driven against the fastener forming surface of the anvil; and

d) a blocking mechanism mounted for movement into a blocking position, the blocking mechanism in said blocking position extending from the cartridge into contact with the fastener forming surface of the anvil when the fasteners have been ejected and while the cartridge is disposed within the first jaw member, the blocking mechanism preventing subsequent arrangement of the cartridge and the anvil in close cooperative alignment.

18. An apparatus for applying surgical fasteners comprising:

a) an elongated first jaw member configured to support a staple carrying cartridge which houses a plurality of surgical fasteners and defines a tissue engaging surface;

b) an elongated second jaw member configured to support an anvil which defines a fastener forming surface against which fasteners ejected from the cartridge are driven, the first and second jaws members being configured to removably mate with one another in such a manner so that the cartridge and the anvil are arranged in close cooperative alignment;

c) an actuation mechanism mounted for movement through the cartridge in a longitudinal direction to sequentially eject surgical fasteners from the cartridge to be driven against the fastener forming surface of the anvil; and

d) a blocking mechanism mounted for movement into a blocking position extending through a plane defined by the tissue engaging surface of the cartridge when the fasteners have been ejected and while the cartridge is disposed within the first jaw member, the blocking mechanism preventing subsequent arrangement of the cartridge and the anvil in close cooperative alignment.