Self-contained powered surgical apparatus

• US 5,653,374 A
• Filed: 04/29/1996
• Issued: 08/05/1997
• Est. Priority Date: 08/05/1994
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Bolanos, Henry, Toso, Kenneth E., Alesi, Daniel E., Young, Wayne P.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US08/639,413
• Time in Patent Office: 463 Days
• Field of Search: 227/175.1, 227/176.1, 227/178.1, 227/179.1, 227/180.1, 227/181.1, 227/19
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2933 camming or guiding means

Abstract

A self-contained powered surgical stapling device is provided which includes an elongate body. A fastener applying assembly is operatively associated with a distal end of the elongate body and includes a cartridge housing a plurality of staples and an anvil actuable to move between an open position and a closed position. A motor assembly is disposed within the elongate body for driving an actuation assembly configured to translate through the fastener applying assembly to progressively close the anvil and sequentially eject staples from the cartridge.

Claims

1. A self-contained powered surgical apparatus for applying surgical fasteners to body tissue comprising:

a) an elongate body defining a longitudinal axis;

b) a cartridge supported by said elongate body and housing a plurality of surgical fasteners and having a tissue engaging surface thereon;

c) an anvil member having a fastener forming surface thereon, the anvil member mounted adjacent the cartridge and configured for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface;

d) a motor assembly disposed within the elongate body;

e) a power source disposed within the elongate body for energizing the motor assembly; and

f) an actuating assembly including a longitudinally translating drive member driven by the motor assembly and first and second camming mechanisms driven by the drive member; and

g) wherein movement of the drive member in a longitudinal direction initially causes the first camming mechanism to effect relative movement of the anvil member and the cartridge and subsequently causes the second camming mechanism to effect sequential ejection of a plurality of surgical fasteners from the cartridge.

2. A powered surgical apparatus as recited in claim 1, wherein the drive member is threadably associated with an axial drive screw which is driven by the motor assembly.

3. A powered surgical apparatus as recited in claim 1, further comprising a tissue cutting member operatively associated with the actuating assembly for incising tissue as a plurality of surgical fasteners are ejected from the cartridge.

4. A powered surgical apparatus as recited in claim 1, further comprising an actuator for selectively controlling the motor assembly to operate the apparatus.

5. A powered surgical apparatus as recited in claim 4, wherein the actuator includes a first actuator button for effecting distal translation of the actuating assembly and a second actuator button for effecting proximal translation of the actuating assembly.

6. A powered surgical apparatus as recited in claim 4, further comprising an elongate extension member configured to engage a proximal end of the elongate body to facilitate utilization of said apparatus during an endoscopic surgical procedure.

7. A powered surgical apparatus as recited in claim 6, wherein the elongate extension member includes a pair of rods or cables for interacting with the actuator to effectuate remote operation of the apparatus.

8. A powered surgical apparatus as recited in claim 7, wherein the actuator and extension member each include a pair of actuator buttons.

9. A powered surgical apparatus as recited in claim 1, wherein the apparatus has a substantially uniform diameter along the entire length thereof.

10. A powered surgical apparatus as recited in claim 1, wherein the apparatus has an operative length of less than 7.0 inches.

11. A powered surgical apparatus as recited in claim 1, wherein the anvil member is biased to the open position.

12. A powered surgical apparatus as recited in claim 1, wherein the actuating assembly progressively moves the anvil member from the open position to the closed position and concomitantly ejects the plurality of surgical fasteners from the cartridge.

13. A self-contained powered surgical apparatus for applying surgical fasteners to body tissue comprising:

a) an elongate body defining a longitudinal axis;

b) a cartridge supported by said elongate body and housing a plurality of surgical fasteners and having a tissue engaging surface thereon;

c) an anvil member having a fastener forming surface thereon, the anvil member mounted adjacent the cartridge and configured for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface;

d) a motor assembly disposed within the elongate body;

e) a power source disposed within the elongate body for energizing the motor assembly;

f) an actuator for selectively controlling the motor assembly to operate the apparatus;

g) an actuating assembly driven by the motor assembly and mounted for movement in a longitudinal direction to effect relative movement of the anvil member and the cartridge and to effect sequential ejection of a plurality of surgical fasteners from the cartridge; and

h) an elongate extension member configured to engage a proximal end of the elongate body to facilitate utilization of the apparatus during an endoscopic surgical procedure.

14. A powered surgical apparatus as recited in claim 13, wherein the actuating assembly includes a longitudinally translating drive member driven by the motor assembly and first and second camming mechanisms driven by the drive member.

15. A powered surgical apparatus as recited in claim 14, wherein movement of the drive member in a longitudinal direction initially causes the first camming mechanism to effect relative movement of the anvil member and the cartridge and subsequently causes the second camming mechanism to effect sequential ejection of a plurality of surgical fasteners from the cartridge.

16. A powered surgical apparatus as recited in claim 15, wherein the drive member is threadably associated with an axial drive screw which is driven by the motor assembly.

17. A self-contained powered surgical apparatus for applying surgical fasteners to body tissue comprising:

a) an elongate body defining a longitudinal axis and having proximal and distal end portions;

b) a cartridge supported by said elongate body and housing a plurality of surgical fasteners and having a tissue engaging surface thereon;

c) an anvil member having a fastener forming surface thereon, the anvil member mounted adjacent the cartridge, the anvil member and cartridge being relatively movable between a first position wherein said fastener forming surface is spaced from said tissue engaging surface and a second position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface;

d) a motor assembly disposed within the elongate body;

e) a power source disposed within the elongate body for energizing the motor assembly, the elongate body having a substantially uniform outer diameter along its entire length, such that said proximal and distal end portions have substantially the same diameter; and

f) an actuating assembly driven by the motor assembly and mounted for movement in a longitudinal direction to effect sequential ejection of a plurality of surgical fasteners from the cartridge.

18. A powered surgical apparatus as recited in claim 17, wherein the actuating assembly includes a longitudinally translating drive member driven by the motor assembly and first and second camming mechanisms driven by the drive member.

19. A powered surgical apparatus as recited in claim 18, wherein movement of the drive member in a longitudinal direction initially causes the first camming mechanism to effect relative movement of the anvil member and the cartridge and subsequently causes the second camming mechanism to effect sequential ejection of a plurality of surgical fasteners from the cartridge.

20. A powered surgical apparatus as recited in claim 19, wherein the drive member is threadably associated with an axial drive screw which is driven by the motor assembly.

21. A powered surgical apparatus as recited in claim 17, wherein the apparatus has an operative length of less than about 7.0 inches.

22. A powered surgical apparatus as recited in claim 17, wherein the outer diameter is between about 0.450 and about 0.500 inches.