Surgical stapler with anvil sensor and lockout

• US 5,893,506 A
• Filed: 09/30/1996
• Issued: 04/13/1999
• Est. Priority Date: 03/01/1994
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Powell, August L.
• Primary Examiner(s): Rada, Rinaldi I.
• Assistant Examiner(s): ASHLEY, BOYER DOLINGER
• Application Number:
  US08/724,145
• Time in Patent Office: 925 Days
• Field of Search: 227/175.1, 227/176.1, 227/178.1, 227/180.1, 227/8, 227/19, 227/175.2, 227/175.3
• 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 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

Abstract

A surgical stapler instrument is disclosed for applying linear parallel rows of staples through compressed living tissue having a replaceable anvil. The stapler has a mechanism for (a) preventing the jaws from being clamped on tissue, and/or (b) preventing the stapler from being fired if the anvil has been removed. In one aspect, the surgical stapler includes a replaceable anvil having specially shaped surfaces for forming staples, and cartridge and anvil retention portions. The cartridge and anvil retention portions are relatively moveable between a closed position in which the cartridge and anvil retention portions are in closely spaced relationship for clamping tissue to be stapled therebetween and an open position in which the cartridge and anvil retention portions are spaced farther from each other than in the closed position. The stapler also includes a cartridge housing for enclosing staples, and a firing assembly for firing the staples that is moveable between a pre-fired and a fired position.

Claims

1. A surgical stapler comprising:

(a) a replaceable anvil having specially shaped surfaces for forming staples;

(b) a cartridge retention portion and an anvil retention portion for receiving said replaceable anvil, said cartridge retention portion and said anvil retention portion being relatively movable between a closed position in which said cartridge retention portion and said anvil retention portion are in closely spaced relationship for clamping tissue to be stapled therebetween and an open position in which said cartridge retention portion and said anvil retention portion are spaced farther from each other than in the closed position;

(c) a cartridge housing for enclosing staples, said cartridge retention portion being adapted to receive said cartridge housing;

(d) a firing assembly for firing staples, said firing assembly being movable between a pre-fired and a fired position;

(e) a blocking member;

(f) means mounting said blocking member for pivotal movement between a free-movement position, which affords movement of said firing assembly between the pre-fired and fired positions, and a blocking position which prevents said firing assembly from being moved from said pre-fired to said fired position; and

(g) said blocking member including a first surface for engaging said replaceable anvil to move said blocking member from said blocking position to said free-movement position when said replaceable anvil is received on said anvil retention portion and a second surface for engaging said firing assembly in said pre-fired position to prevent movement thereof toward said fired position when said blocking member is in said blocking position.

2. A surgical stapler as in claim 1, wherein the cartridge and anvil retention portions are in the closed position when said blocking member is in said blocking position.

3. A surgical stapler according to claim 1, wherein said cartridge retention portion comprises a notch,

said second surface having a detent surface adapted to be received in said notch of said cartridge retention portion when said blocking member is in said blocking position.

4. A surgical stapler according to claim 3, wherein said first surface has a cam surface,

said second surface has a cam follower surface such that when said replaceable is seated on said anvil retention portion, said cam surface engages said replaceable anvil to move said detent surface from said notch in said cartridge retention portion to afford movement of said cartridge and anvil retention portions toward their closed positions.

5. A surgical stapler according to claim 1, wherein said firing assembly comprises a pusher for substantially sequentially firing staples, said pusher having surfaces defining a notch,

a biasing means for biasing said blocking member toward the blocking position, and

said blocking member comprising a rocker arm having an anvil sensing surface for engaging a surface of said replaceable anvil to move the rocker arm from the blocking position toward the free-movement position when the replaceable anvil is placed on the anvil retention portion and the anvil and cartridge retention portions are moved to their closed positions, and said rocker arm having pusher engaging surfaces adapted to engage the notch of the pusher to prevent the pusher from being moved from the pre-fired toward the fired position when the blocking member is in the blocking position.

6. A surgical stapler according to claim 5, wherein said replaceable anvil includes an indent for engaging the anvil sensing surface of the blocking member.

7. A surgical stapler according to claim 1, wherein said firing assembly comprises a pusher for substantially sequentially firing staples, said pusher having surfaces defining a notch,

a biasing means for biasing said blocking member toward the blocking position, and

said first surface is situated on a rocker arm, said rocker arm is moved from the blocking position toward the free-movement position when the first surface engages said replaceable anvil when said replaceable anvil is placed on the anvil retention portion and the anvil and cartridge retention portions are moved to their closed positions, and said second surface is situated on said rocker arm, said second surface adapted to engage the notch of the pusher to prevent the pusher from being moved from the pre-fired toward the fired position when the blocking member is in the blocking position.

8. A surgical stapler according to claim 7, wherein said surgical stapler further includes a blade having a generally linear cutting surface.

9. A surgical stapler according to claim 7, wherein said replaceable anvil includes an indent for engaging said first surface of the blocking member.

10. A cartridge for use with a surgical stapler which includes a replaceable anvil having specially shaped surfaces for forming staples, a cartridge retention portion and an anvil retention portion for receiving said replaceable anvil, said cartridge retention portion and said anvil retention portion being relatively movable between a closed position in which said cartridge retention portion and said anvil retention portion are in closely spaced relationship for clamping tissue to be stapled therebetween and an open position in which said cartridge retention portion and said anvil retention portion are spaced farther from each other than in the closed position, said cartridge comprising:

a cartridge housing for enclosing staples, the cartridge retention portion being adapted to receive said cartridge housing;

at least a portion of a firing assembly for firing staples, said firing assembly being movable between a pre-fired and a fired position;

a blocking member;

means mounting said blocking member on said cartridge housing for movement between a free-movement position which affords movement of said firing assembly between the pre-fired and fired positions and a blocking position which prevents said firing assembly from being moved from said pre-fired to said fired position; and

said blocking member including a first surface for engaging said replaceable anvil to move said blocking member from said blocking position to said free-movement position when said replaceable anvil is received on said anvil retention portion and a second surface for engaging said firing assembly in said pre-fired position to prevent movement thereof toward said fired position when said blocking member is in said blocking position.

11. A cartridge for use with a surgical stapler as recited in claim 10, wherein the cartridge and anvil retention portions are in the closed position when said blocking member is in said blocking position.

12. A cartridge for use with a surgical stapler as recited in claim 10, wherein the first engaging surface of the blocking member defines an upwardly projecting surface dimensioned and configured to cooperate with a complementary engagement surface defined in a proximal portion of the replaceable anvil.

13. A cartridge for use with a surgical stapler as recited in claim 10, wherein the second engaging surface of the blocking member defines a downwardly projecting surface dimensioned and configured to cooperate with a complementary notch defined in the firing assembly.

14. A cartridge for use with a surgical stapler as recited in claim 10, wherein the blocking member is mounted for pivotal movement about a pivot pin extending perpendicular to a longitudinal axis of the blocking member.

15. A cartridge for use with a surgical stapler as recited in claim 10, further comprising a biasing mechanism for biasing the blocking member into the blocking position.

16. A cartridge for use with a surgical stapler as recited in claim 15, wherein a flange projects proximally from the blocking member to cooperate with the biasing mechanism.

17. A surgical stapler comprising:

a) a first elongated body portion supporting a cartridge, said cartridge including a cartridge housing containing a plurality of surgical staples and having a tissue contacting surface;

b) a second elongated body portion supporting a replaceable anvil having a staple forming surface against which staples ejected from said cartridge housing are formed, said second body portion configured to mate with the first body portion to clamp tissue between the tissue contacting surface and the staple forming surface;

c) a firing assembly supported within said second body portion and mounted for longitudinal movement therein between a pre-fired proximal position and a fired distal position; and

d) a blocking member having first and second engaging surfaces and being pivotably mounted on the second body portion for movement between a first blocking position wherein the first engaging surface engages the firing assembly to prevent longitudinal movement thereof and a second non-blocking position wherein the second engaging surface engages the replaceable anvil when the replaceable anvil is received on an anvil retention portion of the second elongated body portion to allow longitudinal movement of the firing assembly.

18. A surgical stapler as recited in claim 17, wherein the first engaging surface of the blocking member disengages the firing assembly when the blocking member pivots into the non-blocking position.

19. A surgical stapler as recited in claim 17, wherein the second engaging surface of the blocking member defines an upwardly projecting surface dimensioned and configured to cooperate with a complementary engagement surface defined in a proximal portion of the replaceable anvil.

20. A surgical stapler as recited in claim 17, wherein the first engaging surface of the blocking member defines a downwardly projecting surface dimensioned and configured to cooperate with a complementary notch defined in the firing assembly.

21. A surgical stapler as recited in claim 17, wherein the blocking member is mounted for pivotal movement within the second body portion about a pivot pin extending perpendicular to the longitudinal axis of the elongated blocking member.

22. A surgical stapler as recited in claim 17, further comprising a biasing mechanism supported in the second body portion for biasing the blocking member into the blocking position wherein the first engaging surface engages the firing assembly.

23. A surgical stapler as recited in claim 22, wherein a flange projects proximally from the blocking member to cooperate with the biasing mechanism.

24. A surgical stapler comprising:

a) a first elongated body portion supporting a cartridge housing containing a plurality of surgical staples disposed in at least two parallel rows and having a tissue contacting surface provided thereon;

b) a second elongated body portion supporting a replaceable anvil having a staple forming surface provided thereon against which staples ejected from the cartridge housing are formed, the second body portion configured to mate with the first body portion to clamp tissue between the tissue contacting surface and the staple forming surface;

c) a firing assembly supported within said second body portion and mounted for longitudinal movement therein between a pre-fired proximal position and a fired distal position; and

d) a rocker arm having a downwardly projecting engaging surface and an upwardly projecting engaging surface and being pivotably mounted on the cartridge housing between a first position wherein the downwardly projecting engaging surface engages the firing assembly to prevent longitudinal movement thereof and a second position wherein the upwardly projecting engaging surface engages the replaceable anvil when the replaceable anvil is received on an anvil retention portion of the second elongated body portion to allow longitudinal movement of the firing assembly.

25. A surgical stapler as recited in claim 24, wherein the downwardly projecting engaging surface of the rocker arm disengages the firing assembly when the rocker arm pivots into the fired distal position.

26. A surgical stapler as recited in claim 25, wherein the upwardly projecting engaging surface of the rocker arm is dimensioned and configured to cooperate with a complementary engagement surface defined in a proximal portion of the replaceable anvil and the downwardly projecting engaging surface of the rocker arm is dimensioned and configured to cooperate with a complementary notch defined in the firing assembly.

27. A surgical stapler as recited in claim 26, further comprising a biasing mechanism supported in the second body portion for biasing the rocker arm into the first position wherein the downwardly projecting engaging surface engages the firing assembly.

28. A surgical stapler comprising:

(a) a replaceable anvil having specially shaped surfaces for forming staples;

(b) a cartridge retention portion and an anvil retention portion for receiving said replaceable anvil, said cartridge retention portion and said anvil retention portion being relatively movable between a closed position in which said cartridge retention portion and said anvil retention portion are in closely spaced relationship for clamping tissue to be stapled therebetween and an open position in which said cartridge retention portion and said anvil retention portion are spaced farther from each other than in the closed position;

(c) a cartridge housing for enclosing staples, said cartridge retention portion being adapted to receive said cartridge housing;

(d) a firing assembly for firing staples, said firing assembly being movable between a pre-fired and a fired position;

(e) a blocking mechanism having first and second blocking members each mounted for pivotal movement between a free-movement position which affords movement of said firing assembly between the pre-fired and fired positions and a blocking position which prevents said firing assembly from being moved from said pre-fired to said fired position; and

(f) said first blocking member including a first surface for engaging said replaceable anvil and a second surface for engaging said second blocking member to move said second blocking member from said blocking position to said free-movement position when said replaceable anvil is received on said anvil retention portion.