Apparatus for applying surgical fasteners

• US 5,988,479 A
• Filed: 06/04/1996
• Issued: 11/23/1999
• Est. Priority Date: 12/13/1994
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Palmer, Mitchell J.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US08/659,095
• Time in Patent Office: 1,267 Days
• Field of Search: 227/175.1, 227/176.1, 227/175.2, 227/175.3, 227/175.4, 227/180.1, 227/182.1, 227/8, 227/19
• US Class Current: 227/175.4
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 2090/0814 Preventing re-use

Abstract

A surgical fastener applying apparatus having elongated cartridge and anvil half sections which are relatively movable from an unclamped to a clamped position. A safety member is supported in the cartridge section and movable between a non-blocking position and a blocking position to prevent relative movement of the cartridge and anvil support member to the clamped position after the fasteners have been fired. The safety member is biased inwardly by a tab retainer. Distal movement of the cam bars causes the tab retainer to be moved to a release position to allow movement of the safety tab to the blocking position.

Claims

1. A surgical fastener applying apparatus comprising:

an elongated cartridge section having a longitudinal axis;

an elongated anvil section, the cartridge and anvil sections being relatively movable from an unclamped position to a fully clamped position to clamp tissue therebetween;

a plurality of cam bars positioned in the cartridge section;

a cartridge containing a plurality of fasteners, the cartridge supported in the cartridge section and having a longitudinal axis;

a firing knob operatively associated with the cam bars to move the cam bars longitudinally to sequentially fire the plurality of fasteners in a direction transverse to the direction of movement of the cam bars;

a safety member supported in the cartridge section, the safety member mounted for movement between an initial position to allow relative movement of the cartridge and anvil sections to the clamped position and a blocking position to prevent relative movement of the cartridge and anvil sections to the clamped position after the fasteners have been fired, the safety member moving in a direction substantially transverse to the longitudinal axis of the cartridge and substantially transverse to the direction of movement of the fasteners.

2. A surgical fastener applying apparatus according to claim 1, further comprising a retainer tab slidably mounted to the safety member for movement from a retaining position to retain the safety member in a non-blocking position and a release position to allow movement of the safety member to the blocking position.

3. A surgical fastener applying apparatus according to claim 2, wherein the retainer tab includes a shelf, and one of the cam bars engages the shelf to slide the tab to the release position.

4. A surgical fastener applying apparatus according to claim 3, wherein the safety member includes an elongated slot to receive the retainer tab.

5. A surgical fastener applying apparatus according to claim 4, further comprising a pin securing the retainer tab within the elongated slot of the safety member.

6. A surgical fastener applying apparatus according to claim 5, wherein the retainer tab further comprises a guide pin slidably mounted within the slot.

7. A surgical fastener applying apparatus according to claim 3, further comprising a recessed portion in the cartridge to receive the tab retainer.

8. A surgical fastener applying apparatus according to claim 2, wherein the safety member is spring biased to the blocking position.

9. A surgical fastener applying apparatus according to claim 8, wherein the anvil section includes an anvil channel member and a tissue stop extending therefrom, the tissue stop contacting the safety member in the blocking position to prevent relative movement of the cartridge and anvil sections to the clamped position.

10. A surgical fastener applying apparatus according to claim 9, wherein the tissue stop includes first and second fingers, the first finger contacting the safety member in the blocking position to prevent relative movement of the cartridge and anvil sections to the clamped position.

11. A surgical fastener applying apparatus according to claim 2, wherein movement of the cartridge and anvil sections to the unclamped position after the fasteners have been fired allows movement of the safety member to the blocking position.

12. A surgical fastener applying apparatus according to claim 11, wherein the cartridge section includes an elongated cartridge support, a portion of the safety member extending laterally beyond an outer wall of the cartridge support in the blocking position.

13. A surgical fastener applying apparatus comprising:

an elongated cartridge supporting member having a longitudinal axis and first and second substantially parallel outer walls;

an elongated anvil supporting member, the cartridge and anvil supporting members being relatively movable from an unclamped position to a clamped position to clamp tissue therebetween;

a tissue stop mounted to the anvil supporting member;

a plurality of cam bars supported in the cartridge supporting member;

a plurality of fasteners supported in the cartridge supporting member;

a firing knob operatively associated with the cam bars to move the cam bars longitudinally to sequentially fire the plurality of fasteners in a direction transverse to the direction of movement of the cam bars; and

a blocking member supported in the cartridge supporting member and mounted for movement between a non-blocking position to allow relative movement of the cartridge and anvil supporting members to the clamped position and a blocking position to prevent relative movement of the cartridge and anvil supporting members to the clamped position after the fasteners have been fired, the blocking member contacting the tissue stop in the blocking position.

14. A surgical fastener applying apparatus according to claim 13, wherein the blocking member pivots toward the blocking position in a direction away from the longitudinal axis of the cartridge support member and toward the first outer wall of the cartridge support member.

15. A surgical fastener applying apparatus according to claim 13, wherein the blocking member is biased toward the blocking position.

16. A surgical fastener applying apparatus according to claim 15, wherein movement of the cam bar distally releases the blocking member to allow movement towards the blocking position.

17. A surgical fastener applying apparatus according to claim 16, further comprising a retaining member for holding the blocking member in the non-blocking position, wherein movement of the cam bars distally causes one of the cam bars to engage and cam the retaining member to a release position to release the blocking member.

18. A surgical fastener applying apparatus according to claim 17, wherein the retaining member is cammed in a direction substantially parallel to the direction of movement of the fasteners.

19. A surgical fastener applying apparatus according to claim 18, wherein the retaning member includes a shelf which is engageable by one of the cam bars.

20. A surgical fastener applying apparatus according to claim 13, wherein the tissue stop includes first and second fingers, the first finger contacting the blocking member in the blocking position to prevent relative movement of the cartridge and anvil sections to the clamped position.

21. A surgical fastener applying apparatus according to claim 20, wherein in the non-blocking position, the first finger is in abutment with a first surface of the blocking member and in the blocking position the first finger is in contact with a second surface of the blocking member.

22. A surgical fastener applying apparatus comprising:

an elongated cartridge section;

an elongated anvil section, the cartridge and anvil sections being relatively movable from an unclamped position to a fully clamped position to clamp tissue therebetween;

a plurality of cam bars supported in the cartridge section;

a plurality of fasteners supported in the cartridge section;

a firing knob operatively associated with the cam bars to move the cam bars longitudinally to sequentially fire the plurality of fasteners in a direction transverse to the direction of movement of the cam bars;

a safety mechanism supported in the cartridge section, the safety mechanism including a pivotable safety tab and a sliding tab retainer, wherein sliding movement of the tab retainer to a release position allows the safety tab to pivot to a blocking position to prevent reclamping of the cartridge and anvil sections, the tab retainer sliding to the release position upon distal movement of the firing knob.

23. A surgical fastener applying apparatus according to claim 22, wherein the tab retainer is engagable by one of the cam bars upon distal movement of the firing knob to move the tab retainer to the release position.

24. A surgical fastener applying apparatus according to claim 23, wherein the safety tab is substantially L-shaped in configuration and is biased to a blocking position.

25. A surgical fastener applying apparatus according to claim 24, wherein the safety tab is movable to the blocking position in a direction substantially transverse to the direction of movement of the fasteners.

26. A surgical fastener applying apparatus according to claim 24, further comprising a pin securing the tab retainer to the safety tab.

27. A surgical fastener applying apparatus according to claim 26, wherein the safety tab includes an elongated slot to receive a guide pin of the tab retainer.