Surgical stapling apparatus

• US 6,330,965 B1
• Filed: 10/05/2000
• Issued: 12/18/2001
• Est. Priority Date: 09/23/1997
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Milliman, Keith L., Viola, Frank J., Lehn, Randolph F., Orban, Joseph III
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US09/680,093
• Time in Patent Office: 439 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/178.1, 227/175.3
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2090/0806 Instrument detectors with a removable part, e.g. working tip
• CPC Class Codes: A61B 2090/0808 for indicating correct assembly of components, e.g. of the surgical apparatus

Abstract

A surgical stapling device particularly suited for endoscopic procedures is described. The device can be used with both articulating and non-articulating disposable loading units and has a sensing mechanism for sensing the type of disposable loading unit secured to the device.

Claims

1. A surgical stapling apparatus comprising:

a) a housing;

b) a movable handle supported by the housing, the movable handle being movable through an actuation stroke;

c) an elongated body extending distally from the housing and defining a longitudinal axis, the elongated body having a distal end adapted to releasably engage a disposable loading unit;

d) an advancement assembly including an actuation shaft and a driving pawl, the actuation shaft having a toothed rack and being supported at least in part within the housing, the driving pawl being operatively associated with the movable handle and biased into engagement with the rack, wherein during the actuation stroke, the driving pawl is movable to effect longitudinal advancement of the actuation shaft; and

e) a retraction mechanism including a release plate operatively associated with the actuation shaft, the release plate being movable relative to the actuation shaft into operative engagement with the driving pawl to disengage the driving pawl from the rack.

2. A surgical stapling apparatus according to claim 1, wherein the retraction mechanism further includes at least one retractor knob positioned externally of the housing, the at least one retractor knob being operatively connected to the release plate and movable to move the release plate into engagement with the driving pawl.

3. A surgical stapling apparatus according to claim 2, wherein the release plate includes at least one cam slot and the actuation shaft has a pin positioned within each cam slot, the release plate being connected to the at least one retractor knob by a coupling rod such that movement of the coupling rod causes the release plate to move relative to the actuation shaft causing the pin to cam the release plate into engagement with the driving pawl.

4. A surgical stapling apparatus according to claim 2, wherein the driving pawl includes a laterally extending wing, the release plate being movable into engagement with the laterally extending wing to disengage the driving pawl from the rack.

5. A surgical stapling apparatus comprising:

a) a housing;

b) a movable handle supported by the housing, the movable handle being movable through an actuation stroke;

c) an elongated body extending distally from the housing and defining a longitudinal axis, the elongated body having a distal end adapted to releasably engage a disposable loading unit;

d) an advancement assembly including an actuation shaft, a driving pawl and a locking pawl, the actuation shaft having a toothed rack and being supported at least in part within the housing, the driving pawl being operatively associated with the movable handle and movable into engagement with the rack to effect longitudinal advancement of the actuation shaft during the actuation stroke, the locking pawl being biased into engagement with the rack to retain the actuation shaft in a longitudinally fixed position; and

e) an anti-reverse clutch mechanism including a gear assembly and a slide plate, the gear assembly being positioned to translate movement of the actuation shaft into movement of the slide plate, the slide plate having a cam surface and being movable, in response to longitudinal advancement of the actuation shaft, from a first position in which the cam surface engages the locking pawl to urge the locking pawl out of engagement with the rack to a second position in which the cam surface is spaced from the locking pawl.

6. A surgical stapling apparatus according to claim 5, wherein the gear assembly includes a first gear and a second gear operatively connected to each other, the actuation shaft and the slide plate each having a set of gear teeth, the first gear being positioned to mesh with the actuation shaft gear teeth and the second gear being positioned to mesh with the slide plate gear teeth such that longitudinal advancement of the actuation shaft translates to longitudinal advancement of the slide plate during at least a portion of the longitudinal advancement of the actuation shaft.

7. A surgical stapling apparatus according to claim 6, further including a pin fixedly mounted within the housing, wherein the slide plate includes an elongated slot configured to receive the pin, the pin being positioned to abut ends of the slot to limit longitudinal advancement of the slide plate.

8. A surgical stapling apparatus according to claim 7, wherein the first gear is rotatably mounted on a first shaft and the second gear is rotatably mounted on a second shaft, the first and second shafts being operatively connected to each other by a spring clutch, the spring clutch permitting the first shaft to rotate independently of the second shaft after the pin prevents further longitudinal advancement of the slide plate.

9. A surgical stapling apparatus according to claim 8, wherein the actuation shaft includes first and second sets of gear teeth, the first and second sets of gear teeth of the actuation shaft being positioned to mesh with the first gear during at least a portion of the longitudinal advancement of the actuation shaft, the first set of gear teeth being positioned on the actuation shaft to advance the slide plate longitudinally from a position in which the cam surface engages the locking pawl to a position in which the cam surface is spaced from the locking pawl and the second set of gear teeth being positioned on the actuation shaft to return the slide plate proximally during retraction of the actuation shaft from a position in which the cam surface is spaced from the locking pawl to a position in which the cam surface engages the locking pawl to urge the locking pawl out of engagement from the rack.