Surgical stapler

• US 6,986,451 B1
• Filed: 07/26/2000
• Issued: 01/17/2006
• Est. Priority Date: 08/28/1995
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Alesi, Thomas W. Jr., Wilson, Jon, Geiste, Robert J., Viola, Frank J., Mastri, Dominick L.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US09/625,886
• Time in Patent Office: 2,001 Days
• Field of Search: 227/175.1, 227/176.1, 227/19, 227/178.1, 227/179.1, 227/180.1
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/0684 having a forming anvil staying above 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 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395

Abstract

A surgical device is described herein that can be used to fire different types and sizes of disposable loading units. In a preferred embodiment, the device applies parallel rows of surgical fasteners to body tissue and concomitantly forms an incision between the rows of staples during an endoscopic or laparoscopic surgical procedure. The device can be utilized with disposable loading units configured to apply linear rows of staples measuring from about 15 mm in length to about 60 mm in length and can be used to fire disposable loading units containing surgical clips and individual staples.

Claims

1. A disposable loading unit for utilization with a surgical stapler, the stapler having a handle portion, an elongated body extending distally from the handle portion, and an actuation assembly operatively associated with the handle portion and the elongated body, the disposable loading unit comprising:

a) a carrier having a proximal end portion including a coupling for releasable engagement in a distal end portion of the elongated body;

b) a staple cartridge supported in the carrier and containing a plurality of surgical fasteners and a plurality of fastener pushers for ejecting the fasteners from the staple cartridge;

c) an anvil supported on the carrier and mounted for movement with respect to the staple cartridge between an open position and a closed position, the anvil having a fastener forming surface against which the surgical fasteners are driven when ejected from the staple cartridge by the fastener pushers and a camming surface opposite the fastener forming surface;

d) an actuator mounted to translate through the staple cartridge to sequentially interact with the fastener pushers; and

e) a drive beam having a proximal engagement portion configured to mate with a distal end portion of the actuation assembly of the stapler and a distal working end portion including an abutment surface for engaging the actuator and a camming member for engaging the camming surface of the anvil, whereby operation of the actuation assembly moves the drive beam through the carrier causing the camming member to progressively close the anvil as the actuator translates through the staple cartridge to sequentially interact with the plurality of fastener pushers.

2. A stapling unit as recited in claim 1, wherein the camming member comprises a cylindrical cam roller mounted on a flange extending from the distal working end portion of the drive beam.

3. A stapling unit as recited in claim 2, wherein a longitudinal slot is defined in the anvil to accommodate the linear translation of the working end portion of the drive beam.

4. A stapling unit as recited in claim 2, further comprising a transverse support flange operatively mounted on the working end portion of the drive beam opposite the cam roller and positioned to engage an undersurface portion of the carrier as the cam roller engages the camming surface of the anvil.

5. A stapling unit as recited in claim 4, wherein a longitudinal slot is defined in the undersurface of the carrier to accommodate the linear translation of the working end portion of the drive beam.

6. A stapling unit as recited in claim 1, wherein a knife blade is operatively supported adjacent a leading edge of the working end portion of the drive beam for forming an incision in stapled body tissue.

7. A stapling unit as recited in claim 1, wherein the actuator comprises a sled including a planar base portion and a plurality of spaced apart upstanding cam wedges each having an inclined leading edge for interacting with the fastener pushers within the staple cartridge.