Surgical stapling apparatus and method

• US 7,032,799 B2
• Filed: 10/04/2002
• Issued: 04/25/2006
• Est. Priority Date: 10/05/2001
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Viola, Frank J., Ivanko, David
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US10/490,517
• Publication Number:
  US 20040267311A1
• Time in Patent Office: 1,299 Days
• Field of Search: 227/19, 227/176.1, 227/178.1, 227/180.1, 227/175.1
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2090/0814 Preventing re-use

Abstract

The present disclosure is directed to staple-gap adjustment members for use in surgical stapling apparatus and methods. A gap adjustment member includes one or more bearing portions sharing a common rotational axis and one or more cam surface portions having a periphery with at least two different points along the periphery, with each point along the periphery having a different radius from the rotational axis. The one or more cam surface portions can have a central axis parallel to and spaced a distance from the rotational axis of the one or more bearing portions.

Claims

1. A staple gap adjustment member for use in a surgical stapling apparatus having a pair of jaw structures operably coupled with one another and defining a staple gap therebetween, the gap adjustment member comprising:

one or more bearing portions sharing a common rotational axis; and

one or more cam surface portions having a substantially arcuate transverse cross-sectional profile and a periphery with at least two different points along the periphery, with each point along the periphery having a different radius from the rotational axis.

2. The gap adjustment member according to claim 1, wherein the one or more cam surface portions has a central axis parallel to and spaced a distance from the rotational axis of the one or more bearing portions.

3. The gap adjustment member according to claim 2, wherein the one or more bearing portions are configured and adapted to be disposed and locked in mounting plates formed in one of the pair of jaw structures and wherein the one or more cam surface portions are configured and adapted to contact an opposed surface of the other of the pair of jaw structures.

4. The gap adjustment member according to claim 2, wherein rotation of the gap adjustment member about the rotational axis causes the staple gap between the pair of jaw structures to vary in distance.

5. The gap adjustment member according to claim 2, wherein a 180°

rotation of the gap adjustment member results in an adjustment in the size of the staple gap equal to about twice the distance between the rotational axis of the one or more bearing surfaces and the central axis of the one or more cam surfaces.

6. The gap adjustment member according to claim 1, further including a recess formed in a least one end of the bearing or cam surfaces, wherein the recess is configured and adapted to receive a complementary shaped rotational tool therein.

7. The gap adjustment member according to claim 6, wherein the recess has a shape which is at least one of polygonal, conical, slotted, cruciform, torx, circular and irregular.

8. The gap adjustment member according to claim 1, wherein the one or more bearing surfaces each have one of a circular, an oval, an elliptical and a polygonal cross-section.

9. A staple gap adjustment member for use in a surgical stapling apparatus having a pair of jaw structures operably coupled with one another and defining a staple gap therebetween, the gap adjustment member comprising:

a forward portion;

a rearward portion, the forward and rearward portions sharing a common rotational axis; and

a body portion interconnecting the forward and rearward portions, the body portion having a substantially arcuate transverse cross-section profile and a periphery with at least two different points along the periphery, with each point having a different radius from the rotational axis.

10. The gap adjustment member according to claim 9, wherein the body portion has a central axis parallel to and spaced a distance from the rotational axis of the forward and rearward portions.

11. The gap adjustment member according to claim 9, wherein the forward and rearward portions of the gap adjustment member are configured and adapted to be disposed in mounting plates formed in one of the pair of jaw structures and wherein the body portion of the gap adjustment member is configured and adapted to contact an opposed surface of the other of the pair of jaw structures.

12. The gap adjustment member according to claim 11, wherein the forward and rearward portions of the gap adjustment member are configured and adapted to be locked in the mounting plates.

13. The gap adjustment member according to claim 9, wherein rotation of the gap adjustment member about the rotational axis causes the staple gap between the pair of jaw structures to vary in distance.

14. The gap adjustment member according to claim 9, further including a recess formed in at least one of the forward and rearward portions, wherein the recess is configured and adapted to receive a complementary shaped rotational tool therein.

15. The gap adjustment member according to claim 14, wherein the shape of the recess is at least one of polygonal, conical, slotted, cruciform, torx, circular and irregular.

16. The gap adjustment member according to claim 9, wherein the forward, rearward and body portions each have one of a circular, an oval, an elliptical and a polygonal cross-section.

17. The gap adjustment member according to claim 9, wherein a 180°

rotation of the gap adjustment member results in an adjustment in the size of the staple gap equal to about twice the distance between the rotational axis of the one or more bearing surfaces and the central axis of the one or more cam surfaces.

18. A surgical stapling apparatus, comprising:

a jaw structure with a cartridge receiving portion and a jaw structure with an anvil receiving portion, the jaw structures being operably couplable to one another to provide a staple gap between a forward portion of the cartridge receiving portions, one of the jaw structures having a pair of mounting members thereon for mounting the other of the jaw structures thereon; and

a staple gap adjustment member having a cam surface portion operatively disposed between the jaw structures, wherein a rotation of the gap adjustment member results in a corresponding adjustment in the size of the staple gap.

19. The surgical stapling apparatus according to claim 18, wherein the gap adjustment member includes one or more bearing portions sharing a common rotational axis;

and one or more cam surface portions having a periphery with at least two different points along the periphery, with each point along the periphery having a different radius from the rotational axis.

20. The surgical stapling apparatus according to claim 18, wherein the one ore more cam surface portions of the gap adjustment member has a central axis parallel to and spaced a distance from the rotational axis of the one or more bearing portions.

21. The surgical stapling apparatus according to claim 18, wherein the staple gap adjustment member includes:

a forward portion;

a rearward portion, the forward and rearward portions sharing a common rotational axis; and

a body portion interconnecting the forward and rearward portions, the body portion having a periphery with at least two different points along the periphery, with each point along the periphery having a different radius from the rotational axis.

22. The surgical stapling apparatus according to claim 21, wherein the body portion has a central axis spaced a distance from the rotational axis of the forward and rearward portions.

23. The surgical stapling apparatus according to claim 18, wherein the mounting members are configured and dimensioned to rotatably receive the gap adjustment member thereon.

24. The surgical stapling apparatus according to claim 23, one of the jaw structures includes a pair of substantially parallel spaced apart mounting plates extending therefrom, the pair of mounting plates being configured and dimensioned to rotatably receive the gap adjustment member thereon.

25. The surgical stapling apparatus according to claim 24, wherein the other of the pair of jaw structures, not having the pair of mounting plates, is configured and dimensioned to be disposed between the pair of mounting plates and to rest atop the body portion of the gap adjustment member.

26. The surgical stapling apparatus of claim 25, wherein rotation of the gap adjustment member about the rotational axis causes the pair of jaw structures to displace relative to one another and in turn causes the staple gap between the cartridge receiving portion and the anvil receiving portion to vary in size.

27. The surgical stapling apparatus according to claim 26, wherein a 180°

rotation of the gap adjustment member results in an adjustment in the size of the staple gap equal to about twice the distance between the rotational axis of the forward and rearward portions and the central axis of the body portion.

28. The surgical stapling apparatus according to claim 27, further includes a plurality of gauging elements each having a different predetermined fixed thickness, wherein the plurality of gauging elements are selectively insertable in the staple gap to set the staple gap to a size equal to the thickness of a selected gauging element.

29. The surgical stapling apparatus according to claim 23, wherein the gap adjustment member is coupled to the pair of mounting plates via a snap-fit type engagement.

30. The surgical stapling apparatus according to claim 23, wherein the body portion of the gap adjustment member extends between the pair of mounting plates.

31. The surgical stapling apparatus according to claim 23, wherein the gap adjustment member is fixedly secured to at least one of the pair of mounting members.

32. The surgical stapling apparatus according to claim 18, wherein the staple gap adjustment member has been rotated and is fixedly secured to at least one of the jaw structures.

33. A method of adjusting a staple gap in a surgical stapling apparatus, comprising:

providing a surgical stapling apparatus having a jaw structure with an anvil receiving portion and a jaw structure with a cartridge receiving portion, the jaw structures being operatively couplable to one another to provide a staple gap between a respective forward portion of the anvil and cartridge receiving portions, one of the jaw structures having a pair of mounting members thereon for mounting the other of the jaw structures thereon;

positioning a gap adjustment member on the mounting members between the jaw structures to provide a desired gap between the forward portions of the anvil and cartridge receiving portions; and

locking the gap adjustment member in position against the mounting members to fix the desired staple gap.

34. The method according to claim 33, wherein the gap adjustment member includes one or more bearing portions sharing a common rotational axis, and one or more cam surface portions having a periphery with at least two different points along the periphery, with each point along the periphery having a different radius from the rotational axis.

35. The method according to claim 34, wherein the one or more cam surface portions has a central axis parallel to and spaced a distance from the rotational axis of the one or more bearing portions.

36. The method according to claim 33, wherein the adjustment of the staple gap is effected by linear motion of the gap adjustment member between the jaw structures.