Surgical fastener applying apparatus with controlled beam deflection

• US 7,296,722 B2
• Filed: 10/04/2004
• Issued: 11/20/2007
• Est. Priority Date: 10/17/2003
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Ivanko, David
• Primary Examiner(s): Truong; Thanh K.
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US10/958,074
• Publication Number:
  US 20050082336A1
• Time in Patent Office: 1,142 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/180.1
• US Class Current: 227/175.1
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws

Abstract

A surgical fastener applying apparatus including an anvil half-section having a distal end and a longitudinal axis; a cartridge receiving half-section having a distal end and operatively couplable with the anvil half-section such that the distal ends of the half-sections are in juxtaposed relation; and a deflection control system operatively engaged with and reinforcing the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis.

Claims

1. A surgical fastener applying apparatus, comprising:

an anvil half-section including a distal end and a proximal end defining a longitudinal axis, the anvil half-section including a channel member having pair of juxtaposed side walls interconnected by a base wall, each side wall defining a through hole having a diameter;

a cartridge receiving half-section including a distal end, wherein the cartridge receiving half-section is pivotably couplable with the anvil half-section such that the distal end of the anvil half-section is in juxtaposed relation to the distal end of the cartridge receiving half-section, wherein the distal end of the anvil half-section is pivotable relative to the distal end of the cartridge receiving half-section about a pivot axis transverse to the longitudinal axis; and

a deflection control system operatively associated with the anvil half-section for reinforcing the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis, the deflection control system including;

a pair of reinforcing ribs including a distal end and a proximal end, wherein the distal end of each reinforcing rib is fixedly secured to an inner surface of a respective side wall of the pair of side walls of the channel member and the proximal end of each reinforcing rib extends beyond the pivot axis, the proximal end of each reinforcing rib defining a hole in registration with the through hole defined in the side walls of the channel member, the holes being positioned proximal of the pivot axis; and

a cam extending through the holes formed in each side wall of the channel member and each reinforcing rib, the cam having a diameter smaller than the diameter of the through hole formed in each reinforcing rib to thereby define a reveal between each reinforcing rib and the cam.

2. The surgical fastener applying apparatus according to claim 1, wherein the deflection control system is a two-stage system.

3. The surgical fastener applying apparatus according to claim 2, wherein the deflection control system begins reducing the rate of deflection of the distal end of the channel member in a second stage of deflection.

4. The surgical fastener applying apparatus according to claim 3, wherein the second stage of deflection takes effect when the reveal between an upper portion of the hole formed in each reinforcing rib and an upper portion of the cam is zero.

5. A surgical fastener applying apparatus, comprising:

an anvil half-section including a distal end and a proximal end that defines a longitudinal axis;

a cartridge receiving half-section including a distal end, wherein the cartridge receiving half-section is operatively couplable with the anvil half-section such that the distal end of the anvil half-section is in juxtaposed relation to the distal end of the cartridge receiving half-section, and wherein a tissue gap is defined between the distal end of the anvil half-section and the distal end of the cartridge receiving half-section when the anvil and cartridge half-sections are coupled together; and

a deflection control system operatively associated with the anvil half-section, wherein the deflection control system reinforces the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis, wherein a proximal end of the deflection control system extends proximally beyond a pivot point for the anvil half-section and the cartridge receiving half-section, the deflection control system having a first stage, a second stage, and a third stage, and wherein the deflection control system reduces a rate of deflection of the distal end of the anvil half-section in the second stage of deflection.

6. A surgical fastener applying apparatus, comprising:

an anvil half-section defining a tissue contacting surface, the anvil half-section including a distal end, a proximal end that defines a longitudinal axis, and an anvil half-section channel member with a substantially U-shaped configuration and including a first pair of side walls interconnected by a first base wall;

a cartridge receiving half-section including a distal end, wherein the cartridge receiving half-section is operatively couplable with the anvil half-section such that the distal end of the anvil half-section is in juxtaposed relation to the distal end of the cartridge receiving half-section, and wherein a tissue gap is defined between the distal end of the anvil half-section and the distal end of the cartridge receiving half-section when the anvil and cartridge half-sections are coupled together; and

a deflection control system operatively associated with the anvil half-section channel member, wherein the deflection control system includes a channel section having a substantially U-shaped configuration and including a second pair of side walls interconnected by a second base wall, the first pair of side walls of the anvil half-section and the second pair of side walls defining a reveal, the deflection control system reinforcing the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis and normal to a plane defined by the tissue contacting surface of the anvil half-section, wherein a proximal end of the deflection control system extends proximally beyond a pivot point for the anvil half-section and the cartridge receiving half-section, the deflection control system having at least two-stages including a first stage and a second stage, wherein the deflection control system reduces a rate of deflection of the distal end of the anvil half-section in the second stage of deflection, and wherein the second stage of deflection takes effect when the reveal between the side walls of the anvil half-section channel member and the side walls of the channel section is about zero, whereby the distal end of the anvil half-section channel member and the distal end of the channel section deflect concomitantly.

7. The surgical fastener applying apparatus according to claim 6, wherein the deflection control system is operatively disposed within the anvil half-section channel member.

8. The surgical fastener applying apparatus according to claim 7, wherein the second base wall of the channel section is disposed adjacent the first base wall of the anvil half-section channel member, and the second pair of side walls of the channel section are disposed interior of and adjacent the first pair of side walls of the anvil half-section channel member.

9. A surgical fastener applying apparatus, comprising:

an anvil half-section defining a tissue contacting surface, the anvil half-section including a distal end, a proximal end that defines a longitudinal axis, and a channel member having a substantially U-shaped configuration and including a first pair of side walls interconnected by a first base wall;

a cartridge receiving half-section including a distal end, wherein the cartridge receiving half-section is operatively couplable with the anvil half-section such that the distal end of the anvil half-section is in juxtaposed relation to the distal end of the cartridge receiving half-section, and wherein a tissue gap is defined between the distal end of the anvil half-section and the distal end of the cartridge receiving half-section when the anvil half-section and the cartridge receiving half-section are coupled together; and

a deflection control system operatively disposed within the channel member of the anvil half-section, wherein the deflection control system includes a channel section having a substantially U-shaped configuration and including a second pair of side walls interconnected by a second base wall, wherein the second base wall is disposed adjacent the first base wall of the channel member of the anvil half-section, and the second pair of side walls are disposed interior of and adjacent to the first pair of side walls of the channel member of the anvil half-section, wherein each side wall of the second pair of side walls has a height which is less than a height of a respective one of the first pair of side walls of the channel member of the anvil half-section thereby defining a reveal along each side wall of the first pair of side walls of the channel member of the anvil half-section, wherein the deflection control system reinforces the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis and normal to a plane defined by the tissue contacting surface of the anvil half-section, wherein a proximal end of the deflection control system extends proximally beyond a pivot point for the anvil half-section and the cartridge receiving half-section, the deflection control system having at least two-stages including a first stage and a second stage, wherein the deflection control system reduces a rate of deflection of the distal end of the anvil half-section in the second stage of deflection, and wherein the greater the rate of deflection of the distal end of the channel member of the anvil half-section, the greater the deflection control system reduces the rate at which the distal end of the channel section of the deflection control system deflects.

10. The surgical fastener applying apparatus according to claim 9, wherein the reveal is zero.

11. The surgical fastener applying apparatus according to claim 9, wherein at least the proximal end of the channel section of the deflection control system is fixedly secured to the proximal end of the channel member of the anvil half-section.

12. The surgical fastener applying apparatus according to claim 9, wherein the height of each side wall of the second pair of side walls of the channel section of the deflection control system is uniform along a length thereof.

13. The surgical fastener applying apparatus according to claim 11, wherein each side wall of the second pair of side walls of the channel section of the deflection control system has a uniform thickness along a length thereof.

14. A surgical fastener applying apparatus, comprising:

an anvil half-section defining a tissue contacting surface, the anvil half-section including a distal end, a proximal end that defines a longitudinal axis, and a channel member having a substantially U-shaped configuration and including a first pair of side walls interconnected by a first base wall;

a cartridge receiving half-section including a distal end, wherein the cartridge receiving half-section is operatively couplable with the anvil half-section such that the distal end of the anvil half-section is in juxtaposed relation to the distal end of the cartridge receiving half-section, and wherein a tissue gap is defined between the distal end of the anvil half-section and the distal end of the cartridge receiving half-section when the anvil half-section and the cartridge receiving half-section are coupled together; and

a deflection control system operatively associated with the anvil half-section, wherein the deflection control system includes;

a first channel section having a substantially U-shaped configuration and including a second pair of side walls interconnected by a second base wall, wherein the second base wall is disposed adjacent the first base wall of the channel member of the anvil half-section; and

a second channel section having a substantially U-shaped configuration and including a third pair of side walls interconnected by a third base wall, wherein the third base wall of the second channel section of the deflection control system is disposed adjacent to the second base wall of the first channel section of the deflection control system, wherein the deflection control system reinforces the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis and normal to a plane defined by the tissue contacting surface of the anvil half-section, wherein a proximal end of the deflection control system extends proximally beyond a pivot point for the anvil half-section and the cartridge receiving half-section, the deflection control system having at least two-stages including a first stage and a second stage, and wherein the deflection control system reduces a rate of deflection of the distal end of the anvil half-section in the second stage of deflection.

15. The surgical fastener applying apparatus according to claim 14, wherein a distal end of each side wall of the second pair of side walls of the first channel section of the deflection control system has a height which is less than a height of a respective side wall of the first pair of side walls of the channel member of the anvil half-section thereby defining a first reveal along each of the first pair of side walls of the channel member of the anvil half-section, and wherein each side wall of the third pair of side walls of the second channel section of the deflection control system has a height which is less than a height of a respective side wall of the second pair of side walls of the first channel section of the deflection control system thereby defining a second reveal along a distal end of each side wall of the third pair of side walls of the second channel section of the deflection control system.

16. The surgical fastener applying apparatus according to claim 15, wherein a proximal end of each of the first and second channel sections is operatively and fixedly secured to a proximal end the channel member of the anvil half-section.

17. The surgical fastener applying apparatus according to claim 16, wherein each side wall of the second pair of side walls of the first channel section of the deflection control system defines a first length and each side wall of the third pair of side walls of the second channel section of the deflection control system defines a second length, the height of the distal end of each side wall of the second pair of side walls of the first channel section and the height of a corresponding distal end of each side wall of the third pair of side walls of the second channel section are uniform along the respective first and second lengths thereof.

18. The surgical fastener applying apparatus according to claim 17, wherein the deflection control system is a three-stage system.

19. The surgical fastener applying apparatus according to claim 18, wherein the deflection control system begins reducing a degree and the rate of deflection of the distal end of the anvil half-section in a second stage of deflection, and wherein the deflection control system begins reducing a degree and a rate of deflection of the distal end of the channel member by a second degree in a third stage of deflection of the deflection control system.

20. The surgical fastener applying apparatus according to claim 19, wherein the second stage of deflection engages when the first reveal between the first pair of side walls of the channel member of the anvil half-section and the second pair of side walls of the first channel section of the deflection control system is about zero, whereby the distal end of the channel member and the distal end of the first channel section deflect concomitantly, and wherein the third stage of deflection engages when the second reveal between the second pair of side walls of the first channel section of the deflection control system and the third pair of side walls of the second channel section of the deflection control system is about zero, whereby the distal end of the channel member, the distal end of the first channel section, and the distal end of the second channel section deflect concomitantly.

21. A surgical fastener applying apparatus, comprising:

an anvil half-section defining a tissue contacting surface, the anvil half-section including a distal end, a proximal end that defines a longitudinal axis, and a pair of side walls;

a cartridge receiving half-section including a distal end, wherein the cartridge receiving half-section is operatively couplable with the anvil half-section such that the distal end of the anvil half-section is in juxtaposed relation to the distal end of the cartridge receiving half-section, and wherein a tissue gap is defined between the distal end of the anvil half-section and the distal end of the cartridge receiving half-section when the anvil half-section and the cartridge receiving half-section are coupled together; and

a deflection control system operatively associated with the anvil half-section, wherein the deflection control system includes a pair of reinforcing ribs, each rib of the pair of reinforcing ribs being disposed along an inner surface of a respective side wall of the pair of side walls of the anvil half-section, wherein each rib of the pair of reinforcing ribs has a height which is less than a height of the respective side walls of the anvil half-section thereby defining a reveal along each of the pair of side walls of the anvil half-section, wherein a proximal end of the deflection control system extends proximally beyond a pivot point for the anvil half-section and the cartridge receiving half-section, the deflection control system having at least two-stages including a first stage and a second stage, wherein the deflection control system reinforces the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis, and normal to a plane defined by the tissue contacting surface of the anvil half-section, wherein the deflection control system begins to reinforce the distal end of the anvil half-section in the second stage of deflection, wherein the deflection control system reduces a rate of deflection of the distal end of the anvil half-section in the second stage of deflection, and wherein the second stage of deflection engages when the reveal between the reinforcing ribs and the side walls of the anvil half-section is about zero, whereby the distal end of the anvil half-section and the distal end of the reinforcing ribs deflect concomitantly.

22. The surgical fastener applying apparatus according to claim 21, wherein a proximal end of each of the pair of reinforcing ribs is pinned to the proximal end of the anvil half-section.

23. A surgical fastener applying apparatus, comprising:

an anvil half-section defining a tissue contacting surface, the anvil half-section including a distal end and a proximal end that defines a longitudinal axis;

a cartridge receiving half-section including a distal end, wherein the cartridge receiving half-section is operatively couplable with the anvil half-section such that the distal end of the anvil half-section is in juxtaposed relation to the distal end of the cartridge receiving half-section, and wherein a tissue gap is defined between the distal end of the anvil half-section and the distal end of the cartridge receiving half-section when the anvil half-section and the cartridge receiving half-section are coupled together;

a deflection control system operatively associated with the anvil half-section, wherein the deflection control system reinforces the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis and normal to a plane defined by the tissue contacting surface of the anvil half-section, wherein a proximal end of the deflection control system extends proximally beyond a pivot point for the anvil half-section and the cartridge receiving half-section, the deflection control system having at least two-stages including a first stage and a second stage, wherein the deflection control system reduces a rate of deflection of the distal end of the anvil half-section in the second stage of deflection, wherein the proximal end of the deflection control system is fixedly secured to the proximal end of the anvil half-section and a distal end of the deflection control system is longitudinally slidingly coupled to the anvil half-section, and wherein the deflection control system includes a plurality of reinforcing plates each adjacent one another, at least in the distal end of the anvil half-section, the plurality of reinforcing plates being disposed adjacent a base wall of the anvil half-section; and

a pin member fixedly secured to the base wall of the anvil half-section, wherein a distal end of each of the plurality of reinforcing plates is slidingly coupled to the anvil half-section by the pin member extending through a plurality of elongate longitudinally oriented slots formed in each one of the plurality of respective reinforcing plates.

24. The surgical fastener applying apparatus according to claim 23, wherein the elongate slots increase in length from the reinforcing plate which is closest to the base wall of the anvil half-section to the reinforcing plate which is furthest from the base wall of the anvil half-section.

25. The surgical fastener applying apparatus according to claim 23, wherein the elongate slots of the reinforcing plates each have a proximal edge in registration with one another.

26. The surgical fastener applying apparatus according to claim 23, wherein the pin member includes a head secured to an end thereof that is opposite to the base wall, the head being configured and dimensioned to engage the reinforcing plates and force the distal end of each of the reinforcing plates to deflect concomitantly with the distal end of anvil half-section.

27. The surgical fastener applying apparatus according to claim 23, wherein the deflection control system is at least a three stage system, wherein the deflection control system begins to incrementally reduce the rate of deflection of the distal end of the anvil half-section as a distal end of each elongate slot of each respective reinforcing plate engages the pin member, and wherein the deflection control system incrementally reduces the rate at which the distal end of the anvil half-section deflects.

28. A surgical fastener applying apparatus, comprising:

an anvil half-section defining a tissue contacting surface, the anvil half-section including a distal end and a proximal end that defines a longitudinal axis;

a cartridge receiving half-section including a distal end, wherein the cartridge receiving half-section is operatively couplable with the anvil half-section such that the distal end of the anvil half-section is in juxtaposed relation to the distal end of the cartridge receiving half-section, and wherein a tissue gap is defined between the distal end of the anvil half-section and the distal end of the cartridge receiving half-section when the anvil half-section and the cartridge receiving half-section are coupled together; and

a deflection control system operatively associated with the anvil half-section, wherein the deflection control system reinforces the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis and normal to a plane defined by the tissue contacting surface of the anvil half-section, wherein a proximal end of the deflection control system extends proximally beyond a pivot point for the anvil half-section and the cartridge receiving half-section, the deflection control system having at least two-stages including a first stage and a second stage, wherein the deflection control system reduces a rate of deflection of the distal end of the anvil half-section in the second stage of deflection, wherein a proximal end of the deflection control system is fixedly secured to a proximal end of the anvil half-section and a distal end of the deflection control system is longitudinally slidingly coupled to the anvil half-section, wherein the deflection control system includes at least one reinforcing plate adjacent a base wall of the anvil half-section, and wherein as the distal end of the anvil half-section and the deflection control system deflect in the direction transverse to the longitudinal axis, the distal end of at least one of the plurality of reinforcing plates translates in a longitudinal direction.

29. A surgical fastener applying apparatus, comprising:

an anvil half-section defining a tissue contacting surface, wherein the anvil half-section includes a distal end and a proximal end that defines a longitudinal axis;

a cartridge receiving half-section including a distal end, wherein the cartridge receiving half-section is operatively couplable with the anvil half-section such that the distal end of the anvil half-section is in juxtaposed relation to the distal end of the cartridge receiving half-section, and wherein a tissue gap is defined between the distal end of the anvil half-section and the distal end of the cartridge receiving half-section when the anvil half-section and the cartridge receiving half-section are coupled together;

a deflection control system operatively associated with the anvil half-section, wherein the deflection control system reinforces the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis and normal to a plane defined by the tissue contacting surface of the anvil half-section, wherein a proximal end of the deflection control system extends proximally beyond a pivot point for the anvil half-section and the cartridge receiving half-section, the deflection control system having at least two-stages including a first stage and a second stage, wherein the deflection control system reduces a rate of deflection of the distal end of the anvil half-section in the second stage of deflection, wherein a proximal end of the deflection control system is fixedly secured to a proximal end of the anvil half-section and a distal end of the deflection control system is longitudinally slidingly coupled to the anvil half-section, and wherein the deflection control system includes a plurality of reinforcing plates each adjacent one another, at least in the distal end of the anvil half-section; and

a pair of juxtaposed shoulders each extending from an inner surface of the side walls of the anvil half-section in a distal end thereof, wherein each of the plurality of reinforcing plates includes an elongate recess formed along each lateral side thereof and in operative engagement with a respective one of the pair of shoulders.

30. The surgical fastener applying apparatus according to claim 29, wherein the elongate recesses increase in length from the reinforcing plate which is closest to the base wall of the anvil half-section to the reinforcing plate which is furthest from the base wall of the anvil half-section.

31. The surgical fastener applying apparatus according to claim 29, wherein each of the elongate recesses has a respective proximal edge in registration with the other.

32. The surgical fastener applying apparatus according to claim 29, wherein each shoulder includes a head portion secured to an end thereof, the head portion being configured and dimensioned to force a distal end of each of the reinforcing plates to deflect concomitantly with the distal end of anvil half-section.