Surgical stapling device with visual indicator

• US 7,303,106 B2
• Filed: 10/06/2003
• Issued: 12/04/2007
• Est. Priority Date: 10/04/2002
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Milliman, Keith L., Gresham, Richard D., Sniffin, Kevin, Dato, Anthony, Cuny, Douglas J., Jankowski, Bruce K.
• Primary Examiner(s): Nash; Brian D.
• Application Number:
  US10/528,975
• Publication Number:
  US 20060097025A1
• Time in Patent Office: 1,520 Days
• Field of Search: 227/175.1, 227/19, 227/179.1, 227/181.1
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/00371 Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 2090/3616 Magnifying glass

Abstract

A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes a bulbous indicator which preferably extends above a top surface of the handle assembly of the device. The indicator includes indicia to identify to a surgeon that the device has been approximated and is in a fire-ready position. Preferably, the indicator includes a cover which is formed of a magnification material to prominently display the indicia. The anvil assembly of the stapling device preferably includes a retainer clip positioned on the anvil head. The retainer clip preferably includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.

Claims

1. A surgical stapling device comprising:

a handle assembly including a body having a top surface and a firing trigger;

a body portion extending distally from the handle assembly;

a head portion including an anvil assembly and a shell assembly, the anvil assembly being movable in relation to the shell assembly between spaced and approximated positions; and

an indicator positioned on the handle assembly and having a bulbous shape, the indicator being movable from a first position to a second position in response to movement of the anvil assembly and the shell assembly to the approximated position to provide a visual indication to a surgeon that the head portion is in the approximated position, the bulbous indicator extending outwardly from a top surface of the body such that the bulbous indicator is viewable from above and opposite sides of the device.

2. A surgical stapling device according to claim 1, further including a lens positioned to at least partially cover the indicator, the lens being formed from a magnification material.

3. A surgical stapling device according to claim 1, further including an approximation mechanism positioned within the handle assembly and extending at least partially through the body portion, the approximation mechanism having a distal end adapted to engage the anvil assembly, the approximation mechanism being movable within the device to move the anvil assembly between the spaced position and the approximated position in relation to the shell assembly.

4. A surgical stapling device according to claim 3, wherein the approximation mechanism is operably associated with the indicator such that movement of the approximation mechanism effects movement of the indicator.

5. A surgical stapling device according to claim 4, further including a slide member operably associated with the indicator and movable within the handle assembly, the slide member being movable from an advanced position to a retracted position to move the indicator from the first position to the second position.

6. A surgical stapling device according to claim 1, wherein the indicator is pivotally supported within the handle assembly.

7. A surgical stapling device according to claim 1, wherein the shell assembly supports an annular array of staples.

8. A surgical stapling device comprising:

a handle assembly including a firing trigger;

a body portion extending distally from the handle assembly;

a head portion including an anvil assembly and a shell assembly, the anvil assembly being movable in relation to the shell assembly between spaced and approximated positions;

an indicator positioned on the handle assembly and having a bulbous shape, the indicator being movable from a first position to a second position in response to movement of the anvil assembly and the shell assembly to the approximated position to provide a visual indication to a surgeon that the head portion is in the approximated position;

an approximation mechanism positioned within the handle assembly and extending at least partially through the body portion, the approximation mechanism having a distal end adapted to engage the anvil assembly, the approximation mechanism being movable within the device to move the anvil assembly between the spaced position and the approximated position in relation to the shell assembly;

wherein the approximation mechanism is operably associated with the indicator such that movement of the approximation mechanism effects movement of the indicator; and

a slide member operably associated with the indicator and movable within the handle assembly, the slide member being movable from an advanced position to a retracted position to move the indicator from the first position to the second position;

wherein the slide member is urged to its advanced position by a biasing member.

9. A surgical stapling device comprising:

a handle assembly including a firing trigger;

a body portion extending distally from the handle assembly;

a head portion including an anvil assembly and a shell assembly, the anvil assembly being movable in relation to the shell assembly between spaced and approximated positions;

an indicator positioned on the handle assembly and having a bulbous shape, the indicator being movable from a first position to a second position in response to movement of the anvil assembly and the shell assembly to the approximated position to provide a visual indication to a surgeon that the head portion is in the approximated position;

an approximation mechanism positioned within the handle assembly and extending at least partially through the body portion, the approximation mechanism having a distal end adapted to engage the anvil assembly, the approximation mechanism being movable within the device to move the anvil assembly between the spaced position and the approximated position in relation to the shell assembly;

wherein the approximation mechanism is operably associated with the indicator such that movement of the approximation mechanism effects movement of the indicator;

a slide member operably associated with the indicator and movable within the handle assembly, the slide member being movable from an advanced position to a retracted position to move the indicator from the first position to the second position; and

wherein the approximation mechanism includes a screw member which is linearly movable within the handle assembly, the screw member having an abutment member supported thereon, the abutment member being movable with the screw member into engagement with the slide member to move the slide member from its advanced position to its retracted position to move the indicator from its first position to its second position.

10. A surgical stapling device according to claim 9, wherein the slide member includes an elongated slot formed therein, the abutment member being movable within the elongated slot into engagement with a proximal end of the slot to move the slide member from its advanced position to its retracted position.

11. A surgical stapling device according to claim 10, wherein the indicator includes a pair of projections and the slide member includes an upturned lip portion positioned between the pair of projections, the slide member upturned lip portion being movable into engagement with one of the pair of projections to move the indicator from its first position to its second position and movable into engagement with the other of the pair of projections to move the indicator from its second position to its first position.

12. A surgical stapling device according to claim 11, wherein the indicator is pivotally supported within the handle assembly.

13. A surgical stapling device comprising:

a handle assembly including a firing trigger;

a body portion extending distally from the handle assembly;

a head portion including an anvil assembly and a shell assembly, the anvil assembly being movable in relation to the shell assembly between spaced and approximated positions;

an indicator positioned on the handle assembly and having a bulbous shape, the indicator being movable from a first position to a second position in response to movement of the anvil assembly and the shell assembly to the approximated position to provide a visual indication to a surgeon that the head portion is in the approximated position;

a slide member operably associated with the indicator and movable within the handle assembly, the slide member being movable from an advanced position to a retracted position to move the indicator from the first position to the second position; and

a biasing member urging the sliding member to the advanced position.

14. A surgical stapling device according to claim 13 further including a lens positioned to at least partially cover the indicator, the lens being formed from a magnification material.

15. A surgical stapling device according to claim 14, wherein in the second position the indicator extends beyond a top surface of the handle assembly.

16. A surgical stapling device according to claim 13, further comprising a pivot member, the indicator pivotally supported by the pivot member.

17. A surgical stapling device according to claim 13, wherein movement of the anvil to the approximated position pivots the indicator in a counterclockwise direction.

18. A surgical stapling device according to claim 13, wherein the indicator has a dome shaped outer surface.