Surgical stapling and cutting device

• US 7,404,508 B2
• Filed: 09/29/2006
• Issued: 07/29/2008
• Est. Priority Date: 07/26/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Palmer, Matthew A., Smith, Kevin W., Deville, Derek Dee, Kline, Korey Robert
• Primary Examiner(s): Rada; Rinaldi I.
• Assistant Examiner(s): Lopez; Michelle
• Application Number:
  US11/540,255
• Publication Number:
  US 20070187453A1
• Time in Patent Office: 669 Days
• Field of Search: 227/175.1, 227/175.2, 227/19, 227/180.1, 606/219
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/072 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00389 Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments

Abstract

A medical device includes a control handle, an end effector, and a passive articulating joint connecting the end effector to the handle. The handle has a stapling actuator, an articulation joint actuator different from the stapling actuator, and a body through which the stapling and articulation joint actuators traverse. The end effector has an anvil, a stapler cartridge with staples, and an anvil-cartridge control device connected thereto and to the stapling actuator and staples when the stapling actuator is actuated. The stapling actuator passes through the articulating joint and flexes correspondingly to articulation of the articulating joint. The articulation joint actuator, when unactuated, holds the articulation joint and, thereby, the end effector, in a substantially fixed articulation position, and, when actuated, releases the articulation joint into its freely articulating state to permit free articulation of the end effector dependent upon external forces acting upon the end effector.

Claims

1. A medical device, comprising:

a control handle having;

a stapling actuator;

an articulation joint actuator different from said stapling actuator and having an unactuated state and an actuated state; and

a body through which said stapling actuator and said articulation joint actuator traverse, said body defining a first longitudinal axis and having a distal end;

a surgical stapling end effector having;

an anvil;

a proximal end;

a second longitudinal axis;

a stapler cartridge having at least one staple; and

an anvil-cartridge control device operatively connected to said stapling actuator, said anvil, and said stapler cartridge and stapling said at least one staple when said stapling actuator is actuated;

a passive articulating joint connecting said stapling end effector to said control handle and articulating about an articulation axis;

a portion of said stapling actuator passing through said passive articulating joint and flexing in a corresponding manner to an articulation of said passive articulating joint; and

said articulation joint actuator;

when in said unactuated state, holding said passive articulation joint and, thereby, said end effector, in a substantially fixed articulation position; and

when in said actuated state, releasing said passive articulation joint into a freely articulating state to permit free articulation of said end effector dependent upon external forces acting upon said end effector;

a centering device disposed at a first part of one of said distal end of said body and said proximal end of said end effector, said first part defining a pair of plunger cavities; and

alignment surfaces disposed at a second part of the other one of said distal end of said body and said proximal end of said end effector, said centering device including a pair of pre-loaded spring-biased plungers each disposed in a respective one of said plunger cavities and biasing said plungers towards and against said second part to substantially align said first and second longitudinal axes when said articulation joint actuator is in said actuated state.

2. The medical device according to claim 1, wherein said articulation joint actuator, when in said actuated state, releases said passive articulation joint into a freely articulating state to permit free articulation of said end effector with respect to said control handle dependent upon external forces acting upon said end effector.

3. The medical device according to claim 1, wherein said articulation joint actuator, when in said actuated state, releases said passive articulation joint into a freely articulating state to permit free articulation of said end effector about said articulation axis dependent upon external forces acting upon said end effector.

4. The medical device according to claim 1, wherein said articulation axis of said passive articulating joint is orthogonal to said longitudinal axis.

5. The medical device according to claim 1, wherein:

said surgical stapling end effector has a cutting device with a blade;

said stapling actuator of said control handle has;

a stapler closing actuator closing said anvil and said stapling cartridge when actuated; and

a staple firing actuator stapling said at least one staple and cutting with said cutting device when actuated; and

said stapler closing actuator and said staple firing actuator are different from said articulation joint actuator.

6. The medical device according to claim 1, wherein:

said articulation joint actuator has a pull-lock with distally directed teeth; and

said stapling end effector has a gear with proximally directed teeth;

interlocked with said distally directed teeth when said articulation joint actuator is in said unactuated state; and

disengaged from said distally directed teeth when said articulation joint actuator is in said actuated state to, thereby, release said passive articulation joint into said freely articulating state.

7. The medical device according to claim 1, wherein said articulation joint actuator is a pull-to-release and release-to-relock trigger assembly.

8. The medical device according to claim 1, wherein said stapling actuator and said articulation joint actuator are one-handed actuators.

9. A medical device, comprising:

a control handle having;

a stapling actuator;

an articulation joint actuator different from said stapling actuator and having an unactuated state and an actuated state; and

a body through which said stapling actuator and said articulation joint actuator traverse, said body defining a first longitudinal axis and having a distal end;

a surgical stapling end effector having;

an anvil;

a proximal end;

a second longitudinal axis;

a stapler cartridge having at least one staple;

an anvil-cartridge control device operatively connected to said stapling actuator, said anvil, and said stapler cartridge and stapling said at least one staple when said stapling actuator is actuated; and

an articulation lock;

a passive articulating joint connecting said stapling end effector to said control handle and articulating about an articulation axis;

a portion of said stapling actuator passing through said passive articulating joint and flexing in a corresponding manner to an articulation of said passive articulating joint; and

said articulation joint actuator;

when in said unactuated state, being connected to said articulation lock and, thereby, locking said passive articulation joint in a given articulated position to hold said end effector in position; and

when in said actuated state, being disconnected from said articulation lock and, thereby, articulatingly releasing said passive articulation joint to articulate freely dependent upon an external force applied to said end effector;

a centering device disposed at a first part of one of said distal end of said body and said proximal end of said end effector, said first part defining a pair of plunger cavities; and

alignment surfaces disposed at a second part of the other one of said distal end of said body and said proximal end of said end effector, said centering device including a pair of pre-loaded spring-biased plungers each disposed in a respective one of said plunger cavities and biasing said plungers towards and against said second part to substantially align said first and second longitudinal axes when said articulation joint actuator is in said actuated state.

10. The medical device according to claim 9, wherein said articulation joint actuator, when in said actuated state, is disconnected from said articulation lock to, thereby, articulatingly release said passive articulation joint with respect to said control handle.

11. The medical device according to claim 9, wherein said articulation joint actuator, when in said actuated state, is disconnected from said articulation lock to, thereby articulatingly release said passive articulation joint about said articulation axis.

12. The medical device according to claim 9, wherein said articulation axis of said passive articulating joint is orthogonal to said longitudinal axis.

13. The medical device according to claim 9, wherein:

said surgical stapling end effector has a cutting device with a blade;

said stapling actuator of said control handle has;

a stapler closing actuator closing said anvil and said stapling cartridge when actuated; and

a staple firing actuator stapling said at least one staple and culling with said cutting device when actuated; and

said stapler closing actuator and said staple firing actuator are different from said articulation joint actuator.

14. The medical device according to claim 9, wherein:

said articulation joint actuator has a pull-lock with distally directed teeth; and

said articulation lock is a gear with proximally directed teeth;

interlocked with said distally directed teeth when said articulation joint actuator is in said unactuated state; and

disengaged from said distally directed teeth when said articulation joint actuator is in said actuated state to, thereby, release said passive articulation joint to articulate freely dependent upon the external force.

15. The medical device according to claim 9, wherein said articulation joint actuator is a pull-to-release and release-to-relock trigger assembly.

16. The medical device according to claim 9, wherein said stapling actuator and said articulation joint actuator are one-handed actuators.

17. A medical device, comprising:

a control handle having;

a stapling actuator;

a pull-to-release and release-to-relock articulation joint actuator different from said stapling actuator and having a unactuated state in which said articulation joint actuator is at rest and an actuated state in which said articulation joint actuator is translated in a proximal direction; and

a body though which said stapling actuator and said articulation joint actuator traverse, said body defining a first longitudinal axis and having a distal end;

a surgical stapling end effector having;

an anvil;

a proximal end;

a second longitudinal axis;

a stapler cartridge having at least one staple;

an anvil-cartridge control device operatively connected to said stapling actuator, said anvil, and said stapler cartridge and stapling said at least one staple when said stapling actuator is actuated; and

an articulation lock;

a passive articulating joint connecting said stapling end effector to said control handle and articulating said stapling end effector about an articulation axis;

a portion of said stapling actuator passing through said passive articulating joint and flexing in a corresponding manner to an articulation of said passive articulating joint; and

said articulation joint actuator;

when at rest in said unactuated state, being connected to said articulation lock and, thereby, locking said passive articulation joint in a given articulated position to hold said end effector in position; and

when proximally translated in said actuated state, being disconnected from said articulation lock and, thereby, articulatingly releasing said passive articulation joint to articulate freely dependent upon an external force applied to said end effector;

a centering device disposed at a first part of one of said distal end of said body and said proximal end of said end effector, said first part defining a pair of plunger cavities; and

alignment surfaces disposed at a second part of the other one of said distal end of said body and said proximal end of said end effector, said centering device including a pair of pre-loaded spring-biased plungers each disposed in a respective one of said plunger cavities and biasing said plungers towards and against said second part to substantially align said first and second longitudinal axes when said articulation joint actuator is in said actuated state.

18. A medical device, comprising:

a control handle having;

a stapling actuator;

means for unlocking articulation different from said stapling actuator and having a locked state and an unlocked state; and

a body through which said stapling actuator and said articulation unlocking means traverse, said body defining a first longitudinal axis and having a distal end;

a surgical stapling end effector having;

an anvil;

a proximal end;

a second longitudinal axis;

a stapler cartridge having at least one staple; and

an anvil-cartridge control device operatively connected to said stapling actuator, said anvil, and said stapler cartridge and stapling said at least one staple when said stapling actuator is actuated;

means for passively articulating said stapling end effector with respect to said control handle;

a portion of said stapling actuator passing through said passively articulating means and flexing in a corresponding manner to an articulation of said passively articulating means; and

said articulation unlocking means;

when in said locked state, holding said end effector in a substantially fixed articulation position; and

when in said unlocked state, releasing said end effector into a freely articulating state dependent upon external forces acting upon said end effector;

a centering device disposed at a first part of one of said distal end of said body and said proximal end of said end effector, said first part defining a pair of plunger cavities; and

alignment surfaces disposed at a second part of the other one of said distal end of said body and said proximal end of said end effector, said centering device including a pair of pre-loaded spring-biased plungers each disposed in a respective one of said plunger cavities and biasing said plungers towards and against said second part to substantially align said first and second longitudinal axes when said articulation unlocking means is in said unlocked state.