Surgical stapling device

• US 7,494,039 B2
• Filed: 08/20/2007
• Issued: 02/24/2009
• Est. Priority Date: 06/17/2003
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Olson, Lee Ann, Beardsley, John W., Racenet, David C., Roy, Philip, Stearns, Ralph
• Primary Examiner(s): Durand; Paul R
• Application Number:
  US11/894,196
• Publication Number:
  US 20080035701A1
• Time in Patent Office: 554 Days
• Field of Search: 227/19, 227/175.1, 2271761-1801, 606/130
• US Class Current: 227/180.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms

Abstract

A surgical device is disclosed which includes a handle portion, a central body portion and a SULU. The SULU includes a proximal body portion, an intermediate pivot member and a tool assembly. The intermediate pivot member is pivotally secured to the proximal body portion about a first pivot axis and the tool assembly is pivotally secured to the intermediate pivot member about a second pivot axis which is orthogonal to the first pivot axis. The SULU includes a plurality of articulation links which are operably connected to the tool assembly by non-rigid links. The articulation links are adapted to releasably engage articulation links positioned in the central body portion. The body portion articulation links are connected to an articulation actuator which is supported for omni-directional movement to effect articulation of the tool assembly about the first and second axes. The handle portion includes a spindle and barrel assembly drive mechanism for advancing and retracting a drive member positioned in the tool assembly. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly.

Claims

1. A surgical stapling device comprising:

a handle portion including an articulation actuator, a drive mechanism, a firing rack, and a retraction rack, wherein the drive mechanism is adapted to selectively engage the firing rack and the retraction rack;

a trigger operatively connected to the handle portion;

an elongated body portion secured to the handle portion;

a tool assembly operatively connected to the handle portion by the elongated body portion; and

at least one cable connected to the handle portion and extending through the tool assembly.

2. The surgical stapling device of claim 1, wherein the tool assembly is pivotably connected to a pivot member.

3. The surgical stapling device of claim 2, wherein the pivot member is pivotably connected to the elongated body portion about a first axis and pivotably connected to the tool assembly about a second axis.

4. The surgical stapling device of claim 3, wherein the second axis is substantially orthogonal to the first axis.

5. The surgical stapling device of claim 2, wherein the tool assembly includes an anvil assembly and a cartridge assembly.

6. The surgical stapling device of claim 1, wherein the at least one cable includes a firing cable and a retraction cable.

7. The surgical stapling device of claim 1, further including a plurality of links operatively connecting the handle portion and the tool assembly.

8. The surgical stapling device of claim 7, wherein each of the plurality of links includes engagement structure.

9. The surgical stapling device of claim 8, wherein the plurality of links includes a plurality of first articulation links, a plurality of second articulation links, a first retraction link, a second retraction link, a first firing link, and a second firing link, wherein the plurality of first articulation links, the first retraction link, and the second retraction link are at least partially positioned within the elongated body portion, and the plurality of second articulation links, the second retraction link, and the second firing link are at least partially positioned within the tool assembly.

10. A surgical stapling device comprising:

a handle portion including an articulation actuator and a drive mechanism, the drive mechanism being adapted to selectively engage a firing rack and a retraction rack;

a trigger operatively connected to the handle portion;

an elongated body portion secured to the handle portion and including a structure formed of a plurality of links;

a tool assembly pivotably connected to a pivot member, wherein the pivot member is pivotably connected to a proximal body portion removably attached to a distal end of the elongated body portion; and

at least one cable connected to the handle portion and extending through the tool assembly.

11. The surgical stapling device of claim 10, wherein the pivot member is pivotably connected to the proximal body portion about a first axis and pivotably connected to the tool assembly about a second axis.

12. The surgical stapling device of claim 11, wherein each of the plurality of links includes an engagement structure.

13. The surgical stapling device of claim 12, further including a second plurality of links associated with the tool assembly, wherein the plurality of links each include an engagement structure.

14. The surgical stapling device of claim 13, wherein the plurality of links includes articulation links that are operably connected to the tool assembly.

15. The surgical stapling device of claim 14, wherein the articulation links are substantially non-rigid.

16. The surgical stapling device of claim 15, wherein the articulation links are selected from the group consisting of a cable, rope, cord, wire, and Kevlar strand.

17. The surgical stapling device of claim 14, wherein the elongated body portion has articulation links, the articulation links of the elongate body portion having a first end operably connected to the articulation actuator and a second end configured and dimensioned to be releasably connected to the articulation links of the tool assembly.

18. The surgical system of claim 12, wherein the elongated body portion has an outer tube slidably positioned about an inner shaft such that the outer tube may transition from an advanced position to a retracted position.

19. The surgical stapling device of claim 18, wherein the plurality of links includes a plurality of articulation links, a retraction link, and a firing link.

20. The surgical stapling device of claim 19, wherein at least one of the plurality of articulation links, the retraction link, and the firing link of the elongated body portion includes at least one concavity configured and dimensioned to receive a locking member.

21. The surgical stapling device of claim 20, wherein the locking member is ball shaped.

22. The surgical stapling device of claim 21, wherein a single locking member is positioned to be received in concavities formed in adjacent links.

23. The surgical stapling device of claim 20, wherein the inner shaft includes at least one guide surface configured and dimensioned to receive the plurality of articulation links, the retraction link, and the firing link.

24. The surgical stapling device of claim 23, wherein the at least one guide surface includes a hole configured and dimensioned to releasably receive the locking member.

25. The surgical stapling device of claim 24, wherein the outer tube deforms a leaf spring as the outer tube transitions from the retracted position to the advanced position.