Surgical stapling device having trigger lock and associated lockout mechanism

• US 7,556,186 B2
• Filed: 04/14/2008
• Issued: 07/07/2009
• Est. Priority Date: 10/17/2003
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Milliman, Keith L.
• Primary Examiner(s): Nash; Brian D
• Application Number:
  US12/102,101
• Publication Number:
  US 20080190991A1
• Time in Patent Office: 449 Days
• Field of Search: 227/19, 227/175.1, 227/182.1, 227/179.1
• US Class Current: 227/182.1
• 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 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• 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 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2090/0814 Preventing re-use

Abstract

A surgical stapling device including a self-righting anvil assembly includes an anvil center rod and a pivotable anvil head. The surgical stapling device includes an anvil retainer assembly having a locking member. A cam member is provided to retain the locking member in a locked position and, thus, the anvil head in the operative position until after firing. In another embodiment, a tiltable anvil assembly includes a center rod and a head assembly pivotally secured to the center rod. The head assembly includes a housing, a post, an anvil plate and a backup member. The backup member is movably positioned from a first to a second position. A retainer member is positioned between the backup member and the housing. In another embodiment, a passive lockout mechanism is operably associated with a trigger lock on the handle assembly of the surgical stapling device.

Claims

1. A surgical stapling device comprising:

a handle assembly including an approximation knob and a firing trigger;

an elongated body portion extending distally from the handle assembly;

a head portion supported on the distal end of the elongated body portion, the head portion including an anvil assembly and a shell assembly having a plurality of staples supported therein, the anvil assembly being movable in relation to the shell assembly between spaced and approximated positions in response to actuation of the approximation knob;

an approximation mechanism including the approximation knob, the approximation mechanism being operably connected to the anvil assembly such that actuation of the approximation knob effects movement of the anvil assembly in relation to the shell assembly between the spaced and approximated positions;

a trigger lock positioned on the handle assembly and being movable from a locked position to an unlocked position, wherein in its locked position, the trigger lock prevents actuation of the firing trigger; and

a lockout mechanism operably associated with the trigger lock and being positioned to obstruct operation of the approximation mechanism to inhibit movement of the anvil assembly from the approximated position to the spaced position when the trigger lock is in the unlocked position.

2. A surgical stapling device according to claim 1, wherein the approximation mechanism includes a linearly advanceable drive screw which has a proximal end operably connected to the approximation knob and a distal end operably connected to the anvil assembly, wherein the lockout mechanism includes a locking tab which is movable to a position to obstruct linear movement of the drive screw.

3. A surgical stapling device according to claim 2, further including a screw stop positioned on the drive screw, the screw stop including an engagement member positioned to engage the locking tab when the locking tab is positioned to obstruct movement of the drive screw.

4. A surgical stapling device comprising:

a handle assembly including an approximation knob and a firing trigger;

an elongated body portion extending distally from the handle assembly;

a head portion supported on the distal end of the elongated body portion, the head portion including an anvil assembly and a shell assembly having a plurality of staples supported therein, the anvil assembly being movable in relation to the shell assembly between spaced and approximated positions in response to actuation of the approximation knob;

an approximation mechanism including the approximation knob, the approximation mechanism being operably connected to the anvil assembly such that actuation of the approximation knob effects movement of the anvil assembly in relation to the shell assembly between the spaced and approximated positions;

a trigger lock positioned on the handle assembly and being movable from a locked position to an unlocked position, wherein in its locked position, the trigger lock prevents actuation of the firing trigger; and

a lockout mechanism operably associated with the trigger lock and being positioned to prevent movement of the anvil assembly from the approximated position to the spaced position when the trigger lock is in the unlocked position;

wherein the trigger lock is pivotally supported on the handle assembly about a pivot member and the lockout mechanism includes a lockout plate defining a bore and having a locking tab, the bore being dimensioned to receive the pivot member such that the lockout plate is rotatable about the pivot member from a first position in which the locking tab is positioned to permit movement of the anvil assembly in relation to the shell assembly between the approximated and unapproximated positions to a second position preventing movement of the anvil assembly in relation to the shell assembly from the approximated position to the unapproximated position.

5. A surgical stapling device according to claim 4, wherein die approximation mechanism includes a linearly advanceable drive screw which has a proximal end operably connected to the approximation knob and a distal end operably connected to the anvil assembly, the locking tab of the lockout plate being positioned to obstruct linear movement of the drive screw when the lockout plate is in its second position.

6. A surgical stapling device according to claim 5, further including a screw stop positioned on the drive screw, the screw stop including an engagement member positioned to engage the locking tab of the lockout plate when the lockout plate is in its second position.

7. A surgical stapling device according to claim 6, wherein the lockout plate is releasably coupled to the trigger lock such that movement of the trigger lock from its locked position to its unlocked position effects movement of the lockout plate from its first position to its second position.

8. A surgical stapling device according to claim 7, wherein the lockout mechanism includes a biasing member for urging the lockout plate towards the trigger lock.

9. A surgical stapling device according to claim 8, wherein the lockout plate includes a concavity and the trigger lock includes a pair of spaced protrusions, each of the protrusions being independently receivable in the concavity to releasably couple the lockout plate at one of two distinct positions in relation to the trigger lock.

10. A surgical stapling device according to claim 7, wherein the firing trigger includes a release member and the lockout plate includes a release tab, the release member being positioned to engage the release tab upon actuation of the firing trigger to automatically move the locking plate from its second position to its first position when the surgical stapling device is fired.