Surgical fastener applying apparatus

• US 7,568,604 B2
• Filed: 01/24/2008
• Issued: 08/04/2009
• Est. Priority Date: 10/13/2000
• Status: Expired due to Term

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Viola, Frank J., Rethy, Csaba L., Ehrenfels, Karl H., Pedros, Roberto, Ivanko, David, Lehn, Randolph F.
• Primary Examiner(s): Gerrity; Stephen F.
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US12/011,419
• Publication Number:
  US 20080142565A1
• Time in Patent Office: 558 Days
• Field of Search: 227/19, 227/176.1, 227/178.1
• US Class Current: 227/178.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• 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 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments
• CPC Class Codes: A61B 2090/038 during shipment
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 2090/0814 Preventing re-use

Abstract

An improved surgical fastener applying apparatus includes a cartridge half-section and an anvil half-section with the cartridge and anvil half-sections being relatively movable from an unclamped position to a fully clamped position. The apparatus includes a replaceable staple cartridge assembly having a plurality of surgical staples and a pivotably mounted safety lock-out. The safety lock-out is pivotable between an initial position in which a relative movement of the cartridge and anvil half-sections to the fully clamped position is permitted and a blocking position in which a relative movement of the cartridge and anvil half-sections to return them to their fully clamped position after the plurality of staples have been at least partially fired is prevented. The apparatus further includes a pivotably mounted firing lever for moving a pair of camming surfaces longitudinally. In addition, each of the presently disclosed cartridge and anvil half-sections of the fastener applying apparatus includes a clamping lever, which clamping levers are configured and adapted to enable the applying apparatus to be opened by either one of the cartridge half-section and the anvil half-section.

Claims

1. A surgical fastener applying apparatus, comprising:

a cartridge section having a loading unit, the loading unit including a cartridge body with staple retaining slots and a plurality of surgical staples;

an anvil section having an anvil surface for forming the plurality of surgical staples, the cartridge section and the anvil section being arranged to be joined to one another and relatively movable from an unclamped position to a clamped position;

a first clamp lever operatively connected to the cartridge section and a second clamp lever operatively connected to the anvil section, each clamp lever being movable from a closed position in which the cartridge section and the anvil section are in the clamped position to an open position in which the cartridge section and the anvil section are in the unclamped position, each clamp lever being movable to the open and closed position independently of the other clamp lever; and

a firing lever longitudinally movable to sequentially fire the plurality of surgical staples, wherein the firing lever is pivotable to extend from a selected one of a right and left side of the apparatus.

2. The surgical fastener applying apparatus of claim 1, further comprising a least one camming surface extension, the camming surface extension being movable with the firing lever to fire the plurality of surgical staples.

3. The surgical fastener applying apparatus of claim 1, further comprising a knife arranged to move longitudinally with the firing lever.

4. The surgical fastener applying apparatus of claim 1, further comprising a first clamp latch and a second clamp latch, the first clamp latch being configured and adapted to retain the first clamp lever in the clamped position and the second clamp latch being configured and adapted to retain the second clamp lever in the clamped position.

5. The surgical fastener applying apparatus of claim 4, further comprising an interlock mechanism arranged to prevent opening of the first clamp lever or the second clamp lever after the firing lever has been longitudinally moved.

6. The surgical fastener applying apparatus of claim 4, further comprising an interlock mechanism arranged to prevent opening of the first clamp lever, the interlock mechanism preventing opening when the firing lever has been moved in a distal direction.

7. The surgical fastener applying apparatus of claim 6, further comprising an interlock latch for maintaining the first clamp latch in a latched position preventing opening of the first clamp lever.

8. The surgical fastener applying apparatus of claim 7, wherein the interlock latch is biased toward the first clamp lever latch.

9. The surgical fastener applying apparatus of claim 8, further comprising a slide block connected to the firing lever, the slide block being arranged to overcome the bias of the interlock latch.

10. The surgical fastener applying apparatus of claim 6, further comprising an interlock mechanism arranged to prevent opening of the second clamp lever when the firing lever has been moved in a distal direction, and an interlock latch for maintaining the second clamp latch in a latched position preventing opening of the second clamp lever.

11. The surgical fastener applying apparatus of claim 10, wherein the interlock latch is biased toward the second clamp lever latch.

12. The surgical fastener applying apparatus of claim 11, further comprising a slide block connected to the firing lever, the slide block being arranged to overcome the bias of the interlock latch.

13. A surgical fastener applying apparatus, comprising:

a cartridge section having a loading unit, the loading unit including a cartridge body with staple retaining slots and a plurality of surgical staples;

an anvil section having an anvil surface for forming the plurality of surgical staples, the cartridge section and the anvil section being relatively movable from an unclamped position to a clamped position;

a firing lever longitudinally movable to sequentially fire the plurality of surgical staples, wherein the firing lever is pivotably mounted to extend from a selected one of a right and a left side of the apparatus;

a knife with a sharpened edge, the knife being arranged to move longitudinally with the firing lever;

a lock-out, said lock-out being pivotable between an initial position permitting a relative movement of said cartridge section and anvil section to said clamped position and a blocking position preventing a relative movement of said cartridge section and anvil section from returning to said clamped position; and

a shipping wedge removably coupled to said cartridge assembly and configured and adapted to cover the staple retaining slots, the lock-out and shipping wedge cooperating to cover the sharpened edge of the knife.

14. The surgical fastener applying apparatus according to claim 13, wherein said shipping wedge further includes a post extending downwardly from the underside of a proximal end, which post is configured to block a distal movement of said knife.

15. The surgical fastener applying apparatus according to claim 14, wherein said shipping wedge further includes an abutment extending upwardly and proximally from an upper surface of said shipping wedge to thereby at least partially cover the sharpened edge of said knife.

16. The surgical fastener applying apparatus of claim 13, wherein said lock-out moves to said blocking position after the loading unit is at least partially fired and the cartridge section and the anvil section are moved from an unclamped position to a clamped position.

17. The surgical fastener applying apparatus of claim 13, wherein said cartridge body further comprises finger grips formed near a proximal end of said cartridge body.

18. The surgical fastener applying apparatus of claim 13, wherein longitudinal movement of said knife releases said lock-out to enable pivoting of the lock-out from the initial position to the blocking position.

19. The surgical fastener applying apparatus of claim 13, further comprising a least one camming surface extension, the camming surface extension being movable with the firing lever to fire the plurality of surgical staples.

20. A surgical fastener applying apparatus, comprising:

a cartridge section having a removable loading unit, the loading unit including a cartridge body staple retaining slots arranged and a plurality of surgical staples;

an anvil section having an anvil surface for forming the plurality of surgical staples, the cartridge section and the anvil section being relatively movable from an unclamped position to a clamped position;

a firing mechanism movable to fire the plurality of surgical staples;

a rocker pivotably mounted to said cartridge section and being biased toward a lock-out position in which the rocker blocks movement of the firing mechanism, the rocker having a distal end surface arranged to be engaged by the cartridge body, the cartridge body pivoting the rocker away from the lock-out position upon movement of the cartridge section and the anvil section to the clamped position to enable movement of the firing mechanism.

21. The surgical fastener applying apparatus of claim 20, wherein the firing mechanism includes a channel and the rocker includes a downwardly extending blocking surface arranged to engage the channel.

22. The surgical fastener applying apparatus of claim 21, wherein the channel has at least one camming surface extension, the at least one camming surface extension being movable with the firing lever to fire the plurality of surgical staples.

23. The surgical fastener applying apparatus of claim 20, wherein said anvil section includes a downwardly extending leg configured and adapted to bias against said cartridge body to urge said rocker to pivot.

24. The surgical fastener applying apparatus of claim 20, further comprising a knife with a sharpened edge, the knife being arranged to move longitudinally with the firing mechanism lever and the channel.

25. A surgical fastener applying apparatus, comprising:

a cartridge section having a loading unit, the loading unit including a cartridge body with staple retaining slots and a plurality of surgical staples;

an anvil section having an anvil surface for forming the plurality of surgical staples, the cartridge section and the anvil section being arranged to be joined to one another and relatively movable from an unclamped position to a clamped position;

a first clamp lever operatively connected to the cartridge section and a second clamp lever operatively connected to the anvil section, each clamp lever being movable from a closed position in which the cartridge section and the anvil section are in the clamped position to an open position in which the cartridge section and the anvil section are in the unclamped position, each clamp lever being movable to the open and closed position independently of the other clamp lever;

a first clamp latch and a second clamp latch, the first clamp latch being configured and adapted to retain the first clamp lever in the clamped position and the second clamp latch being configured and adapted to retain the second clamp lever in the clamped position; and

a firing mechanism movable to fire the plurality of surgical staples.

26. The surgical fastener applying apparatus of claim 25, further comprising an interlock mechanism arranged to prevent opening of the first clamp lever or the second clamp lever after the firing lever has been longitudinally moved.

27. The surgical fastener applying apparatus of claim 25, further comprising an interlock mechanism arranged to prevent opening of the first clamp lever, the interlock mechanism preventing opening when the firing lever has been moved in a distal direction.

28. The surgical fastener applying apparatus of claim 27, further comprising an interlock latch for maintaining the first clamp latch in a latched position preventing opening of the first clamp lever.

29. The surgical fastener applying apparatus of claim 28, wherein the interlock latch is biased toward the first clamp lever latch.

30. The surgical fastener applying apparatus of claim 29, further comprising a slide block connected to the firing lever, the slide block being arranged to overcome the bias of the interlock latch.

31. The surgical fastener applying apparatus of claim 27, further comprising an interlock mechanism arranged to prevent opening of the second clamp lever when the firing lever has been moved in a distal direction, and an interlock latch for maintaining the second clamp latch in a latched position preventing opening of the second clamp lever.

32. The surgical fastener applying apparatus of claim 31, wherein the interlock latch is biased toward the second clamp lever latch.

33. The surgical fastener applying apparatus of claim 32, further comprising a slide block connected to the firing lever, the slide block being arranged to overcome the bias of the interlock latch.