Surgical stapling device

• US 7,584,880 B2
• Filed: 10/31/2007
• Issued: 09/08/2009
• 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:
  US11/981,058
• Publication Number:
  US 20090050671A1
• Time in Patent Office: 678 Days
• Field of Search: 2271751-1821, 606/219, 606/131, 606/151
• US Class Current: 227/180.1
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/291 the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• 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 by marking A61B2090/395
• 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 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 a handle body and a drive mechanism including a barrel assembly having a barrel assembly body portion, a firing pawl, a retraction pawl, and a grasper pawl, the handle body including at least one elongated rib, the drive mechanism being configured and dimensioned 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, the elongated body portion having proximal and distal ends and extending distally from the handle; and

a tool assembly pivotably connected to the elongated body portion and configured to grasp tissue wherein grasping, firing, and retraction is accomplished by operation of the trigger.

2. The surgical system of claim 1 further including a biasing member.

3. The surgical system of claim 2, wherein the biasing member is a spring.

4. The surgical system of claim 2, wherein the firing rack includes at least first and second surfaces, the first surface including a first set of gear teeth and the second surface including a second set of gear teeth, the first set of gear teeth being engagable with the firing pawl.

5. The surgical system of claim 4, wherein the firing pawl is urged into operative engagement with the firing rack by the biasing member.

6. The surgical system of claim 2, wherein the retraction rack includes first and second surfaces, the first surface including a first set of gear teeth and the second surface including a second set of gear teeth, the first set of gear teeth being engagable with the retraction pawl.

7. The surgical system of claim 6, wherein the retraction pawl is configured to be urged into operative engagement with the retraction rack by the biasing member.

8. The surgical system of claim 7, wherein the barrel assembly further comprises a first shift ring assembly slidably positioned about the barrel assembly body portion, the first shift ring assembly including an outer ring and an inner ring, the outer ring and the inner ring each being adapted to transition from an advanced position to a retracted position, the outer ring and the inner ring being operatively connected such that the inner ring may transition from an advanced position to a retracted position as the outer ring transitions from the advanced position to the retracted position.

9. The surgical system of claim 8, wherein the firing pawl is in operative engagement with the firing rack when the outer ring is in the advanced position, the firing pawl being disengaged from the firing rack when the outer ring is in the retracted position, the retraction pawl being in operative engagement with the retraction rack when the outer ring is in the retracted position, the retraction pawl being disengaged from the retraction rack when the outer ring is in the advanced position.

10. The surgical system of claim 8, wherein the outer ring includes at least one rib, the at least one rib defining at least one slot dimensioned to slidably receive the at least one elongated rib in the handle body.

11. The surgical system of claim 10, wherein the outer ring further includes at least one prong.

12. The surgical system of claim 11, wherein the handle body includes at least one slot configured and dimensioned to receive the at least one prong.

13. The surgical system of claim 8, wherein the outer ring includes at least one spring arm, the at least one spring arm including an abutment member and a protrusion.

14. The surgical system of claim 13, wherein the inner ring includes a recess configured and dimensioned to releasably receive the protrusion.

15. The surgical system of claim 14, wherein the handle body includes at least one cam surface configured and dimensioned to operatively engaged the abutment member.

16. The surgical system of claim 15, wherein the at least one cam surface includes at least one raised surface and at least one recess, the at least one raised surface configured and dimensioned to engage the abutment member.

17. The surgical system of claim 16, wherein the firing pawl includes a first cam slot configured and dimensioned to receive a first pin, the first pin traversing the inner ring, and the retraction pawl includes a second cam slot configured and dimensioned to receive a second pin, the second pin traversing the inner ring.

18. The surgical system of claim 8, wherein the firing pawl is in operative engagement with the firing rack when the outer ring is in the advanced position, the firing pawl being disengaged from the firing rack when the outer ring is in the retracted position.

19. The surgical system of claim 8, wherein the retraction pawl is in operative engagement with the retraction rack when the outer ring is in the retracted position, the retraction pawl being disengaged from the retraction rack when the outer ring is in the advanced position.

20. The surgical system of claim 8, wherein the barrel assembly further comprises a second shift ring assembly slidably positioned about the barrel assembly body portion, the second shift ring assembly including an outer ring and an inner ring, the outer ring and the inner ring each being adapted to transition from an advanced position to a retracted position, the outer ring and the inner ring being operatively connected such that the inner ring may transition from an advanced position to a retracted position as the outer ring transitions from the advanced position to the retracted position.

21. The surgical system of claim 20, wherein the outer ring includes at least one spring arm, the at least one spring arm including an abutment member and a protrusion.

22. The surgical system of claim 21, wherein the inner ring includes a recess configured and dimensioned to releasably receive the protrusion.

23. The surgical system of claim 22, wherein the handle body includes at least one cam surface configured and dimensioned to operatively engaged the abutment member.

24. The surgical system of claim 23, wherein the at least one cam surface includes at least one raised surface and at least one recess, the at least one raised surface configured and dimensioned to engage the abutment member.

25. The surgical system of claim 24, wherein the grasper pawl includes a cam slot configured and dimensioned to receive a pin, the pin traversing the inner ring.

26. The surgical system of claim 25, wherein the grasper pawl further includes a projection configured and dimensioned to be received by a cutout in the firing rack.

27. A surgical stapling device comprising:

a handle portion including a handle body and a drive mechanism including a barrel assembly having a barrel assembly body portion, a firing pawl, a retraction pawl, and a grasper pawl, the handle body including at least on elongated rib, the drive mechanism being configured and dimensioned to selectively engage a firing rack and a retraction rack, the retraction rack including a first surface with a first gear teeth engagable with the retraction pawl and a second surface with a second set of gear teeth, the barrel assembly including a shift ring assembly slidably positioned about the barrel assembly body portion, the shift ring assembly including;

a first shift ring assembly slidably positioned about the barrel assembly body portion, the first shift ring assembly including an outer ring and an inner ring, the outer ring and the inner ring each being adapted to transition from an advanced position to a retracted position, the outer ring and the inner ring being operatively connected such that the inner ring may transition from an advanced position to a retracted position as the outer ring transition from the advance position to the retracted position; and

a second shift ring assembly slidably positioned about the barrel assembly body portion, the second shift ring assembly including an outer ring and an inner ring, the outer ring and the inner ring each being adapted to transition from an advanced position to a retracted position, the outer ring and the inner ring being operatively connected such that the inner ring may transition from an advanced position to a retracted position as the outer ring transitions from the advanced position to the retracted position;

a biasing member, wherein the retraction pawl is configured to be urged into operative engagement with the retraction rack by the biasing member;

a trigger operatively connected to the handle portion;

an elongated body portion secured to the handle portion, the elongated body portion having proximal and distal ends and extending distally from the handle; and

a tool assembly pivotably connected to the pivot member and configured to grasp tissue wherein grasping, firing, and retraction is accomplished by operation of the trigger,

wherein the grasper is in operative engagement with the firing rack when the outer ring is in the advanced position and is disengaged from the firing rack when the outer ring is in the retracted position.

28. The surgical system of claim 27, wherein the outer ring includes at least one rib, the at least one rib defining at least one slot dimensioned to slidably receive the at least one elongated rib.

29. The surgical system of claim 28, wherein the outer ring further includes at least one prong.

30. The surgical system of claim 29, wherein the handle body includes at least one slot configured and dimensioned to receive the at least one prong.