Surgical stapling apparatus with control features operable with one hand

• US 7,819,298 B2
• Filed: 02/14/2008
• Issued: 10/26/2010
• Est. Priority Date: 02/14/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Hall, Steven G., Blair, Gregory B., Ortiz, Mark S., Shelton, Frederick E. IV, Weizman, Patrick A., Zwolinski, Andrew M., Hueil, Geoffrey C., Messerly, Jeffrey D., Bruewer, Dean B., Tanguay, Randall J., Hoffman, Douglas B., Robertson, Galen C.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US12/031,030
• Publication Number:
  US 20090206124A1
• Time in Patent Office: 985 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/175.2, 227/180.1, 606/139, 606/219
• US Class Current: 227/176.1
• 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 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/0023 disposable
• 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 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00946 malleable
• 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 2017/2901 Details of shaft
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2906 Multiple forceps
• CPC Class Codes: A61B 2017/2908 Multiple segments connected by articulations
• 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 2017/2925 : Pistol grips
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 : with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/320052 : Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2090/0813 : Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 50/00 : Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers drapes specially adapted for instruments A61B46/10
• CPC Class Codes: A61B 90/70 : Cleaning devices specially adapted for surgical instruments

Abstract

A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.

Claims

1. A surgical stapling apparatus, comprising:

a handle assembly including handle housing and a movable handle, the movable handle being movable relative to the handle housing through an actuation stroke;

an actuation shaft supported at least in part within said handle housing and mounted to generate actuation motions in response to manipulation of said movable handle;

a rotatable shroud movably coupled to said handle housing;

an elongated body coupled to said rotatable shroud for rotational travel therewith about a longitudinal axis defined by said elongated body, said elongated body having a distal end configured to be operably attached to a disposable loading unit and a proximal end interfacing with said actuation shaft to transfer said actuation motions from said actuation shaft to said disposable loading unit; and

a lockable rotation system for selectively locking said rotatable shroud to prevent rotation thereof about said longitudinal axis.

2. The surgical stapling apparatus of claim 1 further comprising an articulation system operably supported by said handle housing and interfacing with said elongated body to selectively apply articulation motions thereto.

3. The surgical stapling apparatus of claim 2 wherein said lockable rotation system comprises a brake system configured to prevent movement of said articulation system during rotation of said rotatable shroud.

4. The surgical stapling apparatus of claim 3 wherein said brake system comprises:

a rotation lock ring on a portion of said rotatable shroud; and

a locking bolt movably supported in said handle housing for selective meshing engagement with said rotation lock ring such that when said locking bolt is engaged with said rotation lock ring, said rotatable shroud is prevented from rotating about said longitudinal axis.

5. The surgical stapling apparatus of claim 3 further comprising a grip movably supported on said rotatable shroud and being operably coupled to said articulation system, said grip interfacing with said brake system such that said brake system may selectively lock said grip to said rotatable shroud to prevent axial movement of said grip on said rotatable shroud.

6. The surgical stapling apparatus of claim 5 wherein said brake system comprises:

a rotation lock ring on a portion of said rotatable shroud;

a brake tube movably supported within said handle housing for selective axial travel therein;

a switch bar coupled to said brake tube and a selector switch such that actuation of said selector switch moves said brake tube axially within said handle housing;

a locking bolt associated with said switch bar for selective meshing engagement with said rotation lock ring on said rotatable shroud such that when said locking bolt is engaged therewith, said rotatable shroud is prevented from rotating about said longitudinal axis and when said locking bolt is disengaged from said rotation lock ring, said rotatable shroud can rotate relative to said handle housing;

a selectively expandable brake band supported on said rotatable shroud between said rotatable shroud and said grip, said expandable brake band being selectively movable between an expanded position and an unexpanded position such that when said expandable brake band is in said expanded position, said grip is prevented from moving axially on said rotatable shroud and when said expandable brake band is in said unexpanded position, said grip can move axially on said rotatable shroud; and

a brake arm pin interfacing with said expandable brake band and said brake tube such that axial movement of said brake tube in one axial direction causes said expandable brake band to move to said expanded position and movement said brake tube in an opposite axial direction causes said expandable brake band to move to said unexpanded position.

7. The surgical stapling apparatus of claim 5 wherein said articulation system is actuated by moving said grip axially on said rotatable shroud.

8. The surgical stapling apparatus of claim 7 wherein when said grip is axially moved on said rotatable shroud in a distal direction, said articulation system imparts an articulation motion in a first direction and when said grip is axially moved on said rotatable shroud in a proximal direction, said articulation system imparts articulation motion in a second direction.

9. The surgical stapling apparatus of claim 2 further comprising means for providing an audible indication of a position of said articulation system.

10. The surgical stapling apparatus of claim 2 wherein said articulation system comprises:

a translation member movably supported within said rotatable shroud for selective longitudinal movement therein, said translation member interfacing with the elongated body; and

an articulation member movably supported on said rotatable shroud and operably interfacing with said translation member.

11. The surgical stapling apparatus of claim 10 wherein said articulation member comprises:

an articulation ring threadably attached to an exterior of said rotatable shroud; and

an articulation pin engaging said articulation ring and said translation member such that as said articulation ring is threadedly advanced on said rotatable shroud, said translation member is caused to move axially therein.

12. The surgical stapling apparatus of claim 1 wherein said lockable rotation system comprises a lockable knob movably supported on said handle housing for selective movement between a first locked position wherein said lockable knob engages said rotatable shroud to prevent rotation thereof relative to said handle assembly and a second unlocked position wherein said rotatable shroud may be rotated relative to said handle assembly by rotating said is lockable knob.

13. The surgical stapling apparatus of claim 12 further comprising a biasing member between said handle housing and said lockable knob assembly to bias said lockable knob assembly into the first locked position.