Surgical stapling apparatus with articulatable components

• US 7,861,906 B2
• Filed: 02/14/2008
• Issued: 01/04/2011
• 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: Doll, Kevin R., Scheib, Charles J., Uth, Joshua R., Kolata, Ronald J., Smith, Bret W., Shelton, Frederick E. IV, Kelly, William D.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US12/031,066
• Publication Number:
  US 20090206129A1
• Time in Patent Office: 1,055 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: 227/175.2
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• 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 2017/291 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 90/70 Cleaning devices specially adapted for surgical instruments

Abstract

A surgical stapling apparatus for use with a disposable loading unit. Various embodiments include an elongated body assembly that comprises a distal body segment and a proximal body segment that are operably coupled together by an intermediate articulation joint such that the proximal body segment and the distal body segment define a longitudinal axis. The intermediate articulation joint may be configured to facilitate articulation of the distal body segment about an intermediate articulation axis that is substantially transverse to the longitudinal axis. The elongated body assembly may be configured to transfer actuation motions from an actuation shaft housed in a handle assembly to the disposable loading unit. In various embodiments, the intermediate articulation joint may be adjacent to the handle assembly.

Claims

1. A surgical stapling apparatus, comprising:

a handle assembly including a movable handle and a stationary handle housing, said movable handle being movable through actuation strokes relative to said stationary handle housing;

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; and

an elongated body assembly comprising;

a proximal body segment protruding from said handle assembly and interfacing with said actuation shaft;

a distal body segment configured to be operably attached to a disposable loading unit; and

an intermediate articulation joint coupling said distal body segment to said proximal body segment such that said proximal body segment and said distal body segment define a longitudinal axis and wherein said intermediate articulation joint enables said distal body segment to be selectively pivoted about an intermediate articulation axis that is substantially transverse to said longitudinal axis, and wherein said elongated body assembly is configured to transfer said actuation motions from said actuation shaft to the disposable loading unit.

2. The surgical stapling apparatus of claim 1 wherein the disposable loading unit has a tool assembly that is selectively pivotable about a first articulation axis relative to a disposable loading unit housing portion coupled to said tool assembly and said distal body segment of said elongated body assembly and wherein said surgical stapling apparatus further comprises an articulation lever operably supported by said handle assembly and interfacing with said elongated body assembly to selectively apply articulation motions to said tool assembly.

3. The surgical stapling apparatus of claim 1 wherein said intermediate articulation joint is configured to retain the distal body segment in any one of a plurality of pivotal positions about said intermediate articulation axis relative to said proximal body segment.

4. The surgical stapling apparatus of claim 1 wherein said distal body segment has a pair of spaced proximally protruding lugs thereon constructed to be pivotally pinned to corresponding distally protruding lugs on said proximal body segment of said elongated body assembly.

5. The surgical stapling apparatus of claim 4 further comprising:

at least one locking rib formed on at least one of said proximally protruding lugs; and

a plurality of radial grooves on at least one of said distally protruding lugs and arranged to selectively mesh with said at least one locking rib.

6. The surgical stapling apparatus of claim 4 further comprising:

at least one locking rib formed on at least one of said distally protruding lugs; and

a plurality of radial grooves on at least one of said proximally protruding lugs and arranged to selectively mesh with said at least one locking rib.

7. The surgical stapling apparatus of claim 1 further comprising an articulation system at least partially supported by said handle assembly and interfacing with said distal body segment to selectively apply articulation motions thereto.

8. The surgical stapling apparatus of claim 7 wherein said articulation system comprises:

an articulation button operably supported on said handle assembly; and

an articulation bar operably interfacing with said articulation button and said distal body segment.

9. The surgical stapling apparatus of claim 7 wherein said articulation system is configured to selectively transmit at least one articulation motion to said distal body segment to cause said distal body segment to articulate in a first plane, said articulation system being further configured to selectively transmit at least one other articulation motion to said distal body segment to cause said distal body segment to articulate in a second plane that is substantially orthogonal to said first plane.

10. The surgical stapling apparatus of claim 1 wherein said intermediate articulation joint is a ball joint.

11. The surgical stapling apparatus of claim 10 further comprising an articulation system at least partially supported by said handle assembly and interfacing with said ball joint to selectively apply articulation motions thereto.

12. The surgical stapling apparatus of claim 11 wherein said articulation system comprises:

an articulation handle operably supported on said handle assembly;

at least one horizontal articulation bar interfacing with said articulation handle and said ball joint; and

at least one vertical articulation bar interfacing with said articulation handle and said ball joint.

13. The surgical stapling apparatus of claim 1 wherein said intermediate articulation joint is adjacent to said handle assembly.

14. A surgical stapling apparatus, comprising:

a handle assembly including a movable handle and a stationary handle housing, said movable handle being movable through actuation strokes relative to said stationary handle housing;

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; and

an elongated body assembly comprising;

a proximal body segment protruding from said handle assembly and interfacing with said actuation shaft, said proximal body segment having a ball segment formed on a distal end thereof; and

a distal body segment having a distal end configured to be operably attached to a disposable loading unit, said distal body segment further having a socket formed on a proximal end thereof, said socket sized to rotatably receive said ball segment therein; and

an articulation system at least partially supported by said handle assembly and interfacing with said distal body segment of said elongated body assembly to selectively transmit at least one articulation motion to said distal body segment to cause said distal body segment to articulate in a first plane, said articulation system being further configured to selectively transmit at least one other articulation motion to said distal body segment to cause said distal portion to articulate in a second plane that is substantially orthogonal to said first plane.

15. The surgical stapling apparatus of claim 14 wherein said articulation system comprises:

an articulation handle operably supported on said handle assembly;

at least one horizontal articulation bar interfacing with said articulation handle and said socket; and

at least one vertical articulation bar interfacing with said articulation handle and said socket.

16. The surgical stapling apparatus of claim 14 wherein the disposable loading unit has a tool assembly that is selectively pivotable about a first articulation axis relative to a disposable loading unit housing portion coupled to said tool assembly and said distal body segment of said elongated body assembly and wherein said surgical stapling apparatus further comprises an articulation lever operably supported by said handle assembly and interfacing with said elongated body assembly to selectively apply articulation motions to said tool assembly.

17. A surgical stapling apparatus, comprising:

a disposable loading unit;

a handle assembly including a movable handle and a stationary handle housing, said movable handle being movable through actuation strokes relative to said stationary handle housing;

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; and

an elongated body assembly comprising;

a proximal body segment protruding from said handle assembly and interfacing with said actuation shaft;

a distal body segment attached to the disposable loading unit; and

an intermediate articulation joint coupling said distal body segment to said proximal body segment such that said proximal body segment and said distal body segment define a longitudinal axis and wherein said intermediate articulation joint enables said distal body segment to be selectively pivoted about an intermediate articulation axis that is substantially transverse to said longitudinal axis, and wherein said elongated body assembly is configured to transfer said actuation motions from said actuation shaft to the disposable loading unit.

18. A surgical stapling apparatus, comprising:

a disposable loading unit;

a handle assembly including a trigger;

an actuation shaft connected to said handle housing and mounted to generate actuation motions in response to manipulation of said trigger; and

an elongated body assembly comprising;

a proximal body segment protruding from said handle assembly and interfacing with said actuation shaft;

a distal body segment attached to the disposable loading unit; and

an intermediate articulation joint coupling said distal body segment to said proximal body segment such that said proximal body segment and said distal body segment define a longitudinal axis and wherein said intermediate articulation joint enables said distal body segment to be selectively pivoted about an intermediate articulation axis that is substantially transverse to said longitudinal axis, and wherein said elongated body assembly is configured to transfer said actuation motions from said actuation shaft to the disposable loading unit.

19. A surgical stapling apparatus, comprising:

a disposable loading unit;

a handle assembly including a movable handle and a stationary handle housing, said movable handle being movable through actuation strokes relative to said stationary handle housing;

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; and

an elongated body assembly comprising;

a proximal body segment protruding from said handle assembly and interfacing with said actuation shaft, said proximal body segment having a ball segment formed on a distal end thereof; and

a distal body segment having a distal end attached to the disposable loading unit, said distal body segment further having a socket formed on a proximal end thereof, said socket sized to rotatably receive said ball segment therein; and

an articulation system at least partially supported by said handle assembly and interfacing with said distal body segment of said elongated body assembly to selectively transmit at least one articulation motion to said distal body segment to cause said distal body segment to articulate in a first plane, said articulation system being further configured to selectively transmit at least one other articulation motion to said distal body segment to cause said distal portion to articulate in a second plane that is substantially orthogonal to said first plane.