Surgical stapler

• US 7,891,532 B2
• Filed: 08/06/2008
• Issued: 02/22/2011
• Est. Priority Date: 08/28/1995
• Status: Expired due to Fees

• Current Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Alesi, Thomas W. Jr., Wilson, Jon, Geiste, Robert J., Viola, Frank J., Mastri, Dominick L.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US12/186,638
• Publication Number:
  US 20080290135A1
• Time in Patent Office: 930 Days
• Field of Search: 227/19, 227/176.1, 227/175.2, 227/175.3, 227/180.1, 606/139, 606/219
• US Class Current: 227/176.1
• 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 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion

Abstract

A surgical device is described herein that can be used to fire different types and sizes of disposable loading units. In a preferred embodiment, the device applies parallel rows of surgical fasteners to body tissue and concomitantly forms an incision between the rows of staples during an endoscopic or laparoscopic surgical procedure. The device can be utilized with disposable loading units configured to apply linear rows of staples measuring from about 15 mm in length to about 60 mm in length and can be used to fire disposable loading units containing surgical clips and individual staples.

Claims

1. A surgical stapler comprising:

a handle assembly including a movable handle;

an elongated body extending distally from the handle assembly and defining a longitudinal axis;

an actuation assembly including an actuation member having teeth, a driving pawl, a locking member, and a release member, the driving pawl being operatively associated with the movable handle and movable into engagement with the actuation member to effect longitudinal movement of the actuation member, the locking member being movable into engagement with the actuation member to retain the actuation member in a longitudinally fixed position, the release member being movable to engage the locking member and move the locking member away from the actuation member;

a staple cartridge supported by the elongated body and containing a plurality of staples;

an anvil mounted adjacent the staple cartridge, the anvil having a fastener forming surface thereon, the anvil and staple cartridge being movable in relation to one another between an open and a closed position; and

an actuator operatively connected to the actuation member, the actuator being configured to move relative to the staple cartridge and anvil to effectuate sequential ejection of the staples from the staple cartridge.

2. The surgical stapler of claim 1, wherein the driving pawl is attached to the movable handle.

3. The surgical stapler of claim 2, wherein the actuation member is biased in a proximal direction.

4. The surgical stapler of claim 1, wherein the actuation member has a notch positioned for engagement by the locking member.

5. The surgical stapler of claim 4, wherein the locking member is arranged to engage the notch after relative movement of the anvil and staple cartridge from the open to the closed position.

6. The surgical stapler of claim 5, wherein the teeth are disposed proximal to the notch.

7. The surgical stapler of claim 1, wherein the release member is pivotable and biased away from the locking member.

8. The surgical stapler of claim 1, wherein the release member is manipulable to move the locking member away from the actuation member.

9. The surgical stapler of claim 8, wherein the actuation member is free to translate in a distal direction in response to manipulation of the movable handle after manipulation of the release member.

10. A surgical stapler, comprising:

a handle assembly including a movable handle;

an elongated body extending distally from the handle assembly and defining a longitudinal axis;

a staple cartridge supported by the elongated body and containing a plurality of staples;

an anvil mounted adjacent the staple cartridge, the anvil having a fastener forming surface thereon, the anvil and staple cartridge being movable in relation to one another between an open and a closed position;

an actuation assembly including an actuation member having teeth, a driving pawl, and a locking member, the driving pawl being operatively associated with the movable handle and movable into engagement with the actuation member to effect longitudinal movement of the actuation member, the actuation member being biased in a proximal direction, and the locking member being arranged for maintaining the position of the actuation rack;

an actuator operatively connected to the actuation member, the actuator being configured to move relative to the staple cartridge and anvil to effectuate sequential ejection of the staples from the staple cartridge.

11. The surgical stapler of claim 10, further comprising a manual release mechanism for releasing the locking member.

12. The surgical stapler of claim 11, wherein after the locking member is released by the manual release mechanism, the actuation member is movable to fire staples from the cartridge.

13. The surgical stapler of claim 10, the locking member including a first strut for engaging the actuation member and a second strut for engaging the actuation member.

14. The surgical stapler of claim 10, wherein the driving pawl is biased away from the actuation member when the movable handle is in a first position at rest, and the driving pawl is biased toward the actuation member when the actuation handle is moved to a second position.

15. The surgical stapler of claim 10, wherein the actuator is arranged to effectuate relative movement of the anvil and staple cartridge to the closed position, the locking member preventing the advancement of the actuation rack after relative movement of the anvil and staple cartridge to the closed position.

16. The surgical stapler of claim 10, further comprising a retraction mechanism for opening the jaws of the stapler after clamping tissue and before firing staples.

17. The surgical stapler of claim 16, wherein the retraction mechanism includes a knob connected to the actuation rack.