Surgical fastener applying apparatus

• US 7,942,300 B2
• Filed: 01/15/2008
• Issued: 05/17/2011
• Est. Priority Date: 10/05/2001
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Rethy, Csaba L., Ehrenfels, Karl H., Pedros, Roberto, Ivanko, David, Lehn, Randolph F., Viola, Frank J.
• Primary Examiner(s): Rada; Rinaldi I
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US12/008,959
• Publication Number:
  US 20080116244A1
• Time in Patent Office: 1,218 Days
• Field of Search: 227/176.1, 227/175.1, 227/19
• US Class Current: 227/175.1
• 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 2017/0725 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 by marking A61B2090/395
• 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

The present disclosure relates to surgical fastener applying apparatus for sequentially applying a plurality of surgical fasteners to body tissue. The surgical fastener applying apparatus includes a replaceable cartridge assembly receivable in a distal end portion of a cartridge receiving half-section, the cartridge assembly including a safety lockout pivotably disposed along the upper surface of the cartridge assembly and movable from an unlocked orientation permitting assembly of an anvil half-section to the cartridge receiving half-section, to a locked orientation preventing assembly of the anvil half-section to the cartridge receiving-half section.

Claims

1. A surgical fastener applying apparatus comprising:

an anvil half-section having a proximal end portion and a distal end portion including an anvil which defines a fastener forming surface against which surgical fasteners are driven, the anvil half-section including mounting bosses extending from lateral sides thereof; and

a cartridge receiving half-section having a proximal end portion and a distal end portion, the cartridge receiving half-section being configured and adapted to releasably mate with the anvil half-section, the cartridge receiving half-section including a pair of uprights, each upright including a slot formed through an upper edge thereof for permitting receipt of the mounting bosses of the anvil half-section, the surgical fastener applying apparatus having an assembled configuration wherein the anvil half-section and the cartridge receiving half-section are positioned in juxtaposed alignment with each other, the anvil half-section and the cartridge receiving half-section being relatively movable from an unclamped position to a fully clamped position to clamp tissue therebetween, the cartridge receiving half-section including;

a pivotable clamping lever, wherein movement of the clamping lever from a first position, where the clamping lever is fully extended, to a second position, where the clamping lever is fully retracted, moves the cartridge receiving and anvil half-sections to the fully clamped position;

wherein the clamping lever includes a body portion having a pair of juxtaposed hinge plates each defining a reinforced access channel formed therein for receiving the respective mounting boss of the anvil half-section, wherein when the clamping lever is in the first position the access channels thereof are longitudinally aligned with the slots of the uprights such that the mounting bosses of the anvil half-section engage the access channels of the clamping lever when the anvil half-section and the cartridge half-section are mated and such that the mounting bosses are engaged with the access channels in the first and second positions, and wherein as the clamping lever moves from the first position to the second position, the access channels of the clamping lever reorient in order to advance and guide the mounting bosses of the anvil half-section therethrough to align the anvil half-section and the cartridge receiving half-section to a fully clamped position to clamp tissue therebetween.

2. The surgical stapler according to claim 1, wherein each reinforced access channel comprises a folded over portion of the hinge plate.

3. The surgical stapler according to claim 1, wherein the reinforced access channel is generally L-shaped.

4. The surgical stapler according to claim 1, wherein the anvil half-section includes a pair of mounting bosses extending from opposed sides thereof, wherein the mounting bosses are located near a mid-point of the anvil half-section, wherein each mounting boss is selectively receivable in a respective access channel of the clamping lever when the clamping lever is in the first position.

5. The surgical stapler according to claim 4, wherein movement of the clamping lever from the first position to the second position, when the mounting bosses are disposed within the respective access channels, results in approximation of the anvil half-section and cartridge receiving half-section.

6. The surgical fastener applying apparatus according to claim 1, further comprising a firing slide operatively associated with the cartridge receiving half-section, the firing slide including a firing lever coupled thereto, wherein the firing lever enables the surgical fastener applying apparatus to be fired from either side thereof.

7. The surgical fastener applying apparatus according to claim 1, further including a replaceable cartridge assembly receivable in the distal end portion of the cartridge receiving half-section, the cartridge assembly having an upper surface and a plurality of surgical staples abutting surgical staple pushers, the surgical staples being ejectable from the cartridge assembly through openings in the upper surface.

8. The surgical fastener applying apparatus according to claim 7, wherein the cartridge assembly defines at least one slot for receiving at least one knife therein.

9. The surgical fastener applying apparatus according to claim 8, wherein the cartridge assembly includes a safety lockout pivotably disposed along the upper surface of cartridge assembly and movable from an unlocked orientation permitting assembly of the anvil half-section to the cartridge receiving half-section to a locked orientation preventing assembly of the anvil half-section to the cartridge receiving-half section.

10. The surgical fastener applying apparatus according to claim 7, wherein the cartridge receiving half-section includes a loading and lockout mechanism operatively associated therewith, the loading and lockout mechanism being configured and adapted to facilitate loading of the cartridge assembly to the to the cartridge receiving half-section and to prevent firing of the surgical fastener applying apparatus until the cartridge assembly is properly loaded onto cartridge receiving half-section.

11. The surgical fastener applying apparatus according to claim 10, wherein the loading and lockout mechanism includes a rocker pivotably mounted to the cartridge receiving half-section, the rocker having a locked-out position which prevents firing of the surgical fastener applying apparatus and a firing position which permits firing of the surgical fastener applying apparatus.

12. The surgical fastener applying apparatus according to claim 11, wherein when in the locked-out position, the rocker engages a cam bar and prevents displacement of the cam bar in a distal direction and when in the firing position the rocker disengages the cam bar and allows the cam bar to be displaced distally.

13. The surgical fastener applying apparatus according to claim 1, further comprising a gap adjustment mechanism operatively associated between the anvil half-section and the cartridge receiving half-section, wherein the gap adjustment mechanism is configured and adapted to vary the size of a gap between the distal end portions of the anvil half-section and the cartridge receiving half-section.

14. The surgical fastener applying apparatus according to claim 1, wherein portions of the respective access channels have an external covering.

15. The surgical fastener applying apparatus according to claim 14, wherein each external covering extends along substantially an entire length of the respective access channel.

16. The apparatus according to claim 1, wherein the pair of uprights define a slot that has a slot axis that is substantially orthogonal to a longitudinal axis of the cartridge receiving half-section, wherein a longitudinal axis of a first portion of the access channels is substantially parallel with the slot axis when the pivotable clamping lever is in the first position, and wherein the longitudinal axis of the first portion of the access channels and the slot axis are longitudinally aligned along a plane that is substantially orthogonal to the longitudinal axis of the cartridge receiving half-section when the pivotable clamping lever is in the first position.

17. The apparatus according to claim 16, wherein the longitudinal axis of the first portion of the access channels and the slot axis are collinear with an axis that is substantially orthogonal to the longitudinal axis of the cartridge receiving half-section when the pivotable clamping lever is in the first position.

18. A surgical fastener applying apparatus comprising:

an anvil half section;

a cartridge receiving half-section defining a longitudinal axis, the cartridge receiving and the anvil half sections being relatively movable from an unclamped position to a fully clamped position to clamp tissue therebetween, the cartridge receiving half-section including a pair of uprights, each upright including a slot formed through an upper edge thereof, the cartridge receiving half-section including a pivotable clamping lever, wherein movement of the clamping lever from a first position, where the clamping lever is fully extended, to a second position, where the clamping lever is fully retracted, moves the cartridge receiving and anvil half-sections to the fully clamped position, the pivotable clamping lever having a pair of juxtaposed mounting brackets, the mounting brackets each having an access channel formed therein, wherein when the clamping lever is in the first position the access channels thereof are longitudinally aligned with the slots of the uprights; and

a pair of mounting bosses projecting from the anvil half section, wherein the access channels engage the mounting bosses of the anvil half-section when the clamping lever is in the first position and the second position.

19. The apparatus according to claim 18, wherein each access channel comprises a folded over portion of the mounting brackets.

20. The apparatus according to claim 18, wherein each access channel is generally L-shaped.

21. The apparatus according to claim 20, wherein movement of the clamping lever from the first position to the second position, when the mounting bosses are disposed within the respective access channels, results in approximation of the anvil half-section and cartridge receiving half-section.

22. The apparatus according to claim 18, wherein portions of the respective access channels have an external covering.

23. The apparatus according to claim 22, wherein each external covering extends along substantially an entire length of the respective access channel.