Surgical instrument having an asymmetric dynamic clamping member

• US 7,988,028 B2
• Filed: 09/03/2009
• Issued: 08/02/2011
• Est. Priority Date: 09/23/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Robbins, Michael, Racenet, Danyel, Scirica, Paul A., Kasvikis, Dino, Farascioni, David
• Primary Examiner(s): Nash; Brian D
• Application Number:
  US12/553,174
• Publication Number:
  US 20100072258A1
• Time in Patent Office: 698 Days
• Field of Search: 227/19, 227/180.1, 227/176.1, 227/175.1
• US Class Current: 227/180.1
• 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 17/072 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07221 curved
• CPC Class Codes: A61B 2017/07235 containing different staples, e.g. staples of different shapes, sizes or materials
• CPC Class Codes: A61B 2017/07242 achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• 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 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/1432 curved

Abstract

A surgical instrument is disclosed. The surgical instrument includes a handle assembly, a drive assembly, an endoscopic portion, a pair of jaw members, a dynamic clamping member, and a tissue stop. The drive assembly is disposed in mechanical cooperation with a movable handle of the handle assembly. The endoscopic portion defines a first longitudinal axis. The jaw members are each longitudinally curved with respect to the longitudinal axis. The dynamic clamping member is disposed in mechanical cooperation with a distal portion of the drive assembly and includes an upper beam, a lower beam, and a vertical beam having a cutting edge on a distal portion thereof. At least a portion of the dynamic clamping member is longitudinally curved with respect to the longitudinal axis. The tissue stop is disposed adjacent a distal portion of the first jaw member and configured to impede tissue from distally escaping the jaw members.

Claims

1. A surgical instrument for surgically joining tissue comprising:

a handle assembly including a movable handle;

a drive assembly disposed in mechanical cooperation with the movable handle;

an endoscopic portion extending distally from the handle assembly and defining a first longitudinal axis;

a pair of jaw members disposed adjacent a distal end of the endoscopic portion and extending generally distally therefrom, each of the jaw members being curved with respect to the first longitudinal axis, at least one of the jaw members being movable with respect to the other between an open position and an approximated position for engaging body tissue therebetween, the pair of jaw members including a first jaw member and a second jaw member;

an asymmetrical dynamic clamping member disposed in mechanical cooperation with a distal portion of the drive assembly, wherein the dynamic clamping member is advanced distally through at least a portion of the length of the jaw members in response to at least a partial actuation of the movable handle, the dynamic clamping member including an upper beam, a lower beam, and a vertical portion, the vertical portion connecting the upper beam and the lower beam and including a cutting edge; and

a tissue stop disposed adjacent a distal portion of the first jaw member and configured to impede tissue from escaping the jaw members.

2. The surgical instrument of claim 1, wherein a portion of the dynamic clamping member is curved with respect to the first longitudinal axis.

3. The surgical instrument of claim 2, wherein the vertical portion of the dynamic clamping member is curved with respect to the first longitudinal axis.

4. The surgical instrument of claim 2, wherein each of the upper beam and the lower beam of the dynamic clamping member has a polygonal shape.

5. The surgical instrument of claim 1, wherein the dynamic clamping member is asymmetrical about a vertical plane extending through the vertical portion.

6. The surgical instrument of claim 1, wherein the dynamic clamping member asymmetrical about a horizontal plane extending through the vertical portion.

7. The surgical instrument of claim 1, wherein the tissue stop is movable from a first position wherein the tissue stop is disposed substantially between the jaw members, and a second position wherein the tissue stop is disposed substantially within the first jaw member.

8. The surgical instrument of claim 7, wherein the tissue stop is biased towards its first position via a biasing member.

9. The surgical instrument of claim 8, wherein approximation of the jaw members causes the tissue stop to move from its first position towards it second position.

10. The surgical instrument of claim 8, wherein the tissue stop includes at least one finger thereon, the at least one finger extends distally from a proximal portion of the tissue stop and is configured to engage a lip of the first jaw member to limit the amount of movement imparted by the biasing member.

11. The surgical instrument of claim 1, wherein the tissue stop includes a stopping portion disposed adjacent a proximal portion thereof, the stopping portion being disposed at an oblique angle with respect to a tissue contacting surface of the first jaw member with the jaw members are in the open position.

12. The surgical instrument of claim 1, wherein the tissue stop defines a knife channel for receiving the cutting edge.

13. The surgical instrument of claim 12, wherein the cutting edge faces off center with respect to an axis through the clamping member.

14. The surgical instrument of claim 1, wherein the lower beam is wider than upper beam of the dynamic clamping member.

15. The surgical instrument of claim 1, further comprising a protrusion extending from a proximal surface of the dynamic clamping member.

16. The surgical instrument of claim 1, wherein the lower beam is thicker than the upper beam.

17. A surgical instrument for surgically joining tissue comprising:

a handle assembly including a movable handle;

a drive assembly disposed in mechanical cooperation with the movable handle;

an endoscopic portion extending distally from the handle assembly and defining a first longitudinal axis;

a pair of jaw members disposed adjacent a distal end of the endoscopic portion and extending generally distally therefrom, at least one of the jaw members being movable with respect to the other between an open position and an approximated position for engaging body tissue therebetween, the pair of jaw members including a first jaw member and a second jaw member;

an asymmetrical dynamic clamping member disposed in mechanical cooperation with a portion of the drive assembly, wherein the dynamic clamping member is advanced distally through at least a portion of the length of the jaw members in response to at least a partial actuation of the movable handle; and

a tissue stop disposed adjacent a distal portion of the first jaw member and configured to impede tissue from escaping the jaw members.

18. The surgical instrument of claim 17, wherein the tissue stop is pivotable with respect to the first jaw member.

19. The surgical instrument of claim 18, wherein the dynamic clamping member includes a cutting edge.

20. The surgical instrument of claim 17, wherein the dynamic clamping member includes an upper beam, a lower beam, and a vertical portion, the vertical portion connecting the upper beam and the lower beam.

21. The surgical instrument of claim 17, wherein each of the jaw members is curved with respect to the first longitudinal axis.