Tool assembly for a surgical stapling device

• US 8,033,442 B2
• Filed: 11/28/2007
• Issued: 10/11/2011
• Est. Priority Date: 10/04/2002
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc), Siemens AG
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Emmons, Clifford L., Olson, Lee Ann, Beardsley, John W., Racenet, David C., Roy, Philip, Stearns, Ralph
• Primary Examiner(s): Tawfik; Sameh H.
• Assistant Examiner(s): Lopez; Michelle
• Application Number:
  US11/998,037
• Publication Number:
  US 20080105730A1
• Time in Patent Office: 1,413 Days
• Field of Search: 227/175.1, 227/176.1, 227/180.1, 227/19, 227/181.1, 606/219
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• 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 2017/2926 Details of heads or jaws
• 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 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395

Abstract

A surgical stapling device including an independently rotatable tool assembly is disclosed. The tool assembly includes an anvil and a cartridge assembly which are movable in relation to each other between spaced and approximated positions.

Claims

1. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge.

2. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge,

wherein the anvil has a first recess and the upper flange is received in the first recess of the anvil.

3. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge,

wherein the cartridge assembly has a second recess and the lower flange is received in the second recess of the cartridge assembly.

4. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge,

wherein at least one of the upper flange and lower flange is arcuate in shape.

5. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge,

wherein the cartridge assembly includes a sled for ejecting the staples from the cartridge, the sled being moved distally by the distal movement of the dynamic clamping member.

6. The surgical tool assembly according to claim 5, wherein the dynamic clamping member engages the anvil and cartridge assembly to maintain a desired tissue gap in the area of the tool assembly adjacent the sled during ejection of the staples.

7. The surgical tool assembly according to claim 6, wherein the anvil is formed as a solid, one-piece member.

8. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge,

wherein the cartridge assembly is pivotably attached to the anvil.

9. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge,

further comprising a sheath positioned about the flexible member to prevent buckling.

10. The surgical tool assembly according to claim 9, wherein the flexible member comprises a rod slidably positioned within the sheath.

11. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge,

wherein the distal end of the flexible member is shaped to conform to the proximal recess of the dynamic clamping member.

12. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge,

further comprising a clamp ring positioned around a proximal end of the anvil and a proximal end of the cartridge assembly.

13. The surgical tool assembly according to claim 12, further comprising a sheath positioned about the flexible member, the sheath being connected to the clamp ring.

14. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member defining a proximal recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member having a distal end fixedly secured within the proximal recess of the dynamic clamping member, the flexible member being movable distally to advance the dynamic clamping member distally through the staple cartridge,

wherein the lower flange engages the cartridge assembly to pivot the cartridge assembly from the spaced position to the approximated position.

15. The surgical tool assembly according to claim 14, wherein the cartridge assembly includes a cam surface, the lower flange engaging the cam surface.

16. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member having a recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member attached to the dynamic clamping member and movable distally to advance the dynamic clamping member distally through the staple cartridge, a distal end of the flexible member being secured within and shaped to conform to the recess.

17. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member having a recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member attached to the dynamic clamping member and movable distally to advance the dynamic clamping member distally through the staple cartridge, a distal end of the flexible member being secured within and shaped to conform to the recess,

further comprising a clamp ring positioned around a proximal end of the anvil and a proximal end of the cartridge assembly.

18. The surgical tool assembly according to claim 17, further comprising a sheath positioned about the flexible member, the sheath being connected to the clamp ring.

19. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member having a recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member attached to the dynamic clamping member and movable distally to advance the dynamic clamping member distally through the staple cartridge, a distal end of the flexible member being secured within and shaped to conform to the recess,

wherein the tool assembly is attached to a pivot member so that the tool assembly is mounted for articulation with respect to the endoscopic body portion.

20. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a dynamic clamping member having a recess, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge; and

a flexible member attached to the dynamic clamping member and movable distally to advance the dynamic clamping member distally through the staple cartridge, a distal end of the flexible member being secured within and shaped to conform to the recess,

further comprising a rotation collar, the flexible member being rotatable to rotate the tool assembly about the longitudinal axis of the rotation collar.

21. A surgical stapling device, comprising:

a handle assembly;

an endoscopic body portion; and

a tool assembly, including;

a rotation collar;

an anvil;

a staple cartridge assembly including a cartridge having a plurality of surgical staples; and

a clamp ring positioned around a proximal end of the anvil and a proximal end of the cartridge assembly and configured to affect movement of the anvil in relation to the cartridge assembly,

a dynamic clamping member, the dynamic clamping member having an upper flange for engaging the anvil and a lower flange for engaging a bearing surface of the cartridge assembly, the anvil and cartridge assembly being movable in relation to each other between spaced and approximated positions, the dynamic clamping member being movable to eject the staples from the cartridge;

a flexible member attached to the dynamic clamping member and movable distally to advance the dynamic clamping member distally through the staple cartridge; and

a sheath positioned about the flexible member, the sheath being connected to the clamp ring,

wherein the dynamic clamping member includes a recess for receiving a distal end of the flexible member.

22. The surgical stapling device according to claim 21, wherein the distal end of the flexible member is shaped to conform to the recess.