Surgical fastener applying apparatus

• US 8,074,861 B2
• Filed: 11/17/2009
• Issued: 12/13/2011
• Est. Priority Date: 10/13/2000
• Status: Expired due to Term

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Ehrenfels, Karl H., Ivanko, David, Lehn, Randolph F., Pedros, Roberto, Rethy, Csaba L., Viola, Frank
• Primary Examiner(s): Nash, Brian D
• Application Number:
  US12/619,829
• Publication Number:
  US 20100193570A1
• Time in Patent Office: 756 Days
• Field of Search: 227/175.1, 227/175.2, 227/180.1, 227/19, 227/182.1
• US Class Current: 227/180.1
• 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;

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 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 half-section including a pivotable clamping lever, wherein movement of the clamping lever from a first position to a second position moves the cartridge receiving and anvil half-sections to the fully clamped position, the anvil half-section and the cartridge half-section defining a gap between their respective distal ends when in the fully clamped position;

a gap adjustment mechanism disposed between the anvil half-section and the cartridge receiving half-section and configured and adapted to vary the size of the gap between the distal end portions of the anvil half-section and the cartridge receiving half-section, wherein the gap adjustment mechanism defines an axis of rotation that is transverse to a longitudinal axis of surgical fastener applying apparatus, and wherein the gap adjustment mechanism is rotated to adjust the gap; and

a cam lock configured and adapted to engage the gap adjustment mechanism and to prevent movement of the gap adjustment mechanism after adjustment of the gap.

2. The surgical fastener applying apparatus according to claim 1, wherein the gap adjustment mechanism includes a cam positioned between the anvil half-section and the cartridge receiving half-section when in the assembled condition, wherein manipulation of the cam results in the variation of the size of the gap between the distal ends of the anvil half-section and the cartridge receiving half-section.

3. The surgical fastener applying apparatus according to claim 1, further comprising:

a clamp latch configured and adapted to retain said clamping lever in a clamped orientation; and

a safety interlock assembly configured and adapted to prevent opening of said clamping lever after said firing lever has been moved distally.

4. 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;

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 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 half-section including a pivotable clamping lever, wherein movement of the clamping lever from a first position to a second position moves the cartridge receiving and anvil half-sections to the fully clamped position. the anvil half-section and the cartridge half-section defining a gap between their respective distal ends when in the fully clamped position;

a gap adjustment mechanism disposed between the anvil half-section and the cartridge receiving half-section and configured and adapted to vary the size of the gap between the distal end portions of the anvil half-section and the cartridge receiving half-section, wherein the gap adjustment mechanism includes a cam with a forward portion, a body portion and a rearward portion, wherein the body portion of the cam defines a central rotational axis and wherein the forward and rearward portions share a common axis which is spaced a distance from the central rotational axis; and

a cam lock configured and adapted to engage the gap adjustment mechanism and to prevent movement of the gap adjustment mechanism after adjustment of the gap.

5. The surgical fastener applying apparatus according to claim 4, wherein the body portion of the gap adjustment mechanism is rotationally disposed within apertures formed in the anvil half section.

6. The surgical fastener applying apparatus according to claim 5, wherein the forward and rearward portions rest against respective surfaces of the cartridge receiving half-section.

7. 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 a clamping lever;

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 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 half-section including a pivotable clamping lever, wherein movement of the clamping lever from a first position to a second position moves the cartridge receiving and anvil half-sections to the fully clamped position, the anvil half-section and the cartridge half-section defining a gap between their respective distal ends when in the fully clamped position;

a gap adjustment mechanism disposed between the anvil half-section and the cartridge receiving half-section and configured and adapted to vary the size of the gap between the distal end portions of the anvil half-section and the cartridge receiving half-section; and

a cam lock configured and adapted to engage the gap adjustment mechanism and to prevent movement of the gap adjustment mechanism after adjustment of the gap;

the cartridge half-section clamping lever and the anvil half-section clamping lever being configured and adapted for operative movement to enable opening of the applying apparatus on either said cartridge half-section side or said anvil half-section side.

8. 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;

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 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 half-section including a pivotable clamping lever, wherein movement of the clamping lever from a first position to a second position moves the cartridge receiving and anvil half-sections to the fully clamped position, the anvil half-section and the cartridge half-section defining a gap between their respective distal ends when in the fully clamped position;

a gap adjustment mechanism disposed between the anvil half-section and the cartridge receiving half-section and configured and adapted to vary the size of the gap between the distal end portions of the anvil half-section and the cartridge receiving half-section;

a cam lock configured and adapted to engage the gap adjustment mechanism and to prevent movement of the gap adjustment mechanism after adjustment of the gap; and

a loading unit having staples and being receivable in the cartridge half-section and wherein the cartridge half-section includes a member longitudinally movable through the loading unit to fire staples from the loading unit, and a lockout mechanism arranged to prevent advancement of the member in a locked-out position of the lockout mechanism, the lockout mechanism including a rocker pivotably mounted to the cartridge half-section.

9. 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;

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 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 half-section including a pivotable clamping lever, wherein movement of the clamping lever from a first position to a second position moves the cartridge receiving and anvil half-sections to the fully clamped position, the anvil half-section and the cartridge half-section defining a gap between their respective distal ends when in the fully clamped position;

a gap adjustment mechanism disposed between the anvil half-section and the cartridge receiving half-section and configured and adapted to vary the size of the gap between the distal end portions of the anvil half-section and the cartridge receiving half-section;

a cam lock configured and adapted to engage the gap adjustment mechanism and to prevent movement of the gap adjustment mechanism after adjustment of the gap; and

a loading unit having staples and being receivable in the cartridge half-section, the loading unit having a lockout movable from a initial substantially horizontal position to a vertical blocking position, the blocking position preventing re-clamping of the cartridge half-section and anvil half-section after at least a partial firing of the loading unit.