Surgical fastener applying apparatus

• US 8,091,754 B2
• Filed: 07/22/2010
• Issued: 01/10/2012
• 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., Lehn, Randolph F., Pedros, Roberto, Rethy, Csaba L., Viola, Frank, Ivanko, David C. Eastwood
• Primary Examiner(s): Nash, Brian D
• Application Number:
  US12/841,199
• Publication Number:
  US 20100282817A1
• Time in Patent Office: 537 Days
• Field of Search: 227/175.2, 227/176.1, 227/19, 227/182.1
• US Class Current: 227/175.2
• 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:

a cartridge half-section supporting a pair of camming surface extensions extending from a cam bar arrangement;

an anvil half-section, said cartridge and anvil half-sections being relatively movable from an unclamped position to a clamped position;

a first clamp lever operatively connected to the cartridge half-section and a second clamp lever operatively connected to the anvil half-section;

wherein each clamp lever is movable between a first position in which the cartridge and anvil half sections are in the unclamped position, and a second position in which the cartridge and anvil half sections are in the clamped position; and

a pivotably mounted firing lever operatively associated with said pair of camming surface extensions to move said pair of camming surface extensions longitudinally to thereby sequentially fire a plurality of surgical staples in a direction transverse to a direction of travel of said pair of camming surface extensions, wherein the firing lever is pivotable to extend to a right side and left side of the apparatus.

2. The surgical fastener applying apparatus of claim 1, wherein the cartridge and anvil half-sections are capable of being unclamped from one another upon actuation of at least one of the first and second clamp levers.

3. The surgical fastener applying apparatus of claim 1, further comprising a replaceable staple cartridge assembly receivable in said cartridge half-section, said cartridge assembly including a plurality of surgical staples.

4. A surgical fastener applying apparatus, comprising:

a cartridge half-section supporting a pair of camming surface extensions extending from a cam bar arrangement;

an anvil half-section, said cartridge and anvil half-sections being relatively movable from an unclamped position to a clamped position; and

a first clamp lever operatively connected to the cartridge half-section and a second clamp lever operatively connected to the anvil half-section;

wherein each clamp lever is movable between a first position in which the cartridge and anvil half sections are in the unclamped position, and a second position in which the cartridge and anvil half sections are in the clamped position;

wherein at least one of the cartridge and anvil half-sections includes a clamp lever latch configured and adapted to retain a respective first and second clamp lever in the clamped position;

wherein each clamp lever includes a latch handle release member, each latch handle release member is biased in a proximal direction, each latch handle release member engages a respective first and second clamp lever when said respective first and second clamp lever is in said clamped position.

5. The surgical fastener applying apparatus of claim 4, wherein distal movement of said latch handle release member results in disengagement from said respective first and second clamp lever.

6. The surgical fastener applying apparatus of claim 5, wherein each of said first and second clamp levers includes a clamp lever latch configured and adapted to selectively engage a respective one of said latch handle release members.

7. A surgical fastener applying apparatus, comprising:

a cartridge section having a loading unit, the loading unit including a cartridge body with staple retaining slots and a plurality of surgical staples;

an anvil section having an anvil surface for forming the plurality of surgical staples, the cartridge section and the anvil section being arranged to be joined to one another and relatively movable from an unclamped position to a clamped position;

a first clamp lever operatively connected to the cartridge section and a second clamp lever operatively connected to the anvil section, each clamp lever being movable from a closed position in which the cartridge section and the anvil section are in the clamped position to an open position in which the cartridge section and the anvil section are in the unclamped position, each clamp lever being movable to the open and closed position independently of the other clamp lever; and

a first clamp latch and a second clamp latch, the first clamp latch being configured and adapted to retain the first clamp lever in the clamped position and the second clamp latch being configured and adapted to retain the second clamp lever in the clamped position.

8. The surgical fastener applying apparatus of claim 7, further comprising a firing lever longitudinally movable to sequentially fire the plurality of surgical staples, wherein the firing lever is pivotable to extend from a selected one of a right and left side of the apparatus.

9. The surgical fastener applying apparatus of claim 7, further comprising a least one camming surface extension, the camming surface extension being movable with the firing lever to fire the plurality of surgical staples.

10. The surgical fastener applying apparatus of claim 7, further comprising a knife arranged to move longitudinally with the firing lever.

11. The surgical fastener applying apparatus of claim 7, further comprising an interlock mechanism arranged to prevent opening of the first clamp lever or the second clamp lever after the firing lever has been longitudinally moved.

12. The surgical fastener applying apparatus of claim 7, further comprising an interlock mechanism arranged to prevent opening of the first clamp lever, the interlock mechanism preventing opening when the firing lever has been moved in a distal direction.

13. The surgical fastener applying apparatus of claim 12, further comprising an interlock latch for maintaining the first clamp latch in a latched position preventing opening of the first clamp lever.

14. The surgical fastener applying apparatus of claim 13, wherein the interlock latch is biased toward the first clamp lever latch.

15. The surgical fastener applying apparatus of claim 14, further comprising a slide block connected to the firing lever, the slide block being arranged to overcome the bias of the interlock latch.

16. The surgical fastener applying apparatus of claim 12, further comprising an interlock mechanism arranged to prevent opening of the second clamp lever when the firing lever has been moved in a distal direction, and an interlock latch for maintaining the second clamp latch in a latched position preventing opening of the second clamp lever.

17. The surgical fastener applying apparatus of claim 16, wherein the interlock latch is biased toward the second clamp lever latch.

18. The surgical fastener applying apparatus of claim 17, further comprising a slide block connected to the firing lever, the slide block being arranged to overcome the bias of the interlock latch.

19. A surgical fastener applying apparatus, comprising:

a cartridge section having a loading unit, the loading unit including a cartridge body with staple retaining slots and a plurality of surgical staples;

an anvil section having an anvil surface for forming the plurality of surgical staples, the cartridge section and the anvil section being arranged to be joined to one another and relatively movable from an unclamped position to a clamped position;

a first clamp lever operatively connected to the cartridge section and a second clamp lever operatively connected to the anvil section, each clamp lever being independently movable between a closed position and an open position,

wherein the cartridge section and the anvil section are in the clamped position when both the first clamp lever and the second clamp lever are in the closed position;

wherein the cartridge section and the anvil section are in the unclamped position when at least one of the first clamp lever and the second clamp lever is in the open position; and

a first clamp latch and a second clamp latch, the first clamp latch being configured and adapted to retain the first clamp lever in the clamped position and the second clamp latch being configured and adapted to retain the second clamp lever in the clamped position.

20. The surgical fastener applying apparatus of claim 19, further comprising a firing mechanism movable to fire the plurality of surgical staples.

21. The surgical fastener applying apparatus of claim 19, further comprising an interlock mechanism arranged to prevent opening of at least one of the first clamp lever and the second clamp lever after the firing lever has been longitudinally moved.

22. The surgical fastener applying apparatus of claim 21, further comprising an interlock mechanism arranged to prevent opening of the first clamp lever, the interlock mechanism preventing opening when the firing lever has been moved in a distal direction.

23. The surgical fastener applying apparatus of claim 19, further comprising an interlock latch for maintaining the first clamp latch in a latched position preventing opening of the first clamp lever.

24. The surgical fastener applying apparatus of claim 23, wherein the interlock latch is biased toward the first clamp lever latch.

25. The surgical fastener applying apparatus of claim 24, further comprising a slide block connected to the firing lever, the slide block being arranged to overcome the bias of the interlock latch.

26. The surgical fastener applying apparatus of claim 19, further comprising an interlock mechanism arranged to prevent opening of the second clamp lever when the firing lever has been moved in a distal direction, and an interlock latch for maintaining the second clamp latch in a latched position preventing opening of the second clamp lever.

27. The surgical fastener applying apparatus of claim 26, wherein the interlock latch is biased toward the second clamp lever latch.

28. The surgical fastener applying apparatus of claim 27, further comprising a slide block connected to the firing lever, the slide block being arranged to overcome the bias of the interlock latch.