Surgical stapling device

• US 8,167,186 B2
• Filed: 06/21/2010
• Issued: 05/01/2012
• Est. Priority Date: 06/17/2003
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Racenet, David C., Stearns, Ralph, Beardsley, John W., Roy, Philip, Olson, Lee Ann
• Primary Examiner(s): Durand, Paul
• Application Number:
  US12/819,756
• Publication Number:
  US 20100282819A1
• Time in Patent Office: 680 Days
• Field of Search: 2271751-1821, 606/219, 606/131, 606/151
• US Class Current: 227/180.1
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/291 the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms

Abstract

A surgical device is disclosed which includes a handle portion, a central body portion and a SULU. The SULU includes a proximal body portion, an intermediate pivot member and a tool assembly. The intermediate pivot member is pivotally secured to the proximal body portion about a first pivot axis and the tool assembly is pivotally secured to the intermediate pivot member about a second pivot axis which is orthogonal to the first pivot axis. The SULU includes a plurality of articulation links which are operably connected to the tool assembly by non-rigid links. The articulation links are adapted to releasably engage articulation links positioned in the central body portion. The body portion articulation links are connected to an articulation actuator which is supported for omni-directional movement to effect articulation of the tool assembly about the first and second axes. The handle portion includes a spindle and barrel assembly drive mechanism for advancing and retracting a drive member positioned in the tool assembly. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly.

Claims

1. A surgical stapling device comprising:

an elongated body portion;

a tool assembly having proximal and distal ends, and being pivotally connected to the body portion via a pivot member such that the tool assembly is pivotable about a pivot axis;

a firing cable having a proximal portion extending through the body portion, and a distal portion connected to the tool assembly such that movement of the firing cable facilitates ejection of surgical fasteners from the surgical stapling device; and

a knife bar directly connected to the distal portion of the firing cable, whereby distal movement of the distal portion of the firing cable causes corresponding distal movement of the knife bar.

2. The surgical stapling device according to claim 1, wherein the tool assembly includes an anvil, and a cartridge assembly having a staple cartridge.

3. The surgical stapling device of claim 1 further including a guide cap secured to the distal end of the tool assembly, the guide cap being configured and dimensioned to position the firing cable such that the knife bar is pulled distally through the tool assembly during retraction of the firing cable.

4. The surgical stapling device according to claim 3, wherein the guide cap is releasably secured to the distal end of the tool assembly.

5. A surgical stapling device comprising:

an elongated body portion;

a tool assembly having proximal and distal ends, and being pivotally connected to the body portion via a pivot member such that the tool assembly is pivotable about a pivot axis;

a firing cable having a proximal portion extending through the body portion, and a distal portion connected to the tool assembly; and

a knife bar directly connected to the distal portion of the firing cable, whereby distal movement of the distal portion of the firing cable causes corresponding distal movement of the knife bar, wherein the guide cap defines a throughbore configured and dimensioned to allow the firing cable to pass therethrough, and at least one track configured and dimensioned to accommodate the firing cable.

6. A surgical stapling device comprising:

an elongated body portion;

a tool assembly having proximal and distal ends, and being pivotally connected to the body portion via a pivot member such that the tool assembly is pivotable about a pivot axis;

a firing cable having a proximal portion extending through the body portion, and a distal portion connected to the tool assembly; and

a knife bar directly connected to the distal portion of the firing cable, whereby distal movement of the distal portion of the firing cable causes corresponding distal movement of the knife bar, wherein the guide cap defines a first track and a second track.

7. The surgical stapling device according to claim 6, wherein a first end of the firing cable exits the tool assembly from the throughbore and is positioned within the first track for redirection around the guide cap in a first direction to facilitate re-entry into the tool assembly, and a second end of the firing cable exits the tool assembly from the throughbore and is positioned within the second track for redirection around the guide cap in a second direction to facilitate re-entry into the tool assembly.

8. A surgical stapling device comprising:

an elongated body portion;

a tool assembly having proximal and distal ends, and being pivotally connected to the body portion via a pivot member such that the tool assembly is pivotable about a pivot axis;

a firing cable connected to the tool assembly and extending proximally through the pivot member and the body portion;

a retraction cable connected to the tool assembly and extending proximally through the pivot member and the body portion; and

a knife bar directly connected to the firing cable and the retraction cable.

9. The surgical stapling device of claim 8, wherein the knife bar includes a first hole configured and dimensioned to receive the firing cable, and a second hole configured and dimensioned to receive the retraction cable.

10. The surgical stapling device of claim 8 further including a guide cap secured to the distal end of the tool assembly, the guide cap being configured and dimensioned to position the firing cable such that the knife bar is pulled distally through the tool assembly during retraction of the firing cable.