Surgical stapling device

• US 8,286,848 B2
• Filed: 09/06/2011
• Issued: 10/16/2012
• Est. Priority Date: 10/05/2001
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Wenchell, Thomas, Marczyk, Stanislaw, Whitfield, Kenneth H., Czernik, Roman, Holsten, Henry E., Maffei, Frank C.
• Primary Examiner(s): Tawfik, Sameh H.
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US13/225,937
• Publication Number:
  US 20120012639A1
• Time in Patent Office: 406 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/178.1, 227/179.1
• US Class Current: 227/176.1
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/0808 for indicating correct assembly of components, e.g. of the surgical apparatus
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly.

Claims

1. A surgical stapling device comprising:

an elongated body portion defining a longitudinal axis;

a tool assembly pivotally supported at the distal end of the elongated body portion about a pivot axis, the tool assembly including an anvil assembly and a cartridge assembly housing a plurality of staples, the anvil assembly and cartridge assembly being movably mounted in relation to one another between open and closed positions;

the cartridge assembly including a plurality of pushers corresponding to the plurality of staples, and a sled having cam wedges for interacting with the pushers to drive the plurality of staples toward the anvil assembly, at least some of the cam wedges being offset with respect to at least some other cam wedges;

a flexible drive assembly having a distal end configured to translate through the cartridge assembly to eject the staples therefrom, the flexible drive assembly being bendable relative to the longitudinal axis when the tool assembly pivots;

a first support member positioned adjacent the pivot axis on a side of the flexible drive assembly, the first support member having a first end fixedly attached to the tool assembly and a second end fixedly attached to the elongated body portion; and

a second support member on an opposite side of the flexible drive assembly, the second support member lengthening when the tool assembly pivots in a second direction.

2. A surgical stapling device comprising:

an elongated body portion defining a longitudinal axis;

a tool assembly pivotally supported at the distal end of the elongated body portion about a pivot axis, the tool assembly including an anvil assembly and a cartridge assembly housing a plurality of staples, the anvil assembly and cartridge assembly being movably mounted in relation to one another between open and closed positions;

the cartridge assembly including a plurality of pushers corresponding to the plurality of staples, and a sled having cam wedges for interacting with the pushers to drive the plurality of staples toward the anvil assembly, at least some of the cam wedges being offset with respect to at least some other cam wedges;

a flexible drive assembly having a distal end configured to translate through the cartridge assembly to eject the staples therefrom, the flexible drive assembly being bendable relative to the longitudinal axis when the tool assembly pivots;

a first support member positioned adjacent the pivot axis on a side of the flexible drive assembly, the first support member having a first end fixedly attached to the tool assembly and a second end fixedly attached to the elongated body portion; and

a limit member positioned about the U-shaped portion to limit the extent to which the U-shaped portion can flex.

3. A surgical stapling device comprising:

an elongated body portion defining a longitudinal axis;

a tool assembly pivotally supported at the distal end of the elongated body portion about a pivot axis, the tool assembly including an anvil assembly and a cartridge assembly housing a plurality of staples, the anvil assembly and cartridge assembly being movably mounted in relation to one another between open and closed positions;

the cartridge assembly including a plurality of pushers corresponding to the plurality of staples, and a sled having cam wedges for interacting with the pushers to drive the plurality of staples toward the anvil assembly, at least some of the cam wedges being offset with respect to at least some other cam wedges;

a flexible drive assembly having a distal end configured to translate through the cartridge assembly to eject the staples therefrom, the flexible drive assembly being bendable relative to the longitudinal axis when the tool assembly pivots; and

a first support member positioned adjacent the pivot axis on a side of the flexible drive assembly, the first support member having a first end fixedly attached to the tool assembly and a second end fixedly attached to the elongated body portion, wherein the first support member has at least one end that has a J-shaped member.

4. A surgical stapling device comprising:

an elongated body portion defining a longitudinal axis;

a tool assembly pivotally supported at the distal end of the elongated body portion about a pivot axis, the tool assembly including an anvil assembly and a cartridge assembly housing a plurality of staples, the anvil assembly and cartridge assembly being movably mounted in relation to one another between open and closed positions;

the cartridge assembly including a plurality of pushers corresponding to the plurality of staples, and a sled having cam wedges for interacting with the pushers to drive the plurality of staples toward the anvil assembly, at least some of the cam wedges being offset with respect to at least some other cam wedges;

a flexible drive assembly having a distal end configured to translate through the cartridge assembly to eject the staples therefrom, the flexible drive assembly being bendable relative to the longitudinal axis when the tool assembly pivots; and

a first support member positioned adjacent the pivot axis on a side of the flexible drive assembly, the first support member having a first end fixedly attached to the tool assembly and a second end fixedly attached to the elongated body portion, wherein the first support member has a central portion defining an opening allowing the first support member to lengthen when the tool assembly pivots.

5. A surgical stapling device according to claim 4, wherein the first support member includes a U-shaped portion that flexes when the tool assembly pivots.

6. A surgical stapling device according to claim 5, wherein the U-shaped portion extends outwardly with respect to the flexible drive assembly.

7. A surgical stapling device comprising:

an elongated body portion defining a longitudinal axis;

a tool assembly pivotally supported at the distal end of the elongated body portion about a pivot axis;

a flexible drive assembly having a distal end configured to translate through the tool assembly to facilitate discharge of surgical fasteners therefrom, the flexible drive assembly being bendable relative to the longitudinal axis when the tool assembly pivots;

a first support member positioned adjacent the pivot axis on a first side of the flexible drive assembly, the first support member being configured and dimensioned to lengthen when the tool assembly pivots in a first direction; and

a second support member positioned adjacent the pivot axis on a second side of the flexible drive assembly opposite the first side, the second support member being configured and dimensioned to lengthen when the tool assembly pivots in a second direction opposite the first direction.

8. A surgical stapling device according to claim 7, wherein the tool assembly includes:

an anvil assembly; and

a cartridge assembly housing the surgical fasteners, the anvil assembly and the cartridge assembly being movably mounted in relation to one another between open and closed positions.

9. A surgical stapling device according to claim 8, wherein the cartridge assembly includes a plurality of pushers corresponding to the surgical fasteners.

10. A surgical stapling device according to claim 9, wherein the cartridge assembly further includes a sled having cam wedges for interacting with the pushers to drive the surgical fasteners toward the anvil assembly.

11. A surgical stapling device according to claim 10, wherein at least some of the cam wedges are offset with respect to at least some of the other cam wedges.

12. A surgical stapling device according to claim 7, wherein the first support member has a first end fixedly attached to the tool assembly, and a second end fixedly attached to the elongated body portion.

13. A surgical stapling device according to claim 12, wherein the second support member has a first end fixedly attached to the tool assembly, and a second end fixedly attached to the elongated body portion.

14. A surgical stapling device according to claim 7, wherein the first support member includes a U-shaped portion that flexes when the tool assembly pivots.

15. A surgical stapling device according to claim 14, wherein the second support member includes a U-shaped portion that flexes when the tool assembly pivots.

16. A surgical stapling device according to claim 15, further comprising limit members positioned about the U-shaped portions of the first and second support members to limit the extent to which the U-shaped portions can flex.

17. A surgical stapling device according to claim 15, wherein the U-shaped portions of the first and second support members extend laterally outward with respect to the flexible drive assembly in opposite directions each transverse in relation to the longitudinal axis.

18. A surgical stapling device according to claim 15 further including a mounting assembly secured to the tool assembly and the elongated body portion.

19. A surgical stapling device according to claim 18, wherein the first and second support members each have at least one end including a J-shaped member.

20. A surgical stapling device according to claim 19, wherein the J-shaped members are configured and dimensioned for positioning within corresponding recesses formed in the mounting assembly.