Grasping jaw mechanism

• US 8,424,736 B2
• Filed: 06/08/2011
• Issued: 04/23/2013
• Est. Priority Date: 10/06/2006
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Scirica, Paul, Beardsley, John W.
• Primary Examiner(s): LOW, LINDSAY M
• Application Number:
  US13/155,454
• Publication Number:
  US 20110240713A1
• Time in Patent Office: 685 Days
• Field of Search: 2271751-1821, 227/19, 606/130, 606/131, 606/151, 606/219
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/2919 details of linkages or pivot points
• 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

Abstract

A surgical device is disclosed which includes a handle assembly, an elongated member and a disposable loading unit. The handle assembly includes a mode selection mechanism configured to alternate the surgical device between a first grasping mode of operation and a second clamping mode of operation. The handle assembly includes a rotation control member and an articulation lever. The rotation control member is configured to facilitate rotation of the elongated member with respect to the handle assembly. The articulation lever is configured to facilitate articulation of the tool assembly about an axis substantially perpendicular to the longitudinal axis of elongated member. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly configured to clamp and staple tissue in the second clamping mode of operation of the device.

Claims

1. A surgical device comprising:

a handle assembly including an actuation shaft, a stationary handle, and a movable handle, the movable handle being operably associated with the actuation shaft such that movement of the movable handle effects axial movement of the actuation shaft;

an elongated member extending distally from the handle assembly, the elongated member defining a longitudinal axis;

a tool assembly mounted to a distal end of the elongated member, the tool assembly having a cartridge assembly having a plurality of staples supported therein and an anvil assembly, at least one of the anvil assembly and the cartridge assembly being movable in relation to each other between open and closed positions;

a vertical pawl movable between a first position engaged with the actuation shaft to prevent axial movement of the actuation shaft and a second position disengaged from the actuation shaft to permit axial movement of the actuation shaft; and

a mode selection mechanism configured to alternate the surgical device between a first mode of operation and a second mode of operation, the mode selection mechanism movable between a first position engaged with the actuation shaft and a second position disengaged from the actuation shaft,

the mode selection mechanism being movable to the second position prior to movement of the tool assembly from the open position to the closed position such that upon movement of the tool assembly to the closed position the vertical pawl is movable to the first position to prevent axial movement of the actuation shaft and subsequent movement of the movable handle returns the mode selection mechanism to the first position to switch the surgical device to the second mode of operation, the movable handle being moveable while the surgical device is in the second mode of operation to fire staples from the tool assembly.

2. The surgical device of claim 1, further comprising a camming mechanism operably associated with the vertical pawl and configured to move between a first position disengaged from the vertical pawl to permit movement of the vertical pawl to the first position and a second position engaged with the vertical pawl to retain the vertical pawl in the second position.

3. The surgical device of claim 1, wherein the mode selection mechanism includes a sliding actuator disposed on the movable handle and operably associated with a pivotable pawl, the pivotable pawl configured to selectively engage the actuation shaft upon movement of the sliding actuator.

4. The surgical device of claim 3, wherein when the mode selection mechanism is in the first position, the pivotable pawl is received within a first slot disposed in the actuation shaft when the surgical device is in the first mode of operation and is pivotally biased downward by a second slot disposed in the actuation shaft when the surgical device is in the second mode of operation such that subsequent movement of the movable handle advances the actuation shaft distally to fire staples from the tool assembly.

5. The surgical device of claim 1, further comprising a pivotable yoke configured to move the mode selection mechanism to the first position upon movement of the movable handle.

6. The surgical device of claim 1, further comprising a retractor mechanism operably associated with the actuation shaft and configured to move between a distal position and a proximal position, the retractor mechanism configured when the surgical device is in the second mode of operation to move from the distal position to the proximal position to retract the actuation shaft proximally to switch the surgical device to the first mode of operation.

7. The surgical device of claim 1, further comprising a cam member movable between a retracted position disengaged from the vertical pawl and an extended position engaged with the vertical pawl to retain the vertical pawl in the second position.

8. The surgical device of claim 7, wherein when the surgical device is in the first mode of operation, movement of the movable handle toward the stationary handle causes movement of the cam member to the extended position to retain the vertical pawl in the second position to permit proximal axial movement of the actuation shaft upon subsequent movement of the movable handle away from the stationary handle.

9. The surgical device of claim 7, further comprising a disconnect member movable between a retracted position disengaged from the vertical pawl and an extended position engaged with the vertical pawl to move the cam member from the extended position to the retracted position such that the vertical pawl is permitted to move from the second position to the first position.

10. The surgical device of claim 9, wherein a portion of the mode selection mechanism is configured when in the second position to engage the disconnect member upon movement of the movable handle to move the disconnect member from the retracted position to the extended position.

11. The surgical device of claim 1, further comprising a disconnect link assembly operably coupled to the movable handle and slidable relative to the vertical pawl between a first position to move the vertical pawl to the first position and a second position to move the vertical pawl to the second position.

12. The surgical device of claim 1, wherein the mode selection mechanism includes an actuator button disposed through the movable handle and operably associated with a pivotable pawl, the actuator button being linearly movable relative to the movable handle to selectively move the pivotable pawl into engagement with the actuation shaft.

13. A surgical device according to claim 1, wherein the first mode of operation of the surgical device is a default mode of operation.

14. A surgical device according to claim 1, wherein the surgical device is configured to grasp tissue between the anvil and cartridge assemblies while in the first mode of operation and clamp tissue between the anvil and cartridge assemblies while in the second mode of operation to fire staples through the tissue.

15. A surgical device comprising:

a handle assembly including an actuation shaft, a stationary handle, and a movable handle, the movable handle being operably associated with the actuation shaft such that movement of the movable handle effects axial movement of the actuation shaft;

an elongated member extending distally from the handle assembly, the elongated member defining a longitudinal axis;

a tool assembly mounted to a distal end of the elongated member, the tool assembly having a cartridge assembly having a plurality of staples supported therein and an anvil assembly, at least one of the anvil assembly and the cartridge assembly being movable in relation to each other between open and closed positions;

a vertical pawl movable between an extended position engaged with the actuation shaft to prevent axial movement of the actuation shaft and a retracted position disengaged from the actuation shaft to permit axial movement of the actuation shaft; and

a mode selection mechanism configured to alternate the surgical device between a first mode of operation and a second mode of operation, the mode selection mechanism having a sliding actuator disposed on the movable handle and operably associated with a grasping pawl, the sliding actuator moveable between an extended position such that the grasping pawl is engaged with the actuation shaft and a retracted position such that the grasping pawl is disengaged from the actuation shaft,

the sliding actuator being movable to the retracted position prior to movement of the tool assembly from the open position to the closed position such that upon movement of the tool assembly to the closed position the vertical pawl is movable to the extended position to prevent axial movement of the actuation shaft and subsequent movement of the movable handle returns the slide actuator to the extended position to switch the surgical device to the second mode of operation, the movable handle being moveable while the surgical device is in the second mode of operation to fire staples from the tool assembly.

16. The surgical device of claim 15, wherein the sliding actuator is formed through the movable handle and configured to slide within a pair of recesses formed in opposing sides of the movable handle.

17. A surgical device comprising:

a handle assembly including an actuation shaft, a stationary handle, and a movable handle, the movable handle being operably associated with the actuation shaft and movable between an open position in spaced relation to the stationary handle and a closed position approximated with the stationary handle such that movement of the movable handle effects axial movement of the actuation shaft;

an elongated member extending distally from the handle assembly, the elongated member defining a longitudinal axis;

a tool assembly mounted to a distal end of the elongated member, the tool assembly having a cartridge assembly having a plurality of staples supported therein and an anvil assembly, at least one of the anvil assembly and the cartridge assembly being movable in relation to each other between open and closed positions;

a vertical pawl movable between an extended position engaged with the actuation shaft to prevent axial movement of the actuation shaft and a retracted position disengaged from the actuation shaft to permit axial movement of the actuation shaft;

a camming mechanism operably associated with the vertical pawl and configured to move between a first position disengaged from the vertical pawl to permit movement of the vertical pawl to the extended position and a second position engaged with the vertical pawl to retain the vertical pawl in the second position; and

a mode selection mechanism configured to alternate the surgical device between a first mode of operation and a second mode of operation, the mode selection mechanism having a sliding actuator disposed on the movable handle and operably associated with a grasping pawl, the sliding actuator moveable between an extended position such that the grasping pawl is engaged with the actuation shaft and a retracted position such that the grasping pawl is disengaged from the actuation shaft,

the sliding actuator being movable, while the device is in the first mode of operation, to the retracted position prior to movement of the movable handle to the closed position such that upon movement of the movable handle to the closed position and subsequent movement of the camming mechanism to the first position, the vertical pawl moves to the extended position to prevent axial movement of the actuation shaft and subsequent movement of the movable handle to the open position returns the slide actuator to the extended position to switch the surgical device to the second mode of operation, the movable handle being moveable to the closed position while the surgical device is in the second mode of operation to fire staples from the tool assembly.

18. The surgical device according to claim 17, wherein the camming mechanism comprises a depressible plunger having a cam member disposed thereon configured to engage at least one camming surface disposed on the vertical pawl to retain the vertical pawl in the retracted position.

19. The surgical device of claim 17, wherein when the sliding actuator is in the extended position, the pivotable pawl is received within a first slot disposed in the actuation shaft when the surgical device is in the first mode of operation and is pivotally biased downward by a second slot disposed in the actuation shaft proximal to the first slot when the surgical device is in the second mode of operation such that subsequent movement of the movable handle to the closed position advances the actuation shaft distally to fire staples from the tool assembly.

20. The surgical device of claim 17, further comprising a pivotable yoke configured to engage the sliding actuator upon movement of the movable handle to the open position to move the sliding actuator to the extended position.