Surgical instrument with articulating tool assembly

• US 8,584,921 B2
• Filed: 10/06/2006
• Issued: 11/19/2013
• Est. Priority Date: 10/06/2006
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Scirica, Paul
• Primary Examiner(s): Long, Robert
• Application Number:
  US11/544,519
• Publication Number:
  US 20080083809A1
• Time in Patent Office: 2,601 Days
• Field of Search: 2271751-1821, 227/19, 292/303, 606/375, 606/219
• US Class Current: 227/179.1
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/0023 disposable
• 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 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/0084 low friction A61B2017/00853 takes precedence
• CPC Class Codes: A61B 2017/00845 of moving parts with respect to each other
• CPC Class Codes: A61B 2017/00853 low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)
• CPC Class Codes: A61B 2017/00964 composite
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• 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 2017/2902 characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2936 : Pins in guiding slots
• CPC Class Codes: A61B 2017/2943 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 2017/320052 : Guides for cutting instruments by marking A61B2090/395

Abstract

A surgical instrument including a handle portion, a body portion, an articulating tool assembly and at least one coupling member is disclosed. The body portion extends distally from the handle portion and defines a first longitudinal axis. The articulating tool assembly defines a second longitudinal axis and has a proximal end including at least one recess therein. The articulating tool assembly is securable to a distal end of the body portion and is movable from a first position where the first and second longitudinal axes are substantially aligned to at least a second position where the first and second longitudinal axes are at an angle. The coupling member has at least one spring arm and is securable to the body portion. At least a portion of the spring arm is receivable in the recess of the articulating tool assembly to releasably retain the articulating tool assembly in the first position.

Claims

1. A surgical instrument, comprising:

a handle portion;

a body portion extending distally from the handle portion and defining a first longitudinal axis;

an articulating tool assembly defining a second longitudinal axis and including at least one recess therein, the articulating tool assembly being disposed at a distal end of the body portion and being movable from a first position in which the second longitudinal axis is substantially aligned with the first longitudinal axis to at least a second position in which the second longitudinal axis is disposed at an angle to the first longitudinal axis; and

at least one coupling member including proximal and distal ends with an opening disposed therebetween, the proximal end including at least one spring arm extending therefrom and through the opening, the at least a portion of the spring arm being receivable in the recess of the articulating tool assembly to releasably retain the articulating tool assembly in the first position until a progressive force sufficient to deflect outwardly the at least one spring arm is applied to the tool assembly to articulate the tool assembly,

wherein the articulating tool assembly is releasably retained in the first position when a portion of the spring arm is at least partially within the recess, and wherein the articulating tool assembly is in the second position when the spring arm has been disengaged from the recess.

2. The surgical instrument according to claim 1, wherein a proximal end of the articulating tool assembly includes a mounting assembly.

3. The surgical instrument according to claim 2, wherein the recess is formed in a portion of the mounting assembly.

4. The surgical instrument according to claim 2, wherein a portion of the mounting assembly is pivotably secured to a distal end of the body portion and is fixedly secured to a portion of the articulating tool assembly.

5. The surgical instrument according to claim 2, wherein pivotal movement of a portion of the mounting assembly about an axis perpendicular to the first longitudinal axis causes the articulating tool assembly to move between the first position and the second position.

6. The surgical instrument according to claim 2, wherein at least a portion of the coupling member is securable to a portion of the body portion and at least a portion of the coupling member is pivotably securable to at least a portion of the mounting assembly.

7. The surgical instrument according to claim 2, wherein the mounting assembly includes an upper mounting portion and a lower mounting portion.

8. The surgical instrument according to claim 1, wherein the at least one coupling member includes a first coupling member and a second coupling member, each coupling member being disposed in mechanical cooperation with at least a portion of the articulating tool assembly and with at least a portion of the body portion.

9. The surgical instrument according to claim 8, further including a mounting assembly supported on a proximal end of the articulating tool assembly, the mounting assembly including an upper mounting portion and a lower mounting portion, wherein the first coupling member is disposed in mechanical cooperation with at least a portion of the upper mounting portion and the second coupling member is disposed in mechanical cooperation with at least a portion of the lower mounting portion.

10. The surgical instrument according to claim 9, wherein a proximal end of the first coupling member is secured to a distal end of the body portion and a distal end of the first coupling member is pivotably secured to a proximal end of the upper mounting portion, wherein a proximal end of the second coupling member is secured to the distal end of the body portion and a distal end of the second coupling member is pivotably secured to a proximal end of the lower mounting portion, and wherein the upper mounting portion is securable to the lower mounting portion.

11. The surgical instrument according to claim 1, wherein application of a progressive amount of force disengages the spring arm from the recess.

12. The surgical instrument according to claim 1, wherein the articulating tool assembly is part of a disposable loading unit.

13. The surgical instrument according to claim 1, wherein the articulating tool assembly includes a cartridge assembly and an anvil assembly.

14. The surgical instrument according to claim 1, wherein the body portion includes a sleeve that houses a housing portion, and wherein the body portion includes a cutout dimensioned to receive at least a portion of a projection formed on the housing portion.

15. The surgical instrument according to claim 14, wherein positioning the projection at least partially within the cutout prevents substantial axial and rotational movement of the housing portion within the sleeve.

22. The surgical instrument according to claim 1, wherein the opening is defined by interior sidewalls disposed on the at least one coupling member, the interior sidewalls having proximal and distal sidewall portions separated by a slanted medial sidewall portion configured such that the proximal sidewall portion extends substantially around a periphery of the at least one spring arm and the distal sidewall portion is offset from the at least one spring arm portion.

25. The surgical instrument according to claim 1, wherein the recess includes a pair of sloped sidewalls.

26. The surgical instrument according to claim 1, wherein the spring arm is movable between the first position where the spring arm is engaged with the recess, to the second position where the spring arm is laterally out of engagement beyond a first lateral side of the recess, and a third position where the spring arm is laterally out of engagement beyond a second lateral side of the recess.

16. A surgical stapling apparatus, comprising:

a handle portion including a movable handle, the movable handle being movable through an actuation stroke;

a body portion extending distally from the handle portion and defining a first longitudinal axis; and

a disposable loading unit configured for releasable engagement with a distal end of the body portion and including;

a proximal body portion;

an articulating tool assembly having a recess and defining a second longitudinal axis, the articulating tool assembly being disposed adjacent a distal end of the proximal body portion and being movable from a first position in which the second longitudinal axis is substantially aligned with the first longitudinal axis to at least a second position in which the second longitudinal axis is disposed at an angle to the first longitudinal axis; and

at least one coupling member including a proximal end for operably coupling to the body portion, a distal end for operably coupling to the articulating tool assembly and an opening disposed therebetween, the proximal end including at least one spring arm extending therefrom and through the opening, the at least a portion of the spring arm being receivable in the recess of the articulating tool assembly to releasably retain the articulating tool assembly in the first position until a progressive force sufficient to deflect outwardly the at least one spring arm is applied to the tool assembly to articulate the tool assembly;

wherein the spring arm is movable within the opening from a first position where the spring arm is engaged with the recess to a second position where the spring arm is out of engagement with the recess.

17. The surgical stapling apparatus according to claim 16, wherein the proximal end of the articulating tool assembly includes a mounting assembly and wherein the recess is formed in a portion of the mounting assembly.

18. The surgical stapling apparatus according to claim 17, including a first coupling member and a second coupling member, wherein the mounting assembly includes an upper mounting portion pivotably secured to a lower mounting portion, the first coupling member pivotably secured to a portion of the upper mounting portion and the second coupling member pivotably secured to a portion of the lower mounting portion.

23. The surgical stapling apparatus according to claim 16, wherein the opening is defined by interior sidewalls disposed on the at least one coupling member, the interior sidewalls having proximal and distal sidewall portions separated by a slanted medial sidewall portion configured such that the proximal sidewall portion extends substantially around a periphery of the at least one spring arm and the distal sidewall portion is offset from the at least one spring arm portion.

27. The surgical stapling apparatus according to claim 16, wherein the recess includes a pair of sloped sidewalls.

19. A disposable loading unit configured for releasable engagement with a surgical instrument, comprising:

a body portion and defining a first longitudinal axis;

an articulating tool assembly disposed distally of the body portion and including a recess therein and being securable to a distal end of the body portion and defining a second longitudinal axis, the articulating tool assembly being movable from a first position in which the second longitudinal axis is substantially aligned with the first longitudinal axis to a second position in which the second longitudinal axis is disposed at an angle to the first longitudinal axis;

at least one coupling member including proximal and distal ends with an opening disposed therebetween, the proximal end including at least one spring arm extending therefrom and through the opening such that the at least one spring arm is movable within the opening, the at least a portion of the spring arm being receivable in the recess of the articulating tool assembly to releasably retain the articulating tool assembly in the first position until a progressive force sufficient to deflect outwardly the at least one spring arm is applied to the tool assembly to articulate the tool assembly; and

wherein the spring arm is movable within the opening from a first position where the spring arm is engaged with the recess, to a second position where the spring arm is out of engagement beyond a first lateral side of the recess, and a third position where the spring arm is out of engagement beyond a second lateral side of the recess, and wherein the spring arm is independently movable with respect to a proximal end and a distal end of the at least one coupling member.

20. The disposable loading unit according to claim 19, wherein the articulating tool assembly is in the first position when a portion of the spring arm is at least partially within the recess and the articulating tool assembly is in the second position when the spring arm has been disengaged from the recess.

21. The disposable loading unit according to claim 20, wherein application of a progressive amount of force disengages the spring arm from the recess.

24. The disposable loading unit according to claim 19, wherein the opening is defined by interior sidewalls disposed on the at least one coupling member, the interior sidewalls having proximal and distal sidewall portions separated by a slanted medial sidewall portion configured such that the proximal sidewall portion extends substantially around a periphery of the at least one spring arm and the distal sidewall portion is offset from the at least one spring arm portion.

28. The disposable loading unit according to claim 19, wherein the recess includes a pair of sloped sidewalls.