Surgical stapler with universal articulation and tissue pre-clamp

• US 8,596,513 B2
• Filed: 11/28/2007
• Issued: 12/03/2013
• Est. Priority Date: 10/04/2002
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Olson, Lee Ann, Roy, Philip, Beardsley, John W., Stearns, Ralph, Racenet, David C., Emmons, Clifford L.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US11/998,035
• Publication Number:
  US 20080099530A1
• Time in Patent Office: 2,197 Days
• Field of Search: 227/175.1, 227/181.1, 227/176.1, 227/180.1, 227/19
• US Class Current: 227/175.1
• 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 17/072 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 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 2017/2927 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
• CPC Class Codes: A61B 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/320024 Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395

Abstract

A tool assembly for a surgical stapling device includes a channel member for supporting a staple cartridge therein and an anvil to deform a plurality of staples ejected from the staple cartridge thereagainst. The tool assembly also includes a sled which is movable to force the staples from the cartridge against the anvil to staple tissue disposed between the anvil and the staple cartridge. A dynamic clamping member is included which has a pin which movably engages the anvil and a flange which movably engages the channel assembly. The dynamic clamping member is mounted to and movable with the sled. The pin and the flange of the dynamic clamping member cooperating to oppose the forces associated with clamping and stapling tissue and also to maintain a substantially uniform gap between the anvil and the staple cartridge during stapling of the tissue.

Claims

1. A tool assembly comprising:

an anvil and a cartridge assembly, the cartridge assembly having a plurality of staples aligned in a plurality of linear rows, the cartridge assembly and anvil being movable in relation to one another between an open position and an approximated position, the cartridge assembly and the anvil defining a tissue gap in the approximated position;

a clamp collar positioned adjacent the proximal end of the cartridge assembly and the anvil and being movable from a first position to a second position to effect movement of the anvil in relation to the cartridge assembly from the open position towards the approximated position, wherein in the second position, the clamp collar is positioned about the proximal ends of the cartridge assembly and anvil;

a dynamic clamping member movably positioned in relation to the anvil and the cartridge assembly, the dynamic clamping member being movable from a first position to a second position to define a maximum tissue gap between the anvil and the cartridge assembly adjacent the dynamic clamping member during ejection of the plurality of staples from the cartridge assembly;

at least one first actuator operatively associated with the dynamic clamping member to effect movement of the dynamic clamping member from the first position of the dynamic clamping member to the second position of the dynamic clamping member, wherein the at least one first actuator includes a first cable secured to the dynamic clamping member; and

at least one second actuator operatively associated with the clamp collar to effect movement of the clamp collar from the first position of the clamp collar to the second position of the clamp collar, wherein the at least one second actuator includes a second cable secured to the clamp collar.

2. A tool assembly according to claim 1, further including a sled which is movable with the dynamic clamping member through the cartridge assembly from a first position to a subsequent position to operatively eject the plurality of staples from the cartridge assembly through tissue and against the anvil assembly to staple tissue disposed between the anvil assembly and the cartridge assembly.

3. A tool assembly according to claim 1, wherein the dynamic clamping member includes a first mechanical interface which slidingly engages the anvil assembly and a second mechanical interface which slidably engages the cartridge assembly, the first and second mechanical interfaces of the dynamic clamping member being in substantial vertical registration relative to one another to oppose expansive forces associated with clamping and stapling tissue and to define the maximum tissue gap between tissue contacting surfaces of the anvil and the cartridge assembly during stapling.

4. A surgical stapler according to claim 1, wherein the cartridge assembly is pivotally secured to an intermediate pivot member and the anvil assembly is pivotally supported on the cartridge assembly.

5. A surgical stapler according to claim 1, wherein the dynamic clamping member translates axially through the tool assembly.

6. A surgical stapler according to claim 1, wherein the at least one first actuator is operably connected to the sled and the sled is operably connected to the dynamic clamping member.

7. A surgical stapler according to claim 1, wherein the clamp collar remains in its second position where the clamp collar is positioned about the proximal ends of the cartridge assembly and anvil while the dynamic clamping member moves between its first position and its second position.