Surgical cutting and stapling device

• US 9,247,940 B2
• Filed: 06/30/2015
• Issued: 02/02/2016
• Est. Priority Date: 06/02/1999
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Whitman, Michael P., Nicholas, David A.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US14/755,055
• Publication Number:
  US 20150297220A1
• Time in Patent Office: 217 Days
• Field of Search: 227/179.1, 227/175.1, 227/176.1, 227/180.1
• US Class Current: 1/1
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 34/74 Manipulators with manual electric input means

Abstract

The present invention, in accordance with various embodiments thereof, relates to a surgical device for at least one of cutting and stapling a section of tissue. The surgical device includes a housing including at least two drivers. The surgical device also includes an anvil mechanically attachable to the housing and moveable relative to the housing between an open position and a closed position. The first driver operates to move the anvil relative to the housing to an intermediate position between the open position and the closed position. The second driver operates to move at least a portion of the housing relative to the anvil between the intermediate position and the closed position.

Claims

1. A method of at least one of cutting and stapling a section of tissue using a surgical attachment having an anvil and a housing, the method comprising:

mechanically attaching the anvil to the housing, the housing storing staples therein and being selectively movable relative a staple pusher;

connecting the housing to the staple pusher by a shear pin;

with a first driver, moving the anvil relative to the housing to an intermediate position between an open position and a closed position; and

with a second driver, moving at least a portion of the housing relative to the anvil between the intermediate position and the closed position.

2. The method of claim 1, wherein moving the at least a portion of the housing relative to the anvil to the closed position includes clamping a section of tissue between a first clamping face of the anvil and a second clamping face of the housing.

3. The method of claim 2, further comprising driving, with the second driver, a cutting element between a retracted position and an extended position.

4. The method of claim 2, further comprising driving, with the second driver, a stapling element between a refracted position and an extended position.

5. The method of claim 2, further comprising driving, with the second driver, a staple cartridge axially within the housing between a refracted position and an extended position.

6. The method of claim 5, further comprising:

storing the staples within respective staple slots of the staple cartridge;

driving, with the second driver, the staple pusher; and

pushing, with the staple pusher, the staples into staple guides in the anvil.

7. The method of claim 2, further comprising axially locking the anvil relative to the housing in the intermediate position.

8. The method of claim 2, further comprising:

attaching the first and second drivers to respective rotatable drive shafts; and

selectively rotating the rotatable drive shafts by at least one motor.

9. The method of claim 8, wherein the selectively rotating step includes selectively rotating the rotatable drive shafts under the control of a controller.

10. A method for stapling a section of tissue, the method comprising:

storing staples in a housing, the housing being selectively movable relative to a staple pusher;

connecting the housing to the staple pusher by a shear pin; and

moving an anvil relative to the staple pusher and the housing, wherein moving the anvil causes the housing to move relative to the staple pusher.

11. The method of claim 10, wherein the moving of the anvil includes moving the anvil relative to the staple pusher between a first position, in which the anvil is spaced apart from a clamping surface of the housing, and a second position, in which the anvil contacts the clamping surface of the housing.

12. The method of claim 11, wherein the moving of the anvil includes moving the anvil relative to the staple pusher between the second position and a third position, in which the staples stored in the housing are pushed out of the housing by the staple pusher to be closed against the anvil.

13. The method of claim 12, wherein moving of the anvil between the second and the third position includes the housing being moved relative to the staple pusher.

14. The method of claim 10, further comprising:

with the anvil, applying a predetermined amount of pressure on the clamping surface of the housing; and

shearing the shear pin via a rotatable drive shaft connected to a motor, such that the anvil moves between the second and the third position.

15. The method of claim 14, further comprising aligning a plurality of staple slots of the housing with a corresponding plurality of pusher fingers extending from the staple pusher.

16. The method of claim 15, wherein moving the anvil relative to the housing and the staple pusher includes moving the anvil with a first driver.

17. The method of claim 16, further comprising, when the anvil is moved relative to the staple pusher between the second position and the third position, cutting with a cutting element tissue positioned between the anvil and the clamping surface of the housing.