Surgical instrument with indicator

• US 9,393,014 B2
• Filed: 03/14/2013
• Issued: 07/19/2016
• Est. Priority Date: 09/03/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Milliman, Keith L.
• Primary Examiner(s): Weeks, Gloria R
• Assistant Examiner(s): CITRIN, JUSTIN A
• Application Number:
  US13/827,211
• Publication Number:
  US 20130193187A1
• Time in Patent Office: 1,223 Days
• Field of Search: 227/175.1, 227/175.2, 606/75
• 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 2017/00128 related to intensity or progress of surgical action
• 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 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Abstract

A surgical stapling instrument including a handle assembly, an elongated body portion extending distally from the handle assembly, a head portion and an indicator. A firing trigger is movable between first and second positions. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The indicator is disposed in mechanical cooperation with the handle assembly and is movable between a first position and a second position in response to movement of the anvil assembly towards its approximated position. The indicator is movable between the second position and a third position in response to firing of the instrument.

Claims

1. A method of performing a surgical task, the method comprising:

providing a surgical instrument comprising;

a handle assembly;

an elongated body portion extending distally from the handle assembly;

first and second jaw members disposed adjacent a distal portion of the elongated body portion, the first jaw member supporting an anvil assembly and the second jaw member supporting a shell assembly, the shell assembly including a circular array of staples; and

an indicator disposed in mechanical cooperation with the handle assembly;

moving the first jaw member toward the second jaw member to move the indicator from a first position toward a second position; and

firing the surgical instrument, while maintaining the first jaw member fixed in relation to the second jaw member, to eject the circular array of staples from the shell assembly and to move the indicator from the second position toward a third position.

2. The method of claim 1, wherein the indicator comprises at least two different indicia including a first indicia being visible to a user when the indicator is in the second position and a second indicia being visible to the user when the indicator is in the third position.

3. The method of claim 1, wherein the indicator rotates in a first direction from the first position toward the second position, and wherein the indicator rotates in the first direction from the second position toward the third position.

4. The method of claim 1, further comprising a slide member operatively associated with the indicator, and further comprising an approximation mechanism for moving the first jaw member towards the second jaw member, the approximation mechanism including a screw stop engageable with the slide member to move the slide member proximally upon retraction of the screw stop to move the indicator to the second position.

5. The method of claim 1, further comprising a lockout mechanism disposed in mechanical cooperation with the handle assembly, wherein movement of the first jaw member towards the second jaw member causes the lockout mechanism to move from a blocking position towards an enabling position.

6. The method of claim 1, wherein firing the surgical instrument includes causing fasteners to be ejected from one of the jaw members toward the other jaw member.

7. A method of surgical joining tissue, the method comprising:

providing a surgical instrument comprising;

a handle assembly including a movable handle;

an elongated body portion extending distally from the handle assembly;

first and second jaw members disposed adjacent a distal portion of the elongated body portion, the first jaw member being movable with respect to the second jaw member between spaced and approximated position, the first jaw member supporting an anvil assembly and the second jaw member supporting a shell assembly, the shell assembly including a circular array of staples; and

an indicator disposed in mechanical cooperation with the handle assembly;

actuating the movable handle to a first predetermined position to move the first jaw member in relation to the second jaw member from the spaced position to the approximated position to move the indicator from a first position to a second position; and

actuating the movable handle from the first predetermined position to a second predetermined position to eject the circular array of staples from the shell assembly and to move the indicator from the second position to a third position.

8. The method of claim 7, wherein the handle assembly includes a pawl and wherein the movable handle is configured to contact the pawl when the movable handle is moved to the second predetermined position.

9. The method of claim 8, wherein the handle includes a stationary handle, and wherein the indicator is rotatable with respect to the stationary handle in a first direction.

10. The method of claim 9, wherein the pawl is rotatable relative to the stationary handle in a second direction, the second direction being different from the first direction.

11. The method of claim 7, wherein the indicator includes at least two different indicia including a first indicia being visible to a user when the indicator is in its second position and a second indicia being visible to the user when the indicator is in its third position.

12. The method of claim 7, wherein the handle assembly includes a window, and wherein a portion of the indicator is viewable through the window.

13. The method of claim 7, wherein the indicator is biased towards its first position.

14. The method of claim 7, wherein the indicator rotates in a first direction from the first position toward the second position, and wherein the indicator rotates in the first direction from the second position toward the third position.

15. The method of claim 7, wherein the elongated body portion includes a longitudinally curved portion.

16. The method of claim 7, further comprising a slide member operatively associated with the indicator and an approximation mechanism for moving the first jaw member between spaced and approximated positions, the approximation mechanism including a screw stop engageable with the slide member to move the slide member proximally upon retraction of the screw stop to move the indicator to the second position.

17. The method of claim 7, further comprising a lockout mechanism disposed in mechanical cooperation with the handle assembly, wherein approximation of the jaw members causes the lockout mechanism to move from a blocking position where the movable handle is prevented from moving toward a stationary handle, to an enabling position where the movable handle is capable of moving toward the stationary handle.

18. A method of surgical joining tissue, the method comprising:

providing a surgical instrument comprising;

a handle assembly including a movable handle and a pawl and wherein the movable handle is configured to contact the pawl when the movable handle is moved to the second predetermined position;

an elongated body portion extending distally from the handle assembly;

first and second jaw members disposed adjacent a distal portion of the elongated body portion, the first jaw member being movable with respect to the second jaw member between spaced and approximated position;

an indicator disposed in mechanical cooperation with the handle assembly; and

actuating the movable handle to a first predetermined position such that the indicator moves from a first position to a second position; and

actuating the movable handle from the first predetermined position to a second predetermined position such that the indicator moves from the second position to a third position,

the surgical instrument further comprising a slide member operatively associated with the indicator, the pawl including an engagement surface engageable with the slide member to effect further proximal movement of the slide member to move the indicator to the third position.

19. A method of surgical joining tissue, the method comprising:

providing a surgical instrument comprising;

a handle assembly including a movable handle and a pawl and wherein the movable handle is configured to contact the pawl when the movable handle is moved to the second predetermined position;

an elongated body portion extending distally from the handle assembly;

first and second jaw members disposed adjacent a distal portion of the elongated body portion, the first jaw member being movable with respect to the second jaw member between spaced and approximated position;

an indicator disposed in mechanical cooperation with the handle assembly; and

actuating the movable handle to a first predetermined position such that the indicator moves from a first position to a second position; and

actuating the movable handle from the first predetermined position to a second predetermined position such that the indicator moves from the second position to a third position,

the surgical instrument further comprising a slide member operatively associated with the indicator, the pawl having an engagement surface engageable with the slide member to retract the slide member.

20. A method of surgical joining tissue, the method comprising:

providing a surgical instrument comprising;

a handle assembly including a movable handle;

an elongated body portion extending distally from the handle assembly;

first and second jaw members disposed adjacent a distal portion of the elongated body portion, the first jaw member being movable with respect to the second jaw member between spaced and approximated position;

an indicator disposed in mechanical cooperation with the handle assembly; and

actuating the movable handle to a first predetermined position such that the indicator moves from a first position to a second position; and

actuating the movable handle from the first predetermined position to a second predetermined position such that the indicator moves from the second position to a third position,

the surgical instrument further comprising a slide member operatively associated with the indicator and an approximation mechanism for moving the first jaw member between spaced and approximated positions, the approximation mechanism including a screw stop engageable with the slide member to move the slide member proximally upon retraction of the screw stop to move the indicator to the second position, wherein the handle assembly includes a pawl and the movable handle is configured to contact the pawl when the movable handle has moved to its second predetermined position, the pawl having an engagement surface engageable with the slide member to move the slide member farther proximally to move the indicator to the third position.