Single-trigger clamping and firing of surgical stapler

• US 9,408,605 B1
• Filed: 07/12/2012
• Issued: 08/09/2016
• Est. Priority Date: 07/12/2012
• Status: Active Grant

• Current Assignee: Touchstone International Medical Science Co. Ltd
• Original Assignee: Cardica Incorporated
• Inventors: Lev, Yaeer E., Knodel, Bryan D.
• Primary Examiner(s): Tecco, Andrew M
• Application Number:
  US13/451,344
• Time in Patent Office: 1,489 Days
• US Class Current: 1/1
• 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 2017/2917 with flexible part
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion

Abstract

An exemplary surgical apparatus includes an end effector; and a handle operationally connected to the end effector, the handle including a trigger and a mode button; where the mode button is first in a neutral position in which actuation of the trigger causes the end effector to move to a clamped configuration; and where the mode button is movable laterally to a second position in which actuation of the trigger causes the end effector to deploy staples.

Claims

1. Surgical apparatus, comprising:

an end effector; and

a handle operationally connected to said end effector, said handle including a trigger and a mode button wherein the trigger, a deployment trigger gear and a clamp trigger gear are pivotable about the mode button;

wherein said mode button is first in a neutral position in which actuation of said trigger causes said end effector to move to a clamped configuration; and

wherein said mode button is movable laterally to a second position in which actuation of said trigger causes said end effector to deploy staples.

2. The surgical apparatus of claim 1, wherein said mode button is biased to said neutral position.

3. The surgical apparatus of claim 1, further comprising said deployment trigger gear and said clamp trigger gear located in said handle, wherein said trigger selectively engages only one at a time of said deployment trigger gear and said clamp trigger gear;

wherein engagement of said trigger with said clamp trigger gear occurs when said mode button is in said neutral position and engagement of said trigger with said deployment trigger gear occurs when said mode button is in said second position.

4. The surgical apparatus of claim 1, wherein deployment of all said staples from said end effector requires more than one actuation of said trigger.

5. Surgical apparatus, comprising:

a handle;

comprising

a mode button;

a trigger pivotable about said mode button;

a ratchet pivotally connected to said trigger;

a deployment trigger gear pivotable about said mode button; and

a clamp trigger gear pivotable about said mode button.

6. The surgical apparatus of claim 5, wherein said ratchet includes a laterally-extending ratchet tooth, and wherein said clamp trigger gear includes a laterally-extending clamp trigger gear tooth;

wherein rotation of said trigger causes rotation of said ratchet, which in turn causes said ratchet tooth to engage said clamp trigger gear tooth and cause said clamp trigger gear to rotate.

7. The surgical apparatus of claim 5, further comprising a clamp lock pivotable relative to said handle, wherein a proximal end of said clamp lock is biased downward and a distal end of said clamp lock is biased upward.

8. The surgical apparatus of claim 7, further comprising a clamp slide fixed to a clamp belt, wherein said clamp slide includes a clamp slide pin;

wherein in an initial configuration said clamp slide pin is located on a first surface of said clamp lock, and wherein said clamp belt is movable to move said clamp slide pin into engagement with a detent defined on an upper surface of said clamp lock proximal to said first surface, said detent biased upward along with the remainder of the distal end of said clamp lock.

9. The surgical apparatus of claim 7, further comprising a clamp lock tail extending proximally and downward from a proximal end of said clamp lock, wherein said clamp lock tail engages a ratchet tooth in an initial configuration of said handle.

10. The surgical apparatus of claim 5, wherein said ratchet stands off from a deployment gear when said handle is in an initial configuration.

11. The surgical apparatus of claim 10, wherein a single actuation of said trigger rotates said clamp trigger gear through an arc to a clamped position, wherein said clamp trigger gear remains in said clamped position after said trigger is released.

12. The surgical apparatus of claim 11, wherein after said rotation of said clamp trigger gear to said clamped position, said mode button is actuable, after which said ratchet moves into engagement with deployment trigger gear.

13. The surgical apparatus of claim 12, further comprising a deployment belt and a deployment slide fixed to said deployment belt;

wherein, after said ratchet moves into engagement with said deployment trigger gear, at least one actuation of said trigger causes rotation of said deployment trigger gear, which in turn causes said deployment belt to rotate and said deployment slide to move distally.

14. The surgical apparatus of claim 13, wherein said deployment trigger gear includes an unclamp cam along its outer perimeter, and a plurality of outer teeth.

15. The surgical apparatus of claim 13, wherein said deployment slide is manually returnable to its initial position, such that said deployment slide moves said deployment belt and in turn returns the deployment trigger gear to its initial position.

16. The surgical apparatus of claim 5, wherein said mode button is biased to a neutral position.