Surgical stapling device

• US 9,492,168 B2
• Filed: 10/23/2013
• Issued: 11/15/2016
• Est. Priority Date: 10/17/2003
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Milliman, Keith L.
• Primary Examiner(s): Chukwurah, Nathaniel
• Application Number:
  US14/060,651
• Publication Number:
  US 20140042206A1
• Time in Patent Office: 1,119 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/181.1, 227/179.1
• 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 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• 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 2017/00367 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 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2090/0814 Preventing re-use

Abstract

A surgical stapling device has a handle assembly, an elongated body portion, a shell assembly housing a plurality of staples and an anvil assembly movable relative to the shell assembly. An approximation mechanism is movable from a first position to a second position to move the anvil assembly relative to the shell assembly between a spaced position and an approximated position. A firing mechanism for advancing the staples is actuable when the approximation assembly is in the second position and the anvil assembly is in the approximated position. A lockout mechanism operatively associated with the approximation mechanism is movable from a non-blocking position to a blocking position, wherein in the non-blocking position the approximation mechanism is movable from the first position to the second position and in the blocking position movement of the approximation mechanism from the second position to the first position is prevented.

Claims

1. A surgical stapling device comprising:

a handle assembly including a firing trigger;

an elongated body portion extending distally from the handle assembly;

a head portion coupled to the elongated body portion, the head portion including an anvil assembly and a shell assembly, the anvil assembly positioned to move relative to the shell assembly between a spaced position and an approximated position;

a trigger lock operably associated with the firing trigger and movable between locked and unlocked positions to selectively prevent actuation of the firing trigger; and

a lockout mechanism operably associated with the anvil assembly, the lockout mechanism positioned to prevent movement of the anvil assembly while the trigger lock is in the unlocked position.

2. The surgical stapling device of claim 1, wherein the trigger lock is pivotally mounted on the handle assembly about a pivot member.

3. The surgical stapling device of claim 2, wherein the lockout mechanism includes a locking plate defining a bore and having a locking tab, the bore being dimensioned to receive the pivot member.

4. The surgical stapling device of claim 3, wherein the locking plate is rotatably supported by the pivot member and movable between first and second positions, wherein in the first position of the locking plate, the locking tab is positioned to enable movement of the anvil assembly in relation to the shell assembly between the approximated and spaced positions, and wherein in the second position of the locking plate, the locking tab is positioned to prevent movement of the anvil assembly in relation to the shell assembly from the approximated position to the spaced position.

5. The surgical stapling device according to claim 4, further including a drive screw operably connected to the anvil assembly and linearly movable relative to the elongate body portion to facilitate movement of the anvil assembly relative to the shell assembly, the locking tab of the locking plate being positioned to obstruct linear movement of the drive screw while the locking plate is in the second position.

6. The surgical stapling device according to claim 5, further including a screw stop positioned on the drive screw, the screw stop including an engagement member positioned to engage the locking tab of the locking plate when the locking plate is in the second position.

7. The surgical stapling device according to claim 4, wherein the locking plate is releasably coupled to the trigger lock such that movement of the trigger lock from the locked position to the unlocked position effects movement of the locking plate from the first position to the second position.

8. The surgical stapling device according to claim 4, wherein the lockout mechanism includes a biasing member positioned to urge the locking plate towards the trigger lock.

9. The surgical stapling device according to claim 8, wherein the locking plate includes a concavity and the trigger lock includes a pair of spaced protrusions, each of the spaced protrusions being independently receivable in the concavity to releasably couple the locking plate in relation to the trigger lock at one of two distinct positions.

10. The surgical stapling device according to claim 8, wherein the firing trigger includes a release member and the locking plate includes a release tab, the release member being positioned to engage the release tab upon actuation of the firing trigger to automatically move the locking plate from the second position to the first position when the firing trigger is actuated.

11. A surgical stapling device comprising:

a handle assembly including an approximation mechanism and a firing trigger;

an elongated body portion having a proximal end and a distal end, the elongated body portion extending distally from the handle assembly;

a head portion supported on the distal end of the elongated body portion, the head portion including a shell assembly and an anvil assembly, the shell assembly supporting a plurality of staples, the anvil assembly being movable in relation to the shell assembly between a spaced position and an approximated position in response to actuation of the approximation mechanism;

a trigger lock mounted on the handle assembly and movable from a locked position to an unlocked position, the trigger lock being positioned to prevent actuation of the firing trigger in the locked position and to enable actuation of the firing trigger in the unlocked position; and

a lockout mechanism operably associated with the trigger lock, the lockout mechanism adapted to prevent movement of the anvil assembly from the approximated position to the spaced position when the trigger lock is in the unlocked position.

12. The surgical stapling device of claim 11, wherein the trigger lock is pivotally mounted on the handle assembly about a pivot member.

13. The surgical stapling device of claim 12, wherein the lockout mechanism includes a locking plate defining a bore and having a locking tab, the bore being dimensioned to receive the pivot member.

14. The surgical stapling device of claim 13, wherein the locking plate is rotatably supported by the pivot member and movable between first and second positions, wherein in the first position of the locking plate, the locking tab is positioned to enable movement of the anvil assembly in relation to the shell assembly between the approximated and spaced positions, and wherein in the second position of the locking plate, the locking tab is positioned to prevent movement of the anvil assembly in relation to the shell assembly from the approximated position to the spaced position.

15. The surgical stapling device according to claim 14, further including a linearly advanceable drive screw having a proximal end operably connected to the approximation mechanism and a distal end operably connected to the anvil assembly, the locking tab of the locking plate being positioned to obstruct linear movement of the drive screw when the locking plate is in the second position.

16. The surgical stapling device according to claim 15, further including a screw stop positioned on the drive screw, the screw stop including an engagement member positioned to engage the locking tab of the locking plate when the locking plate is in the second position.

17. The surgical stapling device according to claim 14, wherein the locking plate is releasably coupled to the trigger lock such that movement of the trigger lock from the locked position to the unlocked position effects movement of the locking plate from the first position to the second position.

18. The surgical stapling device according to claim 16, wherein the lockout mechanism includes a biasing member positioned to urge the locking plate towards the trigger lock.

19. The surgical stapling device according to claim 18, wherein the locking plate includes a concavity and the trigger lock includes a pair of spaced protrusions, each of the spaced protrusions being independently receivable in the concavity to releasably couple the locking plate in relation to the trigger lock at one of two distinct positions.

20. The surgical stapling device according to claim 18, wherein the firing trigger includes a release member and the locking plate includes a release tab, the release member being positioned to engage the release tab upon actuation of the firing trigger to automatically move the locking plate from the second position to the first position when the firing trigger is actuated.