Surgical apparatus

• US 9,700,312 B2
• Filed: 01/28/2014
• Issued: 07/11/2017
• Est. Priority Date: 01/28/2014
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Aranyi, Ernest, Kostrzewski, Stanislaw
• Primary Examiner(s): TRUONG, THANH K
• Assistant Examiner(s): Seif, Dariush
• Application Number:
  US14/166,366
• Publication Number:
  US 20150209030A1
• Time in Patent Office: 1,260 Days
• Field of Search: 2271771, 2271781
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• 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 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2933 camming or guiding means

Abstract

A surgical stapling apparatus is provided. The surgical stapling apparatus includes an actuating device including an elongated shaft. A tool assembly is disposed on a distal end of the shaft. The tool assembly includes a first jaw member supporting a cartridge assembly having a plurality of surgical fasteners, and a second jaw member supporting an anvil. The first jaw member is movable in relation to the second jaw member between a spaced position and an approximated position. One of the first and second jaw members includes a cantilever at a proximal end thereof. A firing cam bar assembly is slidably disposed within the tool assembly and includes a cam surface configured to engage the cantilever to move the first and second jaw member towards the approximated position and a distal end configured to deploy the plurality of surgical fasteners from the cartridge assembly.

Claims

1. A surgical stapling apparatus, comprising:

an actuating device including an elongated shaft;

a tool assembly disposed on a distal end of the shaft, the tool assembly including a first jaw member supporting a cartridge assembly having a plurality of pushers, a plurality of fasteners and a sled positioned to sequentially contact the plurality of pushers to eject the plurality of fasteners from the cartridge assembly and a second jaw member supporting an anvil, the first jaw member being movable in relation to the second jaw member between spaced and approximated positions;

a sled pusher assembly including a sled pusher having a distal end configured to engage the sled of the cartridge assembly; and

a drive beam assembly including a latch assembly and an I-beam, the latch assembly having a latch releasably coupled to the sled pusher assembly, and the I-beam having a sidewall defining a notch, the sled pusher received within the notch,

wherein distal translation of the drive beam assembly from a retracted position towards an advanced position effects movement of the first and second jaw members to the approximated position and disengages the latch of the latch assembly from the sled pusher assembly to facilitate distal movement of the sled pusher independently of the drive beam assembly and wherein distal movement of the sled pusher independently of the drive beam assembly advances the sled pusher and the sled of the cartridge assembly to eject the plurality of fasteners from the cartridge assembly.

2. The surgical stapling apparatus according to claim 1, wherein the latch assembly includes a collar which is coupled to a proximal end of the drive beam assembly and includes an aperture configured to receive a support member of the sled pusher assembly.

3. The surgical stapling apparatus according to claim 2, wherein the support member of the sled pusher assembly includes at least one aperture that is configured to receive the latch of the latch assembly.

4. The surgical stapling apparatus according to claim 3, wherein the latch assembly includes at least one spring configured to bias the latch of the latch assembly into the aperture defined in the support member of the sled pusher assembly.

5. The surgical stapling apparatus according to claim 4, wherein the aperture of the support member is defined by a proximal wall portion of the sled pusher assembly, the proximal wall portion being configured to engage the latch of the latch assembly to maintain coupling of the drive beam assembly and the sled pusher assembly with one another.

6. The surgical stapling apparatus according to claim 2, wherein the elongated shaft includes upper and lower housing portions, and at least one of the upper and lower housing portions includes at least one stop member configured to contact a proximal end of the collar of the latch assembly when the drive beam assembly is translated distally.

7. The surgical stapling apparatus according to claim 6, wherein the latch includes a lateral offset extension, and wherein at least one of the upper and lower housing portions of the elongated shaft includes at least one ramp portion configured to be engaged by the lateral offset extension to effect movement of the latch out of engagement with a proximal wall portion of the sled pusher assembly when the drive beam assembly is moved distally so as to allow the sled pusher assembly to move distally in relation to the drive beam assembly.

8. The surgical stapling apparatus according to claim 1, wherein the I-beam is positioned to cam the first and second jaw members to the approximated position when the drive beam assembly is translated distally.

9. The surgical stapling apparatus according to claim 1, wherein a resilient member is provided on the cartridge assembly for biasing the cartridge assembly radially away from the anvil.

10. The surgical stapling apparatus according to claim 9, wherein the resilient member includes a bottom portion that is coupled to a proximal end of the cartridge assembly and a top portion that is positioned to contact at least a portion of the anvil.

11. The surgical stapling apparatus according to claim 10, wherein the bottom portion of the resilient member is seated within a corresponding slot defined at the proximal end of the cartridge assembly.

12. The surgical stapling apparatus according to claim 11, wherein the bottom portion of the resilient member includes at least one detent that couples to a corresponding indent disposed on the cartridge assembly adjacent the slot.

13. The surgical stapling apparatus according to claim 1, wherein the tool assembly is removably couplable to the distal end of the shaft of the surgical stapling apparatus.

14. A reload configured for use with a surgical stapling apparatus, the reload comprising:

a shaft including a proximal end and distal end, the proximal end adapted to couple to a surgical apparatus;

a tool assembly disposed on the distal end of the shaft, the tool assembly including a first jaw member supporting a cartridge assembly having a plurality of fasteners and a sled disposed within the cartridge assembly and positioned to sequentially eject the plurality of fasteners from the cartridge assembly and a second jaw member supporting an anvil, the first jaw member being movable in relation to the second jaw member between spaced and approximated positions;

a sled pusher assembly including a sled pusher having a distal end configured to engage the sled of the cartridge assembly; and

a drive beam assembly including a latch assembly and an I-beam, the latch assembly having a latch releasably coupled to the sled pusher assembly, and the I-beam having a side wall defining a notch, the sled pusher received within the notch,

wherein distal translation of the drive beam assembly from a retracted position towards an advanced position effects movement of the first and second jaw members to the approximated position and disengages the latch of the latch assembly from the sled pusher assembly to facilitate distal movement of the sled pusher independently of the drive beam assembly and wherein distal movement of the sled pusher independently of the drive beam assembly advances the distal end of the sled pusher into engagement with the sled of the cartridge assembly to eject the plurality of fasteners from the cartridge assembly.

15. The reload according to claim 14, wherein the latch assembly includes a collar which is coupled to a proximal end of the drive beam assembly and includes an aperture configured to receive a support member of the sled pusher assembly.

16. The reload according to claim 15, wherein the support member of the sled pusher assembly includes at least one aperture that is configured to receive the latch of the latch assembly.

17. The reload according to claim 16, wherein the latch assembly includes at least one spring configured to bias the latch of the latch assembly into the aperture defined in the support member of the sled pusher assembly.

18. The reload according to claim 17, wherein the aperture of the support member is defined by a proximal wall portion of the sled pusher assembly, the proximal wall portion being configured to engage the latch of the latch assembly to maintain coupling of the drive beam assembly and the sled pusher assembly with one another.

19. The reload according to claim 15, wherein the elongated shaft includes upper and lower housing portions, and at least one of the upper and lower housing portions includes at least one stop member configured to contact a proximal end of the collar of the latch assembly when the drive beam assembly is translated distally.

20. The reload according to claim 19, wherein the latch includes a lateral offset extension, and wherein at least one of the upper and lower housing portions of the elongated shaft includes at least one ramp portion configured to be engaged by the lateral offset extension to effect movement of the latch out of engagement with a proximal wall portion of the sled pusher assembly when the drive beam assembly is moved distally so as to allow the sled pusher assembly to move distally in relation to the drive beam assembly.

21. The reload according to claim 14, wherein the I-beam is positioned to cam the first and second jaw members to the approximated position when the drive beam assembly is translated distally.

22. The reload according to claim 14, wherein a resilient member is provided on the cartridge assembly for biasing the cartridge assembly radially away from the anvil.

23. The reload according to claim 22, wherein the resilient member includes a bottom portion that is coupled to a proximal end of the cartridge assembly and a top portion that is positioned to contact at least a portion of the anvil.

24. The reload according to claim 23, wherein the bottom portion of the resilient member is seated within a corresponding slot defined at the proximal end of the cartridge assembly.

25. The reload according to claim 24, wherein the bottom portion of the resilient member includes at least one detent that couples to a corresponding indent disposed on the cartridge assembly adjacent the slot.