Tool assembly for a surgical stapling device

• US 9,848,878 B2
• Filed: 08/30/2016
• Issued: 12/26/2017
• Est. Priority Date: 10/04/2002
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Racenet, David C., Roy, Philip, Beardsley, John, Olson, Lee, Stearns, Ralph, Emmons, Clifford
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US15/251,263
• Publication Number:
  US 20160367250A1
• Time in Patent Office: 483 Days
• Field of Search: 2271761, 2271751, 606239
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• 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 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments

Abstract

A surgical device comprising a first jaw member, a second jaw member, a clamping member and a clamp apparatus is disclosed. The clamping member is slidably positioned to translate at least partially through the first jaw member. The clamping member engages the first jaw member and the second jaw member, and has a knife blade for cutting tissue. A flange of the clamping member is configured to engage a cam surface to pivot the second jaw member with respect to the first jaw member from an open position toward an approximated position. The clamp apparatus is movable from a retracted position to an advanced position for preventing a gap between proximal portions of the first jaw member and the second jaw member from exceeding a predetermined distance. The clamping member and the clamp apparatus are separately movable.

Claims

1. A method of using a surgical device, the method comprising:

advancing a clamp apparatus into contact with a proximal portion of an anvil of the surgical device and a proximal portion of a cartridge assembly of the surgical device to help prevent a gap between parts of the anvil and parts of the cartridge assembly from exceeding a predetermined distance;

advancing a clamping member of the surgical device relative to the clamp apparatus such that the clamping member moves into contact with a cam surface on an outer surface of the cartridge assembly to pivot the cartridge assembly with respect to the anvil from an open position toward an approximated position;

advancing the clamping member further toward a distal end of the cartridge assembly to deploy staples from the cartridge assembly; and

actuating a single actuator to advance the clamp apparatus and the clamping member.

2. The method according to claim 1, further comprising positioning the anvil and the cartridge assembly adjacent tissue.

3. The method according to claim 1, wherein the clamp apparatus remains in an advanced position while the clamping member is advanced beyond the cam surface of the cartridge assembly.

4. The method according to claim 1, further comprising inserting an endoscopic portion of the surgical device through tissue.

5. The method according to claim 1, further comprising articulating a tool assembly of the surgical device from a first position where the tool assembly is substantially aligned with the endoscopic portion to a second position where the tool assembly is disposed at an angle with respect to the endoscopic portion, the tool assembly comprising the anvil and the cartridge assembly.

6. The method according to claim 1, further comprising rotating the cartridge assembly about a longitudinal axis of an endoscopic portion of the surgical device.

7. The method according to claim 1, further comprising cutting tissue with a knife blade of the clamping member.

8. The method according to claim 1, further comprising encircling the portions of the anvil and the cartridge assembly with the clamp apparatus.

9. A method of using a surgical device comprising:

positioning a surgical device proximate tissue, the surgical device comprising;

an anvil;

a cartridge assembly configured to house a plurality of fasteners at least partially therein, the cartridge assembly being movable in relation to the anvil between open and approximated positions;

a dynamic clamping member slidably positioned to translate at least partially through the cartridge assembly to eject fasteners therefrom, the dynamic clamping member engaging an outer surface of the anvil and the cartridge assembly; and

a clamp apparatus movable from a retracted position to an advanced position at least partially encircling proximal portions of the anvil and the cartridge assembly for preventing a gap between proximal portions of the anvil and the cartridge assembly from exceeding a predetermined distance, the dynamic clamping member and the clamp apparatus configured to be driven by a single actuator;

positioning the anvil and the cartridge assembly adjacent tissue; and

actuating the surgical device to perform a surgical function.

10. The method of claim 9, wherein actuating the surgical device includes at least partially actuating a movable handle to advance the dynamic clamping member and the clamp apparatus.

11. The method of claim 9, wherein positioning the surgical device includes the clamp apparatus remaining at least partially encircling the proximal portions of the anvil and the cartridge assembly while the dynamic member moves distally with respect to the cartridge assembly.

12. The method of claim 9, wherein a lower flange of the dynamic clamping member engages a cam surface to pivot the cartridge assembly from the open position toward the approximated position.