Surgical Fastener Applying Apparatus with Controlled Beam Deflection

• US 20100170933A1
• Filed: 03/18/2010
• Published: 07/08/2010
• Est. Priority Date: 10/17/2003
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Ivanko, David
• Granted Patent: US 8,011,552 B2
• Time in Patent Office: Days
• US Class Current: 227/176.100
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws

Abstract

A surgical fastener applying apparatus including an anvil half-section having a distal end and a longitudinal axis; a cartridge receiving half-section having a distal end and operatively couplable with the anvil half-section such that the distal ends of the half-sections are in juxtaposed relation; and a deflection control system operatively engaged with and reinforcing the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis.

Claims

1-14. -14. (canceled)

15. A surgical fastener applying apparatus, comprising:

an anvil half-section defining a longitudinal axis and a tissue contacting surface, the anvil half-section including a proximal end and a distal end; and

a deflection control system mechanically coupled to the anvil half-section, the deflection control system configured and dimensioned to reinforce the distal end of the anvil half-section upon application of a force thereto, the force acting on the anvil half-section in a direction transverse to the longitudinal axis of the anvil half-section and normal to a plane defined by the tissue contacting surface, the deflection control system including;

a reinforcing member comprising a first plate and a second plate overlying the first plate, wherein the first plate has a proximal end, a distal end, and a slot formed in the distal end thereof having a length, and the second plate has a proximal end, a distal end, and a slot formed in the distal end thereof having a length, the length of the slot formed in the second plate being different than the length of the slot formed in the first plate; and

a pin member configured and dimensioned for receipt in the slot formed in the first plate and in the slot formed in the second plate such that at least the distal end of the reinforcing member is slidably secured to the distal end of the anvil half-section.

16. The surgical fastener applying apparatus of claim 15, wherein the length of the slot formed in the second plate is greater than the length of the slot formed in the first plate.

17. The surgical fastener applying apparatus of claim 15, wherein the slots formed in the first and second plates extend in substantially parallel relation to the longitudinal axis.

18. The surgical fastener applying apparatus of claim 15, wherein the pin member secures the reinforcing member to the anvil half-section at a location proximate a distal-most end of the anvil half-section.

19. The surgical fastener applying apparatus of claim 15, wherein the pin member includes:

a body portion with a first end fixedly secured to the anvil half-section;

a second end extending through the slots formed in the first and second plates of the reinforcing member; and

a head secured to the second end, the head defining a transverse dimension larger than a corresponding transverse dimension of at least one of the slots formed in the first and second plates.

20. The surgical fastener applying apparatus of claim 19, wherein the body portion of the pin member is configured and dimensioned to maintain sliding contact between the distal ends of the first plate and the second plate.

21. The surgical fastener applying apparatus of claim 15, wherein the deflection control system is configured and dimensioned as a multi-stage system including a first stage of deflection and a second stage of deflection, the distal end of the anvil half-section undergoing an initial rate of deflection in the first stage of deflection until the distal end of the slot formed in the first plate contacts the pin member, thereby initiating the second stage of deflection, wherein the distal end of the anvil half-section undergoes a second rate of deflection different than the initial rate of deflection.

22. The surgical fastener applying apparatus of claim 21, wherein the deflection control system is configured and dimensioned such that the second rate of deflection is less than the initial rate of deflection.

23. The surgical fastener applying apparatus of claim 21, wherein the reinforcing member further includes a third plate overlying the second plate and having a proximal end, a distal and, and a slot formed in the distal end thereof configured and dimensioned to receive the pin member, the slot formed in the third plate defining a length different than the length of the slot formed in the first plate and the length of the slot formed in the second plate.

24. The surgical fastener applying apparatus of claim 23, wherein the length of the slot formed in the third plate is greater than the length of the slot formed in the second plate.

25. The surgical fastener applying apparatus of claim 24, wherein the deflection control system is configured and dimensioned to include a third stage of deflection, wherein the distal end of the anvil half-section, the first plate, and the second plate undergo a third rate of deflection different than the second rate of deflection until the distal end of the slot formed in the third plate contacts the pin member.

26. The surgical fastener applying apparatus of claim 25, wherein the deflection control system is configured and dimensioned such that the third rate of deflection is less than the second rate of deflection.

27. The surgical fastener applying apparatus of claim 25, wherein contact between the distal end of the slot in the second plate and the pin member initiates the third stage of deflection.

28. The surgical fastener applying apparatus of claim 27, wherein the reinforcing member further includes a fourth plate overlying the third plate and having a proximal end, a distal end, and a slot formed in the distal end thereof configured and dimensioned to receive the pin member, the slot formed in the fourth plate defining a length different than the length of the slot formed in the first plate, the length of the slot formed in the second plate, and the length of the slot formed in the third plate.

29. The surgical fastener applying apparatus of claim 28, wherein the length of the slot formed in the fourth plate is greater than the length of the slot formed in the third plate.

30. The surgical fastener applying apparatus of claim 29, wherein the deflection control system is configured and dimensioned to include a fourth stage of deflection wherein the distal end of the anvil half-section, the first plate, the second plate, and the third plate undergo a fourth rate of deflection different than the third rate of deflection until the distal end of the slot formed in the fourth plate contacts the pin member.

31. The surgical fastener applying apparatus of claim 25, wherein the deflection control system is configured and dimensioned such that the fourth rate of deflection is less than the third rate of deflection.

32. The surgical fastener applying apparatus of claim 30, wherein contact between the distal end of the slot formed in the third plate and the pin member initiates the fourth stage of deflection.

34. The surgical fastener applying apparatus of claim 30, wherein the deflection control system comprises:

a reinforcing member comprising a first plate and a second plate overlying the first plate, wherein the first plate includes a proximal end, a distal end, and a slot formed in the distal end thereof having a length, and the second plate includes a proximal end, a distal end, and a slot formed in the distal end thereof having a length, the length of the slot formed in the second plate being different than the length of the slot formed in the first plate; and

a pin member configured and dimensioned for receipt in the slot formed in the first plate and in the slot formed in the second plate such that at least the distal end of the reinforcing member is slidably secured to the distal end of the anvil half-section.

35. The surgical fastener applying apparatus of claim 34, wherein the length of the slot formed in the second plate is greater than the length of the slot formed in the first plate.

36. The surgical fastener applying apparatus of claim 34, wherein the deflection control system is configured and dimensioned to include a first stage of deflection and a second stage of deflection, the distal end of the anvil half-section undergoing an initial rate of deflection in the first stage until the distal end of the slot formed in of the first plate contacts the pin member, thereby initiating the second stage of deflection, wherein the distal end of the anvil half-section and the first plate undergo a second rate of deflection different than the initial rate of deflection until the distal end of the slot formed in the second plate contacts the pin member.

37. The surgical fastener applying apparatus of claim 36, wherein the deflection control system is configured and dimensioned such that the second rate of deflection is less than the initial rate of deflection.

38. The surgical fastener applying apparatus of claim 36, wherein the reinforcing member further includes a third plate overlying the second plate, the third plate having a proximal end, a distal end, and a slot formed in the distal end thereof configured and dimensioned to receive the pin member and defining a length different than the length of the slot formed in the second plate, the slot formed in the third plate allowing for a third stage of deflection, wherein the distal end of the anvil half-section, the first plate, and the second plate undergo a third rate of deflection different than the second rate of deflection, the third stage of deflection being initiated upon contact between the distal end of the second slot and the pin member.

39. The surgical fastener applying apparatus of claim 38, wherein the length of the slot formed in the third plate is greater than the length of the slot formed in the second plate.

40. The surgical fastener applying apparatus of claim 38, wherein the deflection control system is configured and dimensioned such that the third rate of deflection is less than the second rate of deflection.

41. The surgical fastener applying apparatus of claim 38, wherein the reinforcing member further includes a fourth plate overlying the third plate, the fourth plate having a proximal end, a distal end, and a slot formed in the distal end thereof configured and dimensioned to receive the pin member and defining a length different than the length of the slot formed in the third plate, the slot formed in the fourth plate allowing for a fourth stage of deflection, wherein the distal end of the anvil half-section, the first plate, the second plate, and the third plate undergo a fourth rate of deflection different than the third rate of deflection, the fourth stage of deflection being initiated upon contact between the distal end of the third slot and the pin member.

42. The surgical fastener applying apparatus of claim 41, wherein the length of the slot formed in the fourth plate is greater than the length of the slot formed in the third plate.

43. The surgical fastener applying apparatus of claim 41, wherein the deflection control system is configured and dimensioned such that the fourth rate of deflection is less than the third rate of deflection.

33. A surgical fastener applying apparatus, comprising:

an anvil half-section defining a longitudinal axis and a tissue contacting surface, the anvil half-section including a proximal end and a distal end;

a cartridge receiving half-section mechanically coupled to the anvil half-section; and

a multi-stage deflection control system mechanically coupled to the anvil half-section, the deflection control system being configured and dimensioned to reinforce the distal end of the anvil half-section upon application of a force thereto, the force acting on the anvil half-section in a direction transverse to the longitudinal axis of the anvil half-section and normal to a plane defined by the tissue contacting surface, such that a rate of deflection of the distal end of the anvil half-section progressively decreases during compression of tissue positioned between the anvil half-section and the cartridge receiving half-section, thereby incrementally stiffening the distal end of the anvil half-section.