SURGICAL STAPLING LOADING UNIT WITH STROKE COUNTER AND LOCKOUT

• US 20170027575A1
• Filed: 07/30/2015
• Published: 02/02/2017
• Est. Priority Date: 07/30/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Murthy Aravalli, AVVLN Srinivasa
• Granted Patent: US 10,045,782 B2
• Time in Patent Office: Days
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: A61B 2090/0814 Preventing re-use

Abstract

A surgical loading unit for use with a handle assembly includes an elongate outer frame, an end effector mounted to a distal end of the outer frame, a drive at least partially disposed within the outer frame and operatively coupled to the end effector, and being adapted for longitudinal movement through a plurality of sequential firing strokes to operate the end effector, and a rotatable counter mounted to the outer frame and adapted for rotational movement about the longitudinal axis. The rotatable counter has visual indicators for providing visual indicia corresponding to a number of firing strokes completed by the drive. A counter actuator is mounted to the drive and dimensioned to engage the rotatable counter to cause rotational movement of the rotatable counter through an arc segment of rotation during each firing stroke of the drive. A cam actuator is mounted to the drive and dimensioned to operatively engage the counter actuator to cause release of the counter actuator from the rotatable counter upon longitudinal movement of the drive through each successive return stroke.

Claims

1. A surgical loading unit, which comprises:

an elongate outer frame defining a longitudinal axis and having proximal and distal ends;

an end effector mounted to the distal end of the outer frame;

a drive at least partially disposed within the outer frame and operatively coupled to the end effector, the drive adapted for longitudinal movement through a plurality of sequential firing strokes to operate the end effector;

a rotatable counter mounted to the outer frame and adapted for rotational movement about the longitudinal axis, the rotatable counter having visual indicators for providing visual indicia corresponding to a number of firing strokes completed by the drive;

a counter actuator mounted to the drive and dimensioned to engage the rotatable counter to cause rotational movement of the rotatable counter through an arc segment of rotation during each firing stroke of the drive; and

a cam actuator mounted to the drive and dimensioned to operatively engage the counter actuator to cause release of the counter actuator from the rotatable counter upon longitudinal movement of the drive through each successive return stroke.

2. The surgical loading unit according to claim 1 wherein the outer frame defines a window through which a visual indicator of the rotatable counter is visible.

3. The surgical loading unit according to claim 1 wherein the rotatable counter includes a stop, the stop positionable to engage the drive upon rotatable movement of the rotatable counter through a predetermined number of arc segments corresponding to a predetermined number of firing strokes completed by the drive.

4. The surgical loading unit according to claim 1 wherein the rotatable counter includes internal helical grooves, the counter actuator engagable with the helical grooves to cause rotational movement of the rotatable counter.

5. The surgical loading unit according to claim 4 wherein the counter actuator is adapted to pivot relative to the drive between an engaged position to be received within one of the helical grooves of the rotatable counter during each firing stroke of the drive and at least a disengaged position disengaged from the one of the helical groove during each return stroke of the drive.

6. The surgical loading unit according to claim 5 wherein the counter actuator is normally biased toward the engaged position.

7. The surgical loading unit according to claim 5 wherein the cam actuator is adapted to pivot between an initial position and first and second pivoted positions, the cam actuator permitting the counter actuator to assume the engaged position of the counter actuator when the cam actuator is in the first pivoted position, and moving the counter actuator to the disengaged position of the counter actuator when the cam actuator is in the second pivoted position.

8. The surgical loading unit according to claim 7 wherein the cam actuator is normally biased toward the initial position, and pivots in a first direction to assume the first pivoted position and pivots in a second direction to assume the second pivoted position.

9. The surgical loading unit according to claim 8 wherein the outer frame includes a cam having rear and forward cam surfaces, the cam actuator engaging the rear cam surface during movement of the drive through each firing stroke to move the cam actuator to the first pivoted position thereby permitting the counter actuator to assume the engaged position, the cam actuator engaging the forward cam surface during movement of the drive through each return stroke to orient the cam actuator in the second pivoted position thereby moving the counter actuator to the disengaged position.

10. The surgical loading unit according to claim 4 including a detent mechanism having a detent member mounted relative to the outer frame and locking recesses associated with the rotatable counter, the detent member engagable with a respective locking recess subsequent to each firing stroke of the drive to maintain the rotatable counter at a desired rotational position, and adapted to release the respective locking recess upon movement of the drive through each successive firing stroke.

11. The surgical loading unit according to claim 1 wherein the end effector includes a fastener assembly having a plurality of fasteners, at least one fastener being ejected upon movement of the drive through a firing stroke.

12. A surgical loading unit, which comprises:

an elongate outer frame defining a longitudinal axis and having proximal and distal ends, the proximal end being adapted for coupling with the handle assembly;

a staple assembly mounted to the distal end of the outer frame, the staple assembly including a staple cartridge housing a plurality of staples and an anvil, the anvil adapted for movement relative to the staple cartridge between an open position to receive tissue and an approximated position to clamp tissue;

a drive at least partially disposed within the outer frame and operatively couplable to the staple assembly, the drive adapted for longitudinal movement through a plurality of sequential strokes to eject at least one staple from the staple cartridge for crimping by the anvil when in the approximated position thereof;

a rotatable counter and lockout mechanism including;

a rotatable counter mounted to the outer frame and adapted for rotational movement through an arc segment of rotation upon movement of the drive through each firing stroke;

at least one visual indicator associated with the rotatable counter for providing visual indicia corresponding to a number of firing strokes completed by the drive;

a lock member positionable to engage the drive upon rotatable movement of the rotatable counter through a predetermined number of arc segments corresponding to a predetermined number of firing strokes completed by the drive;

a counter actuator mounted to the drive and dimensioned to engage the rotatable counter to cause rotational movement of the counter through an arc segment of rotation during each firing stroke of the drive; and

a cam actuator mounted to the drive and dimensioned to operatively engage the counter actuator to cause release of the counter actuator from the rotatable counter upon longitudinal movement of the drive through each successive return stroke.

13. The surgical loading unit according to claim 12 wherein the counter actuator is adapted to pivot relative to the drive between an engaged position to couple with the rotatable counter during each firing stroke of the drive and at least a disengaged position disengaged from the rotatable counter during each return stroke of the drive.

14. The surgical loading unit according to claim 13 wherein the rotatable counter includes internal helical grooves, the counter actuator engagable with one helical groove when in the engaged position to cause rotational movement of the rotatable counter during each drive stroke, and disengaged from the one helical groove when in the disengaged position during each return stroke.

15. The surgical loading unit according to claim 14 wherein the cam actuator is adapted to pivot between an initial position and first and second pivoted positions, the cam actuator permitting the counter actuator to assume the engaged position of the counter actuator when the cam actuator is in the first pivoted position, and moving the counter actuator to the disengaged position of the counter actuator when the cam actuator is in the second pivoted position.

16. The surgical loading unit according to claim 12 including a detent mechanism having a detent member mounted relative to the outer frame and locking recesses associated with the rotatable counter, the detent member engagable with a respective locking recess subsequent to each firing stroke of the drive to maintain the rotatable counter at a desired rotational position, and adapted to release the respective locking recess upon movement of the drive through each successive firing stroke.