Surgical instrument for joining tissue

• US 8,328,061 B2
• Filed: 02/02/2010
• Issued: 12/11/2012
• Est. Priority Date: 02/02/2010
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Kasvikis, Dino
• Primary Examiner(s): Gerrity, Stephen F
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US12/698,255
• Publication Number:
  US 20110186614A1
• Time in Patent Office: 1,043 Days
• Field of Search: 227/175.1, 227/176.1, 606/139
• US Class Current: 227/175.1
• 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 18/085 Forceps, scissors
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2017/2947 Pivots

Abstract

A surgical instrument for surgically joining tissue is provided. The surgical instrument includes a handle assembly that includes an actuator member. An end effector is operatively disposed adjacent a distal portion of an elongated shaft of the surgical instrument. The end effector includes a first jaw member pivotably disposed with respect to a second jaw member. The end effector is movable between a first position where the jaw members are spaced from one another, and a second position where the jaw members are in an approximated position. Each of the first and second jaw members includes a respective longitudinal track. An actuation assembly is disposed in mechanical cooperation with the end effector, wherein actuation of the actuation member causes the actuation assembly to translate from a distal portion of the end effector towards a proximal portion of the end effector through the tracks in the first and second jaw members.

Claims

1. A surgical instrument configured to join tissue, comprising:

a handle assembly including an actuator member;

an elongated shaft extending distally from the handle assembly and defining a first longitudinal axis;

an end effector disposed adjacent a distal portion of the elongated portion, the end effector having a pair of first and second jaw members defining a gap therebetween, at least one of the first and second jaw members being pivotably movable from an open position wherein the jaw members are disposed in spaced relation relative to one another, to a clamping position wherein each of the first and second jaw members cooperate to grasp tissue, each of the first and second jaw members being elongate and defining a second longitudinal axis and each of the first and second jaw members including a respective longitudinal track;

an actuation assembly disposed in mechanical cooperation with the end effector, wherein actuation of the actuator member causes at least a portion of the actuation assembly to translate from a distal portion of the end effector towards a proximal portion of the end effector through the tracks in the first and second jaw members;

the first jaw member having a surgical stapling cartridge and a distal end extending transversely to the second longitudinal axis at least partially enclosing the gap between the first jaw member and second jaw member; and

a lock for locking the first jaw member to the second jaw member.

2. A surgical instrument according to claim 1, wherein the second jaw member is an anvil assembly.

3. A surgical instrument according to claim 2, wherein proximal movement of the actuation assembly causes staples to be ejected from the cartridge assembly towards the anvil assembly.

4. A surgical instrument according to claim 1, wherein the actuation assembly includes an actuation head having a knife with a proximal edge configured to sever tissue.

5. A surgical instrument according to claim 1, wherein a top and bottom portion of the actuation head forms an “

I”

beam configuration, such that the top and bottom portions of the actuation head are receivable within respective tracks associated with the first and second jaw members.

6. A surgical instrument according to claim 1, wherein a cam slot and cam pin configuration is operably associated with the end effector and configured to facilitate remote approximation of the first and second jaw members.

7. A surgical instrument according to claim 1, wherein the distal end of the second jaw member is configured to house at least a portion of the actuation assembly prior to actuation of the actuation member.

8. A surgical instrument according to claim 1, further comprising an actuation cable disposed in mechanical cooperation with the actuation assembly and with the actuation member.

9. A surgical instrument according to claim 1, further comprising an approximation member disposed in mechanical cooperation with the handle assembly, wherein actuation of the approximation member causes distal translation of an approximation assembly which causes the end effector to move towards its second position.

10. A surgical instrument according to claim 1, wherein the end effector is movable between a parallel position where the first longitudinal axis is substantially parallel to the second longitudinal axis and an offset position where the first longitudinal axis and the second longitudinal axis are offset from each other.

11. A surgical instrument according to claim 1, wherein the end effector is part of a disposable loading unit.

12. A surgical instrument according to claim 1, wherein at least one of the jaw members is pivotable with respect to the other about a pivot point disposed on a proximal portion of the end effector.

13. A surgical instrument according to claim 1, wherein at least one of the jaw members is pivotable with respect to the other about a pivot point disposed on a distal portion of the end effector.

14. A surgical instrument according to claim 1, wherein the surgical instrument is configured for a laparoscopic surgical procedure.

15. A surgical instrument according to claim 1, wherein the second jaw member has a lock member for securely engaging the distal end of the first jaw member.

16. A surgical instrument according to claim 15, wherein the lock member for securely engaging the distal end of the first jaw member is biased in a generally proximal direction.

17. A surgical instrument according to claim 15, wherein the lock member has a first position that secures the first jaw member and a second position for allowing the first jaw member to move.

18. A surgical instrument according to claim 15, further comprising a pusher extending from the lock member to the handle assembly.

19. A surgical instrument according to claim 18, wherein the pusher is accessible by a user of the instrument to move the pusher, thereby releasing the first jaw member.

20. A surgical instrument according to claim 15, wherein the first jaw member has more than one closed position and the lock member has more than one feature for securing the position of the first jaw member.