CA2461956A1 - Surgical stapling device - Google Patents

Surgical stapling device Download PDF

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Publication number
CA2461956A1
CA2461956A1 CA002461956A CA2461956A CA2461956A1 CA 2461956 A1 CA2461956 A1 CA 2461956A1 CA 002461956 A CA002461956 A CA 002461956A CA 2461956 A CA2461956 A CA 2461956A CA 2461956 A1 CA2461956 A1 CA 2461956A1
Authority
CA
Canada
Prior art keywords
assembly
body portion
stapling device
surgical stapling
elongated body
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002461956A
Other languages
French (fr)
Other versions
CA2461956C (en
Inventor
Tom Wenchell
Stanislaw Marczyk
Kenneth H. Whitfield
Roman Czernik
Henry E. Holsten
Frank C. Maffei
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CA2695579A priority Critical patent/CA2695579C/en
Publication of CA2461956A1 publication Critical patent/CA2461956A1/en
Application granted granted Critical
Publication of CA2461956C publication Critical patent/CA2461956C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00115Electrical control of surgical instruments with audible or visual output
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2927Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0808Indication means for indicating correct assembly of components, e.g. of the surgical apparatus

Abstract

A surgical stapling device for sequentially applying a plurality of fastener s to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staple s in linear rows whose length can be between about 30mm and 60mm. The disposab le loading unit includes a proximal body portion, a mounting assembly and a too l assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly. An axial drive assembly is slidably positioned between the support members and is translatable through the cartridge assembly to eject staples from the cartridge assembly. The support members prevent outward buckling of the axial drive assembly during actuation of the device especially when the tool assembly is articulated. Preferably, a protrusion is provided in the proximal body portion of the disposable loading unit at a position to frictionally engage an articulation link. Engagement between the protrusion and the articulation link retains th e articulation link at a fixed position within the proximal body portion to maintain the tool assembly in a desired orientation until a predetermined axial force is applied to the articulation link. The disposable loading unit also preferably includes a locking member which is operably connected to the axial drive assembly. The locking member provides an audible and/or tactile indication that the device has been actuated.

Claims (24)

1. A surgical stapling device comprising:
an elongated body portion defining a longitudinal axis;
a tool assembly supported on a distal end of the elongated body portion, the tool assembly defining a longitudinal axis and including an anvil assembly and a cartridge assembly, the anvil assembly and cartridge assembly being relatively movable between open and closed positions, the tool assembly being supported for articulation about an axis which is perpendicular to the longitudinal axis of the elongated body portion and being movable from a first position in which the longitudinal axis of the tool assembly is aligned with the longitudinal axis of the elongated body portion to a second position in which the longitudinal axis of the tool assembly is at an angle to the longitudinal axis of the elongated body portion;
an articulation member operatively engaging the tool assembly and being movable to move the tool assembly between the first and second positions; and a retaining member positioned to releasably engage the articulation member, the retaining member preventing movement of the articulation member until a predetermined force is applied to the articulation member.
2. A surgical stapling device according to Claim 1, wherein the retaining member includes a ball which is urged into contact with the articulation member by a biasing member.
3. A surgical stapling device according to Claim 1, wherein the retaining member includes a protrusion extending from the elongated body and being positioned to contact the articulation member.
4. A surgical stapling device according to Claim 1, wherein the retaining member includes a spherical protrusion monolithically formed with the elongated body portion.
5. A surgical stapling device according to Claim 3, wherein the articulation member includes at least one recess positioned to receive the protrusion.
6. A surgical stapling device according to Claim 5, wherein the articulation member includes a plurality of recesses, each of the recesses being movable into engagement with the protrusion to selectively retain the tool assembly at a plurality of articulated positions.
7. A surgical stapling device according to Claim 5, wherein the at least one recess is positioned to retain the tool assembly in the first position.
8. A surgical stapling device according to Claim 1, wherein the tool assembly forms the distal end of a disposable loading unit, the disposable loading unit including a proximal body portion and the tool assembly, the proximal body portion forming the distal end of the elongated body portion.
9. A surgical stapling device according to Claim 1, wherein the tool assembly is pivotally fastened to the distal end of the proximal body portion.
10. A surgical stapling device according to Claim 1, further including a handle assembly, the elongated body portion extending distally from the handle assembly.
11. A surgical stapling device comprising:
an elongated body portion defining a longitudinal axis;
a tool assembly pivotally supported at the distal end of the elongated body portion about a pivot axis which is substantially perpendicular to the longitudinal axis of the elongated body portion, the tool assembly including an anvil assembly and a cartridge assembly housing a plurality of staples, the anvil assembly being movably mounted in relation to the cartridge assembly between open and closed positions;
a flexible drive assembly having a distal end configured to translate through the cartridge assembly to eject the staples therefrom; and a support member positioned adjacent the pivot axis on at least one side of the flexible drive assembly, the support member having a first end fixedly attached to the tool assembly and a second end fixedly attached to the elongated body portion, the support member being positioned adjacent the drive assembly to prevent outward buckling of the drive assembly.
12. A surgical stapling device according to Claim 11, wherein the support member positioned on at least one side of the flexible drive assembly includes two support members, one support member being positioned on one side of the drive assembly and the other support member being positioned on the other side of the drive assembly.
13. A surgical stapling device according to Claim 11, wherein the tool assembly includes a mounting member supported at a proximal end thereof, the mounting member being pivotally secured to the elongated body portion.
14. A surgical stapling device according to Claim 11, wherein the support member includes a flexible body having an intermediate spring portion which allows the flexible body to flex outwardly of the longitudinal axis to prevent binding of the flexible drive assembly.
15. A surgical stapling device according to Claim 14, wherein the intermediate spring portion includes a U-shaped central portion of the flexible body.
16. A surgical stapling device according to Claim 14, wherein the support member further includes a limit member positioned about the intermediate spring portion to limit the extent to which the intermediate spring portion can flex outwardly.
17. A surgical stapling device according to Claim 16, wherein the limit member includes an H-block and the intermediate spring portion includes a U-shaped central portion of the flexible body.
18. A surgical stapling device according to Claim 17, wherein the support member positioned on at least one side of the flexible drive assembly includes two support members positioned on opposite sides of the drive assembly.
19. A surgical stapling device according to Claim 13, wherein the first end of the tool assembly is fixedly attached to the mounting member of the tool assembly.
20. A surgical stapling device according to Claim 11, wherein the support member includes a flexible body which includes a central portion which lengthens axially.
21. A stapling device according to Claim 11, wherein the support member is bendable about the pivot axis.
22. A surgical stapling device comprising:
an elongated body portion defining a longitudinal axis;
a tool assembly supported on a distal end of the elongated body portion, the tool assembly defining a longitudinal axis and including an anvil assembly and a cartridge assembly, the anvil assembly and cartridge assembly being relatively movable between open and closed positions;
a drive assembly positioned within the elongated body portion and having a distal end configured to translate through the cartridge assembly to eject staples therefrom; and a locking member operatively connected to the drive assembly and being releaseably secured within the elongated body, the locking member preventing axial movement of the drive assembly until a predetermined force has been applied to the drive assembly.
23. A stapling device according to Claim 21, wherein the locking member includes at least one protrusion extending therefrom, the protrusion being positioned within a recess formed in the elongated body portion, the protrusion preventing axial movement of the locking member until a predetermined force has been applied to the drive assembly.
24. A surgical stapling device comprising:
an elongated body portion defining a longitudinal axis;

a tool assembly pivotally supported at the distal end of the elongated body portion about a pivot axis which is substantially perpendicular to the longitudinal axis of the elongated body portion, the tool assembly including an anvil assembly and a cartridge assembly housing a plurality of staples, the anvil assembly being movably mounted in relation to the cartridge assembly between open and closed positions;
a flexible drive assembly having a distal end configured to translate through the cartridge assembly to eject the staples therefrom; and a support member positioned adjacent the pivot axis on at least one side of the flexible drive assembly, the support member having a first end operatively associated with the tool assembly and a second end operatively associated with the elongated body portion, the support member including an axially extendable central portion to prevent binding of the drive assembly.
CA2461956A 2001-10-05 2002-10-04 Surgical stapling device Expired - Lifetime CA2461956C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA2695579A CA2695579C (en) 2001-10-05 2002-10-04 Surgical stapling device

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US32752701P 2001-10-05 2001-10-05
US60/327,527 2001-10-05
US36350202P 2002-03-11 2002-03-11
US36348702P 2002-03-11 2002-03-11
US60/363,502 2002-03-11
US60/363,487 2002-03-11
PCT/US2002/032031 WO2003030743A2 (en) 2001-10-05 2002-10-04 Surgical stapling device

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA2695579A Division CA2695579C (en) 2001-10-05 2002-10-04 Surgical stapling device

Publications (2)

Publication Number Publication Date
CA2461956A1 true CA2461956A1 (en) 2003-04-17
CA2461956C CA2461956C (en) 2011-01-04

Family

ID=27406539

Family Applications (2)

Application Number Title Priority Date Filing Date
CA2461956A Expired - Lifetime CA2461956C (en) 2001-10-05 2002-10-04 Surgical stapling device
CA2695579A Expired - Lifetime CA2695579C (en) 2001-10-05 2002-10-04 Surgical stapling device

Family Applications After (1)

Application Number Title Priority Date Filing Date
CA2695579A Expired - Lifetime CA2695579C (en) 2001-10-05 2002-10-04 Surgical stapling device

Country Status (7)

Country Link
US (10) US8281973B2 (en)
EP (5) EP1432358B1 (en)
JP (3) JP4252454B2 (en)
AU (2) AU2002362750B2 (en)
CA (2) CA2461956C (en)
ES (4) ES2763929T3 (en)
WO (1) WO2003030743A2 (en)

Families Citing this family (1016)

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