The present disclosure relates generally to instruments for surgically joining tissue and, more specifically, to a pivot pin pivotably joining a pair of jaw members of a surgical instrument.
Various types of surgical instruments used to surgically join tissue are known in the art, and are commonly used, for example, for closure of tissue or organs in transection, resection, and anastomoses; and for occlusion of organs in thoracic and abdominal procedures.
One example of such a surgical instrument is a surgical stapling instrument, which typically includes an anvil assembly, a cartridge assembly for supporting an array of surgical staples, an approximation mechanism for approximating the cartridge and anvil assemblies, and a firing mechanism for ejecting the surgical staples from the cartridge assembly.
To achieve proper results, e.g., consistent staple formation, proper anvil to cartridge alignment is needed. Accordingly, a need exists for an approximation mechanism that properly aligns the cartridge and anvil assemblies for proper staple formation.
In accordance with an embodiment of the present disclosure, there is provided a loading unit assembly adapted to releasably engage a surgical instrument. The loading unit assembly includes a tool assembly including first and second jaw members and a pivot pin configured to pivotably couple the first and second jaw members. The first jaw member is movable with respect to the second jaw member between spaced and approximated positions, wherein the pivot pin includes a base portion and first and second stepped portions extending radially outward from the base portion. The first and second stepped portions are configured to pivotably engage the first and second jaw members, respectively.
In an embodiment, the pair of stepped portions may be concentrically arranged. In addition, the pair of stepped portions may have different diameters. A diameter of the first stepped portion may be smaller than a diameter of the second stepped portion.
In another embodiment, at least a portion of the base portion may include threads. In still another embodiment, the first jaw member may include a cartridge assembly having a plurality of staples, and the second jaw member may include an anvil assembly. The loading unit assembly may further include an elongate member including a mounting portion defining a bore configured and dimensioned to receive the pivot pin therein. The first jaw member may include a pair of walls each defining a hole. At least a portion of the mounting portion may be disposed between the pair of walls of the first jaw member such that the bore and the holes are aligned to receive the pivot pin. Moreover, the second jaw member may include a pair of walls each defining a hole. In particular, at least a portion of the pair of walls of the first jaw member may be received between the pair of walls of the second jaw member such that the holes of the first and second jaw members and the bore are aligned to receive the pivot pin.
In still yet another embodiment, the body portion of the pivot pin may be threadably received into the bore of the mounting portion. The second stepped portion may include a recess configured to receive a tool for tightening of the pivot pin. The first and second jaw members may be curved with respect to a longitudinal axis defined by the elongate member.
Various embodiments of the presently disclosed surgical instrument are disclosed herein with reference to the drawings, wherein:
Embodiments of the presently disclosed surgical instrument, and loading unit for use therewith, are described in detail with reference to the drawings, wherein like reference numerals designate corresponding elements in each of the several views. As is common in the art, the term “proximal” refers to that part or component closer to the user or operator, e.g., surgeon or physician, while the term “distal” refers to that part or component farther away from the user.
With reference to
With particular reference to
With reference now to
The term “distal” typically refers to that part or component of the instrument that is farther away from the user. As used herein, the terms “distal” and “proximal” will take into account the curvature of curved parts of the surgical instrument 10 of the present disclosure. For example, “distal” will refer to the portion of the curved part that is farthest from the user, along a trajectory defined by the curved part, such as trajectory C-C shown in
With reference to
Cartridge assembly 508 includes a curved carrier 516, which receives a curved cartridge 518 via a snap-fit connection. Cartridge 518 includes a pair of support struts 524 which rest on sidewalls 517 of carrier 516 to stabilize cartridge 518 on carrier 516. Support struts 524 also set the height or location of cartridge 518 with respect to anvil plate 512. An external surface of carrier 516 includes an angled cam surface 516a.
With continued reference to
With reference to
With reference now to
Second stepped portion 904 is configured and dimensioned to be received in hole 577 defined in anvil cover 510. Second stepped portion 904 includes a second diameter D2 and a second length L2. Second stepped portion 904 provides a second bearing surface 903. First stepped portion 902 is concentrically arranged with second stepped portion 904 and base portion 906. Second diameter D2 is configured and dimensioned to align depressions 514 in anvil plate 512 with retention slots 528 of cartridge 518. Moreover, second length L2 of second stepped portion 904 is toleranced to allow the static anvil assembly 506 to float while being securely coupled with cartridge assembly 508. At least a portion of base portion 906 of screw 900 includes threads 906a configured to threadably engage bores 578 defined in mounting assembly 570. Base portion 906 further includes a neck portion 907. Screw 900 includes a lateral surface 915 defining a recess 905 configured to receive a tool (not shown) to tighten screw 900 into bore 578 of mounting assembly 570.
In contrast to conventional pivot assemblies, screw 900 allows for a higher torque setting and better screw security with a controlled channel width. As a result, more consistent staple formation, as well as improved anvil to cartridge alignment is achieved.
With reference back to
With reference to
In use, tissue is placed between the jaw members (
The movement of drive assembly 560, and in particular, a clamping member 606 affixed thereto, moves a longitudinally curved actuation sled 536 through cartridge 518. As sled 536 moves through cartridge 518, longitudinally curved cam wedges 534 (
While the above description contains many specifics, these specifics should not be construed as limitations on the scope of the present disclosure, but merely as illustrations of various embodiments thereof. For example, while tissue stop 700 (
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