This application is a National Stage Application of PCT/US2013/068263 under 35 USC § 371 (a), the disclosure of the above-identified application is hereby incorporated by reference in its entirety.
1. Technical Field
The present disclosure relates to a surgical fastener applying apparatus and, more particularly, to a surgical fastener applying apparatus having reusable and disposable components.
2. Discussion of Related Art
Surgical fastener applying apparatus, wherein tissue is first grasped or clamped between opposing jaw structures and then joined by means of surgical fasteners, are well known in the art. In some such apparatus, a knife is provided to cut the tissue which has been joined by the fasteners, such as surgical staples.
Surgical fastener applying apparatus typically include two elongated beam members which are used to capture or clamp tissue therebetween. Typically, one of the beam members carries a disposable cartridge assembly which houses a plurality of staples arranged in at least two lateral rows, while the other beam member includes an anvil which defines a surface for forming the staple legs as the staples are driven from the cartridge assembly. Where two part fasteners are used, the beam member which includes the anvil carries a mating part of the two part fastener, e.g. the receiver. Generally, the staple formation process is affected by the interaction between one or more longitudinally moving camming members and a series of individual staple pushers. As the camming members travel longitudinally through the cartridge carrying beam member, the individual pusher members are biased upwardly into a backspan of the staples supported within the cartridge assembly to sequentially eject the staples from the cartridge. A knife may be provided to travel with the camming members between the staple rows to cut the tissue between the rows of formed staples. An example of such an instrument is disclosed in U.S. Pat. No. 7,631,794, which is incorporated herein in its entirety by reference.
Because of the dangers associated with improper sterilization, e.g. of surgical apparatus fastener applying apparatus are typically disposable after use. Although the cartridge assembly may be replaced to perform multiple fastener applying operations on a single patient, the staple applying apparatus is typically disposable after a surgical procedure has been completed. This requirement of disposability may increase the costs associated with surgical procedures. Although reusable fastener applying apparatus have been developed, such apparatus can be overly complex and prove difficult to sterilize.
A need exists in the art for a fastener applying apparatus which includes reusable components, is not overly complex and is configured to facilitate proper sterilization after use in a surgical procedure.
The present disclosure relates to a surgical fastener applying apparatus comprising an anvil half-section including a distal anvil portion and a proximal handle portion. A cartridge receiving half-section defines an elongated channel member and includes at least one hinge member supported on a bottom wall of the elongated channel member. The elongated channel member has a distal portion dimensioned to releasably receive a single use loading unit and a proximal portion configured to support a firing assembly. The at least one hinge member defines an opening. A clamping lever is pivotally secured to the cartridge receiving half-section and has a proximal end, a distal end and a pivot member supported in cantilevered fashion on the distal end of the clamping lever. The pivot member of the clamping lever is slidably received within the opening of the at least one hinge member to pivotally secure the clamping lever to the cartridge receiving half-section. The clamping lever is movable from an unclamped position to a clamped position to releasably secure the anvil portion of the anvil half-section in close approximation with the single use loading unit supported within the elongated channel member.
In an embodiment, the firing assembly is configured to be releasably secured within the proximal portion of the cartridge receiving half-section and includes a firing lever and a cam bar fixedly secured to the firing lever.
The firing assembly may further include a stationary housing which is configured to be releasably supported in the proximal portion of the cartridge receiving portion and includes a bottom wall having a downwardly extending protrusion.
In an embodiment, the elongated channel member defines an opening dimensioned to receive the downwardly extending protrusion to properly position the firing assembly within the elongated channel member.
The firing assembly may further include a knife actuating bar which is configured to engage a knife supported within the single use loading unit.
In an embodiment, the firing assembly includes a spring member secured to the stationary housing and the elongated channel member defines an elongated slot which is dimensioned to allow passage of the spring member. The spring member is positioned to extend through the elongated slot and engage the clamping lever to urge the clamping lever towards the unclamped position.
In an embodiment, the distal anvil portion has a triangular transverse cross-section and is solid and defines a longitudinal slot dimensioned to receive a knife of the single use loading unit.
In an embodiment, the clamping lever includes a locking member having a central pivot member. The locking member has a first end including an engagement member and a second end including a finger engagement surface. The locking member is pivotable about the central pivot member to engage a catch member formed on the cartridge receiving half-section in a snap-fit type engagement to retain the clamping lever in the clamped position. In embodiments, the finger engagement surface is positioned to be depressible to pivot the engagement member about the central pivot member out of engagement with the catch member.
Various embodiments of the presently disclosed surgical fastener applying apparatus will now be described herein with reference to the accompanying figures wherein:
Embodiments of the presently disclosed surgical fastener applying apparatus in accordance with the present disclosure will now be described in detail with reference to the drawings wherein like reference numerals identify similar or identical structural elements. As used herein, as is traditional, the term “proximal” refers to the part of the apparatus which is closer to the user and the term distal refers to the part of the apparatus which is further away from the user.
Referring specifically to
Referring to
Referring to
In an alternative embodiment shown in
Guide block 48 includes a body defining three longitudinal slots 70a-c and a pair of outwardly extending protrusions 72. In an embodiment, each protrusion 72 is cylindrical and includes a tapered portion 72a (
Slide block 52 includes a hub 80 which includes a resilient finger 80a configured to be snap-fit into a pivot hole 82 formed in firing lever 50. Firing lever 50 is pivotal about hub 80 when the slide block 52 is in a retracted position to facilitate actuation of the firing assembly 20 from either side of stapler 10. Pedal 54 is reciprocally received within a hole 84 formed in slide block 52. Pedal 54 includes a split body portion 54a which is configured to straddle a proximal end 102 of knife actuating bar 44. In an embodiment, split body portion 54a includes an angled distal surface 86. A pin 88 extends upwardly from pedal 54 through hole 84 in slide block 52. A biasing member 90 is positioned between split body portion 54a and slide block 52, about pin 88 to urge pedal 54 downwardly away from slide block 52. In the retracted position of slide block 52, pedal 54 is received in a cutout 55 formed in a bottom wall 22a of channel member 22 (
Firing lever 50 includes first and second finger engagement members 50a and 50b, either one of which can be selectively engaged to move the firing lever 50 through a firing stroke from either side of stapler 10. An arcuate recess 94 (
Knife actuating bar 44 includes a proximal end having a stepped portion 100 which includes a proximal first step 102 having a first height and a second step 104 having a second height which is greater than the first height. A distal end of actuating bar 44 includes an upturned hook portion 106 and upper and lower notches 49 and 51. A finger 108 projects upwardly from knife actuating bar 44 between first and second steps 102 and 104. As shown in
Referring to
Sidewalls 114 of cam bar 46 are slidably positioned in slots 70a and 70c of guide block 48 and knife actuating bar 44 is slidably positioned in longitudinal slot 70b of guide block 48. When firing assembly 20 is supported in channel member 22 and firing lever 50 is pivoted to one side of stationary housing 26 and pushed distally, slide block 52 is moved distally within stationary housing 26. As slide block 52 begins to move distally, tapered surface 86 of pedal 54 engages a distal edge of channel member 22 defining cutout 55 to urge pedal 54 upwardly out of cutout 55, through slot 121 of cam bar 46, and onto an inner surface of stationary housing 26 of firing assembly 20 (
Referring to
U.S. Pat. No. 7,631,794 (“the '794 patent”) discloses a surgical fastener applying apparatus which includes a firing assembly similar to that described above. The '794 patent is incorporated herein by reference in its entirety.
In the illustrated embodiment, body 120 includes two staggered rows of slots 130 formed on either side of linear slotted knife track 132. The staggered rows of slots 130 extend beyond the distal end of knife track 132 to facilitate staple formation beyond the distal end of the stroke of the knife blade 40.
Staple pushers 122 may be configured to extend into one or more slots 130. In an embodiment, a single pusher is associated with each slot 130. Alternately, as illustrated in
Bottom cover 124 partially encloses a channel 125 (
Safety lockout 128 is pivotally disposed on an upper proximal end of body 120 and is pivotal about a pivot member 150 from a locked orientation (
Referring again to
In the alternative embodiment shown in
A central portion of anvil half-section 12 includes a pair of cylindrical lateral support members 172. During assembly of anvil half-section 12 and cartridge receiving half-section 14, lateral support members 172 are supported in U-shaped recesses 174 formed on a central portion 173 of cartridge receiving half-section 14 (
In the alternative embodiment shown in
Cartridge receiving half-section 14 includes a central portion 173 which defines spaced centrally disposed U-shaped recesses 174 positioned to support lateral support members 172 of anvil half-section 12. A distal wall 173a of central portion 173 defines a tissue stop (
Clamping lever 16 also includes a handle portion 190 including a grip 190a and a thumb engaging abutment 192. As discussed above, a pair of spaced flange portions 178 are supported on the distal end of clamping lever 16. Each flange portion 178 defines a cutout 176 dimensioned to receive a respective lateral support member 172 of anvil half-section 12 when stapler 10 is moved towards clamped position (
In the alternative embodiment shown in
In use, clamping lever 1016 is mounted on channel member 1022 by sliding a free end of pivot member 1187 (
As shown in
Referring to
In order to position surgical stapler 10 in the clamped position, clamping lever 16 is rotated in a counter-clockwise direction from the position shown in
In the alternate embodiment shown in
Referring to
In the alternative embodiment shown in
Referring to
Referring to
Referring to
Referring to
Referring to
As shown in phantom in
Referring to
Referring to
During a surgical procedure, SULU 18 can be replaced multiple times to facilitate multiple uses of stapler 10 on a single patient. Since each SULU 18 is provided with a fresh knife 40, tearing of tissue is minimized. After the surgical procedure, the used SULU(S) 18 and the firing assembly 20 can be removed from the channel member 22 and disposed of in an appropriate manner. Thereafter, clamping lever 16 can be removed from cartridge receiving half-section 14, by rotating clamping lever 16 to the position shown in
With regard to the alternate embodiment of the surgical stapler 1000 shown in
It will be understood that various modifications may be made to the embodiments of the surgical fastener applying apparatus disclosed herein. Therefore, the above description should not be construed as limiting, but merely as exemplifications of embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the present disclosure.
Filing Document | Filing Date | Country | Kind |
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PCT/US2013/068263 | 11/4/2013 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
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WO2015/065487 | 5/7/2015 | WO | A |
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Entry |
---|
Chinese Office Action dated Jan. 29, 2018, issued in CN Application No. 201380080700. |
Japanese Office Action dated Aug. 2, 2017, issued in JP Application No. 2016-526354. |
International Search Report for PCT/US2013/068263 date of completion is Jul. 1, 2014 (3 pages). |
Number | Date | Country | |
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20160249920 A1 | Sep 2016 | US |