This disclosure is directed to surgical stapling devices and, more particularly, to surgical stapling devices that have articulating tool assemblies.
Surgical stapling devices for suturing and cutting tissue in a fast and efficient manner to perform a variety of surgical procedures are well known. Typically, a surgical stapling device includes a tool assembly that has first and second jaws that support a cartridge assembly and an anvil, respectively. The first and second jaws are mounted together to allow for movement of the tool assembly between open and clamped positions.
Typically, endoscopic surgical stapling devices include an elongate shaft defining a longitudinal axis and the tool assembly is pivotably supported on a distal end of the elongate shaft about the transverse axis. In known endoscopic stapling devices, an articulation rod is coupled to the tool assembly and is movable between retracted and advanced positions to pivot the tool assembly about the transverse axis between a non-articulated position and articulated positions. When the position of the tool assembly is fixed at a desired articulated position and the tool assembly is clamped and fired, due to the inherent clearances of the components in the reload assembly and the firing forces required to fire the stapling device, the articulation rod may undesirably experience tremors that are transferred to the tool assembly.
Accordingly, a continuing need exists in the suturing arts for a surgical stapling device that can minimize tremors during firing of the stapling device.
Aspects of this disclosure are directed to a surgical stapling device that includes a body portion defining a longitudinal axis and a tool assembly that articulates about an axis transverse to the longitudinal axis. The surgical stapling device includes an articulation member that is supported in the body portion and is movable between retracted and advanced positions to pivot the tool assembly between a non-articulated position and articulated positions. The body portion supports a braking assembly that moves into engagement with the articulation member to stabilize the articulation member when the surgical stapling device is fired.
One aspect of the disclosure is directed to a surgical stapling device including a body portion, a tool assembly, an articulation member, and a braking assembly. The body portion defines a longitudinal axis and has a proximal portion and a distal portion. The tool assembly is pivotably coupled to the distal portion of the body portion and defines a longitudinal axis. The tool assembly includes an anvil and a cartridge assembly and is pivotable from a non-articulated position in which the longitudinal axis of the tool assembly is aligned with the longitudinal axis of the body portion to articulated positions in which the longitudinal axis of the tool assembly is misaligned with the longitudinal axis of the body portion. The articulation member is supported within the body portion and has a proximal portion and a distal portion. The distal portion is coupled to the tool assembly and the articulation member is movable between retracted and advanced positions to pivot the tool assembly between the articulated and non-articulated positions. The braking assembly is supported within the body portion and includes a first brake pad positioned on one side of the articulation member. The braking assembly is movable from a first position in which the first brake pad is spaced from the articulation member to a second position in which the first brake pad is engaged with the articulation member.
Another aspect of the disclosure is directed to a surgical stapling device including a body portion, a tool assembly, an articulation member, and a braking assembly. The body portion defines a longitudinal axis and has a proximal portion and a distal portion. The tool assembly is pivotably coupled to the distal portion of the body portion and defines a longitudinal axis. The tool assembly includes an anvil and a cartridge assembly and is pivotable from a non-articulated position in which the longitudinal axis of the tool assembly is aligned with the longitudinal axis of the body portion to articulated positions in which the longitudinal axis of the tool assembly is misaligned with the longitudinal axis of the body portion. The articulation member is supported within the body portion and has a proximal portion and a distal portion. The distal portion is coupled to the tool assembly and the articulation member is movable between retracted and advanced positions to pivot the tool assembly between the articulated and non-articulated positions. The braking assembly is supported within the body portion and includes a first brake pad that is positioned on one side of the articulation member and a base member supported on the other side of the articulation rod. The base member is movable from a first position in which the first brake pad is spaced from the articulation member and a second position in which the first brake pad is engaged with the articulation member.
Another aspect of the disclosure is directed to a surgical stapling device including a body portion, a tool assembly, an articulation member, and a braking assembly. The body portion defines a longitudinal axis and has a proximal portion and a distal portion. The tool assembly is pivotably coupled to the distal portion of the body portion and defines a longitudinal axis. The tool assembly is pivotable from a non-articulated position in which the longitudinal axis of the tool assembly is aligned with the longitudinal axis of the body portion to articulated positions in which the longitudinal axis of the tool assembly is misaligned with the longitudinal axis of the body portion. The articulation member is supported within the body portion and has a proximal portion and a distal portion. The distal portion is coupled to the tool assembly and the articulation member is movable between retracted and advanced positions to pivot the tool assembly between the articulated and non-articulated positions. The braking assembly is supported within the body portion and includes a first brake pad positioned on one side of the articulation member. The braking assembly is movable from a first position in which the first brake pad is spaced from the articulation member to a second position in which the first brake pad is engaged with the articulation member.
In aspects of the disclosure, the braking assembly includes a second brake pad that is positioned on a second side of the articulation member, and the articulation member is clamped between the first and second brake pads when the braking assembly is in the second position.
In some aspects of the disclosure, the braking assembly includes a base member and a support member, and the brake pad is supported on the base member.
In certain aspects of the disclosure, the braking assembly includes a biasing member that is positioned to urge the braking assembly towards the first position.
In aspects of the disclosure, the biasing member is engaged with the support member.
In some aspects of the disclosure, the stapling device includes a drive assembly that is movable from a retracted position to an advanced position to actuate the tool assembly.
In certain aspects of the disclosure, the drive assembly includes a flexible drive beam and the support member of the braking assembly is supported on the flexible drive beam.
In aspects of the disclosure, the base member of the braking assembly is received within a pocket defined in the body portion, and the base member movable within the pocket as the braking assembly moves from the first position to the second position.
In some aspects of the disclosure, the flexible drive beam defines a concavity and the support member is received within the concavity.
In certain aspects of the disclosure, the concavity is defined by a tapered wall and engagement between the tapered wall and the support member of the braking assembly causes movement of the braking assembly from the first position to the second position when the drive assembly moves from the retracted position towards the advanced position.
In aspects of the disclosure, the stapling device includes a handle assembly and an adapter assembly, and the body portion is coupled to the adapter assembly.
Other aspects of the disclosure will be appreciated from the following description.
Various aspects of the disclosed stapling device are described herein below with reference to the drawings, wherein:
The disclosed surgical stapling device will now be described in detail with reference to the drawings in which like reference numerals designate identical or corresponding elements in each of the several views. However, it is to be understood that the disclosed aspects are merely exemplary of the disclosure and may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the disclosure in virtually any appropriately detailed structure.
In this description, the term “proximal” is used generally to refer to that portion of the device that is closer to a clinician, while the term “distal” is used generally to refer to that portion of the device that is farther from the clinician. In addition, the term “endoscopic” is used generally used to refer to endoscopic, laparoscopic, arthroscopic, and/or any other procedures conducted through a small diameter incision or cannula. Further, the term “clinician” is used generally to refer to medical personnel including doctors, nurses, and support personnel. Moreover, directional terms such as front, rear, upper, lower, top, bottom, and similar terms are used to assist in understanding the description and are not intended to limit the disclosure.
The disclosed surgical stapling device includes a body portion defining a longitudinal axis and a tool assembly that articulates about an axis transverse to the longitudinal axis. The surgical stapling device includes an articulation member that is supported in the body portion and is movable between retracted and advanced positions to pivot the tool assembly between a non-articulated position and articulated positions. The body portion supports a braking assembly that moves into engagement with the articulation member to stabilize the articulation member when the surgical stapling device is fired.
The adapter assembly 14 defines a longitudinal axis “X” and includes a proximal portion 14a that is coupled to the handle assembly 12 and a distal portion 14b that supports the tool assembly 16. In aspects of the disclosure, the tool assembly 16 forms part of a reload assembly 22 that is removably supported on the distal portion 14b of the adapter assembly 14 and can be replaced after the stapling device 10 is fired to facilitate reuse of the stapling device 10. The reload assembly 22 includes the tool assembly 16 and a proximal body portion 24 that is coaxial with the adapter assembly 14 and is releasably coupled to the distal portion 14b of the adapter assembly 14. It is envisioned that the tool assembly 16 can be coupled directly to the distal portion 14b of the adapter assembly 14.
The mounting assembly 28 (
The proximal body portion 24 of the reload assembly 22 includes an upper body portion 50 and a lower body portion 52 that are coupled together and received within an outer tube 54. The upper body portion 50 includes a proximal portion 50a that is adapted to be releasably coupled to the adapter assembly 14. The upper and lower body portions 50 and 52, respectively, define cutouts 56 (
The drive assembly 60 (
The articulation member 62 is supported between the upper and lower body portions 50 and 52 and is movable between retracted and advanced positions to pivot the tool assembly 16 between the non-articulated and articulated positions. The articulation member 62 includes a proximal portion 62a (
The distal portion 62b of the articulation member 62 is coupled to the lower mounting portion 28b of the mounting assembly 28 such that longitudinal movement of the articulation member 62 between its retracted and advanced positions pivots the tool assembly 16 about a pivot axis “Z” (
In aspects of the disclosure, the support member 96 of the braking assembly 90 is substantially U-shaped and extends upwardly from the base member 94 of the braking assembly 90 along one side of the flexible drive beam 64 of the drive assembly 60 over the upper edge 64a of the flexible drive beam 64 and downwardly along the other side of the flexible drive beam 64. When the drive assembly 60 is in its retracted position (
In aspects of the disclosure, the base member 94 of the braking assembly 90 is movable within the pocket 101 of the lower body portion 52 of the proximal body portion 22 of the reload assembly 22 towards the articulation member 62 in response to longitudinal movement of the drive assembly 60 from its retracted position towards its advanced position between a spaced or lower position (
In aspects of the disclosure, the brake pads 98 and 104 can be in a variety of forms. For example, the brake pads 98 and 104 can be serrated or knurled surfaces that are formed integrally with the base member 94 of the braking assembly 90 and on the support surface 106 of the upper body portion 50 of the proximal body portion 24 of the reload assembly 22. It is also envisioned that the brake pads 98 and 104 can be in the form of high friction elements that are secured to the base member 94 of the braking assembly 90 and/or onto the support surface 106 of the upper body portion 50 using adhesives, press-fitting or the like.
It is envisioned that the braking assembly 90 need not include two brake pads. For example, the brake pad 104 can be removed from the upper body portion 50 and the articulation member 62 could be compressed against the support surface 106 of the upper body portion. In addition, the brake pad 98 could be removed from the base member 94 of the braking assembly 90 and the base member could be provided to compress the articulation member 62 into the brake pad 104. It is also envisioned that the disclosed barking assembly could be incorporated into a variety of different types of surgical devices having articulating tool assemblies including clip appliers, suturing devices, tack appliers, and the like.
Persons skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are non-limiting exemplary aspects of the disclosure. It is envisioned that the elements and features illustrated or described in connection with one exemplary aspects of the disclosure may be combined with the elements and features of another without departing from the scope of the disclosure. As well, one skilled in the art will appreciate further features and advantages of the disclosure based on the above-described aspects of the disclosure. Accordingly, the disclosure is not to be limited by what has been particularly shown and described, except as indicated by the appended claims.
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Number | Date | Country | |
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20220039795 A1 | Feb 2022 | US |