The disclosure is directed to surgical stapling devices having staple cartridges and, more particularly, to surgical stapling devices with lockout mechanisms to prevent firing of the stapling device when a knife is not present in the staple cartridge.
Surgical stapling devices for simultaneously stapling and cutting tissue are well known in the art and include a tool assembly and a drive assembly. The tool assembly includes an anvil assembly and a cartridge assembly having a channel member and a staple cartridge that is received within the channel member. Typically, the staple cartridge includes a cartridge body that supports staples, pushers, and an actuation sled. The actuation sled is movable through the cartridge body from a retracted position to an advanced position into sequential engagement with the pushers to sequentially eject the staples from the cartridge body.
In some stapling devices, a knife is supported on the actuation sled and is movable with the actuation sled through the cartridge body. The drive assembly is positioned proximally of the actuation sled and is movable in relation to the anvil and cartridge assemblies to advance the actuation sled and knife through the staple cartridge to move the tool assembly between open and clamped positions, to eject the staples from the cartridge body, and to cut tissue clamped between the anvil and cartridge assemblies. After the stapling device is fired, the actuation sled and knife remain in a distal portion of the staple cartridge.
When a stapling device is fired with a staple cartridge that does not have an actuation sled and/or a knife present in a proximal portion of the staple cartridge, staples will not be ejected from the staple cartridge and tissue will not be cut. A continuing need exists for a lock mechanism of simple construction that can prevent advancement of a drive assembly of a stapling device through the staple cartridge when a sled and/or knife is not present in the proximal portion of the staple cartridge.
This disclosure is directed to a stapling device having a tool assembly including a cartridge assembly, an anvil assembly, and a drive assembly. The anvil assembly supports a lockout mechanism that prevents advancement of the drive assembly when the cartridge assembly does not have an actuation sled or knife present in a proximal portion of the cartridge assembly.
Aspects of this disclosure are directed to a surgical stapling device that includes an elongate body, a tool assembly, and a drive assembly. The elongate body has a proximal portion and a distal portion. The tool assembly is supported on the distal portion of the elongate body and includes a cartridge assembly and an anvil assembly that are coupled together to facilitate movement of the tool assembly between open and clamped positions. The cartridge assembly includes a staple cartridge having a cartridge body, staples, pushers, and an actuation sled and knife assembly. The actuation sled and knife assembly includes an actuation sled and a knife supported on the actuation sled for movement between raised and lowered positions. The actuation sled and knife assembly is movable within the cartridge body from a retracted position to an advanced position to eject the staples from the cartridge body and to cut tissue clamped between the cartridge and anvil assemblies. The anvil assembly includes a lockout mechanism that is linearly movable from a locked position to an unlocked position. The actuation sled and knife assembly is positioned to urge the lockout mechanism to its unlocked position when the actuation sled and knife assembly is in its retracted position. The drive assembly is positioned proximally of the actuation sled and knife assembly and is movable in relation to the tool assembly between a retracted position and an advanced position to move the tool assembly between the open and clamped positions and to move the actuation sled and knife assembly from its retracted position to its advanced position. The lockout mechanism is positioned to prevent movement of the drive assembly from its retracted position to its advanced position when the lockout mechanism is in its locked position.
In aspects of the disclosure, the lockout mechanism includes a lockout member that is movable between the locked and unlocked positions.
In some aspects of the disclosure, the lockout mechanism includes a biasing member that is positioned to urge the lockout member to the locked position.
In certain aspects of the disclosure, the anvil assembly includes an anvil plate that supports a housing that defines an opening, and the lockout member and the biasing member are positioned within the housing.
In aspects of the disclosure, the lockout member is movable through the opening in the housing between the locked and unlocked positions.
In some aspects of the disclosure, the anvil assembly includes an anvil plate that defines a central knife slot that defines a longitudinal axis, and the lockout member extending across at least a portion of the central knife slot when the lockout member is in the locked position.
In certain aspects of the disclosure, the drive assembly includes a working member that has an I-beam configuration and includes a first beam, a second beam, and a vertical strut that connects the first beam to the second beam.
In aspects of the disclosure, the vertical strut is positioned to translate through the central knife slot of the anvil plate as the drive assembly moves between its retracted and advanced positions.
In some aspects of the disclosure, the lockout member has a distally facing cam surface that defines a plane that forms an acute angle with the longitudinal axis of the central knife slot of the anvil plate.
In certain aspects of the disclosure, the distally facing cam surface engages the vertical strut of the drive assembly as the drive assembly is moved from the advanced position to its retracted position to move the lockout member from the locked position to the unlocked position.
In aspects of the disclosure, the lockout member includes a proximally facing stop surface that defines a plane that is substantially perpendicular to the longitudinal axis of the central knife slot of the anvil plate.
In some aspects of the disclosure, the knife of the actuation sled and knife assembly is positioned to engage the lockout member when the actuation sled and knife assembly is in a retracted position to retain the lockout member in the unlocked position.
Other aspects of the disclosure are directed to a tool assembly that includes a cartridge assembly, an anvil assembly, and a lockout mechanism. The cartridge assembly includes a staple cartridge having a cartridge body, staples, pushers, and an actuation sled and knife assembly. The actuation sled and knife assembly includes an actuation sled and a knife that is supported on the actuation sled for movement between raised and lowered positions. The actuation sled and knife assembly is movable within the cartridge body from a retracted position to an advanced position to eject the staples from the cartridge body and to cut tissue clamped between the cartridge and anvil assemblies. The anvil assembly is coupled to the cartridge assembly to facilitate movement of the tool assembly between open and clamped positions. The lockout mechanism is supported on the anvil assembly and is linearly movable from a locked position to an unlocked position. The actuation sled and knife assembly is positioned to urge the lockout mechanism to its unlocked position when the actuation sled and knife assembly is in its retracted position.
Still other aspects of the disclosure are directed to a tool assembly that includes a cartridge assembly, an anvil assembly, and a lockout mechanism. The cartridge assembly includes a staple cartridge having a cartridge body, staples, pushers, and an actuation sled and knife assembly. The actuation sled and knife assembly includes an actuation sled and a knife. The actuation sled and knife assembly is movable within the cartridge body from a retracted position to an advanced position to eject the staples from the cartridge body and to cut tissue clamped between the cartridge and anvil assemblies. The anvil assembly is coupled to the cartridge assembly to facilitate movement of the tool assembly between open and clamped positions. The lockout mechanism is supported on the anvil assembly and is linearly movable from a locked position to an unlocked position. The actuation sled and knife assembly is positioned to urge the lockout mechanism to its unlocked position when the actuation sled and knife assembly is in its retracted position.
Other features of the disclosure will be appreciated from the following description.
Various aspects of the disclosure 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 aspects of the disclosure 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 during use of the stapling device in its customary manner, while the term “distal” is used generally to refer to that portion of the device that is farther from the clinician during use of the stapling device in its customary manner. In addition, the term “clinician” is used generally to refer to medical personnel including doctors, nurses, and support personnel. Further, 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 tool assembly and a drive assembly for actuating the tool assembly. The tool assembly includes a cartridge assembly having a staple cartridge and an anvil assembly that supports a lockout mechanism. The staple cartridge includes a cartridge body and an actuation sled and knife assembly that includes an actuation sled and a knife. The actuation sled and knife assembly is movable in relation to the cartridge body to eject staples from the cartridge body and to cut tissue. The anvil assembly supports a lockout mechanism that includes a lockout member that is linearly movable between a locked position and an unlocked position. The drive assembly is movable from a retracted position to an advanced position to move the actuation sled and knife assembly from its retracted position to its advanced position. In the locked position, the lockout member obstructs movement of the drive assembly from its retracted position towards its advanced position.
The tool assembly 16 includes an anvil assembly 24 and a cartridge assembly 26 that are that are coupled together to facilitate movement of the tool assembly 16 between open and clamped positions. Although the stapling device 10 is illustrated as an electrically powered stapling device, it is envisioned that the disclosed tool assembly 16 would also be suitable for use with manually powered surgical stapling devices and robotically operated stapling systems. U.S. Pat. No. 9,055,943 discloses a surgical stapling device including a powered handle assembly, U.S. Pat. No. 6,241,139 discloses a surgical stapling device including a manually actuated handle assembly, and U.S. Pat. No. 9,962,159 discloses a stapling device that is configured for use with a robotic system.
The staple cartridge 28 includes a cartridge body 32, an actuation sled and knife assembly 34 (
The central portion 52 of the actuation sled 34a supports the knife 66 and includes spaced walls 56 and a housing 58. Each of the spaced walls 56 defines a circular recess 60 (
The knife 66 has a body 70 that has a Z-shaped configuration and includes an elongate arm 72, a first portion 74 that extends downwardly from a distal end of the elongate arm 72, and a second portion 76 that extends upwardly from a proximal end of the elongate arm 72. The first portion 74 of the body 70 of the knife 66 supports a pivot member 78 that is received within the circular recesses 60 in the spaced walls 56 of the actuation sled 34a such that the knife 66 is pivotably supported on the actuation sled 34a between raised and lowered positions. In the raised position of the knife 66, the first portion 74 of the body 70 of the knife 66 is received within the recess 62 of the housing 58 of the central portion 52 of the actuation sled 34a. The second portion 76 of the body 70 of the knife 66 defines a distally facing cutting edge 80 that is shielded within the central knife slot 42 of the cartridge body 32 when the knife 66 is in the lowered position and extends above the central knife slot 42 when the knife 66 is in the raised position. The body 70 of the knife 66 also includes a protrusion 82 that extends laterally of the elongate arm 72. In aspects of the disclosure, the protrusion 82 is positioned on the proximal portion of the elongate arm 72 of the knife 66.
The biasing member 68 of the actuation sled and knife assembly 34 is received within the recess 62 of the housing 58 of the central portion 52 of the actuation sled 34a and engages the first portion 74 of the body 70 of the knife 66 at a position above an axis defined by the pivot member 78 of the knife 66 to urge the knife 66 towards the lowered position. In aspects of the disclosure, the biasing member 68 includes a coil spring although it is envisioned that other types of biasing mechanisms or members could be used in place of the coil spring.
The bores 100 in the extensions 98 of the anvil cover 90 receive pivot members 112 (
The anvil assembly 24 includes a lockout mechanism 114 (
The lockout member 116 includes a body 125 that has a first end portion that is received within the cavity 122 of the housing 120 supported on the anvil plate 92 of the anvil assembly 24 and a second end portion that extends transversely through the opening 124 of the housing 120 towards the central knife slot 108 of the anvil assembly 24. The first end portion of the body 125 of the lockout member 116 supports wings 128 that extend distally and proximally from the body 125. The wings 128 extend from the body 125 within the cavity 122 defined by the housing 120 to prevent the lockout member 116 from passing entirely through the opening 124. In a locked position of the lockout mechanism 114, the wings 128 engage an inner wall 120a (
The biasing member 118 of the lockout mechanism 114 is positioned within the cavity 122 of the housing 120 to urge the lockout member 116 from an unlocked position spaced outwardly of the central knife slot 108 of the anvil assembly 24 towards a locked position. In the locked position, the lockout member 116 extends at least partially across the central knife slot 108 of the anvil assembly 24 to obstruct advancement of the drive assembly 130. In aspects of the disclosure, the biasing member 118 is secured to a post 129 supported on the anvil assembly 24 within the cavity 122 of the housing 120 such that the biasing member 118 is positioned in compression between the post 129 and the lockout member 116. In some aspects of the disclosure, the lockout member 116 defines a bore 129a (
The working member 134 of the drive assembly 130 has an I-beam configuration and includes a first beam 138, a second beam 140, and a vertical strut 142 that connects the first beam 138 to the second beam 140. The vertical strut 142 defines a cutout 142a (
The vertical strut 142 defines a cam channel 152. The cam channel 152 (
In some aspects of the disclosure, depending on the configuration of the drive assembly, the distally facing cam surface 126 of the lockout member 116 may be positioned to engage the vertical strut 142 of the drive assembly 130 as the drive assembly is moved from the advanced position to its retracted position to move the lockout member 116 from the locked position to the unlocked position.
When the staple cartridge 28 does not include an actuation sled and knife assembly 34 or a knife 66, the lockout member 116 cannot be moved from the locked position (
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 embodiments. It is envisioned that the elements and features illustrated or described in connection with one exemplary embodiment 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 embodiments. 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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International Search Report and Written Opinion dated Mar. 9, 2023, issued in corresponding International Appln. No. PCT/IB2022/058827, 13 pages. |
Number | Date | Country | |
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20230101993 A1 | Mar 2023 | US |