This disclosure is generally related to a surgical stapling device with a drive assembly including a flexible drive beam and, more particularly, to a surgical stapling device including an articulating tool assembly and a drive assembly having a flexible drive beam.
Endoscopic stapling devices that include an elongate body, and a tool assembly supported on the elongate body are well known. Typically, the tool assembly is coupled to a distal portion of the elongate body by a pivot member that defines a pivot axis that is transverse to a longitudinal axis of the elongate body such that the tool assembly can pivot between articulated and non-articulated positions. Such stapling devices include a drive assembly having a flexible drive beam that can bend about the pivot axis when the tool assembly is fired to eject staples from the tool assembly.
To gain better access to tissue within a body cavity during an endoscopic surgical procedure, articulation of the tool assembly over a range of ninety-degrees is desirable. However, firing the stapling device with the tool assembly articulated to such high degrees greatly increases the firing forces required to fire the stapling device.
A continuing need exists in the art for a stapling device that can minimize the firing forces required to fire the stapling device when the tool assembly of the stapling device is in an articulated position.
This disclosure generally relates to a surgical stapling device that includes an elongate body, a tool assembly pivotably coupled to the elongate body for articulation, and a drive assembly. The drive assembly includes a working end that is coupled to a flexible drive beam. The flexible drive beam has a metallic core member and outer laminates secured to opposite sides of the core member. The outer laminates are formed of a material having a lower coefficient of friction than the core member to minimize firing forces of the surgical stapling device.
Aspects of the disclosure are directed to a drive assembly including a working end and a drive beam assembly. The working end has an I-beam configuration and includes a first beam, a second beam, and a vertical strut interconnecting the first beam to the second beam. The drive beam assembly includes a core member and outer laminates. The core member includes a flexible beam having planar side walls, a top wall, and a bottom wall. The flexible beam has a distal portion that is secured to the working end and the outer laminates are supported along the planar side walls of the flexible beam. The core member is formed from a metal and the outer laminates are formed from a material having a lower coefficient of friction than the core member.
Other aspects of the disclosure are directed to a stapling device including an adapter assembly, a tool assembly, and a drive assembly. The adapter assembly defines a longitudinal axis and has a proximal portion and a distal portion. The tool assembly is supported on the distal portion of the adapter assembly by a pivot member that defines a pivot axis that is transverse to the longitudinal axis such that the tool assembly can articulate between a non-articulated position and articulated positions about the pivot axis. The tool assembly includes an anvil assembly and a cartridge assembly that are movable in relation to each other between open and clamped positions. The drive assembly is movable in relation to the tool assembly between retracted and advanced positions to actuate the tool assembly and includes a working end and a drive beam assembly. The working end has an I-beam configuration and includes a first beam, a second beam, and a vertical strut interconnecting the first beam to the second beam. The drive beam assembly includes a core member and outer laminates. The core member includes a flexible beam having planar side walls, a top wall, and a bottom wall. The flexible beam has a distal portion secured to the working end, and the outer laminates are supported along the planar side walls of the flexible beam. The core member is formed from a metal and the outer laminates are formed from a material having a lower coefficient of friction than the core member.
In aspects of the disclosure, the outer laminates are formed from polytetrafluoroethylene.
In some aspects of the disclosure, the core member is formed from stainless steel.
In certain aspects of the disclosure, the outer laminates are coupled together by a top wall to form a U-shaped laminate assembly that defines a cavity and an opening opposite the top wall.
In aspects of the disclosure, the cavity receives the core member through the opening.
In some aspects of the disclosure, the bottom wall of the core member defines notches and one of the outer laminates includes fingers that are aligned with the notches and extend into the opening.
In certain aspects of the disclosure, the fingers are received within the notches in snap-fit fashion when the U-shaped laminate assembly is positioned on the core member to secure the U-shaped laminate assembly on the core member.
In some aspects of the disclosure, the core member defines openings, and each of the outer laminates defines openings that are aligned with the openings in the core member.
In certain aspects of the disclosure, the openings in the outer laminates are bounded by inwardly projecting ribs that are received within the openings in the core member, and the inwardly extending ribs on the outer laminates are secured together within the openings of the core member to secure the outer laminates to opposite sides of the core member.
In aspects of the disclosure, the outer laminates are coupled together with top and bottom walls to form a rectangular laminate assembly that defines a cavity that receives the core member.
In some aspects of the disclosure, each of the top and bottom walls of the core member includes a protrusion and each of the top and bottom walls of the rectangular laminate assembly defines a cutout that receives one of the protrusions to secure the rectangular laminate assembly on the core member.
In certain aspects of the disclosure, each of the outer laminates includes a distal extension that defines a cutout, and the working end of the drive assembly includes protrusions that are received within the cutouts to secure the rectangular laminate assembly to the core member.
In aspects of the disclosure, the outer laminates and the core member define openings and the rectangular laminate assembly is secured to the core member with fasteners selected from the group consisting of pins, dowels, rivets, and grommets, that extend through the openings.
In some aspects of the disclosure, each of the outer laminates defines an opening and includes a protrusion, and the core member includes elongate slots that receive the protrusions of the outer laminates.
In certain aspects of the disclosure, the protrusion of each of the outer laminates is received within the opening of the other of the outer laminates to secure the outer laminates to each other and to the core member.
In aspects of the disclosure, the elongate slots in the core member facilitate relative movement between the outer laminates and the core member.
Other aspects, features, and advantages will be apparent from the description, the drawings, and the claims that follow.
Various aspects and features of the disclosure are described with reference to the drawings wherein like numerals designate identical or corresponding elements in each of the several views 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 included herein 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 addition, 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.
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 device for its intended purpose, 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 device for its intended purpose. In addition, the terms “about” and “substantially” are intended to include a range that includes the listed parameter and plus or minus ten percent of the listed parameter. Further, the term “clinician” is used generally to refer to medical personnel including doctors, nurses, and support personnel.
This disclosure is directed to a surgical stapling device that includes an elongate body, a tool assembly, and a drive assembly. The drive assembly is movable in relation to the tool assembly to eject staples from the tool assembly and cut tissue clamped between jaws of the tool assembly. The tool assembly is secured to the elongate body by a pivot member that defines a pivot axis that is transverse to a longitudinal axis of the elongate body such that the tool assembly can articulate about the pivot axis between a non-articulated position and articulated positions. The drive assembly includes a working end that is coupled to a flexible drive beam. The flexible drive beam includes a metallic core member and outer laminates that are formed of a material having a lower coefficient of friction than the core member and are secured about the core to minimize firing forces of the surgical stapling device.
In aspects of the disclosure, the tool assembly 16 forms part of a reload assembly 22 that includes the tool assembly 16 and a body portion 24. The body portion 24 has a proximal portion that is releasably coupled to the adapter assembly 14 (
The tool assembly 16 includes an anvil assembly 32 and a cartridge assembly 34. The anvil assembly 32 includes an anvil plate 36 that defines staple forming pockets 38 (
The cartridge assembly 34 includes a channel member 42 and a staple cartridge 44 that is supported within the channel member 42. The staple cartridge 44 defines staple slots 46 (
The body portion 24 of the reload assembly 22 includes a body 50, a drive assembly 52, and an outer tube 54. In aspects of the disclosure, the body 50 is formed of body half-sections 50a and 50b that, when secured together, form a longitudinal channel 56 that receives the drive assembly 52 to facilitate movement of the drive assembly 52 between retracted and advanced positions within the body 50. The body 50 is received within the outer tube 54 when the body half-sections 50a and 50b are assembled.
The drive beam assembly 62 includes a metallic core member 70 and outer laminates 72 that are positioned on opposite sides of the core member 70. The core member 70 includes a flexible beam 74 having planar side walls 76, a top wall 78, and a bottom wall 80, a proximal portion, and a distal portion. The distal portion of the flexible beam 74 is coupled to the working end 60 of the drive assembly 60. In aspects of the disclosure, the distal portion of the core member 70 is secured to the working end 60 of the drive assembly 60 by welding. Alternately, other techniques can be used to secure the working end 60 of the drive assembly 52 to the flexible beam 74 such as interlocking structure, e.g., dovetail connectors. In aspects of the disclosure, the core member 70 can be formed of stainless steel, e.g., stainless steel 301, although it is envisioned that other metals can be used to form the core member 70. It is also envisioned that the core member 70 can be formed from stacked sheets of metal.
The outer laminates 72 of the drive beam assembly 62 are secured to the side walls 76 of the core member 70. In aspects of the disclosure, the outer laminates 72 are formed of a flexible material that has a lower coefficient of friction than the core member 70. In some aspects of the disclosure, the outer laminates 72 are formed from polytetrafluoroethylene (PTFE) although the use of other materials to form the outer laminates 72 is also envisioned such as nylons and polypropylene. It is envisioned that the material selected to form the outer laminates reduces the coefficient of friction between the drive beam assembly 62 and the metal components of the tool assembly 16 to between about 0.05 and 0.2.
In aspects of the disclosure, the outer laminates 72 are coupled together by a top wall 82 to form a U-shaped laminate assembly 83 that defines a cavity 84 with the outer laminates 72. The cavity 84 is dimensioned to receive the core member 70. The U-shaped laminate assembly 83 defines an opening 86 (
In aspects of the disclosure, the bottom wall 80 of the core member 70 defines notches 88 and one of the outer laminates 72 includes fingers 90 that extend across the opening 86 (
The core member 170 and the outer laminates 172 in this version of the drive assembly and versions of the drive assembly described below are formed of the materials identified above regarding core member 70 and outer laminates 72 and will not be described in further detail herein.
In aspects of the disclosure, the distal portion of the laminate assembly 283 includes slots 292 (
The drive assembly 752 (
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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Entry |
---|
International Search Report and Written Opinion dated Apr. 29, 2022, issued in corresponding international application No. PCT/US2022012849, 12 pages. |
Number | Date | Country | |
---|---|---|---|
20230123878 A1 | Apr 2023 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 17159425 | Jan 2021 | US |
Child | 18076102 | US |