This disclosure is directed to a surgical stapling device and, more particularly, to a tool assembly of a surgical stapling device that defines a tissue gap and includes a locking member to maintain the tissue gap during firing of the tool assembly.
Surgical stapling devices are commonly used during a variety of surgical procedures to staple and/or cut tissue. Stapling and cutting of tissue can be accomplished more quickly using surgical stapling devices than can be accomplished using traditional suturing techniques. In addition, endoscopic stapling devices can be used to perform less invasive surgical procedures than possible using traditional suturing techniques. As such, the use of surgical stapling devices to perform certain surgical procedures to reduce patient trauma and improve patient recovery times is desirable.
Typically, linear endoscopic surgical stapling devices include a tool assembly that includes a staple cartridge and an anvil assembly that are movable in relation to each other between open and clamped positions. The staple cartridge defines a plurality of staple pockets that receive staples and the anvil assembly defines a plurality of staple deforming pockets. When the tool assembly is in the clamped position, the staple deforming pockets of the anvil assembly are aligned with the staple pockets of the staple cartridge such that legs of the staples are received and deformed within the staple deforming pockets when the stapling device is fired. The staple cartridge and the anvil assembly must be properly aligned to effect proper staple formation.
Generally, the staple cartridge and the anvil assembly have proximal ends that are secured to each other by a pivot member such that the staple cartridge and the anvil assembly can be pivoted from the open position in which distal ends of the staple cartridge and the anvil assembly are spaced from each other to the clamped position in which the staple cartridge and the anvil assembly are in juxtaposed alignment. During firing of the staples from the staple cartridge, forces on the staple cartridge and the anvil assembly for firing the staples tend to deflect the staple cartridge and anvil assembly outwardly away from each other. In certain stapling devices, a knife bar is provided that includes upper and lower beams that engage the anvil assembly and staple cartridge to minimize deflection of the anvil and cartridge assemblies during firing.
One aspect of this disclosure is directed to a tool assembly including an anvil, a cartridge assembly, and a locking member. The anvil and the cartridge assembly each have a proximal portion and a distal portion. The proximal portion of the cartridge assembly is movably coupled to the proximal portion of the anvil. The distal portion of the anvil defines a first slot therein. The locking member is movably supported on the distal portion of the cartridge assembly. The locking member is configured for receipt in the first slot of the anvil to set a gap distance between the anvil and cartridge assembly when the anvil and cartridge assembly are in the closed position.
In aspects, the locking member may include a first latch arm configured for receipt in the first slot of the anvil when the anvil and cartridge assembly are in the closed position.
In aspects, the first latch arm may have an extension configured to be captured in the first slot of the anvil when the first latch arm distally translates.
In aspects, the locking member may include a second latch arm. The first and second latch arms may be disposed on opposite lateral sides of the cartridge assembly.
In aspects, the distal portion of the anvil may define a second slot therein configured for receipt of the second latch arm of the locking member.
In aspects, the first and second slots may be disposed on opposite lateral sides of the anvil.
In aspects, the tool assembly may further include a clamping member operably coupled to the proximal portion of each of the anvil and cartridge assembly and configured to move the anvil and cartridge assembly from an open position to a closed position. The locking member may be configured to be coupled to the clamping member, such that advancement of the clamping member moves the locking member into the first slot of the anvil to set a gap distance between the anvil and cartridge assembly.
In aspects, the locking member may include an elongate element and a first latch arm. The elongate element may have a proximal end portion configured to be coupled to the clamping member. The first latch arm may extend upwardly from a distal end portion of the elongate element. The first latch arm may be configured to translate distally into the first slot of the anvil in response to advancement of the clamping member.
In aspects, the clamping member may have a distally-extending latch member configured to couple to the proximal end portion of the elongate element of the locking member upon the anvil and cartridge assembly moving to the closed position.
In aspects, the latch member of the clamping member may have a protrusion, and the proximal end portion of the elongate element of the locking member may define an opening configured for removable receipt of the protrusion.
In aspects, the tool assembly may further include a sled slidably received in the cartridge assembly and configured to move from a proximal position to a distal position to advance staples from the cartridge assembly. The sled may be operably coupled to the clamping member, such that advancement of the sled from the proximal position toward the distal position distally translates the locking member.
In aspects, the tool assembly may further include an elongate plate slidably coupled to the cartridge assembly. The elongate plate may define a proximal slot in a proximal end portion of the elongate plate, and a distal slot in a distal end portion of the elongate plate. The clamping member may be received in the proximal slot and the locking member may be received in the distal slot.
In aspects, the locking member may be configured to lockingly engage the first slot in the anvil in response to advancement of the elongate plate by the clamping member.
In aspects, the locking member may be an I-beam having a bottom end portion received in the distal slot of the elongate plate, and a top end portion configured for receipt in the first slot of the anvil.
In aspects, the elongate plate may be configured to advance relative to the locking member a predetermined distance prior to engaging and advancing the locking member.
In aspects, the locking member may be pivotably supported by the distal portion of the cartridge assembly and configured to pivot into locking engagement with the slot as the anvil and cartridge assembly move toward the closed position.
In aspects, the tool assembly may further include a biasing member coupled to the locking member for resiliently biasing the locking member toward a locking position.
In aspects, the distal portion of the anvil may have a cam surface and a support ledge. The cam surface may be configured to pivot the locking member out of the locking position as the anvil and cartridge assembly move toward the closed position. The biasing member may be configured to pivot the locking member toward the locking position and onto the support ledge when the anvil and cartridge assembly enter the closed position.
In aspects, the locking member may include a top end portion including an extension configured to be supported on the support ledge of the anvil to prevent the anvil and cartridge assembly from moving out of the closed position. The locking member may include a bottom end portion pivotably supported in the cartridge assembly and coupled to the biasing member.
In another aspect of the disclosure, a tool assembly is provided and includes an anvil and a cartridge assembly each having a proximal portion and a distal portion. The proximal portion of the cartridge assembly is movably coupled to the proximal portion of the anvil. The distal portion of the anvil defines a slot therein. The tool assembly includes a clamping member and a locking member. The clamping member is operably coupled to the proximal portion of each of the anvil and cartridge assembly and configured to move the anvil and cartridge assembly from an open position to a closed position during a first advancement of the clamping member. The locking member is slidably supported on the distal portion of the cartridge assembly. The locking member is configured to be coupled to the clamping member upon the anvil and cartridge assembly moving to the closed position, such that a second advancement of the clamping member advances the locking member into locking engagement with the slot of the anvil to set a gap distance between the anvil and cartridge assembly.
As used herein, the terms parallel and perpendicular are understood to include relative configurations that are substantially parallel and substantially perpendicular up to about + or −10 degrees from true parallel and true perpendicular.
Various embodiments of the disclosed linear surgical stapling device including a tool assembly are described herein below with reference to the drawings, wherein:
Embodiments of the disclosed tool assemblies 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 embodiments are merely exemplary of the disclosure and the present tool assemblies 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.
The present disclosure provides a tool assembly including a locking member movably supported in a cartridge assembly of the tool assembly. An anvil of the tool assembly defines a slot in a distal end portion of the anvil. The locking member is positioned for receipt in the slot of the anvil when the tool assembly is approximated about tissue a selected distance. The locking member is configured to selectively lock the anvil and cartridge assembly to maintain a gap distance between distal ends of the anvil and cartridge assembly before, during, and/or after staples are fired from the tool assembly.
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 “clinician” is used generally to refer to medical personnel including doctors, nurses, and support personnel.
In
With reference to
The distal end portion 28b of the second firing shaft 28 abuts, is formed with, or is otherwise coupled to the clamping member 30 for moving the clamping member 30 between proximal and distal positions for respectively opening and closing the tool assembly 20. The second firing shaft 28 may be fabricated from a pair of elongated laminates. In aspects, the second firing shaft 28 may be a monolithic structure. The clamping member 30 is configured to advance with the second firing shaft 24 the length of a slot 32 in the anvil 34 to close the tool assembly 20.
The proximal end portion 24a, 28a of each of the first and second firing shafts 24, 28 defines a pin hole 24c, 28c having received therein a connector pin 38 for detachably connecting the first and second firing shafts 24, 28 to one another. When the pin 38 is received in each hole 24c, 28c of the first and second firing shafts 24, 28 (
The cutout 40 has a proximal section 40a, and a distal section 40b recessed at a greater depth than the proximal section 40a. As the first and second firing shafts 24, 28 move distally a predetermined distance, corresponding with a closing of the tool assembly 20 by the clamping member 30, the pin 38 moves from the proximal section 40a of the cutout 40 toward the distal section 40b of the cutout 40. Due to the bias exerted on the head 38a of the pin 38 by the biasing member 42, the pin 38 is urged laterally into the distal section 40b of the cutout 40 (
The anvil 34 defines a tissue engaging surface 58 and includes a distal end portion 34b that is angled from the tissue engaging surface 58 of the anvil 34 towards the cartridge assembly 36 at an obtuse angle. The angled distal end portion 34b of the anvil 34 forms a dissecting tip 60. In embodiments, the dissecting tip 60 is spaced from the tissue guide portion 56 of the staple cartridge 48 when the tool assembly 20 is in the clamped position and extends along an axis that is substantially parallel to an axis defined by the tissue guide portion 56. Alternately, the dissecting tip 60 may have other configurations.
With reference to
The cartridge assembly 36 further includes a locking member 74 positioned in a groove 76 (
As best shown in
The first and second latch arms 80, 82 of the locking member 74 extend around the outer surface of the channel 44 of the cartridge assembly 36 and are respectively disposed on opposite lateral sides of the cartridge assembly 36. Each of the first and second latch arms 80, 82 has a hook-shaped extension 92, 94 protruding inwardly. The extension 92, 94 of the first and second latch arms 80, 82 are configured for receipt in the respective first and second slots 62, 64 of the anvil 34 upon the tool assembly 20 moving to the closed position. The extension 92, 94 of the first and second latch arms 80, 82 are configured to cooperatively grasp the anvil 34 therebetween to prevent the anvil 34 and cartridge assembly 36 from separating from the closed position.
In operation, when the staple reload 10 is operably engaged to a handle assembly (not shown) of a surgical stapling device or a robotic surgical system, the staple reload 10 is actuated to move the tool assembly 20 from the open position (
As the anvil 34 and cartridge assembly 36 approximate, the extension 92, 94 of the first and second latch arms 80, 82 of the locking member 74 enter the respective first and second slots 62, 64 of the anvil 34 via the entry opening 68 of the slots 62, 64. At this stage, the locking member 74 is not yet preventing the tool assembly 20 from opening. Upon traveling the predetermined distance to close the tool assembly 20, the clamping member 30 abuts the proximal end portion 78a of the elongate element 78 of the locking member 74 (
In the proximal position, as shown in
After the clamping member 30 advances the locking member 74 to the distal, locking position, the clamping member 30 is stopped from further advancing to the tissue-contacting surfaces/through the staple cartridge 44 of the tool assembly 20 by a distal limit of the slot 32 (
After the sled 26 traverses to the distal end portion 36b of the cartridge assembly 36, the sled 26 may be retracted by retracting the first firing shaft 24. As the first firing shaft 24 retracts, the sled 26 engages the clamping member 30, whereby the clamping member 30 is moved proximally. Since the protrusion 90 of the clamping member 30 is received in the opening 86 in the elongate element 78 of the locking member 74, retraction of the clamping member 30 drives a retraction of the locking member 74. As the locking member 74 retracts, the first and second latch arms 80, 82 moves proximally within the respective first and second slots 62, 64 of the anvil 34 to disengage the extension 92, 94 of the first and second latch arms 80, 82 from the support ledge 72 of the anvil 34. With the locking member 74 of the cartridge assembly 36 out of locking engagement with the anvil 34, the tool assembly 20 is no longer prevented from moving out of the closed position.
The tool assembly 120 includes an anvil 134 and a cartridge assembly 136 movably coupled to one another. The anvil 134 defines a slot 162 that extends through the distal end portion 134b thereof. The distal end portion 134b of the anvil 134 has a support ledge 172 that partially defines the slot 162. The cartridge assembly 136 includes a clamping member 130 disposed at the proximal end portion 136a thereof, a locking member 174 disposed at the distal end portion 136b thereof, and an elongated locking plate 178 interconnecting the clamping member 130 and the locking member 174.
The locking plate 178 is slidably coupled to the cartridge assembly 136 and defines a proximal slot 190 in a proximal end portion 178a of the elongate plate 178, and a distal slot 192 in a distal end portion 178b of the elongate plate 178. The clamping member 130 is received in the proximal slot 190 and the locking member 174 is received in the distal slot 192. The clamping member 130 is captured within the proximal slot 190 of the locking plate 178, such that translation of the clamping member 130 results in translation of the locking plate 178. The locking member 174 may be shaped as an I-beam having a bottom end portion 174a received in the distal slot 192 of the elongate plate 178, and a top end portion 174b configured for receipt in the slot 162 of the anvil 134. The distal slot 192 of the elongate locking plate 178 is sized to allow for relative movement between the locking plate 178 and the bottom end portion 174a of the locking member 174.
In operation, the clamping member 130 is advanced from a proximal position, as shown in
Upon closing the tool assembly 120, as shown in
With reference to
The tool assembly 220 includes an anvil 234 and a cartridge assembly 236 movably coupled to one another. The anvil 234 defines a slot 262 that extends through a distal end portion 234b thereof. The distal end portion 234b of the anvil 234 has a cam surface 270 leading to a support ledge 272 that together partially define the slot 262. The cam surface 270 is angled proximally so that the support ledge 272 overhangs an entry opening 268 of the slot 262.
The cartridge assembly includes a locking member 274 pivotably supported in the distal end portion 236b of the cartridge assembly 236. The cartridge assembly 236 includes a biasing member 278 (e.g., a torsion spring) coupled to a bottom end portion 274a of the locking member 274 and an engagement surface 280 of the cartridge assembly 236. The biasing member 278 is configured to resiliently bias the locking member 274 toward a locking position, in which the locking member 274 is perpendicular to a longitudinal axis defined by the cartridge assembly 236. The locking member 274 includes a top end portion 274b having an extension 290 configured to be supported on the support ledge 272 of the anvil 234 to prevent the anvil 234 and cartridge assembly 236 from moving out of the closed position. The tool assembly 220 further includes a sled 226 (
In operation, as the tool assembly 220 moves from the open position, as shown in
With reference to
While the tool assemblies described herein are shown in the drawings as linear tool assemblies, it is contemplated that the tool assemblies may be configured as curved tool assemblies with similar components and methods of operation.
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 this 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.
The present application claims the benefit of and priority to U.S. Provisional Patent Application Ser. No. 62/817,807, filed on Mar. 13, 2019, the entire content of which is incorporated herein by reference.
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