US20100301097A1 - Loading Unit Having Drive Assembly Locking Mechanism - Google Patents
Loading Unit Having Drive Assembly Locking MechanismDownload PDFInfo
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- US20100301097A1 US20100301097A1US12/856,929US85692910AUS2010301097A1US 20100301097 A1US20100301097 A1US 20100301097A1US 85692910 AUS85692910 AUS 85692910AUS 2010301097 A1US2010301097 A1US 2010301097A1
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- dlu
- body portion
- drive assembly
- locking member
- loading unit
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00477—Coupling
Definitions
- the present disclosurerelates to a disposable loading unit (“DLU”) or single use loading unit (“SULU”) for use with a surgical device. More particularly, the present disclosure relates to a DLU or SULU for use with a surgical instrument which includes a locking mechanism for retaining a drive assembly of the loading unit in its prefired position until the loading unit is attached to a surgical device.
- DLUdisposable loading unit
- SULUsingle use loading unit
- SULUsingle use loading unit
- Surgical devices for applying fastenerse.g., staples, clips, etc.
- Such devicesinclude single use devices which are preloaded with a single fastener and are disposable after a single use of the device.
- Such devicesalso include multiple use devices which are preloaded with a plurality of fasteners and are disposable after the supply of fasteners has been exhausted or a surgical procedure has been completed. If the supply of fasteners is exhausted prior to completion of a surgical procedure, a new device may be required to complete the surgical procedure. The use of additional surgical devices for a single surgical procedure can be expensive.
- fastenersare housed within a cartridge.
- the cartridgecan be removed from the surgical device and replaced with a new cartridge having an additional supply of fasteners.
- Tyco Healthcare Group, LPthe assignee of the present application, has manufactured and marketed endoscopic stapling devices having replaceable cartridges, such as the Multifire ENDO GIATM 30 and Multifire ENDO GIATM 60 devices, for a number of years.
- These devicesinclude a surgical stapling apparatus and a DLU.
- the DLUincludes a proximal body portion and a distal tool member and is attached to a surgical apparatus immediately prior to surgery.
- the distal tool memberincludes a cartridge housing a plurality of staples.
- the DLUcan be removed from the apparatus and replaced with a new DLU to perform additional stapling and/or cutting operations.
- a drive assemblyis supported within the DLU and is engageable with a control rod of the surgical apparatus to facilitate operation of the apparatus.
- a DLUwhich includes a body portion and a tool assembly.
- a drive assemblyis movably supported within the body portion from a retracted position to an advanced position.
- a locking memberis supported on the body portion and is movable from a first position engaging the drive assembly to a second position disengaged from the drive assembly.
- a locking member actuatoris operably engaged with the locking member to move the locking member from its first position to its second position when the DLU is inserted linearly into the distal end of a surgical instrument.
- the locking memberincludes a cam member which is slidably positioned within a cam slot formed in the locking member actuator.
- the locking member actuatoris slidably positioned within a linear slot formed in the body portion and the locking member is slidably positioned within a transverse slot formed in the body portion.
- the locking member actuatorincludes an abutment member which is positioned on and extends radially outwardly from an insertion tip of the body portion. The abutment member is positioned to engage a surface on a surgical instrument when the body portion insertion tip is inserted into the distal end of a surgical instrument during attachment of the DLU to the surgical instrument.
- Engagement between the abutment member and the surgical instrumenteffects linear movement of the locking member actuator from a retracted position to an advanced position. Advancement of the locking member actuator is translated to transverse movement of the locking member from its first position to its second position via interaction between the cam member of the locking member and the cam slot of the locking member actuator.
- a biasing membere.g., a spring, is provided to urge the locking member actuator to its retracted position. In the retracted position of the locking member actuator, the locking member is maintained in its first or locked position.
- the locking memberincludes a finger which is dimensioned to be received within a notch or recess formed in the drive assembly. In the first position of the locking member, the finger is positioned within the notch to prevent movement of the drive assembly from a retracted to an advanced position. Alternately, other engagement configurations are contemplated.
- the tool assemblyincludes a cartridge assembly and an anvil assembly which is movable in relation to the cartridge assembly between open and approximated positions.
- the tool assemblymay include a linear cartridge assembly which includes a plurality of linear rows of staples, e.g., six.
- the tool assemblymay also include knife blade which can be supported on a distal end of the drive assembly.
- the tool assemblymay also be pivotally mounted to the body portion.
- the presently disclosed locking mechanismmay be incorporated into other surgical devices including staplers, clip appliers and other hand held or robotically controlled devices.
- FIG. 1is a side perspective view from the proximal end of one embodiment of the presently disclosed DLU;
- FIG. 2is a side perspective view of the distal end of the proximal body portion, the mounting assembly and tool assembly with parts separated of the DLU shown in FIG. 1 ;
- FIG. 3is a side perspective view of the mounting assembly and the proximal body portion of the DLU shown in FIG. 1 with parts separated;
- FIG. 4is a side cross-sectional view of the tool assembly of the DLU shown in FIG. 1 ;
- FIG. 5is a top perspective view of the lock member actuator of the locking mechanism of the proximal body portion shown in FIG. 3 ;
- FIG. 6is a bottom perspective view of the locking member of the locking mechanism of the proximal body portion shown in FIG. 3 ;
- FIG. 7is a top view of the proximal end of the proximal body portion of the DLU shown in FIG. 1 with the locking mechanism in its locked position;
- FIG. 8is a cross-sectional view taken along section lines 8 - 8 of FIG. 7 ;
- FIG. 9is a top view of the proximal end of the proximal body portion of the DLU shown in FIG. 1 with the locking mechanism in its unlocked position;
- FIG. 10is a cross-sectional view taken along section lines 10 - 10 of FIG. 9 ;
- FIG. 11is a side perspective view of the DLU shown in FIG. 1 and a surgical instrument prior to attachment of the DLU to the surgical instrument;
- FIG. 12is a top view of the proximal end of the DLU shown in FIG. 1 prior to attachment to the distal end of a surgical instrument;
- FIG. 13is a top view of the proximal end of the DLU shown in FIG. 11 as the DLU is advanced linearly into the distal end a surgical instrument;
- FIG. 14is a top view of the proximal end of the DLU shown in FIG. 12 after the DLU has been advanced linearly in relation to the distal end of a surgical instrument but prior to rotatably locking the DLU to the surgical instrument;
- FIG. 15is a top view of the proximal end of the DLU shown in FIG. 13 after the DLU has been advanced linearly in relation to and rotatably locked onto the surgical instrument;
- FIG. 16is a side perspective view from the distal end of the surgical instrument and DLU shown in FIG. 11 attached together.
- DLU 16includes a tool assembly 17 , a proximal body portion 200 and a mounting assembly 202 .
- Body portion 200has a proximal end adapted to releasably engage the distal end of a surgical instrument 500 ( FIG. 11 ) in the manner to be discussed in detail below.
- Mounting assembly 202is pivotally secured to a distal end of body portion 200 and is fixedly secured to a proximal end of tool assembly 17 .
- Pivotal movement of mounting assembly 202 about an axis perpendicular to a longitudinal axis of body portion 200effects articulation of tool assembly 17 between an orientation aligned with the longitudinal axis of body portion 200 and an orientation at an angle to the longitudinal axis of body portion 200 .
- tool assembly 17includes a cartridge assembly 18 and an anvil assembly 20 .
- Anvil assembly 20includes an anvil portion 28 having a plurality of staple deforming concavities 30 ( FIG. 4 ) and a cover plate 32 secured to a top surface of anvil portion 28 .
- Cover plate 32 and anvil portion 28define a cavity 34 ( FIG. 4 ) therebetween which is dimensioned to receive a distal end of a drive assembly 212 ( FIG. 3 ).
- Cover plate 32encloses the distal end of drive assembly 212 to prevent pinching of tissue during actuation of DLU 16 .
- a longitudinal slot 38extends through anvil portion 28 to facilitate passage of a retention flange 40 of drive assembly 212 .
- a camming surface 42 formed on anvil portion 28is positioned to engage a pair of cam members 40 a supported on retention flange 40 of drive assembly 212 to effect approximation of the anvil and cartridge assemblies.
- a pair of pivot members 44 formed on anvil portion 28are positioned within slots 46 formed in a cartridge assembly carrier 48 to guide anvil portion 28 between its spaced and approximated positions.
- a pair of stabilizing members 50engage a respective shoulder 52 formed on carrier 48 to prevent anvil portion 28 from sliding axially in relation to staple cartridge 54 as camming surface 42 is pivoted about pivot members 44 .
- Cartridge assembly 18includes carrier 48 which defines an elongated support channel 56 which is dimensioned and configured to receive staple cartridge 54 .
- Corresponding tabs 58 and slots 60 formed along staple cartridge 54 and elongated support channel 56respectively, function to retain staple cartridge 54 at a fixed location within support channel 56 .
- a pair of support struts 62 formed on staple cartridge 54are positioned to rest on side walls of carrier 48 to further stabilize staple cartridge 54 within support channel 56 .
- Staple cartridge 54includes retention slots 64 ( FIG. 2 ) for receiving a plurality of staples or fasteners 66 and pushers 68 .
- a plurality of laterally spaced apart longitudinal slots 70extend through staple cartridge 54 to accommodate upstanding cam wedges 72 of an actuation sled 74 ( FIG. 2 ).
- a central longitudinal slot 76extends along substantially the length of staple cartridge 54 to facilitate passage of a knife blade 78 ( FIG. 4 ).
- drive assembly 212abuts actuation sled 74 and pushes actuation sled 74 through longitudinal slots 70 of staple cartridge 54 to advance cam wedges 72 into sequential contact with pushers 68 .
- Pushers 68translate vertically along cam wedges 72 within fastener retention slots 64 and urge fasteners 66 from retention slots 64 into staple deforming cavities 30 ( FIG. 4 ) of anvil assembly 20 .
- mounting assembly 235includes an upper mounting portion 236 and a lower mounting portion 238 .
- a centrally located pivot member 284extends from each of upper and lower mounting portions 236 and 238 through respective openings 246 a formed in coupling members 246 .
- Coupling members 246each include an interlocking proximal portion 246 b configured to be received in grooves 290 formed in the proximal end of an inner housing which is formed from upper and lower housing halves 250 and 252 .
- Coupling members 246retain mounting assembly 235 and upper and lower housing halves 250 and 252 in a longitudinally fixed position in relation to each other.
- Upper housing half 250 and lower housing half 252are contained within an outer sleeve 251 of body portion 200 .
- Body portion 251includes a cutout 251 a dimensioned to receive a boss or projection 250 a formed on upper housing half 250 a .
- the positioning of projection 250 a within cutout 251 aprevents axial and rotational movement of upper and lower housing halves 250 and 252 within outer sleeve 251 of body portion 200 .
- boss 250 ahas a substantially rectangular configuration having a greater axial dimension than lateral dimension. The greater axial dimension provides increased surface area for preventing rotation of upper and lower housing halves 250 and 252 within sleeve 251 .
- a proximal portion 250 b of boss 250 ais ramped.
- Ramped proximal portion 250 ballows sleeve 251 to be slid over boss 250 a as upper and lower housing halves 250 and 252 are positioned within sleeve 251 .
- boss 250 amay assume other configurations, e.g., circular, square, triangular, etc., and still achieve its intended function. Further, boss 250 a can be repositioned anywhere along upper housing half 250 or, in the alternative, be positioned on lower housing half 252 or partly on each housing half 250 and 252 .
- the proximal end or insertion tip 193 of upper housing half 250includes engagement nubs 254 for releasably engaging the distal end of a surgical instrument in a bayonet type fashion.
- Housing halves 250 and 252define a channel 400 for slidably receiving axial drive assembly 212 therein.
- An articulation link 256is dimensioned to be slidably positioned within a slot 402 formed between upper and lower housing halves 250 and 252 .
- a pair of H-block assemblies 255are positioned adjacent the distal end of housing portion 200 and adjacent the distal end of axial drive assembly 212 to prevent outward buckling and bulging of drive assembly 212 during articulation and firing of surgical stapling apparatus 10 .
- Each H-block assembly 255includes a flexible body 255 a which includes a proximal end fixedly secured to body portion 200 and a distal end fixedly secured to mounting assembly 235 .
- a retention member 288is supported on engagement section 270 of axial drive assembly 212 .
- Retention member 288includes a pair of fingers 288 a which are releasably positioned within slots or recesses 252 a formed in lower housing half 252 .
- axial drive assembly 212is advanced distally to move drive assembly 212 and retention member 288 distally.
- fingers 288 aare forced from recesses 252 a to provide an audible and tactile indication that the surgical instrument has been actuated.
- Retention member 288is designed to prevent inadvertent partial actuation of DLU 16 , such as during shipping, by maintaining axial drive assembly 212 at a fixed position within DLU 16 until a predetermined axial force has been applied to axial drive assembly 212 .
- Axial drive assembly 212includes an elongated drive beam 266 including a distal working head 268 and a proximal engagement section 270 .
- drive beam 266is constructed from multiple stacked sheets of material.
- Engagement section 270includes a pair of resilient engagement fingers 270 a and 270 b which mountingly engage a pair of corresponding retention slots formed in drive member 272 .
- Drive member 272includes a proximal porthole 274 configured to receive distal end of a control rod 520 ( FIG. 11 ) of a surgical instrument when the proximal end of DLU 16 is engaged with the body portion 412 of a surgical instrument 500 .
- DLU 16further includes a locking mechanism including a locking member 300 and a locking member actuator 302 .
- Locking member 300( FIG. 6 ) is rotatably supported within a longitudinal or axial slot 310 ( FIG. 7 ) formed in a proximal portion of upper housing half 250 of body portion 200 of DLU 16 .
- Locking member 300is movable from a first position ( FIGS. 7 and 8 ), in which locking member 300 maintains drive assembly 212 in a prefired position, to a second position ( FIGS. 9 and 10 ), in which drive assembly 212 is free to move axially.
- locking member 300includes semi-cylindrical body 312 which is slidably positioned within transverse slot 310 formed in upper housing half 250 of body portion 200 .
- Body 312includes a radially inwardly extending cam member 314 and a radially inwardly extending finger 316 .
- Finger 316is dimensioned to be slidably received within a notch or slot 270 c ( FIG. 3 ) formed in drive assembly 212 . Engagement of finger 316 in notch 270 c of drive assembly 212 prevents drive assembly 212 from moving linearly within body portion 200 and, thus, prevents actuation of DLU 16 .
- a locking member actuator 302is slidably positioned within a axial slot 320 ( FIG. 7 ) formed in upper housing half 250 of body portion 200 of DLU 16 .
- Actuator 302includes a proximal abutment member 322 , a distal spring guide 324 , and a central cam slot 326 .
- Axial slot 320intersects transverse slot 310 such that cam member 314 of locking member 300 is slidably positioned within cam slot 326 of locking member actuator 302 .
- a biasing member or spring 328( FIG. 7 ) is positioned about spring guide 324 between a distal surface 330 of actuator 302 and a wall 332 ( FIG.
- abutment member 322is positioned on and extends radially outwardly of the proximal end of DLU 16 adjacent insertion tip 193 of proximal body portion 200 and cam slot 326 is positioned to locate cam member 314 such that finger 316 of lock member 300 is positioned within notch 270 c of drive assembly 212 .
- FIGS. 11-16illustrate DLU 16 and surgical instrument 500 prior to and during attachment of DLU 16 to surgical instrument 500 .
- surgical instrument 500includes a handle portion 510 and body portion 512 .
- Handle portion 510includes a stationary handle 514 and a movable handle 516 .
- Movable handle 516is movable in relation to stationary handle 514 to advance a control rod 520 which projects from a distal end of body portion 512 .
- Surgical instrument 500may be the stapling instrument disclosed in U.S. Pat. No. 6,330,965 which is incorporated herein in its entirety by reference.
- nubs 254move linearly through slots (not shown) formed in open end 522 of body portion 512 .
- the proximal end 322 a of abutment member 322which is angularly offset from nubs 254 , abuts a wall 276 c defining the slots for receiving nubs 254 .
- locking member actuator 302is moved from its retracted position to its advanced position in the direction indicated by arrow “T” in FIG. 14 .
- lock member 300is cammed in the direction indicated by arrow “U” in FIG. 14 from its locked position ( FIG. 8 ) engaged with drive assembly 212 to its unlocked position ( FIG. 10 ) to move finger 316 from notch 270 c .
- the locking mechanism including locking member 300 and locking member actuator 302prevents accidental or inadvertent advancement or manipulation of the drive member of DLU 16 such as during loading of DLU 16 onto a surgical instrument 500 .
- DLU 16When DLU 16 has been moved linearly in relation to instrument 500 to a position wherein a proximal surface 530 of body portion 200 abuts inner surface 276 c of body portion 512 ( FIG. 15 ), DLU 16 can be rotated in relation to body portion 512 in a bayonet type action to position nubs 254 within openings 536 of body portion 512 to lock DLU 16 onto body portion 512 .
- other coupling types besides bayonet couplingsmay be used to connect DLU 16 to instrument 500 , e.g., spring detent or snap-fit couplings, friction fit couplings, interlocking members, threaded couplings etc.
- the above-described lock assemblymay be incorporated into a variety of surgical instruments which include DLU's and is not limited to use on linear staplers. Further, the DLU may be configured to receive an insertion tip of surgical instrument in contrast to that disclosed. Therefore, the above description should not be construed as limiting, but merely as exemplifications of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
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Abstract
Description
- 1. Technical Field
- The present disclosure relates to a disposable loading unit (“DLU”) or single use loading unit (“SULU”) for use with a surgical device. More particularly, the present disclosure relates to a DLU or SULU for use with a surgical instrument which includes a locking mechanism for retaining a drive assembly of the loading unit in its prefired position until the loading unit is attached to a surgical device. For simplicity, hereinafter, SULU or DLU will be referred to as “DLU”, but it should be understood to include either or both a DLU or SULU.
- 2. Background of Related Art
- Surgical devices for applying fasteners, e.g., staples, clips, etc., to tissue are well known. Such devices include single use devices which are preloaded with a single fastener and are disposable after a single use of the device. Such devices also include multiple use devices which are preloaded with a plurality of fasteners and are disposable after the supply of fasteners has been exhausted or a surgical procedure has been completed. If the supply of fasteners is exhausted prior to completion of a surgical procedure, a new device may be required to complete the surgical procedure. The use of additional surgical devices for a single surgical procedure can be expensive.
- In order to address the high expense of using multiple surgical devices for a single procedure, surgical devices having replaceable fastener cartridges have been developed. In such devices, fasteners are housed within a cartridge. When the fasteners in the cartridge have been exhausted, the cartridge can be removed from the surgical device and replaced with a new cartridge having an additional supply of fasteners.
- Tyco Healthcare Group, LP, the assignee of the present application, has manufactured and marketed endoscopic stapling devices having replaceable cartridges, such as the Multifire ENDO GIA™ 30 and Multifire ENDO GIA™ 60 devices, for a number of years. These devices include a surgical stapling apparatus and a DLU. Typically, the DLU includes a proximal body portion and a distal tool member and is attached to a surgical apparatus immediately prior to surgery. The distal tool member includes a cartridge housing a plurality of staples. After use, the DLU can be removed from the apparatus and replaced with a new DLU to perform additional stapling and/or cutting operations. A drive assembly is supported within the DLU and is engageable with a control rod of the surgical apparatus to facilitate operation of the apparatus.
- Although, these devices have provided significant clinical benefits, improvements to these devices are still possible. Accordingly, it would be desirable to provide an improved DLU for a surgical fastener applying device which retains or locks the DLU drive assembly in a prefired position until the DLU is attached to the surgical fastener applying device.
- In accordance with the present disclosure, a DLU is provided which includes a body portion and a tool assembly. A drive assembly is movably supported within the body portion from a retracted position to an advanced position. A locking member is supported on the body portion and is movable from a first position engaging the drive assembly to a second position disengaged from the drive assembly. A locking member actuator is operably engaged with the locking member to move the locking member from its first position to its second position when the DLU is inserted linearly into the distal end of a surgical instrument.
- In one embodiment, the locking member includes a cam member which is slidably positioned within a cam slot formed in the locking member actuator. The locking member actuator is slidably positioned within a linear slot formed in the body portion and the locking member is slidably positioned within a transverse slot formed in the body portion. The locking member actuator includes an abutment member which is positioned on and extends radially outwardly from an insertion tip of the body portion. The abutment member is positioned to engage a surface on a surgical instrument when the body portion insertion tip is inserted into the distal end of a surgical instrument during attachment of the DLU to the surgical instrument. Engagement between the abutment member and the surgical instrument effects linear movement of the locking member actuator from a retracted position to an advanced position. Advancement of the locking member actuator is translated to transverse movement of the locking member from its first position to its second position via interaction between the cam member of the locking member and the cam slot of the locking member actuator.
- In one embodiment, a biasing member, e.g., a spring, is provided to urge the locking member actuator to its retracted position. In the retracted position of the locking member actuator, the locking member is maintained in its first or locked position.
- In one embodiment, the locking member includes a finger which is dimensioned to be received within a notch or recess formed in the drive assembly. In the first position of the locking member, the finger is positioned within the notch to prevent movement of the drive assembly from a retracted to an advanced position. Alternately, other engagement configurations are contemplated.
- In one embodiment, the tool assembly includes a cartridge assembly and an anvil assembly which is movable in relation to the cartridge assembly between open and approximated positions. The tool assembly may include a linear cartridge assembly which includes a plurality of linear rows of staples, e.g., six. The tool assembly may also include knife blade which can be supported on a distal end of the drive assembly. The tool assembly may also be pivotally mounted to the body portion. Alternately, the presently disclosed locking mechanism may be incorporated into other surgical devices including staplers, clip appliers and other hand held or robotically controlled devices.
- Various embodiments of the presently disclosed DLU are disclosed herein with reference to the drawings, wherein:
FIG. 1 is a side perspective view from the proximal end of one embodiment of the presently disclosed DLU;FIG. 2 is a side perspective view of the distal end of the proximal body portion, the mounting assembly and tool assembly with parts separated of the DLU shown inFIG. 1 ;FIG. 3 is a side perspective view of the mounting assembly and the proximal body portion of the DLU shown inFIG. 1 with parts separated;FIG. 4 is a side cross-sectional view of the tool assembly of the DLU shown inFIG. 1 ;FIG. 5 is a top perspective view of the lock member actuator of the locking mechanism of the proximal body portion shown inFIG. 3 ;FIG. 6 is a bottom perspective view of the locking member of the locking mechanism of the proximal body portion shown inFIG. 3 ;FIG. 7 is a top view of the proximal end of the proximal body portion of the DLU shown inFIG. 1 with the locking mechanism in its locked position;FIG. 8 is a cross-sectional view taken along section lines8-8 ofFIG. 7 ;FIG. 9 is a top view of the proximal end of the proximal body portion of the DLU shown inFIG. 1 with the locking mechanism in its unlocked position;FIG. 10 is a cross-sectional view taken along section lines10-10 ofFIG. 9 ;FIG. 11 is a side perspective view of the DLU shown inFIG. 1 and a surgical instrument prior to attachment of the DLU to the surgical instrument;FIG. 12 is a top view of the proximal end of the DLU shown inFIG. 1 prior to attachment to the distal end of a surgical instrument;FIG. 13 is a top view of the proximal end of the DLU shown inFIG. 11 as the DLU is advanced linearly into the distal end a surgical instrument;FIG. 14 is a top view of the proximal end of the DLU shown inFIG. 12 after the DLU has been advanced linearly in relation to the distal end of a surgical instrument but prior to rotatably locking the DLU to the surgical instrument;FIG. 15 is a top view of the proximal end of the DLU shown inFIG. 13 after the DLU has been advanced linearly in relation to and rotatably locked onto the surgical instrument; andFIG. 16 is a side perspective view from the distal end of the surgical instrument and DLU shown inFIG. 11 attached together.- Embodiments of the presently disclosed DLU 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.
- Referring to
FIG. 1 , briefly,DLU 16 includes atool assembly 17, aproximal body portion 200 and a mountingassembly 202.Body portion 200 has a proximal end adapted to releasably engage the distal end of a surgical instrument500 (FIG. 11 ) in the manner to be discussed in detail below. Mountingassembly 202 is pivotally secured to a distal end ofbody portion 200 and is fixedly secured to a proximal end oftool assembly 17. Pivotal movement of mountingassembly 202 about an axis perpendicular to a longitudinal axis ofbody portion 200 effects articulation oftool assembly 17 between an orientation aligned with the longitudinal axis ofbody portion 200 and an orientation at an angle to the longitudinal axis ofbody portion 200. - Referring also to
FIGS. 2-4 ,tool assembly 17 includes acartridge assembly 18 and ananvil assembly 20.Anvil assembly 20 includes ananvil portion 28 having a plurality of staple deforming concavities30 (FIG. 4 ) and acover plate 32 secured to a top surface ofanvil portion 28.Cover plate 32 andanvil portion 28 define a cavity34 (FIG. 4 ) therebetween which is dimensioned to receive a distal end of a drive assembly212 (FIG. 3 ).Cover plate 32 encloses the distal end ofdrive assembly 212 to prevent pinching of tissue during actuation ofDLU 16. Alongitudinal slot 38 extends throughanvil portion 28 to facilitate passage of aretention flange 40 ofdrive assembly 212. Acamming surface 42 formed onanvil portion 28 is positioned to engage a pair ofcam members 40asupported onretention flange 40 ofdrive assembly 212 to effect approximation of the anvil and cartridge assemblies. A pair ofpivot members 44 formed onanvil portion 28 are positioned withinslots 46 formed in acartridge assembly carrier 48 to guideanvil portion 28 between its spaced and approximated positions. A pair of stabilizingmembers 50 engage arespective shoulder 52 formed oncarrier 48 to preventanvil portion 28 from sliding axially in relation tostaple cartridge 54 ascamming surface 42 is pivoted aboutpivot members 44. Cartridge assembly 18 includescarrier 48 which defines anelongated support channel 56 which is dimensioned and configured to receivestaple cartridge 54. Correspondingtabs 58 andslots 60 formed alongstaple cartridge 54 andelongated support channel 56, respectively, function to retainstaple cartridge 54 at a fixed location withinsupport channel 56. A pair of support struts62 formed onstaple cartridge 54 are positioned to rest on side walls ofcarrier 48 to further stabilizestaple cartridge 54 withinsupport channel 56.Staple cartridge 54 includes retention slots64 (FIG. 2 ) for receiving a plurality of staples orfasteners 66 andpushers 68. A plurality of laterally spaced apartlongitudinal slots 70 extend throughstaple cartridge 54 to accommodateupstanding cam wedges 72 of an actuation sled74 (FIG. 2 ). A centrallongitudinal slot 76 extends along substantially the length ofstaple cartridge 54 to facilitate passage of a knife blade78 (FIG. 4 ). During operation ofsurgical stapler 10,drive assembly 212 abutsactuation sled 74 and pushesactuation sled 74 throughlongitudinal slots 70 ofstaple cartridge 54 to advancecam wedges 72 into sequential contact withpushers 68.Pushers 68 translate vertically alongcam wedges 72 withinfastener retention slots 64 andurge fasteners 66 fromretention slots 64 into staple deforming cavities30 (FIG. 4 ) ofanvil assembly 20.- Referring to
FIG. 3 , mountingassembly 235 includes an upper mountingportion 236 and alower mounting portion 238. A centrally locatedpivot member 284 extends from each of upper and lower mountingportions respective openings 246aformed incoupling members 246. Couplingmembers 246 each include an interlocking proximal portion246bconfigured to be received ingrooves 290 formed in the proximal end of an inner housing which is formed from upper andlower housing halves members 246 retain mountingassembly 235 and upper andlower housing halves Upper housing half 250 andlower housing half 252 are contained within anouter sleeve 251 ofbody portion 200.Body portion 251 includes acutout 251adimensioned to receive a boss orprojection 250aformed onupper housing half 250a. The positioning ofprojection 250awithincutout 251aprevents axial and rotational movement of upper andlower housing halves outer sleeve 251 ofbody portion 200. In one embodiment,boss 250ahas a substantially rectangular configuration having a greater axial dimension than lateral dimension. The greater axial dimension provides increased surface area for preventing rotation of upper andlower housing halves sleeve 251. Aproximal portion 250bofboss 250ais ramped. Rampedproximal portion 250ballowssleeve 251 to be slid overboss 250aas upper andlower housing halves sleeve 251. It is envisioned thatboss 250amay assume other configurations, e.g., circular, square, triangular, etc., and still achieve its intended function. Further,boss 250acan be repositioned anywhere alongupper housing half 250 or, in the alternative, be positioned onlower housing half 252 or partly on eachhousing half - The proximal end or
insertion tip 193 ofupper housing half 250 includesengagement nubs 254 for releasably engaging the distal end of a surgical instrument in a bayonet type fashion. Housing halves250 and252 define achannel 400 for slidably receivingaxial drive assembly 212 therein. Anarticulation link 256 is dimensioned to be slidably positioned within aslot 402 formed between upper andlower housing halves block assemblies 255 are positioned adjacent the distal end ofhousing portion 200 and adjacent the distal end ofaxial drive assembly 212 to prevent outward buckling and bulging ofdrive assembly 212 during articulation and firing ofsurgical stapling apparatus 10. Each H-block assembly 255 includes aflexible body 255awhich includes a proximal end fixedly secured tobody portion 200 and a distal end fixedly secured to mountingassembly 235. - A
retention member 288 is supported onengagement section 270 ofaxial drive assembly 212.Retention member 288 includes a pair offingers 288awhich are releasably positioned within slots orrecesses 252aformed inlower housing half 252. In operation, whenSULU 16 is attached to a surgical instrument andaxial drive assembly 212 is actuated by applying a predetermined force to anactuation member 516 of the surgical instrument500 (FIG. 11 ),axial drive assembly 212 is advanced distally to movedrive assembly 212 andretention member 288 distally. Asretention member 288 is advanced distally,fingers 288aare forced fromrecesses 252ato provide an audible and tactile indication that the surgical instrument has been actuated.Retention member 288 is designed to prevent inadvertent partial actuation ofDLU 16, such as during shipping, by maintainingaxial drive assembly 212 at a fixed position withinDLU 16 until a predetermined axial force has been applied toaxial drive assembly 212. Axial drive assembly 212 includes anelongated drive beam 266 including adistal working head 268 and aproximal engagement section 270. In one embodiment,drive beam 266 is constructed from multiple stacked sheets of material.Engagement section 270 includes a pair ofresilient engagement fingers 270aand270bwhich mountingly engage a pair of corresponding retention slots formed indrive member 272.Drive member 272 includes a proximal porthole274 configured to receive distal end of a control rod520 (FIG. 11 ) of a surgical instrument when the proximal end ofDLU 16 is engaged with the body portion412 of asurgical instrument 500.- Referring also to
FIGS. 5-10 ,DLU 16 further includes a locking mechanism including a lockingmember 300 and a lockingmember actuator 302. Locking member300 (FIG. 6 ) is rotatably supported within a longitudinal or axial slot310 (FIG. 7 ) formed in a proximal portion ofupper housing half 250 ofbody portion 200 ofDLU 16. Lockingmember 300 is movable from a first position (FIGS. 7 and 8 ), in which lockingmember 300 maintainsdrive assembly 212 in a prefired position, to a second position (FIGS. 9 and 10 ), in which driveassembly 212 is free to move axially. - As illustrated in
FIG. 6 , lockingmember 300 includessemi-cylindrical body 312 which is slidably positioned withintransverse slot 310 formed inupper housing half 250 ofbody portion 200.Body 312 includes a radially inwardly extendingcam member 314 and a radially inwardly extendingfinger 316.Finger 316 is dimensioned to be slidably received within a notch or slot270c(FIG. 3 ) formed indrive assembly 212. Engagement offinger 316 innotch 270cofdrive assembly 212 prevents drive assembly212 from moving linearly withinbody portion 200 and, thus, prevents actuation ofDLU 16. - Referring to
FIGS. 3 ,5 and7, a lockingmember actuator 302 is slidably positioned within a axial slot320 (FIG. 7 ) formed inupper housing half 250 ofbody portion 200 ofDLU 16.Actuator 302 includes aproximal abutment member 322, adistal spring guide 324, and acentral cam slot 326.Axial slot 320 intersectstransverse slot 310 such thatcam member 314 of lockingmember 300 is slidably positioned withincam slot 326 of lockingmember actuator 302. A biasing member or spring328 (FIG. 7 ) is positioned aboutspring guide 324 between a distal surface330 ofactuator 302 and a wall332 (FIG. 7 ) defining the distal end ofaxial slot 320.Spring 328 urges actuator302 to its retracted position withinaxial slot 320. In its retracted position,abutment member 322 is positioned on and extends radially outwardly of the proximal end ofDLU 16adjacent insertion tip 193 ofproximal body portion 200 andcam slot 326 is positioned to locatecam member 314 such thatfinger 316 oflock member 300 is positioned withinnotch 270cofdrive assembly 212. FIGS. 11-16 illustrateDLU 16 andsurgical instrument 500 prior to and during attachment ofDLU 16 tosurgical instrument 500. Referring toFIGS. 11-13 ,surgical instrument 500 includes ahandle portion 510 andbody portion 512.Handle portion 510 includes astationary handle 514 and amovable handle 516.Movable handle 516 is movable in relation tostationary handle 514 to advance acontrol rod 520 which projects from a distal end ofbody portion 512.Surgical instrument 500 may be the stapling instrument disclosed in U.S. Pat. No. 6,330,965 which is incorporated herein in its entirety by reference.- Prior to attachment of
DLU 16 ontosurgical instrument 500,spring 328 urges actuator302 to its retracted position to movelock member 300 to its locked position as discussed above. Wheninsertion tip 193DLU 16 is linearly inserted into the open end522 (FIG. 11 ) of the body portion512 (FIG. 13 ) of asurgical instrument 500,nubs 254 move linearly through slots (not shown) formed inopen end 522 ofbody portion 512. Asnubs 254 pass through the slots, theproximal end 322aofabutment member 322, which is angularly offset fromnubs 254, abuts a wall276cdefining the slots for receivingnubs 254. AsDLU 16 is moved further intobody portion 512, lockingmember actuator 302 is moved from its retracted position to its advanced position in the direction indicated by arrow “T” inFIG. 14 . Asactuator 302 is moved to its advanced position,lock member 300 is cammed in the direction indicated by arrow “U” inFIG. 14 from its locked position (FIG. 8 ) engaged withdrive assembly 212 to its unlocked position (FIG. 10 ) to movefinger 316 fromnotch 270c. The locking mechanism including lockingmember 300 and lockingmember actuator 302 prevents accidental or inadvertent advancement or manipulation of the drive member ofDLU 16 such as during loading ofDLU 16 onto asurgical instrument 500. - When
DLU 16 has been moved linearly in relation toinstrument 500 to a position wherein aproximal surface 530 ofbody portion 200 abuts inner surface276cof body portion512 (FIG. 15 ),DLU 16 can be rotated in relation tobody portion 512 in a bayonet type action to positionnubs 254 withinopenings 536 ofbody portion 512 to lockDLU 16 ontobody portion 512. It is envisioned that other coupling types besides bayonet couplings may be used to connectDLU 16 toinstrument 500, e.g., spring detent or snap-fit couplings, friction fit couplings, interlocking members, threaded couplings etc. - It will be understood that various modifications may be made to the embodiments disclosed herein. For example, the above-described lock assembly may be incorporated into a variety of surgical instruments which include DLU's and is not limited to use on linear staplers. Further, the DLU may be configured to receive an insertion tip of surgical instrument in contrast to that disclosed. Therefore, the above description should not be construed as limiting, but merely as exemplifications of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
Claims (6)
1-13. (canceled)
14. A disposable loading unit comprising:
a body portion adapted to releasably engage a surgical instrument, the body portion including an outer sleeve a first inner housing half, and a second inner housing half;
a tool assembly supported on a distal end of the body portion; and
a drive assembly supported within the body portion and being movable in relation to the tool assembly to effect actuation of the tool assembly;
wherein the first inner housing half includes a raised projection and the outer sleeve includes a cutout dimensioned and configured to receive the raised projection, the raised projection being positioned within the cutout to prevent movement of the inner housing in relation to the outer sleeve.
15. A disposable loading unit according toclaim 14 , wherein the inner housing is formed from upper and lower half-sections.
16. A disposable loading unit according toclaim 14 , wherein the raised projection is substantially rectangular.
17. A disposable loading unit according toclaim 16 , wherein the raised projection has a greater axial dimension than lateral dimension.
18. A disposable loading unit according toclaim 17 , wherein the raised projection includes a proximal ramped surface.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12/856,929US20100301097A1 (en) | 2005-04-06 | 2010-08-16 | Loading Unit Having Drive Assembly Locking Mechanism |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/100,279US7780055B2 (en) | 2005-04-06 | 2005-04-06 | Loading unit having drive assembly locking mechanism |
| US12/856,929US20100301097A1 (en) | 2005-04-06 | 2010-08-16 | Loading Unit Having Drive Assembly Locking Mechanism |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US11/100,279DivisionUS7780055B2 (en) | 2005-04-06 | 2005-04-06 | Loading unit having drive assembly locking mechanism |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US20100301097A1true US20100301097A1 (en) | 2010-12-02 |
Family
ID=36424602
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US11/100,279Active2029-05-24US7780055B2 (en) | 2005-04-06 | 2005-04-06 | Loading unit having drive assembly locking mechanism |
| US12/856,929AbandonedUS20100301097A1 (en) | 2005-04-06 | 2010-08-16 | Loading Unit Having Drive Assembly Locking Mechanism |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US11/100,279Active2029-05-24US7780055B2 (en) | 2005-04-06 | 2005-04-06 | Loading unit having drive assembly locking mechanism |
Country Status (7)
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|---|---|
| US (2) | US7780055B2 (en) |
| EP (1) | EP1709911B1 (en) |
| JP (2) | JP4959209B2 (en) |
| AU (1) | AU2006201047B2 (en) |
| CA (1) | CA2541715C (en) |
| DE (1) | DE602006008056D1 (en) |
| ES (1) | ES2329926T3 (en) |
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- 2006-03-13AUAU2006201047Apatent/AU2006201047B2/ennot_activeCeased
- 2006-03-21EPEP06005784Apatent/EP1709911B1/enactiveActive
- 2006-03-21DEDE602006008056Tpatent/DE602006008056D1/enactiveActive
- 2006-03-21ESES06005784Tpatent/ES2329926T3/enactiveActive
- 2006-04-04CACA2541715Apatent/CA2541715C/enactiveActive
- 2010
- 2010-08-16USUS12/856,929patent/US20100301097A1/ennot_activeAbandoned
- 2012
- 2012-02-24JPJP2012039314Apatent/JP2012130729A/ennot_activeWithdrawn
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Also Published As
| Publication number | Publication date |
|---|---|
| AU2006201047A1 (en) | 2006-10-26 |
| AU2006201047B2 (en) | 2011-08-18 |
| EP1709911B1 (en) | 2009-07-29 |
| CA2541715C (en) | 2014-12-16 |
| US7780055B2 (en) | 2010-08-24 |
| EP1709911A1 (en) | 2006-10-11 |
| JP4959209B2 (en) | 2012-06-20 |
| DE602006008056D1 (en) | 2009-09-10 |
| CA2541715A1 (en) | 2006-10-06 |
| JP2006289064A (en) | 2006-10-26 |
| ES2329926T3 (en) | 2009-12-02 |
| US20060226195A1 (en) | 2006-10-12 |
| JP2012130729A (en) | 2012-07-12 |
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| AS | Assignment | Owner name:TYCO HEALTHCARE GROUP LP, CONNECTICUT Free format text:ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:SCIRICA, PAUL A.;CZERNIK, ROMAN;REEL/FRAME:024840/0812 Effective date:20050401 | |
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