EP0060279A1 - Mecanisme d'entrainement d'une agrafeuse chirurgicale - Google Patents

Mecanisme d'entrainement d'une agrafeuse chirurgicale

Info

Publication number
EP0060279A1
EP0060279A1 EP19810902612 EP81902612A EP0060279A1 EP 0060279 A1 EP0060279 A1 EP 0060279A1 EP 19810902612 EP19810902612 EP 19810902612 EP 81902612 A EP81902612 A EP 81902612A EP 0060279 A1 EP0060279 A1 EP 0060279A1
Authority
EP
European Patent Office
Prior art keywords
housing
instrument
handle
instrument according
staple
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP19810902612
Other languages
German (de)
English (en)
Inventor
Max Frederick Dippert
Victor Bernard Lemcke
Alberto Ciabatti
Louis Crispe
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
HOSPITAL PRODUCTS Ltd
Original Assignee
HOSPITAL PRODUCTS Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by HOSPITAL PRODUCTS Ltd filed Critical HOSPITAL PRODUCTS Ltd
Publication of EP0060279A1 publication Critical patent/EP0060279A1/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A61B2017/07214—Stapler heads
    • A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots

Definitions

  • This invention relates to surgical stapling instruments of the type comprising a manually operated drive mechanism by means of which staples are ejected from a staple cartridge against an anvil and through intervening tissue, in surgical suturing procedures.
  • the drive arrangement employed in such instruments consists of a pair of operating handles, one fixed and one movable, the movable handle driving a staple pusher by means of a simple lever action. It is sometimes found that with such a drive mechanism insufficient staple- driving force can be developed by operation of the instrument with one hand, particularly when stapling through large thicknesses of tissue. In such situations the surgeon must resort to the use of both hands, which is difficult both in view of the fact that the operating handles are not designed to accommodate both hands, and also in view of the fact that the hands may not be as steady in such a position, particularly when great force is being applied to the instrument.
  • a further disadvantage of the known instruments of this type is that they are manufactured entirely from stainless steel and are not disposable, and yet suffer from corrosion and damage after repeated use, and of course require sterilisation before re-use.
  • An object of the present invention is therefore to provide a mechanism which provides greater ease of one-handed operation.
  • a further object of the invention is to provide a drive mechanism which enables a large proportion of the instrument to be manufactured in plastics material, so that it is light, inexpensive and disposable, thereby eliminating the need for subsequent steril sation and the problem of corrosion.
  • the invention broadly resides in a surgical stapling instrument comprising opposed jaws respectively adapted for carrying an anvil and a staple cartridge and means for ejecting staples from said cartridge against said anvil, adjustment means extending longitudinally of the instrument and longitudinally movable to vary the separation of said anvil and said cartridge, staple ejection actuating means extending longitudinally of the instrument and longitudinally movable to drive said ejection means, characterised in that said instrument further comprises a housing supporting the rearward portions of said adjustment means and said actuating means and an operating handle pivotally mounted at the forward end of said housing, said handle being connected to said actuating means by a toggle thereby to drive said actuating means in its staple-ejecting direction upon closure of said handle towards said housing.
  • the instrument illustrated by way of example in Figures 1 to 6 is of the type employed in end-to-end anastomosis, for example, anastomosis of proximal and distal bowel sections in low anterior resection, while the instrument illustrated, again by way of example, in Figures 7 to 11, is of the type normally used for the closure of organs.
  • Figure 1 shows a cross-sectional side elevation of a surgical stapling instrument embodying the present invention
  • FIG. 2 shows a lateral cross-section of the instrument of Figure 1 taken at 2 in Figure 1;
  • Figure 3a shows a lateral cross-section taken at 3 in Figure 1 with the operating handle in its open position
  • Figure 3b shows a lateral cross-section taken at 3 in
  • Figure 4 shows a lateral cross-section taken at 4 in Figure 1 ;
  • Figure 5 shows a lateral cross-section taken at 5 in
  • Figure 6 shows a section taken on the line 6-6 in Figure 1 ;
  • Figure 7 shows a cross-sectional side elevation of a second surgical stapling instrument embodying the present invention
  • Figure 8 shows a cross-sectional plan view of the instrument of Figure 7;
  • Figure 9 shows a cross-sectional view taken at 9 in Figure 7
  • Figure 10 shows a cross-sectional view taken at 10 in Figure 7;
  • Figure 11 shows a cross-sectional view taken at 11 in Figure 7.
  • the instrument illustrated in Figure 1 comprises a cylindrical body 10 of plastics material which is open at its rear end for the reception of a gland nut 11 within which there is mounted for rotation an adjusting nut 12 which is fixed against axial movement by a circlip 13 and shoulder 14.
  • the forward end of the instrument is adapted for the mounting, on an extended forward tubular body portion 15, of a circular cartridge and knife blade assembly shown in outline at 16, and of a circular anvil 17 by means of a screw 18 to the outer end of a steel inner shaft 19.
  • the cartridge and knife assembly 16 and the anvil 17 may be constructed in a manner similar to the corresponding elements described in German published patent application 2822803 referred to above, and in the following description it will be assumed that the reader is familiar with the manner of operation of that instrument.
  • a staple actuating rod 21 Surrounding the inner rod 19 and within the housing portion 15 is a staple actuating rod 21.
  • the rod 21 is provided at its inner end with a coller 22 carrying a pair of axially opposed screw pins 23 by means of which a pair of toggle pieces 24 are connected with the rod 21.
  • These front toggle pieces 24 are connected at the toggle elbow by means of screw pins 25 with rear toggle pieces 26 and with a toggle connecting link 34 of U shape.
  • the rearmost end of each rear toggle piece 26 is pivotally mounted by means of screws 27 to a flanged plate 28 which is fixed to the body 10 by means of screws 29.
  • the housing 10 is open in the region immediately below the forward toggle pieces 24 and an operating lever 30 is pivotally attached by means of screws 31 to the side walls of the body portion 10 at the forward end of this open region, the side walls of the body portion 10 in this region being straight to form a U-shaped cross-section as shown in Figures 3 to 5.
  • the operating lever 30 which may be of plastics material or pressed metal is of U-shaped cross-section and is connected with the outer end of the connecting link 34 by means of a pin 32.
  • a safety catch 33 is provided, pivotally attached to the operating lever 30 at 33a. This safety catch 33 may be engaged with a catch receiving formation 35 provided on the lower wall of the body 10 to prevent' inadvertent closure of the operating lever, and prior to a stapling operation is moved in a clockwise direction as viewed in Figure 1 to rest against the level 30.
  • This configuration of the parts of the instrument enables single- handed operation since the juxtaposition of the operating lever 30 and the body 10 enables these to be grasped by one hand and the lever 30 operated by a squeezing action, and the mechanical advantage of the mechanism is sufficient to apply to the staple actuating rod 21 greater force than that which is achieved in the known instrument.
  • the toggle pieces 24 and 26 and the connecting link 33, together with the adjusting rod 19 should be made of metal, preferably of stainless steel, the housing portions 10 and 15 and the staple actuating rod 21, together with the minor functional parts of the assembly, may be of plastics material and in this way the cost of the instrument may be reduced to such an extent that it can be disposed of after a single use, or relatively
  • This instrument is of the type comprising a pair of jaws 36 and 37 in a C configuration, the forward jaw 37 carrying a disposable anvil 38.
  • the rear jaw 36 is longitudinally adjustable relative to the instrument housing 10 for adjustment of the tissue gap between the anvil 38 and a staple cartridge 39 prior to operation of the instrument, and this s achieved by mounting the rear jaw 36 on the ends of a pair of parallel frame members 40 which are fixed within the body portion 10 to a sliding block 41 by means of screws 42.
  • the sliding block 41 is in turn attached to the forward end of a threaded rod 20 which by means of a pin 42 is rotated by the adjusting nut 12, so that rotation of the adjusting nut 12 will produce axial movement of the sliding block 41 and consequent adjustment of the position of the cartridge 39 in relation to the jaws 36 and 37.
  • the housing 10 is provided on each side with a slot 43 to provide clearance for the screws.
  • the front toggle piece 24 is connected to the rear end of a staple pusher rod 21 which slides within a tube 44, the rear end of which is fixed within the housing 10 by means of a support block 45 mounted on the inner wall of the housing 10 by means of screw 46.
  • the tube 44 is fixed to the block 45 by- means of circlip 47 and shoulder 48.
  • a vertically enlarged portion 49 is provided, which comprises a pair of vertical walls between which the staple pusher head 50, mounted on the forward end of the staple pusher rod 21, may move towards the cartridge 39, and the latter is mounted on the forward end of this portion 49.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

On obtient la possibilite de manipuler d'une seule main l'agrafeuse chirurgicale en utilisant un mecanisme d'entrainement des agrafes actionne par un bras articule (24, 25, 26, 34) et en utilisant du materiau plastique (10) dans les pieces du corps ne portant pas de charge.
EP19810902612 1980-09-18 1981-09-17 Mecanisme d'entrainement d'une agrafeuse chirurgicale Withdrawn EP0060279A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AU5636/80 1980-09-18
AU563680 1980-09-18

Publications (1)

Publication Number Publication Date
EP0060279A1 true EP0060279A1 (fr) 1982-09-22

Family

ID=3696107

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19810902612 Withdrawn EP0060279A1 (fr) 1980-09-18 1981-09-17 Mecanisme d'entrainement d'une agrafeuse chirurgicale

Country Status (2)

Country Link
EP (1) EP0060279A1 (fr)
WO (1) WO1982000968A1 (fr)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA1188183A (fr) * 1981-12-22 1985-06-04 Hans L. Freund Agrafeuse chirurgicale
US4664305A (en) * 1982-05-04 1987-05-12 Blake Joseph W Iii Surgical stapler
US4523707A (en) * 1982-05-04 1985-06-18 Blake Joseph W Iii Surgical stapler
US4754909A (en) * 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4671445A (en) * 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4789090A (en) * 1986-11-03 1988-12-06 Blake Joseph W Iii Surgical stapler
US5370658A (en) * 1992-11-05 1994-12-06 Synergetics, Inc. Microsurgical instrument having dexterous handle with interchangeable instrument heads
US5893877A (en) * 1996-04-10 1999-04-13 Synergetics, Inc. Surgical instrument with offset handle
DE19837258A1 (de) * 1998-08-17 2000-03-02 Deutsch Zentr Luft & Raumfahrt Vorrichtung zum Betätigen eines chirurgischen Instrumentariums zur Anastomose von Hohlorganen
CN102727269B (zh) * 2012-06-15 2014-10-01 北京中法派尔特医疗设备有限公司 一种采用新型传动机构的直线切割缝合器
US9936949B2 (en) * 2013-09-23 2018-04-10 Ethicon Llc Surgical stapling instrument with drive assembly having toggle features
US11134952B2 (en) 2018-10-15 2021-10-05 Cilag Gmbh International Dual lever to reduce force to fire in circular surgical stapler
US20210380079A1 (en) * 2020-06-03 2021-12-09 Dextera Brakes, Llc Lever System
US11618529B2 (en) 2020-06-03 2023-04-04 Dextera Brakes, Llc Grip assembly for vehicle

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2037461A (en) * 1934-05-10 1936-04-14 Lou Obstfeld Stapling machine
GB913218A (en) * 1960-02-02 1962-12-19 Alexey Alexeevich Strekopitov A suturing device
US3494533A (en) * 1966-10-10 1970-02-10 United States Surgical Corp Surgical stapler for stitching body organs
US4047654A (en) * 1976-06-23 1977-09-13 Alfredo Alvarado Surgical stapler
US4109844A (en) * 1976-11-18 1978-08-29 Senco Products, Inc. Surgical stapling instrument
US4196836A (en) * 1978-02-14 1980-04-08 Senco Products Inc. Surgical stapling instrument
US4204623A (en) * 1978-07-17 1980-05-27 United States Surgical Corporation Manually powered surgical stapling instrument
US4179057A (en) * 1978-11-17 1979-12-18 Senco Products, Inc. Disposable surgical stapling instrument
SU942719A1 (ru) * 1979-11-23 1982-07-15 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени линейных швов

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO8200968A1 *

Also Published As

Publication number Publication date
WO1982000968A1 (fr) 1982-04-01

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Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

AK Designated contracting states

Designated state(s): FR

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN

18D Application deemed to be withdrawn

Effective date: 19821115

RIN1 Information on inventor provided before grant (corrected)

Inventor name: CIABATTI, ALBERTO

Inventor name: CRISPE, LOUIS

Inventor name: DIPPERT, MAX FREDERICK

Inventor name: LEMCKE, VICTOR BERNARD