Devices and methods for manually retracting a drive shaft, drive beam, and associated components of a surgical fastening device
View Patent ↗A surgical fastening device provides a mechanism for manually retracting the drive shaft, drive beam, and associated components in the event of a jamming or misfiring condition. The device includes a handle housing from which an elongate shaft extends and an end effector at a distal end of the shaft. The end effector has a cartridge jaw and an anvil jaw in a pivoting arrangement. A drive shaft actuates a drive beam, which acts to drive fasteners from the cartridge jaw into tissue. The device include a first retraction mechanism configured to move linearly and proximally to retract the drive beam and drive shaft, and a second retraction mechanism that likewise is able to retract the drive beam and drive shaft.
1. A surgical fastening device, comprising:
a handle housing having an elongate shaft extending distally therefrom;
an end effector coupled to a distal end of the elongate shaft, the end effector including a cartridge jaw and an anvil pivotally coupled to one another and movable between an open position and a closed position in which tissue can be engaged therebetween;
a drive beam disposed within the end effector and advanceable in a distal direction to drive staples into tissue engaged between the cartridge jaw and the anvil;
a drive shaft extending through the elongate shaft and coupled to the drive beam for advancing the drive beam through the end effector;
a first retraction mechanism coupled to the drive shaft and configured to move linearly in a proximal direction and thereby move the drive shaft proximally and thereby retract the drive beam; and
a second retraction mechanism that is coupled to the drive shaft and that rotates and thereby drives the drive shaft proximally and thereby retracts the drive beam.
2. The device of claim 1 , wherein the handle housing includes an actuation member having a pawl that engages a rack formed on the drive shaft for advancing the drive shaft distally.
3. The device of claim 1 , wherein the first retraction mechanism comprises at least one retraction knob extending from the handle housing and slidable within an elongate slot formed in the handle housing and extending in a proximal-distal direction.
4. The device of claim 1 , wherein the second retraction mechanism comprises a gear having at least one tooth formed thereon that engages a rack formed on the drive shaft.
5. The device of claim 4 , further comprising a tool configured to removably engage the gear to cause rotation of the gear.
6. The device of claim 5 , wherein the tool comprises a wrench.
7. The device of claim 5 , wherein the handle housing includes an opening formed therein for allowing insertion of the tool therethrough for coupling with the gear.
8. The device of claim 4 , further comprising a lever fixedly coupled to the gear and rotatable relative to the housing to rotate the gear.
9. The device of claim 1 , further comprising a cartridge disposed within the cartridge jaw and containing a plurality of staples frangibly coupled to a carrier.
10. The device of claim 1 , wherein the second retraction mechanism is configured to rotate counter-clockwise and thereby drive the drive shaft proximally.
11. The device of claim 1 , wherein the movement of the drive shaft proximally comprises linear movement of the drive shaft proximally, and the driving of the drive shaft proximally comprises linear movement of the drive shaft proximally.