Surgical stapling device for performing circular anastomoses
This application is directed to a surgical stapling device for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.
1. An apparatus for joining sections of tissue, comprising:
a handle;
an elongated body portion extending distally from the handle;
a pusher link supported within the elongated body portion, the pusher link being movable between a retracted position and an advanced position; and
a firing mechanism including:
a firing trigger moveable between an unactuated position and an actuated position, the firing trigger being coupled to the pusher link;
a firing link coupling the firing trigger to the handle; and
a safety link positioned to be engaged by the firing trigger, the safety link configured to break when the firing trigger reaches the actuated position to prevent subsequent movement of the firing trigger from the unactuated position back to the actuated position.
2. The apparatus according to claim 1 , wherein a first end of the firing link is pivotably coupled to the firing trigger and a second end of the firing link is pivotably coupled to the handle.
3. The apparatus according to claim 1 , wherein the safety link includes a body having a guide member formed at one end and a bore defined at the other end.
4. The apparatus according to claim 3 , wherein the handle includes a wall defining a first slot that slidably receives the guide member.
5. The apparatus according to claim 3 , wherein the firing link includes first and second ends and defines a second slot between first and second ends.
6. The apparatus according to claim 5 , wherein the firing mechanism includes a locking pin that passes through the bore of the safety link and is slidably received in the second slot of the firing link.
7. The apparatus according to claim 6 , wherein the firing trigger defines a notch, and wherein the safety link has an extended position in which the locking pin is received within the notch of the firing trigger to prevent the firing trigger from moving from the unactuated position toward the actuated position.
8. The apparatus according to claim 1 , wherein the safety link is formed of a material that provides audible indicia that the apparatus has been fired when the safety link breaks.
9. The apparatus according to claim 1 , wherein the safety link is formed of a material that provides tactile indicia that the apparatus has been fired when the safety link breaks.
10. The apparatus according to claim 1 , wherein the safety link includes a weakened portion configured to break as the firing trigger reaches the actuated position.
11. The apparatus according to claim 10 , wherein the firing trigger includes an engagement member that engages the weakened portion of the safety link when the firing trigger reaches the actuated position.
12. The apparatus according to claim 1 , further comprising:
a cartridge releasably mounted to the elongated body portion;
an anvil releasably moveably supported in relation to the cartridge; and
an approximation mechanism operatively engaged with the anvil, the approximation mechanism being actuatable to move the anvil relative to the cartridge between an unapproximated position and an approximated position.
13. The apparatus according to claim 12 , wherein the safety link has an extended position in which the safety link is positioned to prevent the firing trigger from moving towards the actuated position and a retracted position in which the safety link is positioned to allow the firing trigger to move towards the actuated position, and wherein as the approximation mechanism is actuated to move the anvil to the approximated position, the approximation mechanism moves the safety link to the retracted position.
14. The apparatus according to claim 13 , wherein the safety link is configured to return to the extended position upon breaking.
15. The apparatus according to claim 13 , wherein the safety link is formed of a material that provides tactile indicia that the apparatus has been fired when the safety link breaks.