Tool assembly for a surgical stapling device
A surgical device comprising a first jaw member, a second jaw member, a clamping member and a clamp apparatus is disclosed. The clamping member is slidably positioned to translate at least partially through the first jaw member. The clamping member engages the first jaw member and the second jaw member, and has a knife blade for cutting tissue. A flange of the clamping member is configured to engage a cam surface to pivot the second jaw member with respect to the first jaw member from an open position toward an approximated position. The clamp apparatus is movable from a retracted position to an advanced position for preventing a gap between proximal portions of the first jaw member and the second jaw member from exceeding a predetermined distance. The clamping member and the clamp apparatus are separately movable.
1. A surgical tool for performing robotic surgery, the surgical tool comprising:
a shaft having a proximal end and a distal end; and
a tool assembly attached at the distal end of the shaft, the tool assembly comprising:
a clamping member comprising:
a lower flange comprising first and second transverse protrusions extending in substantially opposite directions along a first axis, each of the first and second transverse protrusions having an inner surface,
an upper flange comprising third and fourth transverse protrusions extending in substantially opposite directions along a second axis substantially parallel to the first axis, each of the third and fourth transverse protrusions having an inner surface, and
a central portion connected to and extending between the lower flange and the upper flange along a third axis substantially perpendicular to the first and second axes, the upper flange and the lower flange being substantially transverse to the central portion,
a first jaw comprising:
a proximal end,
a distal end,
an elongated channel extending between the proximal end of the first jaw and the distal end of the first jaw, the elongated channel being configured to receive a cartridge, and
a surface of the first jaw having a first longitudinal slot extending between the proximal end of the first jaw and the distal end of the first jaw, the surface of the first jaw being configured to engage with the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member as the central portion travels through the first longitudinal slot such that the inner surfaces of the first and transverse protrusions slide along the surface of the first jaw,
a second jaw pivotable relative to the first jaw, the second jaw comprising:
a proximal end,
a distal end,
an anvil having at least one staple forming surface thereon, the at least one staple forming surface having at least one staple forming pocket, and
an upper surface of the second jaw having a second longitudinal slot therein extending between the proximal end of the anvil and the distal end of the anvil, the upper surface of the second jaw configured to engage with inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member as the central portion travels through the second longitudinal slot such that the inner surfaces of the third and fourth transverse protrusions slide along the upper surface of the second jaw,
at least one flexible cable extending distally through the elongated channel, wherein force on the at least one flexible cable causes the clamping member to move along the first and second jaws such that the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member move along the surface of the first jaw and the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member move along the upper surface of the second jaw, wherein said movement causes at least one of:
the first and second jaws to clamp, and
staples to be ejected from a cartridge when a cartridge is received within the elongated channel of the first jaw, and
a sled having at least one cam wedge and a knife blade, the knife blade being formed as one of part of the sled, and at least one of fixedly, removably, and pivotally secured to the sled, wherein the movement of the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member along the surface of the first jaw and the movement of the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member along the upper surface of the second jaw further causes:
the sled to ride in front of the clamping member along the elongated channel, and
the at least one cam wedge to cooperate with at least one pusher member of the cartridge to eject at least one of the staples from the cartridge when the cartridge is received within the elongated channel of the first jaw.
2. The surgical tool of claim 1 , wherein the first jaw includes a cartridge received within the elongated channel of the first jaw, the cartridge having a third longitudinal slot and having at least three rows of staples disposed on each side of the third longitudinal slot, the at least three rows of staples on each side of the third longitudinal slot being substantially parallel to the third longitudinal slot.
3. The surgical tool of claim 2 , further comprising the tool assembly being connected to the distal end of the shaft by a connection mechanism, the connection mechanism comprising:
a pivot axis being substantially perpendicular to a longitudinal axis of the shaft, wherein the tool assembly is pivotable about the first pivot axis.
4. The surgical tool of claim 3 , further comprising the at least one flexible cable extending through the connection mechanism.
5. The surgical tool of claim 3 , wherein the tool assembly is rotatable about the longitudinal axis of the shaft.
6. The surgical tool of claim 2 , further comprising the at least one flexible cable being secured to the clamping member within the recess by crimping.
7. The surgical tool of claim 1 , wherein the anvil includes an anvil body and an anvil plate.
8. A surgical tool for performing robotic surgery, the surgical tool comprising:
a shaft having a proximal end and a distal end; and
a tool assembly attached at the distal end of the shaft, the tool assembly comprising:
a clamping member comprising:
a lower flange comprising first and second transverse protrusions extending in substantially opposite directions along a first axis, each of the first and second transverse protrusions having an inner surface,
an upper flange comprising third and fourth transverse protrusions extending in substantially opposite directions along a second axis substantially parallel to the first axis, each of the third and fourth transverse protrusions having an inner surface,
a central portion connected to and extending between the lower flange and the upper flange along a third axis substantially perpendicular to the first and second axes, the upper flange and the lower flange being substantially transverse to the central portion, and
the clamping member having a recess,
a first jaw comprising:
a proximal end,
a distal end,
an elongated channel extending between the proximal end of the first jaw and the distal end of the first jaw, the elongated channel being configured to receive a cartridge, and
a surface of the first jaw having a first longitudinal slot extending between the proximal end of the first jaw and the distal end of the first jaw, the surface of the first jaw being configured to engage with the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member as the central portion travels through the first longitudinal slot such that the inner surfaces of the first and transverse portions slide along the surface of the first jaw,
a second jaw pivotable relative to the first jaw, the second jaw comprising:
a proximal end,
a distal end,
an anvil having at least one staple forming surface thereon, the at least one staple forming surface having at least one staple forming pocket, and
an upper surface of the second jaw having a second longitudinal slot disposed between the proximal end of the second jaw and the distal end of the second jaw, the upper surface of the second jaw configured to engage with the inner surfaces of the third and fourth transverse protrusions of the upper transverse portion of the clamping member as the central portion travels through the second longitudinal slot such that the inner surfaces of the third and fourth transverse protrusions slide along the upper surface of the second jaw,
a connection mechanism attaching the tool assembly to the shaft, the connection mechanism comprising a pivot axis, the pivot axis being substantially perpendicular to a longitudinal axis of the shaft, the tool assembly being pivotable about the first pivot axis, and
at least one flexible cable extending through the connection mechanism and the elongated channel and secured within the recess, wherein force on the at least one flexible cable causes the clamping member to move along the first and second jaws such that the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member move along the surface of the first jaw and the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member move along the upper surface of the second jaw, wherein said movement causes at least one of:
the first and second jaws to clamp, and
staples to be ejected from a cartridge when a cartridge is received within the elongated channel of the first jaw.
9. The surgical tool of claim 8 , wherein the first jaw further includes a cartridge received within the elongated channel of the first jaw, the cartridge having a third longitudinal slot and having at least three rows of staples disposed on each side of the third longitudinal slot, the at least three rows of staples on each side of the third longitudinal slot being substantially parallel to the third longitudinal slot.
10. The surgical tool of claim 9 , further comprising a sled having at least one cam wedge, wherein the movement of the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member along the surface of the first jaw and the movement of the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member along the upper surface of the second jaw further causes:
the sled to ride in front of the clamping member along the elongated channel, and
the at least one cam wedge to cooperate with at least one pusher member of the cartridge to eject at least one of the staples from the cartridge.
11. The surgical tool of claim 8 , wherein the tool assembly is rotatable about the longitudinal axis of the shaft.
12. The surgical tool of claim 8 , further comprising the at least one flexible cable being secured to the clamping member within the recess by crimping.
13. The surgical tool of claim 8 , wherein the anvil includes an anvil body and an anvil plate.
14. A surgical tool for performing robotic surgery, the surgical tool comprising:
a shaft having a proximal end and a distal end; and
a tool assembly attached at the distal end of the shaft, the tool assembly comprising:
a clamping member comprising:
a lower flange comprising first and second transverse protrusions extending in substantially opposite directions along a first axis, each of the first and second transverse protrusions having an inner surface,
an upper flange comprising third and fourth transverse protrusions extending in substantially opposite directions along a second axis substantially parallel to the first axis, each of the third and fourth transverse protrusions having an inner surface,
a central portion connected to and extending between the lower flange and the upper flange along a third axis substantially perpendicular to the first and second axes, the upper flange and the lower flange being substantially transverse to the central portion, and
the clamping member having a recess,
a first jaw comprising:
a proximal end,
a distal end,
an elongated channel disposed between the proximal end of the first jaw and the distal end of the first jaw, the elongated channel being configured to receive a cartridge, and
a surface of the first jaw having a first longitudinal slot disposed between the proximal end of the first jaw and the distal end of the first jaw, the surface of the first jaw being configured to engage with the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member as the central portion travels through the first longitudinal slot such that the inner surfaces of the first and transverse portions slide along the surface of the first jaw, a second jaw pivotable relative to the first jaw, the second jaw comprising:
a proximal end,
a distal end,
a rigid anvil being formed to reduce bowing during clamping of the tool assembly and having at least one staple forming surface thereon, the at least one staple forming surface having at least one staple forming pocket, and
an upper surface of the second jaw having a second longitudinal slot extending between the proximal end of the second jaw and the distal end of the second jaw, the upper surface of the second jaw configured to engage with the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member as the central portion travels through the second longitudinal slot such that the inner surfaces of the third and fourth transverse protrusions slide along the upper surface of the second jaw, and
at least one flexible cable extending through the elongated channel and secured within the recess, wherein force on the at least one flexible cable causes the clamping member to move along the first and second jaws such that the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member move along the surface of the first jaw and the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member move along the upper surface of the second jaw, wherein said movement causes at least one of:
the first and second jaws to clamp with reduced bowing of the anvil, and
staples to be ejected from a cartridge with reduced bowing of the anvil when a cartridge is received within the elongated channel of the first jaw.
15. The surgical tool of claim 14 , wherein the first jaw further includes a cartridge received within the elongated channel of the first jaw, the cartridge having a third longitudinal slot and having at least three rows of staples disposed on each side of the third longitudinal slot, the at least three rows of staples on each side of the third longitudinal slot being substantially parallel to the third longitudinal slot.
16. The surgical tool of claim 14 , the tool assembly being connected to the distal end of the shaft by a connection mechanism, the connection mechanism comprising:
a pivot axis being substantially perpendicular to a longitudinal axis of the shaft, wherein the tool assembly is pivotable about the first pivot axis.
17. The surgical tool of claim 16 , further comprising the at least one flexible cable extending through the connection mechanism.
18. The surgical tool of claim 16 , wherein the tool assembly is rotatable about the longitudinal axis of the shaft.
19. The surgical tool of claim 16 , further comprising a sled having at least one cam wedge, wherein the movement of the inner surfaces of the first and second transverse protrusions of the lower flange of the clamping member along the surface of the first jaw and the movement of the inner surfaces of the third and fourth transverse protrusions of the upper flange of the clamping member along the upper surface of the second jaw further causes:
the sled to ride in front of the clamping member along the elongated channel, and
the at least one cam wedge to cooperate with at least one pusher member of the cartridge to eject at least one of the staples from the cartridge.
20. The surgical tool of claim 19 , further comprising a knife blade being one of fixedly, removably and pivotally secured to the sled.