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 distal portion and defining a longitudinal axis; and
a tool assembly at the distal portion of the shaft and articulable relative to the longitudinal axis of the shaft between a first position aligned with the longitudinal axis of the shaft and at least one second position not aligned with the longitudinal axis of the shaft, the tool assembly including:
an anvil;
a cartridge assembly including a channel portion configured to receive a cartridge; and
a clamping member comprising:
a lower flange comprising a first transverse protrusion and a second transverse protrusion extending in substantially opposite directions along a first axis,
an upper flange comprising a third transverse protrusion and a fourth transverse protrusion extending in substantially opposite directions along a second axis substantially parallel to the first axis, 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;
wherein when the clamping member is moved from a first position to a second position at least one of the anvil or the cartridge assembly is moved in relation to each other between an open position and a clamped position, and wherein when the clamping member is moved from the second position to a third position a plurality of surgical staples are ejected from the cartridge when the cartridge is received within the channel portion; and
a flexible member extending from the shaft into the tool assembly, the flexible member including a flexible cable, the flexible member being movable distally to advance the clamping member when the cartridge is received within the channel portion of the cartridge assembly, wherein when the tool assembly is in the at least one second position a portion of the flexible member bends.
2. The surgical tool of claim 1 , wherein the flexible cable includes a left or right hand wound flexible cable.
3. The surgical tool of claim 1 , further including a cartridge received within the channel portion of the cartridge assembly, the cartridge having:
a plurality of surgical staples;
a sled configured to eject staples from the cartridge; and
a knife blade moveable with the sled.
4. The surgical tool of claim 3 , wherein the cartridge includes a longitudinal slot, the plurality of surgical staples including three rows of staples disposed on each side of the longitudinal slot, the three rows of staples on each side of the longitudinal slot being substantially parallel to the longitudinal slot, wherein the central portion of the clamping member travels through the longitudinal slot as the clamping member advances through the cartridge.
5. The surgical tool of claim 1 , wherein each of the first transverse protrusion and second transverse protrusions have an inner surface and each of the third and fourth transverse protrusions have an inner surface facing respective inner surfaces of the first and second transverse protrusions.
6. The surgical tool of claim 5 , wherein a surface of the channel portion of the cartridge assembly includes a first longitudinal slot extending between a proximal portion of the channel portion and a distal portion of the channel portion, the surface of the channel portion 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 second transverse protrusions slide along the surface of the channel portion.
7. The surgical tool of claim 6 , wherein a surface of the anvil has a second longitudinal slot therein extending between a proximal portion of the anvil and a distal portion of the anvil, the surface of the anvil 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 surface of the anvil.
8. The surgical tool of claim 7 , wherein the anvil includes at least one staple forming surface thereon, the at least one staple forming surface having at least one staple forming pocket.
9. The surgical tool of claim 1 , wherein when the tool assembly is in the at least one second position, the portion of the flexible member that bends is positioned between the shaft and the tool assembly as the flexible member moves distally.
10. The surgical tool of claim 1 , wherein retraction of the flexible cable causes the clamping member to move from the third position to the first position.
11. The surgical tool of claim 1 , wherein the central portion of the clamping member defines a recess and the flexible member has a distal portion disposed within the recess.
12. A surgical tool for performing robotic surgery, the surgical tool comprising:
a shaft having a distal portion and defining a longitudinal axis; and
a tool assembly at the distal portion of the shaft and articulable relative to the longitudinal axis of the shaft between a first position aligned with the longitudinal axis of the shaft and at least one second position not aligned with the longitudinal axis of the shaft, the tool assembly including:
an anvil;
a cartridge assembly including a channel portion configured to receive a cartridge; and
a clamping member comprising:
a lower flange comprising a first transverse protrusion and a second transverse protrusion extending in substantially opposite directions along a first axis,
an upper flange comprising a third transverse protrusion and a fourth transverse protrusion extending in substantially opposite directions along a second axis substantially parallel to the first axis, 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;
wherein when the clamping member is moved from a first position to a second position at least one of the anvil or the cartridge assembly is moved in relation to each other between an open position and a clamped position, and wherein when the clamping member is moved from the second position to a third position a plurality of surgical staples are ejected from the cartridge when the cartridge is received within the channel portion; and
a flexible member extending from the shaft into the tool assembly, the flexible member including a first flexible cable and a second flexible cable, wherein the second flexible is positioned about at least a portion of the first flexible cable, at least one of the first flexible cable or the second flexible cable being movable distally to advance the clamping member when the cartridge is received within the channel portion of the cartridge assembly, wherein when the tool assembly is in the at least one second position a portion of the flexible member bends.
13. The surgical tool of claim 12 , wherein the first flexible cable includes a left or right hand wound flexible cable.
14. The surgical tool of claim 12 , further including a cartridge received within the channel portion of the cartridge assembly, the cartridge having:
a plurality of surgical staples;
a sled configured to eject staples from the cartridge; and
a knife blade movable with the sled.
15. The surgical tool of claim 14 , wherein the cartridge includes a longitudinal slot, the plurality of surgical staples including three rows of staples disposed on each side of the longitudinal slot, the three rows of staples on each side of the longitudinal slot being substantially parallel to the longitudinal slot, wherein the central portion of the clamping member travels through the longitudinal slot as the clamping member advances through the cartridge.
16. The surgical tool of claim 12 , wherein when the tool assembly is in the at least one second position, the portion of the flexible member that bends is positioned between the shaft and the tool assembly as the flexible member moves distally.
17. The surgical tool of claim 12 , wherein retraction of the first flexible cable causes the clamping member to move from the third position to the first position.
18. The surgical tool of claim 12 , wherein the first flexible cable and the second flexible cable are coaxial.
19. The surgical tool of claim 12 , further comprising a clamp ring, wherein when the flexible member is moved distally to advance the clamping member, the second flexible cable moves the clamp ring from a proximal end of the anvil and a proximal end of the cartridge assembly to a distal position to prevent a gap between the anvil and the cartridge assembly from exceeding a predetermined distance.
20. A surgical tool for performing robotic surgery, the surgical tool comprising:
a shaft having a distal portion and defining a longitudinal axis; and
a tool assembly at the distal portion of the shaft and articulable relative to the longitudinal axis of the shaft between a first position aligned with the longitudinal axis of the shaft and at least one second position not aligned with the longitudinal axis of the shaft, the tool assembly including:
an anvil;
a cartridge assembly including a channel portion configured to receive a cartridge; and
a clamping member comprising:
a lower flange comprising a first transverse protrusion and a second transverse protrusion extending in substantially opposite directions along a first axis,
an upper flange comprising a third transverse protrusion and a fourth transverse protrusion extending in substantially opposite directions along a second axis substantially parallel to the first axis, 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;
wherein when the clamping member is moved from a first position to a second position at least one of the anvil or the cartridge assembly is moved in relation to each other between an open position and a clamped position, and wherein when the clamping member is moved from the second position to a third position a plurality of surgical staples are ejected from the cartridge when the cartridge is received within the channel portion; and
a flexible member extending from the shaft into the tool assembly, the flexible member including a first flexible cable and a second flexible cable coaxial with the first flexible cable, wherein when the second flexible cable is moved distally the at least one of the anvil or the cartridge assembly moves to the clamped position, wherein when the first flexible cable is moved proximally the clamping member is retracted, and wherein when the tool assembly is in the at least one second position a portion of the flexible member between the shaft and the tool assembly bends.
21. The surgical tool of claim 20 , wherein when the tool assembly is in the at least one second position, the portion of the flexible member disposed between the shaft and the tool assembly bends as the flexible member moves distally.
22. The surgical tool of claim 20 , wherein the first flexible cable includes a left or right hand wound flexible cable.
23. The surgical tool of claim 20 , further including a cartridge received within the channel portion of the cartridge assembly, the cartridge having:
a plurality of surgical staples;
a sled configured to eject staples from the cartridge; and
a knife blade movable with the sled.
24. The surgical tool of claim 20 , further comprising a clamp ring, wherein when the flexible member is moved distally to advance the clamping member, the second flexible cable moves the clamp ring from a proximal end of the anvil and a proximal end of the cartridge assembly to a distal position to prevent a gap between the anvil and the cartridge assembly from exceeding a predetermined distance.