US5485952A
Expired / Lapsed
US
⏱️ 0.0 years remaining
Apparatus for applying surgical fasteners
Assignee: United States Surgical Corp
•
Filing: 1992-09-23
•
Granted: 1996-01-23
•
Expires: 2012-09-23
Abstract
Abstract Surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes an endoscopic body having an elongated proximal portion and an articulating distal portion which moves relative to the proximal portion. A cartridge assembly and an anvil member are detachably mounted adjacent the articulating distal portion which move relative to one another between an open position and a closed position. A camming mechanism is associated with the articulating portion of the apparatus for moving the anvil member relative to the cartridge assembly, and a linkage system is provided for effectuating the articulation of the distal portion of the endoscopic body to increase the range of operability of the apparatus. In addition, a driving mechanism is provided for ejecting the surgical fasteners from the cartridge assembly.
Inventors
- 👤 Diego Fontayne
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-24 16:56
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/068; A61B17/072; A61B17/07207; A61B2017/07214; A61B2017/07278; A61B17/28; A61B17/29; A61B2017/2926; A61B2017/2927
Claims Analysis
Total Claims: 34
Claim 1
Independent Claim
175 words
Apparatus for driving surgical fasteners comprising: a) a body having a proximal portion and an articulating distal portion; b) linkage structure extending between said proximal portion and said distal portion of said body and operatively associated with said proximal portion of said body for moving said distal portion relative to a longitudinal axis of said proximal portion; c) a cartridge assembly mounted adjacent said articulating distal portion and having a tissue engaging surface thereon; d) an anvil member having a fastener forming surface thereon, said anvil member mounted adjacent said cartridge assembly for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface; e) camming means associated with said articulating distal portion for moving said anvil member between said open position and said closed position; and f) means for ejecting said surgical fasteners from said cartridge assembly to form against said fastener forming surface of said anvil member.
Claim 2
Dependent Claim
175 words
Apparatus for driving surgical fasteners comprising: a) a body having a proximal portion and an articulating distal portion; b) linkage structure extending between said proximal portion and said distal portion of said body and operatively associated with said proximal portion of said body for moving said distal portion relative to a longitudinal axis of said proximal portion; c) a cartridge assembly mounted adjacent said articulating distal portion and having a tissue engaging surface thereon; d) an anvil member having a fastener forming surface thereon, said anvil member mounted adjacent said cartridge assembly for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface; e) camming means associated with said articulating distal portion for moving said anvil member between said open position and said closed position; and f) means for ejecting said surgical fasteners from said cartridge assembly to form against said fastener forming surface of said anvil member.
Claim 3
Dependent Claim
38 words
Apparatus as recited in claim 1, wherein said linkage structure for moving said distal portion comprises a linkage assembly including a pair of parallel rod members extending from an articulation link disposed remote from said articulating distal portion.
Claim 4
Dependent Claim
123 words
Apparatus as recited in claim 1, wherein said camming means for moving said anvil member between said open position and said closed position includes a tubular collar disposed around at least a portion of said cartridge assembly and said anvil member, said tubular collar having a distal camming surface and being movable between a first position in which said camming surface is located proximal to a camming portion of said anvil member, and a second position in which said camming surface is engaged with said camming portion of said anvil member, said tubular collar cooperating with said anvil member such that when the collar is moved from said first position to said second position said anvil member is urged to said closed position.
Claim 5
Dependent Claim
22 words
Apparatus as recited in claim 3, further comprising means for moving said tubular collar between said first position and said second position.
Claim 6
Dependent Claim
46 words
Apparatus as recited in claim 4, wherein said means for moving said tubular collar includes an actuator shaft extending from a handle disposed remote from said tubular collar and interconnecting with a pair of flexible pusher bars mounted to said tubular collar in diametrically opposed positions.
Claim 7
Dependent Claim
17 words
Apparatus as recited in claim 3, wherein said anvil member is normally biased in said open position.
Claim 8
Dependent Claim
54 words
Apparatus as recited in claim 1, wherein said means for ejecting said surgical fasteners from said cartridge assembly comprises an elongated plunger extending from an actuator handle disposed remote from said cartridge assembly to a cam plate in said cartridge assembly adapted and configured for traversing said cartridge assembly for ejecting surgical fasteners therefrom.
Claim 9
Dependent Claim
18 words
Apparatus as recited in claim 7, further comprising knife means adapted for longitudinal movement in said cartridge assembly.
Claim 10
Dependent Claim
21 words
Apparatus as recited in claim 1, further comprising sealing means associated with said body for inhibiting the egress of gas therethrough.
Claim 11
Dependent Claim
219 words
Apparatus for driving surgical fasteners comprising: a) a body having a proximal portion and an articulating distal portion; b) linkage structure extending between said proximal portion and said distal portion of said body and operatively associated with said body for moving said distal portion relative to a longitudinal axis of said proximal portion; c) a cartridge assembly mounted adjacent said articulating distal portion and having a tissue engaging surface thereon; d) an anvil member having a fastener forming surface thereon and a camming portion, said anvil member mounted adjacent said cartridge assembly for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface; e) camming means associated with said distal portion for cooperating with said camming portion of said anvil member for moving said anvil member between said open position and said closed position; f) means for moving said camming means between a first position corresponding to said anvil member being in an open position and a second position corresponding to said anvil member being in a closed position; and g) means for ejecting said surgical fasteners from said cartridge assembly to form against said fastener forming surface of said anvil member.
Claim 12
Dependent Claim
219 words
Apparatus for driving surgical fasteners comprising: a) a body having a proximal portion and an articulating distal portion; b) linkage structure extending between said proximal portion and said distal portion of said body and operatively associated with said body for moving said distal portion relative to a longitudinal axis of said proximal portion; c) a cartridge assembly mounted adjacent said articulating distal portion and having a tissue engaging surface thereon; d) an anvil member having a fastener forming surface thereon and a camming portion, said anvil member mounted adjacent said cartridge assembly for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface; e) camming means associated with said distal portion for cooperating with said camming portion of said anvil member for moving said anvil member between said open position and said closed position; f) means for moving said camming means between a first position corresponding to said anvil member being in an open position and a second position corresponding to said anvil member being in a closed position; and g) means for ejecting said surgical fasteners from said cartridge assembly to form against said fastener forming surface of said anvil member.
Claim 13
Dependent Claim
38 words
Apparatus as recited in claim 10, wherein said linkage structure for moving said distal portion comprises a linkage assembly including a pair of parallel rod members extending frown an articulation link disposed remote from said articulating distal portion.
Claim 14
Dependent Claim
91 words
Apparatus as recited in claim 10, wherein said camming means for moving said anvil member between said open position and said closed position includes a tubular collar disposed around at least a portion of said cartridge housing and said anvil member, said tubular collar having a distal camming surface and being movable between a first position in which said camming surface is located proximal to the camming portion of said anvil member, and a second position in which said camming surface is engaged with the camming portion of said anvil member.
Claim 15
Dependent Claim
17 words
Apparatus as recited in claim 12, wherein said anvil member is normally biased in said open position.
Claim 16
Dependent Claim
54 words
Apparatus as recited in claim 10, wherein said means for moving said tubular collar between said first position and said second position includes an actuator shaft extending from a handle disposed remote from said tubular collar and interconnecting with a pair of flexible pusher bars mounted to said tubular collar in diametrically opposed positions.
Claim 17
Dependent Claim
53 words
Apparatus as recited in claim 10, wherein said means for ejecting said surgical fasteners from said cartridge assembly comprises an elongated plunger extending from an actuator handle disposed remote from said cartridge assembly to a cam plate in said cartridge assembly adapted and configured for traversing said cartridge assembly for ejecting surgical fasteners.
Claim 18
Dependent Claim
18 words
Apparatus as recited in claim 15, further comprising knife means adapted for longitudinal movement in said cartridge assembly.
Claim 19
Dependent Claim
21 words
Apparatus as recited in claim 10, further comprising sealing means associated with said body for inhibiting the egress of gas therethrough.
Claim 20
Dependent Claim
224 words
Apparatus for driving surgical fasteners comprising: a) a body having a proximal portion and an articulating distal portion; b) linkage structure extending between said proximal portion and said distal portion of said body and operatively associated with said body for remotely moving said distal portion relative to a longitudinal axis of said proximal portion; c) a cartridge assembly mounted adjacent said articulating distal portion and having a tissue engaging surface thereon; d) an anvil member having a fastener forming surface thereon, said anvil member mounted adjacent said cartridge assembly for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface; e) camming means associated with said distal portion for moving said anvil member between said open position and said closed position; f) means positioned adjacent a proximal end of said body for remotely moving said camming means between a first position corresponding to said anvil member being in an open position and a second position corresponding to said anvil member being in a closed position; and g) means positioned adjacent a proximal end of said body for remotely ejecting said surgical fasteners from said cartridge assembly to form against said fastener forming surface of said anvil member.
Claim 21
Dependent Claim
224 words
Apparatus for driving surgical fasteners comprising: a) a body having a proximal portion and an articulating distal portion; b) linkage structure extending between said proximal portion and said distal portion of said body and operatively associated with said body for remotely moving said distal portion relative to a longitudinal axis of said proximal portion; c) a cartridge assembly mounted adjacent said articulating distal portion and having a tissue engaging surface thereon; d) an anvil member having a fastener forming surface thereon, said anvil member mounted adjacent said cartridge assembly for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface; e) camming means associated with said distal portion for moving said anvil member between said open position and said closed position; f) means positioned adjacent a proximal end of said body for remotely moving said camming means between a first position corresponding to said anvil member being in an open position and a second position corresponding to said anvil member being in a closed position; and g) means positioned adjacent a proximal end of said body for remotely ejecting said surgical fasteners from said cartridge assembly to form against said fastener forming surface of said anvil member.
Claim 22
Dependent Claim
38 words
Apparatus as recited in claim 18, wherein said linkage structure for moving said distal portion comprises a linkage assembly including a pair of parallel rod members extending from an articulation link disposed remote from said articulating distal portion.
Claim 23
Dependent Claim
91 words
Apparatus as recited in claim 18, wherein said camming means for moving said anvil member between said open position and said closed position includes a tubular collar disposed around at least a portion of said cartridge assembly and said anvil member, said tubular collar having a distal camming surface and being movable between a first position in which said camming surface is located proximal to a camming portion of said anvil member, and a second position in which said camming surface is engaged with the camming portion of said anvil member.
Claim 24
Dependent Claim
54 words
Apparatus as recited in claim 20, wherein said means for moving said tubular collar between said first position and said second position includes an actuator shaft extending from a handle disposed remote from said tubular collar and interconnecting with a pair of flexible pusher bars mounted to said tubular collar in diametrically opposed positions.
Claim 25
Dependent Claim
17 words
Apparatus as recited in claim 20, wherein said anvil member is normally biased in said open position.
Claim 26
Dependent Claim
53 words
Apparatus as recited in claim 18, wherein said means for ejecting said surgical fasteners from said cartridge assembly comprises an elongated plunger extending from an actuator handle disposed remote from said cartridge assembly to a cam plate in said cartridge assembly adapted and configured for traversing said cartridge assembly for ejecting surgical fasteners.
Claim 27
Dependent Claim
23 words
Apparatus as recited in claim 23, wherein a surgical knife is associated with said cam plate and is adapted for longitudinal movement therewith.
Claim 28
Dependent Claim
21 words
Apparatus as recited in claim 18, further comprising sealing means associated with said body for inhibiting the egress of gas therethrough.
Claim 29
Dependent Claim
179 words
Apparatus for driving surgical fasteners comprising: a) a body having a proximal portion and an articulating distal portion; b) a linkage assembly interconnecting said proximal portion and said distal portion of said body and operatively associated with said proximal portion of said body for remotely moving said distal portion relative to a longitudinal axis of said proximal portion; c) a cartridge assembly mounted adjacent said articulating distal portion and having a tissue engaging surface thereon; d) an anvil member having a fastener forming surface thereon, said anvil member mounted adjacent said cartridge assembly for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface; e) a camming assembly associated with said articulating distal portion for moving said anvil member between said open position and said closed position; and f) an actuation assembly for ejecting said surgical fasteners from said cartridge assembly to form against said fastener forming surface of said anvil member.
Claim 30
Dependent Claim
179 words
Apparatus for driving surgical fasteners comprising: a) a body having a proximal portion and an articulating distal portion; b) a linkage assembly interconnecting said proximal portion and said distal portion of said body and operatively associated with said proximal portion of said body for remotely moving said distal portion relative to a longitudinal axis of said proximal portion; c) a cartridge assembly mounted adjacent said articulating distal portion and having a tissue engaging surface thereon; d) an anvil member having a fastener forming surface thereon, said anvil member mounted adjacent said cartridge assembly for relative movement between an open position wherein said fastener forming surface is spaced from said tissue engaging surface and a closed position wherein said fastener forming surface is in close cooperative alignment with said tissue engaging surface; e) a camming assembly associated with said articulating distal portion for moving said anvil member between said open position and said closed position; and f) an actuation assembly for ejecting said surgical fasteners from said cartridge assembly to form against said fastener forming surface of said anvil member.
Claim 31
Dependent Claim
29 words
Apparatus as recited in claim 26, wherein said linkage assembly comprises a pair of parallel rod members extending from an articulation link disposed remote from said articulating distal portion.
Claim 32
Dependent Claim
123 words
Apparatus as recited in claim 26, wherein said camming assembly for moving said anvil member between said open position and said closed position includes a tubular collar disposed around at least a portion of said cartridge assembly and said anvil member, said tubular collar having a distal camming surface and being movable between a first position in which said camming surface is located proximal to a camming portion of said anvil member, and a second position in which said camming surface is engaged with said camming portion of said anvil member, said tubular collar cooperating with said anvil member such that when the collar is moved from said first position to said second position said anvil member is urged to said closed position.
Claim 33
Dependent Claim
22 words
Apparatus as recited in claim 28, further comprising an actuator moving said tubular collar between said first position and said second position.
Claim 34
Dependent Claim
54 words
Apparatus as recited in claim 26, wherein said actuation assembly includes an elongated plunger extending from an actuator handle disposed remote from said cartridge assembly to a cam plate in said cartridge assembly, said cam plate being movable through said cartridge assembly for contacting a plurality of pusher elements to eject surgical fasteners therefrom.
References Cited (Backward Citations)
US3079606A
Cited
US3490675A
Cited
US3499591A
Cited
US3499591B1
Cited
US3593903A
Cited
US3675688A
Cited
US3735762A
Cited
GB1352554A
Cited
US3819100A
Cited
USRE28932E
Cited
GB1452185A
Cited
DE2330182A1
Cited
US3949924A
Cited
US4111206A
Cited
US4064881A
Cited
JPS51149985A
Cited
US4086926A
Cited
SU728848A1
Cited
US4573468A
Cited
US4169476A
Cited
US4273129A
Cited
GB2048685A
Cited
US4325377A
Cited
US4429695A
Cited
US4520817A
Cited
US4606343A
Cited
US4383634A
Cited
US4610383A
Cited
GB2165559A
Cited
US4841888A
Cited
US4573622A
Cited
US4633874A
Cited
US4580712A
Cited
US4566620A
Cited
US4869414A
Cited
US4728020A
Cited
US4715520A
Cited
US4763669A
Cited
US4858608A
Cited
US4821942A
Cited
US4714187A
Cited
US4941623A
Cited
US4848637A
Cited
US4784137A
Cited
US4819853A
Cited
US4964559A
Cited
US4944443A
Cited
US4880015A
Cited
US5071430A
Cited
EP0369324A1
Cited
US4978049A
Cited
US5040715A
Cited
US5040715B1
Cited
US5099827A
Cited
US5042707A
Cited
EP0505138A1
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 1999-01-22 | 1999-07-24 | 2000-01-23 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2003-01-22 | 2003-07-24 | 2004-01-23 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2007-01-22 | 2007-07-24 | 2008-01-23 | $7700.00 | Window Closed / Lapsed |