Surgical stapling apparatus comprising a tissue stop

• US 10,076,325 B2
• Filed: 10/13/2014
• Issued: 09/18/2018
• Est. Priority Date: 10/13/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Huang, Zhifan F., Morgan, Jerome R., Shelton, IV, Frederick E.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US14/512,637
• Publication Number:
  US 20160100837A1
• Time in Patent Office: 1,436 Days
• Field of Search: 227 19, 2271751, 2271761, 2271752, 2271781, 2271801, 606139, 606219
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 2017/00349 Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue A61B17/06066 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07235 containing different staples, e.g. staples of different shapes, sizes or materials
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/036 abutting on tissue or skin
• CPC Class Codes: A61B 2217/005 with suction drainage system

Abstract

A surgical stapling apparatus is disclosed. The surgical stapling apparatus comprises a cartridge body. The cartridge body comprises a deck comprising a tissue-supporting surface, a slot defined in the deck, and a plurality of staple cavities. The slot extends from a proximal end toward a distal end. The surgical stapling apparatus further comprises a plurality of staples removably stored in the staple cavities and a tissue stop positioned in the slot. The tissue stop comprises a detent releasably engaged with the cartridge body. The detent is configured to release from the cartridge body to permit the tissue stop to move from an undisplaced position to a displaced position.

Claims

1. A surgical stapling apparatus, comprising:

a cartridge body, comprising;

a proximal end;

a distal end;

a deck comprising a tissue-supporting surface;

a slot defined in said deck, wherein said slot extends from said proximal end toward said distal end; and

a plurality of staple cavities;

a plurality of staples removably stored in said staple cavities which are arranged in a staple pattern; and

a tissue stop positioned in said slot, wherein said tissue stop extends above said deck, wherein said tissue stop is configured to be displaced into said cartridge body from an undisplaced position to a displaced position, wherein said tissue stop is positioned within said staple pattern, wherein said tissue stop is configured to inhibit the distal flow of tissue relative to said deck when said tissue stop is positioned in said undisplaced position, wherein said tissue stop comprises a detent releasably engaged with said cartridge body, and wherein said detent is configured to release from said cartridge body to permit said tissue stop to move from said undisplaced position to said displaced position.

2. The surgical stapling apparatus of claim 1, further comprising a cutting member movably positioned within said slot during a firing stroke, wherein said cutting member is configured to contact said tissue stop at the end of said firing stroke.

3. The surgical stapling apparatus of claim 2, wherein said tissue stop comprises a catch configured to receive at least a portion of said cutting member at the end of said firing stroke.

4. The surgical stapling apparatus of claim 3, wherein said catch faces said proximal end, and wherein said tissue stop further comprises a sloped surface facing said distal end.

5. The surgical stapling apparatus of claim 1, further comprising an anvil configured to deform said staples, wherein said anvil is movable between an open position and a closed position, and wherein said anvil is configured to contact the tissue stop when said anvil reaches said closed position.

6. The surgical stapling apparatus of claim 1, wherein said staple cavities are arranged in a row of staple cavities having a proximal row end and a distal row end, and wherein said tissue stop is positioned proximally with respect to said distal row end.

7. The surgical stapling apparatus of claim 1, wherein said tissue stop is positioned laterally with respect to at least one staple cavity.

8. The surgical stapling apparatus of claim 1, further comprising:

an anvil configured to deform said staples; and

a firing member movable from said proximal end toward said distal end during a firing stroke to eject said staples from said staple cavities, wherein said firing member is configured to engage said anvil and extend over a portion of said tissue stop during said firing stroke.

9. The surgical stapling apparatus of claim 1, further comprising a cutting member movably positioned within said slot during a firing stroke, wherein said cutting member is configured to contact said tissue stop before the end of said firing stroke.

10. The surgical stapling apparatus of claim 1, further comprising:

an anvil configured to deform said staples, wherein said anvil is movable relative to said cartridge body between an open position and a clamped position during a closure stroke, and wherein said tissue stop is in said undisplaced position during said closure stroke; and

a firing member movable from said proximal end toward said distal end during a firing stroke to eject said staples from said staple cavities, wherein said tissue stop moves into said displaced position during said firing stroke.

11. The surgical stapling apparatus of claim 1, further comprising a firing member movable from said proximal end toward said distal end during a firing stroke to eject said staples from said staple cavities, wherein said tissue stop moves into said displaced position during said firing stroke.

12. The surgical stapling apparatus of claim 11, wherein said tissue stop moves into said displaced position at the beginning of said firing stroke.

13. The surgical stapling apparatus of claim 11, wherein said tissue stop moves into said displaced position at the end of said firing stroke.

14. The surgical stapling apparatus of claim 11, wherein said tissue stop moves into said displaced position as a result of a maximum compressive force being applied to said tissue stop.

15. The surgical stapling apparatus of claim 1, further comprising an anvil configured to deform said staples, wherein said detent releases from said cartridge body when said anvil applies a compressive force to said tissue stop that exceeds a threshold.

16. The surgical stapling apparatus of claim 1, wherein said tissue stop is positioned fully below said tissue-supporting surface when said tissue stop is in said displaced position.

17. The surgical stapling apparatus of claim 1, wherein said tissue stop is partially positioned above said tissue-supporting surface when said tissue stop is in said displaced position and can still inhibit the distal flow of tissue relative to said deck.

18. The surgical stapling apparatus of claim 1, further comprising a firing member movable from said proximal end toward said distal end during a firing stroke to eject said staples from said staple cavities, wherein said tissue stop suddenly descends to said displaced position as said firing member approaches said tissue stop.

19. A surgical stapling apparatus, comprising:

a cartridge body, comprising;

a deck comprising a tissue-supporting surface;

a slot defined in said deck, wherein said slot extends from a proximal end toward a distal end; and

a plurality of staple cavities;

a plurality of staples removably stored in said staple cavities; and

a tissue stop positioned in said slot, wherein said tissue stop comprises a detent releasably engaged with said cartridge body, and wherein said detent is configured to release from said cartridge body to permit said tissue stop to move from an undisplaced position to a displaced position.

20. A surgical stapling apparatus, comprising:

a cartridge body, comprising;

a deck comprising a tissue-supporting surface;

a slot defined in said deck, wherein said slot extends from a proximal end toward a distal end; and

a plurality of staple cavities;

a plurality of staples removably stored in said staple cavities; and

a tissue stop positioned in said slot, wherein said tissue stop comprises a catch releasably engaged with said cartridge body, and wherein said catch is configured to release from said cartridge body to permit said tissue stop to recede from an undisplaced position.

21. A surgical stapling apparatus, comprising:

a cartridge body, comprising;

a deck comprising a tissue-supporting surface;

a slot defined in said deck, wherein said slot extends from a proximal end toward a distal end; and

a plurality of staple cavities;

a plurality of staples removably stored in said staple cavities;

a firing member movable from said proximal end toward said distal end during a firing stroke to eject said staples from said staple cavities; and

a tissue stop positioned in said slot, wherein said tissue stop comprises a detent releasably engaged with said cartridge body, and wherein said tissue stop suddenly descends to a displaced position as said firing member approaches said tissue stop.