Surgical staple and driver arrangements for staple cartridges

• US 10,206,677 B2
• Filed: 09/26/2014
• Issued: 02/19/2019
• Est. Priority Date: 09/26/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Harris, Jason L., Morgan, Jerome R., Zeiner, Mark S., Shelton, IV, Frederick E.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US14/498,087
• Publication Number:
  US 20160089147A1
• Time in Patent Office: 1,607 Days
• Field of Search: 2271761
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/0684 having a forming anvil staying above the tissue during stapling
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/1222 Packages or dispensers therefor clip magazines incorporated in a clip-applying instrument A61B17/128; for surgical articles A61B50/30
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00884 enhancing wound closure
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2017/00942 hydrophilic
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers
• 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 2017/07242 achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• CPC Class Codes: A61B 2017/0725 : with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07264 : characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07271 : characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 : characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61F 2/4618 : of cartilage

Abstract

A staple cartridge that includes a multi-staple driver is disclosed. The multi-staple driver is configured to drive multiple staples from the staple cartridge. The staples are arranged in a staple array in which at least one staple is angularly-oriented relative to the longitudinal axis of the staple cartridge. The multi-staple driver can drive staples at various angular orientations and/or from multiple rows of staple cavities. A driverless staple cartridge is also disclosed. A sled in the driverless cartridge is configured to directly engage and drive staples. The staples are arranged in a staple array in which at least one staple is angularly-oriented relative to the longitudinal axis of the driverless staple cartridge.

Claims

1. A staple cartridge, comprising:

a cartridge body comprising a deck, wherein a longitudinal slot is defined at least partially through the cartridge body, wherein a plurality of staple cavities are defined into the cartridge body, and wherein the plurality of staple cavities comprises;

a first staple cavity comprising a first opening in the deck on a first side of the longitudinal slot; and

a second staple cavity comprising a second opening in the deck on the first side of the longitudinal slot;

a plurality of staples, comprising;

a first staple removably positioned in the first staple cavity, wherein the first staple comprises a first base; and

a second staple removably positioned in the second staple cavity, wherein the second staple comprises a second base; and

a driver movably positioned relative to the cartridge body, wherein the driver comprises;

a first trough, wherein the first base is aligned with the first trough, wherein the first trough pushes the first base to push the first staple out of the first staple cavity during a firing stroke; and

a second trough, wherein the second base is aligned with the second trough, wherein the second trough pushes the second base to push the second staple out of the second staple cavity during the firing stroke, wherein the driver remains in the cartridge body after the firing stroke, and wherein the second trough is angularly-oriented relative to, and not parallel to, the first trough.

2. The staple cartridge of claim 1, wherein each opening further comprises:

a first end;

a second end; and

an axis extending between the first end and the second end, wherein the axis of the second opening traverses the axis of the first opening.

3. The staple cartridge of claim 1, wherein the driver comprises a unitary molded piece.

4. The staple cartridge of claim 1, wherein the second trough is substantially perpendicular to the first trough.

5. The staple cartridge of claim 1, wherein the driver further comprises:

a first step having a first height, wherein the first trough is defined in the first step;

a second step having a second height, wherein the second trough is defined in the second step, and wherein the second height is different than the first height; and

a flange connecting the first step and the second step.

6. The staple cartridge of claim 1, further comprising a sled, wherein the sled comprises a drive surface configured to move along a drive axis, wherein the driver further comprises a center of mass, and wherein the drive axis extends through the center of mass.

7. The staple cartridge of claim 1, wherein the driver further comprises a center of mass, and wherein the staple cartridge further comprises a sled, and wherein the sled comprises:

a first drive surface configured to move along a first drive axis; and

a second drive surface configured to move along a second drive axis, wherein the second drive axis is substantially parallel to the first drive axis, and wherein the first drive axis and the second drive axis are equidistant from the center of mass.

8. The staple cartridge of claim 7, wherein the first drive surface and the second drive surface are longitudinally staggered.

9. The staple cartridge of claim 1, wherein the plurality of staple cavities further comprises a third staple cavity comprising a third opening on the first side of the longitudinal slot, wherein the plurality of staples further comprises a third staple removably positioned in the third staple cavity, and wherein the third staple comprises a third base;

and wherein the driver further comprises a third trough, wherein the third base is aligned with the third trough, and wherein the third trough is angularly-oriented relative to the first trough.

10. The staple cartridge of claim 9, wherein the third trough is substantially parallel to the second trough.

11. The staple cartridge of claim 1, further comprising a detached driver comprising a third trough, wherein the plurality of staples further comprises a third staple comprising a third base, wherein the third base is aligned with the third trough, and wherein the third trough is angularly-oriented relative to the first trough.

12. The staple cartridge of claim 11, wherein the detached driver further comprises a fourth trough, and wherein the fourth trough is substantially parallel to the first trough.

13. A staple cartridge, comprising:

a cartridge body comprising a deck, wherein a longitudinal slot is defined at least partially through the cartridge body, wherein a plurality of staple cavities are defined into the cartridge body, and wherein the plurality of staple cavities comprises;

a first staple cavity comprising a first opening in the deck on a first side of the longitudinal slot; and

a second staple cavity comprising a second opening in the deck on the first side of the longitudinal slot;

a plurality of staples, comprising;

a first staple removably positioned in the first staple cavity, wherein the first staple comprises a first base; and

a second staple removably positioned in the second staple cavity, wherein the second staple comprises a second base;

a driver movably positioned relative to the cartridge body, wherein the driver comprises;

a first trough, wherein the first base is aligned with the first trough; and

a second trough, wherein the second base is aligned with the second trough, and wherein the second trough is angularly-oriented relative to the first trough;

a detached driver comprising a third trough, wherein the plurality of staples further comprises a third staple comprising a third base, wherein the third base is aligned with the third trough, wherein the third trough is angularly-oriented relative to the first trough, wherein the driver further comprises a first center of mass, wherein the detached driver further comprises a second center of mass, and wherein the staple cartridge further comprises a sled that comprises;

a first drive surface configured to move along a first drive axis, wherein the first drive axis extends through the first center of mass; and

a second drive surface configured to move along a second drive axis, wherein the second drive axis is substantially parallel to the first drive axis, and wherein the second drive axis extends through the second center of mass.

14. The staple cartridge of claim 13, wherein the first drive surface and the second drive surface are longitudinally offset.