Micro surgical instrument and loading unit for use therewith

• US 10,213,204 B2
• Filed: 10/02/2015
• Issued: 02/26/2019
• Est. Priority Date: 10/02/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Aranyi, Ernest, Kostrzewski, Stanislaw, Marczyk, Stanislaw
• Primary Examiner(s): Truong, Thanh
• Assistant Examiner(s): Madison, Xavier A
• Application Number:
  US14/873,500
• Publication Number:
  US 20170095253A1
• Time in Patent Office: 1,243 Days
• Field of Search: 2271751-1821
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001

Abstract

A loading unit for engagement with a surgical instrument. The loading unit includes a proximal body portion, an end effector, an actuation sled, and pushers. The actuation sled is longitudinally translatable within a cartridge assembly. The pushers are disposed within the cartridge assembly. Each pusher includes a camming surface configured for engagement with the actuation sled. The camming surface of each pusher in a first row is longitudinally aligned with the camming surface of each pusher in a second row. The first row of pushers is laterally offset from the second row of pushers.

Claims

1. A loading unit configured for engagement with a surgical instrument, the loading unit comprising:

a proximal body portion;

an end effector disposed in mechanical cooperation with the proximal body portion, the end effector including a cartridge assembly and an anvil assembly, one of the cartridge assembly and the anvil assembly being movable with respect to the other of the cartridge assembly and the anvil assembly between an open position and an approximated position to capture tissue therebetween, the cartridge assembly configured to house fasteners therein;

an actuation sled longitudinally translatable within the cartridge assembly; and

pushers disposed within the cartridge assembly, the pushers arranged in first and second rows, each pusher including a camming surface configured for engagement with the actuation sled, wherein the camming surface of each pusher in the first row lies within a common longitudinal axis as the camming surface of each pusher in the second row, the first row of pushers laterally offset from the second row of pushers.

2. The loading unit according to claim 1, wherein the camming surface of each pusher includes a first camming surface and a second camming surface.

3. The loading unit according to claim 2, wherein the actuation sled is configured to contact the first camming surface of each pusher in the first row during distal translation of the actuation sled, and the actuation sled is configured to contact the second camming surface of each pusher in the second row during distal translation of the actuation sled.

4. The loading unit according to claim 3, wherein the second camming surface of each pusher in the first row is spaced apart from the actuation sled during distal translation of the actuation sled, and the first camming surface of each pusher in the second row is spaced apart from the actuation sled during distal translation of the actuation sled.

5. The loading unit according to claim 1, wherein the pushers include a lateral extension that is elongate in a vertical direction and the cartridge assembly includes T-shaped retention slots, the lateral extension being received in a portion of the T-shaped retention slot.

6. The loading unit according to claim 5, wherein the actuation sled includes a first wedge and a second wedge, and distal translation of the actuation sled causes the first wedge to contact the first camming surface of each pusher in the first row and the second camming surface of each pusher in the second row, and distal translation of the actuation sled causes the second wedge to contact the first camming surface of each pusher in the third row and the second camming surface of each pusher in the fourth row.

7. The loading unit according to claim 1, wherein an outer-most diameter of the end effector is about 5 mm.

8. The loading unit according to claim 1, wherein an outer-most diameter of the end effector is selected from the group consisting of about 4 mm, 5 mm and 8 mm.

9. The loading unit according to claim 1, further comprising a plurality of T-shaped retention slots extending through a tissue-contacting surface of the cartridge assembly.

10. The loading unit according to claim 1, wherein each pusher in the first row is disposed in a first orientation and each pusher in the second row is disposed in a second orientation, the first orientation is offset 180°

from the second orientation.

11. The loading unit according to claim 1, wherein each pusher in the first row is the same as each pusher in the second row.

12. The loading unit according to claim 2, wherein the first camming surface is disposed at a first angle, the second camming surface is disposed at a second angle, and the first angle is the same as the second angle.

13. The loading unit according to claim 12, wherein the first angle is between about 20°

and about 40°

.

14. The loading unit according to claim 2, wherein each pusher includes a body portion including an upper edge configured to engage a fastener, a lateral extension extending perpendicularly from the body portion, a first leg extending in a first direction from the lateral extension and including the first camming surface, and a second leg extending in a second direction from the lateral extension and including the second camming surface.

15. The loading unit according to claim 14, wherein the upper edge of the lateral extension is co-planar with the upper edge of the body portion.

16. A pusher for use with a surgical instrument, comprising:

a body portion including an upper edge configured to engage a fastener;

a lateral extension extending perpendicularly from the body portion, an upper edge of the lateral extension is co-planar with the upper edge of the body portion;

a first leg extending in a first direction from the lateral extension and including a first camming surface; and

a second leg extending in a second direction from the lateral extension and including a second camming surface.

17. The pusher according to claim 16, wherein the first camming surface is disposed at a first angle, wherein the second camming surface is disposed at a second angle, and wherein the first angle and the second angle are the same.

18. The pusher according to claim 17, wherein the first angle is between about 20°

and about 40°

.

19. The pusher according to claim 16, wherein the first direction is opposite from the second direction.

20. A loading unit configured for engagement with a surgical instrument, the loading unit comprising:

a proximal body portion defining a longitudinal axis;

an end effector disposed in mechanical cooperation with the proximal body portion, the end effector including a cartridge assembly and an anvil assembly, one of the cartridge assembly or the anvil assembly being movable with respect to the other of the cartridge assembly or the anvil assembly between an open position and an approximated position to capture tissue therebetween, the cartridge assembly configured to house fasteners therein, the cartridge assembly including a tissue-contacting surface defining a plurality of T-shaped retention slots;

an actuation sled longitudinally translatable within the cartridge assembly; and

pushers disposed within the cartridge assembly, the pushers arranged in first and second rows, each pusher including a camming surface configured for engagement with the actuation sled, wherein the camming surface of each pusher in the first row is longitudinally aligned with the camming surface of each pusher in the second row, the first row of pushers laterally offset from the second row of pushers.