Surgical linear stapler

• US 10,383,628 B2
• Filed: 03/17/2016
• Issued: 08/20/2019
• Est. Priority Date: 04/20/2015
• Status: Active Grant

• Current Assignee: Medi Tulip Co., Ltd.
• Original Assignee: Medi Tulip Co., Ltd.
• Inventors: Kang, Min Woong, Kang, Tae Woong
• Primary Examiner(s): Long, Robert F
• Application Number:
  US15/110,943
• Publication Number:
  US 20170055991A1
• Time in Patent Office: 1,251 Days
• Field of Search: 606139, 606142, 606143, 2271751-1821
• CPC Class Codes: A61B 10/02 Instruments for taking cell samples or for biopsy A61B10/0038 and A61B10/0045 take precedence; needle locating or guiding means A61B17/3403; samplers for enzymology or microbiology C12M1/26; sampling or preparing biological specimens G01N33/48
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 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 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: A61B 90/92 coded with colour

Abstract

Disclosed is a surgical linear stapler comprising: a staple cartridge which is internally loaded with staples for stapling a surgical site; a cartridge accommodating channel which is formed with a cartridge accommodating groove to accommodate the staple cartridge therein; an anvil which corresponds to the staple cartridge and shapes the staple discharged from the staple cartridge; and a cutter which moves along a lengthwise direction of the staple cartridge by external force and cuts a surgical site arranged in between the staple cartridge and the anvil, in which distances from the cutting section of the surgical site to opposite stapling lines are different from each other, thereby stably and conveniently obtaining tissue for pathological examination, which is not damaged by a staple.

Claims

1. A surgical linear stapler comprising:

a staple cartridge configured to be internally loaded with staples for stapling a surgical site;

a cartridge accommodating channel formed with a cartridge accommodating groove to accommodate the staple cartridge therein;

an anvil configured to form the staples discharged from the staple cartridge;

a cutter configured to move along a lengthwise direction of the staple cartridge by external force and to cut the surgical site arranged in between the staple cartridge and the anvil;

a pressing member configured to press and discharge the staples toward the outside of the staple cartridge;

wherein the staple cartridge comprises a cutter guide for guiding the cutter to move along the lengthwise direction of the staple cartridge, and a cartridge body formed with one or more rows of left staple discharge holes and one or more rows of right staple discharge holes arranged at opposite sides of the cutter guide, and

wherein the one or more rows of left staple discharge holes and the one or more rows of right staple discharge holes are asymmetrically arranged with respect to the cutter guide; and

an indicator configured to indicate a position of the one or more rows of right staple discharge holes and arranged at a right side of the cutter guide for indicating an asymmetry of the surgical linear stapler so that an object tissue for pathological examination is included in a first surgical site to be removed by the cutter;

further comprising a plurality of members arranged at a predetermined interval along the lengthwise direction of the staple cartridge between the cutter guide and a first row of right staple discharge holes the most adjacent to the cutter guide in a rightward direction, and configured to press and hold a tissue area near the cutting section when the surgical site is cut.

2. The surgical linear stapler according to claim 1, wherein the indicator configured to be arranged in at least one of an outer surface of the anvil and an outer surface of the cartridge accommodating channel.

8. The surgical linear stapler according to claim 1,

wherein the staples comprises right staples loaded within the one or more rows of right staple discharge holes and left staples loaded within the one or more rows of left staple discharge holes,

wherein the pressing member comprises right pressing members configured to press and discharge the right staples toward the outside of the one or more rows of right staple discharge holes and left pressing members configured to press and discharge the left staples toward the outside of the one or more rows of left staple discharge holes, and the right pressing members and the left pressing members are asymmetrically arranged with respect to the cutter guide, and

wherein the surgical linear stapler further comprises a driving wedge pushes up the right pressing members and the left pressing members toward the one or more rows of right staple discharge holes and the one or more rows of left staple discharge holes, respectively.

3. A surgical linear stapler comprising:

a staple cartridge configured to be internally loaded with staples for stapling a surgical site;

a cartridge accommodating channel formed with a cartridge accommodating groove to accommodate the staple cartridge therein;

an anvil configured to form the staples discharged from the staple cartridge;

a cutter configured to cut the surgical site arranged in between the staple cartridge and the anvil while moving along a lengthwise direction of the staple cartridge by external force;

a pressing member configured to press and discharge the staples toward the outside of the staple cartridge;

wherein the anvil comprises a first cutter guide for guiding the cutter to move along a lengthwise direction of the anvil, one or more rows of right anvil grooves arranged at one side of the first cutter guide, and one or more rows of left anvil grooves arranged at the other side of the first cutter guide, and

wherein the one or more rows of left anvil grooves and the one or more rows of right anvil grooves are asymmetrically arranged with respect to the first cutter guide; and

an indicator configured to indicate a position of the one or more rows of right anvil grooves and arranged at a right side of the first cutter guide for indicating an asymmetry of the surgical linear stapler so that an object tissue for pathological examination is included in a first surgical site to be removed by the cutter;

further comprising a plurality of members arranged at a predetermined interval along the lengthwise direction of the staple cartridge between the cutter guide and a first row of right staple discharge holes the most adjacent to the cutter guide in a rightward direction, and configured to press and hold a tissue area near the cutting section when the surgical site is cut.

4. The surgical linear stapler according to claim 3, wherein the one or more rows of right anvil grooves comprises a first row of right anvil grooves the most adjacent to the first cutter guide in a rightward direction and a second row of right anvil grooves formed at a right side of the first row of right anvil grooves, and

wherein a distance from a center line of the first row of right anvil grooves to a center line of the first cutter guide is greater than another distance from the center line of the first row of right anvil grooves to a center line of the second row of right anvil grooves.

5. The surgical linear stapler according to claim 4, wherein a groove depth of the first row of right anvil grooves is shallower than a groove depth of the second row of right anvil grooves so as to more firmly hold a tissue area near to the first cutter guide within an area to be stapled by the staple in the first surgical site.

6. The surgical linear stapler according to claim 4, wherein a groove depth of the one of more rows of left anvil grooves is shallower than a groove depth of the one of more rows of right anvil grooves so as to make a height of a stapling area of a second surgical site to be remained in a human body be lower than a height of a stapling area of a first surgical site to be removed by the cutter.

7. The surgical linear stapler according to claim 3, wherein a leg of a right staple formed by a right anvil groove of the one or more rows of right anvil grooves and a leg of a left staple formed by a left anvil groove of the one or more rows of left anvil grooves are different in length from each other.

9. A surgical linear stapler comprising:

a staple cartridge configured to be internally loaded with staples for stapling a surgical site

a cartridge accommodating channel formed with a cartridge accommodating groove to accommodate the staple cartridge therein;

an anvil configured to form the staples discharged from the staple cartridge;

a cutter configured to move along a lengthwise direction of the staple cartridge by external force and to cut the surgical site arranged in between the staple cartridge and the anvil;

a pressing member configured to press and discharge the staples toward the outside of the staple cartridge;

wherein the staple cartridge comprises a cutter guide for guiding the cutter to move along a lengthwise direction of the staple cartridge, and a cartridge body formed with one or more rows of left staple discharge holes and one or more rows of right staple discharge holes arranged at opposite sides of the cutter guide,

wherein the surgical site comprises a first surgical site to be removed by the cutter and a second surgical site to be remained in a human body,

wherein a first right stapling line stapled by a first row of right staples is formed on the first surgical site, and a first left stapling line stapled by a first row of left staples is formed on the second surgical site,

wherein a distance between a cutting section of the surgical site and the first right stapling line the nearest to the cutting section in the rightward direction is greater than another distance between the cutting section and the first left stapling line the nearest to the cutting section in the leftward direction in order to obtain an object area for pathological examination, which is not damaged by staples, from the first surgical site; and

an indicator configured to indicate a position of the one or more rows of right staple discharge holes, and arranged at a right side of the cutter guide for indicating an asymmetry of the surgical linear stapler;

further comprising a plurality of members arranged at a predetermined interval along the lengthwise direction of the staple cartridge between the cutter guide and a first row of right staple discharge holes the most adjacent to the cutter guide in a rightward direction, and configured to press and hold a tissue area near the cutting section when the surgical site is cut.

10. A surgical linear stapler comprising:

a staple cartridge configured to be internally loaded with staples for stapling a surgical site

an anvil configured to form the staples discharged from the staple cartridge;

a cutter configured to move along a lengthwise direction of the staple cartridge by external force and to cut the surgical site stapled by the staples;

a pressing member configured to press and discharge the staples toward the outside of the staple cartridge;

wherein the staple cartridge comprises a cutter guide for guiding the cutter to move along the lengthwise direction of the staple cartridge, and a cartridge body formed with one or more rows of left staple discharge holes and one or more rows of right staple discharge holes arranged at opposite sides of the cutter guide,

wherein the surgical site comprises a first surgical site to be removed by the cutter and a second surgical site to be remained in a human body,

wherein right stapling lines stapled by right staples loaded within the one or more rows of right staple discharge holes are formed on the first surgical site, and left stapling lines stapled by left staples loaded within the one or more rows of left staple discharge holes are formed on the second surgical site,

wherein the right stapling lines and the left stapling lines are asymmetrically arranged with respect to a cutting section of the surgical site; and

an indicator configured to indicate a position of the one or more rows of right staple discharge holes, and arranged at a right side of the cutter guide for indicating an asymmetry of the surgical linear stapler so that an object tissue for pathological examination is included in the first surgical site;

further comprising a plurality of members arranged at a predetermined interval along the lengthwise direction of the staple cartridge between the cutter guide and a first row of right staple discharge holes the most adjacent to the cutter guide in a rightward direction, and configured to press and hold a tissue area near the cutting section when the surgical site is cut.

11. The surgical linear stapler according to claim 10,

wherein a number of rows of left staples is greater than a number of rows of right staples.

12. The surgical linear stapler according to claim 10,

wherein the right stapling lines comprise a first right stapling line the nearest to a cutting section of the surgical site and a second right stapling line the nearest to the first right stapling line in the rightward direction, and

wherein a distance between the cutting section and the first right stapling line is greater than another distance between the first right stapling line and the second right stapling line.

13. The surgical linear stapler according to claim 10,

wherein the pressing member comprises right pressing members configured to press and discharge the right staples toward the outside of the one or more rows of right staple discharge holes and left pressing members configured to press and discharge the left staples toward the outside of the one or more rows of left staple discharge holes, and the right pressing members and the left pressing members are asymmetrically arranged with respect to the cutter guide, and

wherein the surgical linear stapler further comprises a driving wedge pushes up the right pressing member and the left pressing members toward the one or more rows of right staple discharge holes and the one or more rows of left staple discharge holes, respectively.

14. A surgical linear stapler comprising:

a staple cartridge configured to be internally loaded with staples for stapling a surgical site

an anvil configured to form the discharged staples from the staple cartridge;

a cutter configured to move along a lengthwise direction of the staple cartridge by external force and to cut the surgical site stapled by the staples;

a pressing member configured to press and discharge the staples toward the outside of the staple cartridge;

wherein the staple cartridge comprises a cutter guide for guiding the cutter to move along the lengthwise direction of the staple cartridge, and a cartridge body formed with one or more rows of left staple discharge holes and one or more rows of right staple discharge holes arranged at opposite sides of the cutter guide,

wherein the surgical site comprises a first surgical site to be removed by the cutter and a second surgical site to be remained in a human body, and

wherein right stapling lines stapled by right staples loaded within the one or more rows of right staple discharge holes are formed on the first surgical site, and the right stapling lines comprise a first right stapling line the nearest to a cutting section of the surgical site, and;

a plurality of members arranged at a predetermined interval along the lengthwise direction of the staple cartridge between the cutter guide and a first row of right staple discharge holes the most adjacent to the cutter guide in a rightward direction, and configured to press and hold a tissue area near the cutting section when the surgical site is cut,

wherein the tissue area is placed between the cutting section and the first right stapling line.

15. A surgical linear stapler comprising:

a staple cartridge configured to be internally loaded with staples for stapling a surgical site

an anvil configured to form the staples discharged from the staple cartridge;

a cutter configured to move along a lengthwise direction of the staple cartridge by external force and to cut the surgical site stapled by the staples;

a pressing member configured to press and discharge the staples toward the outside of the staple cartridge;

wherein the pressing member comprises right pressing members and left pressing members,

wherein the right pressing members are placed at a first side of the cutter and the left pressing members are placed at opposite side of the right pressing member with respect to the cutter,

wherein a dimension of the right pressing members is different from a dimension of the left pressing members, and

wherein the difference between the dimension of the right pressing members and the dimension of the left pressing members makes an asymmetric stapling line for an object margin;

an indicator placed at a right side of the cutter among the surface of an end effector of the surgical linear stapler corresponding to a position of one or more rows of right staple discharge holes for indicating an asymmetry of the surgical linear stapler and visually informing an exact position of the surgical linear stapler to a user so that an object tissue for pathological examination is included in a first surgical site to be removed by the cutter, and

a driving wedge pushes up the right pressing member and the left pressing members toward the one or more rows of right staple discharge holes and one or more rows of left staple discharge holes, respectively.

16. The surgical linear stapler according to claim 15, wherein a number of the right pressing members is fewer than a number of the left pressing members.