Fastener cartridge comprising deployable tissue engaging members

• US 10,561,422 B2
• Filed: 06/30/2014
• Issued: 02/18/2020
• Est. Priority Date: 04/16/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Schellin, Emily A., Scheib, Charles J., Fanelli, Nicholas, Henderson, Cortney E., Houser, Kevin L.
• Primary Examiner(s): Stinson, Chelsea E
• Application Number:
  US14/318,997
• Publication Number:
  US 20150297229A1
• Time in Patent Office: 2,059 Days
• Field of Search: 2271751
• 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 17/072 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 2017/00057 Light
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/07264 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 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/038 : during shipment
• CPC Class Codes: A61B 2090/0801 : Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 2090/0807 : Indication means
• CPC Class Codes: A61B 2090/0811 : for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 2090/306 : using optical fibres
• CPC Class Codes: A61B 2090/309 : using white LEDs
• CPC Class Codes: A61B 90/03 : Automatic limiting or abutting means, e.g. for safety
• CPC Class Codes: G06F 11/1425 : by reconfiguration of node membership

Abstract

A fastener cartridge can comprise a cartridge body including a plurality of cavities arranged in longitudinal rows. Some of the cavities can have fasteners removably stored therein. Other cavities can have deployable tissue engaging members stored therein which are movable from an undeployed position to a deployed position to engage tissue. In some instances, the fastener cartridge can include at least one longitudinal row of cavities which each include a deployable tissue engaging member. Such rows of cavities can comprise the outer-most rows of cavities in the fastener cartridge.

Claims

1. A fastener cartridge for use with a fastening instrument to fasten the tissue of a patient, said fastener cartridge comprising:

a cartridge body including a deck and a plurality of fastener cavities;

fasteners removably stored in said fastener cavities, wherein said fasteners are deployable from said fastener cavities during a firing stroke of the fastening instrument; and

a deployable tissue engaging member movably positioned in one of said fastener cavities, wherein said tissue engaging member is movable between an undeployed position and a deployed position to engage the tissue during the firing stroke of the fastening instrument, and wherein said tissue engaging member is not implanted into the patient.

2. The fastener cartridge of claim 1, wherein said cartridge body comprises a longitudinal slot configured to receive a cutting element, wherein said fastener cavities are arranged in an inner longitudinal row of cavities and an outer longitudinal row of cavities, wherein said inner longitudinal row of cavities is adjacent said longitudinal slot, and wherein said deployable tissue engaging member is positioned in a cavity in said outer longitudinal row of cavities.

3. The fastener cartridge of claim 2, wherein said deployable tissue engaging member is part of a plurality of tissue engaging members, wherein each said tissue engaging member is positioned in a said cavity in said outer longitudinal row of cavities, and wherein each said tissue engaging member is movable between an undeployed position and a deployed position to engage the tissue during the firing stroke of the fastening instrument.

4. The fastener cartridge of claim 3, wherein a said deployable tissue engaging member is positioned in every cavity in said outer longitudinal row of cavities.

5. The fastener cartridge of claim 1, further comprising a sled configured to eject said fasteners from said cartridge body during the firing stroke of the fastening instrument, wherein said sled is also configured to deploy said tissue engaging member during the firing stroke of the fastening instrument.

6. The fastener cartridge of claim 5, wherein said sled comprises a first ramp configured to lift said fasteners and a second ramp configured to lift said tissue engaging member.

7. The fastener cartridge of claim 6, further comprising fastener drivers, wherein each said fastener driver is movable between an unfired position and a fired position to eject said fasteners from said fastener cavities, and wherein said first ramp is configured to slide under said fastener drivers to lift said fastener drivers toward said deck.

8. A fastener cartridge for use with a fastening instrument to fasten the tissue of a patient, said fastener cartridge comprising:

a cartridge body, including;

a deck;

a plurality of fastener cavities comprising a member cavity;

fasteners removably stored in said fastener cavities, wherein said fasteners are deployable from said fastener cavities during a firing stroke of the fastening instrument, and wherein said fasteners are not stored in said member cavity; and

a deployable tissue flow control member movably positioned in said member cavity, wherein said tissue flow control member is movable between an undeployed position and a deployed position to engage the tissue during the firing stroke of the fastening instrument, and wherein said tissue flow control member is not implanted into the patient.

9. The fastener cartridge of claim 8, wherein said cartridge body comprises a longitudinal slot configured to receive a cutting element, wherein said fastener cavities are arranged in an inner longitudinal row of cavities and an outer longitudinal row of cavities, wherein said inner longitudinal row of cavities is adjacent said longitudinal slot, and wherein said member cavity is in said outer longitudinal row of cavities.

10. The fastener cartridge of claim 9, wherein said deployable tissue flow control member is part of a plurality of tissue flow control members, wherein said member cavity is part of a plurality of member cavities positioned in said outer longitudinal row of cavities, and wherein each said tissue flow control member is movable between an undeployed position and a deployed position to engage the tissue during the firing stroke of the fastening instrument.

11. The fastener cartridge of claim 8, further comprising a sled configured to eject said fasteners from said cartridge body during the firing stroke of the fastening instrument, wherein said sled is also configured to deploy said tissue flow control member during the firing stroke of the fastening instrument.

12. The fastener cartridge of claim 11, wherein said sled comprises a first ramp configured to lift said fasteners and a second ramp configured to lift said tissue flow control member.

13. The fastener cartridge of claim 12, further comprising fastener drivers, wherein each said fastener driver is movable between an unfired position and a fired position to eject said fasteners from said fastener cavities, and wherein said first ramp is configured to slide under said fastener drivers to lift said fastener drivers toward said deck.

14. A fastener cartridge for use with a fastening instrument to fasten the tissue of a patient, said fastener cartridge comprising:

a cartridge body, including;

a deck;

a longitudinal slot defined in said deck configured to receive a cutting element therein;

an inner longitudinal row of fastener cavities adjacent said longitudinal slot;

an intermediate longitudinal row of fastener cavities adjacent said inner longitudinal row of fastener cavities;

an outer longitudinal row of member cavities adjacent said intermediate longitudinal row of fastener cavities;

fasteners removably stored in said fastener cavities, wherein said fasteners are deployable from said fastener cavities during a firing stroke of the fastening instrument; and

deployable tissue engaging members movably positioned in said member cavities, wherein said tissue engaging members are movable between an undeployed position and a deployed position to engage the tissue during the firing stroke of the fastening instrument, and wherein said tissue engaging members are not implanted into the patient.