Stepped staple cartridge with tissue retention and gap setting features

• US 10,687,810 B2
• Filed: 12/21/2016
• Issued: 06/23/2020
• Est. Priority Date: 12/21/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Harris, Jason L., Morgan, Jerome R.
• Primary Examiner(s): Desai, Hemant
• Assistant Examiner(s): Martin, Veronica
• Application Number:
  US15/386,192
• Publication Number:
  US 20180168643A1
• Time in Patent Office: 1,280 Days
• Field of Search: 227176
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• 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 2017/07257 characterised by its anvil
• 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 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2090/038 during shipment
• CPC Class Codes: A61B 34/30 Surgical robots

Abstract

A staple cartridge includes a stepped cartridge deck. The staple cartridge further includes tissue retention features configured to resist tissue slippage while tissue is captured between the staple cartridge and an anvil.

Claims

1. A staple cartridge assembly for use with a surgical stapling instrument including an anvil, wherein the staple cartridge assembly comprises:

a cartridge body, comprising;

a proximal portion;

a distal portion;

an elongate slot extending between the proximal portion and the distal portion; and

a cartridge deck, comprising;

a first deck surface defining a first deck height; and

a second deck surface defining a second deck height, wherein the second deck surface is laterally offset from the first deck surface in a direction away from the elongate slot, and wherein the second deck height is shorter than the first deck height;

a plurality of staple cavities, comprising;

a first row of staple cavities defined in the first deck surface; and

a second row of staple cavities defined in the second deck surface, wherein the first row of staple cavities is closer to the elongate slot than the second row of staple cavities;

a plurality of staples housed in the cartridge body, the plurality of staples comprising;

first staples deployable from the first row of staple cavities into tissue; and

second staples deployable from the second row of staple cavities into the tissue; and

cleats configured to resist movement of the tissue relative to the cartridge deck, wherein the cleats comprise;

first cleats extending from the first deck surface, wherein each of the first cleats comprises a first cleat height, wherein the first cleats are arranged in a first pattern with respect to the first row of staple cavities; and

second cleats extending from the second deck surface, wherein the second cleats are laterally offset from the first cleats in a direction away from the elongate slot, wherein the second cleats are arranged in a second pattern with respect to the second row of staple cavities, wherein the second pattern is different than the first pattern and is configured to provide a different degree of tissue traction than the first pattern, wherein each of the second cleats comprises a second cleat height, and wherein the first cleat height is different than the second cleat height, wherein each of the cleats comprises;

a base defined in the cartridge deck; and

a peak narrower than the base, wherein the peaks define a plane substantially parallel to the cartridge deck.

2. The staple cartridge assembly of claim 1, wherein the second deck surface comprises more of the cleats than the first deck surface.

3. The staple cartridge assembly of claim 1, wherein the cleats are comprised of an elastomer.

4. The staple cartridge assembly of claim 1, wherein the cartridge deck comprises a third deck surface defining a third deck height, wherein the third deck surface is laterally offset from the second deck surface in a direction away from the elongate slot, and wherein the third deck height is shorter than the second deck height.

5. The staple cartridge assembly of claim 4, wherein the cleats comprise third cleats extending from the third deck surface, and wherein each of the third cleats comprises a third cleat height, and wherein the second cleat height is shorter than the third cleat height.

6. The staple cartridge assembly of claim 5, wherein the first cleat height is shorter than the second cleat height.

7. A staple cartridge assembly for use with a surgical stapling instrument including an anvil, wherein the staple cartridge assembly comprises:

a cartridge body, comprising;

a proximal portion;

a distal portion;

an elongate slot extending between the proximal portion and the distal portion; and

a cartridge deck, comprising;

a first deck surface defining a first deck height; and

a second deck surface defining a second deck height, wherein the second deck surface is laterally offset from the first deck surface in a direction away from the elongate slot, and wherein the second deck height is shorter than the first deck height;

a plurality of staple cavities, comprising;

a first row of staple cavities defined in the first deck surface; and

a second row of staple cavities defined in the second deck surface, wherein the first row of staple cavities is closer to the elongate slot than the second row of staple cavities;

a plurality of staples housed in the cartridge body, the plurality of staples comprising;

first staples deployable from the first row of staple cavities into tissue; and

second staples deployable from the second row of staple cavities into the tissue; and

cleats configured to resist movement of the tissue relative to the cartridge deck, wherein the cleats comprise;

first cleats extending from the first deck surface, wherein each of the first cleats comprises a first cleat height; and

second cleats extending from the second deck surface, wherein the second cleats are laterally offset from the first cleats in a direction away from the elongate slot, wherein each of the second cleats comprises a second cleat height, and wherein the first cleat height is different than the second cleat height;

wherein each cleat comprises a peak, and wherein the peaks of the first cleats and the second cleats define a plane substantially parallel to the cartridge deck.

8. A staple cartridge assembly for use with a surgical stapling instrument including an anvil, wherein the staple cartridge assembly comprises:

a cartridge body, comprising;

a proximal portion;

a distal portion;

an elongate slot extending between the proximal portion and the distal portion; and

a cartridge deck, comprising;

a first deck surface defining a first deck height; and

a second deck surface defining a second deck height, wherein the second deck surface is laterally offset from the first deck surface in a direction away from the elongate slot, and wherein the second deck height is shorter than the first deck height;

a plurality of staple cavities, comprising;

a first row of staple cavities defined in the first deck surface; and

a second row of staple cavities defined in the second deck surface, wherein the first row of staple cavities is closer to the elongate slot than the second row of staple cavities;

a plurality of staples housed in the cartridge body, the plurality of staples comprising;

first staples deployable from the first row of staple cavities into tissue; and

second staples deployable from the second row of staple cavities into the tissue; and

cleats configured to resist movement of the tissue relative to the cartridge deck, wherein the cleats comprise;

first cleats extending from the first deck surface, wherein each of the first cleats comprises a first cleat height, and wherein a first spacing distance is defined between adjacent first cleats; and

second cleats extending from the second deck surface, wherein the second cleats are laterally offset from the first cleats in a direction away from the elongate slot, wherein each of the second cleats comprises a second cleat height, wherein the first cleat height is different than the second cleat height, wherein a second spacing distance is defined between adjacent second cleats, wherein the second spacing distance is different than the first spacing distance, and wherein a top surface of one of the first cleats and a top surface of one of the second cleats define a plane substantially parallel to the cartridge deck.