Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor

• US 20070175950A1
• Filed: 01/31/2006
• Published: 08/02/2007
• Est. Priority Date: 01/31/2006
• Status: Abandoned Application

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Float, Jamison, Broehl, Joshua, Timperman, Eugene, Crisp, Ryan, Shelton, Frederick, Cropper, Michael
• Application Number:
  US11/343,546
• Publication Number:
  US 20070175950A1
• Time in Patent Office: Days
• US Class Current: 227/176.100
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2825 Inserts of different material in jaws

Abstract

A disposable staple cartridge for a surgical cutting and fastening instrument. Various embodiments include a disposable anvil that is supported relative to the cartridge body and movable between open and closed positions. At least one tissue stop is provided on the disposable anvil for orienting the tissue to be cut and stapled relative to the staples supported within the cartridge body. Other embodiments relate to end effectors for surgical cutting and fastening instruments that can be used in connection with a plurality of staple cartridge bodies that each have a common length but which may different lengths of staple lines.

Claims

1. A disposable staple cartridge for a surgical cutting and fastening instrument, said staple cartridge, comprising:

a cartridge body operably supporting a plurality of staples therein;

a disposable anvil supported relative to said cartridge body such that said disposable anvil is movable between a closed position wherein a bottom surface of said disposable anvil is adjacent a top surface of said cartridge body and an open position wherein the bottom surface of said disposable anvil is spaced away from said top surface of said cartridge body to permit tissue to be inserted therebetween; and

at least one tissue stop on said disposable anvil for contacting the tissue inserted between the bottom surface of the disposable anvil and the top surface of said cartridge body to orient the tissue relative to the staples supported within said cartridge body.

2. The disposable staple cartridge of claim 1 wherein said disposable anvil is fabricated from thin deflectable plate material.

3. The disposable staple cartridge of claim 1 wherein a plurality of staple forming pockets corresponding to said plurality of staples in said cartridge body are formed in said bottom surface of said disposable anvil.

4. The disposable staple cartridge of claim 1 wherein a proximal end of said disposable anvil is attached to a proximal end of said cartridge body by at least one spring.

5. The disposable staple cartridge of claim 1 wherein said at least one tissue stop comprises a first tissue stop protruding downwardly from one lateral side of said disposable anvil and a second tissue stop protruding downwardly from a second lateral side of said disposable anvil.

6. The disposable staple cartridge of claim 1 wherein said top surface of said disposable anvil is adapted to matingly engage a rigid top anvil plate on the surgical cutting and fastening instrument.

7. The disposable staple cartridge of claim 6 further comprising a stiffener rail extending along each lateral side of said disposable anvil.

8. The disposable staple cartridge of claim 1 wherein said disposable anvil has a longitudinally extending slot portion therein to enable a portion of a knife assembly of the surgical cutting and fastening instrument to protrude therethrough such that lateral extending guide tabs on the knife assembly serve to deflect the disposable anvil toward said top surface of said cartridge body as the knife assembly is driven through said cartridge body and said longitudinally extending slot in said disposable anvil.

9. The disposable staple cartridge of claim 1 wherein said disposable anvil is fabricated from sheet metal material.

10. The disposable staple cartridge of claim 1 further comprising a plurality of staple drivers operably supported in said cartridge body, each said staple driver supporting at least one staple thereon and being movably supported within said cartridge body such that when contacted by a driven wedge cam of the surgical cutting and fastening instrument, each said staple driver drives the staples supported thereon into forming contact with said disposable anvil.

11. An end effector for a surgical cutting and fastening instrument, said end effector comprising:

a channel having a proximal end attachable to a portion of the surgical cutting and fastening instrument, said channel further having a distal end and being configured to support a disposable staple cartridge therein;

a rigid top anvil plate having a distal end and a proximal end, said proximal end pivotally coupled to said proximal end of said channel and being selectively pivotable between an open position wherein said distal end of said top anvil plate is away from said distal end of said channel to permit a disposable staple cartridge to be seated within said channel and a closed position wherein said top anvil plate is adjacent to the staple cartridge seated within the channel in response to opening and closing forces, respectively, applied thereto from a drive system supported in the surgical cutting and fastening instrument, said rigid top anvil plate configured to mate with a disposable anvil plate associated with the disposable staple cartridge seated within the channel;

a knife assembly operably supported in said channel and coupled to the drive system of the surgical cutting and fastening instrument to drive said knife assembly from said proximal end of said channel to said distal end and return said knife assembly to said proximal end of said channel; and

a wedge sled associated with said knife assembly for travel therewith, said wedge sled oriented to actuate staple drivers in the disposable staple cartridge seated in the channel when said knife assembly is driven from said proximal end of said channel to said distal end of said channel.

12. The end effector of claim 11, wherein said rigid top anvil plate has at least one top tissue stop formed thereon to orient tissue clamped between the disposable anvil plate and the disposable staple cartridge seated in said channel relative to staples supported within the disposable staple cartridge.

13. The end effector of claim 12 wherein the disposable anvil member has at least one bottom tissue stop formed thereon and wherein one of said at least one top tissue stops correspond to each bottom tissue stop on the disposable anvil plate and is in abutting contact therewith when the disposable staple cartridge and disposable anvil plate are received within said channel.

14. The end effector of claim 11 wherein a portion of said knife assembly protrudes through an elongated slot in the disposable staple cartridge seated within said channel and another portion of said knife assembly protruding through another elongated slot in the disposable anvil plate associated with the disposable staple cartridge when the disposable anvil plate is in the closed position and said knife assembly is being driven from said proximal end of said channel to said distal end of said channel.

15. The end effector of claim 14 further comprising at least one deflector tab on said another portion of said knife assembly, each said deflector tab forcing the disposable anvil plate toward the disposable staple cartridge when the knife assembly is driven from said proximal end to said distal end.

16. The end effector of claim 11 wherein said rigid top anvil plate is sized to retainingly fit between stiffening ridges on the disposable anvil plate.

17. A disposable staple cartridge for a surgical cutting and fastening instrument, said staple cartridge, comprising:

a cartridge body operably supporting a plurality of staples therein;

disposable staple forming means attached to said cartridge body such that disposable staple forming means is movable between a closed position wherein a bottom surface thereof is adjacent a top surface of said cartridge body and an open position wherein the bottom surface of said disposable staple forming means is spaced away from said top surface of said cartridge body to permit tissue to be inserted therebetween; and

tissue stop means on said disposable staple forming means for contacting the tissue inserted between the bottom surface of the disposable staple forming means and the top surface of said cartridge body to orient the tissue relative to the staples supported within said cartridge body.

18. The disposable staple cartridge of claim 17 wherein said disposable staple forming means comprises a deformable anvil plate.

19. The disposable staple cartridge of claim 18 wherein said deformable anvil plate has staple forming pockets therein that correspond to staples within the staple cartridge.

20. The disposable staple cartridge of claim 17 wherein said disposable staple forming means is attached to said cartridge body by at least one biasing member that biases said disposable staple forming means to an open position.

21. An end effector for a surgical cutting and fastening instrument constructed for use in connection with at least one of a plurality of staple cartridge bodies that each have a common length and wherein each staple cartridge body operably supports a plurality of staples therein that are aligned in at least one first line of staples and has at least one tissue stop associated therewith, the end effector further being constructed for use with at least one other staple cartridge body of another plurality of other staple cartridge bodies that are each equal in length to the common length of the staple cartridge bodies and each operably supports a plurality of other staples therein that are aligned in at least one other line of other staples that is longer than the lines of staples in the staple cartridge bodies, said end effector comprising:

an elongate channel attachable to a portion of the surgical cutting and fastening instrument, said elongate channel being configured to support any one of the staple cartridge bodies and other staple cartridge bodies therein;

a top anvil plate pivotally coupled to said elongate channel and movable between open and closed positions in response to opening and closing forces, respectively, applied thereto from a drive system supported in the surgical cutting and fastening instrument, said top anvil plate having at least one top tissue stop associated therewith configured to cooperate with at least one of the tissue stops associated with one of cartridge bodies when said cartridge body is seated within said elongate channel to orient tissue relative to the lines of staples therein, said at least one top tissue stop further configured to orient tissue clamped between the top anvil and one of the other staple cartridge bodies when said other cartridge body is seated in said elongate channel such that said at least one top tissue stop orients the tissue relative to the at least one other line of other staples in said other staple cartridge body; and

a knife and staple driver assembly operably supported in said elongate channel and configured to receive forward driving and reversing motions from the drive system of the surgical cutting and fastening instrument such that when said knife and staple assembly is driven forward, the tissue clamped in the end effector is severed thereby and stapled by staples supported in the cartridge seated in the elongate channel.