ENDOSCOPIC STAPLER AND STAPLE

• US 20170020524A1
• Filed: 07/20/2015
• Published: 01/26/2017
• Est. Priority Date: 07/20/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Marczyk, Stanislaw, Aranyi, Ernie, Kostrzewski, Stanislaw
• Granted Patent: US 10,548,599 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 17/072 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
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder

Abstract

A surgical stapler has a tool assembly including an anvil and a staple cartridge having a series of staples which are supported and configured to be rotatably ejected from the staple cartridge into the anvil to suture tissue. In embodiments, the surgical stapler includes a cartridge that supports a plurality of rotatable pushers. Each pusher supports a curved, substantially U-shaped staple having a single tissue penetrating distal leg portion and a proximal leg portion. The pusher is rotatable to drive the distal leg portion into an anvil to deform the staple into a substantially D-shaped configuration.

Claims

1. A surgical stapler comprising:

a shaft portion;

a tool assembly supported on a distal end of the shaft portion, the tool assembly including an anvil and a cartridge assembly, the cartridge assembly including a cartridge body defining a plurality of staple pockets, a pusher rotatably supported in each of the staple pockets, and a staple supported on each of the pushers; and

a drive assembly having a working member that is configured to move through the tool assembly to effect rotatable movement of each of the pushers within a respective one of the staple pockets, wherein rotatable movement of each of the pushers ejects the staple from the respective staple pocket of the cartridge body.

2. The surgical stapler according to claim 1, wherein each of the staple pockets includes a pivot member and each of the pushers is rotatably supported on a respective one of the pivot members.

3. The surgical stapler according to claim 2, wherein each of the staple pockets includes a circular wall, each of the circular walls slidably supporting a respective one of the pushers.

4. The surgical stapler according to claim 1, wherein the cartridge body defines at least two rows of staple pockets and at least one channel that extends between the at least two rows of staple pockets.

5. The surgical stapler according to claim 4, further including a sled configured to translate through the at least one channel, the sled including at least one cam that is positioned to sequentially engage the pushers to effect rotatable movement of the pushers within the cartridge body.

6. The surgical stapler according to claim 5, wherein the sled is positioned within the cartridge body to be engaged and advanced by the working member of the drive assembly.

7. The surgical stapler according to claim 6, wherein each of the pushers is positioned to extend into the at least one channel of the cartridge body such that translation of the sled through the at least one channel causes the at least one cam to contact the pushers in two adjacent rows of the at least two rows of staple pockets to effect rotation of the pushers.

8. The surgical stapler according to claim 4, wherein the at least two rows of staple pockets includes four rows of staple pockets and the at least one cam includes two cams.

9. The surgical stapler according to claim 1, wherein each of the staples includes a single tissue penetrating leg portion.

10. The surgical stapler according to claim 9, wherein the single tissue penetrating leg portion has a first end defining a tapered tip and a second end connected to a proximal leg portion, the proximal leg portion being supported on one of the pushers.

11. The surgical stapler according to claim 10, wherein each of the pushers includes a body defining a channel, the proximal leg portion of each of the staples being supported within the channel.

12. The surgical stapler according to claim 10, wherein the single tissue penetrating leg portion is curved and is configured to slide along the circular wall of the the staple pocket.

13. The surgical stapler according to claim 2, wherein each of the pushers defines a slot dimensioned to receive the pivot member such that the pusher is rotatably supported within a respective one of the plurality of staple pockets.

14. The surgical stapler according to claim 11, wherein the blunt proximal leg portion of each of the staples includes a curved portion and the channel includes a bump, the bump interacting with the curved portion to retain the staple within a respective one of the plurality of staple pockets.

15. The surgical stapler according to claim 1, wherein the working member of the drive assembly has a I-beam configuration including an upper beam and a lower beam, the upper and lower beams being engageable with the anvil and the cartridge assembly to progressively clamp tissue as the working member moves through the tool assembly.

16. The surgical stapler according to claim 1, wherein the cartridge assembly includes a cartridge channel, the cartridge channel supporting the cartridge body, the surgical stapler further including first and second articulation links, each of the first and second articulation links having a distal end operatively connected to a proximal end of the cartridge channel, the first and second articulation links being axially movable in opposite directions to pivot the tool assembly in relation to the shaft portion.

17. The surgical stapler according to claim 16, further including a pivotable articulation member interconnecting the first articulation link to the second articulation link, wherein pivotable movement of the articulation member causes movement of the first articulation link in one direction and effects movement of the second articulation link in an opposite direction.

18. A surgical staple comprising:

a distal tissue penetrating leg portion including a first end having a tapered tip, a curved body, and a second end, and a proximal leg portion connected to the second end of the tissue penetrating leg portion, the proximal leg portion being configured to be received on a pusher, wherein the distal tissue penetrating leg portion and the proximal leg portion are configured to have a D-shaped deformed configuration.

19. A tool assembly comprising:

an anvil and a cartridge assembly, the cartridge assembly including a cartridge body defining a plurality of staple pockets, a pusher rotatably supported in each of the staple pockets, and a staple supported on each of the pushers.

20. The tool assembly according to claim 19, wherein each of the staple pockets includes a pivot member and each of the pushers is rotatably supported on a respective one of the pivot members.

21. The tool assembly according to claim 20, wherein each of the staple pockets includes a circular wall, each of the circular walls slidably supporting a respective one of the pushers.

22. The tool assembly according to claim 21, wherein the cartridge body defines at least two rows of staple pockets and at least one channel that extends between the at least two rows of staple pockets.

23. The tool assembly according to claim 22, further including a sled configured to translate through the at least one channel, the sled including at least one cam that is positioned to sequentially engage the pushers to effect rotatable movement of the pushers within the cartridge body.