Multiple-load cartridge assembly for a linear surgical stapling instrument

• US 4,612,933 A
• Filed: 03/30/1984
• Issued: 09/23/1986
• Est. Priority Date: 03/30/1984
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Senmed Incorporated
• Inventors: Nobis, Rudolph H., Brinkerhoff, Ronald J.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US06/595,291
• Time in Patent Office: 907 Days
• Field of Search: 128/334 R, 128/334 C, 227/DIG. 1, 227/19, 227/135
• US Class Current: 227/175.2
• 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 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots

Abstract

A multiple-load cartridge assembly for use with a linear surgical stapling instrument of the type which, when actuated, simultaneously implants at least one row of staples in the tissue of a patient and forms or clinches the staples of the row against the instrument anvil. The cartridge assembly comprises a cartridge having a row of staple-containing forming pockets and a driver having a plurality of blades equal in number to the number of forming pockets and configured to drive the staples from the forming pockets through the tissue to be sutured and against the instrument anvil to be clinched, when the surgical stapling instrument is actuated. The cartridge has at least one row of storage pockets, equal in number to the forming pockets, and each containing at least one staple. An indexing mechanism is provided to shift the at least one staple in each storage pocket to the line of action between the driver and the anvil after the first actuation of the surgical stapling instrument, for at least another actuation of the surgical stapling instrument. A safety interlock within the cartridge assembly assures correct sequential operation of the cartridge assembly and prevents jamming thereof. An indicator visually shows the number of the load of staples ready to be implanted and formed.

Claims

1. A surgical stapling instrument for implanting at least one linear row of staples in tissue, comprising:

anvil means;

means for driving staples aginst said anvil means;

a first linear array of staples located in a first position within said instrument aligned between said driving means and said anvil means;

at least a second linear array of staples located in a second position within said instrument out of alignment with said driving means and said anvil means;

means for actuating said driving means to move said first linear array of staples from said first position and clinch said first array of staples against said anvil means; and

means for transferring said second array of staples from said second position to said first position after a first operation of said actuating means to enable a second operation of said actuating means.

2. The instrument of claim 1, further comprising first storage means for storing a linear array of staples at said first position and second storage means for storing a linear array of staples at said second position.

3. The instrument of claim 2, wherein said transfer means includes means for indexing said first storage means out of said first position while indexing said second storage means from said second position to said first position.

4. The instrument of claim 3, further including third storage means for storing a third linear array of staples at a third position, and fourth storage means for storing a fourth linear array of staples at a fourth position.

5. The instrument of claim 4, wherein said transfer means further includes means to ultimately index each of said storage means to said first position.

6. The instrument of claim 5, further including means for indicating which of said storage means is in said first position.

7. The instrument of claim 2, wherein said first storage means comprises a plurality of forming pockets and said second storage means comprises a plurality of storage pockets.

8. The instrument of claim 7, wherein each of said storage pockets corresponds to a forming pocket and is located adjacent thereto.

9. The instrument of claim 8, wherein said first array of staples includes one staple in each of said forming pockets and said second array of staples includes at least one staple in each of said storage pockets.

10. The instrument of claim 9, wherein said transfer means includes means for indexing a staple from each of said storage pockets to its corresponding forming pocket after each operation of said actuating means.

11. The instruement of claim 7, wherein said forming pockets are arranged in at least two rows which are longitudinally staggered.

12. The instrument of claim 1, wherein said transfer means comprises means for individually shifting each of the staples contained in said second array from said second position to said first position.

13. The instrument of claim 1, further comprising safety means for preventing a second operation of said actuating means before operation of said transfer means.

14. The instrument of claim 1, including means for indicating which of said arrays of staples is positioned in said first position.

15. A surgical stapling instrument for simultaneously implanting a plurality of staples arranged in at least one linear row in tissue, comprising:

anvil means;

means for driving staples against said anvil means;

first cartridge means for holding a plurality of staples arranged in at least one linear array in a first position aligned between said driving means and said anvil menas;

second cartridge means for holding a plurality of staples arranged in at least one linear array in a second position out of alignment with said driving means and said anvil means;

means for actuating said driving means to move said staples from said first cartridge means and clinch said staples against said anvil means; and

means for indexing said second cartridge means from said second position to said first position, after a first operation of said actuating means, to enable a second operation of said actuating means.

16. The instrument of claim 15, wherein said first and second cartridge means are contained within a unitary cartridge assembly.

17. The instrument of claim 16, wherein said cartridge assembly is removably mounted on said instrument.

18. The instrument of claim 17, wherein said cartridge assembly is disposable.

19. The instrument of claim 17, wherein said cartridge assembly may be removed from said instrument, refilled with staples and replaced in said instrument, allowing said cartridge assembly to be reused.

20. The instrument of claim 16, wherein said instrument comprises a disposable instrument.

21. The instrument of claim 15, further including means for indicating which of said cartridge means is located at said first position.

22. A surgical stapling instrument for forming and implanting at least one linear row of surgical staples in tissue, comprising:

a frame terminating at its forward end in a fixed jaw;

an anvil mounted on said fixed jaw;

a cartridge assembly, slidably supported by said frame and shiftable longitudinally thereon, containing at least one linear row of forming pockets, each of which contains a staple, and a plurality of staple-carrying staging pockets, each of which is coupled to a corresponding forming pocket;

means slidably mounted within said cartridge assembly for driving said staples from said forming pockets against said anvil;

means for actuating said staple driving means between a retracted position and a staple driving position; and

means for transferring a staple from each of said staging pockets to its corresponding forming pocket after a first operation of said actuating means, to enable another operation of said actuating means.

23. The instrument of claim 22, wherein said cartridge means further includes a plurality of storage pockets, coupled to each of said staging pockets, for storing at least one staple in each pocket thereof.

24. The instrument of claim 23, further including second transfer means for moving a staple from each of said storage pockets to its corresponding staging pocket upon operation of said first transfer means.

25. The instrument of claim 24, wherein said first and second transfer means operate simultaneously.

26. The instrument of claim 22, wherein said anvil, said staple driving means and said cartridge assembly comprise a disposable unit which is removably mounted on said frame.

27. The instrument of claim 22, wherein said cartridge assembly is removably mounted on said frame, and said pockets thereof are capable of being refilled with staples.

28. The instrument of claim 22, wherein said forming pockets are arranged in at least two linear rows which are longitudinally staggered.

29. The instrument of claim 22, further comprising safety neans for preventing operation of said indexing means when staples are present in said forming pockets.

30. The instrument of claim 22, wherein said anvil and said cartridge assembly comprise a disposable unit which is removably mounted on said frame.

31. The instrument of claim 22, further comprising means for indicating that said transfer means has operated.

32. A linear surgical stapling instrument for simultaneously forming and implanting at least one linear row of surgical staples in tissue, comprising:

anvil means;

means for driving staples against said anvil means;

cartridge means for holding a plurality of staples, said cartridge means containing a first set of pockets arranged in at least one linear row aligned between said driving means and said anvil means and a second set of pockets coupled to each of said first pockets, wherein each of said pockets contains a staple;

means for actuating said driving means to move said staples from said first set of pockets of said cartridge means and clinch said staples against said anvil means; and

means for transferring said staples from said second set of pockets to said first set of pockets, after a first operation of said actuating means, to enable a second operation of said actuating means.

33. The instrument of claim 32, wherein said first set of pockets is arranged in at least two staggered linear rows.

34. The instrument of claim 32, wherein said cartridge means comprises a disposable unit which is removably mounted on said instrument.

35. A multiple load cartridge for use in a surgical stapling instrument having anvil means for simultaneously implanting in tissue a plurality of surgical staples arranged in at least one linear row, comprising;

means for driving staples against said anvil means;

cartridge means for holding a plurality of staples, said cartridge means containing a first set of pockets arranged in at least one linear row and aligned between said driving means and said anvil means and a second set of pockets corresponding to each of said first pockets and arranged in at least one linear row, wherein each of said pockets contains a staple;

means for actuating said driving means to move said staples from said frist set of pockets and clinch said staples aganist said anvil means to implant said staples in tissue;

first means for indexing said first set of pockets out of alignment with said driving means and said anvil means; and

second means for indexing said second set of pockets into alignment between said driving means and said anvil means, after operation of said actuating means and said first indexing means, whereby a second operation of said actuating means is enabled.

36. The assembly of claim 35, wherein said driving means and said cartridge means are contained in a unitary cartridge assembly which is removably mounted on said surgical stapling instrument.

37. The assembly of claim 36, wherein said unitary cartridge assembly is disposable.

38. The assembly of claim 36, wherein said unitary cartridge assembly comprises a reusable unit which may be refilled with staples.

39. A multiple-load cartridge assembly for use with a linear surgical stapling instrument of the type having an anvil and a staple driver actuator which, when actuated, simultaneously implants at least one linear row of surgical staples in the tissue of a patient and clinches said surgical staples of said at least one row against said anvil, said cartridge assembly comprising a cartridge having at least one linear row of staple-containing forming pockets, a driver mounted within said cartridge assembly and shiftable therein by said driver actuator between a retracted position and an extended position, said driver having a plurality of blades equal in number to the number of said forming pockets and configured to enter said forming pockets and drive said staples therein through said tissue and against said anvil when shifted from said retracted position to said extended position by operation of said staple driver actuator, said cartridge assembly having a plurality of storage pockets equal in number to said forming pockets and each containing at least one staple and an indexing means to shift said at least one staple in each storage pocket to the adjacent one of said forming pockets to reload said forming pockets after the first operation of said staple driver actuator.

40. The cartridge assembly claimed in claim 39, including a safety means to disable said indexing means until said forming pockets are emptied by said driver.

41. The cartridge assembly claimed in claim 39, having at least two staggered linear rows of staple-containing forming pockets and a staple-containing storage pocket for each of said forming pockets.

42. The structure claimed in claim 41, including an equal number of surgical staples, greater than one, in each of said storage pockets, said indexing means being capable of shifting a staple from each of said storage pockets to its respective forming pocket after each operation of said driver actuator to introduce a staple load into said forming pockets.

43. The cartridge assembly claimed in claim 39, including visual indicator means showing the number of the load of surgical staples in said forming pockets.

44. The cartridge assembly claimed in claim 39, including an equal number of surgical staples, greater than one, in each of said storage pockets, and including a staging pocket between each storage pocket and its respective forming pocket, said indexing means comprising a first indexer to shift a staple from each storage pockets to its respective staging pocket when empty and a second indexer to shift a staple from each staging pocket to its respective forming pocket to reload said forming pocket after each operation of said driver actuator.

45. The structure claimed in claim 39, including an equal number of surgical staples, greater than one, in each of said storage pockets, said indexing means being capable of shifting a staple from each of said storage pockets to its respective forming pocket after each operation of said driver actuator to introduce a staple load into said forming pockets.

46. A multiple load cartridge assembly for use with a linear surgical stapling instrument of the type having an anvil and a staple driver actuator which, when actuated, simultaneously implants at least one linear row of surgical staples in the tissue of a patient and clinches said surgical staples of said at least one row against said anvil, said cartridge assembly comprising a driver mounted within said cartridge assembly and shiftable therein by said driver actuator between a retracted position and an extended position, a cartridge having at least one linear row of staple-containing first pockets at a first position aligned between said driver and said anvil, said driver having a plurality of blades equal in number to the number of said first pockets and configured to enter said first pockets and drive said staples therein through said tissue and against said anvil when shifted from said retracted position to said extended position by operation of said staple driver actuator, said cartridge assembly having at least one linear row of second pockets at a second position equal in number to said first pockets and each containing at least one staple, and indexing means to shift said plurality of first pockets out of said first position and said plurality of said second pockets into said first position after the first operation of said staple driver actuator to enable a second operation of said actuator.

47. The cartridge assembly claimed in claim 46, including a safety means to disable said indexing means until said first pockets are emptied by said driver.

48. A method of applying a plurality of surgical staples to tissue with a surgical stapling instrument of the type having a fixed jaw supporting an anvil, a movable jaw, a multiple load staple cartridge coupled to said movable jaw, a staple driver, and means for actuating said staple driver, comprising the steps of:

(a) positioning said tissue to be stapled between said anvil and said staple cartridge located on said movable jaw, said cartridge containing a first linear array of staples located in a first position within said cartridge aligned between said anvil and said driver, and a second array of staples located in a second position within said cartridge out of alignment with said anvil and said staple driver;

(b) adjusting said movable jaw toward said anvil so that said cartridge is spaced at a distance from said anvil such that said staples will be properly clinched against said anvil;

(c) operating said staple driver to drive said first array of staples from said first position in said cartridge through said tissue and against said anvil;

(d) adjusting said movable jaw away from said stapled tissue;

(e) re1easing said stapled tissue from between said jaws of said instrument;

(f) operating an indexing means to transfer said second array of staples from said second position to said first position;

(g) repeating steps (a) through (e).

49. The method of claim 48, wherein the indexing step further includes the step of individually shifting each of said staples contained in said second array from said second position to said first position.

50. The method of claim 48, wherein the indexing step further includes the step of simultaneously shifting all of said staples contained in said second array from said second position to said first position.