Surgical stapler with mechanisms for reducing the firing force

• US 5,489,058 A
• Filed: 05/02/1994
• Issued: 02/06/1996
• Est. Priority Date: 05/02/1994
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc), Vir Engineering, Inc.
• Original Assignee: Minnesota Mining and Manufacturing Co (3M Company)
• Inventors: Redmond, Russell J., Vidal, Claude A., Solyntjes, Alan J., Plyley, Alan K., Minck, John L. Jr.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US08/236,379
• Time in Patent Office: 645 Days
• Field of Search: 227/175, 227/176, 227/178, 227/179, 227/180, 227/181, 227/19
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• 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 2017/2911 rings
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2913 cams or guiding means
• CPC Class Codes: A61B 2017/2916 pins in guiding slots
• CPC Class Codes: A61B 2017/2924 Translation movement of handle without rotating movement
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking

Abstract

Surgical staplers for use during open and/or laparoscopic surgical procedures are disclosed. Novel firing device trapping assemblies, pushers, staple lines and firing handles are described. Many of the novel devices reduce the overall firing force experienced by the surgeon.

Claims

1. A surgical stapler for applying staples to compressed tissue comprising:

a handle portion having surfaces adapted to be manually grasped by a surgeon;

a cartridge retention portion and an anvil retention portion, means for mounting said cartridge retention portion and said anvil retention portion for relative movement between a closed position in which said cartridge retention portion and said anvil retention portion are in closely spaced relationship for clamping tissue to be stapled therebetween and an open position in which said cartridge retention portion and said anvil retention portion are spaced farther from each other than in the closed position,

an anvil having a plurality of specially shaped surfaces,

said cartridge retention portion having a staple housing for enclosing a plurality of staples in substantially parallel, linear rows, each of said staples having a backspan and a pair of legs projected from said backspan, said legs adapted to be buckled during formation of the staples,

staple drivers adjacent staples, and a plurality of pushers each having at least three linear camming surfaces, said staple housing being elongate to define a longitudinal axis,

said staple housing having a plurality of longitudinally extending pusher slots adapted to receive said pushers to afford movement of said pushers in a firing direction between pre-fired and fired positions, and a plurality of driver channels for receiving said staple drivers to afford movement of said staple drivers in a staple driving direction between pre-eject and ejected positions;

each of said staple drivers having a cam follower surface for engaging the at least three linear camming surfaces of each pusher to move the staple driver from the pre-eject toward the ejected position to substantially sequentially eject the staples from the staple housing and press the ejected staples against the specially shaped surfaces of the anvil to engage, form and close staples in tissue clamped between the staple housing and the anvil,

said at least three linear camming surfaces of said pushers comprising;

a) a first camming surface for engaging a staple driver during initial tissue penetration of a staple, said first camming surface forming a first included angle with the staple driving direction;

b) a second camming surface for engaging a staple driver during buckling of the legs of a staple, said second camming surface forming a second included angle with the staple driving direction that is greater than said first included angle,

c) a third camming surface for engaging a staple driver after the legs of a staple have been initially buckled and during the closing of the staple in tissue, said third camming surface forming a third included angle with the staple driving direction that is different than said first and second included angles.

2. A surgical stapler for applying staples to compressed tissue according to claim 1 wherein the first included angle is between about forty-five (45) degrees and about sixty (60) degrees.

3. A surgical stapler for applying staples to compressed tissue according to claim 2 wherein the first included angle is about sixty (60) degrees.

4. A surgical stapler for applying staples to compressed tissue according to claim 1 wherein the second included angle is between about seventy-three (73) degrees and about seventy-eight (78) degrees.

5. A surgical stapler for applying staples to compressed tissue according to claim 4 wherein the second included angle is about seventy-five (75) degrees.

6. A surgical stapler for applying staples to compressed tissue according to claim 1 wherein the third included angle is between about sixty-seven (67) degrees and about seventy-two (72) degrees.

7. A surgical stapler for applying staples to compressed tissue according to claim 6 wherein the third included angle is about sixty-nine (69) degrees.