Surgical stapler having interchangeable loading units

• US 5,651,491 A
• Filed: 10/27/1995
• Issued: 07/29/1997
• Est. Priority Date: 10/27/1995
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Munawar, Wasim, Geiste, Robert J., Palmer, Mitchell J., Heaton, Lisa W., Savage, Robert C.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US08/549,578
• Time in Patent Office: 641 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/901
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2050/005 with a lid or cover

Abstract

A surgical stapler is disclosed which includes a first body portion supporting an anvil which defines a fastener forming surface and a second body portion configured to releasably mate with the first body portion and having an elongate retention channel extending from a distal end thereof. A first disposable loading unit is provided which is configured to be removably supported in the retention channel and which includes a staple housing carrying a plurality of staples arranged in at least two parallel rows which, when applied to body tissue, form staple lines having a first lengthwise dimension. A second disposable loading unit is provided which is configured to be removably supported in the retention channel and which includes a staple housing carrying a plurality of staples arranged in at least two parallel rows which, when applied to body tissue, form staple lines having a second lengthwise dimension different from that of the staple lines formed by the first loading unit. The loading units and stapler can be packaged as a kit.

Claims

1. A surgical stapling kit which comprises:

a) a surgical stapler including;

i) a first body portion supporting an anvil which defines a fastener forming surface; and

ii) a second body portion configured to releasably mate with the first body portion and having a retention channel extending from a distal end thereof;

b) a first disposable loading unit configured to be removably supported in the retention channel and including a cartridge carrying a plurality of staples arranged in at least two parallel rows which form staple lines having a first lengthwise dimension; and

c) a second disposable loading unit configured to be removably supported in the retention channel and including a cartridge carrying a plurality of staples arranged in at least two parallel rows which, when applied to body tissue, form staple lines having a second lengthwise dimension different from the first lengthwise dimension of the staple lines formed by the first loading unit.

2. A surgical stapling kit as recited in claim 1, wherein the lengthwise dimension of the staple lines associated with the first loading unit is greater than the lengthwise dimension of the staple lines associated with the second loading unit.

3. A surgical stapling kit as recited in claim 2, wherein the lengthwise dimension of the staple lines associated with the first loading unit is approximately 80 mm and the lengthwise dimension of the staple lines associated with the second loading unit is approximately 60 mm.

4. A surgical stapling kit as recited in claim 2, wherein the second disposable loading unit includes a pair of lateral flanges extending from a tissue contacting surface to form a tissue stop.

5. A surgical stapling kit as recited in claim 4, wherein the flanges project from lateral edges of the tissue contacting surface thereof adjacent a proximal end of the staple rows to form a tissue stop structure.

6. A surgical stapling kit as recited in claim 1, wherein each loading unit includes an actuation sled which translates through the cartridge in a longitudinal direction to sequentially eject the staples therefrom and drive the staples against the fastener forming surface of the anvil.

7. A surgical stapling kit as recited in claim 6, wherein the actuation sled supported in the second loading unit has a lengthwise dimension which is greater than that of the actuation sled supported in the first loading unit.

8. A surgical stapling kit as recited in claim 7, wherein the surgical stapler further includes an elongate actuation shaft mounted for longitudinal translation within the second body portion and having an upturned flange at a distal end thereof for releasably engaging a complementary slot formed in the actuation sled supported within either the first or second disposable loading unit.

9. A surgical stapling kit as recited in claim 8, wherein the surgical stapler further includes a firing knob connected to a proximal end portion of the actuation shaft for effectuating the longitudinal translation thereof.

10. A surgical stapling kit as recited in claim 6, wherein each loading unit includes a pair of spaced apart upstanding posterior flanges projecting from a tissue contacting surface thereof, adjacent a proximal end of the tissue contacting surface, to engage a pair of corresponding apertures formed in a proximal portion of the anvil when the first and second body portions are mated with one another.

11. A surgical stapling kit as recited in claim 4, wherein the lengthwise dimension of the staple lines associated with the first loading unit is greater than the lengthwise dimension of the staple lines associated with the second loading unit and the actuation sled supported in the second loading unit has a lengthwise dimension which is greater than a lengthwise dimension of the actuation sled supported in the first loading unit.

12. A surgical stapling kit as recited in claim 1, wherein each loading unit includes engagement structures for engaging complementary engagement structures provided within the retention channel of the second body portion to releasably secure the loading units therein.

13. A surgical stapling kit as recited in claim 1, further comprising an enclosure for retaining the first and second body portions of the surgical stapler and the first and second disposable loading units associated therewith in a readily accessible manner.

14. A surgical stapling kit as recited in claim 1, wherein the overall length of the second disposable loading unit is substantially equal to the overall length of the first disposable loading unit.

15. A surgical stapling kit which comprises:

a) a first disposable loading unit configured to be removably supported in a retention channel of a surgical stapler and including;

1) a cartridge carrying a plurality of staples arranged in at least two parallel rows which form staple lines having a first lengthwise dimension; and

2) a wedged actuation sled mounted to translate through the staple housing in a longitudinal direction to effectuate sequential ejection of the staples therefrom; and

b) a second disposable loading unit configured to be removably supported in the retention channel of the surgical stapler and including;

1) a cartridge carrying a plurality of staples arranged in at least two parallel rows which form staple lines having a second lengthwise dimension different from the first lengthwise dimension of the staple lines formed by the first loading unit; and

2) a wedged actuation sled mounted to translate through the staple housing in a longitudinal direction to effectuate sequential ejection of the staples therefrom.

16. A surgical stapling kit as recited in claim 15, wherein the lengthwise dimension of the staple lines associated with the first loading unit is greater than the lengthwise dimension of the staple lines associated with the second loading unit.

17. A surgical stapling kit as recited in claim 16, wherein the overall length of the first loading unit is substantially equal to the overall length of the second loading unit.

18. A surgical stapling kit as recited in claim 16, wherein the actuation sled supported in the second loading unit has a lengthwise dimension which is greater than that of the actuation sled supported in the first loading unit.

19. A surgical stapling kit as recited in claim 18, wherein the overall length of the first loading unit is substantially equal to the overall length of the second loading unit.

20. A surgical stapling kit as recited in claim 15, wherein each cartridge supports a plurality of staple pushers positioned adjacent the staples supported therein, the pushers interacting with the wedged actuation sled during the longitudinal translation thereof to drive the staples from the staple housing toward the staple forming surface of the anvil.

21. A surgical stapling apparatus comprising:

a) a first body portion supporting an anvil which defines a fastener forming surface;

b) a second body portion having a retention channel extending from a distal end thereof, the second body portion having an actuator supported therein for movement between a first position and a second position;

c) a first disposable loading unit supported in the retention channel and including a plurality of staples arranged in at least two parallel rows which form staple lines having a first lengthwise dimension and a plurality of staple drivers movable in a direction transverse to the direction of movement of the actuator to apply the staples to body tissue, the disposable loading unit being removable and replaceable with a second disposable loading unit having a plurality of staples arranged in at least two parallel rows which form staple lines having a second lengthwise dimension different than the first lengthwise dimension of the staple lines of the first disposable loading unit.

22. A surgical stapling apparatus as recited in claim 21, wherein the first disposable unit has a first overall length and is replaceable with the second disposable unit having a second overall length substantially equal to the first overall length.

23. A surgical stapling apparatus as recited in claim 22, wherein the first disposable loading unit has an actuation member disposed therein having a first length and movable in a distal direction for firing the staples, the first disposable loading unit being replaceable with the second disposable loading unit having an actuation member having a second length different from the first length of the actuation member of the first disposable loading unit.