Cutting blade for a surgical anastomosis stapling instrument

• US 6,193,129 B1
• Filed: 01/24/2000
• Issued: 02/27/2001
• Est. Priority Date: 01/24/2000
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Voegele, Aaron Christopher, Bittner, John Raymond, Boling, Dale Gene
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US09/490,855
• Time in Patent Office: 400 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/179.1, 227/180.1, 606/219
• US Class Current: 227/180.1
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/2905 flexible

Abstract

A surgical cutting and stapling instrument has an improved blade. The surgical instrument has a handle with a moveable firing trigger, a shaft extending from the handle, and a stapling head at the end of the shaft. An array of staples are located within the stapling head. An anvil is coupled to the stapling head and has staple forming pockets facing and in alignment with the staples. A breakaway washer is located within the anvil assembly and has a pair of parallel spaced walls with a thin web extending therebetween. The thin web faces the distal face of the stapling head. A blade is located within the distal face of the stapling head and has a distal cutting edge and at least one wedge spike facing the annular thin web of the breakaway washer. When the anvil is moved adjacent to the stapling head and the firing trigger is closed, the staples are formed and the blade is moved to sever the breakaway washer in a two step process. First, the wedge spike of the blade penetrates the thin web of the breakaway washer and weakens the thin web by propagating a crack within the thin web. Second, once the breakaway washer is cracked, the distal cutting edge of the blade severs the thin web.

Claims

1. A surgical cutting and stapling and instrument for applying a plurality of staples to tissue, said surgical stapling instrument comprising:

a handle portion;

a firing trigger pivotably connected to said handle portion;

a shaft extending from said handle portion;

a stapling head attached to said shaft and having a distal face, said distal face having an array of staple slots and staples therein, said staples operably coupled to said firing trigger;

an anvil coupled to said stapling head, said anvil having an array of staple forming pockets therein, said staple forming pockets facing said distal face of said stapling head and in alignment with said staple slots in said distal face for forming said staples therebetween;

a breakaway washer mounted within said anvil of said stapling head, said breakaway washer having a pair of parallel spaced walls and a thin web extending therebetween, said thin web facing said distal face of said stapling head;

a blade located within said distal face of said stapling head and operably coupled to said firing trigger, said blade having a distal cutting edge and at least one wedge spike protruding distally therefrom, said at least one wedge spike having a first and a second edge, said distal cutting edge and said at least one wedge spike facing said annular thin web of said breakaway washer; and

wherein when said anvil is moved adjacent to said stapling head and said firing trigger is closed, said staples are formed and said blade is moved to sever said breakaway washer, and when said blade is moved, said at least one wedge spike of said blade penetrates said thin web of said breakaway washer and weakens said thin web by propagating at least one crack therein, and said distal cutting edge of said blade severs said thin web having at least one crack therein.

2. The instrument of claim 1 wherein said at least one wedge spike has an angle between said first and said second wedge edges between about 5 degrees and about 120 degrees.

3. The instrument of claim 2 wherein said angle between said first and said second wedge edges is preferably about 15 degrees.

4. The instrument of claim 1 wherein said blade is circular.

5. The instrument of claim 1 wherein a distal height of the wedge spike from said cutting edge preferably ranges between about 0.020 inches to about 0.25 inches.

6. The instrument of claim 5 wherein said distal height of said wedge spike from said cutting edge is about 0.050 inches.

7. The instrument of claim 5 wherein said at least one wedge spike has an angle between said first and said second edge between about 5 degrees and about 120 degrees.

8. The instrument of claim 7 wherein said angle between said first and said second edge of said wedge spike is preferably about 15 degrees.

9. A method for stapling and cutting tissue comprising the steps of:

a) providing a stapling and cutting instrument having;

i) a handle portion;

ii) a firing trigger pivotably connected to said handle portion;

iii) a shaft extending distally from said handle portion;

iv) a stapling head attached to said shaft and having a distal face, said distal face having an array of staple slots and staples therein, said staples operably coupled to said firing trigger;

v) an anvil coupled to said stapling head, said anvil having an array of staple forming pockets therein, said staple forming pockets facing said distal face of said stapling head and in alignment with said staple slots in said distal face for forming said staples therebetween;

vi) a breakaway washer mounted within said anvil of said stapling head, said breakaway washer having a pair of parallel spaced walls and a thin web extending therebetween, said thin web facing said distal face of said stapling head;

vii) a blade located within said distal face of said stapling head and operably coupled to said firing trigger, said blade having a distal cutting edge and at least one wedge spike protruding distally therefrom, said at least one wedge spike having a first and a second edge, said distal cutting edge and said at least one wedge spike facing said annular thin web of said breakaway washer;

b) clamping tissue between said anvil assembly and said head assembly;

c) forming said array of staples against said staple forming pockets;

d) penetrating the tissue and said thin web of said breakaway washer with said at least one wedge spike to propagate at least one crack within said thin web; and

e) severing said tissue and said thin web of said breakaway washer having at least one crack therein with said distal cutting edge.