Surgical stapling instruments including a cartridge having multiple staple sizes

• US 7,472,816 B2
• Filed: 01/25/2008
• Issued: 01/06/2009
• Est. Priority Date: 08/15/2005
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Heinrich, Russell, Viola, Frank J., Beardsley, John W., Emmons, Clifford L., Holsten, Henry E., Cullinan, Nicola
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US12/011,406
• Publication Number:
  US 20080190990A1
• Time in Patent Office: 347 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/180.1, 227/179.1, 606/139, 606/219
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• 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 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• 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 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07235 containing different staples, e.g. staples of different shapes, sizes or materials
• CPC Class Codes: A61B 2017/07242 achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395

Abstract

A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

Claims

1. A staple cartridge for a surgical stapling apparatus, comprising:

a first tissue contacting surface and a second tissue contacting surface, wherein the first tissue contacting surface and the second tissue contacting surface are not co-planar;

a third surface extending generally between the first tissue contacting surface and the second tissue contacting surface, the third surface being a non-planar surface; and

a plurality of first retention slots defined in the first tissue contacting surface and a plurality of second retention slots defined in the second tissue contacting surface, each retention slot configured for housing a staple therein.

2. The cartridge of claim 1, further comprising:

a first plurality of staples having a first leg length and being disposed in the first retention slots; and

a second plurality of staples having a second leg length and being disposed in the second retention slots, wherein the second leg length is different from the first leg length.

3. The cartridge of claim 2, wherein the first tissue contacting surface is adjacent a centerline of the cartridge.

4. The cartridge of claim 3, wherein the first leg length is smaller than the second leg length.

5. The cartridge of claim 2, further including a knife channel extending longitudinally along the cartridge.

6. The cartridge of claim 5, wherein the first tissue contacting surface is adjacent the knife channel.

7. The cartridge of claim 6, wherein the first leg length is smaller than the second leg length.

8. The cartridge of claim 1, wherein the cartridge is releasably attached to a body of the surgical apparatus.

9. The cartridge of claim 1, wherein the first tissue contacting surface is substantially parallel to the second tissue contacting surface.

10. An end effector for a surgical stapling instrument comprising:

a staple cartridge having a cross-sectional profile defined by a first surface, a second surface, and a third surface, the first surface and the second surface defining respective first and second planes, the first and second planes being substantially parallel to each other, and the third surface connecting the first and second surfaces and having a non-planar surface;

an anvil arranged with the staple cartridge, the anvil and the cross-sectional profile of the staple cartridge defining a tissue compression gradient;

the cartridge having a first plurality of staples associated with the first surface and a second plurality of staples associated with the second surface, the size of the first plurality of staples being selected to correspond to the first surface and the size of the second plurality of staples being selected to correspond to the second surface.

11. The end effector of claim 10, wherein the first plurality of staples has a first leg length and the second plurality of staples has a second leg length that is different from the first leg length.

12. The end effector of claim 11, wherein the first leg length is greater than the second leg length.

13. The end effector of claim 10, wherein the end effector is releasably attachable to a body of the surgical instrument.

14. The end effector of claim 10, further including a knife channel extending longitudinally along the staple cartridge.

15. The end effector of claim 14, wherein the first plurality of staples has a first leg length and the second plurality of staples has a second leg length that is less than the first leg length, the second plurality of staples being disposed closer to the knife channel than the first plurality of staples.

16. The end effector of claim 15, wherein the first surface has a first tissue compression pressure associated therewith and the second surface has a second tissue compression pressure associated therewith, the second tissue compression pressure being less than the first tissue compression pressure.