Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers

• US 7,500,979 B2
• Filed: 02/28/2007
• Issued: 03/10/2009
• Est. Priority Date: 08/31/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Morgan, Jerome R., Shelton, Frederick E. IV, Swayze, Jeffrey S., Hueil, Joseph C.
• Primary Examiner(s): Rada; Rinaldi
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US11/712,315
• Publication Number:
  US 20070262116A1
• Time in Patent Office: 741 Days
• Field of Search: 227/175.1, 227/176.1, 227/180.1, 606/139
• US Class Current: 606/139
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• 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 2017/07214 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 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments
• CPC Class Codes: B25C 5/0292 with the objects to be stapled together introduced perpendicularly to the longitudinal axis of the tool in an opening formed by an anvil and a plunger

Abstract

A surgical stapling device. Stapling device may comprise an end effector and a plurality of stacked actuatable wedge band sets. Each stacked wedge band set comprises at least two different-level wedge bands for axially traversing the end effector. Each wedge band comprises a wedge cam at its distal end for driving certain ones of the staple drivers when the wedge band is actuated. A first of the two wedge bands in the stacks rides on a second of the two wedge bands in the stacks such that the staple drivers are driven in successive stages by the at least two wedge bands when the wedge bands are driven in succession. The cumulative height of a first of the plurality of stacked wedge band sets is less than a cumulative height of a second of the plurality of stacked wedge band sets.

Claims

1. A surgical method comprising:

clamping tissue in an end effector of a surgical instrument between an anvil and a staple cartridge of the end effector; and

selectively and separately actuating in succession two or more levels of a plurality of wedge band stacks, each wedge band stack comprising two or more vertically stacked wedge bands, each wedge band comprising a wedge cam at its distal end for driving certain staple drivers in the staple cartridge when the wedge band is actuated, wherein a first of the two wedge bands in the stacks rides on a second of the two wedge bands in the stacks such that the staple drivers are driven in successive stages by the at least two wedge bands when the wedge bands are driven separately in succession, wherein the cumulative height of a first of the plurality of stacked wedge band sets is less than a cumulative height of a second of the plurality of stacked wedge band sets.

2. The method of claim 1, further comprising actuating a cutting instrument in the end effector to cut the tissue clamped in the end effector.

3. The method of claim 2, wherein actuating the cutting instrument occurs after the selective actuation of the wedge bands of the wedge band stacks.

4. The method of claim 2, wherein the wedge band stacks each comprise three separately actuatable stacked wedge bands.

5. The method of claim 2, wherein actuating the cutting instrument occurs simultaneously with actuation of one of the levels of the wedge band stacks.

6. The method of claim 1, wherein the wedge band stacks each comprise three separately actuatable stacked wedge bands.

7. A surgical stapling device comprising:

an end effector comprising;

an anvil having a staple forming surface; and

a staple cartridge facing the staple forming surface of the anvil, wherein the staple cartridge further comprises;

a plurality of staples; and

a plurality of staple drivers moveably supportable within the staple cartridge, each staple driver in contact with one of the staples and configured such that when the staple drivers are actuated, the staple drivers drive the staples through the staple cartridge so that the staples are formed against the staple forming surface of the anvil; and

a plurality of actuatable wedge band sets, each stacked wedge band set comprising at least two vertically stacked, different-level, separately actuatable wedge bands for axially traversing the end effector, wherein each wedge band comprises a wedge cam at its distal end for driving certain ones of the staple drivers when the wedge band is actuated, wherein a first of the two wedge bands in the stacks rides on a second of the two wedge bands in the stacks such that the staple drivers are driven in successive stages by the at least two wedge bands when the wedge bands are driven separately in succession, wherein the cumulative height of a first of the plurality of stacked wedge band sets is less than a cumulative height of a second of the plurality of stacked wedge band sets.

8. The surgical stapling device of claim 7, wherein each wedge band set comprises three stacked wedge bands.

9. The surgical stapling device of claim 8, wherein the plurality of actuatable wedge band sets comprises:

two outer wedge band sets for driving two outer rows of the staple drivers; and

two inner wedge band sets for driving two inner rows of the staple drivers.

10. The surgical stapling device of claim 7, wherein a first plurality of the plurality of staple drivers have a first height and a second plurality of the staple drivers have a second height, wherein the first height is less than the second height.

11. The surgical stapling device of claim 7, wherein the end effector further comprises a cutting instrument for axially traversing the end effector to cut tissue clamped in the end effector.

12. The surgical stapling device of claim 11, further comprising a firing bar for firing the cutting instrument.

13. The surgical stapling device of claim 12, further comprising:

a shaft assembly connected to the end effector; and

a handle assembly connected to the shaft assembly.

14. The surgical stapling device of claim 13, wherein the shaft assembly houses the wedge band stacks.

15. The surgical stapling device of claim 14, further comprising a wedge band guide at a distal end of the shaft assembly having channels for guiding the wedge bands into the end effector when actuated.

16. The surgical stapling device of claim 7, wherein at least one of the plurality of staple driver has an upper staple supporting surface that supports staples of different wire diameters in an upright position.

17. A surgical stapling device comprising:

an end effector comprising;

an anvil comprising a staple forming surface;

a plurality of staples facing the staple forming surface;

a plurality of staple drivers, each staple driver in contact with one of the staples and configured such that when the staple drivers are actuated, the staple drivers drive the staples through the staple cartridge so that the staples are formed against the staple forming surface of the anvil; and

a shaft assembly connected to the end effector, wherein the shaft assembly houses a plurality of actuatable wedge band sets, each stacked wedge band set comprising at least two vertically stacked, different-levels, separately actuatable wedge bands for axially traversing the end effector, wherein each wedge band comprises a wedge cam at its distal end for driving certain ones of the staple drivers when the wedge band is actuated, wherein a first of the two wedge bands in the stacks rides on a second of the two wedge bands in the stacks such that the staple drivers are driven in successive stages by the at least two wedge bands when the wedge bands are driven separately in succession, wherein the cumulative height of a first of the plurality of stacked wedge band sets is less than a cumulative height of a second of the plurality of stacked wedge band sets.

18. The surgical stapling device of claim 17, wherein the end effector further comprises a cutting instrument for axially traversing the end effector to cut tissue clamped in the end effector.

19. The surgical stapling device of claim 18, further comprising a firing bar for firing the cutting instrument.

20. The surgical stapling device of claim 19, further comprising a wedge band guide at a distal end of the shaft assembly having channels for guiding the wedge bands into the end effector when actuated.