Surgical stapling instrument with cutting member arrangement

• US 7,905,381 B2
• Filed: 09/19/2008
• Issued: 03/15/2011
• Est. Priority Date: 09/19/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Bedi, James J., Baxter, Chester O. III
• Primary Examiner(s): Nash; Brian D
• Application Number:
  US12/234,149
• Publication Number:
  US 20100072256A1
• Time in Patent Office: 907 Days
• Field of Search: 227/180.1, 227/19, 227/175.1, 606/8
• US Class Current: 227/180.1
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/2909 Handles
• 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 2017/00446 for use only by lefthanded or only by righthanded persons
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 2090/0813 Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 2090/0814 Preventing re-use

Abstract

A surgical stapling instrument including a first jaw member, a second jaw member, and a cutting member. In at least one form of the invention, the surgical stapling instrument can further include a housing which can at least partially extend over and/or around the cutting member. In various embodiments, the housing can at least partially cover the cutting member when the first and second jaw members are detached from one another, yet permit the cutting member to be moved relative to the first and second jaw members during use.

Claims

1. A staple cartridge assembly for use with a stapler, said staple cartridge assembly comprising:

a staple cartridge body configured to be removably assembled to the stapler, wherein said staple cartridge body comprises;

a top surface;

a channel;

a housing;

an attachment portion configured to be attached to the stapler; and

at least one staple cavity; and

a cutting member positioned within said staple cartridge body prior to said staple cartridge body being assembled to the stapler, wherein at least a top portion of said cutting member extends above said top surface when said cutting member is in said channel, wherein said cutting member comprises an engagement portion configured to be engaged with a firing member of the stapler, wherein said cutting member is configured to be slid between a proximal position and a distal position within said channel; and

wherein said top portion of said cutting member is positioned underneath said housing when said cutting member is in said proximal position.

2. The staple cartridge assembly of claim 1, wherein said staple cartridge body includes a first portion and a second portion, wherein said channel is positioned intermediate said first portion and said second portion, and wherein said housing extends over said channel.

3. The staple cartridge assembly of claim 2, wherein said housing includes:

a first wall extending from said first portion;

a second wall extending from said second portion; and

a top wall extending between said first wall and said second wall.

4. The staple cartridge assembly of claim 1, wherein said housing is integrally-formed with said staple cartridge body.

5. The staple cartridge assembly of claim 1, wherein said at least one staple cavity comprises a plurality of staple cavities, wherein said staple cartridge assembly further comprises:

a plurality of staples, wherein each said staple is positioned in a said staple cavity; and

a sled slidably positioned within said staple cartridge body, wherein said sled is configured to deploy said staples from said staple cartridge body, and wherein said sled includes said cutting member.

6. The staple cartridge assembly of claim 1, wherein said staple cartridge body extends in a longitudinal direction between a proximal end and a distal end, and wherein said engagement portion of said cutting member comprises a slot configured to be engaged with the firing member of the stapler in a direction which is transverse to said longitudinal direction.

7. The staple cartridge assembly of claim 6, wherein said staple cartridge body further comprises:

a bottom surface; and

an opening in said bottom surface, wherein said slot of said cutting member is aligned with said opening when said cutting member is in said proximal position.

8. The staple cartridge assembly of claim 1, wherein said at least one staple cavity comprises a plurality of staple cavities, wherein said staple cartridge assembly further comprises a plurality of staples, and wherein each said staple is positioned in a said staple cavity.

9. The staple cartridge assembly of claim 1, wherein said cutting member comprises a cutting surface, wherein said housing comprises a proximal portion and a distal portion, and wherein said cutting surface is positioned intermediate said proximal portion and said distal portion when said cutting member is in said proximal position.

10. A staple cartridge assembly for use with a stapler, said staple cartridge assembly, comprising:

a staple cartridge body configured to be removably assembled to the stapler, wherein said staple cartridge body comprises;

a deck;

a channel;

a housing;

an attachment portion configured to be attached to the stapler; and

at least one staple cavity;

a cutting member positioned within said staple cartridge body prior to said staple cartridge body being assembled to the stapler, wherein an exposed portion of said cutting member extends above said deck when said cutting member is in said channel, wherein said cutting member comprises an engagement portion configured to be engaged with a firing member of the stapler, and wherein said cutting member is configured to be slid between a first position and a second position within said channel; and

wherein said exposed portion of said cutting member is positioned within said housing when said cutting member is in said first position.

11. The staple cartridge assembly of claim 10, wherein said staple cartridge body includes a first portion and a second portion, wherein said channel is positioned intermediate said first portion and said second portion, and wherein said housing extends over said channel.

12. The staple cartridge assembly of claim 11, wherein said housing includes:

a first wall extending from said first portion;

a second wall extending from said second portion; and

a top wall extending between said first wall and said second wall.

13. The staple cartridge assembly of claim 10, wherein said housing is integrally-formed with said staple cartridge body.

14. The staple cartridge assembly of claim 10, wherein said at least one staple cavity comprises a plurality of staple cavities, wherein said staple cartridge assembly further comprises:

a plurality of staples, wherein each said staple is positioned in a said staple cavity; and

a sled slidably positioned within said staple cartridge body, wherein said sled is configured to deploy said staples from said staple cartridge body, and wherein said sled includes said cutting member.

15. The staple cartridge assembly of claim 10, wherein said staple cartridge body extends in a longitudinal direction between a proximal end and a distal end, and wherein said engagement portion of said cutting member comprises a slot configured to be engaged with the firing member of the stapler in a direction which is transverse to said longitudinal direction.

16. The staple cartridge assembly of claim 15, wherein said staple cartridge body further comprises:

a bottom surface; and

an opening in said bottom surface, wherein said slot of said cutting member is aligned with said opening when said cutting member is in said first position.

17. The staple cartridge assembly of claim 10, wherein said at least one staple cavity comprises a plurality of staple cavities, wherein said staple cartridge assembly further comprises a plurality of staples, and wherein each said staple is positioned in a said staple cavity.

18. The staple cartridge assembly of claim 10, wherein said cutting member comprises a cutting surface, wherein said housing comprises a proximal portion and a distal portion, and wherein said cutting surface is positioned intermediate said proximal portion and said distal portion when said cutting member is in said proximal position.

19. A staple cartridge, comprising:

a staple cartridge body configured to be removably assembled to a stapler, wherein said staple cartridge body comprises;

at least one staple cavity;

a first portion;

a second portion;

a channel positioned intermediate said first portion and said second portion, wherein said channel is configured to receive a cutting member such that the cutting member can be slid between a first position and a second position;

an attachment portion configured to be attached to the stapler;

a top surface, wherein the cutting member can extend above said top surface when the cutting member is positioned within said channel;

a bottom surface positioned opposite said top surface;

an opening in said bottom surface configured to receive a firing member of the stapler therein; and

a housing extending from at least one of said first portion and said second portion of said staple cartridge body, wherein said housing extends over said channel.

20. The staple cartridge of claim 19, wherein said staple cartridge includes said cutting member, and wherein said cutting member comprises a slot aligned with said opening when said cutting member is in said first position.

21. The staple cartridge of claim 20, wherein said at least one staple cavity comprises a plurality of staple cavities, wherein said staple cartridge further comprises:

a plurality of staples, wherein each said staple is positioned in a said staple cavity; and

a sled slidably positioned within said staple cartridge body, wherein said sled is configured to deploy said staples from said staple cartridge body, and wherein said sled includes said cutting member.

22. The staple cartridge of claim 19, wherein said housing includes:

a first wall extending from said first portion;

a second wall extending from said second portion; and

a top wall extending between said first wall and said second wall.

23. The staple cartridge of claim 19, wherein said housing is integrally-formed with said staple cartridge body.

24. The staple cartridge of claim 19, wherein said cutting member comprises a cutting surface, wherein said housing comprises a proximal portion and a distal portion, and wherein said cutting surface is positioned intermediate said proximal portion and said distal portion when said cutting member is in said proximal position.

25. A surgical stapler, comprising:

a firing member;

a first portion;

a staple cartridge engaged with said first portion, wherein said staple cartridge comprises;

a plurality of staple cavities;

a plurality of staples, wherein each said staple is positioned in a said staple cavity;

an opening configured to receive at least a portion of said firing member therein;

a channel; and

a cutting member comprising an engagement portion configured to be engaged with said firing member when said staple cartridge is engaged with said first portion, wherein said cutting member is configured to be slid between a first position and a second position within said channel, wherein said engagement portion is aligned with said opening when said cutting member is in said first position, and wherein at least an exposed portion of said cutting member extends above said staple cartridge when said cutting member is in said channel;

a second portion including an anvil;

and

a housing extending from said staple cartridge surrounding at least a portion of said exposed portion of said cutting member when said cutting member is in said first position.

26. The surgical stapler of claim 25, wherein said cutting member comprises a cutting surface, wherein said housing comprises a proximal portion and a distal portion, and wherein said cutting surface is positioned intermediate said proximal portion and said distal portion when said cutting member is in said first position.

27. A staple cartridge assembly, comprising:

a staple cartridge body configured to be attached to a jaw member of a surgical stapling instrument, said staple cartridge body including;

a top surface;

a channel;

a bottom surface positioned opposite said top surface;

an opening in said bottom surface; and

at least one staple cavity;

a cutting member positioned within said staple cartridge body prior to said staple cartridge body being attached to the jaw member, wherein at least a top portion of said cutting member extends above said top surface when said cutting member is in said channel, wherein said cutting member is configured to be slid between a proximal position and a distal position within said channel, wherein said cutting member comprises an engagement portion configured to be engaged with a firing member of the surgical stapling instrument, and wherein said engagement portion is aligned with said opening when said cutting member is in said proximal position.

28. The staple cartridge assembly of claim 27, wherein said staple cartridge body is configured to be at least one of snap-fit and press-fit into a staple cartridge channel of the surgical stapling instrument.