Surgical stapling instruments including a cartridge having multiple staple sizes

• US 8,113,406 B2
• Filed: 12/15/2009
• Issued: 02/14/2012
• Est. Priority Date: 08/15/2005
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Holsten, Henry E., Viola, Frank J., Emmons, Clifford L.
• Primary Examiner(s): LOW, LINDSAY M
• Application Number:
  US12/638,458
• Publication Number:
  US 20100108739A1
• Time in Patent Office: 791 Days
• Field of Search: 2271751-1821, 227/19, 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 17/11 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 17/32053 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 2017/07235 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 2017/320052 Guides for cutting instruments

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. An end effector for a surgical stapling apparatus, the end effector comprising:

a staple cartridge having a planar surface;

a first plurality of retention slots located on the surface, the first plurality of retention slots including a first plurality of staples, each staple in the first plurality of staples having a pair of legs with a first leg length;

a second plurality of retention slots located on the surface, the second plurality of retention slots including a second plurality of staples, each staple in the second plurality of staples having a pair of legs with a second leg length that is different than the first leg length;

an anvil member cooperative with the staple cartridge, the anvil member having a planar surface, the planar surface including a first plurality of staple forming pockets associated with the first plurality of retention slots and a second plurality of staple forming pockets associated with the second plurality of retention slots;

a first plurality of pushers associated with the first plurality of staples;

a second plurality of pushers associated with the second plurality of staples, wherein movement of the first and second pluralities of pushers urge the staples through their respective retention slots;

a first gap defined between the planar surface of the staple cartridge and the planar surface of the anvil associated with the first plurality of staple forming pockets; and

a second gap defined between the planar surface of the staple cartridge and the planar surface of the anvil associated with the second plurality of staple forming pockets, the second gap being different from the first gap.

2. The end effector of claim 1, wherein the first gap is less than the second gap and the second gap is more proximate an outer surface of said staple cartridge than the first gap.

3. The end effector of claim 1, further including at least one fastener ejection member, wherein actuation of an actuation mechanism causes the at least one fastener ejection member to translate through the staple cartridge such that at least one of the surgical staples is ejected from its respective retention slot.

4. The end effector of claim 1, wherein the anvil member includes first and second planar surfaces that define an acute angle therebetween.

5. The end effector of claim 1, wherein the anvil member has at least two planar surfaces that are substantially parallel to each other.

6. The end effector of claim 5, wherein the at least two planar surfaces of the anvil member define a stepped arrangement that substantially corresponds to a stepped arrangement defined by the at least two surfaces of the staple cartridge.

7. The end effector of claim 5, wherein the planar surface of the staple cartridge includes a first planar surface and a second planar surface, the first and second surfaces being parallel to one another and defining a stepped arrangement.

8. The end effector of claim 7, wherein, the first and second planar surfaces of the anvil member define a stepped arrangement that substantially diverges from a stepped arrangement defined by the first and second surfaces of the staple cartridge.

9. The apparatus of claim 8, wherein the first and second planar surfaces of the staple cartridge and the corresponding planar surfaces of the anvil member are annular.

10. The apparatus of claim 1, further comprising a passage fluidly coupled to the staple cartridge for delivering a quantity of a wound closure material to the planar surface of the staple cartridge.

11. A surgical stapling instrument, comprising:

a tubular body portion having a fastener ejection member and a staple cartridge;

the staple cartridge having an outer annular surface with a first annular row of retention slots, an inner annular surface with a second annular row of retention slots, the outer annular surface having a first height measured from the fastener ejection member and the inner annular surface having a second height measured from the fastener ejection member, the first height being different from the second height;

the fastener ejection member having a first plurality of pushers corresponding with the first annular row of retention slots and a second plurality of pushers corresponding with the second annular row of retention slots, the first plurality of pushers having a third height and the second plurality of pushers having a fourth height, the third height being different than the fourth height;

an anvil member with a substantially planar tissue contacting surface, the planar tissue contacting surface being disposed in a single plane, the planar tissue contacting surface of the anvil including a first annular row of staple forming pockets and a second annular row of staple forming pockets, the first and second annular rows of staple forming pockets corresponding to the first and second annular rows of retention slots; and

a plurality of surgical fasteners disposed in the first annular row of retention slots and the second annular row of retention slots.

12. The surgical stapling instrument according to claim 11, wherein the outer annular surface and the inner annular surface are substantially planar so that the retention slots in the first annular row of retention slots are at the same height and the retention slots in the second annular row of retention slots are at the same height.

13. The surgical stapling instrument according to claim 11, wherein the first height is less than the second height.

14. The surgical stapling instrument according to claim 11, wherein the third height is less than the fourth height.

15. The surgical stapling instrument according to claim 11, wherein the plurality of surgical fasteners disposed in the first annular row of retention slots have a first leg length, and the plurality of surgical fasteners disposed in the second annular row of retention slots have a second leg length, and said second leg length being different than said first leg length.

16. The surgical stapling instrument according to claim 15, wherein the first leg length is greater than the second leg length.

17. The surgical stapling instrument according to claim 11, wherein the anvil member is an annular anvil member.

18. The surgical stapling instrument according to claim 11, further including:

a first gap defined between the tissue contacting surface of the anvil and the outer annular surface of the staple cartridge; and

a second gap defined between the tissue contacting surface of the anvil and the inner annular surface of the staple cartridge, the first gap being different from the second gap.