Surgical stapler with apparatus for adjusting staple height

• US 8,205,781 B2
• Filed: 06/03/2011
• Issued: 06/26/2012
• 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: Baxter, Chester O. III, Bedi, James J.
• Primary Examiner(s): Nash, Brian D
• Application Number:
  US13/152,507
• Publication Number:
  US 20110253766A1
• Time in Patent Office: 389 Days
• Field of Search: 227/176.1, 227/175.1, 227/175.3, 227/19
• US Class Current: 227/176.1
• 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 staple sled which can be advanced and/or retracted relative to first and second jaw members, wherein the staple sled can be configured to deploy staples from a staple cartridge in one of the first and second jaw members. In at least one embodiment, the other of the first and second jaw members can include an anvil having at least one forming surface which can be configured to deform the staples as they are deployed from the staple cartridge. In at least one form of the invention, the anvil can be movably adjustable relative to the staple cartridge in order to adjust the distance in which the staples are deformed. In various embodiments, the anvil can be adjusted by a slidable adjusting plate and/or a rotatable cam.

Claims

1. A surgical stapler, comprising:

a handle;

a staple cartridge channel configured to receive a staple cartridge; and

an anvil assembly, said anvil assembly comprising;

an anvil channel;

an anvil comprising a positioning surface and a staple forming surface; and

an adjustment member movably positioned intermediate said anvil channel and said anvil, wherein said adjustment member has a first diameter and a second diameter, wherein said second diameter is different than said first diameter, and wherein said adjustment member is rotatable between a first position and a second position to selectively position one of said first diameter and said second diameter intermediate said anvil channel and said positioning surface of said anvil.

2. The surgical stapler of claim 1, wherein said first diameter and said second diameter define at least portions of a circumference of said adjustment member.

3. The surgical stapler of claim 1, wherein said adjustment member has a third diameter which is different than said first diameter and said second diameter, and wherein said adjustment member is rotatable into a third position to position said third diameter intermediate said anvil channel and said positioning surface of said anvil.

4. The surgical stapler of claim 3, wherein said first diameter, said second diameter, and said third diameter define at least portions of a circumference of said adjustment member.

5. The surgical stapler of claim 3, wherein said adjustment member is configured to rotate about an axis between said first position, said second position, and said third position.

6. The surgical stapler of claim 3, wherein said first diameter is larger than said second diameter, wherein said third diameter is larger than said first diameter, wherein said adjustment member is rotatable in a first direction to move said adjustment member from said first position to said second position, and wherein said adjustment member is rotatable in a different direction to move said adjustment member from said first position to said third position.

7. The surgical stapler of claim 1, further comprising a detent mechanism configured to releasably hold said adjustment member in at least one of said first position and said second position.

8. The surgical stapler of claim 1, wherein said anvil is movably retained to said anvil channel.

9. The surgical stapler of claim 8, wherein one of said anvil channel and said anvil includes at least one retention pin extending therefrom, wherein the other of said anvil channel and said anvil includes at least one retention slot, and wherein said retention pin is slidably positioned within said retention slot such that said anvil can slide relative to said anvil channel along a predetermined path.

10. The surgical stapler of claim 1, further comprising an actuator operably engaged with said adjustment member, wherein said actuator includes at least one grasping portion configured to receive a force thereto and transmit the force to said adjustment member.

11. A surgical stapler, comprising:

a handle;

a staple cartridge channel configured to receive a staple cartridge; and

an anvil assembly, said anvil assembly comprising;

an anvil channel;

an anvil comprising a positioning surface and a staple forming surface; and

a cam rotatably positioned intermediate said anvil channel and said anvil, wherein said cam has a first diameter and a second diameter, wherein said second diameter is different than said first diameter, and wherein said cam is rotatable between a first position and a second position to selectively position one of said first diameter and said second diameter intermediate said anvil channel and said positioning surface of said anvil.

12. The surgical stapler of claim 11, wherein said first diameter and said second diameter define at least portions of a cam profile.

13. The surgical stapler of claim 11, wherein said cam has a third diameter which is different than said first diameter and said second diameter, and wherein said cam is rotatable into a third position to position said third diameter intermediate said anvil channel and said positioning surface of said anvil.

14. The surgical stapler of claim 13, wherein said first diameter, said second diameter, and said third diameter define at least portions of a cam profile.

15. The surgical stapler of claim 13, wherein said cam is configured to be rotated about an axis between said first position, said second position, and said third position.

16. The surgical stapler of claim 13, wherein said first diameter is larger than said second diameter, wherein said third diameter is larger than said first diameter, wherein said cam is rotatable in a first direction to move said cam from said first position to said second position, and wherein said cam is rotatable in a different direction to move said cam from said first position to said third position.

17. The surgical stapler of claim 11, further comprising a detent mechanism configured to releasably hold said cam in at least one of said first position and said second position.

18. The surgical stapler of claim 11, wherein said anvil is movably retained to said anvil channel.

19. The surgical stapler of claim 18, wherein one of said anvil channel and said anvil includes at least one retention pin extending therefrom, wherein the other of said anvil channel and said anvil includes at least one retention slot, and wherein said retention pin is slidably positioned within said retention slot such that said anvil can slide relative to said anvil channel along a predetermined path.

20. The surgical stapler of claim 11, further comprising an actuator operably engaged with said cam, wherein said actuator includes at least one grasping portion configured to receive a force thereto and transmit the force to said cam.

21. A surgical stapler, comprising;

a staple cartridge attachment portion configured to receive a staple cartridge;

an anvil assembly, comprising;

an anvil frame;

an adjustable anvil portion comprising a positioning surface and a staple forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said adjustable anvil portion, wherein said adjustment member comprises a first portion comprising a first thickness and a second portion comprising a second thickness, wherein said second thickness is different than said first thickness, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first portion and said second portion intermediate said anvil frame and said positioning surface; and

a detent member configured to removably lock said adjustment member in said first position and said second position;

wherein one of said anvil frame and said adjustable anvil portion comprises at least one retention pin extending therefrom, wherein the other of said anvil frame and said adjustable anvil portion comprises at least one retention slot, and wherein said retention pin is slidably positioned within said retention slot such that said adjustable anvil portion can slide relative to said anvil frame along a predetermined path.

22. The surgical stapler of claim 21, wherein said adjustment member is configured to be slid along an axis between said first position and said second position.

23. A surgical stapler, comprising:

a staple cartridge attachment portion configured to receive a staple cartridge;

an anvil assembly, comprising;

an anvil frame;

an adjustable anvil portion comprising a positioning surface and a staple forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said adjustable anvil portion, wherein said adjustment member comprises a first portion comprising a first thickness and a second portion comprising a second thickness, wherein said second thickness is different than said first thickness, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first portion and said second portion intermediate said anvil frame and said positioning surface; and

a detent member configured to removably lock said adjustment member in said first position and said second position;

wherein said detent member is attached to said adjustment member, wherein said staple cartridge attachment portion comprises a first detent receiver configured to receive said detent member and removably lock said adjustment member in said first position, and wherein said staple cartridge attachment portion comprises a second detent receiver configured to receive said detent member and removably lock said adjustment member in said second position.

24. A surgical stapler, comprising:

a staple cartridge attachment portion configured to receive a staple cartridge;

an anvil assembly, comprising;

an anvil frame;

an anvil comprising a positioning surface and a staple forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said anvil, wherein said adjustment member comprises a first step comprising a first height and a second step comprising a second height, wherein said second height is different than said first height, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first step and said second step intermediate said anvil frame and said positioning surface; and

a detent member configured to removably lock said adjustment member in said first position and said second position;

wherein one of said anvil frame and said anvil comprises at least one retention pin extending therefrom, wherein the other of said anvil frame and said anvil comprises at least one retention slot, and wherein said retention pin is slidably positioned within said retention slot such that said anvil can slide relative to said anvil frame along a predetermined path.

25. The surgical stapler of claim 24, wherein said adjustment member is configured to be slid along an axis between said first position and said second position.

26. A surgical stapler, comprising:

a staple cartridge attachment portion configured to receive a staple cartridge;

an anvil assembly, comprising;

an anvil frame;

an anvil comprising a positioning surface and a staple forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said anvil, wherein said adjustment member comprises a first step comprising a first height and a second step comprising a second height, wherein said second height is different than said first height, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first step and said second step intermediate said anvil frame and said positioning surface; and

a detent member configured to removably lock said adjustment member in said first position and said second position;

wherein said detent member is attached to said adjustment member, wherein said staple cartridge attachment portion comprises a first detent receiver configured to receive said detent member and removably lock said adjustment member in said first position, and wherein said staple cartridge attachment portion comprises a second detent receiver configured to receive said detent member and removably lock said adjustment member in said second position.

27. A surgical fastening instrument, comprising:

a cartridge attachment portion configured to receive a fastener cartridge; and

an anvil assembly, comprising;

an anvil frame;

an anvil plate comprising a positioning surface and a fastener forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said anvil plate, wherein said adjustment member comprises a first portion comprising a first thickness and a second portion comprising a second thickness, wherein said second thickness is different than said first thickness, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first portion and said second portion intermediate said anvil frame and said positioning surface,

wherein said anvil plate is adjustably and movably retained to said anvil frame; and

further comprising a drive member movable relative to said cartridge attachment portion and said anvil frame when a firing motion is applied to said drive member, wherein said drive member is movable independently of said adjustment member.

28. A surgical fastening instrument, comprising:

a cartridge attachment portion configured to receive a fastener cartridge; and

an anvil assembly, comprising;

an anvil frame;

an anvil plate comprising a positioning surface and a fastener forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said anvil plate, wherein said adjustment member comprises a first portion comprising a first thickness and a second portion comprising a second thickness, wherein said second thickness is different than said first thickness, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first portion and said second portion intermediate said anvil frame and said positioning surface,

wherein said anvil plate is adjustably and movably retained to said anvil frame; and

wherein said adjustment member is configured to be slid along an axis between said first position and said second position.

29. A surgical fastening instrument, comprising:

a cartridge attachment portion configured to receive a fastener cartridge; and

an anvil assembly, comprising;

an anvil frame;

an anvil plate comprising a positioning surface and a fastener forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said anvil plate, wherein said adjustment member comprises a first portion comprising a first thickness and a second portion comprising a second thickness, wherein said second thickness is different than said first thickness, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first portion and said second portion intermediate said anvil frame and said positioning surface,

wherein said anvil plate is adjustably and movably retained to said anvil frame; and

wherein one of said anvil frame and said anvil plate comprises at least one retention pin extending therefrom, wherein the other of said anvil frame and said anvil plate comprises at least one retention slot, and wherein said retention pin is slidably positioned within said retention slot such that said anvil plate can slide relative to said anvil frame along a predetermined path.

30. A surgical fastening instrument, comprising:

a cartridge attachment portion configured to receive a fastener cartridge; and

an anvil assembly, comprising;

an anvil frame;

an anvil plate comprising a positioning surface and a fastener forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said anvil plate, wherein said adjustment member comprises a first portion comprising a first thickness and a second portion comprising a second thickness, wherein said second thickness is different than said first thickness, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first portion and said second portion intermediate said anvil frame and said positioning surface,

wherein said anvil plate is adjustably and movably retained to said anvil frame; and

further comprising a detent member attached to said adjustment member, wherein said cartridge attachment portion comprises a first detent receiver configured to receive said detent member and removably lock said adjustment member in said first position, and wherein said staple cartridge attachment portion comprises a second detent receiver configured to receive said detent member and removably lock said adjustment member in said second position.

31. A surgical fastening instrument, comprising:

a cartridge attachment portion configured to receive a fastener cartridge; and

an anvil assembly, comprising;

an anvil frame;

an anvil comprising a positioning surface and a fastener forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said anvil, wherein said adjustment member comprises a first step comprising a first height and a second step comprising a second height, wherein said second height is different than said first height, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first step and said second step intermediate said anvil frame and said positioning surface,

wherein said anvil is adjustably and movably retained to said anvil frame; and

wherein one of said anvil frame and said anvil comprises at least one retention pin extending therefrom, wherein the other of said anvil frame and said anvil comprises at least one retention slot, and wherein said retention pin is slidably positioned within said retention slot such that said anvil can slide relative to said anvil frame along a predetermined path.

32. The surgical fastening instrument of claim 31, wherein said adjustment member is configured to be slid along an axis between said first position and said second position.

33. A surgical fastening instrument, comprising:

a cartridge attachment portion configured to receive a fastener cartridge; and

an anvil assembly, comprising;

an anvil frame;

an anvil comprising a positioning surface and a fastener forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said anvil, wherein said adjustment member comprises a first step comprising a first height and a second step comprising a second height, wherein said second height is different than said first height, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first step and said second step intermediate said anvil frame and said positioning surface,

wherein said anvil is adjustably and movably retained to said anvil frame; and

further comprising a detent member attached to said adjustment member, wherein said cartridge attachment portion comprises a first detent receiver configured to receive said detent member and removably lock said adjustment member in said first position, and wherein said cartridge attachment portion comprises a second detent receiver configured to receive said detent member and removably lock said adjustment member in said second position.

34. A surgical fastening instrument, comprising:

a cartridge attachment portion configured to receive a fastener cartridge; and

an anvil assembly, comprising;

an anvil frame;

an anvil comprising a positioning surface and a fastener forming surface; and

an adjustment member movably positionable intermediate said anvil frame and said anvil, wherein said adjustment member comprises a first step comprising a first height and a second step comprising a second height, wherein said second height is different than said first height, and wherein said adjustment member is movable between a first position and a second position to selectively position one of said first step and said second step intermediate said anvil frame and said positioning surface,

wherein said anvil is adjustably and movably retained to said anvil frame; and

further comprising a drive member movable relative to said cartridge attachment portion and said anvil frame when a firing motion is applied to said drive member, wherein said drive member is movable independently of said adjustment member.