Surgical stapling instrument

• US 8,322,590 B2
• Filed: 10/06/2010
• Issued: 12/04/2012
• Est. Priority Date: 10/28/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Patel, Nihir, Pedros, Guido, Paul, Stephen R., Milliman, Keith L., Williams, Ryan, Havrilko, Michael J.
• Primary Examiner(s): Long, Robert
• Application Number:
  US12/899,113
• Publication Number:
  US 20110095070A1
• Time in Patent Office: 790 Days
• Field of Search: 2271751-1821, 606142-143, 403348-349
• US Class Current: 227/179.1
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• 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 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge

Abstract

A surgical stapling instrument comprising a handle assembly having a proximal end, an elongated body portion extending distally from the handle assembly, a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly. The shell assembly includes a shell and a staple guide housing a plurality of staples. A flexible engagement structure attaches the staple guide to the shell.

Claims

1. A surgical stapling instrument, comprising:

a handle assembly including a movable handle for actuating the stapler;

an elongated body portion extending distally from the handle assembly;

a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly, the shell assembly including a shell and a staple guide housing a plurality of staples in an annular array, the shell including an annular opening to receive the staple guide and a locking aperture formed in an outer surface of the shell spaced proximally of the opening and defining a proximal wall and a distal wall, the shell including a ramp positioned distally of the locking aperture;

a pusher positioned within the shell and advanceable to advance the plurality of staples distally; and

a flexible engagement structure attaching the staple guide to the shell, the flexible engagement structure engageable with the locking aperture to limit distal movement of the staple guide, the flexible engagement structure including at least one hook disposed on the staple guide, the hook including an angled surface disposed on a proximal end thereof, and wherein the angled surface of the hook slidably contacts the ramp of the shell upon engagement between the staple guide and the shell and prior to the hook engaging the locking aperture.

2. The instrument of claim 1, wherein the flexible engagement structure includes a flexible tab on the shell.

3. The instrument of claim 2, wherein the flexible tab includes an aperture to receive a hook on the staple guide.

4. The instrument of claim 3, wherein the hook is substantially rigid.

5. The instrument of claim 3, wherein the flexible tab is positioned at the distalmost end of the shell.

6. The instrument of claim 1, further comprising at least one flexible projecting member compressible by the staple guide.

7. The instrument of claim 1, wherein the shell assembly includes a plurality of projections extending distally to apply a distal force to the staple guide.

8. The instrument of claim 7, wherein the projections are compressible by the staple guide.

9. The instrument of claim 7, wherein the projections extend from a distalmost end of the shell.

10. The instrument of claim 1, wherein the staple guide has a flange and the hook is positioned proximal of the flange.

11. The instrument of claim 1, wherein the hook is substantially flush with an outer surface of the staple guide.

12. The instrument of claim 1, wherein the flexible engagement structure comprises first and second hooks, the first and second hooks radially spaced to engage at spaced regions of the shell assembly.

13. The instrument of claim 12, wherein the hooks are spaced approximately 180 degrees apart.

14. The instrument of claim 1, wherein the hook has a shoulder engageable with a surface of the distal wall defined by the locking aperture.

15. The instrument of claim 1, wherein the hook does not extend beyond an outer surface of the shell.

16. The instrument of claim 12, wherein the second hook engages a second locking aperture formed in an outer surface of the shell spaced proximally from the opening.

17. The instrument of claim 1, wherein a distal shoulder of the flexible engagement structure engages the distal wall defined by the locking aperture.