Active wedge for surgical stapler

• US 8,636,189 B1
• Filed: 04/19/2011
• Issued: 01/28/2014
• Est. Priority Date: 04/19/2011
• Status: Expired due to Fees

• Current Assignee: Aesculap AG (Lonza Group AG)
• Original Assignee: Cardica Incorporated
• Inventors: Knodel, Bryan D., Manoux, Philipe R., Donohoe, Brendan M.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US13/090,214
• Time in Patent Office: 1,015 Days
• Field of Search: 227/19, 227/175.1, 227/175.2, 227/176.1, 227/178.1, 227/180.1, 606/139, 606/151, 606/153, 606/219
• US Class Current: 227/176.1
• 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 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder

Abstract

An exemplary active wedge for use with surgical staples, comprising a wedge base having an upper surface; and at least one wedge grate movable relative to the wedge base between a first position and a second position, where in the first position of the wedge base substantially all of the wedge grate is located below the upper surface of the wedge base, and where in the second position at least part of the wedge grate is positioned above the upper surface of the wedge base.

Claims

1. A surgical apparatus for use with a plurality of workpiece staples, comprising:

a wedge base having an upper surface; and

at least one wedge grate movable relative to said wedge base between a first position and a second position, wherein in said first position of said wedge base substantially all of said wedge grate is located below said upper surface of said wedge base, and wherein in said second position at least part of said wedge grate is positioned above said upper surface of said wedge base.

2. The surgical apparatus of claim 1, wherein said wedge grate includes a plurality of spaced-apart wedge plates, and a cross pin connected to each of said wedge plates.

3. The surgical apparatus of claim 2, wherein at least one wedge grate includes an encounter surface, a deformation surface proximal to said encounter surface, and a separation surface proximal to said deformation surface.

4. The surgical apparatus of claim 2, wherein said cross pin is located at a distal end of at least one wedge plate.

5. The surgical apparatus of claim 1, further comprising at least one channel defined in said wedge base;

wherein at least one said wedge grate includes at least one pin positioned in and movable within said channel.

6. The surgical apparatus of claim 5, wherein said channel is angled upward in a proximal direction, and wherein said channel defines a detent at its most proximal location.

7. The surgical apparatus of claim 1, further comprising a knife fixed to said wedge base.

8. The surgical apparatus of claim 1, further comprising an actuation band fixed to said wedge base.

9. A surgical apparatus, comprising:

an active wedge, comprising

a wedge base, and

at least one wedge grate movable relative to said wedge base between a first configuration and a second configuration; and

a staple holder having at least one channel extending generally longitudinally therein, wherein said wedge base is slidable substantially longitudinally along a corresponding said channel.

10. The surgical apparatus of claim 9, wherein said wedge base is movable only substantially longitudinally along said corresponding channel in said staple holder, such that said corresponding channel substantially restricts vertical motion of said wedge base while allowing vertical motion of said wedge grate.

11. The surgical apparatus of claim 10, wherein said wedge grate is vertically movable between a first configuration in which substantially all of said wedge grate is located below said upper surface of said wedge base and a second configuration in which at least part of said wedge grate is positioned above said upper surface of said wedge base.

12. The surgical apparatus of claim 9, further comprising a proximal wedge catch located in proximity to a proximal end of at least one said channel in said staple holder, wherein said proximal wedge catch restrains said active wedge in a first position between said proximal wedge catch and a proximal wall of said channel.

13. The surgical apparatus of claim 12, wherein said wedge grate is movable distally from said initial position upon the application of a force large enough to push said proximal wedge catch out of the path of motion of said wedge grate.

14. The surgical apparatus of claim 9, further comprising a distal wedge catch located in proximity to a distal end of at least one said channel in said staple holder, wherein said distal wedge catch restrains said active wedge in a second position between said distal wedge catch and a distal wall of said channel.

15. The surgical apparatus of claim 14, wherein said wedge grate is movable proximally from said final position upon the application of a force large enough to push said distal wedge catch out of the path of motion of said wedge grate.

16. The surgical apparatus of claim 9, further comprising at least one feeder belt and a plurality of staples integral with said feeder belt, wherein said active wedge is movable relative to said feeder belt and said staples to deform said staples and break said staples from said feeder belt.

17. The surgical apparatus of claim 16, wherein substantially only the wedge grate portion of the active wedge participates in staple formation and separation.

18. The surgical apparatus of claim 16, wherein said wedge grate includes at least one wedge plate vertically movable between a first configuration in which substantially all of each said wedge plate is located below said upper surface of said wedge base and a second configuration in which at least part of at least one said wedge plate is positioned above said upper surface of said wedge base.

19. The surgical apparatus of claim 18, wherein, when said wedge grate is in said second configuration, said active wedge is movable longitudinally to sequentially deform a plurality of said staples and break said staples from said feeder belt.

20. The surgical apparatus of claim 19, wherein said wedge grate is movable back to said first configuration, after which said active wedge is movable longitudinally in the opposite direction to reset the apparatus.