Surgical instrument and cartridge for use therewith

• US 8,763,876 B2
• Filed: 06/30/2011
• Issued: 07/01/2014
• Est. Priority Date: 06/30/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Kostrzewski, Stanislaw
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US13/173,295
• Publication Number:
  US 20130001270A1
• Time in Patent Office: 1,097 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/175.2, 227/178.1, 227/180.1, 606/139, 606/142, 606/153, 606/219
• 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 17/072 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07221 curved
• 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
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: F04C 2270/041 Controlled or regulated

Abstract

A cartridge assembly is disclosed. The cartridge assembly comprises a cartridge housing and a cartridge. The cartridge housing has a plurality of biasing members thereon. The cartridge is configured for reception at least partially within the cartridge housing. The cartridge includes a plurality of fasteners at least partially therein. The cartridge has a plurality of pockets. Each fastener is ejectable from a corresponding pocket. The cartridge has a plurality of chambers, and each chamber is adjacent a pocket and configured to store at least one fastener at least partially therein. At least one fastener is movable from the chamber to the pocket. The cartridge includes a plurality of pushers, where each pusher is configured to engage at least one corresponding fastener. At least one pusher includes at least one cam surface thereon. Each biasing member urges at least one corresponding fastener toward the corresponding pocket.

Claims

1. A cartridge assembly for use with a surgical instrument, the cartridge assembly comprising:

a cartridge housing having a plurality of biasing members thereon;

a cartridge configured for reception at least partially within the cartridge housing, the cartridge including a plurality of fasteners at least partially therein, the cartridge having a plurality of pockets, each fastener being ejectable from a corresponding pocket, the cartridge having a plurality of chambers therein, wherein each chamber is adjacent a pocket and is configured to store at least one fastener at least partially therein, and wherein at least one fastener is movable from the chamber to the pocket; and

a plurality of pushers, wherein each pusher is configured to engage at least one corresponding fastener, at least one pusher including at least one cam surface thereon;

wherein each biasing member urges at least one corresponding fastener toward the corresponding pocket.

2. The cartridge assembly of claim 1, further comprising a plurality of plates, each plate being disposed adjacent one of the biasing members.

3. The cartridge assembly of claim 1, wherein the biasing members are leaf springs formed within walls of the cartridge housing.

4. The cartridge assembly of claim 1, wherein each pusher includes a first cam surface and a second cam surface.

5. The cartridge assembly of claim 4, wherein engagement between a driver and the first cam surface causes the pusher to move toward a tissue-contacting surface of the cartridge, and wherein engagement between a driver and the second cam surface causes the pusher to move away from the tissue-contacting surface of the cartridge.

6. A loading unit configured for engagement with a surgical instrument, the loading unit comprising:

a proximal body portion defining a longitudinal axis;

a tool assembly disposed in mechanical cooperation with the proximal body portion; and

a cartridge assembly disposed in mechanical cooperation with the tool assembly, the cartridge assembly comprising;

a cartridge housing having a plurality of biasing members thereon;

a cartridge configured for reception at least partially within the cartridge housing, the cartridge including a plurality of fasteners at least partially therein, the cartridge having a plurality of pockets, each fastener being ejectable from a corresponding pocket, the cartridge having a plurality of chambers therein, wherein each chamber is adjacent a pocket and is configured to store at least one fastener at least partially therein, and wherein at least one fastener is movable from the chamber to the pocket;

a plurality of pushers, wherein each pusher is configured to engage a corresponding fastener; and

wherein each biasing member urges at least one corresponding fastener towards the corresponding pocket; and

a driver disposed in mechanical cooperation with the cartridge assembly, the driver being movable substantially parallel to the longitudinal axis into engagement with the pushers.

7. The loading unit of claim 6, wherein each pusher includes at least one cam surface.

8. The loading unit of claim 6, wherein each pusher includes a first cam surface and a second cam surface.

9. The loading unit of claim 8, wherein the driver includes a firing cam surface and a retraction cam surface, and wherein a predetermined amount of distal movement of the driver causes the firing cam surface to contact the first cam surface of each of the pushers, and wherein a predetermined amount a proximal movement of the driver causes the retraction cam surface to contact the second cam surface of each of the pushers.

10. The loading unit of claim 9, wherein contact between the firing cam surface of the driver and the first cam surface of the pusher causes the pusher to move toward a tissue-contacting surface of the cartridge, and wherein contact between the retraction cam surface of the drive and the second cam surface of the pusher causes the pusher to move away from the tissue-contacting surface of the cartridge.

11. The loading unit of claim 6, further comprising a plurality of plates, each plate being disposed adjacent one of the biasing members.

12. The loading unit of claim 6, wherein the biasing members are leaf springs formed within walls of the cartridge housing.

13. The loading unit of claim 6, further comprising a second cartridge assembly disposed in mechanical cooperation with the tool assembly.

14. The loading unit of claim 6, wherein each chamber stores three fasteners therein, and wherein each of the three fasteners is a different size from the others.

15. The loading unit of claim 6, wherein the driver is configured to sequentially engage the pushers.

16. A surgical instrument, comprising:

a handle assembly including a movable handle;

a firing rod disposed in mechanical cooperation with the movable handle;

an endoscopic portion extending distally from the handle assembly; and

a cartridge assembly disposed adjacent a distal end of the endoscopic portion, the cartridge assembly comprising;

a cartridge housing having a plurality of biasing members; and

a cartridge configured for reception at least partially within the cartridge housing, the cartridge including a plurality of fasteners at least partially therein, the cartridge having a plurality of pockets, each fastener being ejectable from a corresponding pocket, the cartridge having a plurality of chambers therein, wherein each chamber is adjacent a pocket and is configured to store at least one fastener at least partially therein, and wherein at least one fastener is movable from the chamber to the corresponding pocket; and

a plurality of pushers, wherein each pusher is configured to engage a corresponding fastener;

wherein each biasing member urges at least one corresponding fastener toward the corresponding pocket, and wherein distal advancement of the firing rod causes sequential ejection of at least some of the fasteners.

17. A surgical stapling instrument, comprising:

a cartridge assembly having a cartridge body, a plurality of pushers supporting a plurality of fasteners in the cartridge body, and a driver longitudinally movable through the cartridge body in distal and proximal directions, the pushers having first cam surfaces and second cam surfaces; and

an anvil assembly having fastener forming surfaces;

the driver having an upper portion and a lower portion, the upper portion contacting the second cam surfaces sequentially when the driver is moved in the proximal direction, and the lower portion of driver contacting the first cam surfaces when the driver is moved in the distal direction.