Fastening instrument for deploying a fastener system comprising a retention matrix

• US 9,033,203 B2
• Filed: 09/30/2010
• Issued: 05/19/2015
• Est. Priority Date: 09/30/2010
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Woodard, James A. Jr., Scheib, Charles J., Boudreaux, Chad P., Bruewer, Dean B., Schwemberger, Richard F., Schall, Christopher J., Morgan, Jerome R., Simms, Robert J., Swayze, Jeffrey S., Ouwerkerk, John N.
• Primary Examiner(s): Long, Robert
• Application Number:
  US12/894,367
• Publication Number:
  US 20120080485A1
• Time in Patent Office: 1,692 Days
• Field of Search: 2271751-1821, 606/219
• US Class Current: 227/177.1
• CPC Class Codes: A61B 1/00064 Constructional details of the endoscope body
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/008 Articulations
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00314 : Separate linked members
• CPC Class Codes: A61B 2017/00323 : Cables or rods
• CPC Class Codes: A61B 2017/00327 : with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/00526 : Methods of manufacturing
• CPC Class Codes: A61B 2017/0053 : Loading magazines or sutures into applying tools
• CPC Class Codes: A61B 2017/00884 : enhancing wound closure
• CPC Class Codes: A61B 2017/00946 : malleable
• 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 2017/07235 : 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 2017/0725 : with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07257 : characterised by its anvil
• CPC Class Codes: A61B 2017/07264 : characterised by its staple forming cavities, e.g. geometry or material
• 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 2017/2902 : characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2905 : flexible
• CPC Class Codes: A61B 2017/2908 : Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/291 : the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2919 : details of linkages or pivot points
• CPC Class Codes: A61B 2017/292 : connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2923 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2931 : with releasable head
• CPC Class Codes: A61B 2017/2933 : camming or guiding means
• CPC Class Codes: A61B 2017/2936 : Pins in guiding slots
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 90/92 : coded with colour
• CPC Class Codes: Y10T 29/49863 : with prestressing of part

Abstract

A surgical stapling instrument can comprise, one, a handle comprising an actuator and, two, an end effector comprising a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end. The end effector can further comprise a first jaw configured to support staples comprising staple legs and, in addition, a second jaw supporting a matrix element opposite the staples, wherein one of the jaws is movable toward the other in order to engage the matrix element with the staple legs. The stapling instrument can further comprise a cam operably coupled with the actuator, wherein the cam is movable along the longitudinal axis to deform the staple legs.

Claims

1. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support staples comprising staple legs; and

a second jaw comprising a retainer configured to support a matrix element opposite said staples, wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs;

a cam operably coupled with said actuator, wherein said cam is movable along said longitudinal axis to deform said staple legs; and

a cam slot configured to guide said cam along a predetermined path, wherein said cam slot comprises dwell portions and driver portions, wherein said dwell portions are arranged within said second jaw such that said cam can contact said staple legs when said cam is in said dwell portions, and wherein said driver portions are arranged within said second jaw such that said cam deforms said staple legs when said cam is in said driver portions.

2. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support staples comprising staple legs; and

a second jaw comprising a retainer configured to support a matrix element opposite said staples, wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs;

a cam operably coupled with said actuator, wherein said cam is movable along said longitudinal axis to deform said staple legs; and

a cam actuator configured to move said cam toward and away from said first jaw when said cam is moved in a longitudinal direction along said longitudinal axis, wherein said cam actuator is configured to move said cam between at least one drive position and at least one dwell position, and wherein said cam is positioned to deform said staple legs of said staples when said cam is in said at least one drive position.

3. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw comprising a retainer configured to support said implantable matrix element opposite said staples supported by said first jaw, wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs; and

a cam operably coupled with said actuator, wherein said cam is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs, wherein said cam comprises a first cam surface configured to deform one or more staple legs when said cam is moved in a first direction, and wherein said cam further comprises a second cam surface configured to deform one or more staple legs when said cam is moved in a second direction.

4. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw comprising a retainer configured to support said implantable matrix element opposite said staples supported by said first jaw, wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs;

a cam operably coupled with said actuator, wherein said cam is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs; and

a staple cartridge including said staples, wherein said staple cartridge is positioned within said first jaw, wherein said staple cartridge comprises a first row of staples and a second row of staples, wherein said cam is movable from a proximal position to a distal position to deform said staple legs of said staples in said first row of staples, and wherein said cam is movable from said distal position to said proximal position to deform said staple legs of said staples in said second row of staples.

5. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw comprising a retainer configured to support said implantable matrix element opposite said staples supported by said first jaw, wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs;

a cam operably coupled with said actuator, wherein said cam is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs; and

a staple cartridge including said staples, wherein said staple cartridge is positioned within said first jaw, wherein said staple cartridge comprises a first group of staples and a second group of staples, wherein said cam is movable in a distal direction to deform said staple legs of said staples in said first group of staples, and wherein said cam is movable in a proximal direction to deform said staple legs of said staples in said second group of staples.

6. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw comprising a retainer configured to support said implantable matrix element opposite said staples supported by said first jaw, wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs; and

a cam operably coupled with said actuator, wherein said cam is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs, wherein said cam is a first cam which is configured to deform a first group of staple legs, wherein said surgical stapling instrument further comprises a second cam configured to deform a second group of staple legs, wherein said first cam is movable in a distal direction to deform said first group of staple legs, and wherein said second cam is movable in a proximal direction to deform said second group of staple legs.

7. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw comprising a retainer configured to support said implantable matrix element opposite said staples supported by said first jaw, wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs;

a cam operably coupled with said actuator, wherein said cam is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs; and

a staple cartridge configured to hold said staples such that a row of said staple legs are positioned along a line, wherein said cam comprises a first camming surface and a second camming surface positioned along said line, and wherein said first camming surface and said second camming surface are configured to contact and deform each staple leg in said line.

8. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw opposite said first jaw, wherein said second jaw comprises a retainer configured to support said implantable matrix element, wherein said implantable matrix element is opposite said staples, and wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs;

an anvil operably coupled with said actuator, wherein said anvil is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs; and

a guide slot configured to guide said anvil along a predetermined path.

9. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support staples comprising staple legs; and

a second jaw comprising a retainer configured to support a matrix element opposite said staples, wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs;

an anvil operably coupled with said actuator, wherein said anvil is movable along said longitudinal axis to deform said staple legs; and

a guide slot configured to guide said anvil along a predetermined path, wherein said guide slot comprises high portions and low portions, wherein said high portions are arranged within said second jaw such that said anvil can contact said staple legs when said anvil is in said high portions, and wherein said low portions are arranged within said second jaw such that said anvil deforms said staple legs when said anvil is in said low portions.

10. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw opposite said first jaw, wherein said second jaw comprises a retainer configured to support said implantable matrix element, wherein said implantable matrix element is opposite said staples, and wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs; and

an anvil operably coupled with said actuator, wherein said anvil is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs, wherein said anvil comprises a first anvil surface configured to deform one or more staple legs when said anvil is moved in a first direction, and wherein said anvil further comprises a second anvil surface configured to deform one or more staple legs when said anvil is moved in a second direction.

11. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw opposite said first jaw, wherein said second jaw comprises a retainer configured to support said implantable matrix element, wherein said implantable matrix element is opposite said staples, and wherein said second law is movable toward said first law to engage said matrix element with said staple legs;

an anvil operably coupled with said actuator, wherein said anvil is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs; and

a staple cartridge including said staples, wherein said staple cartridge is positioned within said first jaw, wherein said staple cartridge comprises a first group of staples and a second group of staples, wherein said anvil is movable in a distal direction to deform said staple legs of said staples in said first group of staples, and wherein said anvil is movable in a proximal direction to deform said staple legs of said staples in said second group of staples.

12. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw opposite said first jaw, wherein said second jaw comprises a retainer configured to support said implantable matrix element, wherein said implantable matrix element is opposite said staples, and wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs; and

an anvil operably coupled with said actuator, wherein said anvil is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs, wherein said anvil is a first anvil which is configured to deform a first group of staple legs, and wherein said surgical stapling instrument further comprises a second anvil configured to deform a second group of staple legs.

13. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an implantable matrix element;

a plurality of staples comprising staple legs;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support said staples; and

a second jaw opposite said first jaw, wherein said second jaw comprises a retainer configured to support said implantable matrix element, wherein said implantable matrix element is opposite said staples, and wherein said second jaw is movable toward said first jaw to engage said matrix element with said staple legs; and

an anvil operably coupled with said actuator, wherein said anvil is movable along said longitudinal axis toward said proximal end to contact and deform said staple legs; and

a staple cartridge configured to hold said staples such that a row of said staple legs are positioned along a line, wherein said anvil comprises a first deforming surface and a second deforming surface positioned along said line, and wherein said first deforming surface and said second deforming surface are configured to contact and deform each staple leg in said line.

14. A surgical stapling instrument, comprising:

a handle comprising an actuator;

a shaft extending from said handle;

an end effector extending from said shaft, said end effector comprising;

a proximal end attached to said shaft;

a distal end opposite said proximal end;

a longitudinal axis extending between said proximal end and said distal end;

a first jaw configured to support staples comprising staple legs; and

a second jaw, wherein said second jaw is movable relative to said first jaw;

a cam operably coupled with said actuator, and wherein said cam is movable along said longitudinal axis to deform said staple legs; and

a cam slot configured to guide said cam along a predetermined path, wherein said cam slot comprises dwell portions and driver portions, wherein said dwell portions are arranged within said second jaw such that said cam can contact said staple legs when said cam is in said dwell portions, and wherein said driver portions are arranged within said second jaw such that said cam deforms said staple legs when said cam is in said driver portions.