Surgical stapler with cartridge-adjustable clamp gap

• US 9,549,733 B2
• Filed: 05/08/2013
• Issued: 01/24/2017
• Est. Priority Date: 07/20/2010
• Status: Active Grant

• Current Assignee: Touchstone International Medical Science Co. Ltd
• Original Assignee: Cardica Incorporated
• Inventors: Knodel, Bryan D.
• Primary Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US13/889,477
• Publication Number:
  US 20130240604A1
• Time in Patent Office: 1,357 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/178.1, 227/180.1, 606/139, 606/219, 606/153
• US Class Current: 1/1
• 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 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07221 curved
• 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 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 90/92 coded with colour

Abstract

An exemplary surgical apparatus for treating tissue may include an anvil; a jaw pivotally connected to the anvil; and a first cartridge detachably connected to the anvil, holding staples of a first size; where a first clamp gap between the anvil and first cartridge is set by the connection between the first cartridge and jaw. An exemplary cartridge for a surgical stapler may include a cartridge housing; a plurality of staples held within the cartridge housing; and a sled slidable within, and retained by, the cartridge housing, including a central platform, at least one wedge connected to the central platform, and a knife rotatable relative to the central platform.

Claims

1. A cartridge for a surgical stapler, comprising:

a cartridge housing;

a plurality of staples held within the cartridge housing;

at least one rail defined within the cartridge housing;

a strip affixed to an upper surface of the at least one rail;

a plurality of staples frangibly affixed to the strip;

a sled slidable within, and retained by, the cartridge housing, the sled comprising a central platform;

at least one wedge connected to the central platform; and

a knife rotatable relative to the central platform.

2. The cartridge of claim 1, wherein:

the cartridge includes a parking space defined in the distal end of the cartridge housing; and

the sled is slidable in a distal direction from a position in which the knife extends upward out of the cartridge to a position in which the knife rotates downward and distally into the cartridge, and then to a position in which the knife is held within the parking space.

3. The cartridge of claim 1, wherein the at least one wedge includes two wedges angled relative to each other.

4. The cartridge of claim 1, further comprising a gap-setting feature at a location on the cartridge, wherein the location on the cartridge determines a setting of a gap between the cartridge and an anvil of a surgical stapler.

5. The cartridge of claim 4, wherein the gap is one of at least two discrete clamp gaps of the surgical stapler that are settable by gap-setting features of cartridges.

6. A cartridge for a surgical stapler that includes a workpiece knife, comprising:

a cartridge housing;

a plurality of staples within the cartridge housing, at least one of the staples frangibly affixed to a carrier within the cartridge housing; and

a plurality of wedges slidable within the cartridge housing;

wherein the cartridge housing is configured to receive a knife that is first slidable with the wedges to cut tissue, then slidable out of the cartridge housing such that the knife can be reused with another cartridge.

7. The cartridge of claim 6, wherein the gap-setting feature includes an indentation inward toward a lateral center of the cartridge.

8. The cartridge of claim 6, wherein the gap-setting feature is located at a different location on the cartridge as compared with another cartridge having differing staples and fitting the jaw.

9. The cartridge of claim 6, wherein the gap-setting feature is positioned differently on the cartridge as compared with another cartridge having differing staples and fitting the jaw.

10. The cartridge of claim 6, wherein a portion of a lateral edge of the cartridge immediately proximal to the gap-setting feature is located laterally inward relative to a portion of a lateral edge of another cartridge having differing staples and fitting the jaw.

11. The cartridge of claim 6, wherein the knife is operable to flip up to a cutting position in response to a force exerted by a tissue stop of the anvil.

12. The cartridge of claim 6, wherein the knife is operable to rotate into a parking space defined within the cartridge in response to the knife contacting a distal end of a knife slot of the jaw.

13. The cartridge of claim 6, wherein the gap is one of at least two discrete clamp gaps of the surgical stapler.

14. A cartridge for a surgical stapler that includes a shuttle, a jaw, and a pivot pin coupled to an anvil, comprising:

a cartridge housing;

a plurality of staples within the cartridge housing;

a sled within the cartridge housing;

the sled including a knife; and

a gap-setting feature configured to engage the shuttle, wherein engagement between the cartridge and the shuttle of the surgical stapler sets the vertical position of the pivot pin relative to the jaw of the surgical stapler, to set a clamp gap between the cartridge housing and the anvil.

15. The cartridge of claim 14, wherein:

the gap-setting feature is operable to set a longitudinal position of a shuttle in the jaw; and

the longitudinal position of the shuttle controls the vertical position of the pivot pin of the anvil.

16. The cartridge of claim 14, wherein the clamp gap is one of at least two discrete clamp gaps.

17. The cartridge of claim 14, wherein the gap-setting feature is located on one or both lateral sides of the cartridge, at a proximal end of the cartridge.