Surgical stapling instruments including a cartridge having multiple staples sizes

• US 9,675,350 B2
• Filed: 10/17/2016
• Issued: 06/13/2017
• Est. Priority Date: 08/15/2005
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Holsten, Henry E., Emmons, Clifford L., Viola, Frank J., Beardsley, John W., Heinrich, Russell, Cullinan, Nicola
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US15/295,372
• Publication Number:
  US 20170027565A1
• Time in Patent Office: 239 Days
• Field of Search: 227 19, 2271752, 2271761, 2271781, 2271801, 606139, 606219
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• 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 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395

Abstract

A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

Claims

1. A surgical stapling instrument comprising:

an anvil comprising a first plurality of staple pockets and a second plurality of staple pockets;

a staple cartridge assembly, wherein at least one of the anvil and the staple cartridge assembly is movable relative to the other, the staple cartridge assembly comprising;

a first plurality of unformed staples positioned on a first plurality of staple pushers, each unformed staple of the first plurality of unformed staples having a first tip disposed a first unformed distance from the first plurality of staple pockets;

a second plurality of unformed staples positioned on a second plurality of staple pushers, each unformed staple of the second plurality of unformed staples having a second tip disposed a second unformed distance from the second plurality of staple pockets, wherein the second unformed distance is larger than the first unformed distance and the second plurality of staple pushers is positioned transversely outward from the first plurality of staple pushers;

a first tissue contact surface configured to engage tissue, the first contact tissue surface disposed a first contact surface distance from the first plurality of staple pockets; and

a second tissue contact surface configured to engage tissue, the second tissue contact surface disposed a second contact surface distance from the second plurality of staple pockets, the second contact surface distance being greater than the first contact surface distance.

2. The surgical stapling instrument of claim 1, the cartridge assembly further comprising:

a third plurality of unformed staples positioned on a third plurality of staple pushers, each unformed staple of the third plurality of unformed staples having a third tip disposed a third unformed distance from the third plurality of staple pockets, wherein the third unformed distance is larger than the second unformed distance and the third plurality of staple pushers is positioned transversely outward from the second plurality of staple pushers;

a third tissue contact surface configured to engage tissue, the third tissue contact surface disposed a third contact surface distance from the third plurality of staple pockets, the third contact surface distance being greater than the second contact surface distance.

3. The surgical stapling instrument of claim 1, wherein said instrument is one of a laparoscopic stapler, a linear open stapler or a circular open stapler.

4. The surgical stapling instrument of claim 1, wherein said instrument is one of a surgical stapler or a reload for a surgical stapler.

5. A surgical stapling instrument comprising:

an anvil;

a staple cartridge assembly, wherein at least one of the anvil and the staple cartridge assembly is movable relative to the other, the staple cartridge assembly comprising;

a knife channel;

a first tissue contacting surface including a first plurality of staple retaining slots;

a second tissue contacting surface, disposed further from the knife channel than the first tissue contacting surface, including a second plurality of staple retaining slots;

a first plurality of unformed staples, having a first leg length and positioned a first distance from the anvil, configured to be ejected through the first plurality of staple retaining slots and into engagement with the anvil to form a first plurality of completed fasteners through a first thickness of tissue;

a second plurality of unformed staples disposed further from the knife channel than the first plurality of unformed staples, having a second, longer leg length and positioned a second, greater distance from the anvil, configured to be ejected through the second plurality of staple retaining slots and into engagement with the anvil and form a second plurality of completed fasteners through a second thickness of tissue greater than the first thickness of tissue.

6. The surgical stapling instrument according to claim 5, wherein the cartridge assembly further comprises:

a third tissue contacting surface, disposed further from the knife channel than the second tissue contacting surface, including a third plurality of staple retaining slots; and

a third plurality of unformed staples disposed further from the knife channel than the second plurality of unformed staples, having a third, longer leg length and positioned a third, greater distance from the anvil, configured to be ejected through the third plurality of staple retaining slots and into engagement with the anvil and form a third plurality of completed fasteners through a third thickness of tissue greater than the first thickness of tissue.

7. The surgical stapling instrument according to claim 5, further comprising a knife slot, wherein the first plurality of formed staples is disposed closer to the knife slot than the second plurality of formed staples and is configured to contribute to hemostasis.

8. A surgical stapling instrument comprising:

an anvil;

a staple cartridge assembly, wherein at least one of the anvil and the staple cartridge assembly is movable between an open position and a staple forming position, the staple cartridge assembly comprising;

a first plurality of unformed staples positioned on a first plurality of staple pushers, each unformed staple of the first plurality of unformed staples having a first leg length and having a first backspan disposed a first distance from the anvil when in the staple forming position;

a second plurality of unformed staples positioned on a second plurality of staple pushers, each unformed staple of the second plurality of unformed staples having a second leg length longer than the first leg length and having a second backspan disposed a second distance from the anvil when in the staple forming position, wherein the second distance is larger than the first distance and the second plurality of staple pushers is positioned transversely outward from the first plurality of staple pushers;

a first tissue contact surface configured to engage tissue when in the staple forming position, disposed a first distance from the anvil; and

a second tissue contact surface configured to engage tissue when in the staple forming position, disposed a second distance from the anvil, the second distance being greater than the first.

9. The surgical stapling instrument of claim 8, wherein the cartridge assembly further comprises:

a third plurality of unformed staples positioned on a third plurality of staple pushers, each unformed staple of the third plurality of unformed staples having a third leg length longer than the second leg length and having a third backspan disposed a third distance from the anvil when in the staple forming position, wherein the third distance is larger than the second distance and the third plurality of staple pushers is positioned transversely outward from the second plurality of staple pushers; and

a third tissue contact surface configured to engage tissue when in the staple forming position, disposed a third distance from the anvil, the third distance being greater than the second.