Surgical stapling device with a curved end effector

• US 9,775,613 B2
• Filed: 08/30/2013
• Issued: 10/03/2017
• Est. Priority Date: 01/11/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Morgan, Jerome R., Balek, Stephen J.
• Primary Examiner(s): Desai, Hemant M
• Assistant Examiner(s): Ferrero, Eduardo R
• Application Number:
  US14/014,800
• Publication Number:
  US 20140001237A1
• Time in Patent Office: 1,495 Days
• Field of Search: 2271761, 2271751, 2271801
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 17/205 Vaccinating by means of needles or other puncturing devices
• 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 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take 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 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2017/2944 Translation of jaw members
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2017/320044 Blunt dissectors
• CPC Class Codes: A61B 2017/3456 blunt
• CPC Class Codes: A61B 2090/08021 of the patient or his organs

Abstract

An end effector for stapling and cutting tissue comprising a shaft portion extending along a longitudinal axis, a first jaw, and a second jaw is disclosed. One of the first jaw and the second jaw comprises a plurality of staple cavities arranged in a plurality of curved staple cavity rows, wherein the second jaw is moveable relative to the first jaw between an open orientation and a closed orientation. The second jaw is configured to tilt laterally about the longitudinal axis between the open orientation and the closed orientation. The second jaw comprises an intermediate portion and a distal portion, wherein the distal portion is structured to clamp tissue against the first jaw before the intermediate portion when the second jaw moves from the open orientation toward the closed orientation.

Claims

1. An end effector for use with a surgical instrument, the end effector comprising:

a shaft portion extending along a longitudinal axis;

a first jaw, comprising;

a first intermediate portion; and

a first distal portion; and

a second jaw, wherein one of said first jaw and said second jaw comprises a plurality of staple cavities arranged in a plurality of curved staple cavity rows, wherein said second jaw is moveable relative to said first jaw between an open orientation, a partially-closed orientation, and a closed orientation, wherein said second jaw is configured to tilt laterally about the longitudinal axis, and wherein said second jaw comprises;

a second intermediate portion, wherein said second intermediate portion is brought into facing opposition with said first intermediate portion when said second jaw is moved to said closed orientation from said partially-closed orientation, and wherein said second intermediate portion is positioned a range of partially-closed intermediate distances from said first intermediate portion when said second jaw is in said partially-closed orientation; and

a second distal portion, wherein said second distal portion is positioned a partially-closed distal distance from said first distal portion when said second jaw is in said partially-closed orientation, and wherein said partially-closed distal distance is less than said distances in said range of partially-closed intermediate distances.

2. The end effector of claim 1, further comprising a plurality of staples removably stored in said staple cavities.

3. The end effector of claim 2, wherein said staples are progressively deployable from said staple cavities.

4. The end effector of claim 1, wherein said second distal portion is structured to clamp tissue against said first distal portion before said second intermediate portion clamps tissue against said first intermediate portion.

5. The end effector of claim 1, wherein said first distal portion further comprises a pivot surface, and wherein said second jaw is structured to pivot relative to said pivot surface of said first distal portion when said second jaw moves between said partially-closed orientation and said closed orientation.

6. The end effector of claim 1, wherein said first jaw further comprises:

a first lateral side comprising an outside radius of curvature; and

a second lateral side comprising an inside radius of curvature;

wherein said second jaw further comprises;

a first lateral side comprising an outside radius of curvature, wherein an outside partially-closed distance is defined between said first lateral sides when said second jaw is in said partially-closed orientation; and

a second lateral side comprising an inside radius of curvature, wherein an inside partially-closed distance is defined between said second lateral sides when said second jaw is in said partially-closed orientation, and wherein said inside partially-closed distance is less than said outside partially-closed distance.

7. The end effector of claim 6, wherein said second lateral sides are structured to clamp tissue before said first lateral sides.

8. The end effector of claim 1, wherein said plurality of curved staple cavity rows comprises:

a first curved row comprising a first quantity of staple cavities; and

a second curved row comprising a second quantity of staple cavities, wherein said second curved row is positioned radially inward relative to said first curved row, and wherein said second quantity of staple cavities is less than said first quantity of staple cavities.

9. The end effector of claim 1, wherein said plurality of curved staple cavity rows comprises:

a first curved row positioned adjacent to a curved slot;

a second curved row; and

an intermediate curved row positioned intermediate said first curved row and said second curved row, wherein each said staple cavity of said first curved row is radially aligned with a single said staple cavity of said second curved row.

10. The end effector of claim 1, wherein said plurality of curved staple cavity rows comprises:

a first pair of curved rows extending along a first side of a curved slot, wherein each said curved row of said first pair of curved rows comprises a first quantity of staple cavities; and

a second pair of curved rows extending along a second side of the curved slot, wherein said second side of the curved slot is radially outward relative to said first side of the curved slot, wherein each said curved row of said second pair of curved rows comprises a second quantity of staple cavities, and wherein said second quantity of staple cavities is greater than said first quantity of staple cavities.

11. The end effector of claim 1, further comprising a cutting element structured to travel along a curved path between two curved staple cavity rows of said plurality of curved staple cavity rows.

12. The end effector of claim 11, wherein said cutting element further comprises:

a proximal end;

a central axis extending distally from said proximal end; and

a distal end laterally offset from said central axis.

13. The end effector of claim 11, wherein said curved staple cavity rows curve in a first direction, wherein said cutting element further comprises a pre-biased cutting edge, and wherein said pre-biased cutting edge leads said cutting element toward the first direction.

14. The end effector of claim 11, wherein at least one curved staple cavity row extends along an arc defining a subtended angle, and wherein the subtended angle is greater than 90 degrees.

15. An end effector for stapling and cutting tissue, the end effector comprising:

a shaft portion extending along a longitudinal axis;

a first jaw; and

a second jaw, wherein one of said first jaw and said second jaw comprises a plurality of staple cavities arranged in a plurality of curved staple cavity rows, wherein said second jaw is moveable relative to said first jaw between an open orientation and a closed orientation, wherein said second jaw is configured to tilt laterally about the longitudinal axis between said open orientation and said closed orientation, and wherein said second jaw comprises;

an intermediate portion; and

a distal portion, wherein said distal portion is structured to clamp tissue against said first jaw before said intermediate portion when said second jaw moves from said open orientation toward said closed orientation.

16. The end effector of claim 15, further comprising a plurality of staples removably stored in said staple cavities.

17. The end effector of claim 15, further comprising means for pivoting and tilting said second jaw relative to said first jaw.

18. An end effector for use with a surgical instrument, the end effector comprising:

a shaft portion extending along a longitudinal axis;

a first jaw, comprising;

a first proximal portion; and

a first distal portion comprising a pivot surface;

a second jaw, wherein one of said first jaw and said second jaw comprises a plurality of staple cavities arranged in a plurality of curved staple cavity rows, and wherein said second jaw comprises;

a second proximal portion; and

a second distal portion; and

a hinge connecting said first proximal portion and said second proximal portion, wherein said second jaw is moveable between an open orientation, a partially-closed orientation, and a closed orientation, wherein said second jaw is configured to tilt laterally about the longitudinal axis at said hinge, and wherein said second jaw is structured to pivot relative to said pivot surface of said first distal portion when said second jaw moves between said partially-closed orientation and said closed orientation.

19. The end effector of claim 18, further comprising a cutting element structured to travel along a curved path between two curved staple cavity rows of said plurality of curved staple cavity rows.

20. The end effector of claim 18, further comprising a plurality of progressively deployable staples positioned in said staple cavities.