Variable compression surgical fastener cartridge

• US 9,867,616 B2
• Filed: 06/12/2013
• Issued: 01/16/2018
• Est. Priority Date: 05/09/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Marczyk, Stanislaw
• Primary Examiner(s): TRUONG, THANH K
• Assistant Examiner(s): Fry, Patrick
• Application Number:
  US13/915,730
• Publication Number:
  US 20130270323A1
• Time in Patent Office: 1,679 Days
• Field of Search: 2271751
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• 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 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder

Abstract

A surgical fastener cartridge is provided and includes a cartridge body having a tissue contacting surface that includes a plurality of fastener retention slots. A plurality of surgical fasteners is operatively disposed in the plurality of fastener retention slots. A plurality of pushers is operably associated with the plurality of surgical fasteners. Each pusher is configured for ejecting an associated surgical fastener towards a depression in an anvil. An actuation sled is housed within the cartridge body and includes a plurality of cam wedges. The plurality of cam wedges configured to sequentially contact the plurality of pushers such that a surgical fastener that is ejected closer to a cut line produces a greater compression force to stapled tissue than a surgical fastener ejected further from the cut line.

Claims

1. A surgical fastener cartridge comprising:

a cartridge body including a tissue contacting surface, the tissue contacting surface including a plurality of fastener retention slots;

a plurality of surgical fasteners operatively disposed in the plurality of fastener retention slots;

a plurality of pushers operably associated with the plurality of surgical fasteners, each pusher of the plurality of pushers configured for ejecting an associated surgical fastener of the plurality of surgical fasteners towards a depression in an anvil; and

an actuation sled housed within the cartridge body, the actuation sled includes a plurality of cam wedges, including a first cam wedge and a second cam wedge, the first cam wedge having a first camming surface, a first base, and a deflectable portion, the first camming surface configured to contact at least one pusher of the plurality of pushers, the first base configured to move along a portion of the cartridge body, the first camming surface deflectable towards the first base, the second cam wedge having a second camming surface and a second base, the second camming surface being fixed from movement with respect to the second base, the actuation sled configured to sequentially contact the plurality of pushers such that the plurality of surgical fasteners is ejected from the plurality of fastener retention slots.

2. The surgical fastener cartridge according to claim 1, wherein the actuation sled is adapted to operatively connect to a drive assembly associated with a surgical fastening apparatus such that the actuation sled is longitudinally movable within the cartridge body.

3. The surgical fastener cartridge according to claim 1, wherein the tissue contacting surface includes a channel configured to accommodate longitudinal movement of a cutting element.

4. The surgical fastener cartridge according to claim 3, wherein a central support of the actuation sled is configured to engage an abutment surface of the cutting element.

5. The surgical fastener cartridge according to claim 1, wherein the actuation sled has a central support.

6. The surgical fastener cartridge according to claim 5, wherein the second cam wedge is closer to the central support than the first cam wedge.

7. The surgical fastener cartridge according to claim 1, wherein the second cam wedge includes a proximal end that is more rigid than a proximal end of the first cam wedge.

8. The surgical fastener cartridge according to claim 7, wherein the proximal end of the first cam wedge includes a notched area configured to alter an amount of deflection of the first cam wedge.

9. The surgical fastener cartridge according to claim 1, wherein a proximal end of the first cam wedge includes a notched area configured to allow deflection of the first camming surface toward the first base during the formation of the plurality of surgical fasteners.

10. The surgical fastener cartridge according to claim 1, wherein a proximal end of the actuation sled is configured for selective engagement with an axial drive assembly.

11. The surgical fastener cartridge according to claim 1, wherein the camming surface of the first cam wedge is deflectable towards the base of the first cam wedge a first distance, the actuation sled includes a third cam wedge having a deflectable portion and a base, the camming surface of the third cam wedge is deflectable towards the base of the third cam wedge a second distance, the first distance is different from the second distance.

12. The surgical fastener cartridge according to claim 1, wherein the camming surface of the first cam wedge and the base of the first cam wedge define a gap therebetween, the gap disposed at a proximal end of the actuation sled.

13. The surgical fastener cartridge according to claim 1, wherein the actuation sled is configured for selective engagement with an axial drive assembly.

14. An actuation sled for use with a cartridge body of a surgical instrument, the actuation sled comprising:

a first cam wedge including a camming surface and a base, the camming surface configured to contact at least one pusher to cause ejection of at least one surgical fastener from the cartridge body, the base configured to move along a portion of the cartridge body, the camming surface deflectable towards the base, the camming surface and the base defining a gap therebetween, the gap disposed at a proximal end of the actuation sled, the proximal end of the actuation sled configured for selective engagement with an axial drive assembly; and

a second cam wedge including a camming surface and a base;

a third cam wedge including a camming surface and a base, the camming surface of the third cam wedge is non-deflectable with respect to the base of the third cam wedge;

wherein the camming surface of the first cam wedge is deflectable towards the base of the first cam wedge a first distance, the camming surface of the second cam wedge is deflectable towards the base of the second cam wedge a second distance, the first distance is different from the second distance.

15. The actuation sled according to claim 14, wherein the gap is configured to decrease in size when the camming surface is deflected towards the base.