Surgical stapling device having supports for a flexible drive mechanism

• US 9,999,431 B2
• Filed: 03/22/2016
• Issued: 06/19/2018
• Est. Priority Date: 01/11/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Morgan, Jerome R.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US15/077,395
• Publication Number:
  US 20160199088A1
• Time in Patent Office: 819 Days
• Field of Search: 2271751, 2271761, 2271801, 606219, 606142
• 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

The present invention includes a stapling assembly having a curved cartridge deck, a flexible firing bar, and a firing member capable of moving within the curved slot during a firing stroke. The curved cartridge deck has a curved slot, a first step with a first step height, and a second step with a second step height, wherein the height of the first step is different than that of the second step. The stapling assembly has a first row and a second row of staple drivers configured to support staples in a first unfired height and a second unfired height. The first unfired height is different than the second unfired height. The stapling assembly has an anvil with a first and second curved row of forming pockets and an unstepped tissue compression surface extending between the first curved row of forming pockets and the second curved row of forming pockets.

Claims

1. A surgical stapler, comprising:

a channel configured to receive a staple cartridge, wherein said staple cartridge comprises;

a curved cartridge deck, comprising;

a first step comprising a first step height;

a second step comprising a second step height, wherein said first step height is different than said second step height;

a first curved row of staple cavities defined in said first step;

a second curved row of staple cavities defined in said second step; and

a curved slot, wherein the staple cartridge is configured to removably store a plurality of first staples in said first curved row of staple cavities, and wherein said staple cartridge is configured to removably store a plurality of second staples in said second curved row of staple cavities;

a first row of staple drivers aligned with said first curved row of staple cavities, wherein said first row of staple drivers support a base of the first staples in a first unfired height relative to said first step; and

a second row of staple drivers aligned with said second curved row of staple cavities, wherein said second row of staple drivers support a base of the second staples in a second unfired height relative to said first step, wherein said second unfired height is different than said first unfired height;

an anvil configured to deform said plurality of said first staples and said plurality of said second staples, said anvil comprising;

a first curved row of forming pockets aligned with said first curved row of staple cavities;

a second curved row of forming pockets aligned with said second curved row of staple cavities; and

an unstepped tissue compression surface extending between said first curved row of forming pockets and said second curved row of forming pockets;

a cutting member, wherein said cutting member is relatively movable with respect to said anvil and the staple cartridge, and wherein said curved slot is configured to receive at least a portion of said cutting member and guide said cutting member as it is moved relative to said anvil and the staple cartridge; and

a flexible driver operably engaged with said cutting member to move said cutting member relative to said anvil and the staple cartridge, wherein said curved slot is further configured to receive at least a portion of said flexible driver and support said flexible driver when it moves said cutting member relative to said anvil and the staple cartridge.

2. A stapling assembly, comprising:

a curved cartridge deck, comprising;

a first deck step comprising a first step height;

a second deck step comprising a second step height, wherein said first step height is different than said second step height;

a first curved row of staple cavities defined in said first deck step;

a second curved row of staple cavities defined in said second deck step; and

a curved slot;

a plurality of first staples removably stored in said first curved row of staple cavities, wherein each said first staple comprises a first staple base;

a plurality of second staples removably stored in said second curved row of staple cavities, wherein each said second staple comprises a second staple base;

a first row of staple drivers aligned with said first curved row of staple cavities, wherein said first row of staple drivers support said first staple bases of said first staples in a first unfired height relative to said first deck step;

a second row of staple drivers aligned with said second curved row of staple cavities, wherein said second row of staple drivers support said second staple bases of said second staples in a second unfired height relative to said first deck step, wherein said second unfired height is different than said first unfired height;

an anvil, comprising;

a first curved row of forming pockets aligned with said first curved row of staple cavities;

a second curved row of forming pockets aligned with said first curved row of staple cavities; and

an unstepped tissue compression surface extending between said first curved row of forming pockets and said second curved row of forming pockets;

a firing member movable within said curved slot during a staple firing stroke, wherein said firing member comprises a projection configured to engage said anvil during said staple firing stroke; and

a flexible firing bar configured to push said firing member through said staple firing stroke and flex to fit within said curved slot.

3. A stapling assembly, comprising:

a curved staple cartridge, comprising;

a first deck step comprising a first step height;

a second deck step comprising a second step height, wherein said first step height is different than said second step height;

a first curved row of staple cavities defined in said first deck step;

a second curved row of staple cavities defined in said second deck step; and

a curved slot;

a plurality of first staples removably stored in said first curved row of staple cavities, wherein each of said first staples comprises a first base;

a plurality of second staples removably stored in said second curved row of staple cavities, wherein each of said second staples comprises a second base;

a first row of staple cradles aligned with said first curved row of staple cavities, wherein said first row of staple cradles support said first bases of said first staples at a first unfired height relative to said first deck step;

a second row of staple cradles aligned with said second curved row of staple cavities, wherein said second row of staple cradles support said second bases of said second staples at a second unfired height relative to said first deck step, wherein said second unfired height is different than said first unfired height;

an anvil, comprising;

a first curved row of forming pockets aligned with said first curved row of staple cavities;

a second curved row of forming pockets aligned with said second curved row of staple cavities; and

a flat tissue compression surface extending between said first curved row of forming pockets and said second curved row of forming pockets;

a firing member movable within said curved slot during a curved staple firing stroke, wherein said firing member comprises a first projection configured to engage said anvil and a second projection configured to engage said curved staple cartridge during said curved staple firing stroke; and

a flexible push member configured to push said firing member through said curved staple firing stroke and flex to follow said curved staple firing stroke.

4. The stapling assembly of claim 3, wherein said curved staple cartridge is replaceable.

5. A stapling assembly, comprising:

a curved staple cartridge jaw, comprising;

a first deck step comprising a first step height;

a second deck step comprising a second step height, wherein said first step height is different than said second step height;

a first curved row of staple cavities defined in said first deck step;

a second curved row of staple cavities defined in said second deck step;

a curved slot;

a plurality of first staples removably stored in said first curved row of staple cavities, wherein each said first staple comprises a first base;

a plurality of second staples removably stored in said second curved row of staple cavities, wherein each said second staple comprises a second base;

a row of first staple cradles aligned with said first curved row of staple cavities, wherein said first staple cradles support said first bases of said first staples at a first unfired height relative to said first deck step; and

a row of second staple cradles aligned with said second curved row of staple cavities, wherein said second row of staple cradles support said second bases of said second staples at a second unfired height relative to said first deck step, wherein said second unfired height is different than said first unfired height;

an anvil, comprising;

a first curved row of forming pockets aligned with said first curved row of staple cavities;

a second curved row of forming pockets aligned with said second curved row of staple cavities; and

a flat tissue compression surface surrounding said first curved row of forming pockets and said second curved row of forming pockets;

a firing member movable within said curved slot during a curved staple firing stroke; and

a flexible push member configured to push said firing member through said curved staple firing stroke.

6. The stapling assembly of claim 5, wherein said curved staple cartridge is replaceable.