Fastener cartridge assembly comprising a fixed anvil and different staple heights

• US 10,159,482 B2
• Filed: 08/15/2013
• Issued: 12/25/2018
• Est. Priority Date: 08/31/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Swayze, Jeffrey S., Hueil, Joseph C., Morgan, Jerome R., Shelton, IV, Frederick E.
• Primary Examiner(s): Chukwurah, Nathaniel
• Application Number:
  US13/967,449
• Publication Number:
  US 20130334284A1
• Time in Patent Office: 1,958 Days
• Field of Search: 2271751, 2271761, 2271771, 2271801, 606219
• 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 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• 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 2017/07235 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 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• 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

An end effector for a surgical instrument is disclosed. The end effector comprises a frame and a first jaw. The first jaw comprises a cartridge body, a plurality of fastener cavities, a longitudinal row of fastener drivers, a longitudinal row of first fasteners, and a longitudinal row of second fasteners. Each first fastener defines a first unfired height and each second fastener defines a second unfired height. The end effector further comprises a second jaw extending fixedly from the frame. The second jaw comprises an anvil configured to deform the first fasteners to a first fired height and the second fasteners to a second fired height. The end effector further comprises a firing member including a first portion configured to engage the first jaw and a second portion configured to engage the second jaw.

Claims

1. An end effector for a surgical fastening instrument, said end effector comprising:

a frame;

a first jaw, comprising;

a cartridge body comprising a longitudinal slot configured to receive a cutting member;

a plurality of fastener cavities defined in said cartridge body;

a longitudinal row of fastener drivers;

a longitudinal row of first fasteners removably stored in said cartridge body, wherein said longitudinal row of first fasteners extends alongside said longitudinal slot, and wherein each said first fastener comprises;

a first base; and

a first pair of legs extending from said first base in non-parallel directions to one another, wherein a first unfired height is defined by said first base and said first pair of legs; and

a longitudinal row of second fasteners removably stored in said cartridge body, wherein said longitudinal row of second fasteners extends alongside said longitudinal row of first fasteners, and wherein each said second fastener comprises;

a second base; and

a second pair of legs extending from said second base in non-parallel directions to one another, wherein a second unfired height is defined by said second base and said second pair of legs, wherein said second unfired height is different than said first unfired height, and wherein said longitudinal row of first fasteners and said longitudinal row of second fasteners are supported by said longitudinal row of fastener drivers;

a second jaw extending fixedly from said frame, wherein said second jaw comprises an anvil configured to deform said first fasteners to a first fired height and said second fasteners to a second fired height, wherein said first fired height is shorter than said second fired height, and wherein said anvil comprises fastener forming pockets; and

a firing member, wherein said firing member comprises a first portion configured to engage said first jaw and a second portion configured to engage said second jaw, wherein said second portion comprises a pin extending laterally therefrom, wherein said second jaw further comprises a second longitudinal slot comprising a T-shaped opening configured to receive said pin of said firing member, and wherein said T-shaped opening extends behind said fastener forming pockets corresponding to said longitudinal row of first fasteners.

2. The end effector of claim 1, wherein said first unfired height is shorter than said second fired height.

3. The end effector of claim 1, further comprising said cutting member.

4. The end effector of claim 3, wherein said cartridge body comprises a proximal end and a distal end, and wherein said cutting member is slidable longitudinally between said proximal end and said distal end.

5. The end effector of claim 1, wherein said longitudinal row of first fasteners includes a first distal-most fastener, wherein said longitudinal row of second fasteners includes a second distal-most fastener, and wherein said first distal-most fastener is positioned distally with respect to said second distal-most fastener.

6. An end effector for a surgical fastening instrument, said end effector comprising:

a frame;

a first jaw;

a second jaw extending fixedly from said frame, wherein said first jaw is movable relative to said second jaw;

a cartridge body comprising a first longitudinal slot configured to receive a cutting member;

a plurality of fastener cavities defined in said cartridge body;

a longitudinal row of fastener drivers;

a longitudinal row of first fasteners removably stored in said cartridge body, wherein said longitudinal row of first fasteners extends alongside said first longitudinal slot, and wherein each said first fastener comprises;

a first base; and

a first pair of legs extending from said first base in non-parallel directions to one another, wherein a first unfired height is defined by said first base and said first pair of legs;

a longitudinal row of second fasteners removably stored in said cartridge body, wherein said longitudinal row of second fasteners extends alongside said longitudinal row of first fasteners, and wherein each said second fastener comprises;

a second base; and

a second pair of legs extending from said second base in non-parallel directions to one another, wherein a second unfired height is defined by said second base and said second pair of legs, wherein said second unfired height is different than said first unfired height, and wherein said longitudinal row of first fasteners and said longitudinal row of second fasteners are supported by said longitudinal row of fastener drivers;

an anvil configured to deform said first fasteners to a first fired height and said second fasteners to a second fired height, wherein said first fired height is shorter than said second fired height, wherein said anvil comprises;

longitudinal rows of fastener forming pockets; and

a second longitudinal slot including a lateral portion extending at least partially behind a said longitudinal row of fastener forming pockets; and

a firing member, wherein said firing member comprises a first portion configured to extend through said first longitudinal slot and a second portion configured to engage said anvil, and wherein said second portion of said firing member comprises a cam configured to be received within said lateral portion of said second longitudinal slot.

7. The end effector of claim 6, wherein said first unfired height is shorter than said second unfired height.

8. The end effector of claim 6, further comprising said cutting member.

9. The end effector of claim 8, wherein said cartridge body comprises a proximal end and a distal end, and wherein said cutting member is slidable longitudinally between said proximal end and said distal end.

10. The end effector of claim 6, wherein said longitudinal row of first fasteners includes a first distal-most fastener, wherein said longitudinal row of second fasteners includes a second distal-most fastener, and wherein said first distal-most fastener is positioned distally with respect to said second distal-most fastener.

11. An end effector for a surgical stapling instrument, said end effector comprising:

a frame;

a first jaw;

a second jaw extending from said frame, wherein said second jaw is not movable relative to said frame, and wherein said first jaw is movable relative to said second jaw;

a cartridge body comprising a first longitudinal slot configured to receive a cutting member;

a plurality of staple cavities defined in said cartridge body;

a longitudinal row of staple drivers;

a longitudinal row of first staples removably stored in said cartridge body, wherein said longitudinal row of first staples extends alongside said first longitudinal slot, and wherein each said first staple comprises;

a first base; and

a first pair of legs extending from said first base in non-parallel directions to one another, wherein a first unfired height is defined by said first base and said first pair of legs;

a longitudinal row of second staples removably stored in said cartridge body, wherein said longitudinal row of second staples extends alongside said longitudinal row of first staples, and wherein each said second staple comprises;

a second base; and

a second pair of legs extending from said second base in non-parallel directions to one another, wherein a second unfired height is defined by said second base and said second pair of legs, wherein said second unfired height is different than said first unfired height, and wherein said longitudinal row of first staples and said longitudinal row of second staples are supported by said longitudinal row of staple drivers;

an anvil configured to deform said first staples to a first fired height and said second staples to a second fired height, wherein said first fired height is shorter than said second fired height, and wherein said anvil comprises staple forming pockets; and

a firing member comprising a first portion configured to engage said first jaw and a second portion configured to engage said second jaw, wherein said second portion comprises a projection extending laterally therefrom, wherein said second jaw comprises a second longitudinal slot comprising a lateral opening configured to receive said projection of said second portion, and wherein said lateral opening extends behind said staple forming pockets corresponding to said longitudinal row of first staples.

12. The end effector of claim 11, wherein said first unfired height is shorter than said second unfired height.