Fastener cartridge assembly comprising a cam and driver arrangement

• US 10,271,845 B2
• Filed: 09/10/2015
• Issued: 04/30/2019
• Est. Priority Date: 08/31/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E.
• Primary Examiner(s): Chukwurah, Nathaniel C
• Application Number:
  US14/850,570
• Publication Number:
  US 20150374379A1
• Time in Patent Office: 1,328 Days
• Field of Search: 2271751, 2271761, 227 19, 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 17/0682 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

A surgical stapling assembly comprising an anvil, a firing member, and a replaceable cartridge is disclosed. The replaceable cartridge comprises a longitudinal slot, a first row of staple cavities, a second row of staple cavities, first staples, second staples, staple drivers, and a sled. The sled comprises a plurality of first rails positioned on a first side of the longitudinal slot and a plurality of second rails positioned on a second side of the longitudinal slot. The first rails are configured to lift the drivers toward the anvil to deform the first staples to a first formed height and the second staples to a second formed height. The first formed height is different than the second formed height. At least one first rail of the plurality of first rails comprises a height which is different than the height of another first rail of the plurality of first rails.

Claims

1. A surgical stapling assembly for stapling and cutting tissue, comprising:

an anvil;

a firing member including a tissue cutting portion; and

a replaceable cartridge, comprising;

a proximal end;

a distal end;

a longitudinal slot extending from said proximal end toward said distal end, wherein said longitudinal slot is configured to receive said firing member;

a first longitudinal row of staple cavities;

a second longitudinal row of staple cavities;

a plurality of first staples positioned in said first longitudinal row of staple cavities;

a plurality of second staples positioned in said second longitudinal row of staple cavities;

a plurality of drivers configured to drive said first staples and said second staples against said anvil; and

a sled movable from said proximal end toward said distal end, wherein said sled comprises;

a plurality of first rails positioned on a first side of said longitudinal slot; and

a plurality of second rails positioned on a second side of said longitudinal slot, wherein said first rails are configured to lift said drivers toward said anvil to deform said first staples to a first formed height and said second staples to a second formed height, wherein said first formed height is different than said second formed height, and wherein at least one said first rail comprises a height which is different than the height of another said first rail.

2. The surgical stapling assembly of claim 1, wherein said first staples comprise a first unformed height, wherein said second staples comprise a second unformed height, and wherein said first unformed height is different than said second unformed height.

3. The surgical stapling assembly of claim 1, wherein said anvil is fixed.

4. The surgical stapling assembly of claim 3, wherein said replaceable cartridge further comprises a cartridge deck, and wherein said cartridge deck comprises:

a first tissue-supporting surface; and

a second tissue-supporting surface, wherein said first tissue-supporting surface is positioned above said second tissue-supporting surface.

5. The surgical stapling assembly of claim 4, wherein each of said plurality of first staples comprises a first base, and wherein each of said plurality of second staples comprises a second base.

6. The surgical stapling assembly of claim 5, wherein said plurality of drivers comprises:

a first row of cradles aligned with said first longitudinal row of staple cavities, wherein said first row of staple cradles support said first base of said first staples at a first unfired height relative to said first tissue-supporting surface; and

a second row of staple cradles aligned with said second longitudinal row of staple cavities, wherein said second row of staple cradles support said second base of said second staples at a second unfired height relative to said first tissue-supporting surface, and wherein said second unfired height is different than said first unfired height.

7. The surgical stapling assembly of claim 3, wherein said replaceable cartridge further comprises a cartridge deck, and wherein said cartridge deck comprises:

a first longitudinal step; and

a second longitudinal step, wherein said first longitudinal step is positioned above said second longitudinal step.

8. The surgical stapling assembly of claim 3, wherein said replaceable cartridge further comprises a cartridge deck, and wherein said cartridge deck comprises:

a first tissue-supporting surface comprising a first tissue-supporting surface height; and

a second tissue-supporting surface comprising a second tissue-supporting surface height, wherein said first tissue-supporting surface height is different than said second tissue-supporting surface height.

9. A replaceable staple cartridge for use with a surgical stapling instrument including an anvil, said replaceable staple cartridge comprising:

a cartridge body;

a proximal end;

a distal end;

a longitudinal slot extending from said proximal end toward said distal end;

a first longitudinal row of staple cavities;

a second longitudinal row of staple cavities;

a plurality of first staples positioned in said first longitudinal row of staple cavities;

a plurality of second staples positioned in said second longitudinal row of staple cavities;

a plurality of drivers configured to drive said first staples and said second staples against the anvil; and

a sled movable from said proximal end toward said distal end, wherein said sled comprises;

a plurality of first ramps positioned on a first side of said longitudinal slot; and

a plurality of second ramps positioned on a second side of said longitudinal slot, wherein said first ramps are configured to lift said drivers toward the anvil to deform said first staples to a first formed height and said second staples to a second formed height, wherein said first formed height is different than said second formed height, and wherein at least one said first ramp comprises a ramp height which is different than the ramp height of another said first ramp.

10. The replaceable staple cartridge of claim 9, wherein said first staples comprise a first unformed height, wherein said second staples comprise a second unformed height, and wherein said first unformed height is different than said second unformed height.

11. The replaceable staple cartridge of claim 9, wherein said cartridge body comprises a cartridge deck, and wherein said cartridge deck comprises:

a first tissue-supporting surface; and

a second tissue-supporting surface, wherein said first tissue-supporting surface is positioned above said second tissue-supporting surface.

12. The replaceable staple cartridge of claim 11, wherein each of said plurality of first staples comprises a first base, and wherein each of said plurality of second staples comprises a second base.

13. The replaceable staple cartridge of claim 12, wherein said plurality of drivers comprises:

a first row of staple cradles aligned with said first longitudinal row of staple cavities, wherein said first row of staple cradles support said first base of said first staples at a first unfired height relative to said first tissue-supporting surface; and

a second row of staple cradles aligned with said second longitudinal row of staple cavities, wherein said second row of staple cradles support said second base of said second staples at a second unfired height relative to said first tissue-supporting surface, and wherein said second unfired height is different than said first unfired height.

14. A surgical fastening assembly for fastening and cutting tissue, comprising:

an anvil;

a firing member including a tissue cutting portion; and

a fastener cartridge, comprising;

a proximal end;

a distal end;

a longitudinal slot extending from said proximal end toward said distal end, wherein said longitudinal slot is configured to receive said firing member;

a first longitudinal row of fastener cavities;

a second longitudinal row of fastener cavities;

a plurality of first fasteners positioned in said first longitudinal row of fastener cavities;

a plurality of second fasteners positioned in said second longitudinal row of fastener cavities;

a plurality of drivers configured to drive said first fasteners and said second fasteners against said anvil; and

a sled movable from said proximal end toward said distal end, wherein said sled comprises;

a plurality of first rails positioned on a first side of said longitudinal slot; and

a plurality of second rails positioned on a second side of said longitudinal slot, wherein said first rails are configured to lift said drivers toward said anvil to deform said first fasteners to a first formed height and said second fasteners to a second formed height, wherein said first formed height is different than said second formed height, and wherein at least one said first rail comprises a height which is different than the height of another said first rail.

15. The surgical fastening assembly of claim 14, wherein said anvil is fixed.

16. The surgical fastening assembly of claim 15, further comprising a firing member lockout.

17. The surgical fastening assembly of claim 15, wherein said fastener cartridge further comprises a cartridge deck, and wherein said cartridge deck comprises:

a first tissue-supporting surface; and

a second tissue-supporting surface, wherein said first tissue-supporting surface is positioned above said second tissue-supporting surface.

18. The surgical fastening assembly of claim 15, further comprising a channel comprising an exterior surface, wherein said fastener cartridge is configured to be positioned within said channel, and wherein said surgical fastening assembly is configurable in an open configuration and a closed configuration.

19. The surgical fastening assembly of claim 18, wherein at least a portion of said firing member vertically extends through said longitudinal slot, and wherein said portion of said firing member extends beyond said exterior surface of said channel.

20. The surgical fastening assembly of claim 19, wherein said exterior surface of said channel comprises a recess configured to receive said portion of said firing member when said surgical fastening assembly is configured in said open configuration.