Small diameter cartridge design for a surgical stapling instrument

• US 10,729,440 B2
• Filed: 05/08/2018
• Issued: 08/04/2020
• Est. Priority Date: 07/21/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Shah, Sachin
• Primary Examiner(s): Long, Robert F
• Application Number:
  US15/974,149
• Publication Number:
  US 20180250008A1
• Time in Patent Office: 819 Days
• Field of Search: 2271751-1821
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• 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

An end effector includes a first jaw, a second jaw, and a cartridge. The first cartridge includes a sled and the second jaw includes an anvil. The first and second jaws are moveable relative to one another. The cartridge is disposed on the first jaw and has a plurality of staples. The sled is configured to engage each staple to the plurality of staples to eject the plurality of staples from the cartridge as the sled is longitudinally translated through the cartridge. A loading unit is also disclosed including an elongated body and an end effector that is articulable relative to the end effector. The end effector and the elongated body of the loading unit are configured to pass or fit through a 5 mm opening.

Claims

1. An end effector comprising:

a first jaw including a sled;

a second jaw including an anvil, the first and second jaws movable relative to one another; and

a cartridge disposed on the first jaw and having staples, the sled configured to directly engage at least one staple to eject the at least one staple from the cartridge as the sled translates longitudinally through the cartridge, wherein the cartridge defines a plurality of vertical slots and a first vertical channel and the first jaw defines a longitudinal axis, the first vertical channel parallel to the longitudinal axis and passing through each vertical slot of a first line of the plurality of vertical slots.

2. The end effector according to claim 1, wherein the end effector is configured to fit through a 5 mm opening when in an approximated configuration.

3. The end effector according to claim 1, wherein one of the staples is disposed in each vertical slot of the plurality of vertical slots.

4. The end effector according to claim 3, wherein the cartridge and the first jaw define a sled channel, the sled longitudinally translatable through the sled channel.

5. The end effector according to claim 4, wherein the sled includes a first fin extending from an upper surface of the sled, the first fin translatable through the first vertical channel to directly engage each staple disposed within the vertical slots of the first line of the plurality of vertical slots.

6. The end effector according to claim 1, wherein each vertical slot of the plurality of vertical slots has a first width transverse to the longitudinal axis and the first vertical channel has a second width transverse to the longitudinal axis, the second width being less than the first width.

7. The end effector according to claim 6, wherein one of the staples is disposed in each vertical slot of the plurality of vertical slots and has a staple width, transverse to the longitudinal axis, that is less than the first width and greater than the second width such that each staple is limited to movement towards and away from a tissue contacting surface of the cartridge.

8. The end effector according to claim 7, wherein each staple includes legs connected by a backspan, the backspan having a chamfered surface on a proximal end thereof, the chamfered surface disposed at a chamfer angle relative to a bottom surface of the backspan.

9. The end effector according to claim 8, wherein the sled includes a first fin extending from an upper surface of the sled, the first fin having a first angled surface disposed at a first angle relative to the upper surface of the sled, the first angled surface configured to directly engage the chamfered surface of each staple as the sled is translated through the cartridge.

10. The end effector according to claim 9, wherein the first angle is equal to the chamfer angle.

11. The end effector according to claim 9, wherein the first fin includes a second angled surface proximal of the first angled surface, the second angled surface defining a second angle with the upper surface of the sled, the second angle greater than the first angle, the second angled surface configured to directly engage the chamfered surface of each staple subsequent to the first angled surface directly engaging the chamfered surface of each staple.

12. A loading unit comprising:

an elongated body having proximal and distal ends; and

an end effector disposed at the distal end of elongated body, the end effector including;

a first jaw including a sled;

a second jaw including an anvil, the first and second jaws movable relative to one another; and

a cartridge disposed on the first jaw and having staples, the sled configured to directly engage at least one staple to eject the at least one staple from the cartridge as the sled translates longitudinally through the cartridge, the cartridge defining a plurality of vertical slots and a first vertical channel, the first vertical channel parallel to a longitudinal axis of the first jaw and passing through at least two vertical slots of a first line of the plurality of vertical slots.

13. The loading unit according to claim 12, wherein the elongated body is configured to fit through a 5 mm opening.

14. The loading unit according to claim 12, wherein the end effector is articulable relative to the elongated body.

15. A method of joining tissue, the method comprising:

clamping tissue between first and second jaws of a surgical instrument; and

translating a sled through a cartridge of the first jaw, the sled directly contacting a staple to eject the staple from the cartridge towards the second jaw, wherein the sled translates through a sled channel defined by the first jaw and the cartridge such that a first fin extending from an upper surface of the sled directly contacts the staple and the first fin translates through a vertical channel and a first line of vertical slots defined by the cartridge, the first line of vertical slots disposed along the vertical channel.

16. The method according to claim 15, wherein directly contacting the staple with the first fin includes directly contacting a chamfered surface of the staple with a first angled surface of the first fin and subsequently contacting the chamfered surface of the staple with a second angled surface of the first fin.

17. The method according to claim 16, wherein directly contacting the chamfered surface of the staple with the first angled surface ejects the staple from the cartridge such that legs of the staple penetrate tissue between the first and second jaws, and contacting the chamfered surface of the staple with the second angled surface drives the legs of the staple into an anvil on the second jaw to deform the legs to join the tissue.