Surgical stapling instrument

• US 10,765,424 B2
• Filed: 06/26/2017
• Issued: 09/08/2020
• Est. Priority Date: 02/13/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Baxter, III, Chester O., Bedi, James J.
• Primary Examiner(s): Smith, Scott A
• Application Number:
  US15/633,329
• Publication Number:
  US 20180008260A1
• Time in Patent Office: 1,170 Days
• Field of Search: 227 19, 2271751, 2271761, 2271801, 2271752, 2271781, 606139, 606153, 606219
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 17/072 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/2909 Handles
• 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 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/0042 with special provisions for gripping
• CPC Class Codes: A61B 2017/00429 with a roughened portion
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00853 low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07221 curved
• 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 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07285 : characterised by its cutter
• CPC Class Codes: A61B 2090/0801 : Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 2090/08021 : of the patient or his organs
• CPC Class Codes: A61B 2090/0813 : Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 2090/0814 : Preventing re-use

Abstract

A surgical stapler can comprise an anvil comprising a staple pocket formed in a tissue contacting surface. The staple pocket can comprise a midline or centerline, a first forming cup, and a second forming cup. The first forming cup can comprise a first interior sidewall comprising a first vertical portion which is substantially perpendicular to the tissue contacting surface. The second forming cup can comprise a second interior sidewall comprising a second vertical portion which is substantially perpendicular to the tissue contacting surface. The first vertical portion and the second vertical portion can extend through the centerline, wherein the first interior sidewall and the second interior sidewall can comprise a trap for deforming a first staple leg of a staple to a first side of the centerline and for deforming a second staple leg of the staple to a second side of the centerline.

Claims

1. A surgical stapler, comprising:

an anvil assembly, comprising;

a tissue contacting surface;

a first staple-forming pocket formed in said tissue contacting surface; and

a second staple-forming pocket formed in said tissue contacting surface, wherein said first staple-forming pocket and said second staple-forming pocket each comprise;

a longitudinal axis;

a staple pocket centerline, wherein a said staple pocket centerline of a first staple-forming pocket is neither parallel to nor collinear with a said staple pocket centerline of said second staple-forming pocket;

a first forming cup, comprising;

a first inside portion;

a first outside portion; and

a first interior sidewall extending between said first outside portion and said first inside portion; and

a second forming cup, comprising;

a second inside portion;

a second outside portion; and

a second interior sidewall extending between said second outside portion and said second inside portion, wherein said first forming cup and said second forming cup are laterally offset from said longitudinal axis.

2. The surgical stapler of claim 1, further comprising a replaceable staple cartridge assembly, comprising:

a tissue supporting surface;

a staple cavity;

a staple removably stored in said staple cavity, wherein said staple comprises a substantially U-shaped configuration including a base, a first leg extending from said base, and a second leg extending from said base;

a staple driver; and

a slot.

3. The surgical stapler of claim 2, further comprising a firing member movable within said slot to complete a firing of said surgical stapler, wherein said firing member is movable from a proximal position to a distal position to engage said staple driver and eject said staple from said staple cavity toward said anvil assembly to deform said staple.

4. The surgical stapler of claim 2, wherein said first interior sidewall is sloped and is configured to laterally displace said first leg in a first direction.

5. The surgical stapler of claim 4, wherein said second interior sidewall is sloped and is configured to laterally displace said second leg in a second direction.

6. The surgical stapler of claim 5, wherein said first interior sidewall and said second interior sidewall are configured to longitudinally bend the legs of a said staple into a substantially B-shaped configuration.

7. The surgical stapler of claim 2, wherein said replaceable staple cartridge comprises a compressible layer positioned on said tissue supporting surface.

8. The surgical stapler of claim 2, further comprising a cutting surface movable relative to said slot.

9. The surgical stapler of claim 8, wherein said cutting surface extends above said tissue supporting surface to incise the tissue.

10. The surgical stapler of claim 8, further comprising a housing configured to surround said cutting surface when said cutting surface is in a proximal position prior to the initiation of a firing stroke.

11. The surgical stapler of claim 10, further comprising a break-away portion which is partially detached in order to permit said cutting surface to exit said housing.

12. The surgical stapler of claim 11, wherein said break-away portion is completely separated in order to permit said cutting surface to exit said housing.

13. The surgical stapler of claim 11, wherein said break-away portion is incised by said cutting surface during a firing stroke to allow a complete firing of said surgical stapler.

14. The surgical stapler of claim 1, wherein said surgical stapler is configured to produce staples comprising different formed heights.