Fastener cartridge assembly comprising a fixed anvil and different staple heights

• US 10,842,488 B2
• Filed: 09/09/2015
• Issued: 11/24/2020
• 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 C
• Application Number:
  US14/848,591
• Publication Number:
  US 20160000438A1
• Time in Patent Office: 1,903 Days
• Field of Search: 2271751, 2271761, 2271771, 2271801, 227 19, 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

A surgical stapling device that comprises an end effector. According to various embodiments, the end effector comprises a circular anvil having a staple forming surface and a plurality of staples facing the staple forming surface of the anvil. The end effector also comprises a staple driver assembly comprising a plurality of staple drivers. Each staple driver supports one of the plurality of staples and is configured such that, when the staple driver assembly is actuated, each staple driver drives the staple into the staple forming surface of the anvil. A first quantity of the plurality of staple drivers has a first height and a second quantity of the plurality of staple drivers has a second height, wherein the first height is less than the second height.

Claims

1. A stapling assembly for use with a surgical stapling instrument for stapling and cutting tissue, said stapling assembly comprising:

a fixed metal anvil extending from a frame of the surgical stapling instrument, wherein said fixed anvil comprises a tapered distal end;

a cartridge support comprising a base, wherein said base comprises a longitudinal groove defined therein;

a firing member including a tissue cutting portion, wherein said firing member comprises a foot, and wherein said foot is closely received by said longitudinal groove defined in said base of said cartridge support; and

a replaceable cartridge configured to be received by said cartridge support, wherein said replaceable cartridge comprises;

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, wherein each staple cavity within said first longitudinal row comprises a first longitudinal width;

a second longitudinal row of staple cavities, wherein each staple cavity within said second longitudinal row comprises a second longitudinal width, and wherein said first longitudinal width is the same as said second longitudinal width;

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 fixed anvil; and

a sled movable from said proximal end toward said distal end, wherein said sled is configured to lift said drivers toward said fixed 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.

2. The 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 stapling assembly of claim 1, wherein said replaceable cartridge comprises a tray extending under said drivers and said sled, and wherein said tray is configured to engage the surgical stapling instrument.

4. The stapling assembly of claim 1, wherein said tapered distal end is tapered away from said cartridge support.

5. A surgical stapling instrument, comprising:

a frame;

an anvil extending fixedly from said frame, wherein said anvil comprises a tapered distal end;

a cartridge support comprising a base, wherein said base comprises a groove defined therein;

a firing member including a tissue cutting portion, wherein said firing member comprises a foot, and wherein said foot is configured to be closely received by said groove defined in said base; 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, wherein each staple cavity within said first longitudinal row comprises a first width;

a second longitudinal row of staple cavities, wherein each staple cavity within said second longitudinal row comprises a second width, and wherein said first width is the same as the second width;

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 is 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.

6. The surgical stapling instrument of claim 5, 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.

7. The surgical stapling instrument of claim 5, wherein said replaceable cartridge comprises a tray extending under said drivers and said sled, and wherein said tray is configured to engage the surgical stapling instrument.

8. The surgical stapling instrument of claim 5, wherein said anvil comprises a metal tissue-contacting surface.

9. The surgical stapling instrument of claim 5, wherein said tapered distal end is tapered away from said cartridge support.

10. A stapling assembly for use with a surgical stapling instrument for stapling and cutting tissue, said stapling assembly comprising:

a non-pivotable anvil extending from a frame of the surgical stapling instrument, wherein said non-pivotable anvil comprises a tapered distal end;

a cartridge support comprising a base, wherein said base comprises a longitudinal groove defined therein;

a firing member including a tissue cutting portion, wherein said firing member comprises a foot, wherein said foot is configured to be received by said longitudinal groove; 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, wherein each staple cavity within said first longitudinal row extends across a first longitudinal width;

a second longitudinal row of staple cavities, wherein each staple cavity with said second longitudinal row across a second longitudinal width, and wherein said first longitudinal width is the same as said second longitudinal width;

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 non-pivotable anvil; and

a sled movable from said proximal end toward said distal end, wherein said sled is configured to lift said drivers toward said non-pivotable 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.

11. The stapling assembly of claim 10, 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.

12. The stapling assembly of claim 10, wherein said replaceable cartridge comprises a tray extending under said drivers and said sled, and wherein said tray is configured to engage the surgical stapling instrument.

13. The stapling assembly of claim 10, wherein said anvil is comprised of metal.

14. The stapling assembly of claim 10, wherein said tapered distal end is tapered away from said cartridge support.