Staple cartridges and arrangements of staples and staple cavities therein

• US 10,893,864 B2
• Filed: 12/21/2016
• Issued: 01/19/2021
• Est. Priority Date: 12/21/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Harris, Jason L., Zeiner, Mark S., Volz, Janna B., Kwee, Nichole Y., Shelton, IV, Frederick E.
• Primary Examiner(s): Wittenschlaeger, Thomas M
• Application Number:
  US15/385,945
• Publication Number:
  US 20180168632A1
• Time in Patent Office: 1,490 Days
• 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• 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 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/0645 being elastically deformed for insertion
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• 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 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft

Abstract

A staple cartridge is disclosed. The staple cartridge can include a cartridge body having a plurality of staple cavities defined therein. The staple cavities can be obliquely oriented relative to a longitudinal axis of the staple cartridge. The staple cavities can be arranged in a plurality of rows including an inner row, an intermediate row, and an outer row. The lateral and/or longitudinal spacing and/or overlap between the staples in adjacent rows can vary to optimize the flexibility and/or sealing properties of the staple line. The size and orientation of the staples can also vary row-to-row and/or longitudinally.

Claims

1. An end effector, comprising:

a staple cartridge; and

an anvil comprising a longitudinal portion extending along a longitudinal axis, wherein said longitudinal portion comprises a staple-forming surface and a longitudinal slot configured to receive a firing member, wherein a plurality of staple-forming pockets are defined in said staple-forming surface of said longitudinal portion, and wherein said plurality of staple-forming pockets comprises;

a first pocket forming a first opening in said staple-forming surface, wherein said first opening defines a first proximal-to-distal axis, wherein said first proximal-to-distal axis is obliquely oriented relative to said longitudinal axis, wherein said first pocket is positioned in an inner longitudinal row on a first side of said longitudinal slot; and

a second pocket forming a second opening in said staple-forming surface, wherein said second opening defines a second proximal-to-distal axis, wherein said second proximal-to-distal axis is obliquely oriented relative to said longitudinal axis and said first proximal-to-distal axis, wherein said second pocket is positioned in an intermediate longitudinal row on the first side of said longitudinal slot; and

a third pocket forming a third opening in said staple-forming surface, wherein said third opening defines a third proximal-to-distal axis, wherein said third proximal-to-distal axis is obliquely oriented relative to said longitudinal axis, said first proximal-to-distal axis, and said second proximal-to-distal axis, wherein said third pocket is positioned in an outer longitudinal row on the first side of said longitudinal slot.

2. An end effector, comprising:

a staple cartridge; and

an anvil comprising a longitudinal portion extending along a longitudinal axis, wherein said longitudinal portion comprises a staple-forming surface, wherein a plurality of staple-forming pockets are defined in said staple-forming surface of said longitudinal portion, and wherein said plurality of staple-forming pockets comprises;

a first pocket obliquely oriented relative to said longitudinal axis, wherein said first pocket is positioned in an inner longitudinal row; and

a second pocket obliquely oriented relative to said longitudinal axis and said first pocket, wherein said second pocket is positioned in an intermediate longitudinal row; and

a third pocket obliquely oriented relative to said longitudinal axis, said first pocket, and said second pocket, wherein said third pocket is positioned in an outer longitudinal row;

wherein a slot is defined at least partially through said anvil along said longitudinal axis, wherein said first pocket is spaced a first distance from said slot, wherein said second pocket is spaced a second distance from said slot, wherein said third pocket is spaced a third distance from said slot, and wherein said first distance, said second distance, and said third distance are different.

3. The end effector of claim 2, wherein said first pocket is longitudinally staggered from said third pocket and longitudinally overlapping said third pocket.

4. The end effector of claim 2, wherein said second pocket is laterally spaced apart from said first pocket by a first lateral distance, wherein said second pocket is laterally spaced apart from said third pocket by a second lateral distance, and wherein said second lateral distance is different than said first lateral distance.

5. An end effector, comprising:

a staple cartridge; and

an anvil comprising a longitudinal portion extending along a longitudinal axis, wherein said longitudinal portion comprises a staple-forming surface, wherein a plurality of staple-forming pockets are defined in said staple-forming surface of said longitudinal portion, and wherein said plurality of staple-forming pockets comprises;

a first pocket obliquely oriented relative to said longitudinal axis, wherein said first pocket is positioned in an inner longitudinal row; and

a second pocket obliquely oriented relative to said longitudinal axis and said first pocket, wherein said second pocket is positioned in an intermediate longitudinal row; and

a third pocket obliquely oriented relative to said longitudinal axis, said first pocket, and said second pocket, wherein said third pocket is positioned in an outer longitudinal row;

wherein said staple cartridge comprises a plurality of staples, comprising;

a first staple positioned for forming contact with said first pocket;

a second staple positioned for forming contact with said second pocket, wherein said second staple laterally overlaps said first staple by a first distance; and

a third staple positioned for forming contact with said third pocket, wherein said third staple laterally overlaps said second staple by a second distance, and wherein said second distance is different than said first distance.

6. A staple cartridge, comprising:

a cartridge body comprising a longitudinal portion comprising a longitudinal slot, wherein a plurality of staple cavities are defined in said longitudinal portion of said cartridge body, wherein said staple cavities are obliquely oriented relative to said longitudinal slot, and wherein said staple cavities are arranged in a plurality of longitudinal rows comprising;

a first row positioned on a first side of said longitudinal slot;

a second row positioned on the first side of said longitudinal slot, wherein said staple cavities in said first row laterally overlap said staple cavities in said second row by a first distance; and

a third row positioned on the first side of said longitudinal slot, wherein said staple cavities in said second row laterally overlap said staple cavities in said third row by a second distance, and wherein said second distance is different than said first distance.

7. The staple cartridge of claim 6, wherein said second distance is greater than said first distance.

8. The staple cartridge of claim 6, further comprising a plurality of staples positioned in said plurality of staple cavities.

9. The staple cartridge of claim 8, wherein said staples comprise a staple length, and wherein said first distance and said second distance are less than one-third said staple length.

10. The staple cartridge of claim 9, wherein said staples comprise a diameter, and wherein said first distance and said second distance are greater than said diameter.

11. The staple cartridge of claim 6, wherein said first row comprises an inner row, wherein said second row comprises an intermediate row, and wherein said third row comprises an outer row.

12. The staple cartridge of claim 11, wherein said staple cavities in said inner row are at least partially longitudinally staggered relative to said staple cavities in said outer row.

13. A staple cartridge, comprising:

a cartridge body comprising a longitudinal portion comprising a longitudinal slot, wherein a plurality of staple cavities are defined in said longitudinal portion of said cartridge body, wherein said staple cavities are obliquely oriented relative to said longitudinal slot, and wherein said staple cavities are arranged in a plurality of longitudinal rows comprising;

a first row positioned on a first side of said longitudinal slot;

a second row positioned on the first side of said longitudinal slot, wherein said staple cavities in said first row laterally overlap said staple cavities in said second row by a first distance; and

a third row positioned on the first side of said longitudinal slot, wherein said staple cavities in said second row laterally overlap said staple cavities in said third row by a second distance, and wherein said second distance is different than said first distance,

wherein said staple cavities in said first row are oriented at a first angle relative to said longitudinal slot, wherein said staple cavities in said second row are oriented at a second angle relative to said longitudinal slot, wherein said staple cavities in said third row are oriented at a third angle relative to said longitudinal slot, and wherein said first angle, said second angle, and said third angle are different.

14. The staple cartridge of claim 13, wherein said second angle is a supplementary angle to said first angle.

15. The staple cartridge of claim 14, wherein said third angle is greater than said first angle.

16. A staple cartridge, comprising:

a cartridge body comprising a longitudinal slot, wherein a plurality of staple cavities are defined in said cartridge body; and

a plurality of staples positioned in said plurality of staple cavities, wherein said staples are obliquely oriented relative to said longitudinal slot, and wherein said plurality of staples comprises;

a first group of staples arranged in a first longitudinal row;

a second group of staples arranged in a second longitudinal row, wherein said first group of staples in said first longitudinal row laterally overlap said second group of staples in said second longitudinal row by a first distance; and

a third group of staples arranged in a third longitudinal row, wherein said second group of staples in said second longitudinal row laterally overlap said third group of staples in said third longitudinal row by a second distance, and wherein said second distance is different than said first distance.

17. The staple cartridge of claim 16, wherein said staples in said first longitudinal row are oriented at a first angle relative to said longitudinal slot, wherein said staples in said second longitudinal row are oriented at a second angle relative to said longitudinal slot, wherein said staples in said third longitudinal row are oriented at a third angle relative to said longitudinal slot, and wherein said first angle, said second angle, and said third angle are different.

18. The staple cartridge of claim 16, wherein said second distance is greater than said first distance.

19. The staple cartridge of claim 16, wherein said staples comprise a staple length, and wherein said first distance and said second distance are less than one-third said staple length.

20. The staple cartridge of claim 19, wherein said staples comprise a diameter, and wherein said first distance and said second distance are greater than said diameter.

21. The staple cartridge of claim 16, wherein said first longitudinal row comprises an inner row, wherein said second longitudinal row comprises an intermediate row, and wherein said third longitudinal row comprises an outer row.

22. The staple cartridge of claim 21, wherein said staple cavities in said inner row are at least partially longitudinally staggered relative to said staple cavities in said outer row.

23. A staple cartridge, comprising:

a cartridge body comprising a proximal end and a longitudinal slot extending distally from said proximal end, wherein a plurality of staple cavities are defined in said cartridge body; and

a plurality of staples positioned in said plurality of staple cavities, wherein said staples are obliquely oriented relative to said longitudinal slot, and wherein said plurality of staples comprises;

a first group of staples arranged in an inner longitudinal row on a first side of the longitudinal slot;

a second group of staples arranged in an intermediate longitudinal row on the first side of the longitudinal slot, wherein said inner longitudinal row is laterally offset from said intermediate longitudinal row by a first distance; and

a third group of staples arranged in an outer longitudinal row on the first side of the longitudinal slot, wherein said outer longitudinal row is laterally offset from said intermediate longitudinal row by a second distance, and wherein said second distance is different than said first distance.

24. The staple cartridge of claim 23, wherein said staples in said inner longitudinal row are oriented at a first angle relative to said longitudinal slot, wherein said staples in said intermediate longitudinal row are oriented at a second angle relative to said longitudinal slot, wherein said staples in said outer longitudinal row are oriented at a third angle relative to said longitudinal slot, and wherein said first angle, said second angle, and said third angle are different.

25. The staple cartridge of claim 23, wherein each said staple in said first group is longitudinally offset from an adjacent said staple in said second group by a first longitudinal distance, wherein each said staple in said third group is longitudinally offset from an adjacent said staple in said third group by a second longitudinal distance, and wherein said second longitudinal distance is different than said first longitudinal distance.