SURGICAL STAPLER WITH FLOATING ANVIL

• US 20150136835A1
• Filed: 11/20/2014
• Published: 05/21/2015
• Est. Priority Date: 09/30/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Young, Joseph E., Aronhalt, Taylor W., Baxter, Chester O. III
• Granted Patent: US 10,064,624 B2
• Time in Patent Office: Days
• US Class Current: 227/180.1
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/3209 Incision instruments
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/07235 containing different staples, e.g. staples of different shapes, sizes or materials
• 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 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2090/0807 Indication means

Abstract

A surgical instrument can include an anvil and, in addition, a staple cartridge support configured to support a staple cartridge. In various embodiments, the jaw can be moved toward the staple cartridge to deform staples contained within the staple cartridge. The anvil can be configured to be translated and/or rotated as the anvil is moved toward the staple cartridge. In certain embodiments, the anvil can be configured to float and adjust such that the anvil is moved downwardly in a level manner.

Claims

1. A surgical stapler configured to receive a staple cartridge comprising staples, said surgical stapler comprising:

a handle, comprising;

a trigger; and

a firing assembly, wherein said trigger is configured to actuate said firing assembly;

a shaft extending from said handle, wherein said shaft comprises a knife bar operably coupled with said firing assembly, wherein said knife bar comprises;

a cam; and

a cutting edge; and

an end effector, comprising;

a proximal end;

a distal end;

a support jaw, comprising;

a support surface configured to support the staple cartridge, wherein said support surface defines a support plane; and

a displacement guide defined along an axis transverse to said support plane; and

an anvil jaw, comprising;

a follower slidably received within said displacement guide; and

an anvil surface configured to deform the staples, wherein said cam of said knife bar is configured to contact said anvil jaw and drive said anvil surface toward said support surface when said knife bar is moved from said proximal end toward said distal end of said end effector.

2. The surgical stapler of claim 1, wherein said anvil jaw is displaceable between an open position, a closed position, and a fired position, wherein said anvil jaw comprises a proximal cam surface and a distal cam surface, wherein said cam is configured to contact said proximal cam surface to displace said anvil jaw between said open position and said closed position, and wherein said cam is configured to contact said distal cam surface to displace said anvil jaw between said closed position and said fired position.

3. The surgical stapler of claim 2, wherein said anvil surface is rotated toward said support surface when said anvil jaw is displaced from said open position to said closed position, and wherein said anvil surface is parallel to said support surface when said anvil jaw is displaced from said closed position to said fired position.

4. The surgical stapler of claim 2, wherein said knife bar is configured to displace said anvil between said open position, said closed position, and said fired position during a single stroke of said trigger.

5. The surgical stapler of claim 2, wherein said distal cam surface is parallel to said anvil surface.

6. The surgical stapler of claim 1, wherein said displacement guide comprises a vertical slot, and wherein said follower comprises a peg slidably received within said slot.

7. The surgical stapler of claim 1, wherein said axis is perpendicular to said support surface, and wherein said axis is perpendicular to said anvil surface when said anvil jaw is moved between an unfired position and a fired position.

8. A surgical stapler configured to receive a staple cartridge comprising staples, said surgical stapler comprising:

a handle, comprising;

a trigger; and

a firing system, wherein said trigger is configured to actuate said firing system;

a shaft extending from said handle, wherein said shaft comprises a cutting member operably coupled with said firing system, and wherein said cutting member comprises at least one camming member; and

an end effector, comprising;

a proximal end;

a distal end;

a support jaw, comprising;

a plurality of stationary staple drivers; and

a guide defined along an axis;

an anvil jaw, comprising;

a follower slidably received within said guide; and

a forming surface configured to deform the staples, wherein said camming member of said knife bar is configured to contact said anvil jaw and drive said forming surface toward said stationary staple drivers between an open position, a closed position, and a fired position when said knife bar is moved from said proximal end toward said distal end, and wherein said forming surface is perpendicular to said axis when said anvil jaw is moved between said closed position and said fired position.

9. The surgical stapler of claim 8, wherein said anvil jaw comprises a proximal cam surface and a distal cam surface, wherein said camming member is configured to contact said proximal cam surface to drive said anvil jaw between said open position and said closed position, and wherein said cam is configured to contact said distal cam surface to drive said anvil jaw between said closed position and said fired position.

10. The surgical stapler of claim 9, wherein said anvil surface is rotated toward said stationary staple drivers when said anvil jaw is driven from said open position to said closed position, and wherein said anvil surface is parallel to said stationary staple drivers when said anvil jaw is driven from said closed position to said fired position.

11. The surgical stapler of claim 9, wherein said cutting member is configured to displace said anvil between said open position, said closed position, and said fired position during a single stroke of said trigger.

12. The surgical stapler of claim 9, wherein said distal cam surface is parallel to said anvil surface.

13. The surgical stapler of claim 8, wherein said guide comprises a vertical slot, and wherein said follower comprises a peg slidably received within said slot.

14. The surgical stapler of claim 8, wherein said axis is perpendicular to said support surface.

15. An end effector of a surgical stapler, said end effector comprising:

a staple cartridge, comprising;

a plurality of staples;

a collapsible deck movable between an unfired position and a fired position, wherein said deck is configured to support and maintain an alignment of the staples when said deck is in said unfired position;

a cutting member operably coupled with a firing system of the surgical stapler, wherein said cutting member comprises at least one camming member; and

a proximal end;

a distal end;

a first jaw, comprising;

a plurality of stationary drivers configured to support said staples; and

a first guide element;

an anvil jaw, comprising;

a second guide element slidably engaged with said first guide element, wherein said second guide element is movable along an axis;

a tissue-engaging surface; and

a plurality of forming pockets configured to deform said staples, wherein said camming member of said cutting member is configured to contact said anvil jaw and drive said tissue-engaging surface toward said first jaw between an open position, a closed position, and a fired position when said cutting member is moved from said proximal end toward said distal end, and wherein said tissue-contacting surface is parallel to said deck when said anvil jaw is moved between said closed position and said fired position.