Surgical stapling instruments with collapsible features for controlling staple height

• US 7,472,815 B2
• Filed: 09/29/2006
• Issued: 01/06/2009
• Est. Priority Date: 09/21/2005
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Swayze, Jeffrey S., Timperman, Eugene L., Fugikawa, Leslie M.
• Primary Examiner(s): Nash; Brian D
• Application Number:
  US11/540,734
• Publication Number:
  US 20070073340A1
• Time in Patent Office: 830 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/177.1, 227/178.1, 227/179
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• 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 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2017/32113 with extendable or retractable guard or blade
• CPC Class Codes: A61B 2090/032 pressure limiting, e.g. hydrostatic
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw (anvil) and a lower jaw (staple cartridge engaged to an elongate staple channel) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, collapsible staple drivers may be supported within the cartridge for driving a staple or staples supported thereon into forming contact with an underside of an anvil attached to the instrument. As the staples contact the anvil, the drivers can compress or collapse to control the overall formed height of the staple or staples based upon the amount of compression forces experienced by the drivers during the stapling process.

Claims

1. A collapsible staple driver for use in a surgical staple cartridge, said collapsible staple driver comprising:

a base portion configured to be operably supported by the surgical staple cartridge;

a staple supporting portion configured to be operably supported within the surgical staple cartridge adjacent to said base portion; and

at least one attachment member protruding from one of the base portion and the staple supporting portion to be received in a corresponding aperture in the other of the base portion and the staple supporting portion, each said at least one attachment member and the aperture corresponding thereto being configured relative to each other to establish a frictional fit therebetween such that the staple supporting portion in retained in a stationary positive relative to said base portion prior to an application of a compression force thereto and wherein said frictional fit is overcome upon the application of said compression force thereto.

2. The collapsible staple driver of claim 1 wherein each said at least one attachment member has a substantially round cross-sectional shape and the aperture corresponding thereto comprises a round hole.

3. The collapsible staple driver of claim 1 wherein each said at least one attachment member comprises a tapered member.

4. The collapsible staple driver of claim 1 wherein each said at least one attachment member has a shearable portion thereon that is configured to be sheared from at least another portion of said at least one attachment member as said at least one attachment member is driven into the aperture corresponding thereto during the application of the compression forces to said base portion and said staple supporting portion.

5. The collapsible staple driver of claim 1 wherein each said at least one attachment member comprises a rod having a substantially round cross-sectional shape and wherein the aperture corresponding thereto comprises a non-round hole.

6. The collapsible staple driver of claim 1 wherein each said at least one attachment member comprises a tang having tapered surfaces and wherein the aperture corresponding thereto has tapered surfaces similar to the tapered surfaces on said tang.

7. The collapsible staple driver of claim 1 wherein said at least one attachment member comprises at least one pair of tangs corresponding to one said aperture, said tangs of each said pair having ends spaced from each other to establish a frictional fit with said corresponding aperture to support said staple supporting portion in a first position and upon the application of said compression forces to said base portion and said staple supporting portion said end portions move inwardly toward each other to permit said staple supporting portion and said base portion to move toward each other.

8. The collapsible staple driver of claim 7 wherein said corresponding aperture comprises first and second grooves and wherein said at least one pair of tangs comprises:

a first pair of tangs corresponding to said first groove; and

a second pair of tangs corresponding to said second groove, said first pair of tangs coacting with said first groove and said second pair of tangs coacting with said second groove to retain said staple supporting portion in said first position prior to the application of the compression forces to said staple supporting portion and said base portion and permitting said staple supporting portion and said base portion to move toward each other upon the application of the compression forces thereto.

9. The collapsible staple driver of claim 1 wherein said staple supporting portion is fabricated from a first material and said base portion is fabricated from a second material that is more rigid than said first material.

10. A surgical stapling instrument, comprising:

a cartridge supporting assembly for operably supporting a staple cartridge therein;

a staple cartridge supported within said cartridge supporting assembly and operably supporting a plurality of collapsible staple supporting drivers therein, said staple supporting drivers comprising;

a base portion movably supported within the staple cartridge;

a staple supporting portion movably supported within the staple cartridge adjacent to said base portion; and

at least one attachment member protruding from one of the base portion and the staple supporting portion to be received in a corresponding aperture in the other of the base portion and the staple supporting portion, each said at least one attachment member and the aperture corresponding thereto being configured relative to each other to establish a frictional fit therebetween such that the staple supporting portion is retained in a stationary position relative to said base portion prior to an application of a compression force that is overcome during the staple firing operation;

an anvil coupled to said cartridge supporting assembly and being selectively movable between an open position and a closed position; and

a drive member operably supported relative to said cartridge supporting assembly for driving said collapsible staple supporting drivers toward said anvil when said anvil is in said closed position in response to a firing force applied to said drive member.

11. A method for processing an instrument for surgery, said method comprising:

obtaining said surgical instrument of claim 10;

sterilizing said surgical instrument; and

storing said instrument in a sterile container.

12. The surgical stapling instrument of claim 10 wherein each said attachment member and said base portion are fabricated from different materials.

13. The surgical stapling instrument of claim 10 wherein said at least one attachment member protrudes from said base portion and said corresponding aperture is in said staple supporting portion.

14. The surgical instrument of claim 10 wherein said at least one attachment member is selected from the group of attachment members consisting of:

a rod having a substantially round cross-sectional shape, a tapered rod, a tang having at least two tapered surfaces, and a pair of tangs having ends oriented in spaced relation to each other and being biasable towards each other upon the application of forces thereto.

15. A collapsible staple driver for use in a surgical staple cartridge, said collapsible staple driver comprising:

a base portion configured to be operably supported by the surgical staple cartridge;

a staple supporting portion configured to be operably supported within the surgical staple cartridge adjacent to said base portion; and

at least one attachment member protruding from one of the base portion and the staple supporting portion to be received in a corresponding aperture in the other of the base portion and the staple supporting portion, at least one said at least one attachment member having a shearable portion thereon that is configured to be sheared from at least another portion of said at least one attachment member as said at least one attachment member is driven into the aperture corresponding thereto during the application of the compression forces to said base portion and said staple supporting portion.

16. A collapsible staple driver for use in a surgical staple cartridge, said collapsible staple driver comprising:

a base portion configured to be operably supported by the surgical staple cartridge;

a staple supporting portion configured to be operably supported within the surgical staple cartridge adjacent to said base portion; and

at least one attachment member protruding from one of the base portion and the staple supporting portion to be received in a corresponding aperture in the other of the base portion and the staple supporting portion, each said at least one attachment member comprising a tang having tapered surfaces and wherein the aperture corresponding thereto has tapered surfaces similar to the tapered surfaces on said tang.

17. A collapsible staple driver for use in a surgical staple cartridge, said collapsible staple driver comprising:

a base portion configured to be operably supported by the surgical staple cartridge;

a staple supporting portion configured to be operably supported within the surgical staple cartridge adjacent to said base portion; and

at least one attachment member protruding from one of the base portion and the staple supporting portion to be received in a corresponding aperture in the other of the base portion and the staple supporting portion, each said at least one attachment member comprising at least one pair of tangs corresponding to one said aperture, said tangs of each said pair having ends spaced from each other to establish a frictional fit with said corresponding aperture to support said staple supporting portion in a first position and upon the application of said compression forces to said base portion and said staple supporting portion said end portions move toward each other to permit said staple supporting portion and said base portion to move toward each other.

18. The collapsible staple driver of claim 17 wherein said corresponding aperture comprises first and second grooves and wherein said at least one pair of tangs comprises:

a first pair of tangs corresponding to said first groove; and

a second pair of tangs corresponding to said second groove, said first pair of tangs coacting with said first groove and said second pair of tangs coacting with said second groove to retain said staple supporting portion in said first position prior to the application of the compression forces to said staple supporting portion and said base portion and permitting said staple supporting portion and said base portion to move toward each other upon the application of the compression forces thereto.

19. A surgical stapling instrument, comprising:

a cartridge supporting assembly for operably supporting a staple cartridge therein;

a staple cartridge supported within said cartridge supporting assembly and operably supporting a plurality of collapsible staple supporting drivers therein, said staple supporting drivers comprising;

a base portion movably supported within the staple cartridge;

a staple supporting portion movably supported within the staple cartridge adjacent to said base portion; and

at least one attachment member protruding from one of the base portion and the staple supporting portion to be received in a corresponding aperture in the other of the base portion and the staple supporting portion, each said at least one attachment member and the aperture corresponding thereto being configured relative to each other to establish frictional fit therebetween that is overcome upon the application of said compression forces during the staple firing operation, said at least one attachment member being selected from the group of attachment members consisting of;

a rod having a substantially round cross-sectional shape, a tapered rod, a tang having at least two tapered surfaces, and a pair of tangs having ends oriented in spaced relation to each other and being biasable towards each other upon the application of forces thereto;

an anvil coupled to said cartridge supporting assembly and being selectively movable between an open position and a closed position; and

a drive member operably supported relative to said cartridge supporting assembly for driving said collapsible staple supporting drivers toward said anvil when said anvil is in said closed position in response to a firing force applied to said drive member.

20. A method for processing an instrument for surgery, said method comprising:

obtaining said surgical instrument of claim 19;

sterilizing said surgical instrument; and

storing said instrument in a sterile container.

21. The surgical stapling instrument of claim 19 wherein each said attachment member and said base portion are fabricated from different materials.

22. The surgical stapling instrument of claim 19 wherein said at least one attachment member protrudes from said base portion and said corresponding aperture is in said staple supporting portion.