End effectors for a surgical cutting and stapling instrument

• US 7,980,443 B2
• Filed: 02/15/2008
• Issued: 07/19/2011
• Est. Priority Date: 02/15/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Hall, Steven G., Blair, Gregory B., Timm, Richard W., Morgan, Jerome R., Moore, Kyle P., Parihar, Shailendra K., Smith, Bret W., Ortiz, Mark S., Shelton, Frederick E. IV, Weizman, Patrick A., Korvick, Donna L., Zwolinski, Andrew M., Swayze, Jeffrey S., Hueil, Geoffrey C., Messerly, Jeffrey D., Bruewer, Dean B., Tanguay, Randall J., Kelly, William D., Hoffman, Douglas B., Weisenburgh, William B. II, Robertson, Galen C., Armstrong, Glen A., Ransick, Mark H., Doll, Kevin R., Scheib, Charles J., Uth, Joshua R., Huitema, Thomas W., Kolata, Ronald J.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US12/031,873
• Publication Number:
  US 20090206140A1
• Time in Patent Office: 1,250 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/180.1, 606/139, 606/219
• US Class Current: 227/180.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395

Abstract

In various embodiments, an anvil of a disposable loading unit including a first member having staple pockets for deforming staples, a first cover plate secured to the first member, and a second cover plate secured to at least one of the first member and the first cover plate, wherein the first and second cover plates can be configured to support the first member. In at least one embodiment, an anvil can include a first member inserted into a second member, where at least one of the first and second members can be deformed to retain one to the other. In various embodiments, a surgical stapling instrument can include a disposable loading unit comprising a staple cartridge, an anvil, and a sleeve, wherein the sleeve can be configured to be slid relative to the staple cartridge and the anvil to hold the anvil in a closed position.

Claims

1. A disposable loading unit for a surgical stapling instrument, comprising:

a staple cartridge carrier configured to operably support a staple cartridge, wherein said staple cartridge carrier comprises a carrier outer surface;

an anvil comprising at least one staple deforming cavity, wherein said anvil is rotatably movable between a first position and a second position, and wherein said anvil comprises an anvil outer surface; and

a sleeve comprising;

a longitudinal axis;

a distal end;

an aperture, wherein said sleeve is configured to be slid along said carrier outer surface and said anvil outer surface, and wherein at least a portion of said staple cartridge carrier and said anvil are configured to be positioned within said aperture such that said sleeve can hold said anvil in said second position;

a first slot extending along said longitudinal axis on a first side of said sleeve, wherein said first slot comprises;

a first open end opening toward said distal end; and

a first closed proximal end;

a second slot extending along a second side of said sleeve, wherein said second slot is aligned with said first slot, and wherein said second slot comprises;

a second open end opening toward said distal end; and

a second closed proximal end; and

a staple cartridge positioned within said staple cartridge carrier, wherein said staple cartridge and said anvil define a tissue gap therebetween when said anvil is in said second position, and wherein said first slot and said second slot are aligned with said tissue gap.

2. The disposable loading unit of claim 1, wherein said sleeve is configured to contact said anvil and rotate said anvil between said first and second positions.

3. The disposable loading unit of claim 1, further comprising a shaft, wherein said staple cartridge carrier and said anvil extend from said shaft, and wherein said shaft comprises an end configured to be attached to the surgical stapling instrument.

4. The disposable loading unit of claim 3, further comprising a drive member configured to be advanced and retracted relative to said anvil and said staple cartridge carrier.

6. The disposable loading unit of claim 3, further comprising said staple cartridge.

5. A disposable loading unit for a surgical stapling instrument, comprising:

a staple cartridge carrier configured to operably support a staple cartridge;

an anvil rotatable between a first position and a second position, wherein said anvil comprises;

at least one staple deforming cavity;

a proximal end comprising an opening;

a distal end;

an outer cover comprising an outer surface;

an inner drive surface; and

an elongate cavity defined between said outer cover and said inner drive surface;

a sleeve comprising an aperture, wherein said sleeve is configured to be slid around said staple cartridge carrier and said outer surface of said cover, and wherein at least a portion of said staple cartridge carrier and said anvil are configured to be positioned within said aperture such that said sleeve can hold said anvil in said second position;

a drive member comprising a cutting edge configured to incise tissue; and

a cantilevered tongue extending from said sleeve, wherein said tongue is configured to be slide relative to said staple cartridge channel and said anvil, and wherein said tongue is configured to enter into said elongate cavity through said opening in said proximal end of said anvil and engage said inner drive surface of said anvil to hold said anvil in said second position.

7. The disposable loading unit of claim 5, further comprising a shaft, wherein said staple cartridge carrier and said anvil extend from said shaft, and wherein said shaft comprises an end configured to be attached to the surgical stapling instrument.

8. The disposable loading unit of claim 5, wherein said sleeve is configured to contact said anvil and rotate said anvil between said first and second positions.

9. A disposable loading unit for a surgical stapling instrument, said disposable loading unit comprising:

a first jaw, comprising;

a staple cartridge comprising a plurality of staples;

a first tissue-compression surface; and

a first outer surface;

a second jaw rotatable between a first position and a second position, wherein said second jaw comprises;

an anvil comprising at least one staple deforming cavity;

a second tissue-compression surface; and

a second outer surface; and

a sleeve, comprising;

a distal end;

an aperture defined by an aperture sidewall, wherein said sleeve is configured to be slid along said first outer surface and said second outer surface, and wherein at least a portion of said first jaw and said second are configured to be positioned within said aperture such that said aperture sidewall can hold said second jaw in said second position;

a first slot extending along a first side of said sleeve, wherein said first slot comprises;

a first open end opening toward said distal end; and

a first closed proximal end;

a second slot extending along a second side of said sleeve, wherein said second slot is aligned with said first slot, and wherein said second slot comprises;

a second open end opening toward said distal end; and

a second closed proximal end;

wherein said first tissue-compression surface and said second tissue- compression surface define a tissue gap therebetween when said second jaw is in said second position, and wherein said first slot and said second slot are aligned with said tissue gap.

10. The disposable loading unit of claim 9, further comprising a shaft, wherein said first jaw and said second jaw extend from said shaft, and wherein said shaft comprises an end configured to be attached to the surgical stapling instrument.

11. The disposable loading unit of claim 9, wherein said sleeve is configured to contact said second jaw and rotate said second jaw between said first and second positions.

13. The disposable loading unit of claim 9, further comprising a shaft, wherein said first jaw and said second jaw extend from said shaft, and wherein said shaft comprises an end configured to be attached to the surgical fastening instrument.

12. A disposable loading unit for a surgical fastening instrument, said disposable loading unit comprising:

a first jaw, comprising;

a plurality of fasteners; and

a first tissue-compression surface;

a second jaw rotatable between a first position and a second position, wherein said second jaw comprises a second tissue-compression surface; and

a sleeve, comprising;

a first cantilever comprising a first distal end configured to engage said first jaw;

a second cantilever comprising a second distal end configured to engage said second jaw;

an aperture defined by an aperture sidewall, wherein at least a portion of said first jaw and said second are configured to be positioned within said aperture;

a first slot defined between said first cantilever and said second cantilever, wherein said first slot comprises;

a first open distal end; and

a first closed proximal end;

a second slot defined between said first cantilever and said second cantilever, wherein said second slot is positioned opposite said first slot, and wherein said second slot comprises;

a second open distal end; and

a second closed proximal end; and

wherein said first tissue-compression surface and said second tissue- compression surface define a tissue gap therebetween when said second jaw is in said second position, and wherein said first slot and said second slot are aligned with said tissue gap.

14. The disposable loading unit of claim 12, wherein said sleeve is configured to contact said second jaw and rotate said second jaw between said first and second positions.

15. A disposable loading unit for a surgical stapling instrument, said disposable loading unit comprising:

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

a second jaw rotatable between a first position and a second position, wherein said second jaw comprises;

an anvil comprising a plurality of staple deforming cavities;

a proximal end comprising an opening;

a distal end;

an outer cover comprising an outer surface;

an inner drive surface; and

an elongate cavity defined between said outer cover and said inner drive surface;

a drive member comprising a cutting edge configured to incise tissue; and

a sleeve, comprising;

a first portion configured to engage said first jaw; and

a cantilevered tongue configured to engage said second jaw, wherein said tongue is configured to enter into said elongate cavity through said opening in said proximal end of said anvil and engage said inner drive surface of said anvil to hold said anvil in said second position.

16. The disposable loading unit of claim 15, further comprising a shaft, wherein said first jaw and said second jaw extend from said shaft, and wherein said shaft comprises an end configured to be attached to the surgical stapling instrument.

17. The disposable loading unit of claim 15, wherein said sleeve is configured to contact said second jaw and rotate said second jaw between said first and second positions.

18. A disposable loading unit for a surgical fastening instrument, said disposable loading unit comprising:

a first jaw comprising a plurality of fasteners;

a second jaw rotatable between a first position and a second position, wherein said second jaw comprises;

a proximal end comprising an opening;

a distal end;

an outer cover comprising an outer surface;

an inner drive surface; and

an elongate cavity defined between said outer cover and said inner drive surface;

a drive member comprising a cutting edge configured to incise tissue; and

a jaw closure actuator, comprising;

a first portion configured to engage said first jaw; and

a cantilevered beam configured to engage said second jaw, wherein said beam is configured to enter into said elongate cavity through said opening in said proximal end of said anvil and engage said inner drive surface of said anvil to move said anvil into said second position.

19. The disposable loading unit of claim 18, further comprising a shaft, wherein said first jaw and said second jaw extend from said shaft, and wherein said shaft comprises an end configured to be attached to the surgical stapling instrument.

20. The disposable loading unit of claim 18, wherein said jaw closure actuator is configured to contact said second jaw and rotate said second jaw between said first and second positions.