1. Technical Field
The present disclosure relates generally to surgical instruments and, more specifically, to surgical instruments for surgically joining tissue and methods of manufacturing/assembling jaw members of surgical instruments.
2. Background of Related Art
Surgical stapling instruments used for applying parallel rows of staples through compressed living tissue are well known in the art. These surgical instruments are commonly employed for closing tissue or organs prior to transaction or resection, for occluding organs in thoracic and abdominal procedures, and for fastening tissue in anastomoses.
Typically, such surgical stapling instruments include an anvil assembly, a cartridge assembly for supporting an array of surgical staples, an approximation mechanism for approximating the anvil and cartridge assemblies, and a firing mechanism for ejecting the surgical staples from the cartridge assembly.
In use, a surgeon initially approximates the anvil and cartridge assemblies. Next, the surgeon can actuate the surgical instrument to place staples in tissue. Additionally, the surgeon may use the same surgical instrument or a separate instrument to cut the tissue adjacent or between the row(s) of staples.
Typically, to manufacture anvil and cartridge assemblies of these surgical stapling instruments, sheet metal processing, stamping, and machining, inter alia, and laser welding for assembly are utilized. These machining operations can be complex and costly. Accordingly, a need exists for a more cost effective and simplified process of manufacturing components of surgical stapling instruments.
In one embodiment of the present disclosure, an anvil assembly for use with a surgical stapling instrument is provided. The anvil assembly includes an anvil plate and an anvil cover each fabricated from a thermoplastic material. The anvil plate has a knife channel defined longitudinally therethrough. The anvil plate includes a first surface and a second surface opposite the first surface. The first surface has a plurality of beads disposed along a periphery thereof. The anvil cover is configured to be coupled to a distal end of the surgical stapling instrument. The anvil cover includes a surface having at least one elongate surface feature disposed along a periphery thereof. The lateral beads of the anvil plate and the elongate surface feature of the anvil cover are configured for abutting engagement upon assembly thereof.
In certain embodiments, the plurality of beads of the anvil plate are a plurality of lateral beads disposed along a periphery thereof. The at least one elongate surface feature can be at least one longitudinal bead feature.
In some embodiments, the beads may have a triangular configuration and the elongate surface feature may have a triangular transverse cross section configuration.
It is contemplated that the thermoplastic material may be polyetheretherketone.
It is envisioned that an end of the anvil plate and an end of the anvil cover may each define an opening therethrough such that upon assembly of the anvil plate with the anvil cover, the openings are in overlapping alignment.
In some embodiments, the anvil plate may further include a pair of posts extending perpendicularly from an end of the second surface thereof. The anvil plate may further include a pair of biasing members engaged to the pair of posts.
It is contemplated that the anvil plate may further include a wall extending perpendicularly from the periphery of the first surface of the anvil plate.
In some embodiments, the anvil plate and the anvil cover may each have an arcuate configuration.
In another aspect of the present disclosure, an end effector for use with a surgical stapling instrument is provided. The end effector includes an anvil assembly and a cartridge assembly. The anvil assembly includes an anvil plate and an anvil cover each fabricated from a thermoplastic material. The anvil plate has a knife channel defined longitudinally therethrough. The anvil plate includes a first surface and a second surface opposite the first surface. The first surface has a plurality of beads disposed along a periphery thereof. The anvil cover is configured to be coupled to a distal end of a surgical stapling instrument. The anvil cover includes a surface having at least one elongate surface feature disposed along a periphery thereof. The beads of the anvil plate and the elongate surface feature of the anvil cover are configured for abutting engagement upon assembly thereof. At least one of the anvil assembly or the cartridge assembly is movable relative to the other between a spaced position and an approximated position to engage and staple tissue there between. The anvil assembly and the cartridge assembly may each have an arcuate configuration.
In yet another aspect of the present disclosure, a method of manufacturing an anvil assembly of a surgical stapling instrument is provided. The method includes providing an anvil plate and an anvil cover, and ultrasonically welding the anvil plate to the anvil cover at an interface between beads of the anvil plate and an elongate surface feature of the anvil cover.
In some embodiments, the method may further include aligning an opening defined in an end of the anvil plate with an opening defining in an end of the anvil cover prior to ultrasonically welding the anvil plate to the anvil cover.
Various embodiments of the presently disclosed surgical stapling instruments are disclosed herein with reference to the drawings, wherein:
Embodiments of the presently disclosed surgical stapling instrument are described in detail with reference to the drawings, wherein like reference numerals designate similar or identical elements in each of the several views. In the drawings and the description that follows, the term “proximal” refers to the end of the surgical stapling instrument, or component thereof, that is closest to the operator, whereas the term “distal” refers to the end of the surgical stapling instrument, or component thereof, that is farthest from the operator. As appreciated by one skilled in the art, the depicted surgical stapling instrument fires staples, but it may be adapted to fire any other suitable fastener such as clips and two-part fasteners.
As used herein, the terms parallel and perpendicular are understood to include relative configurations that are substantially parallel and substantially perpendicular up to about +/−10 degrees from true parallel and true perpendicular.
With reference to
Surgical stapling instrument 10 is configured to clamp, fasten, and/or cut tissue. In general, instrument 10 includes a handle assembly 20, an elongate portion or an adapter assembly 30 extending distally from handle assembly 20 and defining a longitudinal axis “X,” and a curved end effector 100 adapted to clamp and fasten tissue. Adapter assembly 30 interconnects handle assembly 20 and end effector 100. Adapter assembly 30 includes a proximal housing 32 operatively coupled to a distal end of handle assembly 20 and a distal elongate portion 34 operatively coupled to a proximal elongate portion 102 of end effector 100. It is contemplated that the handle assembly can be a manually operated handle, such as that depicted in
Handle assembly 20 includes a stationary handle 22 and a movable handle 24. Movable handle 24 is adapted to move pivotally toward or away from stationary handle 22. Further, movable handle 24 is operatively coupled to end effector 100 through a mechanism adapted to convert at least a partial actuation of movable handle 24 into a pivoting motion of at least one of a first jaw member 110 or second jaw member 120 between spaced and approximated positions. As recognized by one skilled in the art, any conventional actuation mechanism may be employed to operatively couple movable handle 24 to end effector 100.
In disclosed embodiments, handle assembly 20 contains an actuation mechanism (not shown) for deploying fasteners, such as, for example, surgical staples from end effector 100 and advancing a knife (not shown) of end effector 100. The actuation mechanism includes a firing rod (not shown) operatively connected to movable handle 24. In operation, pivoting movable handle 24 toward stationary handle 22 causes the firing rod to advance distally. The firing rod is in turn operatively coupled to an axial drive assembly (not shown) at least partially positioned within end effector 100. The axial drive assembly is configured to move distally in response to a distal translation of the firing rod. Distal translation of the axial drive assembly causes first jaw member 110 to pivot toward second jaw member 120. In certain embodiments, the drive assembly has an elongate beam, with a distal head. The distal head has an upper portion for engaging one of the jaw members, and a lower portion for engaging the other jaw member. Alternatively, a tubular shaped member can be used to close the jaws. In addition, the axial drive assembly pushes an actuation sled (not shown) disposed within first jaw member 110, while the actuation sled translates through end effector 100. As the actuation sled advances through first jaw member 110, the actuation sled urges fasteners out of fastener retaining slots defined in first jaw member 110. In one embodiment, the axial drive assembly includes a blade (not shown) mounted on a distal portion thereof. In operation, the blade moves through end effector 100 when axial drive assembly moves distally through end effector 100 to cut tissue. As an alternative to the actuation sled, a series of cam bars can be advanced to deploy fasteners.
With continued reference to
First jaw member 110 includes a cartridge assembly 130 configured for retaining and discharging staples, and second jaw member 120 includes an anvil assembly 112 against which staples are formed during actuation of end effector 100. Cartridge assembly 130 has an arcuate configuration and includes a surface 132 configured to engage tissue. Surface 132 of cartridge assembly 130 generally faces anvil assembly 112 (see
Cartridge assembly 130 includes a plurality of fastener retaining slots 134 defined in surface 132 of cartridge assembly 130. Fastener retaining slots 134 are arranged in arcuate rows (e.g., two concentric rows) along surface 132 and extend along a curved length of cartridge assembly 130. Each fastener retaining slot 134 is adapted to hold a fastener (not shown) until a user actuates handle assembly 20. As mentioned above, when movable handle 24 is pivoted toward stationary handle 22, the fasteners are ejected from fastener retaining slots 134 and move toward anvil assembly 112.
Cartridge assembly 130 further includes a knife channel 136 defined in surface 132 and configured for translatable passage therethrough of a knife or other suitable cutting tool (not shown). Knife channel 136 is disposed between adjacent rows of fastener retainer slots 134 and extends along the curved length of cartridge assembly 130. In operation, a knife (not shown) slides through knife channel 136 when movable handle 24 pivots toward stationary handle 22. Alternately, other mechanisms can be used to drive the knife through knife channel 136. As mentioned above, actuating handle assembly 20 not only drives a knife along knife channel 136 to cut tissue disposed between anvil assembly 112 and cartridge assembly 130, but also ejects the fasteners from fastener retaining slots 134 (e.g., via a single stroke or multiple strokes of movable handle 24) into the tissue.
With reference to
Anvil assembly 112 generally includes an anvil plate 140 (
With reference to
Anvil plate 140 has a first lateral side 148a and a second lateral side 148b that define a width of anvil plate 140 therebetween. The width of anvil plate 140 changes at a juncture 150 disposed between first and second ends 142a, 142b to define a first portion 152a of anvil plate 140 and a second portion 152b of anvil plate 140. First portion 152a of anvil plate 140 has a first width “W1” (
Anvil plate 140 includes a first, top surface 154a having a planar configuration and a second, bottom surface 154b, opposite the first surface 154a, also having a planar configuration. In some embodiments, surfaces 154a, 154b may assume various configurations, such as, for example, undulating, tapered, or bent. First surface 154a of anvil plate 140 has a wall 156 extending perpendicularly therefrom. Wall 156 is disposed along periphery “P” of second portion 152b. In some embodiments, wall 156 may extend along periphery “P” of both first and second portions 152a, 152b of anvil plate 140. Wall 156 functions to guide the placement of anvil cover 180 into complementary alignment with anvil plate 140 during assembly, as will be described in greater detail below.
First surface 154a of anvil plate 140 further includes a plurality of lateral beads 158 disposed between periphery “P” of anvil plate 140 and axis “C1” of anvil plate 140. Beads 158 may have a triangular configuration. In some embodiments, beads 158 may assume a variety of shapes and configurations, such as, for example, square, round, oval, pyramidal, star-shaped, or the like. Beads 158 extend from first surface 154a of anvil plate 140 a distance that is less than a distance wall 156 extends from first surface 154a. Beads 158 that are supported on second portion 152b of anvil plate 140 are disposed further laterally from curved central axis “C1” than are the beads 158 supported on first portion 152a of anvil plate 140. As such, and as can be appreciated, an imaginary line intersecting the beads 158 that are supported on first portion 152a, and an imaginary line intersecting the beads 158 that are supported on second portion 152b, are parallel but are not coaxial. In some embodiments, all of beads 158 may be in alignment with one another. It is contemplated that beads 158 may be fabricated from a variety of materials, such as, for example, those materials already described herein.
With reference to
With reference to
First end 182a of anvil cover 180 has a finger or tab 186 extending proximally therefrom. Tab 186 has a pair of cutouts 187 formed therein. Cutouts 187 are positioned on each lateral side of tab 186 to help secure anvil cover 180 to proximal elongate portion 102. More particularly, proximal elongate portion 102 includes a channel (not shown) therein, and the channel includes a pair of protrusions (not shown). Tab 186 of anvil cover 180 mechanically engages the channel of proximal elongate portion 102, such that cutouts 187 are aligned with the protrusions. An outer sleeve (not explicitly shown) covers the tab 186 and the channel. The configuration of tab 186 and the channel facilitates a secure connection between anvil cover 186 and proximal elongate portion 102. Moreover, this connection results in a non-movable (e.g., non-pivotable) anvil assembly 112 with respect to proximal elongate portion 102. In some embodiments, anvil assembly 112 may be pivotably coupled to proximal elongate portion 102.
Second end 182b of anvil cover 180 has an opening 188 defined through a thickness thereof. Opening 188 is in alignment with curved central axis “C2” such that upon assembly of anvil plate 140 with anvil cover 180, respective openings 146, 188 of anvil plate 140 and anvil cover 180 are in overlapping alignment.
Anvil cover 180 includes elongate surface features 190 fixed on a surface 192 of anvil cover 180, and disposed along a periphery “P” of anvil cover 180. Elongate surface features 190 of anvil cover 180, and beads 158 of anvil plate 140 are configured for abutting engagement with one another upon assembly of anvil cover 180 with anvil plate 140, as described in greater detail below. Elongate surface features 190 may be monolithically formed with one another to define one unitary elongate surface feature, or may be spaced from one another along periphery “P” as illustrated in
With reference to
Upon properly positioning anvil cover 180 with anvil plate 140, an ultrasonic energy applicator (not shown) directs ultrasonic energy to an interface “I” (
Anvil cover 180, with anvil plate 140 welded thereto, may then be coupled to the remainder of end effector 100.
It will be understood that various modifications may be made to the embodiments of the presently disclosed surgical stapling instruments. Therefore, the above description should not be construed as limiting, but merely as exemplifications of embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the present disclosure.