This technology is generally related to surgical stapling devices, and more particularly, to surgical stapling devices including knife assemblies.
Surgical stapling devices configured for endoscopic use are well known and commonly used during surgical procedures to minimize patient trauma and reduce patient recovery times. Typically, endoscopic stapling devices include a tool assembly and a drive assembly that is movable in relation to the tool assembly to actuate the tool assembly. The drive assembly includes a knife bar having a cutting blade for cutting tissue. The tool assembly includes anvil and cartridge assemblies that are coupled to each other by a pivot member and movable in relation to each other between open and clamped positions in response to movement of the drive assembly. The cartridge assembly includes a staple cartridge that supports staples that are ejected from the staple cartridge in response to movement of the drive assembly.
Some stapling devices include a staple cartridge that can be replaced after each firing of the stapling device to facilitate reuse of the stapling device. Other stapling devices include a reload assembly that includes a staple cartridge and a drive assembly that can be replaced after each firing of the stapling device to facilitate reuse of the stapling device. The use of a reload assembly provides a new cutting blade for each firing of the stapling device to maintain the quality of cutting. The use of a replaceable staple cartridge reduces the costs associated with a surgical procedure but generally requires reuse of the cutting blade. Repeated use of the same cutting blade may cause the cutting blade to become dull reducing the quality of cutting.
A continuing need exists for a surgical stapling device that can inexpensively provide a sharpened cutting blade through multiple firings of the stapling device.
One aspect of this disclosure is directed to a staple cartridge including a cartridge body, staples, and a knife sharpener. The cartridge body includes a proximal portion and a distal portion and defines a central knife slot and staple receiving pockets. The staple receiving pockets are positioned on opposite sides of the central knife slot and the staples are received within the staple receiving pockets. The knife sharpener is supported on the proximal portion of the cartridge body and is in axial alignment with the central knife slot.
Other aspects of the disclosure are directed to a surgical stapling device including an adapter assembly, a drive assembly, and a tool assembly. The adapter assembly has a proximal portion and a distal portion. The drive assembly includes a proximal portion and a distal portion and is movable between retracted and advanced positions. The distal portion of the drive assembly includes a cutting blade. The tool assembly includes an anvil and a cartridge assembly that are movable in relation to each other between open and clamped positions. The tool assembly receives the distal portion of the drive assembly. The cartridge assembly includes a channel member and a staple cartridge. The channel member defines a cavity, and the staple cartridge is received within the cavity of the channel member. The staple cartridge includes a cartridge body, staples, and a knife sharpener. The cartridge body has a proximal portion and a distal portion and defines a central knife slot and staple receiving pockets. The staple receiving pockets are positioned on opposite sides of the central knife slot. The staples are received within the staple receiving pockets of the cartridge body. The knife sharpener is supported on the proximal portion of the cartridge body and is in axial alignment with the central knife slot and with the cutting blade of the drive assembly.
In aspects of the disclosure, the cartridge body defines a cavity that is positioned proximally of and in communication with the central knife slot.
In some aspects of the disclosure, the cavity is defined by first and second opposed side walls of the cartridge body.
In certain aspects of the disclosure, the knife sharpener includes a first knife sharpener supported on the first side wall defining the cavity and a second knife sharpener supported on the second side wall defining the cavity.
In aspects of the disclosure, the first and second knife sharpeners extend from the first and second side walls, respectively, and are angled towards the central knife slot of the cartridge body in a distal direction.
In some aspects of the disclosure, the first and second knife sharpeners include abrasive surfaces.
In certain aspects of the disclosure, the first and second knife sharpeners are formed of a resilient material, and the abrasive surfaces include diamond edge sharpeners.
In aspects of the disclosure, the first and second knife sharpeners are supported in cantilevered fashion on the first and second side walls of the cartridge body.
In some aspects of the disclosure, the staple cartridge includes a wiper that is supported on the proximal portion of the cartridge body distally of the knife sharpener.
In certain aspects of the disclosure, the wiper includes a first wiper supported on the first side wall and a second wiper supported on the second side wall.
In aspects of the disclosure, the first and second wipers extend from the first and second side walls, respectively, and are angled towards the central knife slot of the cartridge body in a distal direction.
In some aspects of the disclosure, the first and second knife sharpeners are supported in cantilevered fashion on the first and second side walls of the cartridge body.
In certain aspects of the disclosure, the first and second wipers are formed from polyurethane.
Other features of the disclosure will be appreciated from the following description.
Various aspects of the disclosed surgical stapling device are described herein below with reference to the drawings, wherein:
The disclosed surgical stapling device will now be described in detail with reference to the drawings in which like reference numerals designate identical or corresponding elements in each of the several views. However, it is to be understood that disclosed aspects of the surgical stapling device are merely exemplary of the disclosure and may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the disclosure in virtually any appropriately detailed structure.
In this description, the term “proximal” is used generally to refer to that portion of the device that is closer to a clinician during use of the device in its customary fashion, while the term “distal” is used generally to refer to that portion of the device that is farther from the clinician during use of the device in its customary fashion. In addition, directional terms such as front, rear, upper, lower, top, bottom, and similar terms are used to assist in understanding the description and are not intended to limit the disclosure. Further, the term “clinician” is used generally to refer to medical personnel including doctors, nurses, surgeons, and support personnel.
The disclosure is directed to a surgical stapling device that includes a replaceable staple cartridge that includes a knife sharpener for sharpening a cutting blade of the stapling device prior to each firing of the stapling device. In aspects of the disclosure, the staple cartridge includes wipers positioned distally of the knife sharpener to remove particulate material from the cutting blade before the cutting blade engages tissue.
The adapter assembly 14 defines a longitudinal axis “X” and includes a proximal portion 14a and a distal portion 14b. The proximal portion 14a of the adapter assembly 14 is coupled to the handle assembly 12. The distal portion 14b of the adapter assembly 14 is coupled to the tool assembly 16 by a pivot member 24 that defines an articulation axis “Z” that is transverse to the longitudinal axis “X” of the adapter assembly 14. The tool assembly 16 is pivotable about the articulation axis “Z” between a non-articulated position and articulated positions.
The tool assembly 16 includes a mounting assembly 30, an anvil 32, and a cartridge assembly 34. In aspects of the disclosure, the anvil 32 is fixedly secured to the mounting assembly 30 and the cartridge assembly 34 is pivotably secured to the mounting assembly 30 by pivot members 36 (only one is shown) such that the cartridge assembly 34 is movable in relation to the anvil 32 between an open position (
The cartridge assembly 34 includes a channel member 38 and a staple cartridge 40. The channel member 38 is secured to the mounting assembly 30 and includes side walls 42 and a bottom wall 44 that define a cavity 46. The staple cartridge 40 is removably received within the cavity 46 of the channel member 38 and is replaceable to facilitate reuse of the stapling device 10. In aspects of the disclosure, the side walls 42 of the channel member 38 defines recesses 48.
The proximal portion of the cartridge body 50 defines a cavity 60 that is positioned proximally of and communicates with the proximal end of the central knife slot 52. The cavity 60 is defined by side walls 66 that support a pair of knife sharpeners 62 and a pair of wipers 64. The knife sharpeners 62 are positioned proximally of the wipers 64 and include abrasive surfaces 62a that extend into the cavity 60. The abrasive surfaces 62a of the respective knife sharpeners 62 are aligned with the central knife slot 52 of the cartridge body 50 and are longitudinally offset from each other. Alternately, it is envisioned that the knife sharpeners 62 could be longitudinally aligned with each other. In aspects of the disclosure, the knife sharpeners 62 are formed of a resilient material, e.g., spring steel, and the abrasive surfaces 62a include diamond edge sharpeners. Alternately, other materials capable of performing the recited functions can be used to construct the knife sharpeners 62 and form the abrasive surfaces 62a. In aspects of the disclosure, the knife sharpeners 62 extend from the side walls 66 and are angled distally towards the axis “Y” defined by the central knife slot 52.
The wipers 64 extend from the side walls 66 defining the cavity 60 into the cavity 60 at a position distally of the knife sharpeners 62. The wipers 64 are angled in the distal direction towards the longitudinal axis “Y” defined by the central knife slot 52 and have distal ends 64a that are positioned adjacent each other and aligned with the central knife slot 52. In aspects of the disclosure, the wipers 64 are formed from a resilient material and function to remove particulate material from a cutting blade 70 (
In aspects of the disclosure, the cartridge body 50 defines slots 80 (
In aspects of the disclosure, the working member 84 has an I-beam configuration and includes a first beam 88, a second beam 90, and a vertical strut 92. The vertical strut 92 connects the first beam 88 to the second beam 90 and supports or is formed with a cutting blade 96. The drive assembly 28 is movable between a retracted position and an advanced position to actuate the tool assembly 16. More specifically, the drive assembly is movable from a retracted position to a clamped position to move the tool assembly 16 to the clamped position, and movable from the clamped position to an advanced position to eject staples 98 (
As the drive assembly 28 continues to move in the direction of arrows “A” in
After the stapling device 10 (
In the disclosed stapling device 10 (
Persons skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are non-limiting exemplary aspects of the disclosure. It is envisioned that the elements and features illustrated or described in connection with one exemplary embodiment may be combined with the elements and features of another without departing from the scope of the disclosure. As well, one skilled in the art will appreciate further features and advantages of the disclosure based on the above-described aspects of the disclosure. Accordingly, the disclosure is not to be limited by what has been particularly shown and described, except as indicated by the appended claims.