The disclosure relates generally to a surgical instrument and, more specifically, to a surgical stapling instrument for clamping, joining, and/or cutting tissue.
Certain surgical stapling instruments are used for applying rows of staples through compressed living tissue. These surgical stapling instruments are employed, for example, for fastening tissue or organs prior to transection or resection or during anastomoses. In some cases, these surgical stapling instruments are utilized for occluding organs in thoracic and abdominal procedures.
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 cartridge and anvil assemblies, an alignment or guide pin assembly for capturing tissue between the cartridge and anvil assemblies and/or for maintaining alignment between the cartridge and anvil assemblies during approximation and firing, and a firing mechanism for ejecting the surgical staples from the cartridge assembly.
In use, a surgeon initially advances the alignment pin assembly and subsequently approximates the anvil and cartridge assemblies to clamp tissue between the cartridge and anvil assemblies. In some surgical stapling instruments, the alignment pin is automatically advanced in response to approximation of the anvil and cartridge assemblies. Next, the surgeon fires the surgical stapling instrument to place staples in tissue. Optionally, the surgeon may use the same surgical stapling instrument or a separate device to cut tissue positioned adjacent or between the rows of staples. In some instances, the surgical stapling instrument includes a knife which cuts tissue as the staples are fired.
In one aspect of the disclosure, a curved cartridge assembly is provided and includes a staple cartridge having a tissue-contacting surface, an alignment pin, and a shipping cap. The staple cartridge defines a plurality of rows of staple slots and a channel extending through the tissue-contacting surface. The alignment pin is received in the channel and has a distal end portion that protrudes distally from the tissue-contacting surface of the staple cartridge. The alignment pin is movable within the channel from a retracted position to an advanced position. The shipping cap is detachably coupled to the staple cartridge to cover the tissue-contacting surface of the staple cartridge. The shipping cap has an end portion defining a notch that receives the distal end portion of the alignment pin. The shipping cap engages the alignment pin to resist translation of the alignment pin along a longitudinal axis from the retracted position towards the advanced position.
In aspects, the distal end portion of the alignment pin may define a groove, and the end portion of the shipping cap may have a tab extending into the notch. The tab may be received within the groove of the alignment pin to resist translation of the alignment pin from the retracted position towards the advanced position.
In aspects, the groove of the alignment pin may extend at least partially around a circumference of the alignment pin.
In aspects, the staple cartridge may further include a leg extending proximally from an end portion thereof, and the shipping cap may further include a plate and a leg extending proximally from the plate. The plate of the shipping cap may be configured to cover the tissue-contacting surface, and the leg of the shipping cap may be configured to detachably secure to the leg of the staple cartridge.
In aspects, the shipping cap may be configured to detach from the staple cartridge in a direction from a first end portion of the staple cartridge toward a second end portion of the staple cartridge.
In aspects, the shipping cap may be configured to slide along the tissue-contacting surface of the staple cartridge as the shipping cap is detached from the staple cartridge to disengage from the distal end portion of the alignment pin.
In accordance with another aspect of the disclosure, an end effector assembly of a surgical stapler is provided and includes a curved housing having a base portion and a jaw portion, an anvil assembly supported on the jaw portion, a curved staple cartridge configured for insertion into the base portion, an alignment pin supported in the curved staple cartridge, and a shipping cap detachably coupled to the staple cartridge. The anvil assembly has a tissue-contacting surface defining a plurality of staple-forming pockets and an opening, and the curved staple cartridge includes a tissue-contacting surface defining a plurality of staple slots. The alignment pin includes a distal end portion that protrudes distally from the tissue-contacting surface of the curved staple cartridge. The distal end portion of the alignment pin is configured for receipt in the opening of the anvil assembly. The shipping cap is engaged with the distal end portion of the alignment pin to resist axial movement of the alignment pin relative to the curved staple cartridge.
In aspects, the distal end portion of the alignment pin may define a groove, and the shipping cap may have a tab removably received in the groove.
In aspects, the shipping cap may be configured to slide along a plane defined by the tissue-contacting surface of the staple cartridge to disengage from the distal end portion of the alignment pin.
In aspects, the end effector assembly may further include a slider slidably received in the curved housing. The slider may have a camming surface configured to engage a proximal end portion of the alignment pin to resiliently bias the distal end portion of the alignment pin toward the opening in the anvil assembly.
In aspects, the proximal end portion of the alignment pin may be configured to cam the slider proximally from a distal position to a proximal position during insertion of the staple cartridge into the curved housing.
In aspects, the alignment pin may be configured to translate distally to position the distal end portion of the alignment pin in the opening of the anvil assembly in response to the slider moving distally from the proximal position to the distal position.
In aspects, the slider may be configured to move from the proximal position to the distal position in response to the shipping cap being detached from the curved staple cartridge.
In aspects, the end effector assembly may further include a shaft disposed in the curved housing and a spring supported on the shaft. The slider may be slidably supported on the shaft, and the spring may be engaged with the slider to resiliently bias the slider into engagement with the alignment pin.
In aspects, the end effector assembly may further include a bushing fixed about a proximal end portion of the alignment pin, and a thrust bar disposed in the curved housing and configured to move between a proximal position and a distal position. The thrust bar may have a distal end portion configured to engage the bushing.
In aspects, the bushing and the alignment pin may be configured to translate distally to position the distal end portion of the alignment pin in the opening of the anvil assembly in response to the thrust bar moving from the proximal position to the distal position.
In aspects, the bushing may have a chamfered surface configured to engage the thrust bar during insertion of the curved staple cartridge into the curved housing.
In aspects, the thrust bar may be configured to unfix the bushing from the alignment pin to move the bushing distally along the alignment pin upon further distal movement of the thrust bar from the distal position.
In aspects, the distal end portion of the thrust bar may define a channel configured for receipt of the proximal end portion of the alignment pin as the thrust bar moves distally from the distal position.
In aspects, the bushing and the alignment pin may move distally as the thrust bar moves distally from the proximal position to the distal position, and the bushing and the thrust bar may move distally relative to the alignment pin as the thrust bar moves distally from the distal position.
Various aspects of the disclosed surgical stapling instrument are disclosed herein with reference to the drawings, wherein:
Aspects of the disclosed surgical stapling instrument are described in detail with reference to the drawings, wherein like reference numerals designate corresponding 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 that is closer to the clinician, whereas the term “distal” refers to the end of the surgical stapling instrument that is farther from the clinician. In addition, the term “clinician” is used generally to refer to medical personnel including doctors, nurses, and support personnel.
It should be appreciated that the instrument described and illustrated herein is configured to fire surgical staples against an anvil surface; however, aspects of the disclosure are equally applicable with other forms of staples, fasteners, clips, as well as two part fasteners, made of metallic or polymeric material.
With surgical staplers, it is important that the staple slots of the staple cartridge are aligned with the staple-forming pockets of the anvil assembly so that staple formation occurs properly. Incorrect alignment may lead to staple malformation and/or tissue trauma. An alignment pin is provided that assists in aligning the staple slots of the staple cartridge with the staple-forming pockets of the anvil assembly and also acts as a stop for preventing excess tissue from entering a gap between the cartridge assembly and the anvil assembly to ensure that staple formation and tissue cutting occur in close proximity to one another. A shipping cap is also provided that is detachably coupled to the staple cartridge of the cartridge assembly to cover the staple slots and also hold the alignment pin in an axial position until the staple cartridge is fully loaded into the surgical stapler. Upon loading the staple cartridge into the surgical stapler, the shipping cap may be detached from the staple cartridge, whereby the alignment pin can be translated into engagement with the anvil assembly to maintain proper alignment of the staple cartridge and the anvil assembly with one another.
With reference
A pair of clamp slide members 126a, 126b, and a thrust bar 130 are slidably supported in the elongated body portion 116 for movement between retracted and advanced positions in response to movement of the trigger member 114 through an approximation stroke and/or a firing stroke. A distal portion of each clamp slide member 126a, 126b includes a head portion 132 together defining a cavity 134 configured to releasably receive and support the cartridge assembly 160 of the end effector assembly 150.
For a detailed description of various aspects of the handle assembly 110 and the mechanical linkages responsible for carrying out a stapling function of the end effector assembly 150, please refer to commonly owned U.S. Patent Application Publication No, 2018/0153544, filed on Nov. 30, 2017, the contents of which are hereby incorporated by reference herein in its entirety.
The end effector assembly 150 of the surgical stapling instrument 100 includes a housing 152 having a base portion 154 coupled to and extending from a distal end portion of the elongated body portion 116 and an L-shaped jaw portion 156 extending distally from the base portion 154. The housing 152 of the end effector assembly 150 includes a substantially curved, C-like, or hook shaped cross-section. In aspects, the housing 152 may be linear rather than curved. The L-shaped jaw portion 156 includes an anvil support 156a that is spaced from and overlaps with the base portion 154, and an elongated arm 156b extending between and interconnecting the anvil support 156a and the base portion 154. The head portion 132 of each of the clamp slide members 126a, 126b and a head portion 138 of the thrust bar 130 extend through the housing 152 and are received in a gap 157 defined between the base portion 154 and the anvil support 156a of the L-shaped jaw portion 156.
The anvil assembly 170 of the end effector assembly 150 includes an anvil member 164 supported on the anvil support 156a of the L-shaped jaw portion 156 of the housing 152 and defines the same curved profile as the anvil support 156a. The anvil member 164 has a front end portion 164a disposed adjacent a lateral opening 159 of the gap 157, and a rear end portion 164b disposed adjacent the elongated arm 156h of the L-shaped jaw portion 156. The anvil member 164 has a tissue-contacting surface 166 extending between the front and rear end portions 164a, 164b of the anvil member 164. The tissue-contacting surface 166 defines a longitudinal slot 163 (
The cartridge assembly 160 of the end effector assembly 150 of the surgical stapling instrument 100 (
With reference to
With reference to
The cover plate 182 of the shipping cap 180 has a rear end portion 182b defining a notch 190 for receiving the distal end portion 136b of the alignment pin 136. The rear end portion 182b of the cover plate 182 has a tab 192, such as, for example, a catch, that extends into the notch 190 and is received in the groove 142 of the alignment pin 136. The tab 192 of the shipping cap 180, when engaged with the alignment pin 136, maintains the alignment pin 136 in a fixed axial position relative to the staple cartridge 172 out of engagement with the anvil assembly 170, as shown in
With reference to
In assembly, with initial reference to
While moving the cartridge assembly 160 (the staple cartridge 172 and the shipping cap 180) proximally to the position shown in
To complete the assembly process, the projection 187 of the shipping cap 180 may be grasped and pulled by a clinician with sufficient force to disengage the fingers 186 of the shipping cap 180 from the leg 174 of the staple cartridge 172. The shipping cap 180 may then be slid along the staple cartridge 172 toward the front end portion 172a of the staple cartridge in the direction indicated by arrow “B” in
The alignment pin 236 of the end effector assembly 250 includes a distal end portion 236b, a proximal end portion 236a, and a bushing 238 fixed about the proximal end portion 236a, The bushing 238 may be a plastic bushing that is adhered to the proximal end portion 236a of the alignment pin 236 via frictional engagement, an adhesive, or any other suitable fastening engagement material or technique that resists movement of the bushing 238 longitudinally along a longitudinal axis of the alignment pin 236.
The connection between the bushing 238 and the proximal end portion 236a of the alignment pin 236 is such that a distally-oriented, threshold force exerted on the bushing 238 is designed to overcome the connection to allow for slidable movement of the bushing 238 relative to the alignment pin 236. The bushing 238 has a proximally-facing camming surface 240 configured to engage a distal engagement surface 143 of the head portion 138 of the thrust bar 130. The head portion 138 of the thrust bar 130 defines a longitudinally-extending channel 145 (
In assembly, with initial reference to
The trigger member 114 (
With the distal end portion 236b of the alignment pin 236 engaged with the anvil assembly 170, and therefore stopped from further distal movement, further advancement of the thrust bar 130 exerts a threshold force on the bushing 238 to release the bushing 238 from the alignment pin 236, thereby permitting further advancement of the thrust bar 130 relative to the alignment pin 236. As the thrust bar 130 advances further (e.g., to carry out a stapling function of the end effector assembly 250), the bushing 238 slides along the alignment pin 236 while the proximal end portion 236a of the alignment pin 236 is passed into the channel 145 of the advancing thrust bar 130.
It should be understood that various aspects disclosed herein may be combined in different combinations than the combinations specifically presented in the description and accompanying drawings. It should also be understood that, depending on the example, certain acts or events of any of the processes or methods described herein may be performed in a different sequence, may be added, merged, or left out altogether (e.g., all described acts or events may not be necessary to carry out the techniques). In addition, while certain aspects of this disclosure are described as being performed by a single module or unit for purposes of clarity, it should be understood that the techniques of this disclosure may be performed by a combination of units or modules associated with, for example, a medical device.
This application is a National Stage Application of PCT Application No. PCT/CN2020/074185 under 35 USC § 371(a), filed Feb. 3, 2020, the entire contents of which are incorporated by reference herein.
Filing Document | Filing Date | Country | Kind |
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PCT/CN2020/074185 | 2/3/2020 | WO |