This technology is generally related to surgical stapling devices, and more particularly, to surgical stapling devices including replaceable cartridge assemblies.
Surgical stapling devices for endoscopic use are well known and commonly used to minimize patient trauma and reduce patient recovery times. Typically, endoscopic stapling devices include a tool assembly that has an anvil assembly and a cartridge assembly that are coupled to each other by a pivot member and movable in relation to each other between open and clamped positions. The cartridge assembly includes a staple cartridge that supports a plurality of staples. In order to facilitate reuse of the surgical stapling device and reduce costs associated with a surgical procedure, it is known to include the tool assembly as part of a replaceable reload assembly that can be replaced after each firing of the surgical stapling device. It is also known to include a replaceable staple cartridge on the cartridge assembly that can be replaced to facilitate reuse of the surgical stapling device.
The reload assembly includes the tool assembly and a proximal body portion that supports a drive assembly for actuating the tool assembly. Replacement of the entire reload assembly after each firing of the surgical stapling device can be costly. The staple cartridge typically includes a cartridge body that supports a plurality of surgical staples. The cartridge body is flimsy and sometimes difficult to handle.
A continuing need exists for an inexpensive, more robust cartridge assembly that can be easily replaced to facilitate reuse of the surgical stapling device.
One aspect of this disclosure is directed to a tool assembly including an anvil assembly, a cartridge assembly, and retention structure. The anvil assembly includes an anvil body and a mounting member. The anvil body defines a longitudinal axis and includes a staple forming surface, a proximal portion, and a distal portion. The proximal portion of the anvil body has spaced flange portions positioned on opposite sides of the staple forming surface. The anvil assembly defines insertion slots on each side of the anvil assembly that extend along axes that define an acute angle Ω with the longitudinal axis of the anvil body. The cartridge assembly includes a cartridge body and a channel member. The cartridge body defines a central knife slot and a plurality of staple pockets positioned on each side of the central knife slot. The cartridge channel includes a base member and spaced side walls that define a channel that receives the cartridge body. Each of the side walls has a proximal portion that supports a protrusion that is received within one of the insertion slots of the anvil body to pivotably couple the anvil assembly to the cartridge assembly. The retention structure is supported on the tool assembly to retain the protrusions within the insertion slots.
Other aspects of the disclosure are directed to a surgical stapling device including a handle assembly, an adapter assembly supported on the handle assembly, and a tool assembly. The tool assembly is supported on the adapter assembly and includes an anvil assembly, a cartridge assembly, and retention structure. The anvil assembly includes an anvil body and a mounting member. The anvil body defines a longitudinal axis and includes a staple forming surface. The anvil body has a proximal portion and a distal portion. The proximal portion of the anvil body has spaced flange portions positioned on opposite sides of the staple forming surface. The anvil assembly defines insertion slots on each side of the anvil assembly. The insertion slots extend along axes that define an acute angle Ω with the longitudinal axis of the anvil body. The cartridge assembly includes a cartridge body and a channel member. The cartridge body defines a central knife slot and a plurality of staple pockets positioned on each side of the central knife slot. The cartridge channel includes a base member and spaced side walls that define a channel that receives the cartridge body. Each of the side walls of the channel member has a proximal portion that supports a protrusion that is received within one of the insertion slots of the anvil body to pivotably couple the anvil assembly to the cartridge assembly. The retention structure is supported on the tool assembly to retain the protrusions within the insertion slots.
In aspects of the disclosure, each of the insertion slots includes an inlet portion and a base portion that has widened portions which allow the protrusions to rotate within the insertion slots.
In some aspects of the disclosure, the angle Ω is from about 15 degrees to about 35 degrees.
In certain aspects of the disclosure, the angle Ω is about 25 degrees.
In aspects of the disclosure, the insertion slots are formed in the spaced flange portions of the anvil body.
In some aspects of the disclosure, the insertion slots are formed in opposite sides of the mounting member.
In certain aspects of the disclosure, the retention structure includes detents formed on the anvil body and openings formed in the channel member. The detents are positioned to be received within the openings as the anvil assembly is pivoted towards the cartridge assembly with the protrusions received in the insertion slots.
In aspects of the disclosure, a drive assembly includes a clamping member having a first beam positioned to engage the cartridge assembly, a second beam positioned to engage the anvil assembly, and a vertical strut connecting the first beam to the second beam.
In some aspects of the disclosure, the retention structure includes a biasing member positioned to urge the clamp member into engagement with the channel member of the cartridge assembly.
Other aspects of the disclosure are directed to a tool assembly including a cartridge assembly, an anvil assembly, and a drive assembly. The anvil assembly includes an anvil body having a proximal portion and a mounting member. The mounting member is fixedly supported on the proximal portion of the anvil body and defines a longitudinal channel and a transverse through bore that intersects the longitudinal channel. The mounting member further including two balls received within the through bore. The cartridge assembly includes a cartridge body and a channel member. The cartridge body defines a central knife slot and a plurality of staple pockets positioned on each side of the central knife slot. The channel member includes a base member and spaced side walls that define a channel that receives the cartridge body. Each of the side walls has a proximal portion that defines a circular bore. The drive assembly includes a clamp member that has a first beam positioned to engage the cartridge assembly, a second beam positioned to engage the anvil assembly, and a vertical strut connecting the first beam to the second beam. The clamp member is received within the longitudinal slot to urge the two balls outwardly of the through bore into the circular bores of the channel member to pivotably secure the cartridge assembly to the anvil assembly.
Other features of the disclosure will be appreciated from the following description.
Various aspects of the disclosed staple cartridge 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 the disclosed embodiments 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 addition, directional terms such as front, rear, upper, lower, top, bottom, distal, proximal, and similar terms are used to assist in understanding the description and are not intended to limit the disclosure. As used herein, the terms “parallel”, “perpendicular”, and “aligned” are understood to include relative configurations that are substantially parallel, substantially perpendicular, and substantially aligned, i.e., up to about + or −10 degrees from true parallel, true perpendicular, true alignment.
The disclosure is directed to a tool assembly including a cartridge assembly and an anvil assembly. The cartridge assembly includes a channel member that includes structure for releasably engaging the anvil assembly to allow for separation of the entire cartridge assembly from the anvil assembly after each use of the stapling device.
The tool assembly 16 of the stapling device 10 includes a cartridge assembly 30 and an anvil assembly 32. Each of the cartridge and anvil assemblies 30 and 32 includes a proximal portion and a distal portion. The cartridge assembly 30 and the anvil assembly 32 are coupled together such that the tool assembly 16 can pivot between an open position (
The staple guard 38 is secured to a lower side of the cartridge body 34 opposite to the tissue engaging surface 46 and provides a cover to prevent the pushers 40 and the staples 44 from falling from the lower side of the cartridge body 34. In certain aspects of the disclosure, the guard includes openings 50 that receive projections 52 on the cartridge body 34 such that the guard 38 can be snap-fit onto the cartridge body 34. Each of the projections 62 can include an angled surface 52a that is angled outwardly towards the tissue engaging surface 46 of the cartridge body 34. The angled surface 52a allows portions of the guard 38 to be cammed outwardly past the projections 52 as the guard 38 is attached to the cartridge body 32. The guard 38 defines a knife slot 54 that is aligned with the knife slot 48 formed in the cartridge body 42.
The channel member 36 includes a base wall 60 and side walls 62 that define a channel 64. The channel 64 receives the cartridge body 34. The side walls 62 of the channel member 36 define openings 66 that receive the projections 52 of the cartridge body 52 to secure the cartridge body 34 within the channel 64 of the channel member 36. The channel member 36 includes a distal portion 68 and a proximal portion 70. The proximal portion 70 of the channel member 36 supports protrusions 72. In aspects of the disclosure, the protrusions 72 are formed integrally with the side walls 62 of the channel member 36 and extend outwardly from the channel member 36 away from the channel 64 defined by the channel member 36. In some aspects of the disclosure, the protrusions 72 have a rectangular configuration. Alternately, other configurations are envisioned including square, oval and round.
The cartridge assembly 30 includes biasing members 80. In aspects of the disclosure, the biasing members 80 include leaf springs which include securement portions 82 that are received within openings 84 in a proximal portion of the cartridge body 34 to secure the biasing members 80 to the cartridge body 34. The biasing members 80 are positioned in cantilevered fashion to engage the anvil assembly 32 to urge the cartridge and anvil assemblies 30 and 32 towards the open position.
The proximal portion of the anvil assembly 32 includes two spaced flange portions 104 that extend downwardly from the staple forming surface 100 towards the cartridge assembly 30 (
Each of the flange portions 104 includes an inner surface 112 that supports a detent 114 (
The tool assembly 216 (as does the tool assembly 16) includes a drive assembly 218 including a clamp member 220 that has a first beam 222, a second beam 224, and a vertical strut 226 that connects the first beam 222 to the second beam 224. The drive assembly 218 is movable from a retracted position to an advanced position to move the clamp member 220 through the tool assembly 216 to pivot the tool assembly 216 from the open position to a clamped position and to subsequently fire staples. As the clamp member 220 moves through the tool assembly 216, the second beam 224 engages a ramp surface 228 (
In the tool assembly 216, the biasing member 214 is positioned to bias the clamp member 220 in the direction of arrow “C” in
The cartridge assembly 530 includes a channel member 550 that has side walls 552 and a base wall 554 that define a channel 556 that receives a staple cartridge 558. Each of the side walls 552 of the channel member 550 includes a proximal portion 552a that defines a circular bore 560. Alternately, the bores 560 need not extend through the side walls 552 of the channel member 550 and may be in the form of a circular recess or bind bore.
The mounting member 534 defines a through bore 562 that receives two spherical members or balls 564. The balls 564 are dimensioned to be contained within the through bore 562 when the clamp member 540 of the drive assembly 536 is positioned proximally of the through bore (
In order to secure the cartridge assembly 530 to the anvil assembly 532, a proximal portion 552a of the channel member 536 is positioned about the mounting member 534 with the mounting member 534 received within the channel 556 such that the balls 564 are aligned with the bores 560 in the channel member 536. Once the channel member 536 is properly positioned in relation to the mounting member 534, the drive assembly 536 can be advanced to move the vertical strut 546 of the clamp member 540 between the balls 564 to urge the balls 564 outwardly from the through bore 562 into the bores 560 of the channel member 536 to pivotably secure the channel member 536 to the mounting member 534.
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 embodiments. 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 embodiments. Accordingly, the disclosure is not to be limited by what has been particularly shown and described, except as indicated by the appended claims.
This application is a divisional of U.S. patent application Ser. No. 16/814,292, filed Mar. 10, 2020, the disclosure of which is incorporated by reference herein in its entirety.
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Number | Date | Country | |
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Parent | 16814292 | Mar 2020 | US |
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