巴西专利BR112020008326A2 force reduction cartridge body design based on firing completion

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专利摘要:
The present invention relates to a surgical instrument that includes a slide and an end actuator. The end actuator includes a first jaw, a second movable jaw in relation to the first jaw, an anvil and a cartridge channel. The staple cartridge includes a proximal end, a distal end, a cartridge body and staples supported on the cartridge body, where the slide is movable to implant the staples of the cartridge body against the tissue captured between the staple cartridge and the anvil. The cartridge channel is configured to removably retain the staple cartridge, where a charge is required to remove the staple cartridge from the cartridge channel, and the slide is configured to reduce the cartridge removal load.
公开号:BR112020008326A2
申请号:R112020008326-7
申请日:2018-10-26
公开日:2020-10-20
发明作者:Brian F. DiNardo；Morgan R. Hunter；Gregory J. Bakos
申请人:Ethicon Llc；
IPC主号:

专利说明:

[001] [001] The present invention relates to surgical instruments and, in various provisions, surgical instruments for stapling and cutting, and staple cartridges for use with them, which are designed for stapling and cutting tissue. BRIEF DESCRIPTION OF THE DRAWINGS
[002] [002] Several characteristics of the modalities described here, together with their advantages, can be understood according to the description presented below, considered together with the attached drawings, as shown below:
[003] [003] Figure 1 illustrates a perspective view of a surgical instrument, in accordance with at least one aspect of the present disclosure;
[004] [004] Figure 2 illustrates a partial perspective view of an interchangeable drive shaft assembly and a perspective view of a handle of the surgical instrument of Figure 1 in an unmounted configuration;
[005] [005] Figure 3 illustrates a perspective view of an end actuator of the surgical instrument of Figure 1;
[006] [006] Figure 4 illustrates an exploded view of a staple cartridge and a cartridge channel for the end actuator of Figure 3;
[007] [007] Figure 5 illustrates a partial view of a staple cartridge of the surgical instrument of Figure 1;
[008] [008] Figure 6 illustrates a staple cartridge assembled with a cartridge channel for the surgical instrument of Figure 1, with a slider shown in imaginary lines in a proximal position;
[009] [009] Figure 7 illustrates a staple cartridge assembled with a cartridge channel for the surgical instrument of Figure 1 with a slider shown in imaginary lines in a distal position;
[0010] [0010] Figure 8 illustrates a cross-sectional view taken along line 8-8 of Figure 6;
[0011] [0011] Figure 9 illustrates a cross-sectional view taken along line 9-9 of Figure 7;
[0012] [0012] Figure 10 illustrates a partial expanded view of the cross-sectional view of Figure 8;
[0013] [0013] Figure 11 illustrates a partial expanded view of the cross-sectional view of Figure 9;
[0014] [0014] Figure 12 illustrates an exploded view of a staple cartridge and a cartridge channel, in accordance with at least one aspect of the present disclosure;
[0015] [0015] Figure 13 shows a partial view of the staple cartridge of Figure 12;
[0016] [0016] Figure 14 illustrates a staple cartridge assembled with a cartridge channel for the surgical instrument of Figure 1, with a slide shown in imaginary lines in a proximal position;
[0017] [0017] Figure 15 illustrates a staple cartridge mounted with a cartridge channel for the surgical instrument of Figure 1, with a slide shown in imaginary lines in a distal position;
[0018] [0018] Figure 16 illustrates a cross-sectional view taken along line 16-16 of Figure 14; and
[0019] [0019] Figure 17 illustrates a cross-sectional view taken along line 17-17 in Figure 15. DETAILED DESCRIPTION
[0020] [0020] Numerous specific details are presented to provide a complete understanding of the structure, function, manufacture and general use of the modalities described in the specification and illustrated in the attached drawings. Well-known operations, components and elements have not been described in detail, so as not to obscure the modalities described in the specification. The reader will understand that the modalities described and illustrated in the present invention are non-limiting examples and, therefore, it can be understood that the specific structural and functional details disclosed in the present invention can be representative and illustrative. Variations and changes can be made to this, without departing from the scope of the claims.
[0021] [0021] The terms "understands" (and any form of understands, such as "understands" and "that understands"), "has" (and any form of has, such as "has" and "has"), "includes" (and any form of includes, such as "includes" and "which includes") and "contains" (and any form of contains, such as "contains" and "which contains") are unrestricted linking verbs. As a result, a surgical system, device or apparatus that "comprises", "has", "includes" or "contains" one or more elements has those one or more elements, but is not limited to having only those one or more elements. Likewise, an element of a surgical system, device or apparatus that "comprises", "has", "includes" or "contains" one or more resources has those one or more resources, but is not limited to having only those one or more features.
[0022] [0022] The terms "proximal" and "distal" are used in the present invention with reference to a physician who handles the handle portion of the surgical instrument. The term "proximal" refers to the portion closest to the doctor, and the term "distal" refers to the portion located opposite the doctor. It will also be understood that, for the sake of convenience and clarity, spatial terms such as "vertical", "horizontal", "up" and "down" can be used in the present invention with respect to the drawings. Meantime,
[0023] [0023] Various devices and exemplifying methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, the reader will readily understand that the various methods and devices disclosed in the present invention can be used in a number of surgical procedures and applications, including, for example, in relation to open surgical procedures. With the advancement of this Detailed Description, the reader will also understand that the various instruments disclosed here can be inserted into a body in any way, such as through a natural orifice, through an incision or perforation formed in fabric, etc. Functional portions or portions of the instrument end actuator can be inserted directly into a patient's body or can be inserted via an access device that has a working channel through which the end actuator and the elongated drive shaft surgical instrument can be advanced.
[0024] [0024] Although several aspects of the present disclosure have been described in this document in connection with linear staplers, these aspects can be implemented in a similar way in other surgical staplers such as, for example, circular staplers and / or curved staplers. In addition, although several aspects of the present disclosure are described in connection with a hand held instrument, these aspects can be implemented in a similar way in robotic surgical systems. Several suitable robotic surgical systems are disclosed in US Patent No. 2012/0298719, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, filed on May 27, 2011, now US Patent No. 9,072,535, the full disclosure of which is incorporated by reference in the present invention.
[0025] [0025] With reference mainly to Figures 1 to 3, a surgical stapling instrument 10 comprises a drive shaft 11 and an end actuator 12 that extends from the drive shaft 11. The end actuator 12 comprises a first claw 14 and a second jaw 15. The first jaw 14 comprises a staple cartridge 16. The staple cartridge 16 is insertable and removable from a drum or cartridge channel 17 of the first jaw 14; however, other arrangements are envisaged in which the staple cartridge 16 is not removable from, or at least readily replaceable in, the first jaw 14. The second jaw 15 comprises an anvil 18 configured to deform staples ejected from the staple cartridge 16. The second jaw 15 is pivotal with respect to the first jaw 14 around a geometric closing axis; However, other modalities are provided for in which the first claw 14 is pivoting in relation to the second claw 15. The surgical stapling instrument 10 additionally comprises a hinge joint 20 configured to allow the end actuator 12 to be rotated, or articulated , in relation to the drive shaft 11. The end actuator 12 is rotatable about a geometric axis of articulation that extends through the articulation joint 20. Other modalities are provided that do not include an articulation joint.
[0026] [0026] With reference to Figure 2, in several examples, the surgical stapling instrument 10 includes a compartment 34 that comprises a handle assembly 35 that is configured to be picked up, manipulated and acted on by the doctor. The compartment 34 is configured for operational fixation to an interchangeable drive shaft assembly 36, which includes end actuator 12 and at least a portion of the driving shaft 11. According to the present disclosure, various forms of drive shaft assemblies interchangeable drives can be effectively used in conjunction with robotically controlled surgical systems as well as hand instruments. The term "compartment" can encompass a compartment or similar portion of a robotic system that houses or otherwise operationally supports at least one drive system configured to generate and apply at least one control movement that can be used to drive the sets of drive shaft. The term "structure" can refer to a portion of a hand held surgical instrument. The term "structure" can also represent a portion of a robotically controlled surgical instrument and / or a portion of the robotic system that can be used to operationally control the surgical instrument. The interchangeable drive shaft assemblies disclosed herein can be used with various robotic systems, instruments, components and methods disclosed in US Patent No. 9,072,535, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, which is incorporated herein by reference , in its entirety.
[0027] [0027] With reference mainly to Figures 3 and 4, the staple cartridge 16 comprises a cartridge body 21. The cartridge body 21 includes a proximal end 22, a distal end 23, and a platform 24 extending between the end proximal 22 and the distal end 23. In use, the staple cartridge 16 is positioned on a first side of the fabric to be stapled and the anvil 18 is positioned on a second side of the fabric. The anvil 18 is moved towards the staple cartridge 16 to compress and secure the fabric against the platform 24. Thereafter, the staples 25 (Figure 7), removably stored in the cartridge body 21, can be implanted in the fabric. The cartridge body 21 includes staple cavities 26 defined therein, where staples 25 are removably stored in staple cavities 26. Staple cavities 26 are generally arranged in six longitudinal rows. Three rows of staple cavities 26 are positioned on a first side of a longitudinal slot 27 and three rows of staple cavities 26 are positioned on a second side of longitudinal slot 27. Other arrangements of staple cavities 26 and staples 25 can be possible.
[0028] [0028] The clamps 25 are supported by clamp actuators 28 on the cartridge body 21. The clamp actuators 28 are movable between a first position, or an un triggered position, and a second position, or an triggered position, to eject the staples 25 from the staple cavities 26. The staple drivers 28 are retained in the cartridge body 21 by a drum or retainer 30 that extends around the bottom of the cartridge body 21 and includes resilient members 31 configured to secure the body of cartridge 21 and to retain the retainer 30 in the cartridge body 21. The clip drivers 28 are movable between their non-triggered positions and their positions triggered by a slide 32. The slide 32 is movable between a proximal position 40 (Figure 6) adjacent to the proximal end 22, and a distal position 41 (Figure 7), adjacent to the distal end 23. The slider 32 comprises a plurality of inclined surfaces 33 configured to slide under the drivers staples 28 and raise the staple actuators 28, and the staples 25 held therein, towards the anvil 18.
[0029] [0029] In addition to the above, the slider 32 is moved distally by a firing member (not shown). The firing member is configured to contact the slider 32 and push the slider 32 from proximal position 40 (Figure 6), adjacent to proximal end 22, towards distal position 41
[0030] [0030] To properly implant the staples from the staple cartridge by a firing member, the staple cartridge needs to be properly retained in the cartridge channel. Consequently, it is desirable for the staple cartridge to be firmly attached to the cartridge channel for successful firing. After the staple cartridge is fired, however, a user may have difficulty removing a fired staple cartridge that is firmly attached to the cartridge channel. The present disclosure provides a number of mechanisms to ensure a tight fit between an untapped staple cartridge and the cartridge channel, where the tight fit is loosened or reduced by the trigger mechanism to facilitate removal of the triggered staple cartridge. In many instances, tight fixation is loosened or reduced at a final stage in the firing process. In several instances, the tight fixation is loosened or reduced during the firing of the most distal clamp group. In several examples, the fixation is loosened or reduced when the slide 32 is positioned adjacent to the distal end 23 of the staple cartridge 16.
[0031] [0031] In several examples, the staple cartridge 16 includes one or more retaining members that are configured to ensure a tight fit between an unexposed staple cartridge 16 and a cartridge channel 17. The retaining members can be moved or , otherwise modified, during firing of the staple cartridge 16 to produce a reduced clamping between the triggered staple cartridge 16 and the cartridge channel 17. The reduced clamping allows a user to easily remove the triggered staple cartridge 16 from the cartridge channel 17.
[0032] [0032] In the example illustrated in Figures 4 and 5, the staple cartridge 16 is removably seated in the cartridge channel 17. The staple cartridge 16 includes two retaining members 37 on opposite sides of the staple cartridge 16. The members retaining clips 37 are configured to maintain, or assist in maintaining, a tight fit between the staple cartridge 16 and the cartridge channel 17. The retaining members 37 can extend from a base 19 of retainer 30. In various examples , the retaining members 37 are spaced with respect to the walls 39 of the retainer 30 to allow the retaining members 37 to flex with respect to the walls 39. In the example shown in Figure 5, the retaining members 37 are separated from the walls 39 by slits 48.
[0033] [0033] Each retaining member 37 is in the form of a resilient movable member between a proposed configuration (Figure 8) in an untapped staple cartridge 16, and an unintended, or less proposed configuration (Figure 9) in a cartridge of triggered staples 16. In the non-triggered staple cartridge 16, the retaining member 37 is provided in an engagement with the cartridge channel 17 to maintain, or help maintain, a pre-triggered cartridge removal charge. A charge greater than or equal to the pre-firing cartridge removal charge is required to separate an unfired staple cartridge 16 from the cartridge channel 17.
[0034] [0034] In the fired staple cartridge 16, the engagement between the retaining member 37 is decreased, or eliminated, which produces a post-firing cartridge removal charge that is less than the pre-firing cartridge removal charge. The post-firing cartridge removal charge allows a user to easily remove the firing staple cartridge 16 from cartridge channel 17.
[0035] [0035] Referring mainly to Figures 4 and 8, each retaining member 37 includes a first curved portion 44 that defines a first feature or retainer that can be received in a depression or groove 45 defined in a side wall 46 of the channel of cartridge 17. The first curved portion 44 is retained within the groove 45 while the retaining member 37 is in the proposed configuration. Each retainer member 37 additionally includes a second curved portion 47 that defines a second feature or retainer configured to rest against at least one clip driver 28 while the retainer member 37 is in the proposed configuration. The cartridge body 21 includes a window 29 that exposes at least one clip driver 28 to allow the second curved portion 47 to rest against at least one clip driver 28. In several examples, each retaining member 37 defines a plane which transitions from base 19, where the first curved portion 44 defines a first holder on the first side of the plane, and the second curved portion 47 defines a second holder on the second side of the plane.
[0036] [0036] Before firing the staple cartridge 16 seated in the cartridge channel 17, as shown in Figures 8 and 10, the retaining member 37 is extended at an interference distance (d1) by at least one staple driver 28 in towards the side wall 46, which causes the first curved portion 44 to be stuck in the groove 45 producing the pre-firing cartridge removal charge.
[0037] [0037] During firing, however, slider 32 (Figure 7) is advanced by the firing member causing at least one clamp driver 28 to be raised or moved out of the hitch, or at least partially out of the hitch , with the retaining member 37. As illustrated in Figures 9 and 11, removing the at least one clip driver 28 causes the retaining member 37 to return to the unsupported, or less likely, configuration that causes the first curved portion 44 exits the engagement, or at least partially exits the engagement, with the groove 45 producing the post-firing cartridge removal charge. As shown in the Figure. 11, the retaining member 37 is extended to an interference distance (d2) from a natural position, in which the interference distance (d2) is less than the interference distance (d1).
[0038] [0038] As described above, the slider 32 comprises a plurality of inclined surfaces 33 configured to slide under the clamp drivers 28 and raise the clamp drivers 28, and the clamps 25 held therein, towards the anvil 18. As illustrated in Figures 10 and 11, the elevation of at least one staple driver 28 by the slide 32 from a first position (Figure 10) to a second position (Figure 11), creates a gap 49 that is readily occupied by the retaining member 37 in the non-biased or slightly biased configuration
[0039] [0039] In some examples, the first curved portion 44 remains partially inserted in the groove 45 in the non-biased configuration. Consequently, the retaining member 37 contributes to the post-firing cartridge removal charge. In other examples, however, the first curved portion 44 can be completely removed from the groove 45 in the non-biased configuration. In other examples, the retaining member 37 does not contribute to the post-firing cartridge removal charge, which can be governed by friction between the walls 39 of the staple cartridge 16 and the cartridge channel 17. In some examples, the first curved portion 44 of retaining member 37 is replaced by two adjacent but separate curved portions, which are received in two separate but adjacent grooves in the side wall 46 of the cartridge channel
[0040] [0040] In an alternative embodiment, as illustrated in the example of Figures 12 to 17, a staple cartridge 16 ', which is similar in many respects to the staple cartridge 16, can be removably seated in the cartridge channel 17. The staple cartridge 16º,
[0041] [0041] Like the staple cartridge 16, the staple cartridge 16 includes two retaining members 57 on opposite sides of the staple cartridge 16 °. The retaining members 57 are configured to maintain, or help maintain, a tight fit between the staple cartridge 16 'and the cartridge channel 17. Unlike the retaining members 37 of the staple cartridge 16, the retaining members 57 of the staple cartridge 16 'do not extend from base 19 of retainer 30. On the contrary, retaining members 57 are separated from base 19 by a slot 58. Instead, retaining members 57 extend towards the base 19, and can be formed by creating slits 60 in the walls 39 of the retainer 30 to allow the retaining members to flex in relation to the walls 39.
[0042] [0042] Like the retaining members 37, each retaining member 57 includes a curved portion 54 that defines a retaining feature or retainer that can be received in the depression or groove 45 defined in the side wall 46 of the cartridge channel 17. The portion curve 54 is retained in the groove 45 while the retaining member 57 is in the configuration intended to maintain, or help maintain a tight fit between, the staple cartridge 16 'and the cartridge channel 17.
[0043] [0043] Before firing the staple cartridge 16 'seated in the cartridge channel 17, as shown in Figure 16, the retaining member 57 is extended at an interference distance (d1) by at least one staple driver 28 towards to the side wall 46, which causes the curved portion 54 to be stuck in the groove 45 producing the pre-firing cartridge removal charge.
[0044] [0044] During firing, however, slider 32 is advanced by the firing member causing at least one clamp driver 28 to be raised or moved out of the hitch, or at least partially out of the hitch, with the portion flexible 51. Consequently, as shown in Figure 17, the flexible portion 51 flexes towards the space previously occupied by at least one clamp driver 28, which allows the retaining member 57 to return to the non-biased, or less biased configuration , which causes the curved portion 54 to exit the engagement, or at least partially exit the engagement, with the groove 45, producing the post-firing cartridge removal charge. In the least likely configuration, as shown in Figure. 17, the retaining member 57 is extended to an interference distance d2 from a natural position, where the interference distance d2 is less than the interference distance d1.
[0045] [0045] In some examples, the curved portion 54 remains partially inserted in the groove 45 in the non-biased configuration. Consequently, the retaining member 57 contributes to the post-firing cartridge removal charge. In other examples, however, the curved portion 54 can be completely removed from the groove 45 in the non-biased configuration. In other examples, the retaining member 57 does not contribute to the post-firing cartridge removal charge, which can be governed by friction between the walls 39 of the staple cartridge 16 and the cartridge channel 17.
[0046] [0046] In the examples of Figures 4 to 17, the retaining members 37 and 57 are depicted in a configuration provided while engaged with groove 45, and in a configuration that is not proposed, or less likely, while disengaged, or partially disengaged from groove 45 In other examples, however, the retaining members of the staple cartridge can be configured to be in a natural or non-biased configuration while engaged with groove 45. An external force can be applied, for example, by the slider 32, to bias such retaining members out of engagement with the corresponding groove 45 when firing the staple cartridge.
[0047] [0047] In several examples, the post-firing cartridge removal charge is about 10% to about 90% less than the pre-firing cartridge removal charge. In at least one example, the post-firing cartridge removal charge is about 40% to about 60% less than the pre-firing cartridge removal charge. In at least one example, the post-firing cartridge removal charge is about 50% less than the pre-firing cartridge removal charge.
[0048] [0048] In many respects, a surgical instrument, similar in many respects to surgical instrument 10, has a post-firing removal charge greater than its pre-firing cartridge removal charge. The higher post-firing removal charge can prevent a spent staple cartridge, also referred to in the present invention as firing, from being removed after firing, which effectively renders the surgical instrument unusable.
[0049] [0049] Preventing a cartridge of fired clips from being removed from a cartridge channel of the surgical instrument after firing can be advantageous in situations where reuse of the surgical instrument after firing is undesirable. For example, the higher post-firing cartridge removal charge from a surgical instrument, compared to its pre-firing cartridge removal charge, may be in a situation involving firing a non-sterile staple cartridge (e.g. endoscopic). After firing the non-sterile staple cartridge with the surgical instrument, the surgical instrument also becomes non-sterile. The increased post-firing cartridge removal charge prevents the spent staple cartridge from being removed from the surgical instrument, ensuring that the surgical instrument is not reused.
[0050] [0050] In one example, the post-firing cartridge removal charge can be increased to prevent the removal of a spent staple cartridge by employing a locking feature that is retained in a proposed configuration before firing a staple cartridge . During firing, the locking feature snaps into a locking engagement with the cartridge channel preventing the removal of the spent staple cartridge from the cartridge channel. The cartridge channel can include a retaining window that receives the locking feature.
[0051] [0051] In one aspect, clamp actuators can be used to maintain the locking feature in its intended configuration. During the firing of the staple cartridge, as the staple actuators are lifted by the slide, the locking feature is released from engaging with the staple actuators. The force of propensity causes the locking feature to be snapped into the locking engagement with the cartridge channel. More than one locking feature can be employed along the length of a staple cartridge to ensure that the spent staple cartridge remains attached to the cartridge channel.
[0052] [0052] In several instances, a higher post-shot cartridge removal charge from a surgical instrument, compared to its pre-shot cartridge removal charge, can be beneficial in ensuring that the surgical instrument is not used beyond a predetermined number of shots. In at least one example, a trigger set for the surgical instrument can be slightly advanced to the last cartridge of the triggered clips preventing its removal from the surgical instrument. A surgical instrument controller can be configured to track the number of shots fired by the surgical instrument. After reaching a predetermined number of shots, the controller can activate a motor to slightly advance the trigger set into the staple cartridge, which prevents removal of the last spent or fired staple cartridge to prevent the surgical instrument from being reused in addition your safe limits.
[0053] [0053] In another example, a higher charge for removing the post-shot cartridge from a surgical instrument, in relation to its charge for removing the pre-shot cartridge, can be beneficial in permanently deactivating a defective surgical instrument. A surgical instrument controller can be configured to track various performance parameters of the surgical instrument. The controller can prevent the surgical instrument from being reused if the controller detects a defect in the surgical instrument. As described above, preventing the surgical instrument from being reused can be achieved by preventing the removal of the last spent or fired staple cartridge. Controllers, motors, and firing sets suitable for use to prevent a worn or fired staple cartridge from being removed from the surgical instrument, are disclosed in US patent application No. 13 / 803.210, entitled SENSOR
[0054] [0054] Although several devices have been described here in connection with certain modalities, modifications and variations of these modalities can be implemented. The specific resources, structures or characteristics can be combined in any suitable way in one or more modalities. Therefore, the specific resources, structures or characteristics illustrated or described in connection with a modality may be combined, in whole or in part, with the resources, structures or characteristics of one or more other modalities, without limitation. In addition, where materials are revealed for certain components, other materials can be used. In addition, according to various modalities, a single component can be replaced by multiple components and multiple components can be replaced by a single component, to perform one or more specific functions. The description mentioned above and the following claims are intended to cover all such modifications and variations.
[0055] [0055] The devices disclosed herein can be designed to be discarded after a single use, or can be designed to be used multiple times. In either case, however, a device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of steps including, but not limited to, disassembling the device followed by cleaning or replacing specific parts of the device and subsequent reassembly of the device. In particular, a reconditioning facility and / or surgical staff can disassemble a device and, after cleaning and / or replacing particular parts of the device, the device can be reassembled for subsequent use. Those skilled in the art will understand that reconditioning a device can use a variety of techniques to disassemble, clean / replace and reassemble. The use of these techniques, as well as the resulting refurbished device, are all within the scope of this application.
[0056] [0056] The devices revealed here can be processed before surgery. First, a new or used instrument can be obtained and, if necessary, cleaned. The instrument can then be sterilized. In a sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and the instrument can then be placed in a radiation field that can penetrate the container, such as gamma radiation, X-rays and / or high-energy electrons. Radiation can kill bacteria on the instrument and the container. The sterile instrument can then be stored in a sterile container. The sealed container can keep the instrument sterile until it is opened at the medical facility. A device can also be sterilized using any other known technique, including, but not limited to, beta radiation, gamma radiation, ethylene oxide, plasma peroxide and / or water vapor.
[0057] [0057] Although this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of the disclosure. It is intended, therefore, that this application will cover any variations, uses OR adaptations of the invention with the use of its general principles.
[0058] [0058] Any patent, publication or other description material, in whole or in part, that is said to be incorporated into the present invention for reference purposes, is incorporated into the present invention only to the extent that the incorporated materials do not conflict with existing definitions, statements or other description material presented in this description. Accordingly, and to the extent necessary, the disclosure as explicitly presented herein replaces any conflicting material incorporated by reference to the present invention. Any material, or portion thereof, which is incorporated herein by reference, but which conflicts with the definitions, statements, or other disclosure materials contained herein, will be incorporated here only to the extent that there is no conflict between the embedded material and existing disclosure material. Examples
[0059] [0059] Example 1 - A surgical instrument comprising a slide and an end actuator. The end actuator comprises a first jaw, a second movable jaw in relation to the first jaw, an anvil and a staple cartridge. The staple cartridge comprises a proximal end, a distal end, a cartridge body, a staple supported on the cartridge body, and a staple driver. The slider is configured to implant the clamp from the cartridge body by moving the clamp driver from a first position to a second position. The end actuator further comprises a cartridge channel configured to removably retain the staple cartridge. A first charge is required to remove the staple cartridge from the cartridge channel while the staple driver is in the first position. A second charge that is less than the first charge is required to remove the staple cartridge from the cartridge channel while the staple driver is in the second position.
[0060] [0060] Example 2 - The surgical instrument of Example 1, in which the slide is movable between the proximal end and the distal end to implant the clamp.
[0061] [0061] Example 3 - The surgical instrument of Example 2, in which the first load is reduced to the second load during the movement of the slider towards the distal end.
[0062] [0062] Example 4 - The surgical instrument of Example 1, 2 or 3, in which the cartridge body comprises a window corresponding to the first position of the staple driver.
[0063] [0063] Example 5 - The surgical instrument of Example 1, 2, 3, or 4, which additionally comprises a retaining member configured to rest against the staple driver while the driver is in the first position.
[0064] [0064] Example 6 - The surgical instrument of Example 5, in which the retaining member is kept in a configuration provided by the clamp driver while the driver is in the first position.
[0065] [0065] Example 7 - The surgical instrument of Example 5 or 6, in which the retaining member is configured to return to a less prone configuration when the staple driver is moved to the second position.
[0066] [0066] Example 8 - The surgical instrument of Example 5, 6 or 7, in which the retaining member comprises a holder, and in which the cartridge channel comprises a groove configured to receive the holder while the staple driver is in the first position.
[0067] [0067] Example 9 - The surgical instrument of Example 8, in which the holder is at least partially removed from the groove while the clamp driver is in the second position.
[0068] [0068] Example 10 - The surgical instrument of Example 8 or 9, in which the holder is a first holder, and in which the retaining member comprises a second holder that can be supported by the clamp driver while the clamp driver is in first position.
[0069] [0069] Example 11 - A staple cartridge removably attachable to a cartridge channel of a surgical instrument. The staple cartridge comprises a proximal end, a distal end and a cartridge body. The cartridge body comprises a platform that extends between the proximal end and the distal end, a staple implantable in the tissue positioned against the platform, a movable staple driver between a first position and a second position for implanting the staple from the body cartridge, and a flexible portion positioned against the staple driver while the staple driver is in the first position. The staple cartridge additionally comprises a retainer attached to the cartridge body. The retainer comprises a resilient member positioned against the flexible portion. The flexible portion is configured to keep the resilient member in a proposed configuration while the clamp driver is in the first position.
[0070] [0070] Example 12 - The staple cartridge of Example 11, in which the movement of the staple driver from the first position to the second position causes the flexible portion to flex, which causes the resilient member to return to a lesser configuration proposed.
[0071] [0071] Example 13 - The staple cartridge of Example 11 or 12, in which movement of the staple driver from the first position to the second position causes the flexible portion to flex, which causes the resilient member to return to a least likely configuration.
[0072] [0072] Example 14 - The staple cartridge of Example 13, in which the holder is configured to maintain a post-firing charge to remove the cartridge from the cartridge channel in the least likely configuration, and in which the post-firing charge is less than the pre-firing charge.
[0073] [0073] Example 15 - The staple cartridge of Example 11, 12, 13 or 14, in which the flexible portion is positioned between the staple driver and the resilient member while the staple driver is in the first position.
[0074] [0074] Example 16 - The staple cartridge of Example 11, 12, 13, 14 or 15, in which the retainer includes a base and a side wall extending from the base, in which the resilient member is defined in the wall lateral, and where the resilient member is spaced from the base.
[0075] [0075] Example 17 - The staple cartridge of Example 11, 12, 13, 14, 15, or 16, wherein the cartridge body further comprises a side wall, and where the flexible portion is defined on the side wall.
[0076] [0076] Example 18 - A surgical instrument comprising a slide and an end actuator. The end actuator comprises a first jaw, a second movable jaw in relation to the first jaw, an anvil and a staple cartridge. The staple cartridge comprises a proximal end, a distal end, a cartridge body and staples supported on the cartridge body. The slide is movable to implant the staples from the cartridge body against the tissue captured between the staple cartridge and the anvil. The end actuator further comprises a cartridge channel configured to removably retain the staple cartridge, where a load is required to remove the staple cartridge from the cartridge channel, and where the slider is configured to reduce the load of cartridge removal.
[0077] [0077] Example 19 - The surgical instrument of example 18, in which the slider is movable from a first position adjacent to the proximal end to a second position adjacent to the distal end to implant the staples.
[0078] [0078] Example 20 - The surgical instrument of Example 18 or 19, in which the cartridge removal load is reduced during the movement of the slide.

权利要求:
Claims (20)
[1]
1. Surgical instrument characterized by comprising: a slide; and an end actuator comprising: a first gripper; a second movable jaw relative to the first jaw; an anvil; a staple cartridge comprising: a proximal end; a distal end; a cartridge body; a clip supported on the cartridge body; and a staple driver, wherein the slider is configured to deploy the staple from the cartridge body by moving the staple driver from a first position to a second position; and a cartridge channel configured to removably retain the staple cartridge, where a first charge is required to remove the staple cartridge from the cartridge channel while the staple driver is in the first position, and a second is required less charge than the first charge to remove the staple cartridge from the cartridge channel while the staple driver is in the second position.
[2]
2. Surgical instrument, according to claim 1, characterized in that the slide is movable between the proximal end and the distal end to activate the clamp.
[3]
Surgical instrument according to claim 2, characterized in that the first load is reduced to the second load during the movement of the slider towards the distal end.
[4]
4. Surgical instrument, according to claim 1,
characterized in that the cartridge body comprises a window corresponding to the first position of the staple driver.
[5]
5. Surgical instrument according to claim 4, characterized in that it additionally comprises a retaining member configured to rest against the staple driver while the driver is in the first position.
[6]
6. Surgical instrument, according to claim 5, characterized in that the retaining member is maintained in a configuration provided by the clamp driver while the driver is in the first position.
[7]
7. Surgical instrument according to claim 6, characterized in that the retaining member is configured to return to a less prone configuration when the clamp driver is moved to the second position.
[8]
Surgical instrument according to claim 7, characterized in that the retaining member comprises a holder, and in which the cartridge channel comprises a groove configured to receive the holder while the staple driver is in the first position.
[9]
9. Surgical instrument according to claim 8, characterized in that the holder is at least partially removed from the groove while the clamp driver is in the second position.
[10]
10. Surgical instrument according to claim 9, characterized in that the holder is a first holder, and in which the retaining member comprises a second holder that can be supported by the clamp driver while the clamp driver is in the first position.
[11]
11. Staple cartridge removably attachable to a cartridge channel of a surgical instrument, the staple cartridge being characterized by comprising:
a proximal end; a distal end; a cartridge body comprising: a platform extending between the proximal end and the distal end; a staple that can be implanted in the fabric positioned against the platform; a movable clamp driver between a first position and a second position for deploying the clamp from the cartridge body; and a flexible portion positioned against the staple driver while the staple driver is in the first position; and a retainer attached to the cartridge body, wherein the retainer comprises a resilient member positioned against the flexible portion, and the flexible portion is configured to maintain the resilient member in a proposed configuration while the staple driver is in the first position.
[12]
12. Staple cartridge according to claim 11, characterized in that the movement of the staple driver from the first position to the second position causes the flexible portion to flex, which causes the resilient member to return to a less prone configuration .
[13]
13. Staple cartridge according to claim 12, characterized in that the resilient member comprises a detent configured to maintain a pre-trigger charge to remove the staple cartridge from the cartridge channel in the proposed configuration.
[14]
14. Staple cartridge according to claim 13, characterized in that the holder is configured to maintain a post-firing charge to remove the cartridge from the cartridge channel in the least likely configuration, and in which the post-firing charge is less than than the pre-firing charge.
[15]
15. Staple cartridge according to claim 11, characterized in that the flexible portion is positioned between the staple driver and the resilient member while the staple driver is in the first position.
[16]
Staple cartridge according to claim 11, characterized in that the retainer includes a base and a side wall extending from the base, in which the resilient member is defined in the side wall, and in which the resilient member is spaced from the base.
[17]
Staple cartridge according to claim 11, characterized in that the cartridge body further comprises a side wall, and the flexible portion is defined in the side wall.
[18]
18. Surgical instrument characterized by comprising: a slide; and an end actuator comprising: a first gripper; a second movable jaw relative to the first jaw; an anvil; a staple cartridge comprising: a proximal end; a distal end; a cartridge body; and staples supported on the cartridge body, wherein the slide is movable to implant the staples from the cartridge body against the tissue captured between the staple cartridge and the anvil; and a cartridge channel configured to removably retain the staple cartridge, in which a charge is required to remove the staple cartridge from the cartridge channel, and in which the slide is configured to reduce the cartridge removal load.
[19]
19. Surgical instrument according to claim 18, characterized in that the slide is movable from a first position adjacent to the proximal end to a second position adjacent to the distal end for implanting the clamps.
[20]
20. Surgical instrument according to claim 19, characterized in that the cartridge removal load is reduced during the movement of the slide.

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同族专利:

公开号 | 公开日

JP2021500993A|2021-01-14|

CN111295143A|2020-06-16|

US10842490B2|2020-11-24|

WO2019089358A1|2019-05-09|

EP3476310A1|2019-05-01|

EP3476310B1|2021-08-04|

US20190125344A1|2019-05-02|

US20210219976A1|2021-07-22|

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