Surgical stapler with independently actuated drivers to provide varying staple heights

Patent metadata

Field	Value
Publication number	US-10828029-B2
Application number	US-201715634620-A
Country	US
Kind code	B2
Filing date	Jun 27, 2017
Priority date	Jun 27, 2017
Publication date	Nov 10, 2020
Grant date	Nov 10, 2020

Abstract

An apparatus includes a body assembly, a shaft assembly, and an end effector. The shaft assembly includes an outer sheath and a motorized driving mechanism. The body assembly is configured to actuate the driving mechanism. The end effector includes a staple deck, an anvil, a first staple driver, and a second staple driver. The first staple driver is configured to fire a first annular array of staples of the plurality of staples against the anvil to deform the first annular array of staples at a first compressed staple height. The second staple driver is configured to fire a second annular array of staples of the plurality of staples against the anvil to deform the second annular array of staples at a second compressed staple height independent of the first staple driver. The first compressed staple height and the second compressed staple height are different.

First claim

We claim:

1. An apparatus, the apparatus comprising:
(a) a body assembly;
(b) a shaft assembly comprising:
(i) an outer sheath, and
(ii) a motorized driving mechanism slidably housed within the outer sheath, wherein the body assembly is configured to actuate the motorized driving mechanism;

(c) an end effector, wherein the end effector comprises:
(i) a staple deck defining a plurality of staple openings housing a plurality of staples, wherein each staple opening in the plurality of staple openings houses a staple, wherein the staple deck is fixed to the shaft assembly,
(ii) an anvil configured to deform the plurality of staples,
(iii) a first staple driver selectively coupled with the motorized driving mechanism, wherein the first staple driver is configured to fire a first annular array of staples of the plurality of staples against the anvil to deform the first annular array of staples at a first compressed staple height, and
(iv) a second staple driver selectively coupled with the motorized driving mechanism, wherein the second staple driver is configured to fire a second annular array of staples of the plurality of staples against the anvil to deform the second annular array of staples at a second compressed staple height independent of the first staple driver, wherein the first compressed staple height and the second compressed staple height are different;
wherein the first staple driver and the second staple driver are configured to move relative to each other in order to fire the first annular array of staples and the second annular array of staples, respectively.

2. The apparatus of claim 1 , wherein the staple deck houses the plurality of staples in an arcuate pattern.

3. The apparatus of claim 2 , wherein the arcuate pattern comprises an outer annular row of staple openings and an inner annular row of staple openings.

4. The apparatus of claim 1 , wherein the shaft assembly is configured to removably couple with the body assembly.

5. The apparatus of claim 1 , wherein the motorized driving mechanism is configured to actuate the first staple driver a first advancement length to form the first compressed staple height, wherein the motorized driving mechanism is configured to actuate the second staple driver a second advancement length to form the second compressed staple height, wherein the first advancement length and the second advancement length are different.

6. The apparatus of claim 5 , wherein the motorized driving mechanism comprises a distally presented driving fork, wherein the distally presented driving fork is configured to rotate from a first angular position to a second angular position.

7. The apparatus of claim 6 , wherein the distally presented driving fork is configured to drive the first stapler driver in the first angular position, wherein the distally presented driving fork is configured to drive the second stapler driver in the second angular position.

8. The apparatus of claim 7 , wherein the shaft assembly further defines a guide channel configured to rotate the distally presented driving fork based on a longitudinal position of the distally presented driving fork relative to the outer sheath.

9. The apparatus of claim 1 , wherein the body assembly comprises a control circuit configured to determine the first compressed staple height and the second compressed staple height.

10. The apparatus of claim 9 , wherein the body assembly further comprises a graphical user interface in communication with the control circuit, wherein the graphical user interface is configured to receive a user input, wherein the user input is configured to determine the first compressed staple height and the second compressed staple height.

11. The apparatus of claim 10 , wherein the graphical user interface is configured to present a recommended first compressed staple height and a recommended second compressed staple height.

12. The apparatus of claim 9 , wherein the body assembly comprises a linear driver configured to actuate the motorized driving mechanism.

13. The apparatus of claim 12 , wherein the body assembly comprises a sensor configured to determine the longitudinal position of the linear driver.

14. The apparatus of claim 12 , wherein the linear driver is configured to move through a first reciprocation stroke to drive the first staple driver distally, wherein the linear driver is configured to move through a second reciprocation stroke to drive the second staple driver distally.

15. The apparatus of claim 14 , wherein the end effector further comprises a knife member operable to sever tissue, wherein the linear driver is further configured to move through a third reciprocation stroke to drive the knife member distally.

16. An apparatus, the apparatus comprising:
(a) a body assembly;
(b) a shaft assembly comprising:
(i) an outer sheath, and
(ii) a motorized driving mechanism slidably housed within the outer sheath, wherein the motorized driving mechanism comprises a driving fork configured to rotate relative to the outer sheath from a first rotational position to a second rotational position, wherein the body assembly is configured to actuate the motorized driving mechanism;

(c) an end effector, wherein the end effector comprises:
(i) a staple deck defining a plurality of staple openings housing a plurality of staples, wherein each staple opening in the plurality of staple openings houses a staple, wherein the staple deck is fixed to the shaft assembly,
(ii) an anvil configured to deform the plurality of staples,
(iii) a first staple driver selectively coupled with the driving fork when the driving fork is in the first rotational position, wherein the first staple driver, while the driving fork is in the first rotational position, is configured to fire a first annular array of staples of the plurality of staples against the anvil to deform the first annular array of staples at a first compressed staple height, and
(iv) a second staple driver selectively coupled with the driving fork when the driving fork is in the second rotational position, wherein the second staple driver, while the driving fork is in the second rotational position, is configured to fire a second annular array of staples of the plurality of staples against the anvil to deform the second annular array of staples at a second compressed staple height independent of the first staple driver, wherein the first compressed staple height and the second compressed staple height are different.

17. The apparatus of claim 16 , wherein the shaft assembly comprises a camming face configured to rotate the driving fork from the first rotational position to the second rational position.

18. The apparatus of claim 16 , wherein the end effector further comprises a cylindrical knife configured to actuate relative to the first staple driver and the second staple driver to sever tissue captured between the staple deck and the anvil.

19. The apparatus of claim 18 , wherein the driving fork is configured to rotate from the second rotational position to a third rotational position relative to the shaft assembly, wherein the driving for is configured to actuate the cylindrical knife in the third rotational position.

20. An apparatus, the apparatus comprising:
(a) a body assembly;
(b) a shaft assembly comprising:
(i) an outer sheath, and
(ii) a motorized driving mechanism slidably housed within the outer sheath, wherein the body assembly is configured to actuate the motorized driving mechanism;

(c) an end effector, wherein the end ef

Assignees

• Ethicon Llc

Inventors

• Auld Michael D
• Swensgard Brett E
• Posada Sol
• Vendely Michael J
• Shelton Iv Frederick E

Classifications

• A61B17/07207

  the staples being applied sequentially · CPC title

• A61B2017/07278

  characterised by its sled or its staple holder · CPC title

• A61B2017/2927

  the angular position of the head being adjustable with respect to the shaft · CPC title

• A61B2017/2929

  with a head rotatable about the longitudinal axis of the shaft · CPC title

• A61B2017/0464

  for soft tissue · CPC title