Circular stapling instrument with asymmetric molded shroud components

Patent metadata

Field	Value
Publication number	US-11058428-B2
Application number	US-201715717317-A
Country	US
Kind code	B2
Filing date	Sep 27, 2017
Priority date	Sep 27, 2017
Publication date	Jul 13, 2021
Grant date	Jul 13, 2021

Abstract

An apparatus includes an anvil, a closure assembly, a firing assembly, and a casing assembly. The firing assembly includes a staple driver and an annular array of staples. The casing assembly includes a first section and a second section. The first section includes a first handle portion, a first shaft portion, and a tubular casing. The tubular casing slidably houses the staple driver. The first section defines a homogenous continuum of material along the length of the first handle portion, the first shaft portion, and the tubular casing. The second section includes a second handle portion and a second shaft portion. The second handle portion is laterally coupled with the first handle portion. The second shaft portion is laterally coupled with the first shaft portion. The second section defines a homogenous continuum of material along the length of the second handle portion and the second shaft portion.

First claim

We claim:

1. An apparatus, comprising:
(a) an anvil defining an annular array of staple forming pockets;
(b) a closure assembly comprising a coupling shaft and a band portion extending proximally relative to the coupling shaft, wherein the coupling shaft is configured to selectively couple with the anvil and actuate the anvil between a distal position and a proximal position;
(c) a firing assembly comprising:
(i) a staple driver, and
(ii) an annular array of staples, wherein the staple driver is operable to actuate between an unfired position and a fired position to drive the annular array of staples against the annular array of staple forming pockets when the anvil is in the proximal position; and

(d) a casing assembly slidably housing at least a portion of the closure assembly and the firing assembly, wherein the casing assembly comprises:
(i) a first section comprising:
(A) first handle portion,
(B) a first shaft portion extending distally from the first handle portion, wherein the first shaft portion comprises a first preformed bend, a first platform extending along the first preformed bend, and a first longitudinal array of lateral alignment ribs extending from the first platform, and
(C) a tubular casing extending distally from the first shaft portion, wherein the tubular casing slidably houses the staple driver,
wherein the first section defines a homogenous continuum of material along a first length of the first handle portion, the first shaft portion, and the tubular casing, and

(ii) a second section comprising:
(A) a second handle portion laterally coupled with the first handle portion, and
(B) a second shaft portion extending distally from the second handle portion, wherein the second shaft portion is laterally coupled with the first shaft portion such that the band portion of the closure assembly is slidably housed within the first shaft portion and the second shaft portion, wherein the second shaft portion comprises a second preformed bend, a second platform extending along the second preformed bend, and a second longitudinal array of lateral alignment ribs extending from the second platform,
wherein the second section defines a homogenous continuum of material along a second length of the second handle portion and the second shaft portion,
wherein the first platform and the second platform are configured to slidably support the band portion of the closure assembly, wherein the first longitudinal array of lateral alignment ribs and the second longitudinal array of lateral alignment ribs are dimensioned to laterally align the band portion of the closure assembly within the casing assembly through direct contact between the band portion, the first longitudinal array of lateral alignment ribs, and the second longitudinal array of lateral alignment ribs.

2. The apparatus of claim 1 , wherein the closure assembly further comprises a gap indicator assembly configured to determine a gap distance between the tubular casing and the anvil when the anvil is coupled to the coupling shaft, wherein the gap indicator assembly comprises an indicator arm housed within the first handle portion and the second handle portion, wherein the first handle portion and the second handle portion cooperatively define an indicator window configured to display the indicator arm.

3. The apparatus of claim 1 , wherein the first shaft portion and the second shaft portion each define a preformed bent region.

4. The apparatus of claim 1 , wherein the first section comprises a plurality of transversely extending alignment rods, wherein the second section comprises a plurality of coupling bores, wherein the first section and the second section are configured to couple with each other via the transversely extending alignment rods and the plurality of coupling bores.

5. The apparatus of claim 1 , wherein the firing assembly comprises a trigger, wherein the first section comprises a transversely extending pivot boss, wherein the trigger is pivotably coupled to the casing assembly via the transversely extending pivot boss.

6. The apparatus of claim 1 , wherein the closure assembly comprises a rotatable knob configured to actuate the coupling shaft.

7. The apparatus of claim 6 , wherein the first section and the second section cooperatively define a proximal opening, wherein the rotatable knob is rotatably coupled to the casing assembly via the proximal opening.

8. The apparatus of claim 1 , wherein the firing assembly comprises a knife member coupled to the staple driver.

9. The apparatus of claim 1 , wherein the anvil comprises a proximally presented shank, wherein the coupling shaft is configured to selectively couple with the anvil by a snap fitting with the proximally presented shank.

10. The apparatus of claim 1 , wherein the second shaft portion comprises an interior sleeve configured to fit within the tubular casing.

11. The apparatus of claim 10 , wherein the second shaft portion comprises a shoulder, wherein the tubular casing comprises a proximally presented surface, wherein the shoulder is configured to abut against the proximally presented surface when the first section and the second section are coupled.

12. The apparatus of claim 1 , wherein the tubular casing is connected with the first shaft portion at a seamless connecting point.

13. An apparatus, comprising:
(a) an anvil defining an annular array of staple forming pockets;
(b) a closure assembly comprising a coupling shaft and a band portion extending proximally relative to the coupling shaft, wherein the coupling shaft is configured to selectively couple with the anvil and actuate the anvil between a distal position and a proximal position;
(c) a firing assembly comprising:
(i) a staple driver, and
(ii) an annular array of staples, wherein the staple driver is operable to actuate between an unfired position and a fired position to drive the annular array of staples against the annular array of staple forming pockets when the anvil is in the proximal position; and

(d) a casing assembly slidably housing at least a portion of the closure assembly and the firing assembly, wherein the casing assembly comprises:
(i) a first section comprising:
(A) first handle portion,
(B) a first shaft portion extending distally from the first handle portion, wherein the first shaft portion defines a first preformed bend, wherein the first shaft portion comprises a first platform extending along the first preformed bend, and a first plurality of lateral alignment ribs extending from the first platform, and
(C) a tubular casing extending distally from the first shaft portion, wherein the tubular casing slidably houses the staple driver,
wherein the first section defines a homogenous continuum of material along a first length of the first handle portion, the first shaft portion, and the tubular casing, and

(ii) a second section comprising:
(A) a second handle portion laterally coupled with the first handle portion, and
(B) a second shaft portion extending distally from the second handle portion, wherein the second shaft portion defines a second preformed bend, wherein the second shaft portion comprises a second platform extending along the second preformed bend, and a second plurality of lateral alignment ribs extending from the second platform, wherein the second shaft portion is laterally coupled with the first shaft portion,
wherein the second section defines a homogenous continuum of material along a second length of the second handle portion and the second shaft portion, and
wherein the first platform and the second platform are configured to directly contact the band portion to slidably support the

Assignees

• Ethicon Llc
• Cilag Gmbh Int

Inventors

• Fox William D
• Bakos Gregory J
• Batross Jonathan T
• Hunt John V

Classifications

• A61B2017/00367

  Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like · CPC title

• A61B2090/0811

  for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument · CPC title

• A61B17/1155 Primary

  Circular staplers comprising a plurality of staples · CPC title

• A61B2017/00477

  Coupling (A61B2017/0046 takes precedence) · CPC title

• A61B17/1114

  of the digestive tract, e.g. bowels or oesophagus · CPC title