Circular surgical stapler with anastomosis release feature

Patent metadata

Field	Value
Publication number	US-12064116-B2
Application number	US-202117489871-A
Country	US
Kind code	B2
Filing date	Sep 30, 2021
Priority date	Sep 30, 2021
Publication date	Aug 20, 2024
Grant date	Aug 20, 2024

Abstract

A surgical stapling instrument includes an anvil defining a plurality of staple forming pockets, and a stapling head assembly, and a retracting assembly. The stapling head assembly includes a body, a coupling member capable of actuating the anvil, a deck surface, a staple driver assembly, and a knife member. The staple driver assembly actuates through a first firing stroke and a second firing stroke. In the first firing stroke, the staple driver assembly drives a plurality of staples against the staple forming pockets. In the second firing stroke, the staple driver actuates distally past the deck surface. The knife member includes a cutting edge that can sever tissue during the first firing stroke while remaining in a retracted position that is proximal relative to the staple deck surface during the second firing stroke. The retracting assembly can drive the knife member into the retracted position during the first firing stroke.

First claim

We claim:

1. A surgical stapling instrument, comprising:
(a) an anvil defining a plurality of staple forming pockets;
(b) a stapling head assembly comprising:
(i) a body,
(ii) a coupling member configured to actuate relative to the body to thereby actuate the anvil relative to the body,
(iii) a deck surface, wherein the anvil and the deck surface are configured to cooperatively grasp tissue,
(iv) a staple driver assembly configured to actuate distally and proximally through a first firing stroke to drive a plurality of staples against the staple forming pockets of the anvil, wherein the staple driver assembly is configured to actuate distally and proximally through a second firing stroke such that a portion of the staple driver assembly actuates distally past the deck surface, and
(v) a knife member comprising a cylindrical knife and a cutting edge configured to actuate with the staple driver during the first firing stroke to sever tissue, wherein the knife member is configured to remain in a retracted position relative to the staple driver assembly such that the cutting edge remains proximal relative to the deck surface throughout the second firing stroke; and

(c) a retracting assembly configured to drive the knife member into the retracted position during the first firing stroke.

2. The surgical stapling instrument of claim 1 , wherein the retracting assembly comprises a knife coupling ring attached to the knife member and a cam assembly associated with the body, wherein the cam assembly is configured to rotate the knife coupling ring and the knife member during the first firing stroke.

3. The surgical stapling instrument of claim 2 , wherein the staple driver assembly comprises a firing ledge, wherein the knife coupling ring comprises a ledge engagement body configured to engage the firing ledge during the first firing stroke in order to actuate the cutting edge to sever tissue, wherein the cam assembly is configured to rotate the ledge engagement body off of the firing ledge during the first firing stroke.

4. The surgical stapling instrument of claim 3 , wherein the knife coupling ring comprises a projection dimensioned to fit within a guide path defined by the cam assembly.

5. The surgical instrument of claim 4 , wherein the body comprises a tubular outer member and an inner core member, wherein the cam assembly is associated with the inner member.

6. The surgical instrument of claim 5 , wherein the knife coupling ring defines a central opening, wherein the inner core member is disposed within the central opening of the knife coupling ring.

7. The surgical instrument of claim 1 , further comprising a motor configured to drive the staple driver assembly through the first stroke and the second stroke.

8. The surgical instrument of claim 7 , further comprising a displacement sensor configured to measure the longitudinal location of the coupling member relative to the body.

9. The surgical instrument of claim 8 , wherein the motor is configured to initiate the second stroke based on a measurement from the displacement sensor.

10. The surgical instrument of claim 1 , wherein the knife member is biased toward the retracted position via a biasing element.

11. The surgical instrument of claim 10 , wherein the biasing element comprises a spring.

12. The surgical instrument of claim 11 , wherein the spring is interposed between a floor surface of the staple driver assembly and the knife member.

13. The surgical instrument of claim 1 , further comprising a handle assembly.

14. The surgical instrument of claim 13 , further comprising a rotary knob associated with the handle assembly, wherein the rotary knob is configured to drive actuation of the coupling member relative to the body.

15. A surgical stapling instrument, comprising:
(a) an anvil defining a plurality of staple forming pockets;
(b) a stapling head assembly comprising:
(i) a body,
(ii) a coupling member configured to actuate relative to the body to thereby actuate the anvil relative to the body,
(iii) a deck surface, wherein the anvil and the deck surface are configured to cooperatively grasp tissue,
(iv) a staple driver assembly configured to drive a plurality of staples against the staple forming pockets of the anvil, and
(v) a knife member comprising a cutting edge, wherein the knife member is associated with the staple driver assembly, wherein the knife member is configured to actuate relative to the staple driver assembly between a first position and a retracted position; and

(c) a retracting assembly configured to actuate the knife member from the first position into the retracted position in response to distal actuation of the staple driver assembly, wherein the retracting assembly comprises a spring, wherein the spring is configured to bias the knife member toward the retracted position,
wherein the cutting edge is configured to extend distally past the deck surface when the knife member is in the first position,
wherein the cutting edge is configured to remain proximal to the deck surface when the knife member is in the retracted position.

16. The surgical stapling instrument of claim 15 , wherein the deck surface comprises an annular shape.

17. The surgical instrument of claim 15 , wherein the coupling member comprises a trocar.

18. A surgical stapling instrument, comprising:
(a) an anvil defining a plurality of staple forming pockets;
(b) a stapling head assembly comprising:
(i) a body,
(ii) a coupling member configured to actuate relative to the body to thereby actuate the anvil relative to the body,
(iii) a deck surface, wherein the anvil and the deck surface are configured to cooperatively grasp tissue,
(iv) a staple driver assembly configured to actuate distally and proximally through a first firing stroke to drive a plurality of staples against the staple forming pockets of the anvil, wherein the staple driver assembly is configured to actuate distally and proximally through a second firing stroke such that a portion of the staple driver assembly actuates distally past the deck surface, and
(v) a knife member comprising a cutting edge configured to actuate with the staple driver during the first firing stroke such that the cutting edge extends distally past the deck surface, wherein the knife member is configured to remain in a retracted position relative to the staple driver such that the cutting edge remains proximal relative to the deck surface during the second firing stroke; and

(c) a retractable assembly comprising:
(i) a biasing element,
(ii) a first cam surface associated with the body, and
(iii) a second cam surface associated with the knife member, wherein the first cam surface and the second cam surface are configured to drive the knife member out of operable engagement with the staple driver assembly during the first firing stroke such that the biasing element actuates the knife member into the retracted position.

Assignees

• Cilag Gmbh Int

Inventors

• Wise Austin E
• Adams Shane R

Classifications

• A61B2017/07285

  characterised by its cutter · CPC title

• A61B2017/07264

  characterised by its staple forming cavities, e.g. geometry or material · CPC title

• A61B2017/00398

  using powered actuators, e.g. stepper motors, solenoids · CPC title

• A61B2090/061

  for measuring dimensions, e.g. length · CPC title

• A61B17/1155 Primary

  Circular staplers comprising a plurality of staples · CPC title