Surgical stapling instruments including a cartridge having multiple staples sizes
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-017/068
A61B-017/115
A61B-017/00
A61B-017/11
A61B-017/072
A61B-017/3205
A61B-017/32
출원번호
US-0071783
(2013-11-05)
등록번호
US-8840004
(2014-09-23)
발명자
/ 주소
Holsten, Henry E.
Viola, Frank J.
Emmons, Clifford L.
Beardsley, John W.
Heinrich, Russell
Cullinan, Nicola
출원인 / 주소
Covidien LP
인용정보
피인용 횟수 :
10인용 특허 :
65
초록▼
A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of th
A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.
대표청구항▼
1. An apparatus for joining tubular tissue sections comprising: a cartridge assembly having a planar tissue contacting surface, the cartridge assembly defining a plurality of retention slots in an annular array, each of the plurality of retention slots configured to receive a surgical fastener there
1. An apparatus for joining tubular tissue sections comprising: a cartridge assembly having a planar tissue contacting surface, the cartridge assembly defining a plurality of retention slots in an annular array, each of the plurality of retention slots configured to receive a surgical fastener therein, the cartridge assembly including a staple ejection assembly having a plurality of pushers, each of the plurality of pushers disposed within a respective one of the plurality of retention slots;an anvil assembly having a stepped tissue contacting surface defining fastener forming recesses, the anvil assembly and the cartridge assembly being relatively movable toward and away from each other; anda plurality of surgical fasteners, each of the plurality of surgical fasteners disposed in a respective one of the plurality of retention slots, wherein at least some of the plurality of surgical fasteners have different dimensions than others of the plurality of surgical fasteners. 2. The apparatus according to claim 1, wherein the stepped tissue contacting surface of the anvil assembly includes an outer surface, an intermediate surface, and an inner surface, the outer surface being radially outward of the intermediate surface, the inner surface being radially inward of the intermediate surface. 3. The apparatus according to claim 2, wherein the outer surface is positioned distally of the intermediate surface. 4. The apparatus according to claim 3, wherein the intermediate surface is positioned distally of the inner surface. 5. The apparatus according to claim 2, wherein the outer surface, the intermediate surface, and the inner surface are parallel to each other. 6. The apparatus according to claim 2, wherein each of the outer, intermediate, and inner surfaces defines an annular array of the fastener forming recesses. 7. The apparatus according to claim 6, wherein a first surgical fastener of the plurality of surgical fasteners has a first length and is formed against one of the fastener forming recesses defined in the inner surface, a second surgical fastener of the plurality of surgical fasteners has a second length and is formed against one of the fastener forming recesses defined in the intermediate surface, a third surgical fastener of the plurality of surgical fasteners has a third length and is formed against one of the fastener forming recesses defined in the outer surface, and the first, second, and third lengths are different. 8. The apparatus according to claim 7, wherein the first length is smaller than the second length. 9. The apparatus according to claim 7, wherein the second length is smaller than the third length. 10. The apparatus according to claim 1, wherein each of the plurality of surgical fasteners includes a backspan and a pair of legs extending from the backspan. 11. The apparatus according to claim 1, further including a handle assembly and a tubular body portion extending from the handle assembly, wherein the tubular body portion supports the cartridge assembly. 12. The apparatus according to claim 11, wherein the handle assembly includes at least one pivotable actuating handle member. 13. The apparatus according to claim 11, wherein the anvil assembly further includes an anvil shaft operatively coupling the anvil assembly with the handle assembly. 14. The apparatus according to claim 13, further including a reservoir of wound closure material. 15. The apparatus according to claim 14, further including a supply line fluidly coupling the reservoir with the anvil shaft. 16. The apparatus according to claim 15, wherein the anvil shaft defines at least one opening in fluid communication with the reservoir.
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이 특허에 인용된 특허 (65)
Green David T. (Westport CT) Bolanos Henry (East Norwalk CT) Heaton Lisa W. (Norwalk CT) Alari Mark E. (Derby CT) Sater Ghaleb A. (Shelton CT), Apparatus for endoscopically applying staples individually to body tissue.
McKenna, Robert H.; Shelton, IV, Frederick E.; Byrum, Randal T.; Ortiz, Mark S.; Conrad, Paul J.; Timperman, Eugene L., Disposable cartridge with adhesive for use with a stapling device.
Rothfuss Robert G. (Bellevue KY) Bilotti Federico (Madeira OH) Chow Hector (Cincinnati OH) Hueil J. Charles (Loveland OH) Sambi Narinderjit S. (Batavia OH), Disposable linear surgical stapler.
Knodel Tim (Cincinnati OH) Knodel Bryan D. (Cincinnati OH) Nalagatla Anil (West Carrollton OH) Schulze Dale R. (Lebanon OH), Endoscopic surgical stapler with compact profile.
Hamilton Leslie ; Bezwada Rao S. ; Roller Mark B. ; Vyakarnam Murty N. ; Dalessandro David A. ; Rosenblatt Joel S. ; Kataria Ram L. ; Saferstein Lowell G. ; Martin James F., Foam buttress for stapling apparatus.
Stein Jeffrey A. (Milford CT) Schiff David (Philadelphia PA) Mulhauser Paul (New York NY) Lamond Donald (Long Beach NY), Linear surgical stapling instrument.
Bolanos Henry (9 Tonetta Cir. East Norwalk CT 06855) Blewett Jeffrey J. (86 Parkview Dr. Plantsville CT 06479) Van Leeuwen Timothy O. (36 Flax Hill Rd. Bloomfield CT 06804), Non-invasive treatment of gastroesophageal reflux disease.
Bolanos Henry (East Norwalk CT) Blewett Jeffrey J. (Plantsville CT) Van Leeuwen Timothy O. (Bloomfield CT), Non-invasive treatment of gastroesophageal reflux disease.
Chow Hector (Cincinnati OH) Mills Earl J. (Cincinnati OH) Bilotti Federico (Madeira OH) Brinkerhoff Ronald J. (New Richmond OH) Madden Martin (Cincinnati OH) Grant Richard L. (Cincinnati OH), Surgical staple for insertion into tissue.
Shelton, IV,Frederick E.; Setser,Michael Earl; Weisenburgh, II,William Bruce, Surgical stapling instrument having a single lockout mechanism for prevention of firing.
Shelton, IV,Frederick E.; Setser,Michael Earl; Weisenburgh, II,William Bruce, Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint.
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Rothfuss Robert G. (Bellevue KY) Kuhl David K. (Cincinnati OH) Murray Michael A. (Bellevue KY), Surgical stapling instrument with dual staple height mechanism.
Huitema Thomas W. (Cincinnati OH) Sierocuk Thomas J. (West Chester OH) Butterfield Eric J. (Morrisville NC) Hueil Joseph C. (Loveland OH) Nicola Kirk M. (West Chester OH) Koch ; Jr. Robert L. (Cincin, Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staple sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Korolkov Ivan A. (Polyarnaya ulitsa ; 52 ; korpus 2 ; kv. 174 Moscow SUX) Saveliev Viktor S. (ulitsa Donskaya ; 27 ; kv. 29 Moscow SUX) Yablokov Evgeny G. (Rogozhsky val ; 6 ; kv. 45 Moscow SUX) Asta, Surgical suturing instrument for application of a staple suture.
Gwathmey Owen M. (The Meadow ; Box 96 Aylett VA 23009) Sloane ; Jr. Thomas E. (West Redding CT) Oddsen Robert R. (Centerport NY), Suturing assembly and method.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
Holsten, Henry E.; Viola, Frank J.; Emmons, Clifford L.; Beardsley, John W.; Heinrich, Russell; Cullinan, Nicola, Surgical stapling instruments including a cartridge having multiple staples sizes.
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