Surgical staple cartridge with hydraulic staple deployment

{
  "publication_number": "US10285700B2",
  "country": "US",
  "kind": "B2",
  "title": "Surgical staple cartridge with hydraulic staple deployment",
  "abstract": "A surgical instrument includes a body assembly, a shaft assembly, and an end effector. The end effector has first and second jaws that are configured to receive a tissue therebetween. The end effector also includes a staple cartridge including a plurality of staples and a hydraulic expandable member that is configured to receive a fluid and thereby expand from a contracted state to an expanded state. The hydraulic expandable member is further configured to direct at least one of the plurality of staples toward an anvil of the first jaw for forcing the at least one of the staples against the anvil and forming the at least one of the staples within the tissue.",
  "claims": [
    "1. A surgical instrument, comprising: (a) a body assembly; (b) a shaft assembly extending distally from the body assembly; and (c) an end effector extending distally from the shaft assembly, wherein the end effector includes: (i) a first jaw having an anvil, wherein the anvil is configured to form a plurality of staples received thereagainst, (ii) a second jaw, wherein the first jaw is movable relative to the second jaw from an open configuration toward a closed configuration for capturing the tissue therebetween and forming the staples therein, and (iii) a staple cartridge received by the second jaw, wherein the staple cartridge includes: (A) the plurality of staples, (B) a translating member, and (C) a hydraulic expandable member configured to receive a fluid and expand from a contracted state toward an expanded state to direct at least one of the plurality of staples toward the anvil for forming the at least one staple, wherein the hydraulic expandable member is configured to expand toward the expanded state in response to distal translation of the translating member through the staple cartridge.",
    "2. The surgical instrument of claim 1, wherein the staple cartridge further includes a deck having a plurality of staple pockets extending therethrough.",
    "3. The surgical instrument of claim 2, wherein an upper surface of the deck is configured to deform upon receiving the tissue thereagainst with the anvil in the closed configuration.",
    "4. The surgical instrument of claim 1, wherein the hydraulic expandable member comprises at least one expandable bladder.",
    "5. The surgical instrument of claim 4, wherein the at least one expandable bladder comprises a first expandable balloon.",
    "6. The surgical instrument of claim 5, wherein the staple cartridge further includes a second expandable balloon, wherein the plurality of staples includes a first row of staples and a second row of staples, and wherein the first and second expandable balloons are aligned with the first and second rows of staples, respectively, such that the first and second expandable balloons are expandable from the contracted state toward the expanded state to respectively direct the first and second rows of staples toward the anvil.",
    "7. The surgical instrument of claim 1, wherein the hydraulic expandable member is configured to expand from the contracted state toward the expanded state with an expansion force less than or equal to a predetermined maximum expansion force for limiting the expansion force applied to the at least one of the plurality of staples.",
    "8. The surgical instrument of claim 7, wherein the staple cartridge further includes a reservoir fluidly connected to the hydraulic expandable member, and wherein the reservoir is configured to receive the fluid when the hydraulic expandable member expands with the predetermined maximum expansion force and thereby limit the fluid accumulating within the hydraulic expandable member for limiting the expansion force applied to the at least one of the plurality of staples.",
    "9. The surgical instrument of claim 8, wherein the reservoir includes a body configured to resiliently expand to collect the fluid and thereby limit the fluid accumulating within the hydraulic expandable member.",
    "10. The surgical instrument of claim 9, wherein the body of the reservoir is configured to resiliently expand and resiliently contract to limit the expansion force of the hydraulic expandable member to be less than or equal to the predetermined maximum expansion force.",
    "11. The surgical instrument of claim 1, wherein the staple cartridge further includes a fluid supply cylinder containing a fluid.",
    "12. The surgical instrument of claim 11, wherein the end effector includes a firing member configured to be selectively driven from an unfired position to a fired position, and wherein the firing member is configured to be selectively driven from the unfired position toward the fired position to direct the fluid from the fluid supply cylinder toward the hydraulic expandable member and expand the hydraulic expandable member from the contracted state toward the expanded state.",
    "13. The surgical instrument of claim 12, wherein the firing member is configured to collapse at least a portion of the fluid supply cylinder containing the fluid and thereby force the fluid from the fluid supply cylinder toward the hydraulic expandable member as the firing member is driven from the unfired position toward the fired position.",
    "14. The surgical instrument of claim 13, wherein the staple cartridge further includes a sled engaged with the fluid supply cylinder and configured to slide from a proximal position toward a distal position, wherein the sled is configured to receive the firing member directly thereagainst such that the firing member is configured to selectively slide the sled from the proximal position to the distal position for collapsing the fluid supply cylinder therewith.",
    "15. The surgical instrument of claim 1, wherein the hydraulic expandable member is configured to expand from the contracted state toward the expanded state with an expansion force that operatively drives the at least one staple toward the anvil, and wherein the staple cartridge is configured to direct each of the plurality of staples toward the anvil with equivalent expansion force.",
    "16. The surgical instrument of claim 1, wherein the translating member supports a cutting member, wherein the cutting member is configured to cut tissue captured between the first and second jaws in response to distal translation of the translating member through the staple cartridge.",
    "17. A staple cartridge for a surgical instrument, comprising: (a) a cartridge body configured to be received by the surgical instrument; (b) a plurality of staples positioned within the cartridge body; and (c) a closed hydraulic circuit within the cartridge body, wherein the closed hydraulic circuit comprises: (i) a hydraulic expandable member positioned within the cartridge body and configured to receive a fluid, wherein the hydraulic expandable member is configured to expand from a contracted state toward an expanded state upon receiving the fluid to direct at least one of the plurality of staples from the cartridge body and against an anvil for forming the staple, and (ii) a pressure relief reservoir fluidly coupled with the hydraulic expandable member, wherein the pressure relief reservoir is configured to receive fluid from the hydraulic expandable member and thereby maintain a predetermined maximum fluid pressure within the hydraulic expandable member to limit an expansion force applied to the at least one staple.",
    "18. The staple cartridge of claim 17, wherein the hydraulic expandable member is configured to expand from the contracted state toward the expanded state with an expansion force less than or equal to a predetermined maximum expansion force for limiting the expansion force applied to the at least one of the plurality of staples.",
    "19. The staple cartridge of claim 17, wherein the closed hydraulic circuit further includes a fluid supply cylinder positioned within the cartridge body, and wherein the fluid supply cylinder contains a fluid.",
    "20. A surgical instrument, comprising: (a) a body assembly; (b) a shaft assembly extending distally from the body assembly; and (c) an end effector extending distally from the shaft assembly, wherein the end effector includes: (i) a first jaw having an anvil, (ii) a second jaw configured to receive a staple cartridge having a plurality of staples, wherein the first jaw is moveable relative to the second jaw for capturing tissue therebetween, (iii) a translating member configured to translate longitudinally through the staple cartridge, and (iv) an expandable member operatively coupled with the translating member, wherein the expandable member is configured to expand and thereby drive at least one of the staples from the staple cartridge toward the anvil in response to distal translation of the translating member through the staple cartridge."
  ],
  "description_excerpt": "In some settings, endoscopic surgical instruments may be preferred over traditional open surgical devices since a smaller incision may reduce the post-operative recovery time and complications. Consequently, some endoscopic surgical instruments may be suitable for placement of a distal end effector at a desired surgical site through the cannula of a trocar. These distal end effectors may engage tissue in a number of ways to achieve a diagnostic or therapeutic effect (e.g., endocutter, grasper, cutter, stapler, clip applier, access device, drug/gene therapy delivery device, and energy delivery device using ultrasonic vibration, RF, laser, etc.). Endoscopic surgical instruments may include a shaft between the end effector and a handle portion, which is manipulated by the clinician. Such a shaft may enable insertion to a desired depth and rotation about the longitudinal axis of the shaft, thereby facilitating positioning of the end effector within the patient. Positioning of an end effector may be further facilitated through inclusion of one or more articulation joints or features, enabling the end effector to be selectively articulated or otherwise deflected relative to the longitudinal axis of the shaft.\n\nExamples of endoscopic surgical instruments include surgical staplers. Some such staplers are operable to clamp down on layers of tissue, cut through the clamped layers of tissue, and drive staples through the layers of tissue to substantially seal the severed layers of tissue together near the severed ends of the tissue layers. Merely exemplary surgical staplers are disclosed in U.S. Pat. No.",
  "cpc": [
    "A61B 17/105",
    "A61B 17/068",
    "A61B 17/072",
    "A61B 17/07207",
    "A61B 2017/00539",
    "A61B 2017/07242",
    "A61B 2017/0725",
    "A61B 2017/07271",
    "A61B 2017/07278"
  ],
  "ipc": [
    "A61B 17/068",
    "A61B 17/10",
    "A61B 17/00",
    "A61B 17/072"
  ],
  "assignees": [
    "Ethicon LLC"
  ],
  "inventors": [
    "Charles J. Scheib"
  ],
  "filing_date": "2016-04-20",
  "publication_date": "2019-05-14",
  "grant_date": "2019-05-14",
  "priority_date": "2016-04-20",
  "application_number": "US-201615133364-A",
  "family_id": "58579042",
  "cited_by_count": 778,
  "citations": [
    "US4805823A",
    "US5878193A",
    "US5275165A",
    "US5415334A",
    "US5817084A",
    "US5465895A",
    "US5597107A",
    "US5632432A",
    "US5704534A",
    "US5673840A",
    "US5814055A",
    "US5792135A",
    "US6364888B1",
    "US6231565B1",
    "US7806891B2",
    "US7524320B2",
    "WO2002017799A1",
    "US20020062136A1",
    "US6783524B2",
    "US7691098B2",
    "US20030045900A1",
    "US7380696B2",
    "US8783541B2",
    "US6978921B2",
    "US7000818B2",
    "US7143923B2",
    "US7380695B2",
    "US7434715B2",
    "US7303108B2",
    "US7367485B2",
    "US7404508B2",
    "US8800838B2",
    "US20070102473A1",
    "US20070106317A1",
    "EP1785097A2",
    "US7246734B2",
    "US20070125826A1",
    "US8820605B2",
    "US8844789B2",
    "US9301759B2",
    "US7721930B2",
    "US8479969B2",
    "US20080169328A1",
    "US20080296346A1",
    "US20080300580A1",
    "US8616431B2",
    "US8408439B2",
    "US8573465B2",
    "US8573461B2",
    "US8371491B2",
    "US8602288B2",
    "US8210411B2",
    "US8955732B2",
    "US20120228358A1",
    "US8141762B2",
    "US8453914B2",
    "US20110301604A1",
    "US8801735B2",
    "US20140205637A1",
    "US20120080493A1",
    "US9198644B2",
    "US20130206813A1",
    "US20140239037A1",
    "US20140239043A1",
    "US20140239038A1",
    "US20140239036A1",
    "US20140239044A1",
    "US20140239041A1",
    "US20140239042A1",
    "US9186142B2",
    "US20140239040A1",
    "US9398911B2",
    "US20140263563A1",
    "US20150272575A1",
    "US20150351754A1",
    "US20150351764A1",
    "US20150351763A1",
    "US20150374373A1",
    "US20150374360A1",
    "US20160089146A1",
    "US20160166249A1",
    "US20170303925A1"
  ]
}