Circular surgical stapler with angularly asymmetric deck features

{
  "publication_number": "US10603041B2",
  "country": "US",
  "kind": "B2",
  "title": "Circular surgical stapler with angularly asymmetric deck features",
  "abstract": "An apparatus includes a body, a shaft assembly, a stapling head assembly, and an anvil. The stapling head assembly includes a deck member, a plurality of staples, and a driver. The deck member includes a first deck surface, a second deck surface, an outer annular array of staple openings formed through the deck surfaces, an inner annular array of staple openings formed through the deck surfaces, and a plurality of stand-off features extending distally from the second deck surface. The second deck surface is recessed relative to the first deck surface. The driver is operable to drive the staples through the staple openings. The anvil is operable to compress tissue against the deck surface.",
  "claims": [
    "1. An apparatus comprising: (a) a body; (b) a shaft assembly extending distally from the body, wherein the shaft assembly has a distal end; (c) a stapling head assembly located at the distal end of the shaft assembly, wherein the stapling head assembly comprises: (i) a deck member, wherein the deck member comprises: (A) a first deck surface, (B) a second deck surface, wherein the second deck surface is recessed relative to the first deck surface, (C) an outer annular array of staple openings, wherein the outer annular array is formed through the first and second deck surfaces, (D) an inner annular array of staple openings, wherein the inner annular array is formed through the first and second deck surfaces, and (E) a plurality of stand-off features extending distally from the second deck surface, (ii) a plurality of staples, and (iii) a driver operable to drive the staples through the staple openings; and (d) an anvil, wherein the anvil is operable to compress tissue against the deck surface.",
    "2. The apparatus of claim 1, wherein each stand-off feature at least partially encompasses an end of a corresponding staple opening of the outer annular array of staple openings.",
    "3. The apparatus of claim 1, wherein each stand-off feature at least partially encompasses an end of a corresponding staple opening of the inner annular array of staple openings.",
    "4. The apparatus of claim 1, wherein each stand-off feature comprises an outer wall portion and an inner wall portion, wherein the outer wall portion at least partially encompasses an end of a corresponding staple opening of the outer annular array of staple openings, wherein the inner wall portion at least partially encompasses an end of a corresponding staple opening of the inner annular array of staple openings.",
    "5. The apparatus of claim 4, wherein the outer wall portion and the inner wall portion of each stand-off feature interconnect to define a respective zig-zag configuration.",
    "6. The apparatus of claim 1, wherein each stand-off feature has a rounded outer edge having a curvature.",
    "7. The apparatus of claim 6, wherein the first deck surface has a rounded outer edge, wherein the rounded outer edge of the first deck surface has the same curvature as the curvature of the rounded outer edges of the stand-off features.",
    "8. The apparatus of claim 1, wherein each stand-off feature has an upper end located along a plane, wherein the first deck surface is coplanar with the plane.",
    "9. The apparatus of claim 1, wherein the deck member further includes a step-down transition from the first deck surface to the second deck surface.",
    "10. The apparatus of claim 1, wherein the deck member defines a first angular region and a second angular region, wherein the first deck surface extends along only the first angular region, wherein the second deck surface extends along only the second angular region.",
    "11. The apparatus of claim 10, wherein the first angular region extends along an angular range between approximately 30° and approximately 90° of a circumference of the deck member.",
    "12. The apparatus of claim 10, wherein the shaft assembly comprises a curved section including an inner curve and an outer curve.",
    "13. The apparatus of claim 12, wherein the first angular region is angularly positioned to correspond with the outer curve, wherein the second angular region is angularly positioned to correspond with the inner curve.",
    "14. The apparatus of claim 1, wherein the first deck surface is flat.",
    "15. The apparatus of claim 1, wherein the deck member further comprises an inner annular wall extending distally from the second deck surface.",
    "16. The apparatus of claim 15, wherein the inner annular wall has a distal end that is coplanar with at least a portion of the first deck surface.",
    "17. The apparatus of claim 15, wherein the inner annular wall is spaced inwardly from the stand-off features such that a recess is defined between the inner annular wall and the stand-off features.",
    "18. An apparatus comprising a stapling head assembly, wherein the stapling head assembly comprises: (a) an annular deck member, wherein the annular deck member comprises: (i) a first deck surface extending along a first angular range of the annular deck member, (ii) a second deck surface extending along a second angular range of the annular deck member and not along the first angular range, wherein the second deck surface is recessed relative to the first deck surface, (iii) an outer annular array of staple openings formed through the first and second deck surfaces, (iv) an inner annular array of staple openings formed through the first and second deck surfaces, and (v) a plurality of tissue engagement features protruding distally from the second deck surface; (b) a plurality of staples; and (c) a driver operable to drive the staples through the staple openings.",
    "19. An apparatus comprising: (a) a shaft assembly, wherein the shaft assembly comprises: (i) a proximal shaft section, (ii) a distal shaft section, and (iii) a curved shaft section that connects the proximal shaft section with the distal shaft section, wherein the curved shaft section defines an inner shaft curve and an outer shaft curve diametrically opposed from one another across a longitudinal axis of the shaft assembly; and (b) a stapling head assembly located at the distal end of the shaft assembly, wherein the stapling head assembly comprises: (i) a first deck surface having a first angular extent positioned to align with the outer shaft curve of the shaft assembly and not the inner shaft curve, (ii) a second deck surface having a second angular extent positioned to align with the inner shaft curve of the shaft assembly and not the outer shaft curve, wherein the second deck surface is recessed relative to the first deck surface, (iii) an outer annular array of staple openings formed through the first and second deck surfaces, (iv) an inner annular array of staple openings formed through the first and second deck surfaces, (v) a plurality of tissue engagement features extending distally from or recessed within the second deck surface, (vi) a plurality of staples, and (vii) a driver operable to drive the staples through the staple openings.",
    "20. The apparatus of claim 19, wherein the tissue engagement features are not provided on the first deck surface."
  ],
  "description_excerpt": "In some surgical procedures (e.g., colorectal, bariatric, thoracic, etc.), portions of a patient's digestive tract (e.g., the gastrointestinal tract and/or esophagus, etc.) may be cut and removed to eliminate undesirable tissue or for other reasons. Once the tissue is removed, the remaining portions of the digestive tract may be coupled together in an end-to-end anastomosis. The end-to-end anastomosis may provide a substantially unobstructed flow path from one portion of the digestive tract to the other portion of the digestive tract, without also providing any kind of leaking at the site of the anastomosis.\n\nOne example of an instrument that may be used to provide an end-to-end anastomosis is a circular stapler. Some such staplers are operable to clamp down on layers of tissue, cut through the clamped layers of tissue, and drive staples through the clamped layers of tissue to substantially seal the layers of tissue together near the severed ends of the tissue layers, thereby joining the two severed ends of the anatomical lumen together. The circular stapler may be configured to sever the tissue and seal the tissue substantially simultaneously. For instance, the circular stapler may sever excess tissue that is interior to an annular array of staples at an anastomosis, to provide a substantially smooth transition between the anatomical lumen sections that are joined at the anastomosis. Circular staplers may be used in open procedures or in endoscopic procedures. In some instances, a portion of the circular stapler is inserted through a patient's naturally occurring orifice.",
  "cpc": [
    "A61B 17/1155",
    "A61B 17/068",
    "A61B 17/072",
    "A61B 17/07207",
    "A61B 17/1114",
    "A61B 2017/07221",
    "A61B 2017/07271",
    "A61B 2017/07278"
  ],
  "ipc": [
    "A61B 17/068",
    "A61B 17/072",
    "A61B 17/11",
    "A61B 17/115"
  ],
  "assignees": [
    "Ethicon LLC"
  ],
  "inventors": [
    "Christopher C. Miller",
    "Frederick E. Shelton, IV"
  ],
  "filing_date": "2016-11-14",
  "publication_date": "2020-03-31",
  "grant_date": "2020-03-31",
  "priority_date": "2016-11-14",
  "application_number": "US-201615350624-A",
  "family_id": "60301966",
  "cited_by_count": 568,
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}