True multi-fire linear cutter
View Patent ↗One exemplary surgical apparatus may include an anvil assembly to which a staple holder assembly detachably connected; feeder belts positioned at least partially within the staple holder assembly; staples separably attached to each feeder belt; a wedge assembly slidable within and along the staple holder assembly, the wedge assembly including an engagement feature; and a deployment handle, where, upon closure of the anvil assembly and staple holder assembly relative to one another, the deployment handle engages the engagement feature; where the deployment handle is movable along the anvil assembly to drive the wedge assembly relative to the staple holder assembly, feeder belts and staples in order to deform at least one staple to a closed state and separate at least one closed staple from the corresponding feeder belt. One exemplary surgical method may include providing a surgical stapler having an anvil and a staple holder separably connected to the anvil, where the staple holder holds feeder belts and staples separably connected to each feeder belt; deploying, at least twice, a plurality of staples from the staple holder; and then removing the staple holder from the anvil.
1. A surgical apparatus, comprising:
an anvil assembly;
a staple holder assembly detachably coupled to said anvil assembly;
a feeder belt deposed at least partially within said staple holder assembly, wherein a plurality of staples are frangibly connected to said feeder belt;
a wedge assembly slidably deposed within said staple holder assembly, wherein sliding said wedge assembly within said staple holder assembly in a first direction deploys and frangibly separates at least one of said plurality of staples connected to said feeder belt; and
an adjustable tissue stop slidably coupled to said staple holder assembly or said anvil assembly, wherein the adjustable tissue stop defines an adjustable length of a staple line for deploying said plurality of staples.
2. The surgical apparatus of claim 1 , further comprising:
a knife assembly coupled to said wedge assembly wherein sliding said wedge assembly in said first direction activates a knife in said knife assembly, the activated knife slides along with said wedge assembly and transects a length of target tissue corresponding to the adjustable length of said staple line.
3. The surgical apparatus of claim 1 , wherein the adjustable tissue stop defines an end of travel of said wedge assembly in said first direction.
4. The surgical apparatus of claim 1 , wherein sliding said wedge assembly within said staple holder assembly in a second direction resets said wedge assembly to an initial position to further deploy additional staples.
5. The surgical apparatus of claim 1 , wherein sliding said wedge assembly within said staple holder assembly in a second direction advances said feeder belt to place at least a fresh one of said plurality of staples in a ready fire or ready deployment position.
6. The surgical apparatus of claim 1 , wherein advancing said feeder belt comprises of canting at least one of said plurality of staples.
7. The surgical apparatus of claim 1 , wherein sliding said wedge in a second direction returns the knife back into said knife assembly and returns said knife assembly back to an initial position.
8. A surgical method for treating tissue, comprising:
placing an anvil assembly or a staple holder assembly near a target tissue;
coupling said anvil assembly with said staple holder assembly, wherein the staple holder assembly includes a feeder belt at least partially deposed within said staple holder assembly, and wherein a plurality of staples are frangibly connected to said feeder belt;
defining an adjustable length of a staple line for treating said target tissue;
sliding a wedge assembly within said staple holder in a first direction to deploy and frangibly separate at least one of said plurality of staples connected to said feeder belt; and
transecting a length of said target tissue corresponding to said defined adjustable length of said staple line.
9. The method of claim 8 , wherein a distance for sliding said wedge assembly in said first direction corresponds to said defined adjustable length of said staple line.
10. The method of claim 8 , wherein transecting said length of said target tissue comprises of activating a knife in a knife assembly and sliding said knife assembly along with said wedge assembly in said first direction.
11. The method of claim 8 , further comprising;
sliding said wedge assembly within said staple holder in a second direction resets said wedge to an initial position to further deploy additional staples.
12. The method of claim 8 , further comprising;
sliding said wedge assembly within said staple holder in a second direction advances said feeder belt placing at least a fresh one of said plurality of staples in a ready fire or ready deployment position.
13. The method of claim 8 , further comprising:
sliding said wedge assembly within said staple holder in a second direction retracts said knife back into said knife assemble and returns said knife assembly to an initial position.
14. A surgical apparatus, comprising:
an anvil;
a staple holder coupled to and detachable in its entirety from said anvil;
a feeder belt deposed at least partially within said staple holder;
a plurality of staples separably attached to said feeder belt; and
an adjustable tissue stop movably coupled to at least one of said anvil and said staple holder, wherein said adjustable tissue stop limits movement of a wedge assembly along the anvil or staple holder to control a number of said plurality of staples for deployment from said staple holder.
15. A surgical apparatus, comprising:
an anvil assembly;
a staple holder assembly detachably coupled to said anvil assembly;
a feeder belt deposed at least partially within said staple holder assembly, wherein a plurality of staples are frangibly connected to said feeder belt;
a wedge assembly slidably deposed within said staple holder assembly, wherein sliding said wedge assembly within said staple holder assembly in a first direction deploys and frangibly separates at least one of said plurality of staples connected to said feeder belt and wherein sliding said wedge assembly within said staple holder assembly in a second direction resets said wedge assembly to an initial position to further deploy additional staples.
16. A surgical apparatus, comprising:
an anvil assembly;
a staple holder assembly detachably coupled to said anvil assembly;
a feeder belt deposed at least partially within said staple holder assembly, wherein a plurality of staples are frangibly connected to said feeder belt;
a wedge assembly slidably deposed within said staple holder assembly, wherein sliding said wedge assembly within said staple holder assembly in a first direction deploys and frangibly separates at least one of said plurality of staples connected to said feeder belt and wherein sliding said wedge assembly within said staple holder assembly in a second direction advances said feeder belt to place at least a fresh one of said plurality of staples in a ready fire or ready deployment position.