Devices and methods for facilitating ejection of surgical fasteners from cartridges
View Patent ↗Devices and methods are provided for facilitating ejection of surgical fasteners from a cartridge. In general, the devices and methods can facilitate complete removal of one or more fasteners from within the cartridge. In an exemplary embodiment, a surgical device can be configured to facilitate disconnection of fasteners from a carrier to which the fasteners are frangibly attached. The surgical device can include a separation feature in the form of a shearing element configured to facilitate separation of the fasteners from the carrier when the fasteners are deployed from a cartridge that has the fasteners and the carrier disposed therein.
1. A surgical fastening device for treating tissue, comprising:
an elongate shaft; an end effector coupled to a distal end of the elongate shaft, the end effector including a jaw and an anvil pivotally connected to the jaw, the jaw and the anvil being configured to engage tissue therebetween;
a plurality of fasteners disposed within the jaw and frangibly coupled to a carrier;
a sled configured to advance distally through the jaw to cause each of the plurality of fasteners to rotate into tissue engaged between the jaw and the anvil; and
a shearing element slidably moveable within the jaw to shear each fastener from the carrier, the shearing element being configured to shear the fasteners from the carrier after the fasteners are driven into tissue by the sled, the shearing element being pivotable between a first inactive position and a second active position, and the shearing element shearing the fasteners during the second active position.
2. The device of claim 1 , wherein the shearing element is positioned proximal of the sled.
3. The device of claim 1 , wherein the shearing element includes a plurality of upright wedges configured to shear the fasteners from the carrier.
4. The device of claim 1 , wherein the shearing element is coupled to a distal end of the sled.
5. The device of claim 4 , further comprising an I-beam positioned proximal of the shearing element and configured to be slidably received within the anvil and the jaw.
6. The device of claim 1 , wherein the sled include a plurality of wedges configured to contact and drive the fasteners into tissue, and a knife for cutting tissue engaged between the jaw and the anvil, and wherein the shearing element is positioned proximal of the wedges and the knife.
7. The device of claim 1 , wherein the shearing element is configured to shear the fasteners from the carrier during proximal movement of the shearing element through the jaw.
8. The device of claim 1 , wherein the shearing element is separate from the sled.
9. A surgical stapling device, comprising:
an end effector having first and second jaws pivotally coupled to one another and configured to engage tissue therebetween;
a plurality of plastically deformable staples frangibly formed on a carrier and disposed within the first jaw, the staples being configured to be rotatably deployed into tissue engaged between the jaws;
a wedge configured to slidably advance through the first jaw to rotatably drive the staples into tissue; and
a shearing element configured to shear the staples from the carrier after the staples are rotatably deployed into the tissue by the wedge, the shearing element being pivotable between a first inactive position and a second active position, the shearing element shearing the staples during the second active position.
10. The device of claim 9 , wherein the shearing element is positioned proximal of the wedge.
11. The device of claim 9 , wherein the wedge includes a plurality of upright flanges configured to rotatably drive the staples into tissue, and the shearing element includes a plurality of upright flanges configured to shear the staples from the carrier.
12. The device of claim 9 , wherein the wedge includes a knife for cutting tissue engaged between the first and second jaws, and wherein the shearing element is positioned proximal of the knife.
13. The device of claim 9 , wherein the shearing element is configured to shear the staples from the carrier during proximal movement of the shearing element through the first jaw.