Surgical stapler with terminal staple orientation crossing center line
View Patent ↗A surgical instrument includes a shaft assembly, an end effector, and a staple cartridge. The end effector includes a first jaw and a second jaw. The first jaw includes an anvil that is configured to form a plurality of staples pressed against the anvil. The first and second jaws are configured to transition between an open configuration and a closed configuration. The staple cartridge is received within the second jaw. The staple cartridge includes a deck and a plurality of staples. The deck has a plurality of staple openings. The staples are positioned within respective staple openings. At least one of the staple openings obliquely crosses a centerline of the end effector.
1. A surgical instrument for treating a tissue of a patient, comprising:
(a) a shaft assembly;
(b) an end effector extending from the shaft assembly along a centerline, the end effector comprising:
(i) a first jaw having an anvil configured to form a plurality of staples pressed against the anvil, and
(ii) a second jaw defining a jaw width transverse to the centerline such the centerline bisects the jaw width along the second jaw, wherein the first and second jaws are configured to transition between an open configuration and a closed configuration; and
(c) a staple cartridge received within the second jaw, the staple cartridge comprising:
(i) a deck facing the anvil,
(ii) a plurality of staple openings formed through the deck, wherein at least one of the staple openings obliquely crosses the centerline, and
(iii) a plurality of staples positioned respectively within the plurality of staple openings
wherein the staple cartridge further comprises a wedge sled configured to slide proximate to the deck from a proximal sled position to a distal sled position, wherein the distal sled position is below the at least one of the staple opening obliquely crossing the centerline.
2. The surgical instrument of claim 1 , wherein the plurality of staple openings comprises a first row of staple openings and a second row of staple openings, wherein the first and second rows of staple openings are on respective sides of the centerline.
3. The surgical instrument of claim 2 , wherein the at least one staple opening obliquely crossing the centerline extends from the first row of staple openings to the second row of staple openings.
4. The surgical instrument of claim 3 , wherein the at least one staple opening that obliquely crosses the centerline is a distal-most staple opening in the deck.
5. The surgical instrument of claim 4 , wherein the end effector extends to a distal tip, wherein the distal-most staple opening in the deck is adjacent to the distal tip.
6. The surgical instrument of claim 3 , wherein the end effector, the staple cartridge, and the centerline have a straight portion extending to an arcuate portion, and the at least one staple opening that obliquely crosses the centerline is formed in the arcuate portion of the staple cartridge.
7. The surgical instrument of claim 1 , wherein the end effector, the staple cartridge, and the centerline have an arcuate portion and a straight portion, wherein straight portion extends to the arcuate portion.
8. The surgical instrument of claim 7 , wherein the plurality of staple openings comprises a first row of staple openings and a second row of staple openings, wherein the first and second rows of staple openings are located on respective sides of the centerline and are formed on the deck in the straight portion.
9. The surgical instrument of claim 2 , wherein the first row of staple openings comprises an outer row of staple openings, wherein the second row of staple openings comprises an inner row of staple openings, wherein the outer row of staple openings is positioned radially outwardly from the centerline in the arcuate portion, wherein the inner row of staple openings is positioned radially inwardly from the centerline in the arcuate portion.
10. The surgical instrument of claim 9 , wherein the outer row of staple openings defines a plurality of outer gaps between the adjacent staple openings of the plurality of staple openings, wherein the inner row of staple openings defines a plurality of inner gaps between adjacent staple openings of the plurality of staple openings, wherein the inner gaps and outer gaps have an equivalent length.
11. The surgical instrument of claim 1 , further comprising the wedge sled having a distal nose, wherein the second jaw has a blocker wall distally positioned therein along the centerline, wherein the blocker wall is configured to receive the wedge sled thereagainst and inhibit movement of the wedge sled distally beyond the distal sled position, wherein the blocker wall defines a clearance hole configured to receive the distal nose of the wedge sled in the distal sled position.
12. The surgical instrument of claim 11 , wherein the staple cartridge further includes a driver assembly having a proximal driver and a distal driver, wherein the proximal driver and the distal driver are each respectively engaged with a proximal staple and a distal staple of the plurality of staples, wherein the wedge sled is configured to engage the driver assembly to thereby urge the proximal and distal staples through respective openings of the plurality of openings, wherein the distal driver obliquely crosses the centerline in alignment with the at least one of the staple openings that obliquely crosses the centerline, and wherein a majority of the wedge sled in the distal sled position is below the driver assembly.
13. The surgical instrument of claim 1 , wherein the first jaw comprises a first surface extending generally parallel with the centerline, wherein the first surface is configured to receive tissue thereagainst, wherein the second jaw comprises a second surface extending generally parallel with the centerline, wherein the second surface is configured to receive tissue thereagainst, wherein the first and second surfaces are configured to compress tissue therebetween with a crush pressure configured to sever the tissue along the first and second surfaces.
14. The surgical instrument of claim 13 , wherein the end effector, the staple cartridge, and the centerline have a straight portion extending to an arcuate portion, wherein the first and second surfaces extend along the straight and arcuate portions.
15. A surgical instrument for treating a tissue of a patient, comprising:
(a) a shaft assembly;
(b) an end effector extending from the shaft assembly along a centerline, the end effector comprising:
(i) a first jaw having an anvil configured to form a plurality of staples pressed against the anvil, and
(ii) a second jaw defining a jaw width transverse to the centerline such the centerline bisects the jaw width along the second jaw, wherein the first and second jaws are configured to transition between an open configuration and a closed configuration; and
(c) a staple cartridge received within the second jaw, the staple cartridge comprising:
(i) a deck facing the anvil,
(ii) a plurality of staple openings formed through the deck, wherein at least one of the staple openings obliquely crosses the centerline, and
(iii) a plurality of staples positioned respectively within the plurality of staple openings, wherein the plurality of staple openings comprises a first row of staple openings and a second row of staple openings, wherein the first and second rows of staple openings are on respective sides of the centerline,
(iv) a wedge sled configured to slide proximate to the deck from a proximal sled position to a distal sled position along the centerline, wherein the distal sled position is below the at least one of the staple opening obliquely crossing the centerline,
wherein the end effector, the staple cartridge, and the centerline have an arcuate portion and a straight portion, wherein straight portion distally extends to the arcuate portion.
16. The surgical instrument of claim 15 , wherein the at least one staple opening obliquely crossing the centerline extends from the first row of staple openings to the second row of staple openings.
17. The surgical instrument of claim 16 , wherein the at least one staple opening that obliquely crosses the centerline is a distal-most staple opening in the deck.
18. The surgical instrument of claim 17 , wherein the staple cartridge further includes a driver assembly having a proximal driver and a distal driver, wherein the proximal driver and the distal driver are each respectively engaged with a proximal staple and a distal staple of the plurality of staples, wherein the wedge sled is configured to engage the driver assembly to thereby urge the proximal and distal staples through respective openings of the plurality of openings, wherein the distal driver obliquely crosses the centerline in alignment with the at least one of the staple openings that obliquely crosses the centerline.
19. A method of stapling a tissue with a surgical instrument, wherein the surgical instrument includes (a) a shaft assembly; (b) an end effector extending from the shaft assembly along a centerline, the end effector comprising: (i) a first jaw having an anvil configured to form a plurality of staples pressed against the anvil, and (ii) a second jaw defining a jaw width transverse to the centerline such the centerline bisects the jaw width along the second jaw, wherein the first and second jaws are configured to transition between an open configuration and a closed configuration; and (c) a staple cartridge received within the second jaw, the staple cartridge comprising: (i) a deck facing the anvil, (ii) a plurality of staple openings formed through the deck, wherein at least one of the staple openings obliquely crosses the centerline, and (iii) a plurality of staples positioned respectively within the plurality of staple openings, wherein the staple cartridge further comprises a wedge sled configured to slide proximate to the deck from a proximal sled position to a distal sled position, wherein the distal sled position is below the at least one of the staple opening obliquely crossing the centerline, the method comprising:
(a) urging the plurality of staples respectively through the plurality of staple openings and into the tissue; and
(b) forming the plurality of staples against the anvil such that at least one of the staples obliquely crosses the centerline while being formed in the tissue.