Circular surgical stapler having staples with expandable crowns
A surgical stapler instrument includes a stapling head assembly that receives a plurality of staples. The staples are configured with features that allow the staples to expand after deployment so that an anastomosis created by the instrument can increase in size after forming. In some versions the staples expand automatically after deployment, and in other versions the staples expand in response to tissue forces imparted upon the staples after deployment. In some versions the staples are configured to be deployed in various patterns that promote expandability of the circular staple line.
1. An apparatus for creating an anastomosis between two lumens, comprising:
(a) a body;
(b) a shaft extending distally from the body;
(c) a stapling head assembly positioned at a distal end of the shaft, wherein the stapling head assembly includes:
(i) an annular deck member, wherein the annular deck member includes:
(A) a deck surface configured to contact a tissue defining a select one of the two lumens,
(B) an annular array of staple openings formed through the deck surface, and
(C) a plurality of staples configured to travel through the staple openings, each staple of the plurality of staples comprising a crown having a pair of straight portions and an angled central portion that interconnects inner ends of the straight portions such that the straight portions extend angularly relative to one another, and a pair of legs extending from outer ends of the straight portions of the crown, wherein each staple is expandable between a first configuration and a second configuration, wherein in the second configuration a distance between the pair of legs is greater than in the first configuration;
(ii) a staple driver operable to drive the plurality of staples through the annular array of staple openings; and
(d) an anvil configured to deform the staples driven by the staple driver to form a ring-shaped staple pattern configured to connect the two lumens.
2. The apparatus of claim 1 , wherein each staple of the plurality of staples comprises an angled crown such that each staple defines a single “V” shape when viewed from a top or a bottom.
3. The apparatus of claim 2 , wherein the annular array of staple openings is configured with a pattern having a row of nested openings such that the first configuration of the plurality of staples comprises the ring-like staple pattern with an initial nested configuration, and the second configuration of the plurality of staples comprises the ring-like staple pattern with an expanded nested configuration compared to the initial nested configuration.
4. The apparatus of claim 1 , wherein the angled central portion of the crown comprises a weakened portion configured to promote bending of the crown at its midpoint for expandability when the staple is exposed to tension due to tissue forces.
5. The apparatus of claim 4 , wherein the weakened portion comprises a reduction in material of the crown.
6. The apparatus of claim 5 , wherein the reduction in material of the crown consists of a notch in the crown that connects with remaining portions of the crown that are cylindrically shaped.
7. The apparatus of claim 5 , wherein the reduction in material of the crown consists of a portion having a reduced diameter that connects with remaining portions of the crown that are cylindrically shaped.
8. The apparatus of claim 5 , wherein the reduction in material of the crown consists of a portion having a flat area that connects with remaining portions of the crown that are cylindrically shaped.
9. The apparatus of claim 1 , wherein the crown of each staple of the plurality of staples comprises a spring feature comprising a bend in the crown configured to straighten, wherein the spring feature provides for automatic expansion of each of the staples after the staples are deployed.
10. The apparatus of claim 1 , wherein the crown of each staple of the plurality of staples comprises a coil feature formed within the crown.
11. The apparatus of claim 1 , wherein the crown of each staple of the plurality of staples comprises a hinge feature, wherein the hinge feature promotes adjustment of the staple for expandability when the staple is exposed to tension due to tissue forces.
12. The apparatus of claim 1 , wherein the crown of each staple of the plurality of staples comprises a curved portion defining a “C” shape that is configured to elongate when the staple is exposed to tension due to tissue forces.
13. The apparatus of claim 1 , wherein the legs of each staple in an unformed state define a first plane, wherein the straight portions of the crown of each staple in the unformed state are angled relative to one another in a second plane perpendicular to the first plane.
14. A staple for use with a stapler to create an anastomosis between two lumens, wherein the staple comprises:
(a) a crown including a pair of straight portions that interconnect at a midpoint of the crown and are angled relative to one another; and
(b) a pair of legs extending from the straight portions of the crown,
wherein the staple is expandable between a first configuration and a second configuration, wherein in the second configuration a distance between the pair of legs is greater than in the first configuration.
15. The staple of claim 14 , wherein the staple is configured to transition from the first configuration to the second configuration in response to a release of pre-formed tension.
16. The staple of claim 14 , wherein the staple is configured to transition from the first configuration to the second configuration in response to a force imparted on the staple by tissue expansion.
17. The staple of claim 14 , wherein the crown further includes a central weakened portion that interconnects the straight portions of the crown, wherein the central weakened portion is configured to promote bending of the crown at the central weakened portion for expandability when the staple is exposed to tension due to tissue forces.
18. The apparatus of claim 17 , wherein the central weakened portion comprises a reduction in material of the crown.
19. An apparatus for creating an anastomosis between two lumens, comprising:
(a) a body;
(b) a shaft extending distally from the body;
(c) a stapling head assembly positioned at a distal end of the shaft, wherein the stapling head assembly includes:
(i) an annular deck member, wherein the annular deck member includes:
(A) a deck surface configured to contact a tissue defining a select one of the two lumens,
(B) an annular array of staple openings formed through the deck surface, wherein the annular array of staple openings is configured with a pattern having two rows of offset opposing openings, and
(C) a plurality of staples configured to travel through the staple openings, each staple of the plurality of staples comprising a crown having a pair of straight portions and a pair of legs extending from the straight portions of the crown, wherein the straight portions are interconnected and angled relative to another to provide the crown with a single-V shape, wherein each staple is expandable between a first configuration and a second configuration, wherein in the second configuration a distance between the pair of legs is greater than in the first configuration;
(ii) a staple driver operable to drive the plurality of staples through the annular array of staple openings; and
(d) an anvil configured to deform the staples driven by the staple driver to form a ring-shaped staple pattern configured to connect the two lumens.