Surgical stapler with cooperating distal tip features on anvil and staple cartridge
A surgical instrument includes a body portion, a shaft, and an end effector that is operable to compress, staple, and cut tissue. The end effector includes and anvil and a staple cartridge. The anvil has a body and a modular releasable curved tip that connects with the body. The curved tip may be elastically deformable. The curved anvil tip and the tip of the cartridge include cooperating features that assist in gripping tissue during clamping. A separate cartridge may be provided that retains a replacement anvil tip and a replacement staple cartridge, where the replacement anvil tip and staple cartridge include the cooperating features. The separate cartridge may also include anvil tip and staple cartridge removal features to assist in removal of previously installed anvil tips and staple cartridges.
1. An apparatus, comprising:
(a) a body portion;
(b) a shaft extending distally from the body portion, wherein the shaft defines a longitudinal axis; and
(c) an end effector in communication with the shaft, wherein the end effector is movable between an open configuration and a closed configuration, wherein the end effector is operable to compress, staple, and cut tissue, and wherein the end effector comprises:
(i) a cartridge configured to hold one or more staples, wherein the cartridge comprises an angled nose portion, wherein the angled nose portion comprises one or more first features protruding from the angled nose portion, wherein the one or more first features are configured to contact tissue,
(ii) an anvil body having a longitudinal slot extending from a proximal end of the anvil body distally along the longitudinal axis to a distal end of the anvil body,
(iii) a cutting member slidably disposed within the longitudinal slot,
(iv) an anvil tip having a proximal portion configured to be received and selectively retained within a distal end of the longitudinal slot of the anvil body, wherein the anvil tip comprises a curved portion, wherein the curved portion comprises one or more second features configured to contact tissue, wherein the one or more first features of the cartridge are configured to complement the one or more second features of the anvil tip, and
(v) a fastener configured to connect the anvil tip with the anvil body, wherein the fastener is insertable through the anvil tip and into the longitudinal slot of the anvil body such that the fastener extends along the longitudinal axis.
2. The apparatus of claim 1 , wherein at least a portion of the anvil tip is elastically deformable and configured to deflect in response to a clamping force applied to the anvil tip.
3. The apparatus of claim 1 , wherein the one or more first features of the cartridge and the one or more second features of the anvil tip are configured to form a nesting arrangement when the end effector is in a closed position without tissue present within the end effector.
4. The apparatus of claim 1 , wherein the one or more second features of the anvil tip are elastically deformable.
5. The apparatus of claim 4 , wherein the one or more first features of the cartridge are rigid.
6. The apparatus of claim 1 , wherein a distal end of the cartridge extends further distally than a distal end of the anvil tip.
7. The apparatus of claim 1 , wherein the anvil tip is configured to contact the cartridge when the end effector is in a closed configuration without tissue present within the end effector.
8. The apparatus of claim 1 , wherein the end effector is configured to provide a gap along the anvil tip and the cartridge when the end effector is in a closed configuration without tissue present within the end effector, such that the anvil tip maintains a non-contacting orientation with respect to the cartridge.
9. The apparatus of claim 1 , wherein a select distal-most one of the one or more second features of the anvil tip is positioned distal to the one or more first features of the cartridge.
10. The apparatus of claim 9 , wherein a select proximal-most one of the one or more first features of the cartridge is positioned proximal to the one or more second features of the anvil tip.
11. The apparatus of claim 1 , wherein a select distal-most one of the one or more first features of the cartridge is positioned distal to the one or more second features of the anvil tip.
12. The apparatus of claim 11 , wherein a select proximal-most one of the one or more first features of the cartridge is positioned proximal to the one or more second features of the anvil tip.
13. The apparatus of claim 1 , wherein the one or more second features of the anvil tip comprise a circular depression in a surface of the anvil tip, and wherein the one or more first features of the cartridge comprise a dome shaped protrusion.
14. The apparatus of claim 13 , wherein the anvil tip extends distal to the angled nose portion of the cartridge.
15. The apparatus of claim 1 , wherein the fastener includes a shim configured to be inserted proximally into a distal portion of the anvil tip and further into the longitudinal slot of the anvil body.
16. An apparatus, comprising:
(a) a body portion;
(b) a shaft extending distally from the body portion, wherein the shaft defines a longitudinal axis; and
(c) an end effector in communication with the shaft, wherein the end effector is movable between an open configuration and a closed configuration, wherein the end effector is operable to compress, staple, and cut tissue, and wherein the end effector comprises:
(i) a lower jaw,
(ii) a first cartridge configured to be received by the lower jaw and hold one or more staples, wherein the first cartridge comprises an angled nose portion, wherein the angled nose portion comprises one or more first features protruding from the nose portion, wherein the one or more first features are configured to contact tissue,
(iii) an anvil body,
(iv) an anvil tip extending distally from a distal end of the anvil body such that the anvil tip overlies the angled nose portion of the first cartridge, wherein the anvil tip is configured to be received and selectively retained by the anvil body, wherein the anvil tip comprises a curved distal portion that extends angularly towards the angled nose portion of the first cartridge, wherein the curved distal portion comprises one or more second features configured to mate with the one or more first features of the first cartridge, and
(v) a second cartridge configured to selectively connect with the end effector to install the anvil tip to the anvil body, wherein the second cartridge is further configured to install the first cartridge to the lower jaw.
17. The apparatus of claim 16 , wherein the second cartridge is further configured to remove the anvil tip and the first cartridge from the end effector, wherein the second cartridge is further configured to install a replacement anvil tip and a replacement first cartridge.
18. The apparatus of claim 17 , wherein the second cartridge comprises a compartment configured to receive the anvil tip, wherein the second cartridge further comprises one or more hook members configured to engage with the anvil tip to retain the anvil tip within the compartment as the end effector is separated from the second cartridge, thereby removing the anvil tip from the end effector.
19. An apparatus, comprising:
(a) a body portion;
(b) a shaft extending distally from the body portion, wherein the shaft defines a longitudinal axis; and
(c) an end effector in communication with the shaft, wherein the end effector is movable between an open configuration and a closed configuration, wherein the end effector is operable to compress, staple, and cut tissue, and wherein the end effector comprises:
(i) a cartridge configured to hold one or more staples, wherein the cartridge comprises an angled nose portion, wherein the angled nose portion includes an angled distal face having one or more first protrusions disposed thereon,
(ii) an anvil body having a longitudinal slot extending from a proximal end of the anvil body distally along the longitudinal axis to a distal end of the anvil body, and
(iii) an anvil tip configured to be selectively secured with a distal end of the anvil body, wherein the anvil tip comprises a curved portion that extends toward the angled nose portion, wherein the curved portion includes an angled proximal face having one or more second protrusions disposed thereon, wherein the second protrusions are configured to align longitudinally with the first protrusions when the end effector is in the closed configuration; and
(iv) a fastener configured to connect the anvil tip with the anvil body, wherein the fastener is insertable through the anvil tip and into the longitudinal slot of the anvil body such that the fastener extends along the longitudinal axis.
20. The apparatus of claim 19 , wherein the fastener includes a head portion and a tail portion, wherein the head portion is configured to be engaged by a removal device for removal of the fastener from the anvil tip.