Circular stapling instruments
Apparatus and methods for improved tissue cutting of circular stapling instruments include a cartridge assembly configured to maximize the force during a cutting stroke. In embodiments, the cartridge assembly is configured to maintain engagement between a knife assembly and a drive member during retraction of the knife. Alternatively, or in addition, the cartridge assembly is configured to prevent incidental advancement of the knife assembly.
1. A circular stapling instrument comprising:
a handle assembly;
an elongate body extending from the handle assembly and including a drive member;
a cartridge assembly mounted on a distal end of the elongate body, the cartridge assembly including a knife assembly and an outer housing, the knife assembly being secured to the outer housing by a breakable connection, wherein the breakable connection is a weld; and
a drive assembly extending from the elongate body and operably disposed between the drive member and the knife assembly, the drive assembly including a proximal drive section, a distal drive section, and a biasing member disposed between the proximal and distal drive sections, wherein advancement of the proximal drive section a first distance compresses the biasing member, and advancement of the proximal drive section a second distance breaks the connection between the knife assembly and the outer housing.
2. The circular stapling instrument of claim 1 , wherein the breakable connection maintains the knife assembly in a retracted position.
3. The circular stapling instrument of claim 1 , wherein upon breaking of the breakable connection, the biasing member advances the distal drive section distally to advance the knife assembly.
4. The circular stapling instrument of claim 1 , wherein compressing the biasing member stores energy in the biasing member.
5. The circular stapling instrument of claim 4 , wherein the biasing member releases the stored energy when the breakable connection breaks.
6. The circular stapling instrument of claim 1 , wherein the biasing member is a coil spring.
7. The circular stapling instrument of claim 1 , wherein the knife assembly includes a knife carrier and a knife secured to the carrier, wherein the biasing member is disposed between the knife carrier of the knife assembly and the proximal drive section of the drive assembly.
8. The circular stapling instrument of claim 1 , wherein the cartridge assembly is replaceable and selectively removably mounted on the distal end of the elongate body.
9. The circular stapling instrument of claim 1 , wherein the breakable connection is a one-time breakable connection.