Anvil assembly with reduced deflection
A surgical stapling device includes an end effector having a cartridge assembly, and anvil assembly that is supported adjacent the anvil assembly in cantilevered fashion. The end effector of the stapling device includes a pusher that is configured to compensate for deflection of the anvil assembly and provide uniform staple formation along the length of the anvil assembly. The pusher is also configured to minimize firing forces required to fire staples from the cartridge assembly and cut tissue.
1. An end effector comprising:
a frame having a U-shaped configuration and including a first transverse portion, a second transverse portion, and a longitudinal portion interconnecting the first transverse portion and the second transverse portion, the longitudinal portion defining a longitudinal axis, the first transverse portion being spaced from the second transverse portion to define a recess, the first transverse portion of the frame supported in cantilevered fashion on the longitudinal portion and having a first end coupled to the longitudinal portion of the frame and a second end spaced from the longitudinal portion;
an anvil plate supported on the first transverse portion of the frame, the anvil plate defining an axis that is substantially perpendicular to the longitudinal axis of the longitudinal portion of the frame; and
a cartridge assembly supported in the recess defined between the first and second transverse portions of the frame, the cartridge assembly movable in relation to the anvil plate between spaced and clamped positions, the cartridge assembly including a cartridge body, staples, and a pusher that is movable within the cartridge body from a retracted position to an advanced position, the cartridge body defining a plurality of staple receiving slots, each of the staple receiving slots receiving one of the staples, the pusher including a base member and a plurality of fingers, each of the plurality of fingers extending distally from the base member into one of the staple receiving slots and having a distal portion supporting one of the staples, the pusher being movable within the cartridge body from a retracted position towards an advanced position to eject the staples from the staple receiving slots;
wherein the distal portions of the plurality of fingers are aligned along an axis “P1” and the anvil shaft defines an axis “P2”, wherein the axis “P1” defines an angle of from about 2 degrees to about 10 degrees with the axis “P2” when the pusher is in a retracted position, and the axis “P1” is substantially parallel to the axis “P2” when the staples are ejected into the anvil plate.
2. The end effector of claim 1 , wherein the base member of the pusher defines a longitudinal axis that is transverse to the longitudinal axis of the longitudinal portion of the frame, and the plurality of fingers each define a longitudinal axis that defines an angle β with the longitudinal axis of the longitudinal portion, wherein the angle β is from about 78 degrees to about 88 degrees.
3. The end effector of claim 2 , wherein the angle ( 3 is about 84 degrees.
4. The end effector of claim 2 , wherein each of the plurality of fingers of the pusher has the same length.
5. The end effector of claim 4 , wherein each staple receiving slot of the plurality of staple receiving slots defines a longitudinal axis that is substantially parallel to the longitudinal axis of the longitudinal portion of the frame.
6. The end effector of claim 1 , wherein the cartridge assembly includes a knife assembly that includes a knife holder and a knife blade.
7. The end effector of claim 6 , wherein the pusher and the cartridge body define knife slots that receive the knife blade.
8. The end effector of claim 1 , wherein the plurality of staples is spaced from the anvil plate, when the pusher is in a retracted position, a distance that changes along the longitudinal axis of the anvil plate.
9. The end effector of claim 8 , wherein the distance between the plurality of staples and the anvil plate increases progressively from the second end of the anvil plate towards the first end of the anvil plate such that the staples sequentially engage the anvil plate when the pusher moves from the retracted position towards the advanced position.
10. A surgical stapling device comprising:
a handle assembly;
an elongate body having a proximal portion coupled to the handle assembly and a distal portion; and
an end effector coupled to the distal portion of the elongate body, the end effector including:
a frame having a U-shaped configuration and including a first transverse portion, a second transverse portion, and a longitudinal portion interconnecting the first transverse portion and the second transverse portion, the longitudinal portion defining a longitudinal axis, the first transverse portion being spaced from the second transverse portion to define a recess, the first transverse portion of the frame supported in cantilevered fashion on the longitudinal portion and having a first end coupled to the longitudinal portion and a second end spaced from the longitudinal portion;
an anvil plate supported on the first transverse portion of the frame, the anvil plate defining an axis that is substantially perpendicular to the longitudinal axis of the longitudinal portion of the frame; and
a cartridge assembly supported in the recess defined between the first and second transverse portions of the frame, the cartridge assembly movable in relation to the anvil plate between spaced and clamped positions, the cartridge assembly including a cartridge body, staples, and a pusher that is movable within the cartridge body from a retracted position to an advanced position, the cartridge body defining a plurality of staple receiving slots, each of the staple receiving slots receiving one of the staples, the pusher including a base member and a plurality of fingers, each of the plurality of fingers extending distally from the base member into one of the staple receiving slots and having a distal portion supporting one of the staples, the pusher being movable within the cartridge body from a retracted position towards an advanced position to eject the staples from the staple receiving slots;
wherein the distal portions of the plurality of fingers are aligned along an axis “P1” and the anvil shaft defines an axis “P2”, wherein the axis “P1” defines an angle of from about 2 degrees to about 10 degrees with the axis “P2” when the pusher is in a retracted position, and the axis “P 1 ” is substantially parallel to the axis “P2” when the staples are ejected into the anvil plate.
11. The surgical stapling device of claim 10 , wherein the base member of the pusher defines a longitudinal axis that is transverse to the longitudinal axis of the longitudinal portion of the frame, and the plurality of fingers each define a longitudinal axis that defines an angle β with the longitudinal axis of the longitudinal portion, wherein the angle β is from about 78 degrees to about 88 degrees.
12. The surgical stapling device of claim 11 , wherein each of the plurality of fingers of the pusher has the same length.
13. The surgical stapling device of claim 12 , wherein each staple receiving slot of the plurality of staple receiving slots defines a longitudinal axis that is substantially parallel to the longitudinal axis of the longitudinal portion of the frame.
14. The surgical stapling device of claim 10 , wherein the cartridge assembly includes a knife assembly that includes a knife holder and a knife blade.
15. The surgical stapling device of claim 14 , wherein the pusher and the cartridge body define knife slots that receive the knife blade.
16. The surgical stapling device of claim 10 , wherein the plurality of staples is spaced from the anvil plate, when the pusher is in a retracted position, a distance that changes along the longitudinal axis of the anvil plate.
17. The surgical stapling device of claim 16 , wherein the distance between the plurality of staples and the anvil plate increases progressively from the second end of the anvil plate towards the first end of the anvil plate such that the staples sequentially engage the anvil plate when the pusher moves from the retracted position towards the advanced position.
18. The end effector of claim 16 , wherein the distal portions of the plurality of fingers are aligned along an axis “P1” and the anvil shaft defines an axis “P2”, wherein the axis “P1” defines an angle of from about 2 degrees to about 10 degrees with the axis “P2” when the pusher is in a retracted position, and the axis “P1” is substantially parallel to the axis “P2” when the staples are ejected into the anvil plate.
19. An end effector comprising:
a frame having a U-shaped configuration and including a first transverse portion, a second transverse portion, and a longitudinal portion interconnecting the first transverse portion and the second transverse portion, the longitudinal portion defining a longitudinal axis, the first transverse portion being spaced from the second transverse portion to define a recess, the first transverse portion of the frame supported in cantilevered fashion on the longitudinal portion and having a first end coupled to the longitudinal portion of the frame and a second end spaced from the longitudinal portion;
an anvil plate supported on the first transverse portion of the frame, the anvil plate defining an axis that is substantially perpendicular to the longitudinal axis of the longitudinal portion of the frame; and
a cartridge assembly supported in the recess defined between the first and second transverse portions of the frame, the cartridge assembly movable in relation to the anvil plate between spaced and clamped positions, the cartridge assembly including a cartridge body, staples, and a pusher that is movable within the cartridge body from a retracted position to an advanced position, the cartridge body defining a plurality of staple receiving slots, each of the staple receiving slots receiving one of the staples, the pusher including a base member and a plurality of fingers, each of the plurality of fingers extending distally from the base member into one of the staple receiving slots and having a distal portion supporting one of the staples, the pusher being movable within the cartridge body from a retracted position towards an advanced position to eject the staples from the staple receiving slots;
wherein the plurality of staples is spaced from the anvil plate, when the pusher is in a retracted position, a distance that changes along the longitudinal axis of the anvil plate.
20. The end effector of claim 19 , wherein the distance between the plurality of staples and the anvil plate increases progressively from the second end of the anvil plate towards the first end of the anvil plate such that the staples sequentially engage the anvil plate when the pusher moves from the retracted position towards the advanced position.