Floating Anvil Jaw for Compact Surgical Stapler

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Solution Overview

Problem

Existing endocutter devices face challenges in manufacturing small end effectors that can efficiently cut and staple tissue due to the varying actuation forces required for different tissue thicknesses, and they often lack the option to install fasteners without cutting tissue, limiting their effectiveness in accessing tight spaces.

Innovation Solution

A surgical stapling instrument with a handle, knife bar, and end effector that includes a support jaw and anvil jaw, where the knife bar's cam contacts the anvil jaw to deform staples, allowing for adjustable staple formation without cutting tissue, enabling the instrument to accommodate different tissue thicknesses and provide the option to staple without cutting.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If robust anvil closure systems and staple driving systems are employed to accommodate thick tissues, then the device can handle a specific range of tissue thicknesses, but the device becomes too large to effectively access tight spaces

Engineering Contradiction:
Improvetissue thickness accommodationVSAvoidend effector size
Core Design Contradiction:
Adaptability or versatilityVSVolume of moving object

Solution Approach 1:

The anvil jaw is made displaceable rather than fixed, allowing it to move between open, closed, and fired positions. This dynamic configuration enables the system to accommodate varying tissue thicknesses without requiring a permanently robust structure, thus reducing the overall size of the end effector while maintaining versatility.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The knife bar is designed to perform multiple functions: it can cut tissue, drive staples, and deform the anvil jaw. This multi-functionality eliminates the need for separate robust closure and firing systems, reducing the end effector size while maintaining the ability to handle different tissue thicknesses.

Inventive Principle:
Principle #6Universality (Multi-functionality)

2Productivity

If cutting and stapling are performed simultaneously, then the tissue can be cut and fastened effectively, but the surgeon loses the option of installing fasteners without cutting tissue

Engineering Contradiction:
Improvecutting and stapling efficiencyVSAvoidsurgical procedure flexibility
Core Design Contradiction:
ProductivityVSAdaptability or versatility

Solution Approach 1:

The surgical instrument separates the cutting function from the stapling function, allowing them to be performed independently or simultaneously. The knife bar can advance to cut tissue after staples are formed, or the anvil jaw can be displaced to form staples without cutting, providing surgical flexibility while maintaining efficiency.

Inventive Principle:
Principle #1Segmentation

3Volume of moving object

If the end effector is made smaller for better visualization and access, then tight spaces can be accessed more effectively, but the actuation forces required to form staples and cut tissue become difficult to transmit

Engineering Contradiction:
Improveend effector sizeVSAvoidactuation force transmission
Core Design Contradiction:
Volume of moving objectVSForce

Solution Approach 1:

The patent replaces traditional robust mechanical transmission systems with a cam mechanism. The cam on the knife bar converts rotational or linear motion into the precise displacements needed to move the anvil jaw and drive staples, enabling effective force transmission in a compact end effector design.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The solution allows for efficient cutting and stapling across various tissue thicknesses, enabling better access in tight spaces and providing the option to staple without cutting, thus improving the versatility and effectiveness of the surgical instrument.

Implementation Method 1

The cam of the knife bar is configured to contact the anvil jaw and drive the anvil surface toward the support surface when the knife bar is moved from the proximal end toward the distal end of the end effector

Methodology Applied
Scientific EffectCam mechanism: Cam

Implementation Method 2

an anvil surface configured to deform the staples

Methodology Applied
Scientific EffectMechanical deformation: Deformation

Implementation Method 3

The anvil jaw comprises a follower slidably received within the displacement guide

Methodology Applied
Scientific EffectSliding motion: Friction

Data Source

PatentEP2757971B1Surgical stapler with floating anvil
Publication Date: 2022.04.27 ETHICON ENDO SURGERY INC
  • EP2757971B1 patent drawingFigure 1
  • EP2757971B1 patent drawingFigure 1A
  • EP2757971B1 patent drawingFigure 1B~1E

AI summary

A surgical instrument can include an anvil and, in addition, a staple cartridge support configured to support a staple cartridge. In various embodiments, the jaw can be moved toward the staple cartridge to deform staples contained within the staple cartridge. The anvil can be configured to be translated and/or rotated as the anvil is moved toward the staple cartridge. In certain embodiments, the anvil can be configured to float and adjust such that the anvil is moved downwardly in a level manner.