# US 11,998,209 B2 · Staple forming features for circular surgical stapler

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- Number: US 11,998,209 B2
- Document ID: US11998209B2
- Status: Granted
- Kind: B2
- Application number: 17/401,428
- Filed: 2021-08-13
- Published: 2023-02-16
- Granted: 2024-06-04
- Earliest claimed: 2021-08-13
- Assignees: Cilag GmbH International
- Applicants: Cilag GmbH International
- Inventors: Shannon L. Jones; Jason L. Harris; Frederick E. Shelton, IV; Gregory J. Bakos
- Web page: https://patentgrep.com/patent/US11998209B2

## CPC

- A61B 17/1155: {Circular staplers comprising a plurality of staples}
- A61B 17/115: Staplers for performing anastomosis, e.g. in a single operation
- A61B 17/1114: {of the digestive tract, e.g. bowels or oesophagus}
- A61B 2017/07228: {Arrangement of the staples}
- A61B 2017/07264: {characterised by its staple forming cavities, e.g. geometry or material}
- A61B 2017/07285: {characterised by its cutter}
- A61B 2017/1132: {End-to-end connections}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A surgical instrument includes a stapling assembly and an anvil that releasably couple together to compress and staple tissue. The stapling assembly includes a body having a longitudinal axis, a deck member, and a knife member surrounding the longitudinal axis. The deck member includes a deck surface having an imaginary centerline that surrounds the longitudinal axis, a first deck surface portion extending along a first angular range of the deck surface about the longitudinal axis, and a second deck surface portion extending along a second angular range of the deck surface about the longitudinal axis. A first array of staple openings is disposed on the first deck surface portion and is arranged in a first orientation relative to the deck surface centerline. A second array of staple openings is disposed on the second deck surface portion and is arranged in a second orientation relative to the deck surface centerline.

## Claims

### Claim 1

A surgical instrument comprising:
(a) a stapling assembly including:
(i) a body extending distally along a longitudinal axis,
(ii) a deck member disposed at a distal end of the body and defining a deck surface having a deck surface centerline that surrounds the longitudinal axis, wherein the deck surface includes:
(A) a first deck surface portion extending along a first angular range of the deck surface about the longitudinal axis, wherein the first deck surface portion is wholly positioned within a first deck plane,
(B) a second deck surface portion extending along a second angular range of the deck surface about the longitudinal axis, wherein the second deck surface portion includes a linear shape and is wholly positioned within a second deck plane,
(C) a first array of staple openings disposed on the first deck surface portion and arranged in a first orientation relative to the deck surface centerline, and
(D) a second array of staple openings disposed on the second deck surface portion and arranged in a second orientation relative to the deck surface centerline, wherein the second orientation is different than the first orientation, and
(iii) a knife member disposed within the body and surrounding the longitudinal axis; and
(b) an anvil configured to releasably couple with the stapling assembly to compress tissue against the deck member and form staples in the tissue.

### Claim 2 (depends on 1)

The surgical instrument of claim 1, wherein the first deck surface portion and the second deck surface portion are circumferentially adjacent.

### Claim 3 (depends on 1)

The surgical instrument of claim 1, wherein the deck member includes an arcuate portion.

### Claim 4 (depends on 1)

The surgical instrument of claim 1, wherein each staple opening of the first array of staple openings is oriented tangentially or parallel relative to the deck surface centerline.

### Claim 5 (depends on 1)

The surgical instrument of claim 1, wherein each staple opening of the second array of staple openings is arranged in a non-tangential angled orientation relative to the deck surface centerline.

### Claim 6 (depends on 5)

The surgical instrument of claim 5, wherein the second array of staple openings includes a first row of staple openings having a first angular orientation relative to the deck surface centerline and a second row of staple openings having a second angular orientation relative to the deck surface centerline, wherein the first angular orientation is different than the second angular orientation.

### Claim 7 (depends on 6)

The surgical instrument of claim 6, wherein the second array of staple openings comprises a herringbone pattern.

### Claim 8 (depends on 1)

The surgical instrument of claim 1, wherein the first deck plane is obliquely angled relative to the longitudinal axis.

### Claim 9 (depends on 1)

The surgical instrument of claim 1, wherein the deck surface further includes:
(A) a third deck surface portion extending along a third angular range of the deck surface and being opposed from the first deck surface portion about the longitudinal axis,
(B) a fourth deck surface portion extending along a fourth angular range of the deck surface and being opposed from the second deck surface portion about the longitudinal axis,
(C) a third array of staple openings disposed on the third deck surface portion and arranged in the first orientation relative to the deck surface centerline, and
(D) a fourth array of staple openings disposed on the fourth deck surface portion and arranged in the second orientation relative to the deck surface centerline.

### Claim 10 (depends on 9)

The surgical instrument of claim 9, wherein the first orientation comprises a tangential or parallel orientation relative to the deck surface centerline, wherein the second orientation comprises an obliquely angled orientation relative to the deck surface centerline.

### Claim 11 (depends on 1)

The surgical instrument of claim 1, wherein the second deck plane is angled relative to the first deck plane.

### Claim 12 (depends on 11)

The surgical instrument of claim 11, wherein the first deck surface portion has an arcuate shape in the first deck plane.

### Claim 13 (depends on 11)

The surgical instrument of claim 11, wherein the first deck plane is orthogonal to the longitudinal axis, wherein the second deck plane is obliquely angled relative to the longitudinal axis.

### Claim 14 (depends on 1)

The surgical instrument of claim 1, wherein the first deck plane is perpendicular to the longitudinal axis.

### Claim 15

A surgical instrument comprising:
(a) a stapling assembly including:
(i) a body extending along a longitudinal axis,
(ii) a deck member disposed at a distal end of the body and defining a deck surface having a deck surface centerline that surrounds the longitudinal axis, wherein the deck surface includes:
(A) a first array of staple openings disposed on a first deck surface portion, wherein each of the staple openings of the first array is oriented tangentially or parallel relative to the deck surface centerline, wherein the first deck surface portion has a non-linear shape, and
(B) a second array of staple openings disposed on a second deck surface portion circumferentially adjacent to the first deck surface portion, wherein each of the staple openings of the second array is oriented angularly and non-tangentially relative to the deck surface centerline, wherein the second deck surface portion has a linear shape, and
(iii) a knife member disposed within the body and surrounding the longitudinal axis; and
(c) an anvil configured to releasably couple with the stapling assembly to compress tissue against the deck member and form staples in the tissue.

### Claim 16 (depends on 15)

The surgical instrument of claim 15, wherein the first deck surface portion defines a first deck plane and the second deck surface portion defines a second deck plane that is angled relative to the first deck plane.

### Claim 17 (depends on 15)

The surgical instrument of claim 15, wherein the second array of staple openings includes an first row of staple openings and second row of staple openings arranged outwardly of the first row, wherein each staple opening of the first row is angled in a first angular orientation relative to the deck surface centerline, wherein each staple opening of the second row is angled in a second angular orientation relative to the deck surface centerline, wherein the second angular orientation is different than the first angular orientation.

### Claim 18

A surgical instrument comprising:
(a) a stapling assembly including:
(i) a body extending along a longitudinal axis,
(ii) a deck member disposed at a distal end of the body and defining a deck surface having a deck surface centerline that surrounds the longitudinal axis, wherein the deck surface includes:
(A) a first array of staple openings disposed on a first deck surface portion that extends along a first angular range of the deck surface about the longitudinal axis,
(B) a second array of staple openings disposed on a second deck surface portion that extends along a second angular range of the deck surface about the longitudinal axis,
(C) a third array of staple openings disposed on a third deck surface portion that extends along a third angular range of the deck surface about the longitudinal axis, and
(D) a fourth array of staple openings disposed on a fourth deck surface portion that extends along a fourth angular range of the deck surface about the longitudinal axis,
wherein the first deck surface portion and the third deck surface portion are opposed about the longitudinal axis,
wherein the second deck surface portion and the fourth deck surface portion are opposed about the longitudinal axis,
wherein the second and fourth deck surface portions are sloped at a constant angle relative to the longitudinal axis between the first deck surface portion and the third deck surface portion,
wherein the staple openings of the first array and the third array are arranged in a first orientation relative to the deck surface centerline,
wherein the staple openings of the second array and the fourth array are arranged in a second orientation relative to the deck surface centerline, wherein the second orientation is different than the first orientation, and
(iii) a knife member disposed within the body and surrounding the longitudinal axis; and
(c) an anvil configured to releasably couple with the stapling assembly to compress tissue against the deck member and form staples in the tissue.

### Claim 19 (depends on 18)

The surgical instrument of claim 18, wherein each of the staple openings of the first array and the third array is oriented tangentially or parallel relative to the deck surface centerline, wherein each of the staple openings of the second array and the fourth array is oriented angularly and non-tangentially relative to the deck surface centerline.
