Stapling device with releasable knife carrier

Abstract

A circular surgical stapling device includes a reload assembly that is supported on a distal end of an elongate shaft of the stapling device. The reload assembly includes a housing, a pusher assembly movably supported within the housing, a knife carrier movably supported within the pusher assembly, and an annular knife supported on the knife carrier. The elongate body includes a pusher drive member and a knife carrier pusher. The knife carrier includes first engagement structure that is configured to releasably engage second engagement structure formed on the knife carrier pusher to releasably couple the knife carrier pusher to the knife carrier. A reload insert or member is supported on or integrally formed with the housing of the reload assembly. The reload member includes a first portion configured to prevent separation of the first and second engagement structures and a second portion configured to accommodate separation of the first and second engagement structures. The reload member minimizes the likelihood of premature disengagement of the knife carrier from the knife carrier pusher while minimizing the force required to effect separation after the knife has been fully retracted into the housing.

1 - 20 . (canceled) 
     
     
         21 . A surgical stapling device comprising:
 an elongate body defining a longitudinal axis and having a proximal portion and a distal portion, the elongate body including a pusher drive member and a knife carrier pusher, the knife carrier pusher movable independently of the pusher drive member; and   a reload assembly including a housing having an inner housing portion defining a housing through bore, a staple cartridge supporting a plurality of staples, a pusher assembly supported within the housing, the pusher assembly movable between a retracted position and an advanced position to eject the plurality of staples from the staple cartridge, a knife carrier, and a knife supported on the knife carrier, the inner housing portion of the housing including an EPROM locating flat.   
     
     
         22 . The surgical stapling device of  claim 21 , wherein the knife carrier includes first engagement structure and the knife carrier pusher includes second engagement structure that is configured to releasably engage the first engagement structure of the knife carrier to couple the knife carrier pusher to the knife carrier, the first engagement structure being movable from a first position engaged with the second engagement structure to a second position disengaged from the second engagement structure. 
     
     
         23 . The surgical stapling device of  claim 22 , further including a reload member supported on the housing, the reload member having a first portion configured to prevent movement of the first engagement structure from the first position to the second position and a second portion configured to accommodate movement of the first engagement member structure from the first position to the second position 
     
     
         24 . The surgical stapling device of  claim 23 , wherein the reload member includes an insert secured to the inner housing portion. 
     
     
         25 . The surgical stapling device of  claim 24 , wherein the insert defines a through bore and includes a distal portion configured to be received within the housing through bore and a proximal portion that defines the first and second portions of the reload member. 
     
     
         26 . The surgical stapling device of  claim 25 , wherein the first portion of the reload member is cylindrical and the second portion of the reload member tapers from the first portion towards a longitudinal axis of the reload member in a proximal direction. 
     
     
         27 . The surgical stapling device of  claim 23 , wherein the knife carrier is movably positioned within a through bore defined by the pusher assembly. 
     
     
         28 . The surgical stapling device of  claim 23 , wherein the knife carrier includes a proximal portion defined by a plurality of flexible legs. 
     
     
         29 . The surgical stapling device of  claim 28 , wherein the first engagement structure is formed on the proximal portion of the plurality of flexible legs. 
     
     
         30 . The surgical stapling device of  claim 29 , wherein the first engagement structure includes an annular channel. 
     
     
         31 . The surgical stapling device of  claim 30 , wherein the proximal portion of each of the plurality of flexible legs is tapered towards a longitudinal axis of the knife carrier in the proximal direction. 
     
     
         32 . The surgical stapling device of  claim 30 , wherein the second engagement structure includes an annular wall configured to be received within the annular channel of the first engagement structure. 
     
     
         33 . The surgical stapling device of  claim 32 , wherein the annular wall includes a tapered proximal surface that defines a back angle Ω with the longitudinal axis of the knife carrier, the tapered proximal surface of the annular wall being configured to urge the first engagement structure from the first position towards the second position. 
     
     
         34 . The surgical stapling device of  claim 33 , wherein the back angle Ω is between 15 degrees and 75 degrees. 
     
     
         35 . The surgical stapling device of  claim 34 , wherein the back angle Ω is between 30 degrees and 60 degrees. 
     
     
         36 . The surgical stapling device of  claim 35 , wherein the annular channel of the first engagement structure is defined by distal and proximal walls, the proximal wall being orthogonal in relation to the longitudinal axis of the knife carrier. 
     
     
         37 . The surgical stapling device of  claim 23 , wherein the reload member is integrally formed with the inner housing portion of the housing. 
     
     
         38 . A surgical stapling device comprising:
 an elongate body defining a longitudinal axis and having a proximal portion and a distal portion, the elongate body including a pusher drive member and a knife carrier pusher;   a reload assembly including a housing including an inner housing portion defining a housing through bore, a staple cartridge supporting a plurality of staples, a pusher assembly movably supported within the housing between a retracted position and an advanced position to eject the plurality of staples from the staple cartridge, and a knife carrier supporting a knife, the knife carrier including first engagement structure the inner housing portion of the housing including an EPROM locating flat;   wherein the knife carrier pusher includes a second engagement structure that is configured to releasably engage the first engagement structure of the knife carrier to couple the knife carrier pusher to the knife carrier, the first engagement structure being movable from a first position engaged with the second engagement structure to a second position disengaged from the second engagement structure; and   a reload member supported on the housing, the reload member having a first portion configured to prevent movement of the first engagement structure from the first position to the second position and a second portion configured to accommodate movement of the first engagement structure from the first position to the second position.   
     
     
         39 . The surgical stapling device of  claim 38 , wherein the reload member is integrally formed with the inner housing portion of the housing. 
     
     
         40 . The surgical stapling device of  claim 38 , wherein the reload member includes an insert secured to the inner housing portion.