Surgical stapling instruments with lockout arrangements for preventing firing system actuation when a cartridge is spent or missing

• US 10,154,841 B2
• Filed: 06/18/2015
• Issued: 12/18/2018
• Est. Priority Date: 06/18/2015
• Status: Active Grant

• Current Assignee: Eric Goldberg, Florence Aslinia, Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Weaner, Lauren S., Hensel, Adam D., Wise, Austin E., Jones, Daniel V., Brinkerhoff, Josiah J., Goldenbogen, Michael W.
• Primary Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US14/742,933
• Publication Number:
  US 20160367247A1
• Time in Patent Office: 1,279 Days
• Field of Search: 2271751, 2271761, 2271801, 227 19
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2902 characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 2090/0818 : Redundant systems, e.g. using two independent measuring systems and comparing the signals
• CPC Class Codes: A61B 34/30 : Surgical robots
• CPC Class Codes: A61B 34/71 : Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 90/30 : Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure

Abstract

A surgical stapling instrument comprising an elongate shaft assembly that defines a shaft axis and includes a surgical end effector that is operably coupled thereto by an articulation joint. The surgical end effector includes a cartridge support member that is configured to operably support a surgical staple cartridge therein. The surgical instrument further includes a longitudinally movable firing beam that extends through the articulation joint and is selectively axially movable from a starting position to an ending position within the surgical end effector. A firing beam locking assembly comprising a biasing member is operably supported on the articulation joint and is configured to apply a biasing motion to the firing beam to bias the firing beam into a locked position wherein the firing beam is prevented from moving from the starting to the ending position unless an unfired surgical staple cartridge is operably supported in the cartridge support member.

Claims

1. A surgical stapling instrument, comprising:

an elongate shaft assembly defining a shaft axis;

a surgical end effector operably coupled to said elongate shaft assembly by an articulation joint such that said surgical end effector is selectively articulatable relative to said elongate shaft assembly about an articulation axis that is transverse to said shaft axis, said surgical end effector comprising a cartridge support member that is configured to operably support a surgical staple cartridge therein;

a longitudinally movable firing beam extending through said articulation joint and being selectively axially movable from a starting position to an ending position within said surgical end effector; and

a firing beam locking assembly comprising a biasing member operably supported on said articulation joint and being configured to apply a biasing motion to said longitudinally movable firing beam to bias said longitudinally movable firing beam into a locked position wherein said longitudinally movable firing beam is prevented from moving from said starting to said ending position unless an unfired surgical staple cartridge is operably supported in said cartridge support member.

2. The surgical stapling instrument of claim 1, wherein said biasing member is supported on a middle support member that interfaces with said cartridge support member and said elongate shaft assembly, said middle support member being configured to laterally support said longitudinally movable firing beam during articulation of said surgical end effector about said articulation axis.

3. The surgical stapling instrument of claim 1, wherein said biasing member is configured to avoid applying said biasing motion to said longitudinally movable firing beam when said surgical end effector is being articulated.

4. The surgical stapling instrument of claim 3, wherein said longitudinally movable firing beam comprises a locking cam formed on a portion thereof for engagement with said biasing member.

6. The surgical stapling instrument of claim 1, wherein said biasing member biases said longitudinally movable firing beam into a locked position upon initial application of a firing motion to said longitudinally movable firing beam unless said unfired surgical staple cartridge is operably supported within said cartridge support member.

7. The surgical stapling instrument of claim 1, wherein said unfired surgical staple cartridge comprises:

a plurality of surgical staples operably supported within a cartridge body; and

a wedge sled axially movable through said cartridge body to eject said surgical staples therefrom when said wedge sled is moved from an unfired position to a fired position therein, said wedge sled being configured for operable engagement with said longitudinally movable firing beam when said longitudinally movable firing beam is in said starting position and said wedge sled is in said unfired position.

8. The surgical stapling instrument of claim 7, wherein said wedge sled is configured to prevent said firing beam from entering a locked position when said wedge sled is in said unfired position and upon application of an initial firing motion to said longitudinally movable firing beam.

9. The surgical stapling instrument of claim 1, wherein said biasing member biases said firing beam into a locked position upon initial application of a firing motion to said firing beam unless a wedge sled in a surgical staple cartridge that is supported within said cartridge support member is in an unfired position within said surgical staple cartridge and in operable engagement with said longitudinally movable firing beam.

5. A surgical stapling instrument, comprising:

an elongate shaft assembly defining a shaft axis;

a surgical end effector operably coupled to said elongate shaft assembly by an articulation joint such that said surgical end effector is selectively articulatable relative to said elongate shaft assembly about an articulation axis that is transverse to said shaft axis, said surgical end effector comprising a cartridge support member that is configured to operably support a surgical staple cartridge therein;

a longitudinally movable firing beam extending through said articulation joint and being selectively axially movable from a starting position to an ending position within said surgical end effector; and

a firing beam locking assembly comprising a biasing member operably supported on said articulation joint and being configured to apply a biasing motion to said longitudinally movable firing beam to bias said longitudinally movable firing beam into a locked position wherein said longitudinally movable firing beam is prevented from moving from said starting to said ending position unless an unfired surgical staple cartridge is operably supported in said cartridge support member;

wherein said biasing member is configured to avoid applying said biasing motion to said longitudinally movable firing beam when said surgical end effector is being articulated;

wherein said longitudinally movable firing beam comprises a locking cam formed on a portion thereof for engagement with said biasing member; and

wherein said biasing member comprises a planar body comprising a window located therein such that said locking cam protrudes therein during said articulation of said surgical end effector.

10. A surgical stapling instrument, comprising:

a surgical end effector comprising;

an elongate channel configured to operably support a surgical staple cartridge therein; and

an anvil supported relative to said elongate channel such that one of said anvil and said elongate channel is selectively movable relative to the other one of said anvil and said elongate channel between open and closed positions and wherein said surgical stapling instrument further comprises an elongate shaft assembly defining a shaft axis, said elongate shaft assembly comprising;

an articulation joint operably coupled to said surgical end effector to facilitate selective articulation of said surgical end effector relative to said elongate shaft assembly about an articulation axis that is transverse to said shaft axis; and

a closure assembly axially movable in response to closure motions applied thereto, said closure assembly comprising;

a distal closure member segment; and

a proximal closure member segment movably interfacing with

said distal closure member segment to accommodate articulation of said surgical end effector about said articulation axis, said proximal closure member segment configured to move said one of said anvil and said elongate channel between said open and closed positions upon said application of said closure motions to said closure assembly and wherein said surgical stapling instrument further comprises;

a longitudinally movable firing beam extending through said articulation joint and being selectively axially movable from a starting position to an ending position within said surgical end effector, said longitudinally movable firing beam configured to operably engage a corresponding portion of an unfired surgical staple cartridge operably supported in said elongate channel when said longitudinally movable firing beam is in said starting position; and

a firing beam locking assembly comprising a biasing member operably supported on said distal closure member segment for biasing said longitudinally movable firing beam into a locked position wherein said longitudinally movable firing beam is prevented from moving from said starting position to said ending position unless an unfired surgical staple cartridge is operably supported in said elongate channel.

11. The surgical stapling instrument of claim 10, wherein said longitudinally movable firing beam has a sloped portion that is configured for engagement with said biasing member when said longitudinally movable firing beam is in said starting position.

12. The surgical stapling instrument of claim 10, wherein said unfired surgical staple cartridge comprises:

a plurality of surgical staples operably supported within a cartridge body; and

a wedge sled axially movable through said cartridge body to eject said surgical staples therefrom when said wedge sled is moved from an unfired position to a fired position therein, said wedge sled being configured for operable engagement with said longitudinally movable firing beam when said longitudinally movable firing beam is in said starting position and said wedge sled is in said unfired position.

13. The surgical stapling instrument of claim 12, wherein said wedge sled is configured to prevent said firing beam from entering a locked position when said wedge sled is in said unfired position and upon application of an initial firing motion to said longitudinally movable firing beam.

14. A surgical stapling instrument, comprising:

an elongate shaft assembly defining a shaft axis;

a surgical end effector operably coupled to said elongate shaft assembly by an articulation joint such that said surgical end effector is selectively articulatable relative to said elongate shaft assembly about an articulation axis that is transverse to said shaft axis, said surgical end effector comprising a cartridge support member that is configured to operably support a surgical staple cartridge therein;

a longitudinally movable firing beam including a portion extending through said articulation joint and being selectively axially movable from a starting position to an ending position within said surgical end effector, said longitudinally movable firing beam configured to operably engage a corresponding portion of an unfired surgical staple cartridge operably supported in said cartridge support member when said longitudinally movable firing beam is in said starting position; and

means for providing lateral support to said portion of said longitudinally movable firing beam extending through said articulation joint as said surgical end effector is articulated about said articulation axis, said means for providing further comprising means for preventing said longitudinally movable firing beam from moving from said starting position to said ending position unless an unfired surgical staple cartridge is operably supported in said cartridge support member, said means for providing located proximal to said surgical end effector.

15. The surgical stapling instrument of claim 14, wherein said means for providing lateral support further comprises a middle support member that is movably attached to said cartridge support member and said elongate shaft assembly, said middle support member comprising a slot for movably receiving said portion of said longitudinally movable firing beam therethrough and wherein said means for preventing comprises a biasing member that is supported on said middle support member and is configured to apply a biasing motion to said longitudinally movable firing beam to move said longitudinally movable firing beam into a locked position wherein said longitudinally movable firing beam is prevented from moving from said starting position to said ending position unless said unfired surgical staple cartridge is operably supported in said cartridge support member.

16. The surgical stapling instrument of claim 15, wherein said longitudinally movable firing beam comprises a locking cam formed on said portion of said longitudinally movable firing beam for engagement with said biasing member.

18. The surgical stapling instrument of claim 14, wherein said unfired surgical staple cartridge comprises:

a plurality of surgical staples operably supported within a cartridge body; and

a wedge sled axially movable through said cartridge body to eject said surgical staples therefrom when said wedge sled is moved from an unfired position to a fired position therein, said wedge sled being configured for operable engagement with said longitudinally movable firing beam when said longitudinally movable firing beam is in said starting position and said wedge sled is in said unfired position.

19. The surgical stapling instrument of claim 18, wherein said wedge sled is configured to prevent said firing beam from entering a locked position when said wedge sled is in said unfired position and upon application of an initial firing motion to said longitudinally movable firing beam.

17. A surgical stapling instrument, comprising:

an elongate shaft assembly defining a shaft axis;

a surgical end effector operably coupled to said elongate shaft assembly by an articulation joint such that said surgical end effector is selectively articulatable relative to said elongate shaft assembly about an articulation axis that is transverse to said shaft axis, said surgical end effector comprising a cartridge support member that is configured to operably support a surgical staple cartridge therein;

a longitudinally movable firing beam including a portion extending through said articulation joint and being selectively axially movable from a starting position to an ending position within said surgical end effector, said longitudinally movable firing beam configured to operably engage a corresponding portion of an unfired surgical staple cartridge operably supported in said cartridge support member when said longitudinally movable firing beam is in said starting position; and

means for providing lateral support to said portion of said longitudinally movable firing beam extending through said articulation joint as said surgical end effector is articulated about said articulation axis, said means for providing further comprising means for preventing said longitudinally movable firing beam from moving from said starting position to said ending position unless an unfired surgical staple cartridge is operably supported in said cartridge support member;

wherein said means for providing lateral support further comprises a middle support member that is movably attached to said cartridge support member and said elongate shaft assembly, said middle support member comprising a slot for movably receiving said portion of said longitudinally movable firing beam therethrough and wherein said means for preventing comprises a biasing member that is supported on said middle support member and is configured to apply a biasing motion to said longitudinally movable firing beam to move said longitudinally movable firing beam into a locked position wherein said longitudinally movable firing beam is prevented from moving from said starting position to said ending position unless said unfired surgical staple cartridge is operably supported in said cartridge support member;

wherein said longitudinally movable firing beam comprises a locking cam formed on said portion of said longitudinally movable firing beam for engagement with said biasing member; and

wherein said biasing member comprises a planar body comprising a window located therein such that said locking cam protrudes therein during said articulation of said surgical end effector.