Surgical end effectors with positive jaw opening arrangements

• US 10,182,818 B2
• Filed: 06/18/2015
• Issued: 01/22/2019
• Est. Priority Date: 06/18/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Hensel, Adam D., Wise, Austin E., Carper, Kenneth E., Weaner, Lauren S., Shelton, IV, Frederick E., Baxter, III, Chester O., Swayze, Jeffrey S., Dunki-Jacobs, Adam R., Brinkerhoff, Josiah J., Jones, Daniel V.
• Primary Examiner(s): Tecco, Andrew M
• Assistant Examiner(s): Ahmed, Mobeen
• Application Number:
  US14/742,925
• Publication Number:
  US 20160367256A1
• Time in Patent Office: 1,314 Days
• 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
• 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 instrument comprising a surgical end effector that comprises a first jaw and a second jaw that is movably supported relative to the first jaw for selective movement between an open position and closed positions. The surgical instrument further comprises a closure member that is axially movable in response to closing and opening motions. The closure member comprises at least one opening cam that protrudes therefrom to movably engage a corresponding cam surface on the second jaw such that upon application of the opening motion, the at least one opening cam movably engages the corresponding cam surface to move the second jaw to an open position, even when the jaws are under a load.

Claims

1. A surgical instrument, comprising:

a surgical end effector comprising;

a first jaw; and

a second jaw movably supported relative to said first jaw for selective movement relative thereto between an open position and a closed position and wherein said surgical instrument further comprises;

a closure member axially movable in response to closing and opening motions applied thereto, said closure member comprising;

a first opening cam extending laterally inwardly from said closure member and engaging a first slotted cam surface corresponding thereto on said second jaw; and

a second opening cam extending laterally inwardly from said closure member and engaging a second slotted cam surface corresponding thereto on said second jaw such that upon application of said opening motion to said closure member, said first opening cam movably engages said first slotted cam surface and said second opening cam engages said second slotted cam surface to move said second jaw to said open position and upon application of said closing motion to said closure member, said closure member engages said second jaw to move said second jaw to said closed position.

2. The surgical instrument of claim 1, wherein said second opening cam is diametrically opposite from said first opening cam on said closure member.

3. The surgical instrument of claim 1, wherein at least one of said first and second opening cams is removably attached to closure member.

4. The surgical instrument of claim 1, wherein at least one of said first and second opening cams is integrally formed in said closure member.

5. The surgical instrument of claim 4, wherein at least one of said first and second opening cams is crimped into a wall of said closure member such that a crimped portion of said wall movably extends through a corresponding portion of said first jaw to movably engage a corresponding one of said first and second slotted cam surfaces on said second jaw.

6. The surgical instrument of claim 1, wherein said second jaw comprises a pair of laterally extending trunnions configured to be pivotally received in corresponding trunnion holes in said first jaw to facilitate pivotal travel of said second jaw relative to said first jaw.

7. The surgical instrument of claim 1, wherein said first jaw is configured to operably support a surgical staple cartridge and wherein said second jaw comprises an anvil.

8. A surgical instrument, comprising:

a housing;

a closure system operably supported by said housing and configured to generate closing and opening motions;

an elongate shaft assembly operably interfacing with said housing, said elongate shaft assembly comprising an end effector closure sleeve axially movable in response to applications of said closing and opening motions thereto;

a surgical end effector comprising;

an elongate channel operably interfacing with said elongate shaft assembly and configured to operably support a surgical staple cartridge therein; and

an anvil movably supported on said elongate channel for selective movement relative thereto about a fixed pivot axis between an open position and a closed position and wherein said surgical instrument further comprises;

at least two opening cams protruding inwardly from said end effector closure sleeve such that upon application of said opening motion to said end effector closure sleeve, said at least two opening cams operably interface with corresponding cam surfaces on said anvil in a first direction to move said anvil to said open position and upon application of said closing motion to said end effector closure sleeve, said end effector closure sleeve operably interfaces with said anvil in a second direction to cause said anvil to move to said closed position.

9. The surgical instrument of claim 8, wherein one of said at least two one opening cams is formed in said end effector closure sleeve.

10. A surgical instrument, comprising:

a surgical end effector comprising;

a first jaw; and

a second jaw movably supported relative to said first jaw for selective movement relative thereto between an open position and a closed position and wherein said surgical instrument further comprises a closure member axially movable in response to closing and opening motions applied thereto, said closure member comprising at least one opening cam removably attached to said closure member and being configured for snap engagement therewith such that said at least one opening cam protrudes from said closure member to movably engage a corresponding slotted cam surface on said second jaw such that upon application of said opening motion to said closure member, said at least one opening cam movably engages said corresponding slotted cam surface to move said second jaw to said open position and upon application of said closing motion to said closure member, said closure member engages said second jaw to move said second jaw to said closed position.

11. The surgical instrument of claim 10, wherein said at least one opening cam comprises:

a first opening cam extending laterally inwardly from said closure member and engaging a first one of said corresponding slotted cam surfaces; and

a second opening cam extending laterally inwardly from said closure member and engaging a second one of said corresponding slotted cam surfaces.

12. The surgical instrument of claim 11, wherein said second opening cam is diametrically opposite from said first opening cam on said closure member.

13. The surgical instrument of claim 10, wherein said at least one opening cam extends inwardly through a portion of said first jaw to engage said corresponding slotted cam surface.

14. The surgical instrument of claim 10, wherein said second jaw comprises a pair of laterally extending trunnions configured to be pivotally received in corresponding trunnion holes in said first jaw to facilitate pivotal travel of said second jaw relative to said first jaw.

15. The surgical instrument of claim 10, wherein said first jaw is configured to operably support a surgical staple cartridge and wherein said second jaw comprises an anvil.

16. A surgical instrument, comprising:

a surgical end effector comprising;

a first jaw; and

a second jaw pivotally supported on said first jaw for selective movement relative thereto between an open position and a closed position, said second jaw comprising first and second cam surfaces and wherein said surgical instrument further comprises an end effector closure sleeve comprising;

a first opening cam extending laterally inwardly from said end effector closure sleeve to movably protrude through a first slot in said first jaw to operably interface with said first cam surface in said second jaw; and

a second opening cam extending laterally inwardly from said end effector closure sleeve to movably protrude through a second slot in said first jaw to operably interface with said second cam surface in said second jaw such that, upon application of an opening motion to said end effector closure sleeve, said first opening cam movably engages said first cam surface and said second opening cam movably engages said second cam surface to move said second jaw to said open position and upon application of a closing motion to said end effector closure sleeve, said end effector closure sleeve movably engages said second jaw to move said second jaw to said closed position.

17. The surgical instrument of claim 16, wherein said first and second opening cams are removably attached to said end effector closure sleeve.

18. The surgical instrument of claim 16, wherein said first and second opening cams comprise permanent deformations in said end effector closure sleeve.

19. The surgical instrument of claim 16, wherein said first and second opening cams are formed by crimping said end effector closure sleeve.

20. The surgical instrument of claim 19, wherein said first and second opening cams are crimped at 90 degree angles relative to adjacent portions of an outer surface of said end effector closure sleeve.

21. The surgical instrument of claim 16, wherein said second jaw comprises a pair of laterally extending trunnions configured to be pivotally received in corresponding trunnion holes in said first jaw to facilitate pivotal travel of said second jaw relative to said first jaw.

22. The surgical instrument of claim 16, wherein said first jaw is configured to operably support a surgical staple cartridge and wherein said second jaw comprises an anvil.

23. A surgical instrument, comprising:

a surgical end effector comprising;

a first jaw configured to operably support a surgical staple cartridge; and

an anvil pivotally supported on said first jaw for selective movement relative thereto between an open position and a closed position, said anvil comprising first and second cam surfaces and wherein said surgical instrument further comprises an end effector closure sleeve comprising;

a first opening cam extending laterally inwardly from said end effector closure sleeve through a portion of said first jaw to operably engage said first cam surface; and

a second opening cam extending laterally inwardly from said end effector closure sleeve through another portion of said first jaw to operably engage said second cam surface such that upon application of an opening motion to said end effector closure sleeve, said first opening cam movably engages said first cam surface and said second opening cam movably engages said second cam surface to move said anvil to said open position and upon application of a closing motion to said end effector closure sleeve, said end effector closure sleeve movably engages said anvil to move said anvil to said closed position.

24. A surgical instrument, comprising:

a surgical end effector comprising;

a first jaw; and

a second jaw comprising a pair of laterally extending trunnions configured to be pivotally received in corresponding trunnion holes in said first jaw to facilitate pivotal travel of said second jaw relative to said first jaw between an open position and a closed position and wherein said surgical instrument further comprises;

a closure member axially movable in response to closing and opening motions applied thereto, said closure member comprising at least one opening cam protruding therefrom and extending inwardly through a portion of said first jaw to movably engage a corresponding slotted cam surface on said second jaw such that upon application of said opening motion to said closure member, said at least one opening cam movably engages said corresponding slotted cam surface to move said second jaw to said open position and upon application of said closing motion to said closure member, said closure member engages said second jaw to move said second jaw to said closed position.

25. The surgical instrument of claim 24, wherein said first jaw is configured to operably support a surgical staple cartridge and wherein said second jaw comprises an anvil.

26. A surgical instrument, comprising:

a surgical end effector comprising;

a first jaw configured to operably support a surgical staple cartridge; and

an anvil movably supported relative to said first jaw for selective movement relative thereto between an open position and a closed position and wherein said surgical instrument further comprises;

a closure member axially movable in response to closing and opening motions applied thereto, said closure member comprising at least one opening cam protruding therefrom and extending inwardly through a portion of said first jaw to movably engage a corresponding slotted cam surface on said anvil such that upon application of said opening motion to said closure member, said at least one opening cam movably engages said corresponding slotted cam surface to move said anvil to said open position and upon application of said closing motion to said closure member, said closure member engages said anvil to move said anvil to said closed position.