Surgical stapler with anvil seating detection

• US 10,307,157 B2
• Filed: 06/26/2015
• Issued: 06/04/2019
• Est. Priority Date: 06/26/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Miller, Christopher C., Schwemberger, Richard F.
• Primary Examiner(s): Tecco, Andrew M
• Application Number:
  US14/751,247
• Publication Number:
  US 20160374667A1
• Time in Patent Office: 1,439 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 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Abstract

A surgical circular stapler has a handle assembly, a shaft, a stapling assembly, and a firing assembly. The shaft extends distally from the handle assembly. The stapling assembly is secured to a distal end of the shaft. Longitudinal translation of the firing assembly causes the stapling assembly to drive a plurality of staples in a circular array to secure two lumens of tissue together. The stapling assembly may further drive a blade to sever any excess tissue interior of the circular array of staples. The stapler further includes a lockout assembly configured to control firing of the stapling assembly. The lockout assembly may include one or more switches, the actuation of which is configured to prevent or permit firing of the stapling assembly. The lockout assembly may additionally or alternatively include one or more mechanical lockout features configured to control firing of the stapling assembly.

Claims

1. A surgical instrument comprising:

(a) a body assembly, wherein the body assembly comprises a proximal end and a distal end;

(b) a shaft assembly, wherein the shaft assembly extends distally from the distal end of the body assembly, wherein the shaft assembly comprises a proximal end and a distal end;

(c) a stapling assembly, wherein the stapling assembly is disposed at the distal end of the shaft assembly, wherein the stapling assembly is operable to drive a plurality of staples into tissue, wherein the stapling assembly comprises;

(i) a trocar, wherein the trocar is configured to selectively move between a distal position to a proximal position within the shaft assembly, and

(ii) an anvil, wherein the anvil is selectively coupleable with the trocar, wherein the anvil is configured to move between the distal position and the proximal position when coupled with the trocar;

(d) a firing assembly, wherein the firing assembly is coupled with the stapling assembly, wherein the firing assembly includes a motor configured to drive movement of the stapling assembly; and

(e) a lockout assembly, wherein the lockout assembly comprises;

(i) an electrical switch, and

(ii) a moveable member, wherein a proximal end of the anvil is configured to directly contact and move the moveable member from a first position to a second position, wherein the moveable member in the first position is configured to provide the electrical switch in a first state, wherein the moveable member in the second position is configured to provide the electrical switch in a second state,

wherein the electrical switch is configured to permit activation of the motor when the anvil is coupled with the trocar, and wherein the electrical switch is configured to prevent activation of the motor when the anvil is not coupled with the trocar.

2. The instrument of claim 1, wherein the electrical switch is configured to permit activation of the motor in response to actuation of the electrical switch.

3. The instrument of claim 1, wherein the moveable member is configured to actuate the electrical switch in response to movement of the anvil toward the proximal position when the anvil is coupled with the trocar.

4. The instrument of claim 1, wherein the moveable member comprises an actuator spring, wherein the actuator spring is configured to deform to thereby actuate the electrical switch assembly, wherein the anvil is configured to deform the actuator spring in response to movement of the anvil toward the proximal position when coupled with the trocar.

5. The instrument of claim 1, wherein the moveable member comprises a rotatable actuator, wherein the rotatable actuator is configured to rotate to thereby actuate the electrical switch, wherein the anvil is configured to rotate the rotatable actuator in response to movement of the anvil toward the proximal position when coupled with the trocar.

6. The instrument of claim 1, wherein the trocar includes a component that engages with the lockout assembly.

7. The instrument of claim 6, wherein the lockout assembly comprises a sleeve and a lockout member.

8. The instrument of claim 7, wherein the sleeve is translatable along a length of the trocar, wherein the lockout member is rotatably coupled with the trocar, wherein the sleeve is configured to translate along a length of the trocar to thereby cause rotation of the lockout member between an exposed position and an unexposed position.

9. The instrument of claim 8, wherein the anvil is translatable along a length of the trocar, wherein the anvil is configured to translate along a length of the trocar to thereby cause translation of the sleeve.

10. The instrument of claim 8, wherein the lockout assembly further includes a link member, wherein the link member is configured to translate within and relative to the shaft assembly, wherein the lockout member is configured to cause translation of a link member when the lockout member is in the exposed position.

11. The instrument of claim 10, wherein the link member is configured to translate to thereby actuate the electrical switch, wherein the electrical switch is configured to permit actuation of the firing assembly in response to actuation of the electrical switch.

12. The instrument of claim 8, wherein the lockout member is configured to actuate the electrical switch when the lockout member is in the exposed position, wherein the electrical switch is configured to permit actuation of the firing assembly in response to actuation of the electrical switch.

13. The instrument of claim 6, wherein the electrical switch is configured to permit actuation of the firing assembly in response to actuation of the electrical switch.

14. The instrument of claim 13, wherein the moveable member comprises a cantilevered tab, wherein the cantilevered tab is configured to move inwardly relative to a hollow interior of trocar to thereby actuate the electrical switch.

15. The instrument of claim 14, wherein the anvil is configured to couple with the trocar to thereby cause inward movement of the cantilevered tab.

16. The instrument of claim 1, wherein the lockout assembly comprises an electrical circuit, wherein the electrical circuit is configured to close to permit actuation of the firing assembly in response to the anvil being coupled with the trocar.

17. The surgical instrument of claim 1, wherein the moveable member comprises a resilient flange.

18. The surgical instrument of claim 17, wherein the electrical switch comprises a dome switch, wherein the resilient flange includes a raised portion configured to be directly contacted by the proximal end of the anvil to move the resilient flange from the first position to the second position to actuate the dome switch.

19. A surgical instrument comprising:

(a) a body assembly, wherein the body assembly comprises a proximal end and a distal end;

(b) a shaft assembly defining a central axis, wherein the shaft assembly extends distally from the distal end of the body assembly, wherein the shaft assembly comprises a proximal end and a distal end;

(c) a stapling assembly, wherein the stapling assembly is disposed at the distal end of the shaft assembly, wherein the stapling assembly is operable to drive a plurality of staples into tissue, wherein the stapling assembly comprises;

(i) a trocar, wherein the trocar is configured to selectively move along the central axis between a distal position to a proximal position within the shaft assembly, and

(ii) an anvil, wherein the anvil is selectively coupleable with the trocar, wherein the anvil is configured to move along the central axis between the distal position and the proximal position when coupled with the trocar;

(d) a firing assembly, wherein the firing assembly is coupled with the stapling assembly, wherein the firing assembly includes a motor configured to drive movement of the stapling assembly; and

(e) a lockout assembly, wherein the lockout assembly comprises;

(i) an electrical switch, and

(ii) a moveable member, wherein the movable member is moveable transversely relative to the central axis to actuate the electrical switch in response to proximal movement of the anvil when the anvil is coupled with the trocar,

wherein the electrical switch is configured to permit activation of the motor when the anvil is coupled with the trocar, and wherein the electrical switch is configured to prevent activation of the motor when the anvil is not coupled with the trocar.

20. A surgical instrument comprising:

(a) a body assembly, wherein the body assembly comprises a proximal end and a distal end;

(b) a shaft assembly, wherein the shaft assembly extends distally from the distal end of the body assembly, wherein the shaft assembly comprises a proximal end and a distal end;

(c) a stapling assembly, wherein the stapling assembly is disposed at the distal end of the shaft assembly, wherein the stapling assembly is operable to drive a plurality of staples into tissue, wherein the stapling assembly comprises;

(i) a trocar, wherein the trocar is configured to selectively move between a distal position to a proximal position within the shaft assembly, and

(ii) an anvil, wherein the anvil is selectively coupleable with the trocar, wherein the anvil is configured to move between the distal position and the proximal position when coupled with the trocar;

(d) a firing assembly, wherein the firing assembly is coupled with the stapling assembly, wherein the firing assembly includes a motor configured to drive movement of the stapling assembly; and

(e) a moveable member, wherein the moveable member is configured to rotate relative to the trocar between a first rotational position and a second rotational position in response to longitudinal movement of the anvil relative to the shaft assembly, wherein the moveable member is configured to permit activation of the motor when the moveable member is in the first rotational position, and wherein the moveable member is configured to prevent activation of the motor when the moveable member is in the second rotational position.