Powered linear surgical stapler

• US 10,405,857 B2
• Filed: 04/09/2014
• Issued: 09/10/2019
• Est. Priority Date: 04/16/2013
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Nalagatla, Anil K., Kimsey, John S., Baxter, III, Chester O., Jenkins, Scott A.
• Primary Examiner(s): Tecco, Andrew M
• Application Number:
  US14/248,588
• Publication Number:
  US 20140309666A1
• Time in Patent Office: 1,980 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 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/282 Jaws
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00393 with means for switching between functions
• 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 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2017/07214 : Stapler heads
• CPC Class Codes: A61B 2017/07221 : curved
• CPC Class Codes: A61B 2017/07235 : containing different staples, e.g. staples of different shapes, sizes or materials
• CPC Class Codes: A61B 2017/07242 : achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• CPC Class Codes: A61B 2017/0725 : with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/2902 : characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2903 : transferring rotary motion
• CPC Class Codes: A61B 2017/2912 : transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2922 : toggle linkages
• CPC Class Codes: A61B 2017/2923 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2932 : Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2933 : camming or guiding means
• CPC Class Codes: A61B 2017/2936 : Pins in guiding slots
• CPC Class Codes: A61B 2017/2943 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 2090/038 : during shipment
• 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
• CPC Class Codes: A61B 34/30 : Surgical robots
• CPC Class Codes: Y02A 90/10 : Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

A surgical instrument can comprise a first jaw, a second jaw comprising a fastener cartridge, and a closing system. The closing system can comprise a closure member configured to engage the first jaw and move the first jaw toward the second jaw. A pivot can pivotably couple the first jaw to the second jaw. The closure member can engage the first jaw at a location which is distal with respect to the pivot. The closure member and the first jaw can include a cam pin/cam slot arrangement which increases the leverage or mechanical advantage that the closure member applies to the first jaw as the first jaw is moved from an open position to a closed position. The surgical instrument can further comprise a first motor configured to operate the closing system and a second motor configured to operate a firing system configured to eject fasteners from the fastener cartridge.

Claims

1. A surgical fastening instrument, comprising:

a handle;

a first motor comprising a first rotatable output;

a second motor comprising a second rotatable output;

a shaft defining a longitudinal shaft axis;

a first jaw, comprising;

an anvil defining a longitudinal anvil axis;

a proximal end; and

a distal end;

a second jaw comprising a cartridge channel configured to receive a fastener cartridge;

a pivot pivotably coupling said first jaw to said second jaw, wherein said first jaw is rotatable relative to said second jaw about a fixed axis between;

a first position where said first jaw is open and said longitudinal anvil axis is transverse to said longitudinal shaft axis;

a second position where said longitudinal anvil axis is parallel to said longitudinal shaft axis; and

a third position where said first jaw is fully clamped and said longitudinal anvil axis is transverse to said longitudinal shaft axis,

wherein said fixed axis is fixed relative to said longitudinal shaft axis such that said pivot is prevented from moving axially and transversely relative to said longitudinal shaft axis;

a closing drive operably couplable to said first rotatable output, wherein said closing drive comprises a closure member configured to engage said first jaw and pivot said first jaw toward said second jaw; and

a firing drive operably couplable to said second rotatable output, wherein said firing drive comprises a firing member configured to eject fasteners from said fastener cartridge,

wherein said anvil comprises a camming pin, and wherein said camming pin is positioned between said distal end and said pivot.

2. The surgical fastening instrument of claim 1, wherein said closure member comprises a cam slot defined therein, wherein said camming pin is positioned within said cam slot, and wherein said cam slot comprises a sidewall configured to contact said camming pin and displace said camming pin within said cam slot when said closure member is advanced toward said distal end.

3. The surgical fastening instrument of claim 1, wherein said second jaw defines a longitudinal axis, wherein said first motor defines a first motor axis, wherein said first rotatable output extends along said first motor axis, wherein said second motor defines a second motor axis, wherein said second rotatable output extends along said second motor axis, and wherein said first motor axis and said second motor axis are parallel to said longitudinal axis.

4. The surgical fastening instrument of claim 1, wherein said second jaw comprises a frame including a first lateral side and a second lateral side, wherein said first lateral side includes a first guide slot, wherein said second lateral side includes a second guide slot, wherein said closure member comprises a first guide pin slidably positioned in said first guide slot and a second guide pin slidably position in said second guide slot, and wherein said first guide slot and said second guide slot are configured to constrain the movement of said closure member to a longitudinal path.

5. A surgical fastening instrument, comprising:

a handle;

a first motor comprising a first rotatable output;

a second motor comprising a second rotatable output;

a first jaw, comprising;

an anvil;

a proximal end; and

a distal end;

a second jaw comprising a cartridge channel configured to receive a fastener cartridge;

a pivot pivotably coupling said first jaw to said second jaw, wherein said first jaw is rotatable relative to said second jaw about a fixed axis;

a closing drive operably couplable to said first rotatable output, wherein said closing drive comprises a closure member configured to engage said first jaw and pivot said first jaw toward said second jaw; and

a firing drive operably couplable to said second rotatable output, wherein said firing drive comprises a firing member configured to eject fasteners from the fastener cartridge, wherein said anvil comprises a camming pin, wherein said closure member comprises a cam slot defined therein, and wherein said cam slot comprises;

a proximal slot end;

a distal slot end;

a first sidewall extending between said proximal slot end and said distal slot end; and

a second sidewall extending between said proximal slot end and said distal slot end, wherein said camming pin is positioned within said distal slot end when said first jaw is in an open position, wherein said first sidewall is configured to contact said camming pin when said closure member is moved distally to pivot said first jaw from said open position toward a closed position, wherein said camming pin is positioned within said proximal slot end when said first jaw is in said closed position, and wherein said second sidewall is configured to contact said camming pin when said closure member is moved proximally to pivot said first jaw from said closed position toward said open position.

6. The surgical fastening instrument of claim 5, wherein said first sidewall is defined by a first arcuate surface, and wherein said second sidewall is defined by a second arcuate surface.

7. The surgical fastening instrument of claim 5, wherein said second jaw defines a longitudinal axis, and wherein said first sidewall comprises a flat portion adjacent to said proximal slot end which is parallel to said longitudinal axis.

8. The surgical fastening instrument of claim 5, wherein said second jaw defines a longitudinal axis, and wherein said first sidewall comprises a flat portion adjacent to said distal slot end which is perpendicular to said longitudinal axis.

9. A surgical fastening instrument, comprising:

a handle;

a motor comprising a rotatable output;

a first jaw, comprising;

an anvil;

a proximal end;

a distal end; and

a camming pin;

a second jaw comprising a cartridge channel configured to receive a fastener cartridge, wherein the fastener cartridge comprises a deck surface comprising a plurality of fastener cavities defined therein;

a shaft defining a longitudinal shaft axis;

a fixed pivot pivotably coupling said first jaw to said second jaw, wherein said first jaw is rotatable relative to said second jaw about a fixed pivot axis defined by said fixed pivot, wherein said first jaw is rotatable into a closed position where said proximal end is a first distance from said deck surface and said distal end is a second distance from said deck surface, wherein said second distance is less than said first distance, wherein said fixed pivot axis is fixed relative to said longitudinal shaft axis such that said fixed pivot is prevented from moving axially and transversely relative to said longitudinal shaft axis, and wherein said camming pin is positioned between said distal end and said pivot;

a closing drive operably couplable to said rotatable output, wherein said closing drive comprises a closure member configured to engage said first jaw and pivot said first jaw toward said second jaw, wherein said closure member comprises a cam slot defined therein, wherein said camming pin is positioned within said cam slot, and wherein said cam slot is configured to displace said camming pin when said closure member is advanced toward said distal end; and

a firing drive comprising a firing member configured to eject fasteners from said fastener cartridge,

wherein said camming pin is positioned between said distal end and said fixed pivot.

10. The surgical fastening instrument of claim 9, wherein said motor comprises a first motor, wherein said rotatable output comprises a first rotatable output, wherein said surgical fastening instrument further comprises a second motor operably couplable to said firing drive, wherein said second motor comprises a second rotatable output, wherein said second jaw defines a longitudinal axis, wherein said first motor defines a first motor axis, wherein said first rotatable output extends along said first motor axis, wherein said second motor defines a second motor axis, wherein said second rotatable output extends along said second motor axis, and wherein said first motor axis and said second motor axis are parallel to said longitudinal axis.

11. The surgical fastening instrument of claim 9, wherein said second jaw comprises a frame including a first lateral side and a second lateral side, wherein said first lateral side includes a first guide slot, wherein said second lateral side includes a second guide slot, wherein said closure member comprises a first guide pin slidably positioned in said first guide slot and a second guide pin slidably position in said second guide slot, and wherein said first guide slot and said second guide slot are configured to constrain the movement of said closure member to a longitudinal path.

12. A surgical fastening instrument, comprising:

a handle;

a motor comprising a rotatable output;

a first jaw, comprising;

an anvil;

a proximal end;

a distal end; and

a camming pin;

a second jaw comprising a cartridge channel configured to receive a fastener cartridge;

a pivot pivotably coupling said first jaw to said second jaw, wherein said first jaw is rotatable relative to said second jaw, and wherein said camming pin is positioned between said distal end and said pivot;

a closing drive operably couplable to said rotatable output, wherein said closing drive comprises a closure member configured to engage said first jaw and pivot said first jaw toward said second jaw, wherein said closure member comprises a cam slot defined therein, wherein said camming pin is positioned within said cam slot, and wherein said cam slot is configured to displace said camming pin when said closure member is advanced toward said distal end; and

a firing drive comprising a firing member configured to eject fasteners from the fastener cartridge,

wherein said cam slot comprises;

a proximal slot end;

a distal slot end;

a first sidewall extending between said proximal slot end and said distal slot end; and

a second sidewall extending between said proximal slot end and said distal slot end, wherein said camming pin is positioned within said distal slot end when said first jaw is in an open position, wherein said first sidewall is configured to contact said camming pin when said closure member is moved distally to pivot said first jaw from said open position toward a closed position, wherein said camming pin is positioned within said proximal slot end when said first jaw is in said closed position, and wherein said second sidewall is configured to contact said camming pin when said closure member is moved proximally to pivot said first jaw from said closed position toward said open position.

13. The surgical fastening instrument of claim 12, wherein said first sidewall is defined by a first arcuate surface, and wherein said second sidewall is defined by a second arcuate surface.

14. The surgical fastening instrument of claim 12, wherein said second jaw defines a longitudinal axis, and wherein said first sidewall comprises a flat portion adjacent to said proximal slot end which is parallel to said longitudinal axis.

15. The surgical fastening instrument of claim 12, wherein said second jaw defines a longitudinal axis, and wherein said first sidewall comprises a flat portion adjacent to said distal slot end which is perpendicular to said longitudinal axis.

16. A surgical fastening instrument, comprising:

a handle;

a motor comprising a rotatable output;

a first jaw comprising an anvil;

a second jaw comprising a cartridge channel configured to receive a fastener cartridge;

a shaft defining a longitudinal shaft axis;

a pivot pivotably coupling said first jaw to said second jaw, wherein said first jaw is rotatable relative to said second jaw about a fixed axis defined by said pivot between an open position and a closed position, wherein a distal end of said anvil is in contact with the fastener cartridge and said anvil and said fastener cartridge are in a non-parallel configuration when said anvil is in said closed position, and wherein said fixed axis is fixed relative to said longitudinal shaft axis such that said fixed axis is prevented from moving axially and transversely relative to said longitudinal shaft axis;

a closing drive operably couplable to said rotatable output, wherein said closing drive comprises a closure member configured to pivot said first jaw toward said second jaw, and wherein said closure member comprises means for increasing the mechanical advantage applied to said first jaw as said closure member moves said first jaw between said open position and said closed position; and

a firing drive comprising a firing member configured to eject fasteners from said fastener cartridge,

wherein said anvil comprises a camming pin configured to be engaged by said closure member to pivot said first jaw relative to said second jaw, and wherein said camming pin is positioned distal to said pivot.

17. The surgical fastening instrument of claim 16, further comprising said fastener cartridge.