Surgical stapling systems

• US 10,426,478 B2
• Filed: 09/28/2015
• Issued: 10/01/2019
• Est. Priority Date: 05/27/2011
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Morgan, Jerome R.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US14/867,907
• Publication Number:
  US 20160051257A1
• Time in Patent Office: 1,464 Days
• Field of Search: 2271761
• 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 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• 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 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• 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 34/30 Surgical robots
• CPC Class Codes: A61B 34/35 for telesurgery
• CPC Class Codes: A61B 34/37 Master-slave robots A61B34/35 takes precedence
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback
• CPC Class Codes: Y10T 29/53404 including turret-type conveyor
• CPC Class Codes: Y10T 29/53417 Means to fasten work parts together
• CPC Class Codes: Y10T 29/53687 : by rotation of work part

Abstract

A surgical staple cartridge is disclosed. The surgical staple cartridge comprises a cartridge body defining an elongate slot. The surgical staple cartridge further comprises a plurality of staple pushers movably supported in the cartridge body for vertical travel therein. Each staple pusher operably supports at least one staple thereon. The surgical staple cartridge further comprises a plurality of movable drivers operably supported in the cartridge body. Each movable driver corresponds to at least one of the staple pushers and includes a camming surface thereon such that when each movable driver is contacted by an axially moving actuator, at least a portion of each of the movable drivers moves laterally away from the elongate slot to bring the camming surface thereon into camming contact with the staple pusher corresponding thereto to thereby move the corresponding staple pusher vertically within the cartridge body.

Claims

1. A surgical stapling system comprising:

an actuation system configured to selectively generate at least one control motion; and

a surgical end effector operably interfacing with said actuation system so as to receive said at least one control motion therefrom, said surgical end effector comprising;

a surgical staple cartridge comprising;

a cartridge body defining an elongate slot;

a plurality of staple pushers movably supported in said cartridge body for vertical travel therein, each said staple pusher operably supporting at least one staple thereon; and

a plurality of movable drivers operably supported in said cartridge body, wherein each said movable driver corresponds to at least one of said staple pushers and includes a camming surface thereon, and wherein said surgical stapling system further comprises an actuator sled supported for axial movement within said cartridge body in response to an application of said at least one control motion thereto, said actuator sled configured to move at least a portion of each of said movable drivers laterally away from said elongate slot into camming contact with said staple pusher corresponding thereto to thereby move said corresponding staple pusher vertically within said cartridge body.

2. The surgical stapling system of claim 1, wherein said actuator sled operably supports a cutting instrument thereon.

3. The surgical stapling system of claim 1, wherein said surgical end effector further comprises an anvil that is movably supported relative to said surgical staple cartridge between an open position and a closed position in response to closure motions applied thereto by a closure actuator.

4. The surgical stapling system of claim 3, wherein said actuator sled is configured to slidably engage said anvil to retain said anvil at a desired spacing relative to said surgical staple cartridge as said actuator sled is axially driven from a starting position to an ending position within said cartridge body.

5. The surgical stapling system of claim 1, wherein said actuation system is operably supported on a tool drive assembly that is operatively coupled to a control unit of a robotic system that is operable by inputs from an operator and is configured to provide said at least one control motion to said actuator sled.

6. The surgical stapling system of claim 1, wherein said actuation system comprises at least one motor.

7. The surgical stapling system of claim 1, wherein each of said movable drivers is pivotally supported within said cartridge body.

8. The surgical stapling system of claim 7, wherein each of said movable drivers is selectively pivotable about a corresponding driver axis that extends transversely relative to said elongate slot.

9. The surgical stapling system of claim 1, wherein each said camming surface comprises an arcuate ramp that is configured to engage an arcuate lower surface on each said corresponding staple pusher.

10. A surgical staple cartridge, comprising:

a cartridge body defining an elongate slot;

a plurality of staple pushers movably supported in said cartridge body for vertical travel therein, each said staple pusher operably supporting at least one staple thereon; and

a plurality of movable drivers operably supported in said cartridge body, wherein each said movable driver corresponds to at least one of said staple pushers and includes a camming surface thereon such that, when each said movable driver is contacted by an axially moving actuator, at least a portion of each of said movable drivers moves laterally away from said elongate slot to bring said camming surface thereon into camming contact with said staple pusher corresponding thereto to thereby move said corresponding staple pusher vertically within said cartridge body.

11. The surgical staple cartridge of claim 10, wherein each of said movable drivers is pivotally supported within said cartridge body.

12. The surgical staple cartridge of claim 11, wherein each of said movable drivers is selectively pivotable about a corresponding driver axis that extends transversely relative to said elongate slot.

13. The surgical staple cartridge of claim 10, wherein each said camming surface comprises an arcuate ramp that is configured to engage an arcuate lower surface on each said corresponding staple pusher.

14. A surgical stapling system comprising:

a robotic system that has a tool drive assembly that is operatively coupled to a control unit of the robotic system that is operable by inputs from an operator and is configured to provide a plurality of control motions;

a tool mounting portion operably coupled to an elongated shaft assembly and configured to operably interface with the tool drive assembly of the robotic system, said tool mounting portion operably supporting a transmission arrangement thereon configured to apply at least one of said control motions to the elongated shaft assembly in response to at least one rotary output motion applied thereto from the tool drive assembly; and

a surgical end effector operably coupled to said elongated shaft assembly, said surgical end effector comprising;

a surgical staple cartridge comprising;

a cartridge body defining an elongate slot;

a plurality of staple pushers movably supported in said cartridge body for vertical travel therein, each said staple pusher operably supporting at least one staple thereon; and

a plurality of movable drivers operably supported in said cartridge body, wherein each said movable driver corresponds to at least one of said staple pushers and includes a camming surface thereon, and wherein said surgical stapling system further comprises an actuator sled supported for axial movement within said cartridge body in response to an application of a corresponding one of said control motions thereto, said actuator sled configured to move at least a portion of each of said movable drivers laterally away from said elongate slot into camming contact with said staple pusher corresponding thereto to thereby move said corresponding staple pusher vertically within said cartridge body.

15. The surgical stapling system of claim 14, wherein said actuator sled operably supports a cutting instrument thereon.

16. The surgical stapling system of claim 14, wherein said surgical end effector further comprises an anvil that is movably supported relative to said surgical staple cartridge between an open position and a closed position in response to an application of another one of said control motions thereto.

17. The surgical stapling system of claim 16, wherein said actuator sled is configured to slidably engage said anvil to retain said anvil at a desired spacing relative to said surgical staple cartridge as said actuator sled is axially driven from a starting position to an ending position within said cartridge body.

18. The surgical stapling system of claim 14, wherein each of said movable drivers is pivotally supported within said cartridge body.

19. The surgical stapling system of claim 18, wherein each of said movable drivers is selectively pivotable about a corresponding driver axis that extends transversely relative to said elongate slot.

20. The surgical stapling system of claim 14, wherein each said camming surface comprises an arcuate ramp that is configured to engage an arcuate lower surface on each said corresponding staple pusher.