Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems

• US 10,667,810 B2
• Filed: 12/21/2016
• Issued: 06/02/2020
• Est. Priority Date: 12/21/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Harris, Jason L.
• Primary Examiner(s): Chukwurah, Nathaniel C
• Application Number:
  US15/385,929
• Publication Number:
  US 20180168626A1
• Time in Patent Office: 1,259 Days
• Field of Search: 2271761, 2271751, 227 19, 2271781, 2271801, 606153, 606219
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 2017/00017 Electrical control of surgical instruments
• 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 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00862 elastic or resilient
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• 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 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• 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 2017/2825 : Inserts of different material in jaws
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2933 : camming or guiding means
• CPC Class Codes: A61B 2017/2934 : arcuate shaped guiding means
• CPC Class Codes: A61B 2090/0814 : Preventing re-use
• CPC Class Codes: A61B 34/30 : Surgical robots

Abstract

A surgical instrument with separate closure and firing systems for applying closure and firing motions. In one form, the surgical instrument includes a hollow closure member and a firing member. The hollow closure member is configured to move axially between an unactuated position and closure positions. The firing member is supported for axial travel between a starting position in the hollow closure member and an ending position in the surgical end effector. The closure system is configured to apply closure actuation motions to the hollow closure member. The firing system is configured to apply a firing motion to the firing member in order to move the firing member from the starting position to the ending position.

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 between open and closed positions relative to said first jaw and wherein said surgical instrument further comprises;

a hollow closure member configured to axially move between an unactuated position and closure positions wherein said hollow closure member applies closure motions to said movable second jaw, wherein said hollow closure member comprises an inner diameter;

a closure system configured to apply closure actuation motions to said hollow closure member;

a firing member, comprising;

a firing member body;

at least one channel engaging feature on said firing member body; and

at least one anvil engaging feature on said firing member body, wherein said firing member is supported for axial travel between a starting position located completely within said inner diameter of said hollow closure member and an ending position within said surgical end effector; and

a firing system configured to selectively apply a firing motion to said firing member to cause said firing member to move from said starting position to said ending position and wherein said closure system is actuatable without actuating said firing system.

2. The surgical instrument of claim 1, wherein said second jaw comprises a mounting portion pivotally fixed to said first jaw for selective pivotal travel relative thereto.

3. The surgical instrument of claim 2, wherein said mounting portion on said second jaw comprises a first cam surface and wherein said hollow closure member comprises a second cam surface configured for camming contact with said first cam surface.

4. The surgical instrument of claim 3, wherein said hollow closure member comprises a distal end and wherein said second cam surface comprises an internal cam surface formed adjacent said distal end.

5. The surgical instrument of claim 3, wherein said second jaw comprises an anvil and wherein said first jaw comprises a channel configured to operably support a surgical staple cartridge therein.

6. The surgical instrument of claim 5, wherein said anvil comprises an elongate anvil body protruding from said mounting portion, said elongate anvil body comprising an outer anvil surface and wherein said first cam surface extends to said outer anvil surface.

7. The surgical instrument of claim 1, wherein said hollow closure member is configured to apply opening motions to said second jaw upon application of opening actuation motions to said hollow closure member by said closure system.

8. The surgical instrument of claim 7, wherein said hollow closure member further comprises at least one positive jaw opening feature thereon for selective contact with said second jaw when said opening actuation motions are applied to said closure member.

9. A surgical instrument, comprising:

an elongate shaft defining a shaft axis;

a channel operably coupled to said elongate shaft and configured to operably support a surgical staple cartridge therein;

an anvil movably coupled to said channel and being selectively movable between a fully open and a fully closed position relative to said channel;

a closure member configured to axially move between an unactuated position and actuated positions wherein a distal end portion of said closure member cammingly contacts said anvil to apply closure motions thereto, wherein said closure member comprises a hollow closure tube comprising a tube thickness defined by an inner diameter and an outer diameter;

a closure system operably interfacing with said closure member to selectively apply closure control motions thereto;

a firing member, comprising;

a firing member body;

at least one channel engaging feature on said firing member body; and

at least one anvil engaging feature on said firing member body, wherein said firing member is supported for axial travel between a starting position where said firing member is positioned completely within said inner diameter of said hollow closure tube and where said firing member is located completely proximal to said distal end of said closure member and an ending position; and

a firing system configured to selectively apply a firing motion to said firing member to cause said firing member to move from said starting position to said ending position and wherein said closure system is actuatable without actuating said firing system.

10. The surgical instrument of claim 9, wherein said anvil is attached to said channel and is constrained to pivot relative thereto about an anvil axis that is transverse to said shaft axis.

11. The surgical instrument of claim 9, wherein said anvil comprises an anvil mounting portion pivotally coupled to said channel and including a first cam surface thereon and wherein said hollow closure tube comprising a distal end with a second internal camming surface thereon configured for camming contact with said first cam surface.

12. The surgical instrument of claim 11, wherein said anvil comprises an elongate anvil body protruding from said mounting portion, said elongate anvil body comprising an outer anvil surface and wherein said first cam surface extends to said outer anvil surface.

13. The surgical instrument of claim 9, wherein said closure member further comprises at least one positive jaw opening feature thereon for selective contact with said anvil when opening actuation motions are applied to said closure member.

14. 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 between open and closed positions relative to said first jaw upon applications of closure motions to a cam surface thereon and wherein said surgical instrument further comprises;

an axially movable closure member comprising a closure cam surface thereon configured to apply said closure motions to said cam surface on said second jaw, wherein said axially movable closure member comprises a hollow closure tube comprising a tube thickness defined by an inner tube diameter and an outer tube diameter; and

a firing member, comprising;

a firing member body;

a first jaw-engaging feature on said firing member body configured to engage said first jaw during a firing stroke; and

a second jaw-engaging feature on said firing member body configured to engage said second jaw during the firing stroke, wherein said firing member is supported for axial travel between a starting position where said firing member is positioned completely within said inner tube diameter of said hollow closure tube and where a tissue cutting surface thereon is located proximal to said closure cam surface on said closure member and an ending position, said closure member and said firing member being selectively independently actuatable relative to each other.

15. The surgical instrument of claim 14, wherein said second jaw comprises a mounting portion pivotally coupled to said first jaw, said mounting portion including said cam surface thereon.

16. The surgical instrument of claim 15, wherein said axially movable closure member and said mounting portion defines a firing member parking area therebetween wherein at least a portion of said firing member is supported when said firing member is in said starting position.

17. The surgical instrument of claim 14, wherein said first jaw comprises a channel and wherein said second jaw comprises an anvil.