Surgical stapling instrument having a firing lockout for an unclosed anvil

• US 20040232199A1
• Filed: 05/20/2003
• Published: 11/25/2004
• Est. Priority Date: 05/20/2003
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Weisenburgh, William Bruce II, Setser, Michael Earl
• Granted Patent: US 7,143,923 B2
• Time in Patent Office: Days
• US Class Current: 227/175.2
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/07285 characterised by its cutter

Abstract

A surgical instrument for laparoscopic and endoscopic clinical procedures simultaneously severs and staples tissue clamped in an end effector comprising an elongate channel, which holds a staple cartridge, and a pivotally attached anvil. An E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular an upper pin of the firing bar is disengaged from the anvil before firing. A ramped transition from an anvil to an anvil slot avoids misfiring when the end effector has clamped too much tissue, yet assists in successfully clamping a slightly excess amount of tissue.

Claims

1. A surgical instrument comprising:

a handle portion operable to produce a firing motion;

an implement portion responsive to the firing motions from the handle portion, the implement portion comprising;

an elongate channel coupled to the handle portion and including a channel slot,

a staple cartridge received by the elongate channel,

an anvil pivotally coupled to the elongate channel and including an anvil channel,

a firing device longitudinally engaging the elongate channel and engageable to the anvil, and

an anvil lockout mechanism oriented to impede the firing device from engaging the anvil when the anvil is open.

2. The surgical instrument of claim 1, wherein anvil includes an upper device operable to engage the anvil channel, the anvil lockout comprising a blunted ramp surface transitioning the upper device into the anvil channel when the anvil is closed.

3. The surgical instrument of claim 1, wherein the implement portion further comprises a staple cartridge received in the elongate channel, the firing device operable to actuate the staple cartridge during firing.

4. The surgical instrument of claim 1, wherein the anvil includes a recess proximate to the firing device when in an unfired position and a longitudinal anvil channel communicating with the recess for receiving the upper member of the firing device when fired.

5. The surgical instrument of claim 4, wherein the elongate channel includes a longitudinal channel and lower portion of the firing device further comprises a middle member and a lower member opposingly engaging the longitudinal channel.

6. The surgical instrument of claim 1, wherein the elongate channel includes a longitudinal channel and lower portion of the firing device further comprises a middle member and a lower member opposingly engaging the longitudinal channel

7. A surgical instrument comprising:

a handle portion operable to separately produce a firing motion and a closing motion;

an implement portion responsive to the separate firing and closing motions from the handle portion, the implement portion comprising;

an elongate channel coupled to the handle portion,

an anvil pivotally coupled to the elongate channel and including a recess and an anvil channel,

a firing device including a distally presented cutting edge longitudinally received between the elongate channel and the anvil, an upper member engageable to the anvil channel and a lower portion longitudinally engaging the elongate channel, the upper member residing within the anvil recess when in an unfired position to allow the separate closing motion of the anvil, and

an anvil lockout mechanism communicating between the anvil recess and the anvil channel wherein the anvil lockout mechanism blocks the upper member when the anvil is not closed.

8. The surgical instrument of claim 7, wherein the anvil lockout mechanism comprises a surface of the anvil channel proximally terminating in a blunted surface positioned to abut the firing device when the anvil is raised.

9. The surgical instrument of claim 8, wherein the anvil lockout mechanism further comprises a blunted ramp surface communicating between an inner surface and the blunted surface of the anvil channel.

10. An endo-surgical instrument, comprising:

a handle portion operable to separately produce a firing motion and a closing motion;

an end effector sized for insertion through an endo-surgical cannula passageway; and

a shaft attached between the handle portion and the end effector and operably configured to separately transfer the firing and closing motions therebetween;

the end effector further comprising;

an elongate channel coupled to the shaft,

an anvil pivotally coupled to the elongate channel responsive to the closing motion to move between an open position to a closed position,

a firing device longitudinally received between the elongate channel and the anvil and including an upper member engageable to the anvil channel during distal movement for firing, and

an anvil lockout mechanism operably configured to preclude distal movement of the firing device in response to an anvil open condition.

11. The endo-surgical instrument of claim 10, wherein the handle portion is further operable to clamp the closing motion and to enable the firing motion in response to a clamped closing motion, the anvil lockout mechanism further operably configured to respond to an anvil open condition comprises of a clamped closing motion and an anvil pivoted way from a closed position by an excess amount of clamped tissue.

12. The endo-surgical instrument of claim 10, further comprises a staple cartridge received in the elongate channel, the firing device operable to actuate the staple cartridge during firing.

13. The endo-surgical instrument of claim 10, wherein the anvil includes a recess proximate to the firing device when in an unfired position and a longitudinal anvil channel communicating with the recess for receiving the upper member of the firing device when fired, the anvil lockout mechanism configured to selectively prevent the upper member of the firing device from transitioning from the recess to the anvil channel.

14. The endo-surgical instrument of claim 13, wherein the elongate channel includes a longitudinal channel slidingly engaged by a lower portion of the firing device.

15. The endo-surgical instrument of claim 14, wherein the longitudinal channel comprises a longitudinal slot and the lower portion of the firing device comprises a middle member and a lower member opposingly engaging the longitudinal slot of the elongate channel.

16. The endo-surgical instrument of claim 13 wherein the anvil lockout mechanism comprises a blunted surface positioned below the upper member of the firing device respectively when the anvil is in the closed positioned and positioned in an abutting position with the upper member of the firing device when the anvil is in the open position.

17. The endo-surgical instrument of claim 16, wherein the anvil lockout mechanism further comprises a ramped surface transitioning between the blunted surface and the anvil channel.

18. The endo-surgical instrument of claim 10, wherein the anvil lockout mechanism comprises a means for locking out the firing bar upper member.

19. The endo-surgical instrument of claim 18, wherein the end effector further comprises a means for affirmatively spacing the anvil and the elongate channel during firing.