SURGICAL END EFFECTORS WITH FIRING ELEMENT MONITORING ARRANGEMENTS

• US 20150297217A1
• Filed: 06/30/2014
• Published: 10/22/2015
• Est. Priority Date: 04/16/2014
• Status: Active Grant

• Current Assignee: Ethicon, LLC (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Huitema, Thomas W., Scheib, Charles J., Henderson, Cortney E., Shelton, Frederick E. IV
• Granted Patent: US 9,844,369 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/00057 Light
• 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 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/07257 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 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/038 : during shipment
• CPC Class Codes: A61B 2090/0801 : Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 2090/0807 : Indication 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
• CPC Class Codes: A61B 2090/306 : using optical fibres
• CPC Class Codes: A61B 2090/309 : using white LEDs
• CPC Class Codes: A61B 90/03 : Automatic limiting or abutting means, e.g. for safety
• CPC Class Codes: G06F 11/1425 : by reconfiguration of node membership

Abstract

A surgical end effector including an elongate channel configured to operably support a staple cartridge therein and a firing element configured to move within the elongate channel between a starting and an ending position. Various arrangements include openings through the bottom of the elongate channel to permit viewing of the firing element as it moves between the starting and ending positions. An anvil may be supported for movable travel relative to the elongate channel and include a plurality of openings therethrough to permit viewing of the cutting element as it moves between the starting and ending positions. Various arrangements include a firing bar attached to the firing element that serves to move the firing element between the starting and ending position. The firing bar may be movably supported with a hollow shaft that has a plurality of openings therethrough for monitoring the position of the firing bar.

Claims

1. A surgical end effector, comprising:

an elongate channel including a bottom including a proximal end and a distal end, the elongate channel being configured to operably support a staple cartridge therein;

a firing element configured to translate between a starting position adjacent the proximal end of the bottom of the elongate channel and an ending position adjacent the distal end of the bottom of the elongate channel;

a proximal channel opening through the proximal end of the bottom of the elongate channel to facilitate viewing of firing element therethrough when the firing element is in the starting position; and

a distal channel opening through the distal end of the bottom of the elongate channel to facilitate viewing of the firing element therethrough when the firing element is in the ending position, and wherein a portion of the bottom of the elongate channel extending between the proximal channel opening and the distal channel opening is closed and has no other openings therethrough.

2. The surgical end effector of claim 1, wherein the portion of the bottom of the elongate channel extending between the proximal channel opening and distal channel opening includes a plurality of discrete indicator openings therethrough to provide progressive viewing of the firing element therethrough as the firing element moves between the starting position and ending position.

3. The surgical end effector of claim 2, wherein the plurality of discrete indicator openings are spaced from each other an equal distance.

4. The surgical end effector of claim 2, wherein the plurality of discrete indicator openings are spaced from each other at unequal spacing distances.

5. The surgical end effector of claim 4, wherein said plurality of discrete indicator openings comprises:

a first discrete indicator opening through the bottom of the elongate channel;

a second discrete indicator opening through the bottom of the elongate channel, the second discrete indicator opening being distally spaced from said first discrete indicator opening a first spacing distance;

a third discrete indicator opening through the bottom of the elongate channel, the third discrete indicator opening being distally spaced from said second discrete indicator opening a second spacing distance that differs from said first spacing distance; and

a fourth discrete indicator opening through the bottom of the elongate channel, the fourth discrete indicator opening being distally spaced from said third discrete indicator opening a third spacing distance that differs from said first and second spacing distance.

6. The surgical end effector of claim 5, wherein said third spacing distance is greater than said second spacing distance.

7. The surgical end effector of claim 6, wherein said second spacing distance is greater than said first spacing distance.

8. The surgical end effector of claim 2, wherein said plurality of discrete indicator openings comprises:

a first discrete indicator opening through the bottom of the elongate channel, the first discrete indicator opening being distally spaced from the proximal channel opening a first spacing distance;

a second discrete indicator opening through the bottom of the elongate channel, the second discrete indicator opening being distally spaced from said first discrete indicator opening a second spacing distance;

a third discrete indicator opening through the bottom of the elongate channel, the third discrete indicator opening being distally spaced from said second discrete indicator opening a third spacing distance; and

a fourth discrete indicator opening through the bottom of the elongate channel, the fourth discrete indicator opening being distally spaced from said third discrete indicator opening a fourth spacing distance.

9. The surgical end effector of claim 8, wherein said first, second, third and fourth spacing distances are equal.

10. The surgical end effector of claim 8, wherein said first, second, third and fourth spacing distances are unequal.

11. The surgical end effector of claim 10, wherein:

said second spacing distance is greater than said first spacing distance;

said third spacing distance is greater than said second spacing distance; and

said fourth spacing distance is greater than said third spacing distance.

12. The surgical end effector of claim 10, wherein:

said second spacing distance is less than said first spacing distance;

said third spacing distance is less than said second spacing distance; and

said fourth spacing distance is less than said third spacing distance.

13. The surgical end effector of claim 2, wherein said plurality of discrete indicator openings comprises a plurality of discrete elongated slots.

14. The surgical end effector of claim 2, wherein said plurality of discrete indicator openings comprises at least one discrete round hole and at least one discrete elongate slot.

15. The surgical end effector of claim 1, wherein the firing element comprises a vertical portion including at least one laterally extending lower foot and wherein the elongate channel includes an internal passage for receiving the at least one laterally extending lower foot when the firing element moves between the starting position and ending position.

16. The surgical end effector of claim 15, wherein the portion of the bottom of the elongate channel extending between the proximal channel opening and distal channel opening includes a plurality of indicator openings therethrough into the internal passage to provide progressive viewing of the at least one laterally extending lower foot of the firing element therethrough as the firing element moves between the starting position and ending position.

17. The surgical end effector of claim 1, further comprising an anvil supported for movable travel relative to the elongate channel, the anvil including means for monitoring movement of the firing element between the starting position and ending position.

18. The surgical end effector of claim 17, wherein the means for monitoring comprises a plurality of indicator openings through said anvil to provide viewing of the firing element as the firing element moves between the starting and ending positions.

19. A surgical end effector, comprising:

an elongate channel configured to operably support a staple cartridge; and

an anvil comprising a staple forming surface and an exterior surface, wherein a plurality of discrete apertures are defined through said anvil from said exterior surface to said staple forming surface.

20. The surgical end effector of claim 19, wherein said plurality of openings comprise a plurality of discrete longitudinal slots.

21. The surgical end effector of claim 19, further comprising:

a firing element configured to translate between a starting position and an ending position within the elongate channel; and

an indicator movably supported in each of the discrete apertures in the anvil, each indicator being movable within the corresponding aperture between a first position within the aperture and a second position wherein a portion of the indicator protrudes from the corresponding aperture upon contact with a portion of the firing element.

22. A surgical end effector comprising:

a hollow shaft;

an elongate channel operably interfacing with the hollow shaft and being configured to operably support a staple cartridge;

a firing element configured to translate between a starting position adjacent a proximal end of the elongate channel and an ending position adjacent a distal end of the elongate channel;

an elongate firing bar coupled to the firing element and movably supported within the hollow shaft;

at least one status mark on the elongate firing bar; and

a plurality of indicator openings through a portion of the hollow shaft to provide viewing of the at least one status mark on the elongate firing bar as the elongate firing bar is moved within the hollow shaft.

23. A surgical end effector, comprising:

an elongate channel including a bottom including a proximal end and a distal end, the elongate channel being configured to operably support a staple cartridge therein;

a firing element configured to translate between a first position adjacent the proximal end of the bottom of the elongate channel and an ending position adjacent the distal end of the bottom of the elongate channel, the firing element including a vertical portion and at least one laterally extending lower foot;

an internal passage extending within the elongate channel and configured to receive the at least one laterally extending lower foot when the firing element moves between the first position and ending position;

a proximal channel opening through the proximal end of the bottom of the elongate channel to facilitate viewing of firing element therethrough when the firing element is in the first position, the proximal channel opening sized to receive therein the at least one laterally extending lower foot on the firing element; and

means for guiding the at least one lower foot on the firing element out of the proximal channel opening into the internal passage upon initial application of a firing motion to the firing element.

24. The surgical end effector of claim 23, wherein said means for guiding comprises at least one ramped surface provided on at least one of the at least one lower foot and a portion of the elongate channel defining the proximal channel opening.