Surgical instrument

• US 5,673,841 A
• Filed: 10/03/1996
• Issued: 10/07/1997
• Est. Priority Date: 12/19/1994
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Schulze, Dale R., Zeiner, Mark S., Fox, William D., Setser, Michael E., Wales, Kenneth S., Paraschac, Joseph
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US08/726,321
• Time in Patent Office: 369 Days
• Field of Search: 227/175.1, 227/175.2, 227/176.1, 227/178.1, 227/179.1, 227/19, 600/106, 600/141, 600/142, 600/146
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• 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 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2913 cams or guiding means
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• 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 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking

Abstract

A surgical instrument for performing endoscopic surgical procedures. In one embodiment, the instrument includes a knife that remains unexposed until initiation of a cutting sequence, and returns to an unexposed position at the conclusion of the cutting sequence, minimizing the risk of injury to the person handling the instrument. In another embodiment, the instrument includes a flexible neck for articulating a surgical head assembly with respect to the shaft of the instrument. In another embodiment, a device for locking the articulated head at an angle of articulation is provided. In yet another embodiment, a mechanism for opening and closing an anvil assembly is disclosed.

Claims

1. A locking mechanism for an articulating surgical instrument having an articulatable head at an end of a shaft, said instrument comprising articulation means for transferring work from a proximal end of said instrument to a distal end thereof in order to articulate the head of said instrument with respect to said shaft, said locking mechanism including head locking means for locking the head of said instrument at one or more angles of articulation, and means connecting said articulation means and said head locking means, whereby actuation of said articulation means through application of work causes release of said locking means, permitting articulation of said head, and stoppage of said application of work to said articulation means causes locking of said head by said locking means, preventing articulation of said head.

2. The locking mechanism of said claim 1 wherein said articulation means comprises linkage means connecting articulation control means at the proximal end of said instrument to the head, whereby actuation of said articulation control means allows said linkage means to articulate said head, said head locking means including engagement means for engaging said linkage means and said head, whereby said engagement means is in locking engagement with said head, and thereby prevents articulation of said head prior to and following actuation of said control means, said locking mechanism further including release means for releasing said engagement means from locking engagement with said head upon actuation of said articulation control means, thereby permitting articulation of said head.

3. The locking mechanism of claim 2, wherein said engagement means includes biasing means for biasing said engagement means into said locking engagement with said head.

4. The locking mechanism of claim 3, wherein said biasing means biases said linkage means, and said linkage means acts on said biasing means upon actuation of said control means, thereby releasing said release means.

5. The locking mechanism of claim 4, wherein said biasing means biases friction means for frictionally engaging said linkage means prior to and following actuation of said articulation control means, and wherein a flexed portion of said linkage means acts upon said biasing means during actuation of said articulation control means, thereby releasing said friction means from frictional engagement with said linkage means, allowing articulation of said head.

6. The locking mechanism of claim 1, wherein said head includes ratchet means at the proximal end thereof, and wherein said instrument includes gear rack means engageable with said ratchet means, said gear rack means being biased by biasing means into locking engagement with said ratchet means prior to and following actuation of said articulation means, said biasing means being released upon actuation of said articulation means, thereby releasing said gear rack from said locking engagement with said ratchet means, permitting articulation of said head.

7. The locking mechanism of claim 1, wherein said head includes at the proximal end thereof detent means having a plurality of detents therein, said locking means further including a locking blade for providing locking engagement with said detent means, thereby allowing locking of said head and preventing articulation thereof, said locking blade being releasable from locking engagement with said detent means, thereby permitting articulation of said head.

8. The locking mechanism of claim 1, wherein said mechanism comprises fluid-filled bladder means having two interconnected bladders connected by a connecting region, said mechanism further comprising a pinch blade biased by biasing means against said connecting region, said bladder means contacting the proximal portion of said head, thereby precluding articulation thereof when said pinch blade is biased against said connecting region, closing said connecting region, thereby preventing fluid flow from one said bladder to the other, said biasing means being released upon actuation of said articulation means, thereby releasing said pinch blade, and opening said connecting region, permitting fluid flow from one said bladder to the other through said opened connecting region, thereby permitting articulation of said head.