Surgical stapling instrument having multistroke firing with opening lockout

• US 7,434,715 B2
• Filed: 09/29/2003
• Issued: 10/14/2008
• Est. Priority Date: 09/29/2003
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Swayze, Jeffrey S., Hoffman, Douglas B.
• Primary Examiner(s): Nash; Brian D
• Application Number:
  US10/674,236
• Publication Number:
  US 20050070925A1
• Time in Patent Office: 1,842 Days
• Field of Search: 227/175.1, 227/178.1, 227/179.1, 227/175.2, 227/19, 227/182.1, 227/180.1
• US Class Current: 227/175.2
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/2946 Locking 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

Abstract

A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

Claims

1. A surgical instrument, comprising:

an elongate implement portion responsive to a firing motion and a closure motion;

a firing mechanism operably configured to produce the firing motion between an unfired position and a fully fired position to eject a staple from a staple cartridge into tissue;

a closing mechanism operably configured to close and to open the implement portion;

a closing release mechanism operably configured to lock the closing mechanism when the implement portion is in the fully closed position, and responsive to an operator command to unlock the closing mechanism when the firing mechanism is in an unfired position; and

a lockout mechanism operably configured to lock the closing release mechanism when;

(i) the implement portion is in the fully closed position, and

(ii) the firing mechanism is in any position other than the unfired position.

2. The surgical instrument of claim 1, wherein the implement portion comprises:

an elongate channel connected to the shaft,

an anvil pivotally coupled to the elongate channel for clamping tissue, and

the staple cartridge received in the elongate channel;

wherein the firing mechanism further comprises a firing member, wherein the firing member distally terminates in a firing bar operably configured to actuate the staple cartridge to form staples in the clamped tissue.

3. The surgical instrument of claim 1, wherein the firing mechanism further comprises a firing member, wherein the firing mechanism is further operably configured to transfer sequential firing strokes into distal longitudinal movement of the firing member.

4. The surgical instrument of claim 1, wherein the firing mechanism further comprises a firing trigger having a means for traction biasing, wherein the means for traction biasing couples multiple firing trigger actuations by an operator to produce a firing motion.

5. The surgical instrument of claim 1, wherein the firing mechanism further comprises a firing member and a linked rack operably coupled to a firing trigger to transmit firing trigger actuations by an operator to the firing member.

6. The surgical instrument of claim 5, wherein the firing mechanism further comprises a means for traction biasing to couple multiple firing trigger actuations by an operator to the linked rack.

7. A surgical instrument, comprising:

an elongate implement portion responsive to a firing motion and a closure motion;

a firing mechanism operably configured to produce the firing motion between an unfired position and a fully fired position, wherein when the firing mechanism moves from the unfired position to the fired position, at least one staple is ejected from a cartridge and into tissue;

a closing mechanism operably configured to close and to open the implement portion;

a closing release means to clamp the implement portion in the fully closed position, and responsive to an operator command to open the implement portion when the firing mechanism is in an unfired position; and

a lockout mechanism configured to lock the clamped implement portion in the fully closed position when the firing mechanism is in any position other than the unfired position.