Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus

• US 7,448,525 B2
• Filed: 08/02/2006
• Issued: 11/11/2008
• Est. Priority Date: 08/02/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Morgan, Jerome R., Shelton, Frederick E. IV, Timperman, Eugene L., Fugikawa, Leslie M.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US11/497,936
• Publication Number:
  US 20080029577A1
• Time in Patent Office: 832 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/180.1, 227/178.1, 606/139, 606/219
• US Class Current: 227/176.1
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00548 Gas cartridges therefor
• CPC Class Codes: A61B 2017/2902 characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2925 Pistol grips
• 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 2017/2946 Locking means
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• 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 2090/0814 Preventing re-use
• CPC Class Codes: F17C 2270/0545 Tools

Abstract

A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. In various embodiments, a drive system operably communicates with the pneumatically powered tool and is configured to selectively apply at least a drive system generated firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to said drive system. A retraction member communicates with the drive system to enable a manually generated retraction motion to be applied thereto to manually move the firing mechanism in a distal direction from the actuated position to the unactuated position.

Claims

1. A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position, said surgical instrument comprising:

a drive system operably communicating with the pneumatically powered tool and being configured to selectively apply at least a drive system generated firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to said drive system; and

a retraction member communicating with said drive system to enable a manually generated retraction motion to be applied thereto to manually move the firing mechanism in a proximal direction from the actuated position to the unactuated position.

2. The surgical instrument of claim 1 wherein said drive system is configured to apply a drive system generated retraction motion to the firing mechanism to cause the firing mechanism to move in a proximal direction from the actuated position to the unactuated position in response to another flow of gas from said source of gas.

3. The surgical instrument of claim 2 further comprising:

a handle assembly operably supporting at least some of said drive system therein;

a distal member configured to operably support the pneumatically powered tool; and

an elongate shaft assembly having a proximal end operably coupled to said handle assembly and a distal end operably coupled to said distal member, said elongate shaft assembly being configured to transmit said drive system generated firing and retraction motions to the pneumatically powered tool.

4. The surgical instrument of claim 3 wherein said drive system comprises:

a pneumatically powered cylinder assembly operably supported by said handle assembly and coupled to said source of gas, said pneumatically powered cylinder assembly having a piston portion therein that is selectively extendable in said distal direction in response to said flow of gas from said source of gas and being selectively retractable in a proximal direction in response to another flow of gas from said source of gas and wherein said elongate shaft assembly further comprises;

a firing bar extending through said elongate shaft assembly and operably communicating with said piston portion and said firing mechanism in the pneumatically powered tool such that when said piston portion is extended in the distal direction, the firing bar causes said firing mechanism to move in the distal direction between the unactuated and actuated positions and when said piston portion is retracted in the proximal direction, the firing bar causes said firing mechanism to move in the proximal direction between the actuated position and unactuated position.

5. The surgical instrument of claim 4 wherein said retraction member is linked to said piston portion of said cylinder assembly.

6. The surgical instrument of claim 5 wherein said retraction member is movably linked to said piston portion.

7. The surgical instrument of claim 6 wherein said retraction member is selectively movable to a first position wherein at least a portion of said retraction member protrudes from said handle assembly when said piston portion is in a retracted position such that when said piston portion is extended in said distal direction to cause the firing mechanism to move in the distal direction between the unactuated and actuated positions at a firing rate, said portion of said retraction member protruding from said handle assembly is drawn into said handle assembly at said firing rate.

8. The surgical instrument of claim 7 wherein said retraction member is sized such that the portion of said retraction member protruding from said housing assembly corresponds to a remaining distance that the firing mechanism must travel from the unactuated position to the actuated position.

9. The surgical instrument of claim 6 wherein the retraction member comprises:

a retraction rod movably coupled to said piston portion; and

a handle grip attached to said retraction rod.

10. The surgical instrument of claim 1 wherein said retraction member provides a visual indication of progress of the firing mechanism as said firing mechanism moves between the unactuated and actuated positions.

11. A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position, said surgical instrument comprising:

drive means for selectively applying at least a drive system generated firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to said drive means; and

retraction means communicating with said drive means for selectively applying a manual retraction motion to said drive means to move the firing mechanism in a proximal direction from the actuated position to the unactuated position.

12. The surgical instrument of claim 11 wherein said drive means is further configured to apply a drive system generated retraction motion to the firing mechanism to cause the firing mechanism to move in a proximal direction from the actuated position to the unactuated position in response to another flow of gas from said source of gas.

13. A surgical instrument comprising:

a handle assembly;

a closure drive supported by said handle assembly and configured to generate a closing motion and an opening motion;

a pneumatically powered drive system supported by said handle assembly and being configured to selectively generate a firing motion and a retraction motion;

an elongate shaft assembly coupled to said handle assembly and communicating with said closure drive to transfer said opening and closing motions and further communicating with said pneumatically powered drive system to transfer said firing and retraction motions;

an end effector coupled to said elongate shaft assembly, said end effector comprising;

an elongate channel sized to receive a staple cartridge therein;

an anvil pivotally coupled to said elongate channel and being pivotally responsive to said open and closing motions from said elongate shaft assembly; and

a firing mechanism operably supported within one of said elongate channel and the staple cartridge and being movable from an unactuated position to an actuated position in response to an application of said firing motion from said pneumatically powered drive system and being movable from said actuated position to said unactuated position in response to another application of said retraction motion from said pneumatically powered drive system and wherein said surgical instrument further comprises;

a retraction member communicating with said pneumatically powered drive system to enable a manually generated retraction motion to be applied thereto to manually move the firing mechanism in a proximal direction from the actuated position to the unactuated position.

14. The surgical instrument of claim 13 wherein said retraction member provides a visual indication of progress of the firing mechanism as said firing mechanism moves between the unactuated and actuated positions.

15. The surgical instrument of claim 13 wherein the retraction member comprises:

a retraction rod movably coupled to said piston portion; and

a handle grip attached to said retraction rod.

16. The surgical instrument of claim 13 wherein said pneumatically powered drive system comprises a pneumatically powered cylinder assembly operably supported by said handle assembly and coupled to a source of gas, said pneumatically powered cylinder having a piston portion therein that is selectively extendable in said distal direction in response to said flow of gas from said source of gas and a being selectively retractable in a proximal direction in response to another flow of gas from said source of gas and wherein said elongate shaft assembly further comprises:

a firing bar extending through said elongate shaft assembly and operably communicating with said piston portion and said firing mechanism in the pneumatically powered tool such that when said piston portion is extended in the distal direction, the firing bar causes said firing mechanism to move in the distal direction between the unactuated position to the actuated position and when said piston portion is retracted in the proximal direction, the firing bar causes said firing mechanism to move in the proximal direction between the actuated position and unactuated position.

17. The surgical instrument of claim 16 wherein said retraction member is movably linked to said piston portion of said cylinder assembly such that said retraction member is selectively movable to a first position wherein at least a portion of said retraction member protrudes from said handle assembly when said piston portion is in a retracted position such that when said piston portion is extended in said distal direction to cause the firing mechanism to move in the distal direction between the unactuated and actuated positions at a firing rate, said portion of said retraction member protruding from said handle assembly is drawn into said handle assembly at said firing rate.

18. The surgical instrument of claim 17 wherein said retraction member is sized such that the portion of said retraction member protruding from said housing assembly corresponds to a remaining distance that the firing mechanism must travel from the unactuated position to the actuated position.

19. The surgical instrument of claim 13 wherein said pneumatically powered drive system is fluidically coupled to a source of pneumatic power supported by said handle assembly.