Surgical stapling and cutting instrument with manually retractable firing member

• US 7,490,749 B2
• Filed: 03/28/2007
• Issued: 02/17/2009
• Est. Priority Date: 03/28/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Schall, Christopher J.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US11/729,355
• Publication Number:
  US 20080237298A1
• Time in Patent Office: 692 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/175.2, 227/180.1, 227/178.1, 606/139, 606/219
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/2909 Handles
• 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 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. The instrument further has a manually actuatable retraction system that does not require the use of additional springs or other mechanisms to generate retraction forces which must be overcome when generating the forces necessary to fire the device. In various embodiments, the retraction system provides a visual indication to the surgeon as to how far firing has progressed.

Claims

1. A surgical instrument, comprising:

a handle assembly;

an end effector for performing a surgical operation, said end effector operably coupled to said handle assembly and operably supporting a firing member that is movable from a retracted position to a fired position in response to a longitudinal firing motion applied thereto;

a firing drive supported by said handle assembly and configured to selectively generate said longitudinal firing motion upon actuation of a firing trigger operably coupled to said handle assembly; and

a retraction assembly supported by said handle assembly and interfacing with said firing drive such that manual actuation of said retraction assembly causes said firing drive to generate a sole retraction motion which is communicated to said firing member to cause said firing member to move from said fired position to said retracted position.

2. The surgical instrument of claim 1 further comprising at least one indication member operably supported on said handle assembly and interfacing with said firing drive to provide a visual indication of the progress of the firing member during the application of said firing motion and sole retraction motion to said end effector.

3. The surgical instrument of claim 1 further comprising:

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

an elongate shaft assembly coupling said end effector to said handle assembly and configured to transfer said opening and closing motions and said firing and retraction motions thereto.

4. The surgical instrument of claim 3 wherein said end effector comprises:

an elongate channel coupled to said elongate shaft assembly and being sized to receive a staple cartridge therein; and

an anvil coupled to said elongate channel and being selectively movable between open and closed positions in response to open and closing motions from said elongate shaft assembly and wherein said firing member comprises a cutting and severing member operably supported within said elongate channel and being responsive to said firing and retraction motions from said elongate shaft assembly.

5. The surgical instrument of claim 3 wherein said closure drive comprises:

a locking mechanism for automatically locking said closure drive in a locked position after said closure drive has fully applied said closing motion to said end effector; and

a release mechanism interfacing with said locking mechanism to selectively apply an unlocking motion thereto.

6. The surgical instrument of claim 5 wherein said locking mechanism interfaces with said firing drive such that said locking mechanism prevents actuation of said firing drive unless said closure drive is in said locked position.

7. The surgical instrument of claim 1 wherein said firing drive comprises:

a linked rack operably supported by said handle assembly;

a firing rod communicating with said linked rack and said end effector for transmitting said firing and retraction motions thereto; and

a firing trigger operably supported by said handle assembly and configured to interact with said linked rack such that actuation of said firing trigger causes said linked rack to apply said firing motion to said firing rod.

8. The surgical instrument of claim 7 wherein said retraction assembly comprises a retraction member operably supported by said handle assembly, said retraction member communicating with said linked rack such that manual actuation of said retraction member causes said linked rack to apply said sole retraction motion to said firing rod.

9. The surgical instrument of claim 8 further comprising at least one retraction gear operably supported by said handle assembly and interfacing with said retraction member and said linked rack.

10. The surgical instrument of claim 8 wherein said retraction member is movable between a first position corresponding to said unfired position and a second position corresponding to said fired position and wherein said retraction member is moved from said first position to said second position as said firing trigger is actuated and wherein said retraction member is moved from said second position to said first position upon application of a retraction force to said retraction member.

11. A surgical instrument comprising:

a handle assembly;

an end effector for performing a surgical operation, said end effector operably coupled to said handle assembly and operably supporting a firing member that is movable from a retracted position to a fired position in response to a longitudinal firing motion applied thereto and from said fired position to said retracted position upon application of a retraction motion thereto;

a linked rack operably supported by said handle assembly;

a firing rod communicating with said linked rack and said end effector for transmitting said firing and retraction motions from said linked rack to said end effector;

a firing trigger operably supported by said handle assembly and configured to interface with said linked rack such that actuation of said firing trigger causes said linked rack to apply said firing motion to said firing rod;

a first gear in meshing engagement with said linked rack; and

a retraction lever movably supported by said handle assembly and configured to interface with said first gear such that actuation of said retraction lever applies a sole retraction motion to said first gear which thereby transfers said sole retraction motion to said linked rack.

12. The surgical instrument of claim 11 further comprising a second gear selectively couplable to said retraction lever and in meshing engagement with said first gear.

13. The surgical instrument of claim 12 wherein said retraction lever is selectively coupled to said second gear by a retraction pawl that selectively engages a portion of said second gear when said retraction lever is pivoted in a first direction and disengages said portion of said second gear when said second gear is pivoted in a second direction.

14. The surgical instrument of claim 13 further comprising:

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

an elongate shaft assembly coupling said end effector to said handle assembly and configured to transfer said opening and closing motions from said closure drive to said end effector; and

a locking mechanism for automatically locking said closure drive in a locked position after said closure drive has fully applied said closing motion to said end effector, said locking mechanism interfacing with said second gear to prevent actuation thereof unless said closure drive is in said locked position.

15. A surgical instrument comprising:

a handle assembly;

an end effector for performing a surgical operation, said end effector operably coupled to said handle assembly and operably supporting a firing member that is movable from a retracted position to a fired position in response to a longitudinal firing motion applied thereto and from said fired position to said retracted position upon application of a retraction motion thereto;

a first linked rack operably supported by said handle assembly;

a firing rod communicating with said linked rack and said end effector for transmitting said firing and retraction motions from said linked rack to said end effector;

a firing trigger operably supported by said handle assembly and configured to selectively interface with said linked rack such that actuation of said firing trigger causes said linked rack to apply said firing motion to said firing rod;

a second gear rack operably supported by said handle assembly;

a drive gear in meshing engagement with said first linked rack and said second gear rack; and

a retraction lever movably coupled to said handle assembly and said second gear rack such that actuation of said retraction lever applies a sole retraction motion to said drive gear which thereby transfers said sole retraction motion to said linked rack.

16. The surgical instrument of claim 15 further comprising:

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

an elongate shaft assembly coupling said end effector to said handle assembly and configured to transfer said opening and closing motions from said closure drive to said end effector; and

a locking mechanism for automatically locking said closure drive in a locked position after said closure drive has fully applied said closing motion to said end effector, said locking mechanism interfacing with said second gear rack to retain said second gear rack in a second locked position to prevent actuation thereof unless said closure drive is in said locked position.

17. The surgical instrument of claim 16 further comprising a release mechanism interfacing with said locking mechanism to selectively apply an unlocking motion thereto.

18. The surgical instrument of claim 16 wherein said retraction lever has a grip portion that is adjacent the handle assembly when said firing member is in said retracted position and wherein said grip portion is spaced away from said handle assembly when said firing member is in said fired position.

19. The surgical instrument of claim 15 wherein said retraction lever has a grip portion and is movable from a first position wherein said grip portion is adjacent said handle assembly and a second position wherein said grip portion is spaced away from said handle assembly.