Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression

• US 7,506,791 B2
• Filed: 09/29/2006
• Issued: 03/24/2009
• Est. Priority Date: 09/29/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Thompson, Bennie, Timperman, Eugene L., Omaits, Todd Phillip
• Primary Examiner(s): Rada; Rinaldi I.
• Assistant Examiner(s): Weeks; Gloria R.
• Application Number:
  US11/541,164
• Publication Number:
  US 20080078805A1
• Time in Patent Office: 907 Days
• Field of Search: 227/181.1, 227/175.1, 227/177.1
• US Class Current: 227/177.1
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• 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 17/072 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 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00831 Material properties
• CPC Class Codes: A61B 2017/00862 elastic or resilient for sutures A61B2017/0618
• CPC Class Codes: A61B 2017/0641 having at least three legs as part of one single body
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• 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 2017/0725 : with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• 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 2017/07285 : characterised by its cutter
• CPC Class Codes: A61B 2017/2932 : Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2943 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/320052 : Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2018/00666 : using a threshold value
• CPC Class Codes: A61B 2090/032 : pressure limiting, e.g. hydrostatic
• CPC Class Codes: A61B 2090/036 : abutting on tissue or skin
• CPC Class Codes: A61B 2090/065 : for measuring contact or contact pressure
• 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 90/03 : Automatic limiting or abutting means, e.g. for safety

Abstract

Various forms of surgical instruments are disclosed. In various embodiments, the instrument includes a cartridge supporting assembly for operably supporting a staple cartridge therein. The cartridge supporting assembly may be responsive to firing and retraction motions applied thereto from a firing assembly. An anvil may be operably coupled to an anvil closure assembly. The anvil closure assembly may be constructed to selectively move the anvil in a proximal direction toward the cartridge supporting assembly to enable a portion of tissue to be clamped between a cartridge supported by the cartridge supporting assembly and the anvil under a predetermined amount of compression. The device may further include a compression limiting assembly that interacts with the anvil closure assembly to prevent further travel of the anvil in the proximal direction toward the cartridge supporting assembly when the predetermined amount of compression has been attained.

Claims

1. A surgical instrument comprising:

a cartridge supporting assembly for operably supporting a staple cartridge therein, said cartridge supporting assembly being responsive to firing and retraction motions applied thereto from a firing assembly;

an anvil operably coupled to an anvil closure assembly, said anvil closure assembly configured to selectively move said anvil in a proximal direction toward said cartridge supporting assembly to enable a portion of tissue to be clamped between a cartridge supported by said cartridge supporting assembly and said anvil under a predetermined amount of compression;

a compression limiting assembly interacting with said anvil closure assembly to prevent any further travel of said anvil in said proximal direction toward said cartridge supporting assembly when said predetermined amount of compression has been attained, such that the portion of tissue remains clamped under said predetermined amount of compression;

an elongate shaft assembly coupled to said cartridge supporting assembly;

a handle assembly coupled to said elongate shaft assembly, said handle assembly operably supporting portions of said closure assembly and said firing assembly therein;

wherein said closure assembly comprises;

an adjustment shaft communicating with said anvil through said elongate shaft assembly; and

a closure knob assembly operably supported adjacent said handle assembly and cooperating with said compression limiting assembly and said adjustment shaft such that upon actuation of said closure knob assembly in a first direction, said adjustment shaft causes said anvil to move in a distal direction away from the cartridge and upon actuation of said closure knob assembly in a second direction, said adjustment shaft cooperates with said compression limiting assembly to draw said anvil in said proximal direction towards said cartridge to clamp tissue therebetween until said predetermined amount of compression has been attained;

wherein said compression limiting assembly comprises a slip clutch assembly operably supported by said closure knob assembly and operably communicating with said adjustment shaft;

wherein said slip clutch assembly operably communicates with said adjustment shaft through a closure nut assembly rotatably supported within said handle assembly such that upon application of a rotational motion to said closure knob assembly in said first direction, said closure nut assembly axially moves said adjustment shaft in said distal direction and upon application of another rotational motion to said closure knob assembly in said second direction, said closure nut assembly axially moves said adjustment shaft in said proximal direction;

wherein said closure knob assembly comprises a closure knob cap assembly; and

wherein said slip clutch assembly comprises;

a first friction pad supported by said closure knob cap assembly;

a clutch hub rotatably supported by said closure knob cap assembly and coupled to said closure nut assembly for transmifting rotational motion in said first and second directions thereto; and

a second friction pad supported by said clutch hub in frictional engagement with said first friction pad such that rotation of said closure knob cap assembly in said second rotational direction causes said clutch hub and said closure nut assembly to rotate in said second rotational direction to draw said adjustment shaft and said anvil in said proximal direction until said predetermined amount of compression is achieved whereby further rotation of said closure knob cap in said second direction causes said first friction pad to slippingly disengage said second friction pad.

2. The surgical instrument of claim 1 further comprising a biasing member supported in one of said clutch hub and said closure knob cap assembly for biasing said first and second friction pads into said frictional engagement.

3. The surgical instrument of claim 1 wherein a portion of said closure knob assembly is configured to positively engage another portion of said clutch hub when said closure knob assembly is rotated in said first direction and disengage therefrom when said closure knob is rotated in said second rotational direction.

4. The surgical instrument of claim 3 wherein said portion of said closure knob comprises ratchet teeth formed thereon and wherein said another portion of said clutch hub comprises engagement teeth formed on said clutch hub.

5. A circular stapling device, comprising:

a staple drive member configured to operably support a circular staple cartridge therein;

a closure shaft assembly supported for axial travel relative to said staple drive member in a proximal direction and a distal direction;

an anvil attachable to said closure shaft assembly for proximal and distal travel therewith relative to the circular staple cartridge supported within said staple drive member, such that upon application of an opening motion to said closure shaft assembly, said closure shaft assembly moves said anvil in said distal direction away from the circular staple cartridge and upon application of closing motion to said closure shaft assembly, said closure shaft assembly draws said anvil in said proximal direction towards the circular staple cartridge to enable tissue to be clamped between said anvil and the circular staple cartridge under a predetermined amount of compression; and

a closure assembly operably communicating with said closure shaft assembly and configured to apply said opening motion to said closure shaft assembly upon activation of said closure assembly in a first direction and to apply said closing motion to said closure shaft assembly upon activation of said closure assembly in a second direction, said closure assembly being further configured to prevent any further application of said closing motion to said closure shaft assembly when said predetermined amount of compression has been attained in the tissue clamped between said anvil and the cartridge as said closure assembly continues to be activated in said second direction;

a handle assembly operably supporting said closure assembly;

a firing assembly operably supported by said handle assembly and configured to selectively generate a staple drive firing motion and a staple drive retraction motion;

an elongate shaft assembly coupled to said handle assembly and said staple drive member and configured to transmit said staple drive firing motions and said staple drive retraction motions to said staple drive member, said elongate shaft assembly axially supporting said closure shaft assembly therein;

a knife operably mounted within said staple drive member;

wherein said closure assembly comprises;

a closure knob operably supported by said handle assembly for rotation in said first direction and said second direction;

a closure nut assembly rotatably supported within said handle assembly and in driving engagement with said closure shaft assembly; and

a slip clutch assembly cooperating with said closure knob and said closure nut assembly such that upon rotatable activation of said closure knob in said first direction, said closure nut assembly axially moves said closure shaft assembly in said distal direction and upon rotatable activation of said closure knob in said second direction, said slip clutch assembly transmits rotatable motion in said second direction to said closure nut assembly to cause said closure nut assembly to move said adjustment shaft in said proximal direction until said predetermined amount of compression has been attained; and

wherein said slip clutch assembly comprises;

a first friction pad supported by said closure knob;

a clutch hub rotatably supported by said closure knob and coupled to said closure nut assembly for transmitting the rotational motion in the first and second directions thereto; and

a second friction pad supported by said clutch hub in frictional engagement with said first friction pad such that rotation of said closure knob in said second rotational direction causes said clutch hub and said closure nut assembly to rotate in said second rotational direction to draw said closure shaft assembly and said anvil in said proximal direction until said predetermined amount of compression is achieved whereby further rotation of said closure knob causes said first friction pad to slip relative to said second friction pad.

6. The circular stapling device of claim 5 further comprising a biasing member supported in one of said clutch hub and said closure knob for biasing said first and second friction pads into said frictional engagement.

7. The circular stapling device of claim 5 wherein a portion of said closure knob is configured to positively engage another portion of said clutch hub when said closure knob is rotated in first rotational direction and disengage therefrom when said closure knob is rotated in said second rotational direction.

8. The circular stapling device of claim 7 wherein said portion of said closure knob comprises ratchet teeth formed thereon and wherein said another portion of said clutch hub comprises engagement teeth formed on said clutch hub.