Surgical stapling instrument with an articulating end effector

• US 7,549,564 B2
• Filed: 06/22/2007
• Issued: 06/23/2009
• Est. Priority Date: 06/22/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Boudreaux, Chad P.
• Primary Examiner(s): Nash; Brian D
• Application Number:
  US11/821,455
• Publication Number:
  US 20080314956A1
• Time in Patent Office: 732 Days
• Field of Search: 227/175.1, 227/19, 227/175.2, 227/178.1, 227/179.1, 227/180.1, 227/182.1
• US Class Current: 227/179.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/2913 cams or guiding means
• CPC Class Codes: A61B 2017/2916 pins in guiding slots
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• 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 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2946 Locking means

Abstract

A surgical instrument including a shaft assembly and an end effector, where the end effector can be moved relative to the shaft assembly. The shaft assembly can include a lock member selectively engageable with the end effector to limit, or prevent, relative movement therebetween. In at least one embodiment, the end effector can include a lock member having a plurality of teeth and/or a plurality of recesses, where the shaft assembly lock member can engage the teeth and/or recesses to fix the relative position between the end effector and shaft assembly. In various embodiments, the teeth can be positioned between first and second surfaces of the end effector lock member to reduce the possibility that the teeth can impinge on soft tissue surrounding the lock member. In other embodiments, the teeth can be beveled in order to allow the teeth to slide relative to the soft tissue.

Claims

1. A surgical instrument, comprising:

a shaft;

an end effector;

a joint connecting said shaft and said end effector, wherein said end effector is movable relative to said shaft about said joint, wherein said joint includes a first joint member and a second joint member, wherein one of said first joint member and second joint member is mounted to said end effector and the other of said first joint member and said second joint member is mounted to said shaft, wherein said first joint member is movable relative to said second joint member about an axis of rotation, and wherein said first joint member comprises;

a first portion comprising a first perimeter;

a second portion comprising a second perimeter, wherein said second perimeter is different than said first perimeter;

a first tooth, wherein said first tooth is positioned intermediate said first portion and said second portion;

a second tooth;

a recess defined between said first tooth and second tooth, wherein said recess is positioned intermediate said first portion and said second portion;

a locking mechanism, wherein said locking mechanism is configured to engage at least one of said first tooth and said second tooth to limit relative movement between said end effector and said shaft.

2. The surgical instrument of claim 1, wherein said first tooth defines a first axis, and wherein said first axis extends between said first portion and said second portion in a direction which is not perpendicular to a plane defined by said first perimeter.

3. The surgical instrument of claim 1, wherein said first tooth defines a first axis, and wherein said first axis extends between said first portion and said second portion in a direction which is not parallel to said axis of rotation.

4. The surgical instrument of claim 1, wherein a first intersection between said first tooth and said first portion defines a first point, wherein a second intersection between said first tooth and said second portion defines a second point, and wherein said first point is further away from said axis of rotation than said second point.

5. The surgical instrument of claim 4, wherein said first tooth does not extend beyond said first perimeter.

6. The surgical instrument of claim 1, wherein said first perimeter can define a first plane, wherein said second perimeter can define a second plane, and wherein said first tooth and said recess can be positioned intermediate said first plane and said second plane.

9. A method for processing an instrument for surgery, the method comprising:

obtaining the surgical instrument of claim 1;

sterilizing the surgical instrument; and

storing the surgical instrument in a sterile container.

7. A surgical instrument, comprising:

a shaft;

an end effector;

a joint connecting said shaft and said end effector, wherein said end effector is movable relative to said shaft about said joint, wherein said joint includes a first joint member and a second joint member, wherein one of said first joint member and second joint member is mounted to said end effector and the other of said first joint member and said second joint member is mounted to said shaft, wherein said first joint member is movable relative to said second joint member about an axis of rotation, and wherein said first joint member comprises;

a first portion comprising a first perimeter;

a second portion comprising a second perimeter, wherein said second perimeter is different than said first perimeter;

a first tooth, wherein said first tooth is positioned intermediate said first portion and said second portion;

a second tooth;

a recess defined between said first tooth and second tooth, wherein said recess is positioned intermediate said first portion and said second portion;

a locking means for selectively engaging at least one of said first tooth and said second tooth to prevent relative movement between said end effector and said shaft.

8. A surgical instrument, comprising:

a shaft;

an end effector;

a joint connecting said shaft and said end effector, wherein said end effector is movable relative to said shaft about said joint, wherein said joint includes a first joint member and a second joint member, wherein one of said first joint member and second joint member is mounted to said end effector and the other of said first joint member and said second joint member is mounted to said shaft, wherein said first joint member is movable relative to said second joint member about an axis of rotation, and wherein said first joint member comprises;

a first portion comprising a first perimeter;

a second portion comprising a second perimeter, wherein said second perimeter is different than said first perimeter;

a first tooth, wherein said first tooth is positioned intermediate said first portion and said second portion;

a second tooth;

a recess defined between said first tooth and second tooth, wherein said recess is positioned intermediate said first portion and said second portion;

a locking mechanism, wherein said locking mechanism is configured to engage said recess to limit relative movement between said end effector and said shaft.

10. A surgical instrument, comprising:

a shaft;

an end effector;

a joint connecting said shaft and said end effector, wherein said end effector is movable relative to said shaft about said joint, wherein said joint includes a first joint member and a second joint member, wherein one of said first joint member and second joint member is mounted to said end effector and the other of said first joint member and said second joint member is mounted to said shaft, wherein said first joint member is movable relative to said second joint member about an axis of rotation, and wherein said first joint member comprises;

a first surface;

a second surface;

a first tooth;

a second tooth; and

a recess defined between said first tooth and said second tooth, wherein said recess is positioned intermediate said first surface and said second surface; and

a locking mechanism, wherein said locking mechanism is configured to engage at least one of said first tooth and said second tooth to limit relative movement between said end effector and said shaft.

11. The surgical instrument of claim 10, wherein said first surface includes a first perimeter, wherein said second surface includes a second perimeter, and wherein said first tooth does not extend beyond said first perimeter and said second perimeter.

12. The surgical instrument of claim 11, wherein said second tooth does not extend beyond said first perimeter and said second perimeter.

13. The surgical instrument of claim 10, wherein said first surface includes a first perimeter, wherein said second surface includes a second perimeter, wherein said first perimeter and said second perimeter define an outer surface therebetween, and wherein said recess is defined in said outer surface.

14. A method for processing an instrument for surgery, the method comprising:

obtaining the surgical instrument of claim 10;

sterilizing the surgical instrument; and

storing the surgical instrument in a sterile container.

15. A surgical instrument, comprising;

a shaft;

an end effector;

a joint connecting said shaft and said end effector, wherein said end effector is movable relative to said shaft about said joint, wherein said joint includes a first joint member and a second joint member, wherein one of said first joint member and second joint member is mounted to said end effector and the other of said first joint member and said second joint member is mounted to said shaft, wherein said first joint member is movable relative to said second joint member about an axis of rotation, and wherein said first joint member comprises;

a first surface;

a second surface;

a first recess;

a second recess; and

a tooth defined between said first recess and second recess, wherein said tooth is at least partially positioned intermediate said first surface and said second surface; and

a locking mechanism, wherein said locking mechanism is configured to engage said tooth to limit relative movement between said end effector and said shaft.

16. The surgical instrument of claim 15, wherein said first surface includes a first perimeter, wherein said second surface includes a second perimeter, and wherein said tooth does not extend beyond said first perimeter and said second perimeter.

17. The surgical instrument of claim 15, wherein said first surface includes a first perimeter, wherein said second surface includes a second perimeter, wherein said first perimeter and said second perimeter define an outer surface therebetween, and wherein said first and second recesses are defined in said outer surface.

18. A method for processing an instrument for surgery, the method comprising:

obtaining the surgical instrument of claim 15;

sterilizing the surgical instrument; and

storing the surgical instrument in a sterile container.

19. A surgical instrument, comprising:

a shaft;

an end effector;

a joint connecting said shaft and said end effector, wherein said end effector is movable relative to said shaft about said joint, wherein said joint includes a first joint member and a second joint member, wherein one of said first joint member and second joint member is mounted to said end effector and the other of said first joint member and said second joint member is mounted to said shaft, wherein said first joint member is movable relative to said second joint member about an axis of rotation, and wherein said first joint member comprises;

a first surface;

a second surface;

a first tooth;

a second tooth;

a recess defined between said first tooth and said second tooth, wherein said recess is positioned intermediate said first surface and said second surface;

locking means for selectively engaging at least one of said first tooth and said second tooth to prevent relative movement between said end effector and said shaft.

20. A surgical instrument, comprising:

a shaft;

an end effector;

a joint connecting said shaft and said end effector, wherein said end effector is movable relative to said shaft about said joint, wherein said joint includes a first joint member and a second joint member, wherein one of said first joint member and second joint member is mounted to said end effector and the other of said first joint member and said second joint member is mounted to said shaft, wherein said first joint member is movable relative to said second joint member about an axis of rotation, and wherein said first joint member comprises;

a first surface;

a second surface;

a first tooth;

a second tooth; and

a recess defined between said first tooth and said second tooth, wherein said recess is positioned intermediate said first surface and said second surface; and

a locking mechanism, wherein said locking mechanism is configured to engage said recess to limit relative movement between said end effector and said shaft.

21. A surgical instrument, comprising:

a shaft;

an end effector;

a joint connecting said shaft and said end effector, wherein said end effector is movable relative to said shaft about said joint, wherein said joint includes a first joint member and a second joint member, wherein one of said first joint member and second joint member is mounted to said end effector and the other of said first joint member and said second joint member is mounted to said shaft, wherein said first joint member is movable relative to said second joint member about an axis of rotation, and wherein said first joint member comprises;

a first surface;

a second surface;

a first recess;

a second recess; and

a tooth defined between said first recess and second recess, wherein said tooth is at least partially positioned intermediate said first surface and said second surface; and

locking means for selectively engaging at least one of said first recess and said second recess to prevent relative movement between said end effector and said shaft.

22. A surgical instrument, comprising:

a shaft;

an end effector;

a joint connecting said shaft and said end effector, wherein said end effector is movable relative to said shaft about said joint, wherein said joint includes a first joint member and a second joint member, wherein one of said first joint member and second joint member is mounted to said end effector and the other of said first joint member and said second joint member is mounted to said shaft, wherein said first joint member is movable relative to said second joint member about an axis of rotation, and wherein said first joint member comprises;

a first surface;

a second surface;

a first recess;

a second recess; and

a tooth defined between said first recess and second recess, wherein said tooth is at least partially positioned intermediate said first surface and said second surface; and

a locking mechanism, wherein said locking mechanism is configured to engage at least one of said first recess and said second recess to limit relative movement between said end effector and said shaft.