Surgical cutting instrument with improved closure system

• US 7,588,176 B2
• Filed: 06/18/2007
• Issued: 09/15/2009
• Est. Priority Date: 06/18/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Timm, Richard W., Shelton, Frederick E. IV, Timperman, Eugene L., Fugikawa, Leslie M.
• Primary Examiner(s): Nash; Brian D
• Application Number:
  US11/820,119
• Publication Number:
  US 20080308607A1
• Time in Patent Office: 820 Days
• Field of Search: 227/176.1, 227/179.1, 227/180.1, 227/19
• US Class Current: 227/179.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/0069 with universal joint, cardan joint
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/2916 pins in guiding slots
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2934 arcuate shaped guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2017/2937 with flexible part
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2034/715 Cable tensioning mechanisms for removing slack

Abstract

Closure systems for applying a closure motion to an anvil assembly of a surgical instrument. In various embodiments, the surgical instrument includes a cable drive knife assembly and the anvil assembly thereof is moved to a closed position when contacted by a closure tube assembly that has a pushing force applied thereto. Other embodiments include closure systems that may be actuated by rotary motion. Various lockable articulation joints are also disclosed.

Claims

1. A surgical instrument comprising:

an elongate channel assembly constructed to operably support a staple cartridge assembly therein;

a knife assembly oriented for travel within said elongate channel assembly;

at least one cable operably interfacing with said knife assembly and a cable drive system for driving said knife assembly within said elongate channel assembly;

an anvil assembly movably coupled to said elongate channel assembly and being movable between open and closed positions; and

a closure tube assembly operably supported adjacent said elongate channel assembly for selectively applying a closing motion to said anvil assembly upon application of a pushing motion to said closure tube assembly, said closure tube assembly comprising;

a proximal closure tube segment interfacing with said closure tube drive system; and

a distal closure tube segment pivotally coupled to said proximal closure tube segment for selective pivotal travel about at least two axes that are orthogonal to each other relative to said proximal closure tube segment and oriented for selective contact with said anvil assembly to transfer said closing motion thereto.

2. The surgical instrument of claim 1 further comprising a closure tube drive system operably interfacing with a portion of said closure tube assembly to selectively apply said pushing motion thereto such that as said closure tube drive system applies said pushing motion to said closure tube assembly, said closure tube assembly applies said closing motion to said anvil assembly.

3. The surgical instrument of claim 1 wherein said distal closure tube segment is pivotally coupled to a central closure tube segment for selective pivotal travel relative thereto about at least one pivot axis and wherein said central closure tube segment is pivotally coupled to said proximal closure tube segment for selective pivotal travel relative thereto about at least one other pivot axis wherein said at least one pivot axis is orthogonal to said at least one other pivot axis.

4. 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 instrument in a sterile container.

5. A surgical instrument comprising:

an elongate channel assembly constructed to operably support a staple cartridge assembly therein;

a knife assembly oriented for travel within said elongate channel assembly;

a drive system for applying a driving motion to said knife assembly;

an anvil assembly movably coupled to said elongate channel assembly and being movable between open and closed positions;

a closure ring operably supported adjacent an end of said elongate channel assembly for selectively applying a closing motion to said anvil assembly;

a closure tube segment operably interfacing with said closure ring, such that upon application of an actuation motion to said closure tube segment, said closure ring is driven into closing contact with said anvil assembly; and

at least one pin protruding from said closure tube segment, said at least one pin being received in a corresponding slot in said closure ring such that, upon application of said actuation motion to said closure tube segment, said closure ring is moved in a distal direction into closing contact with said anvil assembly.

6. The surgical instrument of claim 5 wherein said actuation motion is a rotary motion.

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

obtaining the surgical instrument of claim 5;

sterilizing the surgical instrument; and

storing the instrument in a sterile container.

8. A surgical instrument comprising:

an elongate channel assembly constructed to operably support a staple cartridge assembly therein;

a knife assembly oriented for travel within said elongate channel assembly;

a drive system for applying a driving motion to said knife assembly;

an anvil assembly movably coupled to said elongate channel assembly and being movable between open and closed positions;

a closure ring operably supported adjacent an end of said elongate channel assembly for selectively applying a closing motion to said anvil assembly;

a closure tube segment operably interfacing with said closure ring, such that upon application of an actuation motion to said closure tube segment, said closure ring is driven into closing contact with said anvil assembly; and

a brake system operably interacting with said closure tube segment to selectively lock said closure tube segment in a desired position.

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

obtaining the surgical instrument of claim 8;

sterilizing the surgical instrument; and

storing the instrument in a sterile container.

10. A surgical instrument comprising:

an elongate channel assembly constructed to operably support a staple cartridge assembly therein;

a knife assembly oriented for travel within said elongate channel assembly;

a drive system for applying a driving motion to said knife assembly;

an anvil assembly movably coupled to said elongate channel assembly and being movable between open and closed positions;

a closure ring operably supported adjacent an end of said elongate channel assembly; and

a closure tube segment operably interfacing with said closure ring such that, upon application of a rotary motion to said closure tube segment, said closure ring is driven into closing contact with said anvil assembly and wherein said closure ring is configured to selectively apply a pulling motion to said anvil assembly upon application of another rotary motion to said closure tube assembly to thereby cause said anvil assembly to move to an open position.

11. 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 instrument in a sterile container.

12. A surgical instrument comprising:

an elongate channel assembly constructed to operably support a staple cartridge assembly therein;

a knife assembly oriented for travel within said elongate channel assembly;

a drive system for applying a driving motion to said knife assembly;

an anvil assembly movably coupled to said elongate channel assembly and being movable between open and closed positions;

a closure ring operably supported adjacent an end of said elongate channel assembly for selectively applying a closing motion to said anvil assembly; and

a closure tube segment threadably coupled to said closure ring such that, upon application of an actuation motion to said closure tube segment, said closure ring is driven into closing contact with said anvil assembly.

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

obtaining the surgical instrument of claim 12;

sterilizing the surgical instrument; and

storing the instrument in a sterile container.