Circular surgical stapling instrument with anvil locking system

• US 8,066,167 B2
• Filed: 03/23/2009
• Issued: 11/29/2011
• Est. Priority Date: 03/23/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Killinger, Scott B., Jamison, Barry T., Chin, Wai N., Koplin, Randall S., Tsonton, Mark, Measamer, John P., Molitor, Nicholas G.
• Primary Examiner(s): Rada; Rinaldi
• Assistant Examiner(s): Weeks; Gloria R
• Application Number:
  US12/408,905
• Publication Number:
  US 20100237132A1
• Time in Patent Office: 981 Days
• Field of Search: 227/19, 227/175.2, 227/175.3, 227/179.1, 227/182.1
• US Class Current: 227/175.2
• 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 17/115 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 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for

Abstract

Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of anvil locking systems designed to selectively prevent the anvil from moving axially relative to the stapling head of the stapling instrument. One embodiment employs an elongated gear rack that is selectively engagable with locking gears to prevent axial motion of the elongated gear rack and an adjustment shaft used to axially position the anvil. Other embodiments employ a gear assembly that cooperates with the elongated gear rack. A locking member is movably supported by a handle assembly that houses the gear assembly and elongated gear rack. The locking member is configured for selective meshing engagement with the gear assembly to ultimately prevent axial movement of the gear rack and adjustment shaft.

Claims

1. A surgical stapling instrument, comprising:

a handle assembly;

a shaft assembly coupled to said handle assembly;

a stapling head assembly operably coupled to said shaft assembly, said stapling head assembly comprising;

a staple cartridge for supporting one or more surgical staples;

a staple driver for engaging and driving the staples from said staple cartridge; and

a knife movably supported in said stapling head assembly;

a drive system for applying drive motions to said staple driver and said knife;

an anvil movably supported relative to said staple cartridge for axial movement toward and away from said staple cartridge;

an anvil adjustment assembly for selectively adjusting an axial position of the anvil relative to the staple cartridge, said anvil adjustment assembly comprising;

an adjustment shaft movably supported by said handle assembly for selective axial travel therethrough; and

a trocar portion coupled to said adjustment shaft for axial travel therewith, said trocar portion configured for removable attachment to said anvil and wherein said surgical stapling instrument further comprises;

a force measurement system operably interfacing with said anvil adjustment assembly for measuring an amount of compression force applied to tissue clamped between said anvil and said staple cartridge; and

an anvil locking system configured to cooperate with said anvil adjustment assembly to selectively lock and unlock the anvil in axial position relative to said staple cartridge, said anvil locking system comprising;

an elongated gear rack coupled to one of said adjustment shaft and said trocar portion; and

a locking assembly pivotally coupled to said handle assembly and configured to pivot between positions wherein said lockinq assembly retainingly engages said elongated gear rack and a position wherein said locking assembly does not engage said elongated gear rack.

2. The surgical stapling instrument of claim 1 wherein said locking assembly comprises:

a first locking gear in meshing engagement with said elongated gear rack; and

a second locking gear movably supported relative to said elongated gear rack for selectively meshing engagement therewith while being in meshing engagement with said first locking gear.

3. The surgical stapling instrument of claim 2 wherein said first and second locking gears are operably supported in a locking yoke pivotally supported relative to said handle assembly.

4. The surgical stapling instrument of claim 3, wherein said locking yoke has a actuation lever protruding therefrom.

5. A circular surgical stapling instrument, comprising:

a handle assembly;

a stapling head assembly operably coupled to said handle assembly;

an anvil movably supported relative to said stapling head assembly for selective axial travel toward and away from said stapling head assembly;

an anvil adjustment assembly supported by said handle assembly for selectively adjusting an axial position of the anvil relative to the staple cartridge, said anvil adjustment assembly comprising;

an adjustment shaft movably supported by said handle assembly for selective axial travel therethrough; and

a trocar portion coupled to said adjustment shaft for axial travel therewith, said trocar portion configured for removable attachment to said anvil, and wherein said circular surgical stapling instrument further comprises;

a force measurement system operably interfacing with said anvil adjustment assembly for measuring an amount of compression force applied to tissue clamped between said anvil and said stapling head; and

an anvil locking system configured to cooperate with said anvil adjustment assembly to selectively lock and unlock the anvil in axial positions relative to said stapling head, said anvil locking system comprising;

an elongated gear rack coupled to one of said adjustment shaft and said trocar portion; and

a locking assembly pivotally coupled to said handle assembly and configured to pivot between positions wherein said locking assembly retainingly engages said elongated gear rack and a position wherein said locking assembly does not engage said elongated gear rack.

6. The surgical stapling instrument of claim 5 wherein said locking assembly comprises:

a first locking gear in meshing engagement with said elongated gear rack; and

a second locking gear movably supported relative to said elongated gear rack for selectively meshing engagement therewith while being in meshing engagement with said first locking gear.

7. The surgical stapling instrument of claim 6 wherein said first and second locking gears are operably supported in a locking yoke pivotally supported relative to said handle assembly.

8. The surgical stapling instrument of claim 7, wherein said locking yoke has a actuation lever protruding therefrom.

9. A surgical stapling instrument, comprising:

a handle assembly;

a shaft assembly coupled to said handle assembly;

a stapling head assembly operably coupled to said shaft assembly, said stapling head assembly comprising;

a staple cartridge for supporting one or more surgical staples;

a staple driver for engaging and driving the staples from said staple cartridge; and

a knife movably supported in said stapling head assembly;

a drive system for applying drive motions to said staple driver and said knife;

an anvil movably supported relative to said staple cartridge for axial movement toward and away from said staple cartridge;

an anvil adjustment assembly for selectively adjusting an axial position of the anvil relative to the staple cartridge, said anvil adjustment assembly comprising;

an adjustment shaft movably supported by said handle assembly for selective axial travel therethrough; and

a trocar portion coupled to said adjustment shaft for axial travel therewith, said trocar portion configured for removable attachment to said anvil and wherein said surgical stapling instrument further comprises;

a force measurement system operably interfacing with said anvil adjustment assembly for measuring an amount of compression force applied to tissue clamped between said anvil and said staple cartridge; and

an anvil locking system configured to cooperate with said anvil adjustment assembly to selectively lock and unlock the anvil in axial position relative to said staple cartridge, said anvil locking system comprising;

an elongated gear rack; and

a gear assembly in meshing engagement with said elongated gear rack and further oriented for selective engagement with a second locking member pivotally coupled to said handle assembly and configured to pivot between positions wherein said second locking member retainingly engages said elongated gear rack and a position wherein said second locking member does not engage said elongated gear rack.

10. The surgical stapling instrument of claim 9 wherein said gear assembly comprises:

a first gear in meshing engagement with said elongated gear rack;

a second gear coupled to said first gear;

a third gear in meshing engagement with said elongated gear rack and said second gear;

a fourth gear coupled to said third gear;

a fifth gear in meshing engagement with said fourth gear; and

a sixth gear coupled to said fifth gear and oriented for selective meshing engagement with said second locking member.

11. The surgical stapling instrument of claim 10 wherein said second locking member comprises:

a locking lever pivotally supported on said handle assembly; and

at least one locking tooth formed on said locking lever.

12. A circular surgical stapling instrument, comprising:

a handle assembly;

a stapling head assembly operably coupled to said handle assembly;

an anvil movably supported relative to said stapling head assembly for selective axial travel toward and away from said stapling head assembly;

an anvil adjustment assembly supported by said handle assembly for selectively adjusting an axial position of the anvil relative to the staple cartridge, said anvil adjustment assembly comprising;

an adjustment shaft movably supported by said handle assembly for selective axial travel therethrough; and

a trocar portion coupled to said adjustment shaft for axial travel therewith, said trocar portion configured for removable attachment to said anvil, and wherein said circular surgical stapling instrument further comprises;

a force measurement system operably interfacing with said anvil adjustment assembly for measuring an amount of compression force applied to tissue clamped between said anvil and said stapling head; and

an anvil locking system configured to cooperate with said anvil adjustment assembly to selectively lock and unlock the anvil in axial positions relative to said stapling head, said anvil locking system comprising;

an elongated gear rack; and

a gear assembly in meshing engagement with said elongated gear rack and selective engagement with a locking assembly pivotally coupled to said handle assembly and configured to pivot between positions wherein said locking assembly retainingly engages said elongated gear rack and a position wherein said locking assembly does not engage said elongated gear rack.

13. The surgical stapling instrument of claim 12 wherein said gear assembly comprises:

a first gear in meshing engagement with said elongated gear rack;

a second gear coupled to said first gear;

a third gear in meshing engagement with said elongated gear rack and said second gear;

a fourth gear coupled to said third gear;

a fifth gear in meshing engagement with said fourth gear; and

a sixth gear coupled to said fifth gear and oriented for selective meshing engagement with said second locking member.

14. A surgical circular stapling instrument, comprising:

a stapling head assembly;

an anvil movably supported relative to said stapling head assembly for axial movement toward and away from said stapling head by an adjustment shaft interfacing with said anvil;

a force measurement system operably interfacing with said anvil and said adjustment shaft for measuring an amount of compression force applied to tissue clamped between said anvil and said stapling head assembly;

an elongated gear rack coupled to said adjustment shaft; and

a locking assembly configured to move between positions wherein said locking assembly retainingly engages said elongated gear rack to prevent further axial movement of said adjustment shaft and a position wherein said locking assembly does not engage said elongated gear rack to allow axial movement of said adjustment shaft.