Surgical stapling instrument with a firing member return mechanism

• US 8,333,313 B2
• Filed: 06/03/2011
• Issued: 12/18/2012
• 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., Pastorelli, Alessandro
• Primary Examiner(s): Nash, Brian D
• Assistant Examiner(s): Lopez, Michelle
• Application Number:
  US13/152,952
• Publication Number:
  US 20110233258A1
• Time in Patent Office: 564 Days
• Field of Search: 227/175.1, 227/176.1, 227/180.1, 227/19
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• 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
• 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 instrument including a firing drive configured to selectively advance a firing member and/or cutting member relative to an end effector and, in addition, a reversing drive configured to selectively retract the firing member and/or cutting member relative to the end effector.

Claims

1. A surgical instrument, comprising:

an end effector;

a firing member;

a trigger;

a firing drive selectively engageable with said firing member, wherein said firing drive comprises;

a rack, and wherein said rack comprises;

a first drive portion, wherein said firing drive is configured to engage said first drive portion and advance said firing member relative to said end effector upon a first actuation of said trigger; and

a second drive portion, wherein said firing drive is configured to engage said second drive portion and advance said firing member relative to said end effector upon a second actuation of said trigger; and

a rotatable portion configured to be rotated a first amount during said first actuation of said trigger and a second amount during said second actuation of said trigger, wherein said rotatable portion comprises a key positionable in an initial position, and wherein said rotatable portion may be configurable in an activated configuration and a deactivated configuration;

a reversing drive selectively engageable with said rack, wherein said reversing drive is configured to retract said rack and said firing member relative to said end effector upon a subsequent actuation of said trigger, and wherein said subsequent actuation is subsequent to said second actuation; and

an indexing member, said indexing member comprising;

a first stop, wherein said key is configured to rotate past said first stop into a first position during said first actuation of said trigger, and wherein said first stop is configured to prevent said key from returning to said initial position when said rotatable portion is in said activated configuration; and

a second stop, wherein said key is configured to rotate past said second stop into a second position during said second actuation of said trigger, wherein said second stop is configured to prevent said key from returning to said first position when said rotatable portion is in said activated configuration, and wherein said key is configured to rotate past said second stop and said first stop when said rotatable portion is in said deactivated configuration and said key is returned to said initial position.

2. The surgical instrument of claim 1, further comprising a frame, wherein said indexing member is mounted to said frame, and wherein said indexing member is configured to rotate relative to said frame when said key is moved from said initial position to said first position and from said first position to said second position.

3. The surgical instrument of claim 2, wherein said frame comprises a recess, and wherein said indexing member is movably positioned in said recess.

4. The surgical instrument of claim 2, wherein said indexing member comprises a spring mounted to said frame.

5. The surgical instrument of claim 4, wherein said spring is configured to be deflected by said key when said rotatable portion is moved from said initial position to said first position and from said first position to said second position.

6. The surgical instrument of claim 1, wherein said indexing member comprises a plate, a first aperture, and a second aperture, wherein said key is positioned within said first aperture when said key is in said first position, and wherein said key is positioned within said second aperture when said key is in said second position.

7. The surgical instrument of claim 6, wherein a sidewall of said first aperture defines said first stop and a sidewall of said second aperture defines said second stop.

8. The surgical instrument of claim 6, further comprising a frame, wherein said plate comprises a cantilever including a fixed end mounted to said frame and a movable end movable relative to said fixed end.

9. The surgical instrument of claim 1, further comprising:

a frame, wherein said indexing member comprises a plate mounted to said frame; and

at least one spring positioned between said plate and said frame, wherein said spring is configured to bias said plate toward said key.

10. The surgical instrument of claim 1, wherein said rack comprises a third drive portion, wherein said firing drive is configured to engage said third drive portion and advance said firing member relative to said end effector upon a third actuation of said trigger, wherein said subsequent actuation is subsequent to said third actuation, wherein said indexing member comprises a third stop, wherein said key is configured to rotate past said third stop into a third position during said third actuation of said trigger, wherein said third stop is configured to prevent said key from returning to said second position when said rotatable portion is in said activated configuration, and wherein said key is configured to rotate past said third stop when said rotatable portion is in said deactivated configuration and said key is returned toward said initial position.

11. A surgical instrument, comprising:

a shaft comprising a distal end;

a firing member;

a trigger;

a firing drive selectively engageable with said firing member, wherein said firing drive comprises;

a first drive portion, wherein said firing drive is configured to engage said first drive portion and advance said firing member relative to said distal end upon a first actuation of said trigger;

a second drive portion, wherein said firing drive is configured to engage said second drive portion and advance said firing member relative to said distal end upon a second actuation of said trigger; and

a rotatable portion configured to be rotated a first amount during said first actuation of said trigger and a second amount during said second actuation of said trigger, wherein said rotatable portion comprises a key positionable in an initial position;

a reversing drive selectively engageable with said firing member, wherein said reversing drive is configured to retract said firing member relative to said distal end upon a subsequent actuation of said trigger, and wherein said subsequent actuation is subsequent to said second actuation; and

a holding member, comprising;

a first backstop, wherein said key is configured to rotate past said first backstop into a first position during said first actuation of said trigger, and wherein said first backstop is configured to prevent said key from returning to said initial position prior to said reversing drive being engaged with said firing member; and

a second backstop, wherein said key is configured to rotate past said second backstop into a second position during said second actuation of said trigger, wherein said second backstop is configured to prevent said key from returning to said first position prior to said reversing drive being engaged with said firing member, and wherein said reversing drive is configured to disengage said key from said holding member when said reversing drive is engaged with said firing member.

12. The surgical instrument of claim 11, further comprising a frame, wherein said holding member is mounted to said frame, and wherein said holding member is configured to rotate relative to said frame when said key is moved from said initial position to said first position and from said first position to said second position.

13. The surgical instrument of claim 12, wherein said holding member comprises a spring mounted to said frame.

14. The surgical instrument of claim 13, wherein said spring is configured to be deflected by said key when said rotatable portion is moved from said initial position to said first position and from said first position to said second position.

15. The surgical instrument of claim 11, wherein said holding member comprises a plate, a first aperture, and a second aperture, wherein said key is positioned within said first aperture when said key is in said first position, and wherein said key is positioned within said second aperture when said key is in said second position.

16. The surgical instrument of claim 15, wherein a sidewall of said first aperture defines said first backstop and a sidewall of said second aperture defines said second backstop.

17. The surgical instrument of claim 11, wherein said firing drive comprises a third drive portion, wherein said firing drive is configured to engage said third drive portion and advance said firing member relative to said distal end upon a third actuation of said trigger, wherein said subsequent actuation is subsequent to said third actuation, wherein said holding member comprises a third backstop, wherein said key is configured to rotate past said third backstop into a third position during said third actuation of said trigger, and wherein said third backstop is configured to prevent said key from returning to said second position prior to said reversing drive being engaged with said firing member.

18. A surgical instrument comprising:

a distal end;

a firing member, wherein said firing member is configured to move toward said distal end during a plurality of firing strokes, and wherein said plurality of firing strokes comprises a first firing stroke and a second firing stroke;

a firing drive, wherein said firing drive is configured to selectively engage said firing member and to actuate said plurality of firing strokes;

a key positionable in an initial configuration, wherein said key is configured to rotate into a first position during said first firing stroke, and wherein said key is configured to rotate into a second position during said second firing stroke; and

a holding member comprising;

a first stop, wherein said first stop is configured to prevent said key from rotating to said initial position from said first position when said firing drive is engaged with said firing member; and

a second stop, wherein said second stop is configured to prevent said key from rotating to said first position from said second position when said firing drive is engaged with said firing member;

wherein said key is configured to overcome said first and second stops and return to said initial position when said firing drive is disengaged from said firing member.

19. The surgical instrument of claim 18, further comprising a frame, wherein said holding member is mounted to said frame, and wherein said holding member is deflectable relative to said frame when said key is moved from said initial position to said first position and from said first position to said second position.

20. The surgical instrument of claim 19, wherein said holding member comprises a spring mounted to said frame.

21. The surgical instrument of claim 20, wherein said spring is configured to be deformed when said key is rotated from said initial position to said first position and from said first position to said second position.

22. The surgical instrument of claim 18, wherein said holding member comprises a plate, a first aperture, and a second aperture, wherein said key is positioned within said first aperture when said key is in said first position, and wherein said key is positioned within said second aperture when said key is in said second position.

23. The surgical instrument of claim 22, wherein a sidewall of said first aperture defines said first stop and a sidewall of said second aperture defines said second stop.

24. The surgical instrument of claim 18, wherein said plurality of firing strokes comprises a third firing stroke, wherein said key is configured to rotate into a third position during said third firing stroke, wherein said holding member comprises a third stop, wherein said third stop is configured to prevent said key from rotating to said second position from said third position when said firing drive is engaged with said firing member, and wherein said key is configured to overcome said third stop when said firing drive is disengaged from said firing member.

25. A surgical instrument comprising:

a distal end;

a firing member, wherein said firing member is configured to move toward said distal end during a plurality of firing strokes, and wherein said plurality of firing strokes comprises a first firing stroke and a second firing stroke;

a key positionable in an initial configuration, wherein said key is configured to rotate into a first position during said first firing stroke, and wherein said key is configured to rotate into a second position during said second firing stroke; and

a holding member, wherein said key is configured to selectively engage said holding member, and wherein said holding member comprises;

a first stop, wherein said first stop is configured to prevent said key from rotating to said initial position from said first position when said key is engaged with said holding member; and

a second stop, wherein said second stop is configured to prevent said key from rotating to said first position from said second position when said key is engaged with said holding member;

wherein said key is configured to overcome said first and second stops and return to said initial position when said key is disengaged from said holding member.

26. The surgical instrument of claim 25, further comprising a frame, wherein said holding member is mounted to said frame, and wherein said holding member is deflectable relative to said frame when said key is moved from said initial position to said first position and from said first position to said second position.

27. The surgical instrument of claim 26, wherein said holding member comprises a spring mounted to said frame.

28. The surgical instrument of claim 27, wherein said spring is configured to be deformed when said key is rotated from said initial position to said first position and from said first position to said second position.

29. The surgical instrument of claim 25, wherein said holding member comprises a plate, a first aperture, and a second aperture, wherein said key is positioned within said first aperture when said key is in said first position, and wherein said key is positioned within said second aperture when said key is in said second position.

30. The surgical instrument of claim 29, wherein a sidewall of said first aperture defines said first stop and a sidewall of said second aperture defines said second stop.

31. The surgical instrument of claim 25, wherein said plurality of firing strokes comprises a third firing stroke, wherein said key is configured to rotate into a third position during said third firing stroke, wherein said holding member comprises a third stop, wherein said third stop is configured to prevent said key from rotating to said second position from said third position when said key is engaged with said holding member, and wherein said key is configured to overcome said third when said key is disengaged from said holding member.