Surgical stapling instrument with an articulatable end effector

• US 8,408,439 B2
• Filed: 04/22/2010
• Issued: 04/02/2013
• 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: Huang, Zhifan F., Boudreaux, Chad P., Bruewer, Dean B., Smith, David B., Huell, Joseph C.
• Primary Examiner(s): Nash, Brian D
• Assistant Examiner(s): Lopez, Michelle
• Application Number:
  US12/765,337
• Publication Number:
  US 20100264193A1
• Time in Patent Office: 1,076 Days
• Field of Search: 227/175.1, 227/176.1, 227/179.1, 227/180.1, 227/181.119
• US Class Current: 227/175.1
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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

In various embodiments, a surgical instrument can comprise an end effector including a channel configured to support a staple cartridge and, in addition, an anvil pivotable between open and closed positions relative to the staple cartridge channel. The surgical instrument can further comprise a closure tube configured to at least partially surround the anvil and the staple cartridge channel to hold the anvil in a closed position. The closure tube can extend around the anvil a greater distance than the staple cartridge channel. The surgical instrument can further comprise a shaft and, in addition, an articulation joint pivotably connecting the end effector to the shaft. The articulation joint can further comprise a floating guide member which can guidably support a knife bar extending into the end effector and, at the same time, move independently of the end effector and the shaft to provide such support.

Claims

1. A surgical stapler, comprising:

a channel configured to receive a staple cartridge comprising staples removably stored therein, wherein said channel comprises;

a distal end;

a proximal portion; and

a stop;

an anvil configured to deform staples ejected from the staple cartridge, wherein said anvil comprises a distal end and a proximal portion, wherein said proximal portion of said anvil is pivotably coupled to said proximal portion of said channel, and wherein said anvil is rotatable between an open position and a closed position; and

a closure member movable between a first position and a second position, wherein said closure member is configured to move said anvil between said open position and said closed position when said closure member is moved between said first position and said second position, and wherein said closure member comprises;

a body;

a first camming portion extending from said body a first distance toward said distal end of said channel, wherein said first camming portion is configured to be at least partially positioned around said anvil when said closure member is in said second position; and

a second camming portion extending from said body a second distance toward said distal end of said channel, wherein said first distance is larger than said second distance, and wherein said second camming portion is configured to be at least partially positioned around said channel and adjacent to said stop when said closure member is in said second position.

2. The surgical stapler of claim 1, further comprising a handle, a trigger, and a drive member operably coupled with said trigger and said closure member, wherein an actuation of said trigger is configured to move said closure member between said first position and said second position.

3. The surgical stapler of claim 1, further comprising said staple cartridge.

4. The surgical stapler of claim 1, wherein said anvil comprises an arcuate outer surface, and wherein said first camming portion comprises an arcuate inner portion configured to slide over said arcuate outer surface.

5. The surgical stapler of claim 4, wherein said channel comprises an arcuate outer surface, and wherein said second camming portion comprises an arcuate inner portion configured to slide over said arcuate outer surface of said channel.

6. The surgical stapler of claim 5, wherein said arcuate outer surface of said anvil at least substantially matches said arcuate inner portion of said of said first camming portion, and wherein said arcuate outer surface of said channel at least substantially matches said arcuate inner portion of said second camming portion.

7. The surgical stapler of claim 6, wherein said arcuate outer surface of said channel and said arcuate inner surface of said second camming portion form a close fit such that transverse movement between said closure member and said channel is substantially prevented.

8. The surgical stapler of claim 1, wherein said first camming portion is configured to exert a clamping force on said anvil when said closure member is in said second position.

9. A surgical stapler, comprising:

a shaft;

an end effector configured to articulate relative to said shaft at a pivot, wherein said end effector comprises;

an elongate channel configured to receive a staple cartridge, wherein said elongate channel comprises a perimeter that comprises a contact edge; and

an anvil pivotably coupled to said elongate channel and rotatable between an open position and a closed position, wherein said anvil comprises a perimeter; and

a closure member movable between a proximal position and a distal position, wherein said closure member is configured to move said anvil between said open position and said closed position when said closure member is moved between said proximal position and said distal position, and wherein said closure member comprises;

a first cam comprising a first distal end, wherein a first length is defined between said pivot and said first distal end when said closure member is in said distal position, wherein said first cam is configured to at least partially surround said perimeter of said anvil when said closure member is in said distal position; and

a second cam comprising a second distal end, wherein a second length is defined between said pivot and said second distal end when said closure member is in said distal position, wherein said first length is greater than said second length, and wherein said second cam is configured to at least partially surround said perimeter of said channel and to abut said contact edge when said closure member is in said distal position.

10. The surgical stapler of claim 9, further comprising said staple cartridge.

11. The surgical stapler of claim 9, wherein said closure member is tubular.

12. The surgical stapler of claim 11, wherein said closure member is configured to slide around at least a portion of said perimeter of said channel and said perimeter of said anvil when said closure member moves between said proximal position and said distal position.

13. The surgical stapler of claim 12, wherein said perimeter of said anvil comprises an arcuate outer surface, wherein said first cam comprises an arcuate inner portion that substantially matches said arcuate outer surface of said anvil, wherein said perimeter of said channel comprises an arcuate outer surface, and wherein said second cam comprises an arcuate inner portion that substantially matches said arcuate outer surface of said channel.

14. The surgical stapler of claim 9, wherein said first cam exerts a leveraging force on said anvil when said closure member is in said second position.

15. A surgical stapler, comprising:

an end effector comprising;

an elongate channel configured to receive a staple cartridge, wherein said elongate channel comprises a stop; and

an anvil pivotably coupled to said elongate channel and rotatable between an open position and a closed position; and

a closure member movable between a proximal position and a distal position, wherein said closure member is configured to move said anvil between said open position and said closed position when said closure member is moved between said proximal position and said distal position, and wherein said closure member comprises;

a first portion configured to at least partially surround said perimeter of said anvil and to extend longitudinally past said stop when said closure member is in said distal position; and

a second portion configured to at least partially surround said perimeter of said channel and not to extend longitudinally past said stop when said closure member is in said distal position.

16. The surgical stapler of claim 15, further comprising said staple cartridge.

17. The surgical stapler of claim 15, wherein said closure member is tubular.

18. The surgical stapler of claim 15, further comprising a handle, a trigger, and a drive member operably coupled to said trigger and said closure member, wherein an actuation of said trigger is configured to move said closure member between said proximal position and said distal position.

19. The surgical stapler of claim 18, wherein said end effector is configured to articulate relative to said handle.