Surgical stapling instrument with improved firing trigger arrangement

• US 8,540,129 B2
• Filed: 07/26/2010
• Issued: 09/24/2013
• Est. Priority Date: 02/13/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Baxter, Chester O. III, Bedi, James J.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US12/843,436
• Publication Number:
  US 20110011914A1
• Time in Patent Office: 1,156 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/180.1, 227/178.1
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston

Abstract

A surgical stapling instrument including an actuator knob which can be moved from one side of the stapling instrument to another side in order to reposition the actuator knob without having to reposition the stapling instrument within a surgical site. A stapling instrument can include a pusher bar, a housing having a first side and a second side, and an actuator knob rotatably mounted to the pusher bar wherein the actuator knob can be configured to be rotated between a first position in which the actuator knob can be moved along the first side of the housing and a second position where the actuator knob can be moved along a second side of the housing. Alternatively, a surgical stapling instrument can comprise one or more actuator knobs which can be operably engaged and disengaged with a pusher bar in order to selectively utilize the actuator knobs.

Claims

1. A surgical stapling instrument, comprising:

a housing having a first side and a second side;

a first jaw member configured to operably support a staple cartridge having at least two rows of staples stored therein, wherein at least one of said first jaw member and the staple cartridge is configured to slidably support a staple driver configured to deploy the staples from the staple cartridge;

a second jaw member configured to operably support an anvil configured to deform the staples when the staples are deployed from the staple cartridge;

a pusher bar configured to move the staple driver relative to said first jaw member and said second jaw member; and

an actuator knob configured to receive a force thereto, wherein said actuator knob is rotatably mounted to said pusher bar, wherein said actuator knob is configured to be rotated between a first position and a second position, wherein said actuator knob is configured to be moved along said first side and not along said second side when said actuator knob is in said first position, and wherein said actuator knob is configured to be moved along said second side and not along said first side when said actuator knob is in said second position.

2. The surgical stapling instrument of claim 1, wherein said housing further includes:

a first slot defined within said first side, wherein said actuator knob is configured to slide within said first slot when said actuator knob is in said first position; and

a second slot defined within said second side, wherein said actuator knob is configured to slide within said second slot when said actuator knob is in said second position.

3. The surgical stapling instrument of claim 2, wherein said housing further comprises a third slot connecting said first slot and said second slot, and wherein said actuator knob is configured to slide within said third slot to selectively move said actuator knob between said first position and said second position.

4. The surgical stapling instrument of claim 3, wherein said third slot is substantially co-planar with said first slot and said second slot.

5. The surgical stapling instrument of claim 3, wherein said third slot is one of perpendicular to and transverse to said first slot and said second slot.

6. The surgical stapling instrument of claim 2, wherein said first slot is substantially parallel to said second slot.

7. The surgical stapling instrument of claim 1, wherein said pusher bar defines an elongate axis, and wherein said actuator knob is rotatable about said axis.

8. The surgical stapling instrument of claim 1, wherein said first side is substantially parallel to said second side.

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

said anvil;

said staple cartridge;

said staple driver; and

a cutting member operably engaged with said staple driver.

10. A surgical stapling instrument, comprising:

a housing having a first slot and a second slot;

a first jaw member configured to operably support a staple cartridge having at least two rows of staples stored therein, wherein at least one of said first jaw member and the staple cartridge is configured to slidably support a staple driver configured to deploy the staples from the staple cartridge, and wherein said first jaw member includes a distal end;

a second jaw member configured to operably support an anvil configured to deform the staples when the staples are deployed from the staple cartridge, wherein said second jaw member includes a distal end;

a pusher bar configured to move the staple driver relative to said first jaw member and said second jaw member; and

an actuator knob extending from said pusher bar, wherein said actuator knob is configured to be selectively positioned within one of said first slot and said second slot and moved toward said distal ends of said first and second jaw members such that said actuator knob is not concurrently positioned within said first slot and said second slot.

11. The surgical stapling instrument of claim 10, wherein said housing further comprises a third slot connecting said first slot and said second slot, and wherein said actuator knob is configured to slide within said third slot to be selectively positioned within said first slot and said second slot.

12. The surgical stapling instrument of claim 11, wherein said third slot is substantially co-planar with said first slot and said second slot.

13. The surgical stapling instrument of claim 11, wherein said third slot is one of perpendicular to and transverse to said first slot and said second slot.

14. The surgical stapling instrument of claim 10, wherein said first slot is substantially parallel to said second slot.

15. A surgical stapling instrument, comprising:

a housing;

a first jaw member configured to operably support a staple cartridge having at least two rows of staples stored therein, wherein at least one of said first jaw member and the staple cartridge is configured to slidably support a staple driver configured to deploy the staples from the staple cartridge;

a second jaw member configured to operably support an anvil configured to deform the staples when the staples are deployed from the staple cartridge;

a pusher bar configured to move the staple driver relative to said first jaw member and said second jaw member; and

an actuator knob selectively engageable with said pusher bar, wherein said actuator knob is rotatable between a first position and a second position, wherein said actuator knob is operably disengaged from said pusher bar when it is in said first position such that said pusher bar is structured to move relative to said actuator knob, and wherein said actuator knob is operably engaged with said pusher bar when it is in said second position such that said pusher bar is structured to move with said actuator knob.

16. The surgical stapling instrument of claim 15, wherein said actuator knob is a first actuator knob, and wherein said surgical stapling instrument further comprises a second actuator knob selectively engageable with said pusher bar, wherein said second actuator knob is rotatable between a first position and a second position, wherein said second actuator knob is operably disengaged from said pusher bar when it is in said first position, and wherein said second actuator knob is operably engaged with said pusher bar when it is in said second position.

17. The surgical stapling instrument of claim 16, wherein said first actuator knob can be engaged with said pusher bar independently of said second actuator knob.

18. The surgical stapling instrument of claim 16, wherein said housing further includes:

a first slot defined within said housing, wherein said first actuator knob is configured to slide within said first slot to move said pusher bar toward said first and second jaw members; and

a second slot defined within said housing, wherein said actuator knob is configured to slide within said second slot to move said pusher bar toward said first and second jaw members.

19. The surgical stapling instrument of claim 15, wherein said pusher bar includes a first clutch feature, and wherein said actuator knob includes a second clutch feature configured to engage said first clutch feature to operably engage said actuator knob with said pusher bar when said actuator knob is in said second position.

20. The surgical stapling instrument of claim 19, wherein said first clutch feature includes a groove and said second clutch feature includes a projection configured to be received within said groove.