Surgical stapling apparatus with load-sensitive firing mechanism

• US 8,584,919 B2
• Filed: 02/14/2008
• Issued: 11/19/2013
• Est. Priority Date: 02/14/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Hueil, Geoffrey C., Ortiz, Mark S., Hoffman, Douglas B., Weizman, Patrick A., Bruewer, Dean B., Shelton, Frederick E. IV, Blair, Gregory B., Boudreaux, Chad P.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US12/031,368
• Publication Number:
  US 20120286019A1
• Time in Patent Office: 2,105 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/180.1, 227/175.2, 606/139, 606/219
• US Class Current: 227/175.2
• 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 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00946 malleable
• 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 2017/320052 Guides for cutting instruments
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/0813 Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 50/00 Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers drapes specially adapted for instruments A61B46/10
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A surgical stapling apparatus having an end effector capable of performing a surgical procedure. The surgical stapling apparatus may include a driving pawl that interfaces with a manually actuatable handle. The driving pawl may have a pawl body with a driving tooth thereon that is configured to interact with an actuation shaft such that, as the manually actuatable handle is actuated, the driving tooth interacts with the actuation shaft to cause the actuation shaft to apply the actuation motions to an elongated body operably coupled to the end effector. When the end effector experiences a firing load that exceeds a predetermined magnitude of firing load, the driving tooth moves relative to the pawl body to disengage from the actuation shaft to prevent further transfer of the actuation motions to the elongated body even though the manually actuatable handle continues to be actuated.

Claims

1. A surgical instrument configured for use with an end effector capable of performing a surgical procedure, the surgical instrument comprising:

an elongated body operably interfacing with the end effector to transfer actuation motions thereto;

a manually actuatable handle for generating said actuation motions;

an actuation shaft operably interfacing with said elongated body and said manually actuatable handle to transfer said actuation motions generated by said manually actuatable handle to said elongated body; and

a driving pawl interfacing with said manually actuatable handle, said driving pawl having a pawl body with a driving tooth thereon configured to interact with said actuation shaft such that as said manually actuatable handle is actuated, said driving tooth interacts with said actuation shaft to cause said actuation shaft to apply said actuation motions to said elongated body and when the end effector interfacing with said elongated body experiences a firing load that exceeds a predetermined magnitude of firing load, said driving tooth moves relative to said pawl body to disengage from said actuation shaft to prevent further transfer of said actuation motions to said elongated body even though said manually actuatable handle continues to be actuated.

2. The surgical instrument of claim 1 wherein said driving tooth is detached from said pawl body when said firing load exceeds said predetermined magnitude.

3. The surgical instrument of claim 2 wherein said driving tooth is attached to said pawl body at an area of attachment.

4. The surgical instrument of claim 3 further comprising an undercut area in said driving tooth adjacent said area of attachment.

5. The surgical instrument of claim 3 wherein said driving tooth is attached to said area of attachment by adhesive.

6. The surgical instrument of claim 1 wherein said pawl body has a pawl width and wherein said driving tooth has a tooth width that is less than said pawl width.

7. The surgical instrument of claim 1 wherein said actuation shaft has a rack of teeth thereon drivingly engagable with said driving tooth.

8. The surgical instrument of claim 7 wherein at least some of the teeth comprising the rack of teeth are configured to movably disengage said driving tooth when said firing load exceeds said predetermined magnitude.

9. The surgical instrument of claim 1 wherein said driving tooth is movably coupled to said pawl body and is retained in a driving position by a shear member that permits said driving tooth to move relative to said pawl body when the end effector experiences said firing load that exceeds a predetermined magnitude.

10. A surgical instrument configured for use with an end effector capable of performing a surgical procedure, the surgical instrument comprising:

an elongated body operably interfacing with the end effector to transfer actuation motions thereto;

a manually actuatable handle for generating said actuation motions;

a driving pawl interfacing with said manually actuatable handle; and

an actuation shaft operably interfacing with said elongated body to transfer said actuation motions thereto, said actuation shaft having a rack of teeth thereon configured for driving engagement with said driving pawl and wherein at least some of the teeth comprising the rack of teeth are configured to movably disengage said driving pawl when the end effector interfacing with said elongated body experiences a firing load that exceeds a predetermined magnitude of firing load.

11. The surgical instrument of claim 10 wherein said at least some of the teeth on the rack of teeth are configured to be sheared off of the actuation shaft by said driving pawl when the end effector interfacing with said elongated body experiences a firing load that exceeds a predetermined magnitude of firing load.

12. A surgical stapling apparatus, comprising:

a handle assembly;

a movable handle operably supported by said handle assembly;

an elongated control rod constructed to interface with a disposable loading unit;

an actuation shaft operably supported by said handle assembly and interfacing with said movable handle and said elongated control rod for transferring actuation motions generated by said movable handle to said elongated control rod;

a driving pawl interfacing with said movable handle, said driving pawl having a pawl body with a driving tooth thereon configured to interact with said actuation shaft such that as said movable handle is actuated, said driving tooth interacts with said actuation shaft to cause said actuation shaft to apply said actuation motions to said elongated body and when the disposable loading unit interfacing with said elongated control rod experiences a firing load that exceeds a predetermined magnitude of firing load, said driving tooth moves relative to said pawl body to disengage from said actuation shaft to prevent further transfer of said actuation motions to said elongated control rod even though said manually actuatable handle continues to be actuated.

13. The surgical stapling apparatus of claim 12 wherein said control rod is movable between advancing positions and a retracted position and wherein when said firing load experienced by said disposable loading unit exceeds said predetermined magnitude, said control rod may be moved to said retracted position.

14. The surgical stapling apparatus of claim 12 wherein said actuation shaft has a rack of teeth thereon drivingly engagable with said driving tooth and wherein at least some of the teeth comprising the rack of teeth are configured to movably disengage said driving tooth when said firing load exceeds said predetermined magnitude.