Surgical stapling apparatus

• US 9,211,121 B2
• Filed: 01/13/2015
• Issued: 12/15/2015
• 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: Hall, Steven G., Tanguay, Randall J., Messerly, Jeffrey D., Robertson, Galen C., Zwolinski, Andrew M., Shelton, Frederick E. IV, Hueil, Geoffrey C., Ortiz, Mark S., Hoffman, Douglas B., Weizman, Patrick A., Bruewer, Dean B., Blair, Gregory B.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US14/595,645
• Publication Number:
  US 20150144678A1
• Time in Patent Office: 336 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/175.2, 227/178.1, 227/180.1, 606/139, 606/219
• US Class Current: 1/1
• 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 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/0023 disposable
• 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 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00407 Ratchet means
• 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 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2901 Details of shaft
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2906 Multiple forceps
• CPC Class Codes: A61B 2017/2908 Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/291 : the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2923 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2925 : Pistol grips
• 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 2017/320052 : Guides for cutting instruments by marking A61B2090/395
• 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 90/70 : Cleaning devices specially adapted for surgical instruments

Abstract

A stapling system for use with a surgical stapling instrument is disclosed. The stapling system comprises a staple cartridge, a staple cartridge carrier, and a first articulation joint defining a first articulation axis. The stapling system further comprises a second articulation joint defining a second articulation axis, an elongate shaft, and a shaft portion extending between the first articulation joint and the second articulation joint, wherein the shaft portion is pivotable relative to the elongate shaft about the second articulation axis. The stapling system further comprises, one, means for articulating the staple cartridge carrier about the first articulation axis and, two, a drive member operably supported with the staple cartridge carrier, wherein the drive member is selectively operable to eject staples from the staple cartridge.

Claims

1. A disposable surgical stapling unit configured for use with an actuation device that has an elongate shaft that defines an elongate axis, said disposable surgical stapling unit comprising:

a staple cartridge carrier configured to operably support a staple cartridge therein;

a first articulation joint coupled to said staple cartridge carrier to enable said staple cartridge carrier to be selectively pivotable about a first articulation axis upon application of a first articulation motion to said staple cartridge carrier;

a spacer member coupled to said first articulation joint;

a second articulation joint coupled to said spacer member such that said first articulation joint and said second articulation joint are longitudinally spaced from each other, said second articulation joint facilitating further articulation of said staple cartridge carrier upon application of at least one second articulation motion thereto;

a housing coupled to said second articulation joint and comprising a proximal end configured to be removably coupled to the elongate shaft;

an articulation link communicating with said staple cartridge carrier and configured for operable engagement with a first articulation member within the elongate shaft to apply said first articulation motion thereto; and

a drive member operably supported within said staple cartridge carrier, said drive member comprising a proximal end configured for operable engagement with a control member operably supported within the elongate shaft to apply an actuation motion thereto.

2. The disposable surgical stapling unit of claim 1, further comprising a second articulation link operably interfacing with said second articulation joint and configured for operable engagement with a second articulation member within the elongate shaft to apply said second articulation motion to said second articulation joint.

3. The disposable surgical stapling unit of claim 1, further comprising said staple cartridge, wherein said staple cartridge comprises a plurality of staples removably stored therein.

4. The disposable surgical stapling unit of claim 3, wherein said drive member is configured to eject said staples from said staple cartridge.

5. The disposable surgical stapling unit of claim 3, further comprising an anvil, wherein said anvil is pivotable between an open position and a closed position, and wherein said anvil includes a staple forming surface.

6. The disposable surgical stapling unit of claim 5, wherein said drive member comprises a knife configured to incise tissue captured between said anvil and said staple cartridge.

7. A stapling system configured for use with a surgical instrument system comprising an elongate shaft, said stapling system comprising:

a staple cartridge comprising a plurality of staples removably positioned therein;

a staple cartridge carrier configured to operably support said staple cartridge;

a first articulation joint, wherein said first articulation joint defines a first articulation axis, wherein said staple cartridge carrier extends from said first articulation joint, and wherein said staple cartridge carrier is pivotable about said first articulation axis;

a second articulation joint, wherein said second articulation joint defines a second articulation axis;

a shaft portion extending between said first articulation joint and said second articulation joint, wherein said first articulation joint and said second articulation joint are separated by said shaft portion, and wherein said shaft portion is pivotable about said second articulation axis;

a housing configured to be removably coupled to the elongate shaft;

an articulation link operably engaged with said staple cartridge carrier, wherein said articulation link is configured to move said staple cartridge carrier about said first articulation axis; and

a drive member operably supported within said staple cartridge carrier, wherein said drive member is selectively operable to eject said staples from said staple cartridge.

8. The stapling system of claim 7, further comprising a second articulation link operably engaged with said shaft portion, wherein said second articulation link is configured to move said shaft portion about said second articulation axis.

9. The stapling system of claim 7, further comprising an anvil, wherein said anvil is pivotable between an open position and a closed position, and wherein said anvil includes a staple forming surface.

10. The stapling system of claim 9, wherein said drive member comprises a knife configured to incise tissue captured between said anvil and said staple cartridge.

11. A stapling system configured for use with a surgical instrument system, said stapling system comprising:

a staple cartridge comprising a plurality of staples removably positioned therein;

a staple cartridge carrier configured to operably support said staple cartridge;

a first articulation joint, wherein said first articulation joint defines a first articulation axis, wherein said staple cartridge carrier extends from said first articulation joint, and wherein said staple cartridge carrier is pivotable about said first articulation axis;

a second articulation joint, wherein said second articulation joint defines a second articulation axis;

an elongate shaft;

a shaft portion extending between said first articulation joint and said second articulation joint, wherein said first articulation joint and said second articulation joint are separated by said shaft portion, and wherein said shaft portion is pivotable relative to said elongate shaft about said second articulation axis;

an articulation link operably engaged with said staple cartridge carrier, wherein said articulation link is configured to move said staple cartridge carrier about said first articulation axis; and

means for ejecting said staples from said staple cartridge.

12. The stapling system of claim 11, further comprising a second articulation link operably engaged with said shaft portion, wherein said second articulation link is configured to move said shaft portion about said second articulation axis.

13. The stapling system of claim 11, further comprising an anvil, wherein said anvil is pivotable between an open position and a closed position, and wherein said anvil includes a staple forming surface.

14. The stapling system of claim 13, wherein said means comprises a knife configured to incise tissue captured between said anvil and said staple cartridge.

15. A stapling system configured for use with a surgical instrument system, said stapling system comprising:

a staple cartridge comprising a plurality of staples removably positioned therein;

a staple cartridge carrier configured to operably support said staple cartridge;

a first articulation joint, wherein said first articulation joint defines a first articulation axis, wherein said staple cartridge carrier extends from said first articulation joint, and wherein said staple cartridge carrier is pivotable about said first articulation axis;

a second articulation joint, wherein said second articulation joint defines a second articulation axis;

an elongate shaft;

a shaft portion extending between said first articulation joint and said second articulation joint, wherein said first articulation joint and said second articulation joint are separated by said shaft portion, and wherein said shaft portion is pivotable relative to said elongate shaft about said second articulation axis;

means for articulating said staple cartridge carrier about said first articulation axis; and

a drive member operably supported within said staple cartridge carrier, wherein said drive member is selectively operable to eject said staples from said staple cartridge.

16. The stapling system of claim 15, further comprising means for articulating said shaft portion about said second articulation axis.

17. The stapling system of claim 15, further comprising an anvil, wherein said anvil is pivotable between an open position and a closed position, and wherein said anvil includes a staple forming surface.

18. The stapling system of claim 17, wherein said drive member comprises a knife configured to incise tissue captured between said anvil and said staple cartridge.