Surgical staple cartridge with enhanced knife clearance

• US 9,498,215 B2
• Filed: 12/31/2013
• Issued: 11/22/2016
• Est. Priority Date: 12/31/2012
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Inventors: McNamara, Tom, Thompson, Bennie, Wilson, Don, Duque, Grant, Smith, Jeffrey A., Wellman, Ashley
• Primary Examiner(s): Long, Robert
• Application Number:
  US14/145,855
• Publication Number:
  US 20140183244A1
• Time in Patent Office: 1,057 Days
• Field of Search: 2271751-1821
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/37 Master-slave robots A61B34/35 takes precedence
• CPC Class Codes: A61B 50/13 Trolleys, e.g. carts
• CPC Class Codes: A61B 50/33 Trays

Abstract

A surgical instrument having an elongated shaft having a shaft distal end and a shaft proximal end. An end effector is coupled to the shaft distal end and includes opposed jaws. A housing is included in one of the jaws, the housing having a housing proximal end, a housing distal end, an upper surface, a distal garage having lateral surfaces that extend above the upper surface, and a plurality of staple openings extending through the upper surface. A knife member is supported within the housing for movement distally. The knife member is moveable into a predetermined parked position such that a first portion of the cutting blade displaces below the upper surface and a second portion remains displaced above the upper surface. There is enough lateral clearance in the predetermined parked position between the lateral faces and the second portion to accommodate a dislodged staple.

Claims

1. A method of articulating a cutting blade in a surgical instrument, the method comprising:

supporting a knife member having a cutting blade within a housing of the instrument, the housing having an upper surface with a plurality of staple openings, a proximal end, and a distal end;

moving the knife member distally from the proximal end of the housing to the distal end of the housing such that the knife member is exposed and above the upper surface during moving the knife member distally, and wherein a plurality of staples exit the upper surface during moving the knife member distally; and

placing the knife member into a predetermined parked position at the distal end of the housing by translating and rotating the knife member such that a first portion of the knife member displaces below the upper surface and a second portion remains displaced above the upper surface, the second portion being laterally faced by a garage that extends above the upper surface, wherein there is lateral clearance in the predetermined parked position between the garage and the second portion.

2. The method of claim 1, wherein the second portion comprises a cutting tip of the cutting blade.

3. The method of claim 2, wherein the garage comprises lateral surfaces that face the cutting tip of the blade in the predetermined parked position.

4. The method of claim 3, wherein the cutting tip of the blade is displaced below the lateral surfaces in the predetermined parked position.

5. The method of claim 3, wherein the garage includes at least one staple ejecting surface.

6. The method of claim 1, wherein the knife member is carried by a drive member.

7. The method of claim 6, wherein in the predetermined parked position the drive member is fully displaced within the distal end of the housing.

8. The method of claim 1, wherein the second portion of the cutting blade is laterally protected by the garage while in the predetermined parked position.

9. The method of claim 8, wherein during placing the knife member into the predetermined parked position a staple of the plurality of staples is dragged at least partially into the garage by the knife member.

10. The method of claim 9, wherein the staple remains between the knife member and lateral surfaces of the garage while in the knife member is in the predetermined parked position.

11. The method of claim 9, wherein the staple is ejected by collision with at least one staple ejection surface of the garage while placing the knife member into the predetermined parked position.

12. A surgical instrument comprising:

an elongated shaft having a shaft distal end and a shaft proximal end;

an end effector coupled to the shaft distal end and including opposed jaws;

a housing included in one of the jaws, the housing including a housing proximal end, a housing distal end, an upper surface extending between the housing proximal and distal ends, a distal garage having lateral surfaces that extend above the upper surface, and a plurality of staple openings extending through the upper surface;

a knife member supported within the housing for movement distally, the knife member having a cutting blade configured to cut when the knife member is moved distally; and

wherein the knife member is moveable into a predetermined parked position at the distal end of the housing via translation and rotation of the knife member such that a first portion of the cutting blade displaces below the upper surface and a second portion remains displaced above the upper surface, the second portion being laterally faced by the lateral faces of the garage, wherein there is lateral clearance in the predetermined parked position between the lateral faces and the second portion.

13. The surgical instrument of claim 12, wherein the second portion comprises a cutting tip of the cutting blade.

14. The surgical instrument of claim 12, wherein the cutting tip of the blade is displaced below the lateral surfaces in the predetermined parked position.

15. The surgical instrument of claim 12, wherein the garage includes at least one staple ejecting surface.

16. The surgical instrument of claim 15, wherein the at least one staple ejecting surface is transverse to the diverging lateral faces.

17. The surgical instrument of claim 15, wherein the at least one staple ejecting surface is non-parallel to the upper surface.

18. The surgical instrument of claim 17, wherein the at least one staple ejecting surface is at an angle ranging from 30-60°

with respect to the upper surface.

19. The surgical instrument of claim 12, wherein the knife member is carried by a drive member.

20. The surgical instrument of claim 19, wherein in the predetermined parked position the drive member is fully displaced within the distal end of the housing.

21. The surgical instrument of claim 12, wherein the lateral faces diverge to form a notch.

22. The surgical instrument of claim 21, wherein the lateral faces diverge at an angle ranging from 25-45°

.

23. The surgical instrument of claim 12, wherein in the parked position, the lateral faces are spaced more than 0.25 mm away from the second portion of the knife member.

24. A demountably attachable cartridge of a surgical instrument, the cartridge comprising:

a housing demountably attachable to an end effector of the surgical instrument, the housing including a housing proximal end, a housing distal end, an upper surface extending between the housing proximal and distal ends, a distal garage having lateral surfaces that extend above the upper surface, and a plurality of staple openings extending through the upper surface;

a knife member supported within the housing for movement distally, the knife member having a cutting blade configured to cut when the knife member is moved distally; and

wherein the knife member is moveable into a predetermined parked position at the distal end of the housing via translation and rotation of the knife member such that a first portion of the cutting blade displaces below the upper surface and a second portion remains displaced above the upper surface, the second portion being laterally faced by the lateral faces of the garage, wherein there is lateral clearance in the predetermined parked position between the lateral faces and the second portion.

25. The cartridge of claim 24, wherein the second portion comprises a cutting tip of the cutting blade.

26. The cartridge of claim 24, wherein the cutting tip of the blade is displaced below the lateral surfaces in the predetermined parked position.

27. The cartridge of claim 24, wherein the garage includes at least one staple ejecting surface.

28. The cartridge of claim 27, wherein the at least one staple ejecting surface is transverse to the diverging lateral faces.

29. The cartridge of claim 27, wherein the at least one staple ejecting surface is non-parallel to the upper surface.

30. The cartridge of claim 29, wherein the at least one staple ejecting surface is at an angle ranging from 30-60°

with respect to the upper surface.

31. The cartridge of claim 24, wherein the knife member is carried by a drive member.

32. The cartridge of claim 31, wherein in the predetermined parked position the drive member is fully displaced within the distal end of the housing.

33. The cartridge of claim 24, wherein the lateral faces diverge to form a notch.

34. The cartridge of claim 33, wherein the lateral faces diverge at an angle ranging from 25-45°

.

35. The cartridge of claim 34, wherein in the parked position, the lateral faces are spaced more than 0.25 mm away from the second portion of the knife member.