Surgical instrument comprising an adjustable system configured to accommodate different jaw heights

• US 9,603,595 B2
• Filed: 02/28/2014
• Issued: 03/28/2017
• Est. Priority Date: 09/29/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Morgan, Jerome R.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US14/193,644
• Publication Number:
  US 20140175154A1
• Time in Patent Office: 1,124 Days
• Field of Search: 227/175.1, 227/176.1
• US Class Current: 1/1
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 17/072 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00831 Material properties
• CPC Class Codes: A61B 2017/00862 elastic or resilient
• CPC Class Codes: A61B 2017/0641 having at least three legs as part of one single body
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07242 achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• CPC Class Codes: A61B 2017/0725 : with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07257 : characterised by its anvil
• CPC Class Codes: A61B 2017/07264 : characterised by its staple forming cavities, e.g. geometry or material
• 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 2017/2932 : Transmission of forces to jaw members
• 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 2018/00666 : using a threshold value
• CPC Class Codes: A61B 2090/032 : pressure limiting, e.g. hydrostatic
• CPC Class Codes: A61B 2090/036 : abutting on tissue or skin
• CPC Class Codes: A61B 2090/065 : for measuring contact or contact pressure
• 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
• CPC Class Codes: A61B 90/03 : Automatic limiting or abutting means, e.g. for safety

Abstract

A surgical instrument can comprise a first jaw, a second jaw, and a firing system configured to be advanced relative to the first jaw and the second jaw. The firing system can comprise a firing member including a first portion configured to engage the first jaw and a second portion configured to engage the second jaw in order to position the first jaw and the second jaw relative to one another.

Claims

1. A surgical instrument, comprising:

a handle;

a shaft extending from said handle; and

an end effector extending from said shaft, said end effector comprising;

a first jaw;

a slot;

a gap setting system defining an adjustable pivot, wherein said gap setting system comprises an opening comprising a first clamping catch and a second clamping catch;

a firing system, comprising;

a push bar; and

a cutting member, wherein said push bar is configured to be pushed distally to move said cutting member from a proximal position to a distal position, and wherein upon completion of a firing stroke, said push bar is configured to be pulled proximally from a distal position to a proximal position;

a second jaw comprising a projection movably positioned within said slot, wherein said second jaw is movable relative to said first jaw at said adjustable pivot, wherein said second jaw is movable into a first clamped position to clamp tissue between said first jaw and said second jaw when said projection is positioned in said first clamping catch, wherein a first gap distance is defined between said first jaw and said second jaw when said second jaw is in said first clamped position, wherein said second jaw is movable into a second clamped position to clamp tissue between said first jaw and said second jaw when said projection is positioned in said second clamping catch, wherein a second gap distance is defined between said first jaw and said second jaw when said second jaw is in said second clamped position, and wherein said first gap distance is different than said second gap distance; and

a locking mechanism configured to maintain the relative position between said first jaw and said second jaw when said jaws are in said first clamped position and maintain the relative position between said first jaw and said second jaw when said jaws are in said second clamped position.

2. The surgical instrument of claim 1, wherein said opening is defined by a sidewall, wherein said projection is positioned against said sidewall in a first position when said projection is in said first clamping catch, and wherein said projection is positioned against said sidewall in a second position when said projection is in said second clamping catch.

3. The surgical instrument of claim 1, wherein said first clamping catch is positioned above said second clamping catch.

4. The surgical instrument of claim 1, wherein said adjustable pivot comprises a floating hinge.

5. The surgical instrument of claim 1, wherein said opening comprises a third catch configured to receive said projection when said second jaw is in an open position.

6. The surgical instrument of claim 1, further comprising a staple cartridge and a firing member, wherein said firing member is configured to deploy staples from said staple cartridge.

7. The surgical instrument of claim 1, wherein said second jaw comprises an anvil, wherein said anvil is configured to deform staples to a first deformed distance when said second jaw is positioned at said first gap distance, wherein said anvil is configured to deform staples to a second deformed distance when said second jaw is positioned at said second gap distance, and wherein said first deformed distance is different than said second deformed distance.

8. A surgical instrument, comprising:

a handle;

a shaft extending from said handle; and

an end effector extending from said shaft, said end effector comprising;

a proximal end;

a distal end;

a first jaw;

a firing system, comprising;

a push bar; and

a cutting member, wherein said push bar is configured to be pushed distally to move said cutting member from a proximal position to a distal position, and wherein upon completion of a firing stroke, said push bar is configured to be pulled proximally from a distal position to a proximal position;

a tissue gap setting system defining an adjustable pivot, wherein said tissue gap setting system comprises;

a slot;

a first seat defined in said slot; and

a second seat defined in said slot;

a second jaw comprising a projection movably positioned within said slot, wherein said second jaw is movable relative to said first jaw at said adjustable pivot, wherein said second jaw is movable into a first fully clamped position to clamp tissue between said first jaw and said second jaw when said projection is positioned in said first seat, wherein a first gap distance is defined between said first jaw and said second jaw when said second jaw is in said first fully clamped position, wherein said second jaw is movable into a second fully clamped position to clamp tissue between said first jaw and said second jaw when said projection is positioned in said second seat, wherein a second gap distance is defined between said first jaw and said second jaw when said second jaw is in said second fully clamped position, and wherein said first gap distance is different than said second gap distance; and

a locking mechanism configured to maintain the relative position between said first jaw and said second jaw when said jaws are in said first fully clamped position and maintain the relative position between said first jaw and said second jaw when said jaws are in said second fully clamped position.

9. The surgical instrument of claim 8, wherein said slot is defined by a sidewall, wherein said projection is positioned against said sidewall in a first position when said projection is in said first seat, and wherein said projection is positioned against said sidewall in a second position when said projection is in said second seat.

10. The surgical instrument of claim 8, wherein said first seat is positioned above said second seat.

11. The surgical instrument of claim 8, wherein said adjustable pivot comprises a floating hinge.

12. The surgical instrument of claim 8, wherein said slot comprises a third seat, and wherein said projection is positioned in said third seat when said second jaw is in an open position.

13. The surgical instrument of claim 8, further comprising a staple cartridge and a firing member, wherein said firing member is configured to deploy staples from said staple cartridge.

14. The surgical instrument of claim 8, wherein said second jaw comprises an anvil, wherein said anvil is configured to deform staples to a first deformed distance when said second jaw is positioned at said first gap distance, wherein said anvil is configured to deform staples to a second deformed distance when said second jaw is positioned at said second gap distance, and wherein said first deformed distance is different than said second deformed distance.

15. A surgical instrument, comprising:

a handle;

a shaft extending from said handle; and

an end effector extending from said shaft, said end effector comprising;

a first jaw;

an adjustable pivot comprising a window, wherein said window comprises a first window portion comprising a first height and a second window portion comprising a second height, and wherein said first height is different than said second height;

a firing system, comprising;

a push bar; and

a cutting member, wherein said push bar is configured to be pushed distally to move said cutting member from a proximal position to a distal position, and wherein upon completion of a firing stroke, said push bar is configured to be pulled proximally from a distal position to a proximal position;

a second jaw comprising a fulcrum movably positioned within said window, wherein said second jaw is movable relative to said first jaw about said adjustable pivot, wherein said second jaw is movable into a first closed position when said fulcrum is positioned in said first window portion, wherein a first gap distance is defined between said first jaw and said second jaw when said second jaw is in said first closed position, wherein said second jaw is movable into a second closed position when said fulcrum is positioned in said second window portion, wherein a second gap distance is defined between said first jaw and said second jaw when said second jaw is in said second closed position, and wherein said first gap distance is different than said second gap distance; and

a locking mechanism configured to maintain the relative position between said first jaw and said second jaw when said jaws are in said first closed position and maintain the relative position between said first jaw and said second jaw when said jaws are in said second closed position.

16. The surgical instrument of claim 15, wherein said window is defined by a sidewall, wherein said fulcrum is positioned against said sidewall in a first position when said fulcrum is in said first window portion, and wherein said fulcrum is positioned against said sidewall in a second position when said fulcrum is in said second window portion.

17. The surgical instrument of claim 15, wherein said adjustable pivot comprises a floating hinge.

18. The surgical instrument of claim 15, further comprising a staple cartridge and a firing member, wherein said firing member is configured to deploy staples from said staple cartridge.

19. The surgical instrument of claim 15, wherein said second jaw comprises an anvil, wherein said anvil is configured to deform staples to a first deformed distance when said second jaw is positioned at said first gap distance, and wherein said anvil is configured to deform staples to a second deformed distance when said second jaw is positioned at said second gap distance, and wherein said first deformed distance is different than said second deformed distance.