Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism

• US 9,737,303 B2
• Filed: 09/10/2015
• Issued: 08/22/2017
• Est. Priority Date: 07/28/2004
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Setser, Michael E., Doll, Kevin R., Morgan, Jerome R.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US14/850,030
• Publication Number:
  US 20160000441A1
• Time in Patent Office: 712 Days
• Field of Search: 2271751, 2271761, 2271801
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• 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 17/072 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 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• 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 2017/2923 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 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2017/320093 : additional movable means performing cutting operation
• CPC Class Codes: A61B 2017/320094 : additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 : with sealing or cauterizing means
• CPC Class Codes: A61B 2017/320097 : with stapling means
• CPC Class Codes: A61B 2018/00607 : Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 : Sealing
• CPC Class Codes: A61B 2018/1455 : having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2034/302 : specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
• CPC Class Codes: A61B 2090/0807 : Indication means
• 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 50/20 : Holders specially adapted for surgical or diagnostic appliances or instruments drapes with means to hold surgical instruments A61B46/23; for catheters A61M25/02
• CPC Class Codes: A61B 50/36 : for collecting or disposing of used articles

Abstract

A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Claims

1. A surgical instrument comprising an implement portion, the implement portion comprising:

a shaft;

an elongate channel coupled to the shaft;

a cartridge body positioned in the elongate channel;

staples removably stored in the cartridge body;

an anvil configured to deform the staples;

a firing device, including;

a distally presented cutting edge;

a lower portion positioned to slidingly engage the elongate channel during a staple firing stroke, comprising;

a lower pin comprising an upper surface configured to abut the elongate channel; and

a middle pin comprising a lower surface configured to opposingly abut the elongate channel; and

an upper portion positioned to slidingly engage the anvil during the staple firing stroke, wherein the lower portion and the upper portion co-operate to maintain a minimum spacing between the anvil and the elongate channel during the staple firing stroke; and

a lockout configured to prevent the firing stroke of the firing device if the cartridge body is at least partially spent of its staples.

2. The surgical instrument of claim 1, wherein the firing device is electrically-powered.

3. The surgical instrument of claim 1, wherein the middle pin of the firing device is configured to engage the lockout.

4. The surgical instrument of claim 1, wherein the lockout comprises a recess defined in the elongate channel, and wherein the middle pin enters into the recess during the staple firing stroke if the cartridge body is at least partially spent of its staples.

5. The surgical instrument of claim 1, wherein the firing device further comprises a sled configured to eject the staples from the cartridge body, and wherein the sled is configured to overcome the lockout.

6. A surgical instrument, comprising:

a firing member movable between an unfired position and a fully-fired position, wherein the firing member comprises;

a cutting portion for transecting tissue;

a lower pin;

a lock shoulder; and

an upper pin;

an electrically-powered firing system configured to move the firing member toward its fully-fired position;

an end effector, comprising;

an anvil;

an elongate channel;

a staple cartridge comprising a plurality of staples, wherein the staple cartridge is removable from the elongate channel of the end effector; and

a lockout configured to oppose movement of the firing member toward its fully-fired position if the firing member is in its unfired position and the staple cartridge is at least partially spent of its staples;

wherein the lower pin is positioned to slidingly engage the elongate channel during a staple firing stroke, wherein the upper pin is positioned to slidingly engage the anvil during the staple firing stroke, wherein the lock shoulder is operably positioned to abut the lockout to oppose movement of the firing member, and wherein the lock shoulder is configured to enter the staple cartridge if the lock shoulder passes the lockout.

7. The surgical instrument of claim 6, wherein the electrically-powered firing system comprises an electric motor mechanically coupled to the firing member.

8. The surgical instrument of claim 7, wherein the electrically-powered firing system further comprises a power supply.

9. The surgical instrument of claim 6, wherein the lockout comprises a recess defined in the end effector.

10. The surgical instrument of claim 9, wherein the firing member further comprises at least one protuberance configured to be received by the recess.

11. A surgical instrument, comprising:

a firing system, comprising;

a firing member movable between a proximal position and a fully-fired position, wherein the firing member comprises;

a cutting portion for transecting tissue;

a lower pin;

a lock shoulder; and

an upper pin;

an electrical actuator configured to drive the firing member toward its fully-fired position; and

a firing trigger configured to actuate the electrical actuator; and

an end effector, comprising;

an anvil;

an elongate channel;

a staple cartridge comprising a plurality of staples, wherein the staple cartridge is removable from the elongate channel of the end effector; and

a lockout configured to oppose movement of the firing member into its fully-fired position if the firing member is in its proximal position and the staple cartridge has been removed from the end effector;

wherein the lower pin is positioned to slidingly engage the elongate channel during a staple firing stroke, wherein the upper pin is positioned to slidingly engage the anvil during the staple firing stroke, wherein the lock shoulder is operably positioned to abut the lockout to oppose movement of the firing member, and wherein the lock shoulder is configured to enter the staple cartridge if the lock shoulder passes the lockout.

12. The surgical instrument of claim 11, wherein the electrical actuator comprises an electric motor.

13. The surgical instrument of claim 11, wherein the firing system further comprises a power supply.

14. The surgical instrument of claim 11, wherein the lockout comprises a recess defined in the end effector.

15. The surgical instrument of claim 14, wherein the firing member further comprises at least one protuberance configured to be received by the recess.

16. A surgical instrument, comprising:

a firing member movable between a fully-retracted position and a fully-fired position, the firing member comprising;

a cutting portion for transecting tissue;

a lower pin;

a lock shoulder; and

an upper pin;

an electric motor configured to move the firing member toward the fully-fired position;

a firing trigger configured to actuate the electric motor; and

an end effector comprising an anvil, an elongate channel, and a staple cartridge, wherein the staple cartridge comprises a plurality of staples and is removable from the elongate channel of the end effector; and

a lockout configured to oppose movement of the firing member toward the fully-fired position if the firing member is moved to the fully-retracted position after the firing member has been moved toward the fully-fired position;

wherein the lower pin is positioned to slidingly engage the elongate channel during a staple firing stroke, wherein the upper pin is positioned to slidingly engage the anvil during the staple firing stroke, wherein the lock shoulder is operably positioned to abut the lockout to oppose movement of the firing member, and wherein the lock shoulder is configured to enter the staple cartridge if the lock shoulder passes the lockout.