Surgical stapling instruments with rotatable staple deployment arrangements

• US 9,775,614 B2
• Filed: 01/25/2016
• Issued: 10/03/2017
• Est. Priority Date: 05/27/2011
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Morgan, Jerome R.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US15/005,527
• Publication Number:
  US 20160135812A1
• Time in Patent Office: 617 Days
• Field of Search: 2271751, 2271761
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• 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 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 34/30 Surgical robots
• CPC Class Codes: A61B 34/35 for telesurgery
• CPC Class Codes: A61B 34/37 Master-slave robots A61B34/35 takes precedence
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback
• CPC Class Codes: Y10T 29/53404 including turret-type conveyor
• CPC Class Codes: Y10T 29/53417 Means to fasten work parts together
• CPC Class Codes: Y10T 29/53687 : by rotation of work part

Abstract

A surgical stapling instrument. Various embodiments include an actuation system for selectively generating a plurality of control motions. A surgical end effector is operably coupled to the actuation system. The actuation system interfaces with an actuation member configured to operably engage rotatable camming members to fire staples within the end effector into forming contact with an anvil portion of the end effector.

Claims

1. A surgical stapling instrument, comprising:

an actuation system for selectively generating a plurality of control motions; and

a surgical end effector operably coupled to said actuation system, said surgical end effector comprising;

a surgical staple cartridge operably supporting a plurality of surgical staples arranged in at least two spaced staple lines; and

an actuation member operably interfacing with said actuation system such that upon application of said control motions thereto, said actuation member is axially driven within said surgical staple cartridge between a starting position and an ending position, said actuation member having rotatable staple camming members thereon corresponding to each one of said at least two staple lines such that as said actuation member is driven from said starting to said ending position, each said rotatable camming member is rotated into camming driving engagement with said surgical staples in said corresponding staple lines,

wherein said surgical stapling instrument comprises a portion of a robotic surgical system configured to automatically extract the surgical staple cartridge from said surgical end effector and load an unfired surgical staple cartridge in said surgical end effector.

2. The surgical stapling instrument of claim 1, wherein said actuation member operably supports a cutting instrument thereon.

3. The surgical stapling instrument of claim 1, wherein said end effector further comprises an anvil that is movably supported relative to said staple cartridge between an open position and a closed position in response to closure motions applied thereto by said actuation system.

4. The surgical stapling instrument of claim 3, wherein said actuation member is configured to slidably engage said anvil to retain said anvil at a desired spacing relative to said surgical staple cartridge as said actuation member is axially driven from said starting to said ending position.

5. The surgical stapling instrument of claim 1, wherein said actuation system comprises a tool drive assembly that is operatively coupled to a control unit of the robotic surgical system that is operable by inputs from an operator and is configured to provide said plurality of control motions to said actuation member of said surgical end effector.

6. The surgical stapling instrument of claim 5, further comprising:

an elongated shaft assembly operably coupled to said surgical end effector and configured to transmit said control motions thereto; and

a tool mounting portion operably coupled to said elongated shaft assembly and configured to operably interface with the tool drive assembly, said tool mounting portion operably supporting a transmission arrangement thereon configured to apply at least one said control motion to said elongated shaft assembly in response to at least one rotary output motion applied thereto from the tool drive assembly.

7. The surgical stapling instrument of claim 6, wherein said end effector further comprises an anvil that is movably supported relative to said staple cartridge between an open position and a closed position in response to closure motions applied thereto by said actuation system.

8. The surgical stapling instrument of claim 7, wherein said transmission arrangement comprises a closure transmission supported on said tool mounting portion in operable engagement with the tool drive assembly for receiving a closure rotary output motion therefrom, said closure transmission in operable engagement with a portion of said elongated shaft assembly such that upon application of said closure rotary output motion in a first direction to said closure transmission, said portion of said elongated shaft assembly applies a closure motion to said anvil and upon application of said closure rotary output motion in a second direction to said closure transmission, said portion of said elongated shaft assembly applies an opening motion to said anvil.

9. The surgical stapling instrument of claim 6, wherein said elongated shaft assembly comprises a rotary drive shaft member operably interfacing with said actuation member and a firing transmission that is operably coupled to a corresponding rotatable body portion supported on the tool drive assembly such that upon application of a firing rotary output motion in a first direction to said firing transmission by said rotatable body portion, said firing transmission rotates said rotary drive shaft member to thereby drive said actuation member from said starting to said ending position.

10. The surgical stapling instrument of claim 6, wherein said elongated shaft assembly defines a longitudinal tool axis and has a proximal end portion that is rotatably supported on said tool mounting portion and wherein said transmission arrangement comprises a rotational transmission operably coupled to a corresponding rotatable body portion supported on the tool drive assembly such that upon application of a shaft rotation output motion in a first direction to said rotational transmission by said rotatable body portion, said rotational transmission rotates said elongated shaft assembly about said longitudinal tool axis.

11. A surgical stapling instrument comprising:

an actuation system for selectively generating a plurality of control motions; and

a surgical end effector operably coupled to said actuation system, said surgical end effector comprising;

an anvil that is movable between an open position and a closed position in response to closure motions applied thereto by said actuation system;

a surgical staple cartridge operably supporting a plurality of linearly arranged pusher members therein, each said pusher member operably supporting at least one unformed surgical staple thereon;

a plurality of linearly arranged staple drivers corresponding to said plurality of linearly arranged pusher members, each said staple driver being rotatably supported within said end effector; and

an actuation member operably interfacing with said actuation system such that upon application of firing control motions thereto, said actuation member is axially driven within said surgical staple cartridge between a starting position and an ending position, and wherein said actuation member is configured to move each said staple driver into rotatable camming engagement with each said corresponding pusher member to drive said at least one unformed surgical staple supported thereon into forming contact with said anvil as said actuation member is driven from said starting position to said ending position,

wherein said surgical stapling instrument comprises a portion of a robotic surgical system configured to automatically decouple said surgical end effector from said surgical stapling instrument and couple a different surgical end effector to said surgical stapling instrument.

12. The surgical stapling instrument of claim 11, wherein said actuation member operably supports a cutting instrument thereon.

13. The surgical stapling instrument of claim 11, wherein said actuation member is configured to slidably engage said anvil to retain said anvil at a desired spacing relative to said surgical staple cartridge as said actuation member is axially driven from said starting to said ending position.

14. The surgical stapling instrument of claim 11, wherein said actuation system comprises a tool drive assembly that is operatively coupled to a control unit of the robotic surgical system that is operable by inputs from an operator and is configured to provide said plurality of control motions to said actuation member of said surgical end effector.

15. The surgical stapling instrument of claim 14, further comprising:

an elongated shaft assembly operably coupled to said surgical end effector and configured to transmit said control motions thereto; and

a tool mounting portion operably coupled to said elongated shaft assembly and configured to operably interface with the tool drive assembly, said tool mounting portion operably supporting a transmission arrangement thereon configured to apply at least one said control motion to said elongated shaft assembly in response to at least one rotary output motion applied thereto from the tool drive assembly.

16. The surgical stapling instrument of claim 15, wherein said transmission arrangement comprises a closure transmission supported on said tool mounting portion in operable engagement with the tool drive assembly for receiving a closure rotary output motion therefrom, said closure transmission in operable engagement with a portion of said elongated shaft assembly such that upon application of said closure rotary output motion in a first direction to said closure transmission, said portion of said elongated shaft assembly applies a closure motion to said anvil and upon application of said closure rotary output motion in a second direction to said closure transmission, said portion of said elongated shaft assembly applies an opening motion to said anvil.

17. The surgical stapling instrument of claim 15, wherein said elongated shaft assembly comprises a rotary drive shaft member operably interfacing with said actuation member and a firing transmission that is operably coupled to a corresponding rotatable body portion supported on the tool drive assembly such that upon application of a firing rotary output motion in a first direction to said firing transmission by said rotatable body portion, said firing transmission rotates said rotary drive shaft member to thereby drive said actuation member from said starting to said ending position.

18. The surgical stapling instrument of claim 15, wherein said elongated shaft assembly defines a longitudinal tool axis and has a proximal end portion that is rotatably supported on said tool mounting portion and wherein said transmission arrangement comprises a rotational transmission operably coupled to a corresponding rotatable body portion supported on the tool drive assembly such that upon application of a shaft rotation output motion in a first direction to said rotational transmission by said rotatable body portion, said rotational transmission rotates said elongated shaft assembly about said longitudinal tool axis.

19. A surgical stapling instrument comprising:

an actuation system for selectively generating a plurality of control motions; and

a surgical end effector operably coupled to said actuation system, said surgical end effector comprising;

an anvil that is movable between an open position and a closed position in response to closure motions applied thereto by said actuation system;

a surgical staple cartridge operably supporting a plurality of linearly arranged pusher members therein, each said pusher member operably supporting at least one unformed surgical staple thereon;

an actuation member operably interfacing with said actuation system such that upon application of said control motions thereto, said actuation member is axially driven within said surgical staple cartridge between a starting position and an ending position; and

camming means interfacing with said actuation member such that as said actuation member is driven from said starting to said ending position, said camming means are moved into rotatable camming engagement with each said pusher member to drive said at least one unformed surgical staple supported thereon into forming contact with said anvil when said anvil is in said closed position,

wherein said surgical stapling instrument is couplable to a robotic surgical system configured to automatically replace said surgical staple cartridge with another surgical staple cartridge.

20. The surgical stapling instrument of claim 19, wherein said actuation system comprises a tool drive assembly that is operatively coupled to a control unit of the robotic surgical system that is operable by inputs from an operator and is configured to provide said plurality of control motions to said actuation member of said surgical end effector.