Surgical stapling apparatuses with lockable end effector positioning systems

• US 9,962,158 B2
• Filed: 09/04/2015
• Issued: 05/08/2018
• Est. Priority Date: 02/14/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Hall, Steven G., Tanguay, Randall J., Messerly, Jeffrey D., Robertson, Galen C., Zwolinski, Andrew M., Shelton, IV, Frederick E.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US14/845,688
• Publication Number:
  US 20150374367A1
• Time in Patent Office: 977 Days
• Field of Search: 227 19, 2271751, 2271761, 2271752, 2271801, 606139, 606153, 606219
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/00371 Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
• 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 2017/00946 malleable
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/2923 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 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• 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 2090/0813 Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 50/30 Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40

Abstract

A surgical instrument that comprises a housing, an elongate shaft configured for operable attachment to a surgical end effector, and a selectively lockable rotation system is disclosed. The selectively lockable rotation system comprises a mounting member coupled to the elongate shaft and being rotatably supported on the housing for selective rotation relative to the housing about a longitudinal axis defined by the elongate shaft. The selectively lockable rotation system further comprises a switch member supported for selective longitudinal movement relative to the housing and the mounting member between an unlocked position wherein the mounting member is freely rotatable relative to the housing and a locked position wherein a locking formation on a distal end of the switch member is in retaining engagement with the mounting member to prevent the mounting member and the elongate shaft from rotating relative to the housing.

Claims

1. A surgical instrument, comprising:

a housing;

an elongate shaft configured for operable attachment to a surgical end effector; and

a selectively lockable rotation system comprising;

a mounting member coupled to said elongate shaft and being rotatably supported on said housing for selective rotation relative to said housing about a longitudinal axis defined by said elongate shaft; and

a switch member supported for selective longitudinal movement relative to said housing and said mounting member between an unlocked position wherein said mounting member is freely rotatable relative to said housing and a locked position wherein a locking formation on a distal end of said switch member is in retaining engagement with said mounting member to prevent said mounting member and said elongate shaft from rotating relative to said housing.

2. The surgical instrument of claim 1, further comprising:

an articulation system comprising;

an articulation joint on said elongate shaft for facilitating articulation of the surgical end effector relative to said elongate shaft about an articulation axis that is transverse to said longitudinal axis;

an articulation link configured to operably interface with the surgical end effector to apply articulation motions thereto; and

an articulation actuator supported for movable travel on said housing and interfacing with said articulation link to selectively apply actuation motions to said articulation link.

3. The surgical instrument of claim 2, wherein said articulation actuator comprises a grip member supported on said mounting member for selective movement relative thereto.

4. The surgical instrument of claim 2, further comprising a braking system for preventing said articulation actuator from applying said actuation motions to said articulation link during rotation of said mounting member and said elongate shaft about said longitudinal axis.

5. The surgical instrument of claim 4, wherein said articulation actuator comprises a grip member movably supported on said mounting member and wherein said braking system is configured to lock said grip member to said mounting member when said switch member is in said unlocked position and to permit said grip member to be selectively axially movable relative to said mounting member when said switch member is in said locked position.

6. The surgical instrument of claim 5, wherein said braking system comprises:

a brake band supported for selective frictional engagement with said mounting member and said grip member; and

a brake cam operably interfacing with said switch member such that when said switch member is in said unlocked position, said brake cam moves said brake band into frictional engagement with said mounting member and said grip member such that rotation of said grip member results in rotation of said mounting member and said elongate shaft and when said switch member is in said locked position, said brake cam moves said brake band out of frictional engagement with said mounting member and said grip member to permit said grip member to axially move relative to said mounting member.

7. The surgical instrument of claim 1, wherein the surgical end effector comprises a disposable loading unit.

8. The surgical instrument of claim 7, wherein said disposable loading unit comprises:

a tool assembly removably coupled to a distal end of said elongate shaft;

an anvil movably supported on said tool assembly between an open and closed positions in response to applications of closing and opening motions thereto; and

a knife blade movably supported in said tool assembly for axial travel therein in response to an application of a firing motion thereto.

9. The surgical instrument of claim 1, wherein the surgical end effector comprises:

a first end effector jaw operably coupled to said distal end of said elongate shaft; and

a second end effector jaw movably supported relative to said first end effector jaw in response to opening and closing motions applied thereto.

10. The surgical instrument of claim 1, wherein said surgical end effector comprises a staple cartridge comprising a plurality of staples removably stored in said staple cartridge.

11. A surgical instrument, comprising:

a housing;

an elongate shaft;

rotation means for coupling said elongate shaft to said housing and facilitating selective rotation of said elongate shaft relative to said housing about a longitudinal axis defined by said elongate shaft;

a surgical end effector operably coupled to said elongate shaft by an articulation joint to facilitate selective articulation of said surgical end effector relative to said elongate shaft in directions transverse to said longitudinal axis;

articulation means for selectively applying articulation motions to said surgical end effector; and

locking means interfacing with said rotation means and said articulation means such that when said rotation means is actuated, said locking means prevents said articulation means from applying said articulation motions to said surgical end effector and when said articulation means is actuated, said locking means prevents said rotation means from rotating said elongate shaft.

12. The surgical instrument of claim 11, wherein said housing comprises a handle.

13. The surgical instrument of claim 11, wherein said surgical end effector comprises a disposable loading unit.

14. The surgical instrument of claim 13, wherein said disposable loading unit comprises:

a tool assembly removably coupled to a distal end of said elongate shaft;

an anvil movably supported on said tool assembly between an open and closed positions in response to applications of closing and opening motions thereto; and

a knife blade movably supported in said tool assembly for axial travel therein in response to an application of a firing motion thereto.

15. The surgical instrument of claim 11, wherein said rotation means comprises a mounting member coupled to said elongate shaft and rotatably mounted to said housing.

16. The surgical instrument of claim 15, wherein said articulation means comprises:

an articulation link configured to operably interface with said surgical end effector to apply said articulation motions thereto; and

an articulation actuator supported for movable travel on said housing and interfacing with said articulation link to selectively apply actuation motions to said articulation link.

17. The surgical instrument of claim 16, wherein said articulation actuator comprises a grip member supported on said mounting member for selective movement relative thereto.

18. The surgical instrument of claim 11, wherein said surgical end effector comprises a staple cartridge comprising a plurality of staples removably stored in said staple cartridge.

19. A surgical instrument, comprising:

a handle;

an elongate shaft comprising an articulation joint;

a surgical end effector operably coupled to said articulation joint;

an articulation system comprising;

an articulation link configured to operably interface with said surgical end effector to apply articulation motions thereto; and

an articulation actuator supported for movable travel on said handle and interfacing with said articulation link to selectively apply actuation motions to said articulation link and wherein said surgical instrument further comprises a selectively lockable rotation system comprising;

a mounting member coupled to said elongate shaft and being rotatably supported on said handle for selective rotation relative to said handle about a longitudinal axis defined by said elongate shaft; and

a switch member supported for selective longitudinal movement relative to said handle and said mounting member between an unlocked position wherein said mounting member is freely rotatable relative to said handle and a locked position wherein a locking formation on a distal end of said switch member is in retaining engagement with said mounting member to prevent said mounting member from rotating relative to said handle.

20. The surgical instrument of claim 19, further comprising a braking system for preventing said articulation actuator from applying said actuation motions to said articulation link during rotation of said mounting member and said elongate shaft about said longitudinal axis.

21. The surgical instrument of claim 20, wherein said articulation actuator comprises a grip member movably supported on said mounting member and wherein said braking system is configured to lock said grip member to said mounting member when said switch member is in said locked position and to permit said grip member to be selectively axially movable relative to said mounting member when said switch member is in said unlocked position.

22. The surgical instrument of claim 21, wherein said braking system comprises:

a brake band supported for selective frictional engagement with said mounting member and said grip member; and

a brake cam operably interfacing with said switch member such that when said switch member is in said unlocked position, said brake cam moves said brake band into frictional engagement with said mounting member and said grip member such that rotation of said grip member results in rotation of said mounting member and said elongate shaft and when said switch member is in said locked position, said brake cam moves said brake band out of frictional engagement with said mounting member and said grip member to permit said grip member to axially move relative to said mounting member.

23. The surgical instrument of claim 19, wherein said surgical end effector comprises a staple cartridge comprising a plurality of staples removably stored in said staple cartridge.