END EFFECTORS FOR SURGICAL STAPLERS

• US 20150083783A1
• Filed: 10/06/2014
• Published: 03/26/2015
• Est. Priority Date: 11/09/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Swayze, Jeffrey S.
• Granted Patent: US 9,895,147 B2
• Time in Patent Office: Days
• US Class Current: 227/180.1
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/0645 being elastically deformed for insertion
• 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 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2901 Details of shaft
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft

Abstract

Articulation joints for use in connection with a surgical instrument that has a portion that must be passed through a trocar or similar structure and then articulated relative to another portion of the instrument received within the trocar. Various embodiments of the articulation joint include at least one flexible driven member to articulate the surgical implement relative to the handle assembly of the instrument.

Claims

1-19. -19. (canceled)

20. A surgical instrument, comprising:

a shaft;

an end effector extending from the shaft, wherein the end effector comprises;

an anvil including a staple forming portion;

a cutting member; and

a staple cartridge, comprising;

a cartridge body including a proximal end and a distal end;

an elongate slot extending between the proximal end and the distal end, wherein the cutting member is movable relative to the elongate slot to cut tissue captured between the anvil and the staple cartridge;

a deck, comprising;

a first deck surface; and

a second deck surface, wherein one of the first deck surface and the second deck surface is stepped up from the other one of the first deck surface and the second deck surface;

a plurality of first staple cavities arranged in a first row on a lateral side of the elongate slot, wherein the first row extends along the first deck surface;

a plurality of second staple cavities arranged in a second row on the lateral side of the elongate slot, wherein the second row is closer to the elongate slot than the first row, and wherein the second row extends along the second deck surface;

a plurality of first staples removably stored in the plurality of first staple cavities, wherein the plurality of first staples comprises a first unformed height; and

a plurality of second staples removably stored in the plurality of second staple cavities, wherein the plurality of second staples comprises a second unformed height different from the first unformed height; and

a control assembly, comprising;

a control circuit configured to generate a drive signal; and

a drive unit movable in response to the drive signal to deploy the plurality of first staples and the plurality of second staples.

21. The surgical instrument of claim 20, wherein the plurality of first staples comprises:

a distal staple positioned in the first row;

a proximal staple positioned in the first row, wherein the proximal staple is positioned proximally to the distal staple along the first row, and wherein the distal staple and the proximal staple are deployed simultaneously into the tissue captured between the anvil and the staple cartridge.

22. The surgical instrument of claim 21, wherein the plurality of second staples comprises a second staple positioned in the second row, wherein the second staple is simultaneously deployed with the distal staple and the proximal staple in the first row.

23. The surgical instrument of claim 20, wherein the control assembly comprises an input member actuatable to generate an input signal.

24. The surgical instrument of claim 23, wherein the control circuit is configured to generate the drive signal in response to the input signal.

25. A surgical instrument, comprising:

a fastener cartridge, comprising;

a cartridge body including a proximal end and a distal end;

an elongate slot extending between the proximal end and the distal end;

a deck, comprising;

a first deck surface; and

a second deck surface, wherein one of the first deck surface and the second deck surface is positioned higher than the other one of the first deck surface and the second deck surface;

a plurality of first fastener cavities arranged in a first row on a lateral side of the elongate slot, wherein the first row extends along the first deck surface;

a plurality of second fastener cavities arranged in a second row on the lateral side of the elongate slot, wherein the second row is closer to the elongate slot than the first row, and wherein the second row extends along the second deck surface;

a plurality of first fasteners removably stored in the plurality of first fastener cavities, wherein the plurality of first fasteners comprises a first unformed height; and

a plurality of second fasteners removably stored in the plurality of second fastener cavities, wherein the plurality of second fasteners comprises a second unformed height different from the first unformed height; and

a control circuit comprising a processor configured to generate a drive signal to deploy the plurality of first fasteners and the plurality of second fasteners.

26. The surgical instrument of claim 25, wherein the plurality of first fasteners comprises:

a distal fastener positioned in the first row;

a proximal fastener positioned in the first row, wherein the proximal fastener is positioned proximally to the distal fastener along the first row, and wherein the distal fastener and the proximal fastener are deployed simultaneously.

27. The surgical instrument of claim 26, wherein the plurality of second fasteners comprises a second fastener positioned in the second row, wherein the second fastener is simultaneously deployed with the distal fastener and the proximal fastener in the first row.

28. The surgical instrument of claim 25, wherein the control circuit comprises an input member actuatable to generate an input signal

29. The surgical instrument of claim 28, wherein the processor is configured to generate the drive signal in response to the input signal.

30. A surgical instrument, comprising:

a shaft;

an end effector extending from the shaft, wherein the end effector comprises;

an anvil including a staple forming portion;

a cutting member; and

a staple cartridge, comprising;

a cartridge body including a proximal end and a distal end;

an elongate slot extending between the proximal end and the distal end, wherein the cutting member is movable relative to the elongate slot to cut tissue captured between the anvil and the staple cartridge;

a deck, comprising;

a first deck surface; and

a second deck surface, wherein one of the first deck surface and the second deck surface is stepped up from the other one of the first deck surface and the second deck surface;

a plurality of first staple cavities arranged in a first row on a lateral side of the elongate slot, wherein the first row extends along the first deck surface;

a plurality of second staple cavities arranged in a second row on the lateral side of the elongate slot, wherein the second row is closer to the elongate slot than the first row, and wherein the second row extends along the second deck surface;

a plurality of first staples removably stored in the plurality of first staple cavities, wherein the plurality of first staples comprises a first unformed height; and

a plurality of second staples removably stored in the plurality of second staple cavities, wherein the plurality of second staples comprises a second unformed height different from the first unformed height; and

a drive assembly, comprising;

a motor configured to generate at least one rotary motion; and

an driven member configured to transmit at least one motion to the end effector in response to the at least one rotary motion.

31. The surgical instrument of claim 30, wherein the plurality of first fasteners comprises:

a distal fastener positioned in the first row;

a proximal fastener positioned in the first row, wherein the proximal fastener is positioned proximally to the distal fastener along the first row, and wherein the distal fastener and the proximal fastener are deployed simultaneously into tissue captured between the anvil and the staple cartridge.

32. The surgical instrument of claim 31, wherein the plurality of second fasteners comprises a second fastener positioned in the second row, wherein the second fastener is simultaneously deployed with the distal fastener and the proximal fastener in the first row.

33. The surgical instrument of claim 30, wherein the driven member is an articulation member configured to articulate the end effector relative to the shaft in response to the at least one rotary motion.