SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END EFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING MEMBER

• US 20160174977A1
• Filed: 12/18/2014
• Published: 06/23/2016
• Est. Priority Date: 12/18/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Lytle, Thomas W. IV, Shelton, Frederick E. IV, Morgan, Jerome R.
• Granted Patent: US 9,844,374 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00039 Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
• CPC Class Codes: A61B 2017/00061 spectrum
• CPC Class Codes: A61B 2017/00075 Motion
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00132 Setting operation time of a device A61B2017/00123 takes precedence
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• 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 2017/2923 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 2017/2937 with flexible part
• CPC Class Codes: A61B 2090/031 torque limiting
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/067 for measuring angles
• 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 is disclosed. The surgical instrument can include an end effector, comprising an anvil and a staple cartridge. The surgical instrument can further include a shaft defining a longitudinal axis. The surgical instrument can also include an articulation joint, wherein the end effector is rotatably connected to the shaft about the articulation joint between an unarticulated position and at least one articulated position. The surgical instrument can include means for adjusting the length of a firing stroke as a function of the degree in which the end effector is articulated relative to the longitudinal axis. The surgical instrument can include a sensor configured to defect shifting of lateral portions of a flexible firing bar that extends through the articulation joint. Additionally or alternatively, the surgical instrument can include a relief feature configured to accommodate shifting of lateral portions of a flexible firing bar.

Claims

1. A surgical instrument system, comprising:

an end effector, comprising;

an anvil;

a staple cartridge, comprising;

a proximal end;

a distal end;

a plurality of staple cavities; and

a plurality of staples removably stored in the staple cavities; and

a sled slidable within the staple cartridge to move the staples toward the anvil;

a firing member movable relative to the staple cartridge to move the sled from the proximal end toward the distal end of the staple cartridge during a firing stroke;

a shaft defining a longitudinal axis;

an articulation joint, wherein the end effector is rotatably connected to the shaft about the articulation joint between an unarticulated position and an articulated position; and

adjusting means for adjusting the length of the firing stroke as a function of the degree in which the end effector is articulated relative to the longitudinal axis.

2. The surgical instrument system of claim 1, further comprising means for determining the position of the firing member during the firing stroke.

3. The surgical instrument system of claim 1, further comprising sensing means for sensing the degree of articulation of the end effector relative to the longitudinal axis.

4. The surgical instrument system of claim 3, further comprising a flexible firing bar extending through the articulation joint, wherein the flexible firing bar comprises a plurality of lateral portions, and wherein the sensing means comprises means for detecting the relative positions of the lateral portions.

5. The surgical instrument system of claim 3, wherein the adjusting means comprises a controller in communication with the sensing means, wherein the controller is configured to adjust the length of the firing stroke based on feedback from the sensing means.

6. The surgical instrument system of claim 1, wherein the adjusting means comprises a firing path shifter.

7. A surgical instrument system, comprising:

an end effector, comprising;

an anvil; and

a staple cartridge comprising a plurality of staple cavities and a plurality of staples removably stored in the staple cavities;

a shaft defining a longitudinal axis;

an articulation joint, wherein the end effector is rotatably connected to the shaft at the articulation joint between an unarticulated position and a plurality of articulated positions relative to the longitudinal axis;

a flexible firing bar extending through the articulation joint, wherein the flexible firing bar comprises;

a proximal end positioned proximal to the articulation joint;

a distal end positioned distal to the articulation joint; and

a plurality of lateral portions extending through the articulation joint, wherein the lateral portions are configured to shift relative to each other at the proximal end when the end effector is moved to an articulated position; and

a sensor configured to defect shifting between a first lateral portion and a second lateral portion at the proximal end of the flexible firing bar.

8. The surgical instrument system of claim 7, wherein the sensor comprises a Hall effect sensor, and wherein at least one magnet is positioned on the flexible firing bar.

9. The surgical instrument system of claim 7, wherein the sensor comprises a linear encoder.

10. The surgical instrument system of claim 7, wherein the sensor comprises a rotary encoder.

11. The surgical instrument system of claim 7, wherein the sensor comprises a flexible band comprising an electrically active polymer.

12. The surgical instrument system of claim 7, wherein the sensor comprises:

at least one first contact on the first lateral portion; and

at least one second contact on the second lateral portion, wherein the second lateral portion is adjacent to the first lateral portion.

13. A surgical instrument system, comprising:

an end effector, comprising;

an anvil; and

a staple cartridge comprising a plurality of staple cavities and a plurality of staples removably stored in the staple cavities;

a shaft defining a longitudinal axis;

an articulation joint, wherein the end effector is rotatably connected to the shaft at the articulation joint between an unarticulated position and at least one articulated position relative to the longitudinal axis;

a flexible firing member extending through the articulation joint, wherein the flexible firing member comprises a plurality of lateral portions, and wherein the lateral portions are configured to shift relative to each other when the end effector is moved to the at least one articulated position; and

a relief feature configured to accommodate shifting of the lateral portions of the flexible firing member.

14. The surgical instrument system of claim 13, further comprising a rigid firing rod extending through the shaft, wherein the rigid firing rod is coupled to the flexible firing member, and wherein the relief feature is positioned intermediate the flexible firing member and the rigid firing rod.

15. The surgical instrument system of claim 13, wherein the flexible firing member is comprised of a first material having a first durometer hardness, wherein the relief feature is comprised of a second material having a second durometer hardness, and wherein the second durometer hardness is less than the first durometer hardness.

16. The surgical instrument system of claim 13, wherein the staple cartridge further comprises a sled slidable within the staple cartridge to move the staples toward the anvil, and wherein the relief feature is positioned intermediate the sled and the flexible firing member.

17. The surgical instrument system of claim 13, wherein a longitudinal slot is defined through at least a portion of the staple cartridge, and wherein the relief feature comprises a bridge extending across the longitudinal slot.

18. The surgical instrument system of claim 13, wherein the relief feature comprises a frangible member.

19. The surgical instrument system of claim 13, wherein the staple cartridge comprises a distal end wall, and wherein the relief feature comprises at least one aperture through the distal end wall.

20. The surgical instrument system of claim 13, wherein the relief feature comprises a hard stop comprising a plurality of steps.