MANUALLY DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT

• US 20160183945A1
• Filed: 03/03/2016
• Published: 06/30/2016
• Est. Priority Date: 06/27/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Ouwerkerk, John N., Morgan, Jerome R., Swayze, Jeffrey S., Timperman, Eugene L., Fugikawa, Leslie M.
• Granted Patent: US 10,314,589 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 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• 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 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: B65B 55/12 Sterilising contents prior to, or during, packaging

Abstract

A surgical cutting and fastening instrument that includes an elongate channel that is attached to a handle assembly by an elongate shaft assembly. The elongate channel is configured to receive a cartridge and has a pivotally translatable anvil attached thereto and a knife bar supported therein. The anvil may be selectively opened and closed by manipulating a closure trigger supported by the handle assembly. The knife bar may be distally advanced through the elongate channel by actuating a firing trigger that cooperates with a reversible rotary drive supported by the handle assembly. The knife bar may also be retracted to its starting position by actuating the firing trigger after the reversible rotary drive has been shifted to a retraction orientation.

Claims

1. A surgical instrument comprising:

a handle assembly;

a closure drive supported by said handle assembly and configured to generate a closing motion and an opening motion;

a firing drive supported by said handle assembly and configured to selectively generate a rotary firing motion upon actuation of a firing trigger operably coupled to said handle assembly and a rotary retraction motion upon another actuation of the firing trigger;

an elongate shaft assembly coupled to said handle assembly and communicating with said closure drive and said firing drive to separately transfer said closing and opening motions and said rotary firing motion; and

an end effector coupled to said elongate shaft assembly, said end effector comprising;

an elongate channel sized to receive a staple cartridge therein;

an anvil pivotally coupled to said elongate channel and being pivotally responsive to said open and closing motions from said elongate shaft assembly; and

a cutting and severing member operably supported within said elongate channel and being responsive to said rotary firing and retraction motions from said elongate shaft assembly.

2. The surgical instrument of claim 1, wherein said elongate channel is metal and formed by stamping.

3. The surgical instrument of claim 1, wherein said anvil is metal and formed by stamping.

4. The surgical instrument of claim 1, wherein said elongate shaft assembly comprises:

a spine assembly attached to said closure drive and said elongate channel; and

a closure tube assembly coupled to said handle assembly and extending over said spine assembly, said spine assembly axially movable relative to said closure tube assembly in response to said closing and opening motions generated by said closure drive, said closure tube assembly configured to actuate said anvil between said open and closed positions in response to said axial movement of said spine assembly within said closure tube assembly.

5. The surgical instrument of claim 4, wherein said spine assembly comprises:

proximal spine section coupled to said handle assembly; and

a distal spine section coupled to said proximal spine section and being rotatable relative thereto.

6. The surgical instrument of claim 5, wherein said closure tube assembly is selectively rotatable relative to said handle assembly.

7. The surgical instrument of claim 4, wherein said closure drive comprises:

a closure shuttle movably supported by said handle assembly, said closure shuttle supporting a proximal end of said spine assembly therein; and

a closure trigger operably affixed to said handle assembly and said closure shuttle, said closure trigger operable to apply said closing and opening forces to said closure shuttle.

8. The surgical instrument of claim 1, wherein said firing drive comprises:

a firing rod supported within said elongate shaft assembly for selective axial travel therein, said firing rod communicating with said cutting and severing member such that upon an application of the rotary firing motion thereto, said firing rod causes said cutting and severing member to move in a distal direction through said elongate channel and upon application of the rotary retraction force to said firing rod, said firing rod causes said cutting and severing member to move in a proximal direction; and

a shifter assembly supported within said handle assembly and being selectively movable between a firing orientation for generating said rotary firing motion and a retraction orientation for generating said rotary retraction motion;

said shifter assembly communicating with said firing rod such that when said firing trigger is actuated when said shifter assembly is in firing orientation, said shifter assembly applies said rotary firing motion to said firing rod and when said firing trigger is actuated when said shifter assembly is in said retraction orientation, said shifter assembly applies said rotary retraction motion to said firing rod.

9. The surgical instrument of claim 8, further comprising a shifter button supported by said handle assembly for selectively moving said shifter assembly between said firing orientation and said retraction orientation.

10. The surgical instrument of claim 8, wherein said shifter assembly comprises:

a first pinion gear operably supported within said handle assembly;

a second pinion gear operably supported within said handle assembly;

a central bevel gear in meshing engagement with said first and second pinion gears;

a ratchet assembly coupled to said central bevel gear and said firing trigger such that actuation of said firing trigger causes said ratchet assembly to rotate said central bevel gear in a first direction; and

a shifter gear centrally disposed between said first and second pinion gears and being selectively movable between a position wherein said shifter gear meshes with said first gear and transmits said rotary firing motion to said firing rod and another position wherein said shifter gear meshes with said second gear and transmits said rotary retraction motion to said firing rod.

11. The surgical instrument of claim 10, further comprising:

a shifter shaft coupled to said shifter gear;

a gear assembly coupled to said shifter shaft; and

a firing screw coupled to said gear assembly and said firing rod such that rotation of said firing screw in one direction causes said firing rod to move distally and rotation of said firing screw in an opposite direction causes said firing rod to move in a proximal direction.

12. A method for processing an instrument for surgery, said method comprising:

obtaining said surgical instrument of claim 1;

sterilizing said surgical instrument; and

storing said instrument in a sterile container.

13. A cutting and fastening instrument, comprising:

a handle assembly;

a closure shuttle movably supported by said handle assembly;

a closure trigger operably supported by said handle assembly and operable to apply a closing and opening force to said closure shuttle;

an elongate spine assembly having a distal end and a proximal end, said proximal end supported by said closure shuttle and said distal end coupled to an elongate channel configured to receive a staple cartridge therein;

an anvil pivotally coupled to said elongate channel;

a closure tube assembly supported on said elongate spine assembly and coupled to said handle assembly, said closure tube assembly cooperating with said anvil such that upon application of said closure force to said closure shuttle, said spine assembly moves distally within said closure tube assembly causing said anvil to pivot to a closed position and upon application of said opening force to said closure shuttle, said spine assembly moves proximally within said closure tube assembly causing said anvil to pivot to an open position;

a cutting and severing member operably supported within said elongate channel;

a shifter assembly supported in said handle assembly and being selectively movable between a firing orientation and a retraction orientation, said shifter assembly cooperating with a firing trigger such that upon actuation of said firing trigger when said shifter assembly is in said firing orientation, said shifter assembly applies a rotary firing motion to said cutting and severing member to drive said cutting and severing member distally through said elongate channel and such that upon another actuation of said firing trigger when said shifter assembly is in said retraction orientation, said shifter assembly applies a rotary retraction motion to said cutting and severing member to drive said cutting and severing member proximally through said elongate channel.

14. The surgical instrument of claim 13, wherein said elongate channel is metal and formed by stamping.

15. The surgical instrument of claim 13, wherein said anvil is metal and formed by stamping.

16. The surgical instrument of claim 13, wherein said elongate channel is selectively rotatable relative to said handle assembly.

17. The surgical instrument of claim 13, further comprising means for releasably retaining the closure trigger in a locked position.

18. The surgical instrument of claim 13, further comprising:

a firing rod supported within a portion of said elongate spine assembly for selective axial travel therein, said firing rod communicating with said shifter assembly and said cutting and severing member such that upon an application of the rotary firing motion to said firing rod, said firing rod causes said cutting and severing member to move in a distal direction through said elongate channel and upon application of the rotary retraction motion to said firing rod by said shifter assembly, said firing rod causes said cutting and severing member to move in a proximal direction.

19. The surgical instrument of claim 13, further comprising a shifter button supported by said handle assembly for selectively moving said shifter assembly between said firing orientation and said retraction orientation.

20. A surgical instrument comprising:

a handle assembly;

closure means supported by said handle assembly for generating a closing motion and an opening motion;

firing means supported by said handle assembly for manually generating a rotary firing motion and a rotary retraction motion upon manual actuation of a firing trigger operably coupled to said handle assembly;

cartridge support means coupled to said handle assembly for supporting a staple cartridge therein;

cutting means supported within said cartridge support means;

force transmitting means coupled to said handle assembly and communicating with said closure means and said firing means to separately transfer said closing motion, said firing motion and said retraction motion to said cutting means; and

anvil means pivotally coupled to said cartridge support means, said anvil means being pivotally responsive to said open and closing motions from said force transmitting means.