SURGICAL STAPLERS WITH INDEPENDENTLY ACTUATABLE CLOSING AND FIRING SYSTEMS

• US 20180168612A1
• Filed: 12/21/2016
• Published: 06/21/2018
• Est. Priority Date: 12/21/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Bakos, Gregory J., Smith, David B., Hensel, Adam D., Harris, Jason L.
• Granted Patent: US 10,448,950 B2
• Time in Patent Office: Days
• 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00393 with means for switching between functions
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• 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 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00862 elastic or resilient for sutures A61B2017/0618
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07235 containing different staples, e.g. staples of different shapes, sizes or materials
• 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 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07264 characterised by its staple forming cavities, e.g. geometry or material
• 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 2017/2825 : Inserts of different material in jaws
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2933 : camming or guiding means
• CPC Class Codes: A61B 2017/2934 : arcuate shaped guiding means
• CPC Class Codes: A61B 2090/0814 : Preventing re-use
• CPC Class Codes: A61B 34/30 : Surgical robots

Abstract

A surgical instrument with separate actuatable closure and firing systems for closing a movable jaw and actuating a firing member. In one form, the surgical instrument comprises an elastic spine assembly that includes a proximal spine portion and a distal spine portion that is elastically coupled to the proximal spine portion for axial movement relative thereto between a neutral position and an elongated position such that during actuation of the firing system results in an increased application of closure motions to the movable jaw without actuating the closure system.

Claims

1. A surgical instrument, comprising:

an elastic spine assembly comprising a proximal spine portion and a distal spine portion that is elastically coupled to said proximal spine portion for axial movement relative thereto between a neutral position and an elongated position;

a first jaw attached to said distal spine portion;

a second jaw movably supported relative to said first jaw for selective movement between open and closed positions relative to said first jaw;

a closure system configured to apply a closure motion to said second jaw and to move said distal spine portion from said neutral position to said elongated position upon actuation thereof; and

a firing system configured to axially advance a firing member from a starting to an ending position within said first jaw upon actuation thereof and to enable said distal spine portion to return to said neutral position to thereby increase said closure motion applied to said second jaw.

2. The surgical instrument of claim 1, wherein said closure system comprises a closure member configured for axial travel relative to said distal spine portion from an unactuated position corresponding to said neutral position of said distal spine portion to a first closed position wherein said distal spine portion is moved to said elongated position and said second jaw is moved to a first one of said closed positions.

3. The surgical instrument of claim 2, wherein said closure member is hollow and is configured to receive therein a mounting portion of said second jaw.

4. The surgical instrument of claim 3, wherein said mounting portion has a first cam surface thereon and wherein said hollow closure member has a second cam surface thereon configured for camming contact with said first cam surface upon actuation of said closure system to move said second jaw from said open position to said first closed position.

5. The surgical instrument of claim 4, wherein movement of said distal spine portion from said elongated position to said neutral position increases said camming contact between said first and second cam surfaces.

6. The surgical instrument of claim 1, wherein said distal spine portion is interconnected to said proximal spine portion by a stretchable central spine portion.

7. The surgical instrument of claim 6, wherein said elastic spine assembly further comprises means for restricting said stretchable central spine portion to a predetermined amount of stretch.

8. The surgical instrument of claim 7, wherein said means for restricting comprises:

a stretchable body member sized to span between said distal spine portion and said proximal spine portion; and

means for limiting said stretchable body to a predetermined amount of elongation.

9. The surgical instrument of claim 8, wherein said stretchable body member includes a first modulus of elasticity and wherein said means for limiting comprises at least one stretch limiter member supported by said stretchable body and includes a second modulus of elasticity that is less than said first modulus of elasticity.

10. A surgical instrument, comprising:

an elastic spine assembly configured to elongate between a first neutral position and a second elongated position;

a first jaw attached to said elastic spine assembly;

a second jaw movably supported relative to said first jaw for selective movement between open and closed positions relative to said first jaw;

a closure system comprising a closure member configured to apply a first amount of closure force to said second jaw to move said second jaw from said open position to a first closed position and elongate said elastic spine assembly to said second elongated position;

a firing member supported for axial travel between a starting position and an ending position within said first jaw; and

a firing system operably interfacing with said firing member to selectively advance said firing member from said starting position to said ending position such that movement of said firing member from said starting position to said ending position causes said elastic spine to move toward said first neutral position which causes said closure member to apply a second amount of closure force to said second jaw and thereby moves said second jaw to a second closed position.

11. The surgical instrument of claim 10, wherein said second jaw comprises a mounting portion that is pivotally pinned to said first jaw for pivotal travel between said open position and said closed positions.

12. The surgical instrument of claim 11, wherein said mounting portion has a first cam surface thereon and wherein said closure member has a second cam surface thereon that is configured for camming contact with said first cam surface upon actuation of said closure system to move said second jaw from said open position to said first closed position.

13. The surgical instrument of claim 12, wherein movement of elastic spine assembly from said second elongated position to said first neutral position increases said camming contact between said first and second cam surfaces.

14. A surgical instrument, comprising:

an elastic spine assembly comprising a proximal spine portion and a distal spine portion that is elastically coupled to said proximal spine portion for axial movement relative thereto between a neutral position and an elongated position;

an elongate channel configured to operably support a surgical staple cartridge therein, said elongate channel attached to said distal spine portion;

an anvil pivotally coupled to said elongate channel for selective pivotal travel about a fixed pivot axis between open and closed positions relative to said elongate channel;

a closure system configured to apply closure motions to said anvil and move said distal spine portion from said neutral position to said elongated position; and

a firing system configure to axially advance a firing member from a starting to an ending position within said elongate channel upon actuation thereof and thereby enable said distal spine portion to return to said neutral position to thereby increase said closure motions applied to said anvil.

15. The surgical instrument of claim 14, wherein said distal spine portion is interconnected to said proximal spine portion by a stretchable central spine portion.

16. The surgical instrument of claim 15, wherein said elastic spine assembly further comprises a stretch limiting insert comprising:

a body member sized to span between said distal spine portion and said proximal spine portion; and

means for limiting said body to a predetermined amount of elongation.

17. The surgical instrument of claim 16, wherein said body member is fabricated from an elastomeric material and wherein said means for limiting is fabricated from metal.

18. The surgical instrument of claim 16, wherein said body member comprises:

a first mounting lug formed therein configured for mounting engagement with said proximal spine portion; and

a second mounting lug formed therein configured for mounting engagement with said distal spine portion and wherein said means for limiting comprises at least one stretch limiter comprising an elongate body spanning between said first and second mounting lugs and including first and second mounting ends wherein said first end is movably received within a cavity in said first mounting lug and wherein said second end is movably received in a second cavity in said second mounting lug.

19. The surgical instrument of claim 14, wherein a mounting portion of said anvil is pivotally pinned to said elongate channel and includes a first cam surface thereon and wherein said closure system comprises a closure member that includes a second cam surface thereon that is configured for camming contact with said first cam surface upon actuation of said closure system to move said second jaw from said open position to said first closed position.

20. The surgical instrument of claim 19, wherein movement of said distal spine portion from said elongated position to said neutral position increases said camming contact between said first and second cam surfaces.