Surgical stapling instrument with an anti-back up mechanism

• US 7,604,150 B2
• Filed: 06/22/2007
• Issued: 10/20/2009
• Est. Priority Date: 06/22/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Boudreaux, Chad P.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US11/821,426
• Publication Number:
  US 20080314962A1
• Time in Patent Office: 851 Days
• Field of Search: 227/19, 227/176.1, 227/180.1, 227/178.1, 227/175.2, 606/139, 606/219
• US Class Current: 227/176.1
• 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 2017/00367 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 2017/2917 with flexible part
• CPC Class Codes: A61B 2017/2946 Locking means

Abstract

A surgical instrument including a firing drive configured to advance a cutting member and/or staple driver within an end effector, and a brake configured to prevent, or at least partially inhibit, the relative movement of the cutting member and/or staple driver. The surgical instrument can further include a firing member operably engaged with the cutting member, for example, a band connected to the firing member, and a reel, where the band can be configured to be wound around the reel. In various embodiments, the brake can be selectively engageable with the reel and/or band to prevent, or limit, the movement of the band. The brake can include a brake surface where relative movement between the band and the brake surface can generate a friction force therebetween which can hold the firing member in position until a sufficient force is applied to the firing member to overcome the friction force.

Claims

1. A surgical instrument, comprising:

an end effector, comprising;

a channel configured to receive a staple cartridge;

an anvil movably coupled to said channel; and

a cutting member operably supported within said channel;

a closure drive configured to generate a closing motion, wherein said anvil is operably engaged with said closure drive and is responsive to said closing motion; and

a firing drive, comprising;

a firing member operably engaged with said cutting member, wherein said firing drive is configured to advance said firing member toward said end effector and to move said cutting member relative to said anvil;

a reel;

a band operably connected to said firing member, wherein at least a portion of said band is configured to be wound around said reel, and wherein said firing member is configured to unwind said band from said reel when said firing member is advanced; and

a brake, wherein said brake is configured to apply a braking force to at least one of said band and said reel.

2. The surgical instrument of claim 1, further comprising a frame, wherein said brake includes a brake surface on said frame, and wherein said band is configured to contact said brake surface to apply said braking force.

3. The surgical instrument of claim 2, wherein said brake surface at least partially surrounds said reel.

4. The surgical instrument of claim 1, wherein said firing member is configured to pull said band in a first direction when said firing member is advanced, and wherein said braking force is configured to prevent said band from being moved in a direction opposite said first direction.

5. The surgical instrument of claim 1, wherein said braking force is configured to inhibit said firing member from being moved relative to said end effector.

6. The surgical instrument of claim 1, wherein said brake is movable between a first position and a second position, wherein said brake is configured to apply said braking force to at least one of said band and said reel when said brake is in said first position, and wherein said braking force is a first braking force.

7. The surgical instrument of claim 6, wherein said brake is configured to apply a second braking force to at least one of said band and said reel when said brake is in said second position, and wherein said second braking force is less than said first braking force.

8. The surgical instrument of claim 6, wherein said brake is not engaged with said band and said reel when said brake is in said second position.

9. The surgical instrument of claim 1, wherein said brake includes a ratchet operably engaged with said reel, and wherein said ratchet is configured to permit said reel to be rotated in a first direction and to prevent said reel from being rotated in a direction opposite said first direction.

10. The surgical instrument of claim 1, wherein said brake includes:

a ratchet wheel operably engaged with said reel; and

a ratchet pawl operably engaged with said ratchet wheel, wherein said pawl is configured to permit said reel to be rotated in a first direction and to prevent said reel from being rotated in a direction opposite said first direction.

11. The surgical instrument of claim 1, wherein said brake comprises a detent and a spring, and wherein said spring is configured to bias said detent against at least one of said band and said reel.

12. The surgical instrument of claim 1, wherein said reel comprises a non-cylindrical perimeter about which said band is wound to provide a variable mechanical advantage to retract said firing member.

13. A surgical instrument, comprising:

an end effector, comprising;

a channel configured to receive a staple cartridge;

an anvil movably coupled to said channel; and

a cutting member operably supported within said channel;

a closure drive configured to generate a closing motion, wherein said anvil is operably engaged with said closure drive and is responsive to said closing motion; and

a firing drive, comprising;

a firing member operably engaged with said cutting member, wherein said firing drive is configured to advance said firing member toward said end effector and to move said cutting member relative to said anvil;

a reel;

a ratchet operably engaged with said reel; and

a band connected to said firing member, wherein at least a portion of said band is configured to be wound around said reel, wherein said firing member is configured to pull said band and unwind said band from said reel when said firing member is advanced, wherein said band is configured to rotate said reel in a first direction when said band is pulled by said firing member, and wherein said ratchet is configured to prevent said reel from rotating in a direction opposite said first direction.

14. The surgical instrument of claim 13, wherein said ratchet can be operably disengaged from said reel, and wherein said reel can be rotated in said opposite direction when said ratchet is disengaged from said reel.

15. The surgical instrument of claim 14, wherein said ratchet includes a ratchet wheel and a ratchet pawl selectively engageable with said ratchet wheel, and wherein, when said ratchet pawl is engaged with said ratchet wheel, said ratchet pawl prevents said reel from being turned in said opposite direction.

16. The surgical instrument of claim 14, wherein said reel is configured to pull said band and retract said firing member when said reel is rotated in said opposite direction.

17. The surgical instrument of claim 13, wherein said reel comprises a non-cylindrical perimeter about which said band is wound to provide a variable mechanical advantage to retract said firing member.

18. A surgical instrument, comprising:

a staple cartridge attachment portion configured to have a staple cartridge attached thereto;

a closure drive configured to generate a closing motion and position tissue relative to said staple cartridge attachment portion; and

a firing drive, comprising;

a firing member, wherein said firing drive is configured to advance said firing member relative to said staple cartridge attachment portion;

a reel;

a band operably connected to said firing member, wherein at least a portion of said band is configured to be wound around said reel, and wherein said firing member is configured to unwind said band from said reel when said firing member is advanced; and

a brake, wherein said brake is configured to apply a braking force to at least one of said band and said reel.

19. The surgical instrument of claim 18, further comprising a frame, wherein said brake includes a brake surface on said frame, wherein said band is configured to contact said brake surface to apply said braking force, and wherein said brake surface at least partially surrounds said reel.

20. The surgical instrument of claim 18, wherein said brake includes:

a ratchet wheel operably engaged with said reel;

a ratchet pawl operably engaged with said ratchet wheel, wherein said pawl is configured to permit said reel to be rotated in a first direction and to prevent said reel from being rotated in a direction opposite said first direction.

21. The surgical instrument of claim 18, further comprising an actuator operably engageable with said reel, wherein said actuator is configured to rotate said reel and wind said band onto said reel to retract said firing member away from said staple cartridge attachment portion.

22. The surgical instrument of claim 18, wherein said brake comprises a detent and a spring, and wherein said spring is configured to bias said detent against at least one of said band and said reel.

23. The surgical instrument of claim 18, wherein said reel comprises a non-cylindrical perimeter about which said band is wound to provide a variable mechanical advantage to retract said firing member.

24. A surgical instrument, comprising:

a staple cartridge attachment portion configured to have a staple cartridge attached thereto;

a closure drive configured to generate a closing motion and position tissue relative to said staple cartridge attachment portion; and

a firing drive, comprising;

a firing member, wherein said firing drive is configured to advance said firing member relative to said staple cartridge attachment portion;

a reel;

a ratchet operably engaged with said reel; and

a band connected to said firing member, wherein at least a portion of said band is configured to be wound around said reel, wherein said firing member is configured to pull said band and unwind said band from said reel when said firing member is advanced, wherein said band is configured to rotate said reel in a first direction when said band is pulled by said firing member, and wherein said ratchet is configured to prevent said reel from rotating in a direction opposite said first direction.

25. The surgical instrument of claim 24, wherein said ratchet can be operably disengaged from said reel, and wherein said reel can be rotated in said opposite direction when said ratchet is disengaged from said reel.

26. The surgical instrument of claim 24, wherein said ratchet includes a ratchet wheel and a ratchet pawl selectively engageable with said ratchet wheel, and wherein, when said ratchet pawl is engaged with said ratchet wheel, said ratchet pawl prevents said reel from being turned in said opposite direction.

27. The surgical instrument of claim 24, wherein said reel is configured to pull said band and retract said firing member when said reel is rotated in said opposite direction.

28. The surgical instrument of claim 24, further comprising an actuator operably engageable with at least one of said reel and said ratchet, wherein said actuator is configured to rotate said reel and wind said band onto said reel to retract said firing member away from said staple cartridge attachment portion.

29. The surgical instrument of claim 24, wherein said reel comprises a non-cylindrical perimeter about which said band is wound to provide a variable mechanical advantage to retract said firing member.

30. A surgical instrument, comprising:

an end effector, comprising;

a channel configured to receive a staple cartridge; and

a cutting member operably supported within said channel; and

a firing drive, comprising;

a firing member operably engaged with said cutting member, wherein said firing drive is configured to advance said firing member toward said end effector and to move said cutting member relative to said channel;

a reel; and

a band operably connected to said firing member, wherein said firing member is configured to pull said band relative to said reel when said firing member is advanced toward said end effector, and wherein said reel is configured to pull said band and retract said firing member relative to said end effector.

31. The surgical instrument of claim 30, further comprising a frame, wherein said frame comprises a brake surface configured to apply a braking force to said band, and wherein said brake surface at least partially surrounds said reel.

32. The surgical instrument of claim 30, further comprising a brake, wherein said brake comprises:

a ratchet wheel operably engaged with said reel; and

a ratchet pawl operably engaged with said ratchet wheel, wherein said pawl is configured to permit said reel to be rotated in a first direction and to prevent said reel from being rotated in a direction opposite said first direction.

33. The surgical instrument of claim 30, further comprising a brake, wherein said brake comprises a detent and a spring, and wherein said spring is configured to bias said detent against at least one of said reel and said band.

34. The surgical instrument of claim 30, wherein said reel comprises a non-cylindrical perimeter about which said band is wound to provide a variable mechanical advantage to retract said firing member.

35. A surgical instrument, comprising:

a staple cartridge attachment portion configured to have a staple cartridge attached thereto, wherein said staple cartridge attachment portion comprises a distal end; and

a firing drive, comprising;

a firing member, wherein said firing drive is configured to advance said firing member relative to said distal end;

a reel; and

a band operably connected to said firing member, wherein said firing member is configured to pull said band relative to said reel when said firing member is advanced toward said distal end, and wherein said reel is configured to pull said band and retract said firing member relative to said distal end.

36. The surgical instrument of claim 35, further comprising an actuator operably engageable with said reel, wherein said actuator is configured to rotate said reel and wind said band onto said reel to retract said firing member away from said staple cartridge attachment portion.

37. The surgical instrument of claim 35, further comprising a frame, wherein said frame comprises a brake surface configured to apply a braking force to said band, and wherein said brake surface at least partially surrounds said reel.

38. The surgical instrument of claim 35, further comprising a brake, wherein said brake comprises:

a ratchet wheel operably engaged with said reel; and

a ratchet pawl operably engaged with said ratchet wheel, wherein said pawl is configured to permit said reel to be rotated in a first direction and to prevent said reel from being rotated in a direction opposite said first direction.

39. The surgical instrument of claim 35, further comprising a brake, wherein said brake comprises a detent and a spring, and wherein said spring is configured to bias said detent against at least one of said reel and said band.

40. The surgical instrument of claim 35, wherein said reel comprises a non-cylindrical perimeter about which said band is wound to provide a variable mechanical advantage to retract said firing member.