Surgical stapling instruments

• US 7,753,245 B2
• Filed: 06/22/2007
• Issued: 07/13/2010
• 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: Swayze, Jeffrey S., Boudreaux, Chad P.
• Primary Examiner(s): Rada; Rinaldi I.
• Assistant Examiner(s): Lopez; Michelle
• Application Number:
  US11/821,277
• Publication Number:
  US 20080314955A1
• Time in Patent Office: 1,117 Days
• Field of Search: 227/175.1, 227/175.2, 227/180.1, 227/19
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2913 cams or guiding means
• CPC Class Codes: A61B 2017/2916 pins in guiding slots
• 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 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2946 Locking means
• 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

Abstract

A surgical instrument including a shaft, an end effector movable relative to the shaft, a locking mechanism configured to engage the shaft and/or end effector to fix the relative relationship between the shaft and end effector, and a closure system configured to close the end effector and engage the locking mechanism to prevent it from becoming unlocked. The instrument can further include a firing drive comprising a trigger, a firing member, and a pawl, where the pawl is rotatable between a first position in which the pawl is disengaged from the firing member and a second position in which the trigger can advance the pawl and firing member toward the end effector. The instrument can also include a reel, a band, where the band can be wound around the reel to retract the firing member, and a return mechanism for selectively engaging the trigger with the firing member and the reel.

Claims

1. 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 trigger;

a firing member operably engaged with said cutting member;

a pawl, wherein said pawl is rotatable between a first position and a second position relative to said firing member, and wherein said pawl is engaged with said firing member when said pawl is in said second position; and

a pawl pin operably engaged with said trigger and said pawl, wherein, upon an actuation of said trigger, said trigger is configured to advance said pawl pin and said pawl toward said end effector and, when said pawl is in said second position, said pawl is configured to advance said firing member toward said end effector,

wherein said firing drive further includes a tilter mechanism operably engaged with said pawl, wherein said tilter mechanism includes a cam, wherein said pawl is configured to contact said cam when said pawl is advanced by said trigger, and wherein said cam is configured to rotate said pawl into said second position.

2. The surgical instrument of claim 1, wherein said pawl is configured to move relative to said tilter mechanism prior to contacting said cam, and wherein said pawl is configured to engage said cam and advance said tilter mechanism toward said end effector after contacting said cam.

3. The surgical instrument of claim 1, wherein said tilter mechanism includes a second cam, and wherein, when said pawl contacts said second cam, said second cam is configured to rotate said pawl into said first position and disengage said pawl from said firing member.

4. The surgical instrument of claim 1, wherein said trigger is configured to retract said pawl pin and said pawl away from said end effector when said pawl is in said first position.

5. The surgical instrument of claim 1, further comprising a biasing member mounted to said pawl, wherein said biasing member is configured to bias said pawl into said first position to disengage said pawl from said firing member.

6. The surgical instrument of claim 1, further comprising a frame, wherein said frame comprises a slot having a sidewall, and wherein at least a portion of said tilter mechanism is positioned within said slot and engaged with said sidewall such that relative movement between said tilter mechanism and said frame is at least partially inhibited.

7. The surgical instrument of claim 6, wherein said tilter mechanism comprises a first deformable member and a second deformable member, and wherein said first deformable member and said second deformable member are engaged with said sidewall.

8. The surgical instrument of claim 1, wherein said trigger comprises an elongate slot having a first sidewall and a second sidewall, wherein at least a portion of said pawl pin is positioned within said slot, wherein said slot defines an elongate path along which said pawl pin can slide, and wherein said first sidewall is configured to engage said pawl pin to move said pawl pin toward said end effector when said trigger is rotated in a first direction, and wherein said second sidewall is configured to engage said pawl pin to move said pawl pin away from said end effector when said trigger is rotated in a second direction.

9. A surgical instrument, comprising:

a frame;

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 trigger;

a firing member operably engaged with said cutting member;

a pawl operably engaged with said trigger, wherein said trigger is configured to advance said pawl relative to said frame, wherein said pawl is rotatable between a first position and a second position relative to said firing member, and wherein, when said pawl is in said second position, said pawl is configured to engage said firing member and advance said firing member toward said end effector; and

a tilter mechanism operably engaged with said pawl, wherein said tilter mechanism includes a cam, wherein said pawl is configured to contact said cam when said pawl is advanced by said trigger, and wherein said cam is configured to rotate said pawl into said second position.

10. The surgical instrument of claim 9, wherein said pawl is configured to move relative to said tilter mechanism prior to contacting said cam, and wherein said pawl is configured to engage said cam and advance said tilter mechanism relative to said frame after contacting said cam.

11. The surgical instrument of claim 9, wherein said tilter mechanism includes a second cam, and wherein, when said pawl contacts said second cam, said second cam is configured to rotate said pawl into said first position and disengage said pawl from said firing member.

12. The surgical instrument of claim 9, wherein said firing drive further includes a pawl pin, wherein said pawl pin is operably engaged with said trigger and said pawl, and wherein said trigger includes a slot configured to receive said pawl pin and advance said pawl pin toward said end effector upon an actuation of said trigger.

13. The surgical instrument of claim 9, wherein said trigger is configured to retract said pawl relative to said frame when said pawl is in said first position.

14. The surgical instrument of claim 9, further comprising a biasing member mounted to said pawl, wherein said biasing member is configured to bias said pawl into said first position to disengage said pawl from said firing member.

15. The surgical instrument of claim 9, wherein said frame comprises a slot having a sidewall, and wherein at least a portion of said tilter mechanism is positioned within said slot and engaged with said sidewall such that relative movement between said tilter mechanism and said frame is at least partially inhibited.

16. The surgical instrument of claim 15, wherein said tilter mechanism comprises a first deformable member and a second deformable member, and wherein said first deformable member and said second deformable member are engaged with said sidewall.

17. The surgical instrument of claim 9, wherein said firing drive further comprises a pawl pin operably engaged with said trigger and said pawl, wherein said trigger comprises an elongate slot having a first sidewall and a second sidewall, wherein at least a portion of said pawl pin is positioned within said slot, wherein said slot defines an elongate path along which said pawl pin can slide, and wherein said first sidewall is configured to engage said pawl pin to move said pawl pin toward said end effector when said trigger is rotated in a first direction, and wherein said second sidewall is configured to engage said pawl pin to move said pawl pin away from said end effector when said trigger is rotated in a second direction.

18. A surgical instrument, comprising:

a staple cartridge attachment portion; and

a firing drive, comprising;

a trigger;

a firing member;

a pawl, wherein said pawl is rotatable between a first position and a second position relative to said firing member, and wherein said pawl is engaged with said firing member when said pawl is in said second position;

a pawl pin operably engaged with said trigger and said pawl, wherein, upon an actuation of said trigger, said trigger is configured to advance said pawl pin and said pawl toward said staple cartridge attachment portion and, when said pawl is in said second position, said pawl is configured to advance said firing member toward said staple cartridge attachment portion; and

a tilter mechanism operably engaged with said pawl, wherein said tilter mechanism includes a cam, wherein said pawl is configured to contact said cam when said pawl is advanced by said trigger, and wherein said cam is configured to rotate said pawl into said second position.

19. The surgical instrument of claim 18, wherein said pawl is configured to move relative to said tilter mechanism prior to contacting said cam, and wherein said pawl is configured to engage said cam and advance said tilter mechanism toward said staple cartridge attachment portion after contacting said cam.

20. The surgical instrument of claim 18, wherein said tilter mechanism includes a second cam, and wherein, when said pawl contacts said second cam, said second cam is configured to rotate said pawl into said first position and disengage said pawl from said firing member.

21. The surgical instrument of claim 18, wherein said trigger is configured to retract said pawl pin and said pawl away from said end effector when said pawl is in said first position.

22. The surgical instrument of claim 18, further comprising a biasing member mounted to said pawl, wherein said biasing member is configured to bias said pawl into said first position to disengage said pawl from said firing member.

23. The surgical instrument of claim 18, further comprising a frame, wherein said frame comprises a slot having a sidewall, and wherein at least a portion of said tilter mechanism is positioned within said slot and engaged with said sidewall such that relative movement between said tilter mechanism and said frame is at least partially inhibited.

24. The surgical instrument of claim 23, wherein said tilter mechanism comprises a first deformable member and a second deformable member, and wherein said first deformable member and said second deformable member are engaged with said sidewall.

25. The surgical instrument of claim 18, wherein said trigger comprises an elongate slot having a first sidewall and a second sidewall, wherein at least a portion of said pawl pin is positioned within said slot, wherein said slot defines an elongate path along which said pawl pin can slide, and wherein said first sidewall is configured to engage said pawl pin to move said pawl pin toward said staple cartridge attachment portion when said trigger is rotated in a first direction, and wherein said second sidewall is configured to engage said pawl pin to move said pawl pin away from said staple cartridge attachment portion when said trigger is rotated in a second direction.

26. A surgical instrument, comprising:

a frame;

a staple cartridge attachment portion; and

a firing drive, comprising;

a trigger;

a firing member;

a pawl operably engaged with said trigger, wherein said trigger is configured to advance said pawl relative to said frame, wherein said pawl is rotatable between a first position and a second position relative to said firing member, and wherein, when said pawl is in said second position, said pawl is configured to engage said firing member and advance said firing member toward said staple cartridge attachment portion; and

a tilter mechanism operably engaged with said pawl, wherein said tilter mechanism includes a cam, wherein said pawl is configured to contact said cam when said pawl is advanced by said trigger, and wherein said cam is configured to rotate said pawl into said second position.

27. The surgical instrument of claim 26, wherein said pawl is configured to move relative to said tilter mechanism prior to contacting said cam, and wherein said pawl is configured to engage said cam and advance said tilter mechanism relative to said frame after contacting said cam.

28. The surgical instrument of claim 26, wherein said tilter mechanism includes a second cam, and wherein, when said pawl contacts said second cam, said second cam is configured to rotate said pawl into said first position and disengage said pawl from said firing member.

29. The surgical instrument of claim 26, wherein said trigger is configured to retract said pawl relative to said frame when said pawl is in said first position.

30. The surgical instrument of claim 26, further comprising a biasing member mounted to said pawl, wherein said biasing member is configured to bias said pawl into said first position to disengage said pawl from said firing member.

31. The surgical instrument of claim 26, wherein said frame comprises a slot having a sidewall, and wherein at least a portion of said tilter mechanism is positioned within said slot and engaged with said sidewall such that relative movement between said tilter mechanism and said frame is at least partially inhibited.

32. The surgical instrument of claim 31, wherein said tilter mechanism comprises a first deformable member and a second deformable member, and wherein said first deformable member and said second deformable member are engaged with said sidewall.

33. The surgical instrument of claim 26, wherein said firing drive further comprises a pawl pin operably engaged with said trigger and said pawl, wherein said trigger comprises an elongate slot having a first sidewall and a second sidewall, wherein at least a portion of said pawl pin is positioned within said slot, wherein said slot defines an elongate path along which said pawl pin can slide, and wherein said first sidewall is configured to engage said pawl pin to move said pawl pin toward said staple cartridge attachment portion when said trigger is rotated in a first direction, and wherein said second sidewall is configured to engage said pawl pin to move said pawl pin away from said staple cartridge attachment portion when said trigger is rotated in a second direction.

34. A surgical instrument, comprising:

a frame;

a staple cartridge attachment portion; and

a firing drive, comprising;

a trigger;

a firing member;

a pawl operably engaged with said trigger, wherein said trigger is configured to advance said pawl relative to said frame, wherein said pawl is rotatable between a first position and a second position relative to said firing member, and wherein, when said pawl is in said second position, said pawl is configured to engage said firing member and advance said firing member toward said staple cartridge attachment portion; and

a camming mechanism, wherein said pawl is configured to contact said camming mechanism when said pawl is advanced by said trigger, and wherein said camming mechanism is configured to rotate said pawl into said second position.

35. The surgical instrument of claim 34, wherein said pawl is configured to move relative to said camming mechanism prior to contacting said camming mechanism, and wherein said pawl is configured to engage said camming mechanism and advance said camming mechanism relative to said frame.

36. The surgical instrument of claim 34, wherein said camming mechanism is configured to rotate said pawl into said first position when said pawl is retracted by said trigger.

37. The surgical instrument of claim 34, further comprising a biasing member mounted to said pawl, wherein said biasing member is configured to bias said pawl into said first position to disengage said pawl from said firing member.

38. The surgical instrument of claim 34, wherein said frame comprises a slot having a sidewall, and wherein at least a portion of said camming mechanism is positioned within said slot and engaged with said sidewall such that relative movement between said camming mechanism and said frame is at least partially inhibited.

39. The surgical instrument of claim 34, wherein said firing drive further comprises a pawl pin operably engaged with said trigger and said pawl, wherein said trigger comprises an elongate slot having a first sidewall and a second sidewall, wherein at least a portion of said pawl pin is positioned within said slot, wherein said slot defines an elongate path along which said pawl pin can slide, and wherein said first sidewall is configured to engage said pawl pin to move said pawl pin toward said staple cartridge attachment portion when said trigger is rotated in a first direction, and wherein said second sidewall is configured to engage said pawl pin to move said pawl pin away from said staple cartridge attachment portion when said trigger is rotated in a second direction.

40. A surgical instrument, comprising:

a frame comprising a slot having a sidewall;

a staple cartridge attachment portion; and

a firing drive, comprising;

a trigger;

a firing member;

a pawl operably engaged with said trigger, wherein said trigger is configured to advance said pawl relative to said frame, wherein said pawl is rotatable between a first position and a second position relative to said firing member, and wherein, when said pawl is in said second position, said pawl is configured to engage said firing member and advance said firing member toward said staple cartridge attachment portion; and

a tilter mechanism, wherein at least a portion of said tilter mechanism is positioned within said slot and frictionally-engaged with said sidewall, wherein said pawl is configured to contact said tilter mechanism when said pawl is advanced by said trigger, wherein said tilter mechanism is configured to remain stationary upon the application of an initial force by said pawl such that said pawl is rotated into said second position, and wherein said tilter mechanism is configured to slide within said slot upon the application of a subsequent force by said pawl which is larger than said initial force.

41. The surgical instrument of claim 40, wherein said trigger is configured to retract said pawl relative to said frame when said pawl is in said first position.

42. The surgical instrument of claim 40, further comprising a biasing member mounted to said pawl, wherein said biasing member is configured to bias said pawl into said first position to disengage said pawl from said firing member.

43. The surgical instrument of claim 40, wherein said tilter mechanism comprises a first deformable member and a second deformable member, and wherein said first deformable member and said second deformable member are engaged with said sidewall.

44. The surgical instrument of claim 40, wherein said firing drive further comprises a pawl pin operably engaged with said trigger and said pawl, wherein said trigger comprises an elongate slot having a first sidewall and a second sidewall, wherein at least a portion of said pawl pin is positioned within said slot, wherein said slot defines an elongate path along which said pawl pin can slide, and wherein said first sidewall is configured to engage said pawl pin to move said pawl pin toward said staple cartridge attachment portion when said trigger is rotated in a first direction, and wherein said second sidewall is configured to engage said pawl pin to move said pawl pin away from said staple cartridge attachment portion when said trigger is rotated in a second direction.