Surgical cutting and fastening instruments with separate and distinct fastener deployment and tissue cutting systems

• US 9,113,864 B2
• Filed: 09/30/2010
• Issued: 08/25/2015
• Est. Priority Date: 09/30/2010
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Morgan, Jerome R., Shelton, Frederick E. IV
• Primary Examiner(s): Long, Robert
• Application Number:
  US12/894,351
• Publication Number:
  US 20120080502A1
• Time in Patent Office: 1,790 Days
• Field of Search: 2271751-1821
• US Class Current: 1/1
• CPC Class Codes: A61B 1/00064 Constructional details of the endoscope body
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/008 Articulations
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00314 : Separate linked members
• CPC Class Codes: A61B 2017/00323 : Cables or rods
• CPC Class Codes: A61B 2017/00327 : with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/00526 : Methods of manufacturing
• CPC Class Codes: A61B 2017/0053 : Loading magazines or sutures into applying tools
• CPC Class Codes: A61B 2017/00884 : enhancing wound closure
• CPC Class Codes: A61B 2017/00946 : malleable
• CPC Class Codes: A61B 2017/07214 : Stapler heads
• CPC Class Codes: A61B 2017/07221 : curved
• 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 2017/2902 : characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2905 : flexible
• CPC Class Codes: A61B 2017/2908 : Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/291 : the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2919 : details of linkages or pivot points
• CPC Class Codes: A61B 2017/292 : connection of actuating rod to handle, e.g. ball end in recess
• 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 2017/2931 : with releasable head
• CPC Class Codes: A61B 2017/2933 : camming or guiding means
• CPC Class Codes: A61B 2017/2936 : Pins in guiding slots
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 90/92 : coded with colour
• CPC Class Codes: Y10T 29/49863 : with prestressing of part

Abstract

A surgical instrument capable for use with an end effector supporting a staple cartridge therein. In various embodiments, the surgical instrument includes a firing system for applying firing motions to the end effector to form the unformed the staples supported in the staple cartridge. The surgical instrument further includes a tissue cutting system that may be optionally actuated after the staples have been formed.

Claims

1. A surgical instrument comprising:

an end effector including a second jaw that is selectively movable relative to a first jaw in a first direction toward the first jaw upon application of firing motions thereto;

a staple cartridge removably supported in one of said first and second jaws, said staple cartridge comprising;

a compressible cartridge body supporting a plurality of unformed staples therein prior to said application of firing motions to the end effector, said compressible cartridge body having two lateral sides extending between a top surface and a bottom surface of said compressible cartridge body, said compressible cartridge body being compressible in at least said first direction; and

two lateral supports adjacent and at least coextensive with each said lateral side of said compressible cartridge body and being removably attached thereto prior to installation in said one of said first and second jaws and wherein said surgical instrument further comprises;

a firing member movably supported relative to said end effector and configured to selectively apply said firing motions to said second jaw of said end effector to move said second jaw in said first direction from an open position to closed positions including at least one closed position wherein said second jaw is moved into forming engagement with said plurality of unformed staples in said compressible cartridge body to simultaneously compress each said unformed staple into a final formed shape and detach said lateral supports from said compressible cartridge body; and

a knife member movable from an un-actuated position adjacent said proximal end of said end effector to an actuated position at a distal end of said end effector upon application of a cutting motion thereto that is independent from said firing motion.

2. The surgical instrument of claim 1 wherein one other said closed position comprises a maximum clamping position wherein said second jaw is located relative to an upper face of the staple cartridge to enable tissue to be clamped therebetween without forming staples in the staple cartridge.

3. The surgical instrument of claim 2 further comprising:

a firing trigger operably interfacing with said firing member to cause said firing member to apply said firing motions to said second jaw; and

means for preventing inadvertent further activation of said firing trigger after said second jaw is located relative to said first jaw in said maximum clamping position.

4. The surgical instrument of claim 3 wherein said firing trigger is operably supported on a handle assembly and wherein said means for preventing comprises a firing release member movably supported on said handle assembly and being selectively movable between an engaged position wherein said firing trigger is prevented from inadvertent activation after said second jaw is located relative to said first jaw in said maximum clamping position and a disengaged position wherein said firing trigger can be actuated.

5. The surgical instrument of claim 4 wherein said firing trigger is selectively movable from a starting position corresponding to said open position to an ending position corresponding to a fully fired position and wherein said surgical instrument further comprises a firing trigger locking arrangement for releasably locking said firing trigger in said ending position.

6. The surgical instrument of claim 5 further comprising a knife advancement trigger supported by said handle assembly and operably interfacing with said knife member to optionally apply said cutting motion thereto, and wherein said knife advancement trigger cannot be actuated unless said firing trigger is in said ending position.

7. The surgical instrument of claim 5 further comprising a knife lockout member operably supported by said handle assembly and movably interfacing with said knife advancement trigger and said firing trigger such that said knife lockout member lockingly engages said knife advancement trigger during actuation of said firing trigger and disengages said knife advancement trigger when said firing trigger has been moved to said ending position.

8. The surgical instrument of claim 1 further comprising an elongated spine member removably couplable to a proximal end of said end effector and wherein said firing member is selectively movable to a coupled position wherein said firing member retains said proximal end of said end effector in coupled engagement with said spine member.

9. The surgical instrument of claim 8 further comprising an end effector locking assembly for releasably locking said firing member in said coupled position.

10. A surgical instrument, comprising:

first and second jaw members supported relative to each other such that the second jaw member is selectively movable from an open position wherein said second jaw member is spaced from an implantable staple cartridge in said first jaw member toward said first jaw member in a first direction to closed positions, said implantable staple cartridge including two lateral sides extending between a top surface and a bottom surface and a lateral support adjacent and at least coextensive with each said lateral side and being removably attached thereto prior to installation in said first jaw member and wherein said second jaw member compresses said implantable staple cartridge in said first direction between said first and second jaw members upon the application of a firing motion thereto to simultaneously form a plurality of unformed surgical staples operably supported in said implantable staple cartridge prior to said application of said firing motion and to detach said lateral supports therefrom; and

a knife member operably supported relative to said first and second jaw members and being selectively movable from an un-actuated position at a first end of said first jaw member to an actuated position at a second end of said first jaw member upon application of a cutting motion thereto that is independent from said firing motion.

11. The surgical instrument of claim 10 wherein said firing motion is selectively applied to said second jaw member by a firing system interfacing therewith.

12. The surgical instrument of claim 11 wherein said firing system is actuatable by a manually actuatable firing trigger.

13. The surgical instrument of claim 12 wherein said cutting motion is selectively applied to said knife member by a cutting system interfacing therewith.

14. The surgical instrument of claim 13 wherein said cutting system comprises:

a cutting transmission operably interfacing with said knife member; and

a knife advancement trigger operably interfacing with said cutting transmission, said knife advancement trigger operable independently from said firing trigger.

15. The surgical instrument of claim 11 wherein said closed positions at least comprise a maximum clamping position wherein said second jaw member is positioned relative to an upper face of the staple cartridge to enable tissue to be clamped therebetween without forming staples in the staple cartridge and a fully fired position wherein the staples are fully formed.

16. The surgical instrument of claim 15 further comprising a firing system lock interfacing with said firing system to prevent inadvertent further activation of said firing system after said second jaw member has been moved to said maximum clamping position.

17. The surgical instrument of claim 15 wherein said cutting motion is applied by a cutting system that interfaces with said knife member, said cutting system being un-actuatable until said second jaw member is in said fully fired position.

18. A surgical instrument, comprising:

a handle assembly;

an elongated shaft assembly operably attached to said handle assembly, said elongated shaft assembly comprising;

an elongated spine member having a distal end; and

a firing tube axially movable on said elongated spine member and wherein said surgical instrument further comprises;

an end effector comprising;

an elongated channel couplable to said distal end of said elongated spine member;

a surgical staple cartridge comprising a compressible cartridge body having two lateral sides extending between a top surface and a bottom surface of said compressible cartridge body, wherein said surgical staple cartridge further comprises at least one lateral support adjacent and at least coextensive with each said lateral side of said compressible cartridge body configured to limit lateral expansion of said compressible cartridge body, said compressible cartridge body supporting a plurality of unformed staples therein prior to firing of said surgical instrument; and

an anvil movably supported relative to said elongated channel and being movable at least in a first direction toward the elongated channel between an open position and closed positions upon application of firing motions thereto by said firing tube and wherein when moved to at least one said closed position, said anvil moves into forming engagement with said plurality of unformed staples to simultaneously compress each said unformed staple into a final formed shape and wherein said surgical instrument further comprises;

a firing trigger operably supported on said handle assembly and interfacing with said firing tube such that actuation of said firing trigger causes said firing tube to apply said firing motions to said anvil;

a knife member movably supported within said elongated shaft assembly and being selectively movable from an un-actuated position adjacent said distal end of said spine member to an actuated position at a distal end of said elongated channel upon application of a cutting motion thereto that is independent from said firing motion; and

a knife advancement trigger operably supported on said handle assembly and interfacing with said knife member to selectively apply said cutting motion thereto.