Powered surgical cutting and stapling apparatus with manually retractable firing system

• US 9,370,364 B2
• Filed: 03/05/2013
• Issued: 06/21/2016
• Est. Priority Date: 10/10/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Smith, Bret W., Abbott, Daniel J., Schwemberger, Richard F., Shelton, Frederick E. IV, Boudreaux, Chad P., Swensgard, Brett E., Laurent, Ryan J.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US13/785,432
• Publication Number:
  US 20130184718A1
• Time in Patent Office: 1,204 Days
• Field of Search: 227/19, 227/175.2, 227/176.1, 227/180.1, 606/139, 606/153, 606/219
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/2946 Locking means
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.

Claims

1. A surgical fastening apparatus, comprising:

an end effector, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position; and

a fastener cartridge comprising a plurality of fasteners removably stored therein;

a handle, comprising;

an electric motor;

an actuator configured to operate said electric motor; and

a battery configured to supply power to said electric motor;

a firing member, wherein said motor is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge; and

a manually-driven bailout mechanism configured to retract said firing member and to electrically disconnect said battery from said motor when said bailout mechanism is moved from an unused position to a used position.

2. The surgical fastening apparatus of claim 1, wherein said battery cannot apply a voltage potential to said motor when said bailout mechanism has electrically disconnected said battery from said motor.

3. The surgical fastening apparatus of claim 1, further comprising a switch configurable in an open condition and a closed condition, wherein said bailout mechanism is configured to move said switch between said closed condition and said open condition when said bailout mechanism is moved from said unused position to said used position.

4. The surgical fastening apparatus of claim 3, wherein said switch is not resettable back into said closed condition after it has been moved into said open condition.

5. The surgical fastening apparatus of claim 3, wherein said switch is resettable back into said closed condition when said bailout mechanism is returned to said unused position.

6. The surgical fastening apparatus of claim 1, wherein at least a portion of said bailout mechanism is not resettable back into said unused position after said bailout mechanism has been moved into said used position.

7. The surgical fastening apparatus of claim 1, wherein said bailout mechanism is resettable back into said unused position after said bailout mechanism has been moved into said used position.

8. The surgical fastening apparatus of claim 1, wherein said fastener cartridge is supported by said second jaw.

9. The surgical fastening apparatus of claim 1, wherein said fastener cartridge is removably attached to said end effector.

10. The surgical fastening apparatus of claim 1, further comprising a shaft extending from said handle, wherein said end effector is engaged with and supported by said shaft.

11. The surgical fastening apparatus of claim 1, wherein said bailout mechanism is configured to electrically decouple said battery from said motor and mechanically decouple said motor from said firing member when said bailout mechanism is moved from said unused position to said used position.

12. The surgical fastening apparatus of claim 1, wherein at least a portion of said bailout mechanism is configured to permanently block said motor from driving said firing member after said bailout mechanism has been moved from said unused position to said used position.

13. A surgical fastening apparatus, comprising:

an end effector, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position; and

a fastener cartridge comprising a plurality of fasteners removably stored therein;

a handle, comprising;

an electric motor;

a battery configured to supply power to said electric motor; and

an electrical circuit configured to electrically connect said battery to said electric motor to supply power to said electric motor;

a firing member, wherein said motor is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge; and

a refraction system configured to selectively interrupt said electrical circuit to prevent said battery from supplying power to said motor, wherein said retraction system comprises a driver configured to retract said firing member.

14. The surgical fastening apparatus of claim 13, wherein said electrical circuit comprises a switch configurable in an open condition and a closed condition, wherein said driver is configured to move said switch between said closed condition and said open condition when said driver is moved from an unactuated configuration to an actuated configuration to interrupt said electrical circuit.

15. The surgical fastening apparatus of claim 14, wherein said switch is not resettable back into said closed condition after it has been moved into said open condition.

16. The surgical fastening apparatus of claim 13, wherein said driver is also configured to mechanically decouple said motor from said firing member when said driver interrupts said electrical circuit.

17. A surgical instrument, comprising:

a handle, comprising;

an electric motor; and

a power source configured to supply power to said electric motor;

a firing member, wherein said motor is configured to impart a firing motion to said firing member; and

means for de-energizing said electric motor when imparting a retraction motion to said firing member.

18. A surgical fastening apparatus, comprising:

an end effector, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position; and

a cartridge support portion configured to receive a fastener cartridge comprising a plurality of fasteners removably stored therein;

a handle, comprising;

an electric motor;

an actuator configured to operate said electric motor; and

a battery configured to supply power to said electric motor;

a firing member, wherein said motor is configured to impart a firing motion to said firing member to eject the fasteners from the fastener cartridge, and wherein said motor is also configured to impart a retraction motion to said firing member after said firing motion has been at least partially imparted to said firing member; and

a backup mechanical return configured to retract said firing member and electrically decouple said battery from said motor.

19. The surgical fastening apparatus of claim 18, wherein said backup mechanical return is configured to electrically decouple said battery from said motor when said backup mechanical return is moved from said unactuated configuration to said actuated configuration.

20. The surgical fastening apparatus of claim 18, further comprising a switch configurable in an open condition and a closed condition, wherein said backup mechanical return is configured to move said switch between said closed condition and said open condition when said backup mechanical return is moved from said unactuated configuration to said actuated configuration to electrically decouple said battery from said motor.

21. The surgical fastening apparatus of claim 20, wherein said switch is not resettable back into said closed condition after it has been moved into said open condition.

22. The surgical fastening apparatus of claim 18, wherein said backup mechanical return is configured to electrically decouple said battery from said motor and mechanically decouple said motor from said firing member when said backup mechanical return is moved from said unactuated configuration to said actuated configuration.

23. A surgical fastening apparatus, comprising:

an end effector, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position; and

a fastener cartridge comprising a plurality of fasteners removably stored therein;

a handle, comprising;

an electric motor;

an actuator configured to operate said electric motor; and

a battery configured to supply power to said electric motor;

a firing member, wherein said motor is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge, and wherein said motor is also configured to impart a retraction motion to said firing member after said firing motion has been at least partially imparted to said firing member; and

alternative retraction means for retracting said firing member, for permitting said motor to apply said firing motion to said firing member in an unactuated condition, and for de-powering said motor in an actuated condition.

24. A surgical instrument, comprising:

a handle, comprising;

an electric motor; and

a power source configured to supply power to said electric motor;

a firing member, wherein said motor is configured to impart a firing motion to said firing member;

a manual release for retracting said firing member; and

means for de-energizing said electric motor while a retraction motion is applied to said firing member.