Bailout assembly for surgical stapler

Patent metadata

Field	Value
Publication number	US-10271841-B2
Application number	US-201514751426-A
Country	US
Kind code	B2
Filing date	Jun 26, 2015
Priority date	Jun 26, 2015
Publication date	Apr 30, 2019
Grant date	Apr 30, 2019

Abstract

A surgical instrument includes an anvil, a staple applying assembly, an adjustment member, a user input feature, and a bailout assembly. The staple applying assembly includes a distal surface defining openings and a driver that is operable to drive an annular array of staples through the openings of the distal surface and into tissue. The adjustment member is operable to adjust the position of the anvil to thereby vary a gap distance defined between the anvil and the distal surface. The adjustment member includes a first section and a second section. The user input feature is operable to actuate the driver to thereby drive the staples. The bailout assembly is operable to selectively separate the first section of the adjustment member from the second section of the adjustment member.

First claim

We claim:

1. A surgical instrument comprising:
(a) an anvil;
(b) a staple applying assembly, wherein the staple applying assembly comprises:
(i) a distal surface defining openings, and
(ii) a driver operable to drive an annular array of staples through the openings of the distal surface and into tissue;

(c) a rotatable member;
(d) an adjustment member operatively coupled with the rotatable member, wherein the adjustment member is operable to adjust the position of the anvil to thereby vary a gap distance defined between the anvil and the distal surface, wherein the adjustment member comprises:
(i) a first section moveably engaged with the rotatable member, and
(ii) a second section extending distally from the first section, wherein the first section is configured to exert a tension force on the second section in response to rotation of the rotatable member to decrease the gap distance between the anvil and the distal surface; and

(e) a bailout assembly in communication with the adjustment member, wherein the bailout assembly comprises a coupling member configured to couple the first section of the adjustment member with the second section, wherein the coupling member is operable to transition between:
(i) a first state in which the coupling member fixes the first section relative to the second section to thereby enable the first section to exert the tension force on the second section, and
(ii) a second state in which the coupling member permits relative movement between the first section and the second section to thereby relieve at least a portion of the tension force.

2. The surgical instrument of claim 1 , wherein the rotatable member comprises a knob, wherein the knob is threadedly coupled with the first section, wherein the first section is operable to translate in response to rotation of the knob.

3. The surgical instrument of claim 2 , wherein the adjustment member comprises a rod extending from the anvil to the knob.

4. The surgical instrument of claim 1 , wherein the first section of the adjustment member has a first threaded portion, wherein the second section has a second threaded portion.

5. The surgical instrument of claim 4 , wherein the coupling member includes a first thread set and a second thread set, wherein the first thread set is engaged with the first threaded portion of the adjustment member, wherein the second thread set is engaged with the second threaded portion.

6. The surgical instrument of claim 5 , wherein the first thread set of the coupling member has a thread pitch orientation that is opposite to a thread pitch orientation of the second thread set of the coupling member.

7. The surgical instrument of claim 5 , wherein the coupling member is configured to drive the first and second sections of the adjustment member apart in response to rotation of the coupling member about a longitudinal axis of the adjustment member.

8. The surgical instrument of claim 7 , wherein the coupling member further comprises a plurality of actuation teeth.

9. The surgical instrument of claim 8 , wherein the bailout assembly further comprises a pawl member, wherein the pawl member is configured to selectively engage the actuation teeth of the coupling member to thereby rotate the coupling member.

10. The surgical instrument of claim 4 , wherein the first section of the adjustment member comprises a female end, wherein the second section of the adjustment member comprises a male end, wherein the male end of the first section is insertable into the female end.

11. The surgical instrument of claim 10 , wherein the female end of the first section includes a first opening, wherein the male end of the second section includes a second opening, wherein the first opening and the second opening are configured to align when the male end of the second section is inserted into the female end of the first section.

12. The surgical instrument of claim 11 , wherein the bailout assembly includes a coupling member, wherein the coupling member is insertable through the first opening of the first section and the second opening of the second section.

13. The surgical instrument of claim 12 , wherein the bailout assembly further comprises an actuator, wherein the actuator is operable to selectively pull the coupling member from the first and second openings to thereby decouple the first section from the second section.

14. The surgical instrument of claim 1 , wherein the staple applying assembly further comprises:
(i) a knife member,
(ii) at least one pin, wherein the at least one pin couples the knife member with the driver such that the driver is operable to drive the knife through tissue in addition to driving staples through tissue, and
(iii) a pin removal feature operable to selectively remove the pin to thereby selectively decouple the knife member from the driver.

15. The surgical instrument of claim 14 , wherein the pin removal feature is operable independently relative to the bailout assembly.

16. The surgical instrument of claim 1 , wherein the bailout assembly further comprises a release member, wherein the release member is operable to selectively actuate the coupling member between the first state and the second state.

17. A surgical instrument comprising:
(a) an anvil;
(b) a staple applying assembly, wherein the staple applying assembly comprises:
(i) a distal surface defining openings, and
(ii) a driver operable to drive an annular array of staples through the openings of the distal surface and into tissue;

(c) a rotatable member;
(d) an actuating rod operatively coupled with the rotatable member, wherein the actuating rod is operable to actuate the anvil relative to the staple applying assembly to thereby vary a gap distance defined between the anvil and the distal surface, wherein the actuating rod comprises:
(i) a proximal rod section, and
(ii) a distal rod section, wherein the proximal rod section is configured to exert a proximally directed force on the distal rod section in response to rotation of the rotatable member to decrease the gap distance between the anvil and the distal surface; and

(e) a bailout assembly in communication with the actuating rod, wherein the bailout assembly is operable to selectively permit the distal rod section to advance distally relative to the proximal rod section to thereby increase the gap distance between the anvil and the distal surface.

18. The surgical instrument of claim 17 , wherein the actuating rod extends along a longitudinal axis, wherein the bailout assembly comprises a release member operable to exert a laterally directed force configured to enable a proximal end of the distal rod section to advance distally relative to a distal end of the proximal rod section.

19. A surgical instrument comprising:
(a) an anvil;
(b) a staple applying assembly, wherein the staple applying assembly comprises:
(i) a distal surface defining openings, and
(ii) a driver operable to drive an annular array of staples through the openings of the distal surface and into tissue;

(c) a rotatable member;
(d) an actuating member operatively coupled with the rotatable member, wherein the actuating member is operable to actuate the anvil relative to the staple applying assembly in response to rotation of the rotatable member to thereby vary a gap distance defined between the anvil and the distal surface; and
(e) a bailout assembly in communication with the actuating member, wherein the bailout assembly is operable to selectively lengthen the actuating member to thereby increase th

Assignees

• Ethicon Endo Surgery Llc
• Ethicon Llc

Inventors

• Overmyer Mark D
• Zerkle Jason E
• Smith Craig S
• Sackett Kevin D
• Schellin Emily A
• Houser Kevin L
• Scheib Charles J
• Shelton Iv Frederick E

Classifications

• A61B17/105

  Wound clamp magazines (for packaging sharps A61B50/3001) · CPC title

• A61B2017/00398

  using powered actuators, e.g. stepper motors, solenoids · CPC title

• A61B2090/08021

  of the patient or his organs · CPC title

• A61B17/07207

  the staples being applied sequentially · CPC title

• A61B17/072

  for applying a row of staples in a single action, e.g. the staples being applied simultaneously · CPC title