Method of applying an annular array of staples to tissue

Patent metadata

Field	Value
Publication number	US-10478189-B2
Application number	US-201514751612-A
Country	US
Kind code	B2
Filing date	Jun 26, 2015
Priority date	Jun 26, 2015
Publication date	Nov 19, 2019
Grant date	Nov 19, 2019

Abstract

A surgical instrument includes a body, a shaft assembly, a stapling head assembly, an anvil, an anvil adjustment assembly, a trigger, and a lockout assembly. The stapling head assembly is operable to drive an annular array of staples. The anvil is configured to couple with the stapling head assembly. The anvil adjustment assembly includes a translating member, which translates relative to the body to thereby adjust the longitudinal position of the anvil relative to the stapling head assembly. The trigger is operable to actuate the stapling head assembly. The lockout assembly includes an electrically powered braking feature. A method of operating the surgical instrument includes providing the lockout assembly in a first state to permit translation of the translating member. The translating member is then translated. The lockout assembly is then transitioned to a second state to prevent further translation of the translating member.

First claim

We claim:

1. A method of operating a surgical instrument, wherein the surgical instrument comprises:
(a) a body;
(b) a shaft assembly extending distally from the body;
(c) a stapling head assembly located at the distal end of the shaft assembly, wherein the stapling head assembly comprises a distal surface, wherein the stapling head assembly is operable to drive an annular array of staples through the distal surface;
(d) an anvil, wherein the anvil is configured to couple with the stapling head assembly;
(e) an anvil adjustment assembly, wherein the anvil adjustment assembly comprises a translating member, wherein the translating member is operable to translate relative to the body along a longitudinal axis defined by the body to thereby adjust the longitudinal position of the anvil relative to the distal surface of the stapling head assembly;
(f) a first trigger, wherein the first trigger is operable to actuate the stapling head assembly to thereby drive the annular array of staples through the distal surface toward the anvil; and
(g) a lockout assembly, wherein the lockout assembly comprises an electrically powered braking feature, wherein the electrically powered braking feature further comprises an actuator that defines an enclosure and a lock member that extends from inside the enclosure from a retracted position to an extended position, wherein the lockout assembly is configured to transition between a first state and a second state, wherein:
(i) in the first state, the lockout assembly is configured to permit translation of the translating member, and
(ii) in the second state, the lockout assembly is configured to prevent translation of the translating member;

wherein the method comprises:
(a) providing the lockout assembly in the first state to permit translation of the translating member, wherein in the first state the electrically powered braking feature is separated at a distance from the translating member;
(b) translating the translating member; and
(c) transitioning the lockout assembly to the second state to prevent further translation of the translating member by linearly translating the lock member of the electrically powered braking feature away from the enclosure defined by the actuator to be in contact with the translating member.

2. The method of claim 1 , further comprising initially providing the lockout assembly in the second state, wherein the act of providing the lockout assembly in the first state comprises transitioning the lockout assembly from the second state to the first state.

3. The method of claim 2 , wherein the body defines a socket configured to receive a battery pack, wherein the act of transitioning the lockout assembly from the second state to the first state comprises inserting a battery pack in the socket.

4. The method of claim 1 , wherein the lockout assembly further comprises a second trigger, wherein the second trigger is movable between a non-actuated position and an actuated position, wherein the act of transitioning the lockout assembly to the second state comprises actuating the second trigger.

5. The method of claim 4 , further comprising actuating the first trigger to thereby actuate the stapling head assembly.

6. The method of claim 5 , wherein the second trigger is configured to prevent actuation of the first trigger when the second trigger is in the non-actuated position, wherein the act of actuating the second trigger is performed before the act of actuating the first trigger.

7. The method of claim 5 , wherein the translating member is configured to prevent actuation of the second trigger based on the longitudinal position of the anvil relative to the distal surface of the stapling head assembly.

8. The method of claim 7 , wherein the act of translating the translating member further comprises translating the translating member from a position where the translating member prevents actuation of the second trigger to a position that enables actuation of the second trigger.

9. The method of claim 1 , wherein the electrically powered braking feature comprises a solenoid, wherein the act of transitioning the lockout assembly to the second state comprises activating the solenoid.

10. The method of claim 9 , wherein the activated solenoid drives the lock member into engagement with the translating member to thereby prevent translation of the translating member.

11. The method of claim 10 , wherein the act of providing the lockout assembly in the first state comprises disengaging the lock member from the translating member.

12. The method of claim 1 , wherein in the first state, the lockout assembly is further configured to prevent actuation of the first trigger, and wherein in the second state, the lockout assembly is further configured to permit actuation of the first trigger.

13. The method of claim 1 , further comprising:
(a) positioning the anvil in a first anatomical structure;
(b) positioning the stapling head assembly in a second anatomical structure;
(c) securing the anvil to the stapling head assembly; and
(d) actuating the stapling head assembly to drive the annular array of staples through tissue of the first anatomical structure and through tissue of the second anatomical structure.

14. The method of claim 1 , wherein the lockout assembly includes an activation board, wherein transitioning the lockout assembly to the second state further comprises activating the activation board to initiate movement of the actuator to drive the lock member into locking engagement with the translating member.

15. The method of claim 14 , wherein the activation board comprises a button, wherein transitioning the lockout assembly to the second state further comprises moving an activation arm toward the button of the activation board until the activation arm contacts the button.

16. The method of claim 14 , wherein transitioning the lockout assembly to the second state further comprises communicating a signal from the activation board to the actuator causing the actuator to respond to the signal by driving the lock member into locking engagement with the translating member.

17. The method of claim 1 , wherein the lock member includes a plurality of teeth, wherein the translating member includes a corresponding plurality of teeth, wherein transitioning the lockout assembly to the second state further comprises linearly translating the lock member so that the plurality of teeth of the lock member lockingly engage the plurality of corresponding teeth of the translating member.

18. A method of operating a surgical instrument, wherein the surgical instrument comprises:
(a) a stapling head assembly, wherein the stapling head assembly comprises a plurality of staples;
(b) a clamping member, wherein the clamping member comprises a plurality of staple forming features;
(c) a clamping drive assembly, wherein the clamping drive assembly is operable to drive the clamping member toward and away from the stapling head assembly;
(d) a firing assembly, wherein the firing assembly is operable to actuate the stapling head assembly to thereby drive the staples toward the staple forming features; and
(e) a lockout assembly, wherein the lockout assembly is operable to selectively lock the clamping drive assembly and thereby prevent actuation of the clamping drive assembly in response to a first operational condition, wherein the lockout assembly is further operable to selectively lock the clamping drive assembly and thereby prevent actuation of the clamping drive assembly in response to a second operational condition, w

Assignees

• Ethicon Endo Surgery Llc
• Ethicon Llc

Inventors

• Bear Brian W
• Bolton Matthew H
• Clingaman Rodney V
• Dinardo Brian F
• Fox William D
• Houser Kevin L
• Measamer John P
• Miller Christopher C
• Overmyer Mark D
• Sackett Kevin D
• Scheib Charles J
• Schellin Emily A
• Schwemberger Richard F
• Shelton Iv Frederick E
• Smith Craig S
• Vakharia Omar J
• Zerkle Jason E

Classifications

• A61B2017/00039

  Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect · CPC title

• A61B2017/00367

  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 title

• A61B2017/00398

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

• A61B2017/00115

  with audible or visual output · CPC title

• A61B2017/00734

  battery operated · CPC title