Articulating surgical instrument incorporating a two-piece firing mechanism

Patent metadata

Field	Value
Publication number	US-11083456-B2
Application number	US-201715679323-A
Country	US
Kind code	B2
Filing date	Aug 17, 2017
Priority date	Jul 28, 2004
Publication date	Aug 10, 2021
Grant date	Aug 10, 2021

Abstract

A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut.

First claim

What is claimed is:

1. A surgical instrument, comprising:
a housing, wherein a firing motion is transmittable through said housing;
an elongate shaft extending from said housing;
a stapling assembly extending from said elongate shaft, wherein said stapling assembly comprises:
a first jaw;
a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position;
an elongate channel; and
a staple cartridge configured to be received in said elongate channel, wherein said staple cartridge comprises:
a plurality of staple cavities;
a plurality of staples removably stored in said staple cavities;
a plurality of staple drivers; and
a sled configured to move said staple drivers to eject said staples from said staple cavities, wherein said sled is movable from a proximal unfired position to a distal fired position;

a firing member configured to move through said stapling assembly during a firing stroke, wherein said firing member comprises:
a cutting edge;
a first camming member configured to engage said first jaw during said firing stroke;
a second camming member configured to engage said second jaw during said firing stroke; and
a proximal alignment feature;

a firing bar comprising a connection surface configured to be abutted against said proximal alignment feature of said firing member to attach said firing bar to said firing member, wherein said firing bar is configured to move said firing member through said firing stroke in response to said firing motion from said housing;
an articulation joint, wherein said firing bar extends through said articulation joint; and
a lockout configured to prevent said firing member from performing said firing stroke when said sled of said staple cartridge is not in said proximal unfired position, wherein said sled abuts said firing member to permit said firing member to perform said firing stroke when said staple cartridge is received in said elongate channel and said sled is in said proximal unfired position.

2. The surgical instrument of claim 1 , wherein said firing bar comprises a laminate firing bar.

3. The surgical instrument of claim 1 , wherein said firing bar comprises a flexible firing bar.

4. The surgical instrument of claim 1 , wherein said staple cartridge comprises a stepped cartridge deck, and wherein said staple cavities are defined in said stepped cartridge deck.

5. A surgical instrument, comprising:
a housing configured to generate a firing motion;
an elongate shaft extending from said housing;
a stapling assembly extending from said elongate shaft, wherein said stapling assembly comprises:
a first jaw;
a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position;
an elongate channel; and
a staple cartridge positionable in said elongate channel, wherein said staple cartridge comprises:
a plurality of staple cavities;
a plurality of staples removably stored in said staple cavities;
a plurality of staple drivers; and
a sled configured to move said staple drivers to eject said staples from said staple cavities, wherein said sled is movable from an unfired position to a fired position;

a distal firing member configured to move through said stapling assembly during a firing stroke, wherein said distal firing member comprises:
a cutting edge;
a first camming member configured to engage said first jaw during said firing stroke;
a second camming member configured to engage said second jaw during said firing stroke; and
a proximal alignment recess;

a proximal firing member comprising a distal protrusion, wherein said distal protrusion is received within said proximal alignment recess of said distal firing member to attach said proximal firing member to said distal firing member, and wherein said proximal firing member is configured to move said distal firing member through said firing stroke in response to said firing motion from said housing;
an articulation joint, wherein said proximal firing member extends through said articulation joint; and
a lockout configured to prevent said distal firing member from performing said firing stroke when said sled of said staple cartridge is not in said unfired position, wherein said sled abuts said distal firing member to permit said distal firing member to perform said firing stroke when said staple cartridge is positioned in said elongate channel and said sled is in said unfired position.

6. The surgical instrument of claim 5 , wherein said proximal firing member comprises a laminate firing member.

7. The surgical instrument of claim 5 , wherein said proximal firing member comprises a flexible firing member.

8. The surgical instrument of claim 5 , wherein said staple cartridge comprises a stepped cartridge deck, and wherein said staple cavities are defined in said stepped cartridge deck.

9. A surgical instrument, comprising:
a housing;
a system configured to generate a firing motion;
an elongate shaft extending from said housing;
a stapling assembly extending from said elongate shaft, wherein said stapling assembly comprises:
a first jaw;
a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw between an open position and a closed position;
an elongate channel; and
a staple cartridge positionable in said elongate channel, wherein said staple cartridge comprises:
a plurality of staple cavities;
a plurality of staples removably stored in said staple cavities;
a plurality of staple drivers; and
a sled configured to move said staple drivers to eject said staples from said staple cavities, wherein said sled is movable from a proximal position to a distal position;

a distal firing member configured to move through said stapling assembly during a firing stroke, wherein said distal firing member comprises:
a knife;
a first camming member configured to engage said first jaw during said firing stroke;
a second camming member configured to engage said second jaw during said firing stroke; and
a proximal receiver;

a proximal firing member comprising a distal end, wherein said distal end is engaged with said proximal receiver of said distal firing member to connect said proximal firing member to said distal firing member, and wherein said proximal firing member is configured to move said distal firing member through said firing stroke in response to said firing motion from said system;
an articulation joint, wherein said proximal firing member extends through said articulation joint; and
a lockout configured to prevent said distal firing member from performing said firing stroke when said sled of said staple cartridge is not in said proximal position, wherein said sled abuts said distal firing member to permit said distal firing member to perform said firing stroke when said staple cartridge is positioned in said elongate channel and said sled is in said proximal position.

10. The surgical instrument of claim 9 , wherein said proximal firing member comprises a laminate firing member.

11. The surgical instrument of claim 9 , wherein said proximal firing member comprises a flexible firing member.

12. The surgical instrument of claim 9 , wherein said staple cartridge comprises a stepped cartridge deck, and wherein said staple cavities are defined in said stepped cartridge deck.

13. A surgical instrument, comprising:
a housing;
an elongate shaft extending from said housing;
a stapling assembly e

Assignees

• Cilag Gmbh Int

Inventors

• Shelton Iv Frederick E
• Setser Michael E
• Doll Kevin R
• Morgan Jerome R

Classifications

• A61B17/115

  Staplers for performing anastomosis, e.g. in a single operation · CPC title

• A61B17/122

  Clamps or clips, e.g. for the umbilical cord {(for the vas deferens A61F6/206)} · CPC title

• A61B17/04 Primary

  for suturing wounds; Holders or packages for needles or suture materials · CPC title

• A61B2017/320095

  with sealing or cauterizing means · CPC title

• A61B2017/2927

  the angular position of the head being adjustable with respect to the shaft · CPC title