Stapling assembly comprising a supported firing bar

Patent metadata

Field	Value
Publication number	US-11786237-B2
Application number	US-202217710075-A
Country	US
Kind code	B2
Filing date	Mar 31, 2022
Priority date	Jun 18, 2015
Publication date	Oct 17, 2023
Grant date	Oct 17, 2023

Abstract

A surgical stapling instrument comprising an elongate shaft assembly that includes a surgical end effector that is operably coupled thereto by an articulation joint. The surgical instrument may include a first distal articulation driver operably coupled to the surgical end effector and a second distal articulation driver that is coupled to the surgical end effector. At least one driver member may operably engage the first and second distal articulation drivers such that when the first distal articulation driver is moved in a distal direction, the least one driver moves the second distal articulation driver in a proximal direction and when the first distal articulation driver is moved in the proximal direction, the at least one driver member moves the second distal articulation driver in the distal direction.

First claim

What is claimed is:

1. A surgical stapling system, comprising:
a housing;
a shaft extending distally from the housing;
an articulation joint, wherein an articulation joint aperture extends through the articulation joint;
an end effector movable between an open configuration and a closed configuration, wherein the end effector is rotatable relative to the shaft about the articulation joint, the end effector comprising:
a cartridge jaw comprising a replaceable staple cartridge, wherein the staple cartridge comprises staples removably stored therein; and
an anvil jaw;

a motor-driven firing drive, comprising:
a flexible drive bar comprising a supported portion having a perimeter;
a firing member pushed distally from a proximal position to a distal fully-fired position by the flexible drive bar during a firing stroke to eject the staples from the staple cartridge in response to a motor-driven input, the firing member comprising:
a central portion movable within the end effector, wherein the flexible drive bar is attached to the central portion;
an anvil jaw-engaging cam extending from the central portion that engages the anvil jaw during the firing stroke;
a cartridge jaw-engaging cam extending from the central portion that engages the cartridge jaw during the firing stroke, wherein the anvil jaw-engaging cam and the cartridge jaw-engaging cam co-operatively hold the cartridge jaw and the anvil jaw in compression against patient tissue captured intermediate the cartridge jaw and the anvil jaw during the firing stroke; and

a drive bar support, wherein the drive bar support extends through the articulation joint aperture and is movable relative to the articulation joint, the drive bar support comprising:
a proximal end;
a distal end;
a longitudinal aperture extending between the proximal end and the distal end, wherein the flexible drive bar extends within the longitudinal aperture, wherein the longitudinal aperture is defined by an inner sidewall, and wherein the inner sidewall entirely surrounds the perimeter of the supported portion of the drive bar.

2. The surgical stapling system of claim 1 , wherein the cartridge jaw is pivotable relative to the anvil jaw.

3. The surgical stapling system of claim 1 , wherein the shaft comprises a shaft aperture including shaft aperture sidewalls, wherein the proximal end of the drive bar support is positioned within the shaft aperture, and wherein the shaft aperture sidewalls constrain the movement of the drive bar support relative to the shaft.

4. The surgical stapling system of claim 1 , wherein the shaft comprises a shaft aperture including shaft aperture sidewalls, wherein the proximal end of the drive bar support is positioned within the shaft aperture, and wherein the shaft aperture sidewalls slideably support the drive bar support relative to the shaft.

5. The surgical stapling system of claim 1 , wherein the end effector comprises an end effector aperture including end effector aperture sidewalls, wherein the distal end of the drive bar support is positioned within the end effector aperture, and wherein the end effector aperture sidewalls constrain the movement of the drive bar support relative to the end effector.

6. The surgical stapling system of claim 1 , wherein the end effector comprises an end effector aperture including end effector aperture sidewalls, wherein the distal end of the drive bar support is positioned within the end effector aperture, and wherein the end effector aperture sidewalls slideably support the drive bar support relative to the end effector.

7. A surgical stapling system, comprising:
a housing;
a shaft extending distally from the housing;
an articulation joint, wherein an articulation joint aperture extends through the articulation joint;
an end effector movable between an open configuration and a closed configuration, wherein the end effector is rotatable relative to the shaft about the articulation joint, the end effector comprising:
a cartridge jaw comprising a replaceable staple cartridge, wherein the staple cartridge comprises staples removably stored therein; and
an anvil jaw;

a motor-driven firing drive, comprising:
a flexible drive bar comprising proximal end, a distal end, and an intermediate portion intermediate the proximal end and the distal end, wherein the intermediate portion comprises a perimeter;
a firing member pushed distally from a proximal position to a distal fully-fired position by the flexible drive bar during a firing stroke to eject the staples from the staple cartridge in response to a motor-driven input, the firing member comprising:
a central portion movable within the end effector, wherein the distal end of the flexible drive bar is attached to the central portion;
an anvil jaw-engaging cam extending from the central portion;
a cartridge jaw-engaging cam extending from the central portion, wherein the anvil jaw-engaging cam and the cartridge jaw-engaging cam co-operatively hold the cartridge jaw and the anvil jaw in compression against patient tissue captured intermediate the cartridge jaw and the anvil jaw during the firing stroke; and

a flexible drive bar support, wherein the flexible drive bar support extends through the articulation joint aperture and is movable relative to the articulation joint, the flexible drive bar support comprising:
a proximal support end;
a distal support end;
a support aperture extending between the proximal support end and the distal support end, wherein the flexible drive bar extends within the support aperture, wherein the support aperture is defined by an inner sidewall, and wherein the inner sidewall entirely surrounds the perimeter of the intermediate portion of the drive bar.

8. The surgical stapling system of claim 7 , wherein the cartridge jaw is pivotable relative to the anvil jaw.

9. The surgical stapling system of claim 7 , wherein the shaft comprises a shaft aperture including shaft aperture sidewalls, wherein the proximal support end of the flexible drive bar support is positioned within the shaft aperture, and wherein the shaft aperture sidewalls constrain the movement of the flexible drive bar support relative to the shaft.

10. The surgical stapling system of claim 7 , wherein the shaft comprises a shaft aperture including shaft aperture sidewalls, wherein the proximal support end of the flexible drive bar support is positioned within the shaft aperture, and wherein the shaft aperture sidewalls slideably support the flexible drive bar support relative to the shaft.

11. The surgical stapling system of claim 7 , wherein the end effector comprises an end effector aperture including end effector aperture sidewalls, wherein the distal support end of the flexible drive bar support is positioned within the end effector aperture, and wherein the end effector aperture sidewalls constrain the movement of the flexible drive bar support relative to the end effector.

12. The surgical stapling system of claim 7 , wherein the end effector comprises an end effector aperture including end effector aperture sidewalls, wherein the distal support end of the flexible drive support is positioned within the end effector aperture, and wherein the end effector aperture sidewalls slideably support the flexible drive bar support relative to the end effector.

13. A surgical stapling system, comprising:
a shaft;
an articulation joint, wherein an articulation joint aperture extends through the articulation joint;
an end effector movable between an open configuration and a closed configuration, wherein the end effector is rotatable relative to the shaft about the articulation joint, the end effector

Assignees

• Cilag Gmbh Int

Inventors

• Baxter Iii Chester O
• Swayze Jeffrey S
• Dunki-Jacobs Adam R
• Shelton Iv Frederick E
• Hunter Morgan R
• Schultz Darwin L

Classifications

• A61B17/068 Primary

  Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) · CPC title

• A61B17/072 Primary

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

• A61B17/07207

  the staples being applied sequentially · CPC title

• A61B17/105 Primary

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

• A61B34/71

  Manipulators operated by drive cable mechanisms · CPC title