Surgical stapling instrument

Patent metadata

Field	Value
Publication number	US-2017281173-A1
Application number	US-201615089339-A
Country	US
Kind code	A1
Filing date	Apr 1, 2016
Priority date	Apr 1, 2016
Publication date	Oct 5, 2017
Grant date	—

Abstract

A surgical stapling attachment configured to clamp, staple, and cut tissue is disclosed. The surgical stapling attachment comprises an attachment portion, a shaft assembly, an articulation joint, and an end effector assembly. The end effector assembly comprises a firing system configured to cut tissue only after the tissue has been stapled.

First claim

What is claimed is:

1 . A surgical stapling instrument, comprising:
a shaft; an articulation joint; and an end effector assembly articulatable relative to said shaft by way of said articulation joint, said end effector assembly comprising:
a first jaw;
a second jaw, wherein at least one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw;
a staple cartridge comprising a plurality of staples, wherein each said staple comprises an unfired configuration and a fired configuration;
an anvil configured to deform said staples into said fired configuration when said staples are deployed from said staple cartridge; and
a firing system, comprising:
a sled movable within said staple cartridge and configured to deploy said staples from said staple cartridge as said sled moves from a proximal position of said staple cartridge to a distal position of said staple cartridge, wherein deployment of said staples occurs during a staple firing stroke, wherein said staple firing stroke is complete when each said staple is in said fired configuration;
a cutting member configured to cut tissue clamped with said instrument during a cutting firing stroke, wherein said cutting firing stroke occurs only after said staple firing stroke is complete.

2 . The surgical stapling instrument of claim 1 , wherein both said first jaw and said second jaw are movable relative to each other.

3 . The surgical stapling instrument of claim 1 , wherein said firing system further comprises a mechanism configured to automatically actuate said cutting member between a cutting position and a noncutting position.

4 . The surgical stapling instrument of claim 1 , further comprising a closure system comprising a closure frame movable relative to said shaft, wherein said closure frame is configured to move said movable jaw between an open position and a closed position as said closure frame moves relative to said shaft.

5 . The surgical stapling instrument of claim 1 , wherein one of said first jaw and said second jaw comprises said anvil and is readily replaceable.

6 . The surgical stapling instrument of claim 1 , further comprising an attachment portion comprising an articulation transmission and an end effector transmission, wherein said articulation transmission is configured to transmit rotary control motions to articulate said end effector assembly, and wherein said end effector transmission is configured to transmit rotary control motions to clamp, cut, and staple tissue with said instrument.

7 . The surgical stapling instrument of claim 6 , wherein said end effector transmission comprises a closure shaft and a firing shaft configured to be actuated independently of each other.

8 . The surgical stapling instrument of claim 1 , further comprising a firing drive and a closure drive having common drive axis, and wherein said articulation joint comprises:
a proximal yoke attached to said shaft; a first distal yoke portion attached to a first arm of said proximal yoke; and a second distal yoke portion attached to a second arm of said proximal yoke, wherein said firing drive and said closure drive extend between said first distal yoke portion and said second distal yoke portion.

9 . A surgical stapling instrument, comprising:
a shaft; an articulation joint; and an end effector assembly articulatable relative to said shaft by way of said articulation joint, said end effector assembly comprising:
a first jaw;
a second jaw, wherein at least one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw;
a staple cartridge comprising a plurality of staples configured to be ejected from said staple cartridge, wherein each said staple comprises an unfired configuration and a fired configuration;
an anvil configured to deform said staples into said fired configuration when said staples are deployed from said staple cartridge;
a closure drive configured to move said first jaw and said second jaw relative to each other; and
a firing drive comprising a firing member movable within said staple cartridge and configured to deploy said staples from said staple cartridge as said firing member moves from a proximal position of said staple cartridge to a distal position of staple cartridge, wherein said firing member comprises a cutting member configured to cut tissue after each said staple is in said fired configuration.

10 . The surgical stapling instrument of claim 9 , wherein said firing member further comprises a mechanism configured to automatically actuate said cutting member between a cutting position and a noncutting position.

11 . The surgical stapling instrument of claim 9 , wherein said closure drive comprises a closure frame movable relative to said shaft, and wherein said closure frame is configured to move said first jaw and said second jaw between an open position and a closed position as said closure frame moves relative to said shaft.

12 . The surgical stapling instrument of claim 9 , wherein one of said first jaw and said second jaw comprises said anvil and is readily replaceable.

13 . The surgical stapling instrument of claim 9 , further comprising an attachment portion comprising an articulation transmission and an end effector transmission, wherein said articulation transmission is configured to transmit rotary control motions to articulate said end effector assembly, and wherein said end effector transmission is configured to transmit rotary control motions to clamp, cut, and staple tissue with said instrument.

14 . The surgical stapling instrument of claim 13 , wherein said end effector transmission comprises a closure shaft and a firing shaft configured to be actuated independently of each other.

15 . The surgical stapling instrument of claim 9 , wherein said articulation joint comprises:
a proximal yoke attached to said shaft; a first distal yoke portion attached to a first arm of said proximal yoke; and a second distal yoke portion attached to a second arm of said proximal yoke, wherein said firing drive and said closure drive extend between said first distal yoke portion and said second distal yoke portion.

16 . A surgical stapling instrument, comprising:
a shaft; an articulation joint; and an end effector assembly articulatable relative to said shaft by way of said articulation joint, said end effector assembly comprising:
a first jaw;
a second jaw, wherein at least one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw;
a staple cartridge comprising a plurality of staples configured to be ejected from said staple cartridge, wherein each said staple comprises an unfired configuration and a fired configuration;
an anvil configured to deform said staples into said fired configuration when said staples are deployed from said staple cartridge;
a closure frame configured to move said movable jaw;
a sled movable within said staple cartridge and configured to deploy said staples from said staple cartridge during a first firing stage; and
a cutting member configured to cut tissue during a second firing stage, wherein said second firing stage can only occur after the first firing stage is complete.

17 . The surgical stapling instrument of claim 16 , wherein both said first jaw and said second jaw are movable relative to each other.

18 . The surgical stapling instrument of claim 17 , wherein said closure frame is configured to move said first jaw and said secon

Assignees

• Ethicon Endo Surgery Llc

Inventors

• Shelton Iv Frederick E
• Nalagatla Anil K
• Patel Sudhir B
• Harris Jason L

Classifications

• A61B2017/2903

  transferring rotary motion · CPC title

• A61B2017/00473

  Distal part, e.g. tip or head (A61B2017/00464 takes precedence) · CPC title

• A61B2017/07242

  achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes · CPC title

• A61B2017/00734

  battery operated · CPC title

• A61B2017/2912

  transmission of forces to actuating rod or piston · CPC title