CA2485021A1 - Surgical stapling instrument having a single lockout mechanism for prevention of firing - Google Patents

Surgical stapling instrument having a single lockout mechanism for prevention of firing Download PDF

Info

Publication number
CA2485021A1
CA2485021A1 CA002485021A CA2485021A CA2485021A1 CA 2485021 A1 CA2485021 A1 CA 2485021A1 CA 002485021 A CA002485021 A CA 002485021A CA 2485021 A CA2485021 A CA 2485021A CA 2485021 A1 CA2485021 A1 CA 2485021A1
Authority
CA
Canada
Prior art keywords
firing
surgical instrument
elongate channel
motion
staple
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002485021A
Other languages
French (fr)
Other versions
CA2485021C (en
Inventor
Kevin Doll
Michael E. Setser
Frederick E. Shelton, Iv
Kenneth S. Wales
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CA2485021A1 publication Critical patent/CA2485021A1/en
Application granted granted Critical
Publication of CA2485021C publication Critical patent/CA2485021C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2912Handles transmission of forces to actuating rod or piston
    • A61B2017/2923Toothed members, e.g. rack and pinion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0814Preventing re-use

Abstract

A surgical instrument for laparoscopic and endoscopic clinical procedures simultaneously severs and staples tissue clamped in an end effector comprising an elongate channel, which holds a staple cartridge, and a pivotally attached anvil. An E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular, a wedge integral to the staple cartridge is driven distally by a middle pin of the f ring bar to effect stapling. A single lockout of the elongate channel responds to the presence of the wedge sled in its unfired position to allow the firing bar to fire.
Otherwise, the single lockout prevents firing when the staple cartridge is missing or spent.

Claims (18)

1. ~A surgical instrument comprising:
a handle portion operably configured to produce a firing motion;
an elongate channel coupled to the handle portion;
an anvil pivotally attached to the elongate channel;
a staple device engaged by the elongate channel and including a plurality of staple drivers and a wedge member distally positionable in the staple device to cam the staple drivers toward the anvil;
a firing device responsive to the firing motion to drive the wedge member distally;
a lockout device disabled by a proximally positioned wedge member and operably configured to prevent distal movement of the firing device.
2. ~The surgical instrument of claim 1, wherein the staple device comprises a replaceable device.
3. ~The surgical instrument of claim 1, wherein the staple device includes a firing drive slot through which at least a portion of the firing device distally traverses to drive the wedge member, the lockout device resiliently intruding into the firing drive slot from the elongate channel.
4. ~The surgical instrument of claim 3, wherein the lockout device presents a surface in the firing drive slot ramped from the elongate channel proximally.
5. ~The surgical instrument of claim 4, wherein the lockout device comprises a proximally directed spring finger.
6. ~The surgical instrument of claim 5, wherein the elongate channel includes a recess under the spring finger to receive a portion of the firing device.
7. ~The surgical instrument of claim 4, wherein the lockout device comprises a spring-biased plunger.
8. ~The surgical instrument of claim 4, wherein the lockout device comprises a ramped hook springedly attached to the elongate channel
9. A surgical instrument, comprising:
a handle portion operably configured to produce a closing motion and a firing motion;
a shaft attached to the handle motion and operably configured for transferring the closing motion and the firing motion;
an elongate channel attached to the shaft;
an anvil pivotally attached to the elongate channel and responsive to the closing motion;
a firing bar coupled to the shaft and responsive to the firing motion to distally traverse between the elongate channel and the anvil;
a staple device engaged by the elongate channel and including a wedge member displaced by the firing bar during firing; and a lockout device disabled by a nondisplaced wedge member.
10. The surgical instrument of claim 9, wherein the staple device comprises a replaceable device.
11. The surgical instrument of claim 9, wherein the staple device includes a firing drive slot through which at least a portion of the firing bar distally traverses to drive the wedge member, the lockout device resiliently intruding into the firing drive slot from the elongate channel.
12. The surgical instrument of claim 11, wherein the lockout device presents a surface in the firing drive slot ramped from the elongate channel proximally.
13. The surgical instrument of claim 12, wherein the lockout device comprises a proximally directed spring finger.
14. The surgical instrument of claim 13, wherein the elongate channel includes a recess under the spring finger to receive a portion of the firing device.
15. The surgical instrument of claim 12, wherein the lockout device comprises a spring-biased plunger.
16. The surgical instrument of claim 12, wherein the lockout device comprises a ramped hook springedly attached to the elongate channel.
17. A surgical instrument for use through a cannula passageway, comprising:
a handle means for producing a closing motion and a firing motion;
an implement means for clamping tissue in response to the closing motion and stapling and severing tissue in response to the firing motion; and a lockout means for preventing severing tissue when the implement means is unable to staple.
18. The surgical instrument of claim 17, wherein the implement means further includes an affirmative spacing means for spacing of the tissue clamping during stapling and severing.
CA2485021A 2003-10-15 2004-10-15 Surgical stapling instrument having a single lockout mechanism for prevention of firing Expired - Fee Related CA2485021C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/687,503 US7380695B2 (en) 2003-05-20 2003-10-15 Surgical stapling instrument having a single lockout mechanism for prevention of firing
US10/687,503 2003-10-15

Publications (2)

Publication Number Publication Date
CA2485021A1 true CA2485021A1 (en) 2005-04-15
CA2485021C CA2485021C (en) 2012-07-10

Family

ID=34377661

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2485021A Expired - Fee Related CA2485021C (en) 2003-10-15 2004-10-15 Surgical stapling instrument having a single lockout mechanism for prevention of firing

Country Status (6)

Country Link
US (1) US7380695B2 (en)
EP (1) EP1523944A1 (en)
CN (1) CN1606968A (en)
AU (2) AU2004220721A1 (en)
BR (1) BRPI0406039A (en)
CA (1) CA2485021C (en)

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AU2010241206A1 (en) 2010-11-25
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BRPI0406039A (en) 2005-06-28
CN1606968A (en) 2005-04-20
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AU2010241206B2 (en) 2012-03-22
AU2004220721A1 (en) 2005-05-05

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