# US 11,026,679 B2 · Surgical instrument with lockout mechanism > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,026,679 B2 - Document ID: US11026679B2 - Status: Granted - Kind: B2 - Application number: 16/372,918 - Filed: 2019-04-02 - Published: 2019-07-25 - Granted: 2021-06-08 - Earliest claimed: 2019-04-02 - Assignees: Covidien LP - Applicants: Covidien LP - Inventors: Stone Shi; Qianhong Yang; Shunhong Xu - Web page: https://patentgrep.com/patent/US11026679B2 ## CPC - A61B 17/068: 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}) - A61B 17/1155: {Circular staplers comprising a plurality of staples} - A61B 2017/00367: {Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like} - A61B 2017/00526: {Methods of manufacturing} - A61B 2090/0811: {for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A surgical instrument comprising a handle assembly, an elongated portion, a head portion, an approximation mechanism, and a lockout mechanism is disclosed. The handle assembly comprises a movable handle and a stationary handle. The elongated portion extends distally from the handle assembly and defines a longitudinal axis. The head portion is disposed adjacent a distal portion of the elongated portion, and comprises a first jaw member and a second jaw member. The approximation mechanism comprises a drive member disposed in mechanical cooperation with the first jaw member and is configured to longitudinally move the first jaw member in relation to the second jaw member. The lockout mechanism is configured to selectively permit actuation of the movable handle to eject fasteners from the second jaw member. The lockout mechanism comprises a pin extending from the movable handle and is slidingly engaged with a slot in the drive member. ## Claims ### Claim 1 A method of adjusting a minimum gap between a cartridge assembly and an anvil assembly of a surgical instrument, the method comprising: rotating a handle assembly of the surgical instrument relative to an elongated portion of the surgical instrument such that the cartridge assembly moves along a longitudinal axis of the surgical instrument relative to the handle assembly, wherein a tissue contacting surface of the cartridge assembly and a tissue contacting surface of the anvil assembly define a tissue gap therebetween that varies in response to rotation of the handle assembly of the surgical instrument relative to the elongated portion of the instrument; affixing the handle assembly to the elongated portion to prevent future movement therebetween during an entirety of use of the surgical instrument; rotating an approximation knob of the surgical instrument to cause longitudinal movement of a drive member of the surgical instrument and the anvil assembly relative to the cartridge assembly; and rotating a stopper relative to the approximation knob until a blocking portion of the stopper contacts a proximal face of the drive member. ### Claim 2 (depends on 1) The method according to claim 1, wherein rotating the handle assembly includes the elongated portion threadably engaging the handle assembly. ### Claim 3 (depends on 1) The method according to claim 1, further including affixing the stopper to the approximation knob to prevent future movement therebetween. ### Claim 4 A method of selectively permitting actuation of a pivotable handle of a surgical instrument to eject fasteners, the method comprising: actuating an approximation mechanism of the surgical instrument to move a drive member of the surgical instrument and a first jaw member of the surgical instrument relative to a second jaw member of the surgical instrument; and moving a pin extending from the pivotable handle of the surgical instrument within a slot of the drive member from a blocking portion of the slot that fixes a position of the pivotable handle, to a firing portion of the slot that allows the pivotable handle to be actuated, wherein actuation of the approximation mechanism causes longitudinal translation of the slot relative to the pin. ### Claim 5 (depends on 4) The method according to claim 4, wherein moving the pin includes the pin disposed between the blocking portion and the firing portion of the slot when the first jaw member and the second jaw member are in an approximated position. ### Claim 6 (depends on 5) The method according to claim 5, further including actuating the pivotable handle when the pin is disposed between the blocking portion and the firing portion of the slot. ### Claim 7 (depends on 4) The method according to claim 4, further including threadably engaging a stopper with the approximation mechanism. ### Claim 8 (depends on 7) The method according to claim 7, further including rotating the stopper relative to the approximation mechanism until a blocking portion of the stopper contacts a proximal face of the drive member. ### Claim 9 (depends on 8) The method according to claim 8, further including affixing the stopper to the approximation mechanism to prevent future movement therebetween. ### Claim 10 (depends on 4) The method according to claim 4, wherein actuation of the approximation mechanism includes rotating an approximation knob of the approximation mechanism about a longitudinal axis defined by the drive member.