# US 11,896,223 B2 · Surgical cutting and stapling instruments with independent jaw control features > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,896,223 B2 - Document ID: US11896223B2 - Status: Granted - Kind: B2 - Application number: 17/460,616 - Filed: 2021-08-30 - Published: 2022-02-24 - Granted: 2024-02-13 - Earliest claimed: 2013-12-23 - Assignees: Cilag GmbH International - Applicants: Cilag GmbH International - Inventors: Chester O. Baxter, III; Frederick E. Shelton, IV; John R. Dugan - Web page: https://patentgrep.com/patent/US11896223B2 ## CPC - A61B 17/07207: {the staples being applied sequentially} - A61B 17/07292: {Reinforcements for staple line, e.g. pledgets} - A61B 2017/00309: {Cut-outs or slits} - A61B 2017/00398: {using powered actuators, e.g. stepper motors, solenoids} - A61B 2017/00473: {Distal part, e.g. tip or head (A61B2017/00464 takes precedence)} - A61B 2017/00734: {battery operated} - A61B 2017/07257: {characterised by its anvil} - A61B 2017/07278: {characterised by its sled or its staple holder} - A61B 2017/07285: {characterised by its cutter} - A61B 2017/2927: {the angular position of the head being adjustable with respect to the shaft} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract Surgical instruments and end effectors therefor are disclosed. In various implementations, the surgical instrument includes a surgical end effector that comprises a lower jaw and an upper jaw that are supported for movable travel toward and away from each other. The instrument may further include a firing member that is operably supported for selective operable travel within the surgical end effector. The instrument may also include a first jaw closure system that operably interfaces with the lower jaw and is configured to selectively move the lower jaw relative to the upper jaw. A second jaw closure system operably interfaces with the upper jaw and is configured to selectively move the upper jaw relative to the lower jaw. A firing system operably interfaces with the firing member and is configured to apply firing motions to the firing member to move the firing member within the end effector. ## Claims ### Claim 1 A surgical instrument, comprising: (a) a housing; (b) a shaft extending from said housing; (c) an articulation joint; (d) an end effector rotatably connected to said shaft about said articulation joint, wherein said end effector comprises: (1) an elongate channel configured to operably support a staple cartridge including staples removably stored therein, wherein said elongate channel comprises a pivot pin; and (2) an anvil rotatable relative to said elongate channel between an open position and a closed position about said pivot pin; and (e) a firing member configured to be advanced distally through a firing stroke in response to a rotary motion applied thereto, wherein said staples of said staple cartridge are configured to be deformed against said anvil during said firing stroke, and wherein said firing member comprises: (1) a distal head comprising an upper tab and a lower foot, wherein said upper tab is configured to engage said anvil during said firing stroke, and wherein said lower foot is configured to engage said elongate channel during said firing stroke; and (2) a proximal portion extending proximally from said distal head into at least a portion of said shaft, wherein said proximal portion comprises: (A) a lower bar segment positioned below said pivot pin, wherein a portion of said lower bar segment is configured to flex from a raised position to a lowered position; and (B) an upper bar segment positioned above said pivot pin, wherein a portion of said upper bar segment extends into said anvil during said firing stroke of said firing member. ### Claim 2 (depends on 1) The surgical instrument of claim 1, wherein said anvil comprises a longitudinal slot and a lateral pocket transverse to said longitudinal slot, wherein a portion of said upper bar segment is configured to travel within said lateral pocket of said anvil during said firing stroke. ### Claim 3 (depends on 1) The surgical instrument of claim 1, wherein said distal head further comprises a cutting edge positioned intermediate said upper tab and said lower foot. ### Claim 4 (depends on 1) The surgical instrument of claim 1, wherein said upper bar segment extends proximally from said upper tab. ### Claim 5 (depends on 1) The surgical instrument of claim 1, wherein said lower bar includes a rectangular cross-section. ### Claim 6 (depends on 5) The surgical instrument of claim 5, wherein said rectangular cross-section includes a height and a width, wherein said width is parallel to an axis of said pivot pin, wherein said width is larger than said height. ### Claim 7 (depends on 1) The surgical instrument of claim 1, wherein said lower bar and said upper bar are separated a first distance at a proximal portion and a second distance at a distal portion, wherein the first distance is smaller than the second distance. ### Claim 8 (depends on 1) The surgical instrument of claim 1, further comprising a lockout system configured to inhibit distal advancement of said distal head. ### Claim 9 (depends on 8) The surgical instrument of claim 8, said lockout system including a lockout spring positioned along a bottom of said elongate channel. ### Claim 10 (depends on 9) The surgical instrument of claim 9, said lockout spring being configured to contact said distal head to thereby inhibit distal advancement of said distal head. ### Claim 11 (depends on 10) The surgical instrument of claim 10, wherein said lockout spring is configured to bias said distal head into said elongate channel to thereby inhibit distal advancement of said distal head. ### Claim 12 (depends on 11) The surgical instrument of claim 11, wherein said lower bar is positioned below said lockout spring. ### Claim 13 (depends on 12) The surgical instrument of claim 12, wherein said lockout system is positioned between said upper bar and said lower bar. ### Claim 14 (depends on 1) The surgical instrument of claim 1, said shaft including a longitudinal axis, wherein a portion of said lower bar is movable away from said longitudinal axis. ### Claim 15 (depends on 1) The surgical instrument of claim 1, wherein said lower foot is configured to inhibit distal advancement of said distal head. ### Claim 16 A surgical instrument, comprising: (a) a housing; (b) a shaft extending from said housing; (c) an articulation joint; (d) an end effector rotatably connected to said shaft about said articulation joint, wherein said end effector comprises: (1) an elongate channel configured to operably support a staple cartridge including staples removably stored therein; and (2) an anvil rotatable relative to said elongate channel between an open position and a closed position about a pivot axis, and wherein said anvil comprises a longitudinal slot and a cavity oriented transverse to said longitudinal slot; and (e) a firing member configured to be advanced distally through a firing stroke in response to a rotary motion, wherein said staples of said staple cartridge are configured to be deformed against said anvil during said firing stroke, and wherein said firing member comprises: (1) a distal portion comprising an upper cam and a lower cam, wherein said upper cam is configured to engage said anvil during said firing stroke, and wherein said lower cam is configured to engage said elongate channel during said firing stroke; and (2) a proximal portion extending proximally from said distal portion into said shaft, wherein said proximal portion comprises: (A) a lower bar; and (B) an upper bar spaced apart from said lower bar, wherein a portion of said upper bar is configured to travel within said cavity of said anvil during said firing stroke, wherein a portion of said upper bar is movable relative to said lower bar so as to vary a distance between said lower bar and said portion. ### Claim 17 (depends on 16) The surgical instrument of claim 16, wherein said distal portion of said firing member further comprises a cutting edge positioned intermediate said upper cam and said lower cam. ### Claim 18 (depends on 16) The surgical instrument of claim 16, wherein said upper bar extends proximally from said upper cam. ### Claim 19 (depends on 16) The surgical instrument of claim 16, wherein said lower cam is configured to engage said elongate channel to thereby inhibit said firing stroke. ### Claim 20 A surgical instrument, comprising: (a) a housing; (b) a shaft extending from said housing; (c) an articulation joint; (d) an end effector rotatably connected to said shaft about said articulation joint, wherein said end effector comprises: (1) an elongate channel configured to operably support a staple cartridge including staples removably stored therein; and (2) an anvil rotatable relative to said elongate channel between an open position and a closed position about a pivot axis, and wherein said anvil comprises a longitudinal slot and a cavity oriented transverse to said longitudinal slot; and (e) a firing member configured to be distally advanced through a firing stroke in response to a rotary motion, wherein said staples of said staple cartridge are configured to be deformed against said anvil during said firing stroke, and wherein said firing member comprises: (1) a distal portion comprising an upper cam, a lower cam, and a cutting portion positioned intermediate said upper cam and said lower cam, wherein said upper cam is configured to engage said anvil during said firing stroke, and wherein said lower cam is configured to engage said elongate channel during said firing stroke; and (2) a proximal portion extending proximally from said distal portion into said shaft, wherein said proximal portion comprises a bar segment extending proximally from said upper cam of said distal portion, wherein a portion of said bar segment is configured to bend distal to the articulation joint and into said cavity of said anvil during said firing stroke.