# US 11,992,213 B2 · Surgical stapling instruments with replaceable staple cartridges > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,992,213 B2 - Document ID: US11992213B2 - Status: Granted - Kind: B2 - Application number: 17/061,802 - Filed: 2020-10-02 - Published: 2021-03-25 - Granted: 2024-05-28 - Earliest claimed: 2016-12-21 - Assignees: Cilag GmbH International - Applicants: Cilag GmbH International - Inventors: Frederick E. Shelton, IV; Jason L. Harris - Web page: https://patentgrep.com/patent/US11992213B2 ## CPC - A61B 17/07207: {the staples being applied sequentially} - A61B 17/29: Forceps for use in minimally invasive surgery - A61B 90/03: {Automatic limiting or abutting means, e.g. for safety} - A61B 18/1442: {Probes having pivoting end effectors, e.g. forceps} - A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod} - A61B 34/30: Surgical robots - A61B 2017/00017: {Electrical control of surgical instruments} - A61B 2017/00039: {Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect} - 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 2017/00393: {with means for switching between functions} - A61B 2017/00398: {using powered actuators, e.g. stepper motors, solenoids} - A61B 2017/0046: {with a releasable handle; with handle and operating part separable} - A61B 2017/00473: {Distal part, e.g. tip or head (A61B2017/00464 takes precedence)} - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B 2017/07228: {Arrangement of the staples} - A61B 2017/0725: {with settable gap between anvil and cartridge, e.g. for different staple heights at different shots} - A61B 2017/07257: {characterised by its anvil} - A61B 2017/07264: {characterised by its staple forming cavities, e.g. geometry or material} - A61B 2017/07271: {characterised by its cartridge} - 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 2017/2933: {camming or guiding means} - A61B 2017/2936: {Pins in guiding slots} - A61B 2017/2937: {with flexible part} - A61B 2017/2944: {Translation of jaw members} - A61B 2017/2946: {Locking means} - A61B 2018/0063: {Sealing} - A61B 2034/302: {specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities} - A61B 2090/034: {abutting on parts of the device itself} - A61B 2090/036: {abutting on tissue or skin} - A61B 2090/0808: {for indicating correct assembly of components, e.g. of the surgical apparatus} - A61B 2090/0814: {Preventing re-use} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A surgical stapling instrument having a surgical end effector that includes first and second jaws that are selectively movable relative to each other. The surgical stapling instrument further includes a staple cartridge having a sled movable through said staple cartridge between an unfired position and a fired position. The sled includes a central portion configured to be received by a longitudinal slot, a first wedge-shaped cam on a first side of the central portion, and a second wedge-shaped cam on a second side of the central portion. The central portion extends distal to the first wedge-shaped cam and said second wedge-shaped cam. The surgical stapling instrument further includes a firing member configured to advance the sled from the unfired position toward the fired position during a staple firing stroke and a lockout system. ## Claims ### Claim 1 A surgical stapling instrument, comprising: an end effector comprising: a first jaw; and a second jaw, wherein one of said first jaw or said second jaw is movable relative to the other of said first jaw or said second jaw about a pivot; a staple cartridge, comprising: a cartridge body; a longitudinal slot extending from a proximal end of said staple cartridge toward a distal end of said staple cartridge; staple cavities defined in said cartridge body; staples removably stored in said staple cavities; and a sled movable through said staple cartridge between an unfired position and a fired position, wherein said sled comprises: a central portion configured to be received by said longitudinal slot, wherein said central portion comprises a distal nose; a first wedge-shaped cam on a first side of said central portion comprising a first cam distal end; and a second wedge-shaped cam on a second side of said central portion comprising a second cam distal end, wherein said distal nose of said central portion extends distal to said first cam distal end and said second cam distal end, wherein said distal nose extends upwardly from a distal tip to an upper-most proximal portion, wherein said upper-most proximal portion is proximal relative to said first cam distal end and said second cam distal end, and wherein said distal nose is configured to provide support to said cartridge body distal of said first wedge-shaped cam and said second wedge-shaped cam; a closure member configured to move said first jaw relative to said second jaw; a firing member configured to move from said proximal end toward said distal end during a staple firing stroke, wherein said firing member is configured to advance said sled from said unfired position toward said fired position during said staple firing stroke, wherein said firing member is separate from said closure member; and a lockout system, wherein said lockout system comprises means for preventing said first jaw from moving toward said second jaw and preventing said firing member from moving toward said distal end when a presence of said staple cartridge is not detected and for preventing said first jaw from moving toward said second jaw and preventing said firing member from moving toward said distal end when said sled is not in said unfired position. ### Claim 2 (depends on 1) The surgical stapling instrument of claim 1, further comprising a staple firing system and a jaw closure system, wherein said staple firing system comprises said firing member, wherein said jaw closure system comprises said closure member, and wherein said staple firing system is independent of said jaw closure system. ### Claim 3 (depends on 1) The surgical stapling instrument of claim 1, wherein said first jaw comprises an anvil. ### Claim 4 (depends on 1) The surgical stapling instrument of claim 1, wherein said first jaw comprises a channel, wherein said distal nose comprises a nose base surface, wherein said nose base surface extends distal to said first cam distal end and said second cam distal end, and wherein said nose base surface is configured to contact said channel as said sled moves between said unfired position and said fired position. ### Claim 5 (depends on 4) The surgical stapling instrument of claim 4, wherein said staple cartridge is configured to be removably seated in said channel. ### Claim 6 (depends on 1) The surgical stapling instrument of claim 1, wherein said firing member comprises a tissue cutting surface. ### Claim 7 (depends on 1) The surgical stapling instrument of claim 1, wherein said firing member comprises: a first camming member configured to engage said first jaw; and a second camming member configured to engage said second jaw. ### Claim 8 A surgical stapling instrument, comprising: an end effector, comprising: a first jaw; and a second jaw, wherein one of said first jaw or said second jaw is movable relative to the other of said first jaw or said second jaw about a pivot; a staple cartridge, comprising: a cartridge body; a longitudinal slot extending from a proximal end of said staple cartridge toward a distal end of said staple cartridge; staple cavities defined in said cartridge body; staples removably stored in said staple cavities; and a sled movable through said staple cartridge between an unfired position and a fired position, wherein said sled comprises: a central portion configured to be received by said longitudinal slot; a first camming member on a first side of said central portion; and a second camming member on a second side of said central portion, wherein said central portion extends distal to said first camming member and said second camming member, wherein said first camming member and said second camming member each include a proximal projection; a closure drive system comprising a closure tube configured to move said first jaw toward said second jaw; a firing drive system comprising a firing member, wherein said firing member is configured to advance said sled from said unfired position toward said fired position during said staple firing stroke, wherein a distal end of said firing drive system is located between said proximal projections; and a lockout system, wherein said lockout system comprises means for deactivating said closure drive system and said firing drive system when a presence of said staple cartridge is not detected and for deactivating said closure drive system and said firing drive system when said sled is not in said unfired position. ### Claim 9 (depends on 8) The surgical stapling instrument of claim 8, wherein said closure drive system is independent of said firing drive system. ### Claim 10 (depends on 8) The surgical stapling instrument of claim 8, wherein said first jaw comprises an anvil. ### Claim 11 (depends on 8) The surgical stapling instrument of claim 8, wherein said first jaw comprises a channel, wherein said central portion comprises a base surface, wherein said base surface extends distal to said first camming member and said second camming member, and wherein said base surface is configured to contact said channel as said sled moves between said unfired position and said fired position. ### Claim 12 (depends on 11) The surgical stapling instrument of claim 11, wherein said staple cartridge is configured to be replaceably seated in said channel. ### Claim 13 (depends on 8) The surgical stapling instrument of claim 8, wherein said firing member comprises a tissue cutting surface. ### Claim 14 (depends on 8) The surgical stapling instrument of claim 8, wherein said firing member comprises: a first cam configured to engage said first jaw; and a second cam configured to engage said second jaw. ### Claim 15 A surgical stapling instrument, comprising: an end effector, comprising: a first jaw; and a second jaw, wherein one of said first jaw and said second is movable relative to the other of said first jaw and said second jaw about a pivot; a staple cartridge, comprising: a cartridge body; a longitudinal slot extending from a proximal end of said staple cartridge toward a distal end of said staple cartridge; staple cavities defined in said cartridge body; staples removably stored in said staple cavities; and a sled movable through said staple cartridge between an unfired position and a fired position, wherein said sled comprises: a central portion configured to be received by said longitudinal slot, wherein said central portion comprises a distal nose; a first sloped cam on a first side of said central portion comprising a first cam distal end; and a second sloped cam on a second side of said central portion comprising a second cam distal end, wherein said distal nose of said central portion extends distal to said first cam distal end and said second cam distal end, wherein said central portion includes an upwardly facing horizontal surface positioned distal to said first sloped cam and below an uppermost portion of said first sloped cam; a firing member configured to move from said proximal end toward said distal end during a staple firing stroke, wherein said firing member is configured to advance said sled from said unfired position toward said fired position during said staple firing stroke; a closure member configured to translate relative to said firing member to move said first jaw relative to said second jaw; a closure drive system configured to move said first jaw toward said second jaw, wherein said closure drive system comprises said closure member; a firing drive system configured to advance said firing member through said end effector during said staple firing stroke; and a lockout system, wherein said lockout system comprises means for deactivating said closure drive system and said firing drive system when said staple cartridge is absent and for deactivating said closure drive system and said firing drive system when said sled is not in said unfired position. ### Claim 16 (depends on 15) The surgical stapling instrument of claim 15, wherein said closure drive system is independent of said firing drive system. ### Claim 17 (depends on 15) The surgical stapling instrument of claim 15, wherein said first jaw comprises an anvil. ### Claim 18 (depends on 15) The surgical stapling instrument of claim 15, wherein said first jaw comprises a channel, wherein said staple cartridge is configured to be replaceably seated in said channel, wherein said distal nose comprises a base surface, wherein said base surface extends distal to said first cam distal end and said second cam distal end, and wherein said base surface is configured to contact said channel as said sled moves between said unfired position and said fired position.