# US 11,998,201 B2 · Stapling instrument comprising a firing lockout

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- Number: US 11,998,201 B2
- Document ID: US11998201B2
- Status: Granted
- Kind: B2
- Application number: 17/728,076
- Filed: 2022-04-25
- Published: 2022-12-01
- Granted: 2024-06-04
- Earliest claimed: 2021-05-28
- Assignees: Cilag CmbH International
- Applicants: Cilag GmbH International
- Inventors: Zhifan F. Huang; Richard L Leimbach; Geoffrey C. Hueil; Nicholas J. Ross; Brian K. Spinneweber; Joshua R. Ruoff; Robbin B. Johnson; Daniel L. Baber; Pierre R. Mesnil
- Web page: https://patentgrep.com/patent/US11998201B2

## CPC

- A61B 17/07207: {the staples being applied sequentially}
- A61B 17/0686: {having a forming anvil staying below the tissue during stapling}
- A61B 17/072: for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- 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 17/115: Staplers for performing anastomosis, e.g. in a single operation
- A61B 90/98: using electromagnetic means, e.g. transponders
- A61B 2017/00017: {Electrical control of surgical instruments}
- A61B 2017/0003: {of parts of the instruments}
- A61B 2017/00039: {Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect}
- A61B 2017/00075: {Motion}
- A61B 2017/00119: {alarm; indicating an abnormal situation}
- A61B 2017/00128: {related to intensity or progress of surgical action}
- A61B 2017/00199: {with a console, e.g. a control panel with a display}
- 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 2017/0053: {Loading magazines or sutures into applying tools}
- A61B 2017/00734: {battery operated}
- A61B 2017/07214: {Stapler heads}
- A61B 2017/07228: {Arrangement of the staples}
- A61B 2017/07257: {characterised by its anvil}
- 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 2090/033: {Abutting means, stops, e.g. abutting on tissue or skin}
- A61B 2090/034: {abutting on parts of the device itself}
- A61B 2090/0807: {Indication means}
- 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 stapling instrument comprising a tissue cutting knife movable through a staple cartridge to perform a staple firing stroke is disclosed. The stapling instrument further comprises a lockout system configured to prevent the tissue cutting knife from being moved through the staple firing stroke if the staple cartridge is missing from the stapling instrument and/or if the staple cartridge has been previously fired. The lockout system comprises a flexible spring that acts on the bottom of the tissue cutting knife at the initiation of the staple firing stroke to push the tissue cutting knife into a lockout recess if the staple cartridge is missing or has been previously fired.

## Claims

### Claim 1

A surgical stapling assembly, comprising:
an anvil jaw;
a cartridge channel jaw;
a staple cartridge seatable in said cartridge channel jaw, wherein said staple cartridge comprises:
a cartridge body including a proximal end, a distal end, and rows of staple cavities extending between said proximal end and said distal end;
staples removably stored in said staple cavities; and
a sled positioned in an unfired position in said proximal end, wherein said sled is movable distally during a firing stroke to deploy said staples from said staple cavities;
a firing assembly actuatable to move said sled through said firing stroke to deploy said staples from said staple cartridge, wherein said firing assembly comprises:
a firing shaft; and
a distal portion connected to said firing shaft, wherein said distal portion comprises:
an upper cam positioned to engage said anvil jaw during said firing stroke;
a lower cam positioned to engage said cartridge channel jaw during said firing stroke;
and
a tail portion extending proximally from said distal portion below said firing shaft;
a knife positioned to be driven by said firing assembly;
a lockout; and
a lockout spring, wherein said lockout spring is in an initially-unloaded state prior to a beginning of said firing stroke, wherein said tail portion contacts said lockout spring during the beginning of said firing stroke such that said lockout spring applies a downward biasing force to said tail portion to bias said distal portion toward said lockout, wherein said lockout is configured to block said firing assembly from moving distally past said lockout when said staple cartridge is not seated in said cartridge channel jaw, and wherein said sled is configured to support said distal portion from being blocked by said lockout when said staple cartridge is seated in said cartridge channel jaw and said sled is in said unfired position.

### Claim 2 (depends on 1)

The surgical stapling assembly of claim 1, wherein said lockout spring is configured to apply said downward biasing force to said tail portion at a location which is proximal to said knife.

### Claim 3 (depends on 1)

The surgical stapling assembly of claim 1, wherein said lockout spring comprises lateral support flanges positioned within recesses defined in said cartridge channel jaw.

### Claim 4 (depends on 1)

The surgical stapling assembly of claim 1, wherein said lockout comprises a lock shoulder, and wherein said distal portion comprises a lock surface extending laterally therefrom which is configured to contact said lock shoulder to block the distal advancement of said firing assembly when said staple cartridge is not seated in said cartridge channel jaw.

### Claim 5 (depends on 4)

The surgical stapling assembly of claim 4, wherein said knife does not extend distally beyond said lock shoulder when said lock surface contacts said lock shoulder.

### Claim 6 (depends on 1)

The surgical stapling assembly of claim 1, wherein said knife is formed in said distal portion of said firing assembly.

### Claim 7

A surgical end effector assembly, comprising:
an anvil jaw;
a cartridge channel jaw;
a staple cartridge comprising a plurality of staples removably stored within said staple cartridge, wherein said staple cartridge is installed in said cartridge channel jaw;
a firing assembly actuatable through a firing stroke to deploy said staples from said staple cartridge, wherein said firing stroke comprises a beginning where said firing assembly moves distally from a proximal-most position to an intermediate position, and wherein said firing assembly comprises:
a firing bar; and
a distal head connected to said firing bar, wherein said distal head comprises:
a first cam and a second cam configured to control a tissue-gap distance between said anvil jaw and said cartridge channel jaw during said firing stroke;
a knife; and
a tail extension extending proximally from said distal head portion below said firing bar;
a lockout configured to selectively stop said firing assembly from moving distally beyond said lockout; and
a lockout spring, wherein said lockout spring is configured to:
apply no force to said firing assembly when said firing assembly is in said proximal-most position; and
apply a locking force to said tail extension during the beginning of said firing stroke to bias said firing assembly toward said lockout.

### Claim 8 (depends on 7)

The surgical end effector assembly of claim 7, wherein said staple cartridge further comprises a sled movable between an unfired position and a fully-fired position by said firing assembly, and wherein said sled is configured to prevent said firing assembly from being blocked by said lockout when said sled is in said unfired position.

### Claim 9 (depends on 8)

The surgical end effector assembly of claim 8, wherein said distal head comprises a distal nose, wherein said sled comprises a proximal ledge, and wherein said distal nose is configured to catch said proximal ledge when said sled is in said unfired position.

### Claim 10 (depends on 7)

The surgical end effector assembly of claim 7, wherein said lockout spring is configured to apply said locking force to said tail extension proximal to said tissue-cutting edge.

### Claim 11 (depends on 7)

The surgical end effector assembly of claim 7, wherein said lockout spring comprises lateral support flanges positioned within recesses defined in said cartridge channel jaw.

### Claim 12 (depends on 7)

The surgical end effector assembly of claim 7, wherein said distal head comprises a unitary distal head, wherein said first cam, said second cam and said knife comprise a unitary component.

### Claim 13

A surgical stapling assembly, comprising:
a proximal shaft frame;
an anvil jaw;
a cartridge channel jaw;
a staple cartridge comprising a plurality of staples removably stored within said staple cartridge, wherein said staple cartridge is installed in said cartridge channel jaw;
a firing assembly actuatable through a firing stroke to deploy said staples from said staple cartridge, wherein said firing stroke comprises a beginning where said firing assembly moves distally from an unfired position to an intermediate position, and wherein said firing assembly comprises:
a firing shaft; and
a coupler connected to said firing shaft, wherein said coupler comprises:
a first cam and a second cam configured to control a tissue-gap distance between said anvil jaw and said cartridge channel jaw during said firing stroke;
a knife; and
a tail portion extending proximally from said coupler below said firing bar;
a lockout configured to selectively stop said firing assembly from moving distally beyond said lockout; and
a lockout trigger attached to said proximal shaft frame, wherein said lockout trigger is configured to:
apply no force to said firing assembly when said firing assembly is in said unfired position; and
apply a locking force to said tail portion during the beginning of said firing stroke to bias said firing assembly toward said lockout.

### Claim 14 (depends on 13)

The surgical stapling assembly of claim 13, wherein said staple cartridge further comprises a sled movable distally from an unspent position by said firing assembly, and wherein said sled is configured to prevent said firing assembly from being stopped by said lockout when said sled is in said unspent position.

### Claim 15 (depends on 14)

The surgical stapling assembly of claim 14, wherein said coupler comprises a distal nose, wherein said sled comprises a proximal ledge, and wherein said distal nose is configured to catch said proximal ledge when said sled is in said unspent position.

### Claim 16 (depends on 13)

The surgical stapling assembly of claim 13, wherein said lockout trigger is configured to apply said locking force to said tail portion proximal to said knife.

### Claim 17 (depends on 13)

The surgical stapling assembly of claim 13, wherein said lockout trigger comprises lateral support flanges positioned within recesses defined in said cartridge channel jaw.

### Claim 18 (depends on 13)

The surgical stapling assembly of claim 13, wherein said coupler comprises a unitary coupler, wherein said first cam, said second cam and said knife comprise a unitary component.