US 7,380,696 B2Granted

Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism

AssigneeEthicon Endo-Surgery, Inc.

InventorsFrederick E. Shelton, IV, Kevin Ross Doll, Jerry R. Morgan, Michael Earl Setser

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Abstract

A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

Claims16

Dependent claims

A surgical instrument comprising:

a handle portion operable to produce a firing motion;
and
an implement portion responsive to the firing motions from the handle portion, the implement portion comprising:
an elongate channel comprising a distal end and a proximal end and coupled to the handle portion and including a channel slot defining a longitudinal firing axis,
a staple cartridge received by the elongate channel and incorporating a proximally positioned wedge member aligned to cam upward a driver supporting a staple,
an anvil pivotally comprising a distal end and a proximal end coupled to the proximal end of the elongate channel and including an anvil channel,
a firing device including a distally presented cutting edge longitudinally received between the elongate channel and the anvil, an upper member engageable to the anvil channel, a lower member engaging the channel slot, and a middle member operable to actuate the staple cartridge by distally translating the wedge member of the staple cartridge, the firing device positively engaging both the elongate channel and the anvil during movement along the longitudinal firing axis of the firing device to provide spacing therebetween for staple formation,
an articulation joint proximally coupled to the elongate channel,
a firing strip proximally attached to the firing device for transferring the firing motion from the handle portion through the articulation joint;
and
an interfacing portion between the firing device and strip formed with a selected one of a group consisting of the firing device and the strip comprising a female recess and the other one of the group comprising a male termination engaged to the female recess for forming an attachment having longitudinal structural strength:
wherein the firing device is configured to affirmatively space the anvil from the elongate channel during longitudinal travel between the anvil and elongate channel by including a lower portion having an upper surface and a lower surface that slidingly engage the elongate channel;
wherein the lower member of the firing device comprises a lower pin having the upper surface abutting the elongate channel and the middle member comprises a middle pin having the lower surface opposingly abutting the elongate channel.

10 more elements

A surgical instrument comprising:

a handle portion operable to produce a firing motion and a closing motion;
and
an implement portion responsive to the firing motions from the handle portion and diametrically dimensioned for endo-surgical use, the implement portion comprising:
a shaft coupled to the handle portion operable to separately transfer the firing motion and the closing motion,
an elongate channel coupled to the shaft and including a channel slot defining a longitudinal firing axis,
an anvil pivotally coupled to the elongate channel, responsive to the closing motion from the shaft, and including an anvil channel,
a firing device including a distally presented cutting edge longitudinally received between the elongate channel and the anvil, the firing device including a lower portion slidingly engaged to the elongate channel and an upper portioned positioned to slidingly engage the anvil during firing, engagement of the firing device to the elongate channel and the anvil maintaining a spacing therebetween;
a strip proximally attached to the firing device operable to transfer the firing motion to the firing device;
and
an interfacing portion between the firing device and strip formed with a selected one of a group consisting of the firing device and the strip comprising a female recess and the other one of the group comprising a male termination engaged to the female recess for forming an attachment having longitudinal structural strength;
wherein the firing device is configured to affirmatively space the anvil from the elongate channel during longitudinal travel between the anvil and elongate channel by including a lower portion having an upper surface and a lower surface that slidingly engage the elongate channel;
wherein the lower portion of the firing device comprises a lower pin having the upper surface abutting the elongate channel and the lower portion further comprises a middle pin having the lower surface opposingly abutting the elongate channel.

9 more elements

A surgical instrument comprising:

a handle portion operable to produce a firing motion;
and
an implement portion responsive to the firing motions from the handle portion and diametrically dimensioned for endo-surgical use, the implement portion comprising:
a shaft coupled to the handle portion operable to separately transfer the firing motion,
an articulation joint formed in the shaft,
an elongate channel coupled to the shaft,
an anvil pivotally coupled to the elongate channel,
a firing device including a distally presented cutting edge longitudinally received between the elongate channel and the anvil, wherein the firing device comprises a metal forming a rigid cutting implement and the firing device including a lower portion slidingly engaged to the elongate channel and an upper portion positioned to slidingly engage the anvil during firing, engagement of the firing device to the elongate channel and the anvil maintaining a spacing therebetween;
a strip proximally attached to the firing device operable to transfer the firing motion to the firing device and composed of a flexible material for transitioning through the articulation joint;
and
an interfacing portion between the firing device and strip formed with a selected one of a group consisting of the firing device and the strip comprising a female recess and the other one of the group comprising a male termination engaged to the female recess for forming an attachment having longitudinal structural strength,
wherein the firing device is configured to affirmatively space the anvil from the elongate channel during longitudinal travel between the anvil and elongate channel by including an upper member having an upper surface and a lower surface that longitudinally slidingly and opposingly engage the anvil,
wherein the anvil includes a longitudinal slot having an upper surface and a lower surface that slidingly abut respectively the lower surface and upper surface of the upper member of the firing device, and
wherein the longitudinal slot comprises an internal longitudinal channel communicating with a narrowed vertical slot, and wherein the firing device translates in the narrowed vertical slot and includes an upper member having the upper and lower surfaces that reside within the internal longitudinal channel for affirmatively spacing the anvil from the elongate channel.

11 more elements

Dependencies are inferred from the claim text.

Facts

Application: 10/955,042Filed 30 Sep 2004 · continuation in part
Priority: 20 May 2003
Published: US 2005/0263562 A11 Dec 2005
Granted: 3 Jun 2008
Term ends: Not estimatedThe source records don’t support an estimate.

Classification12 codes

A61B 17/0686
For applying U-shaped staples or clamps, e.g. without a forming anvil: having a forming anvil staying below the tissue during stapling
A61B 17/07207
For applying a row of staples in a single action, e.g. the staples being applied simultaneously: the staples being applied sequentially
A61B 17/32
Surgical instruments, devices or methods: surgical cutting instruments
A61B 2017/00292
For minimally invasive surgery: mounted on or guided by flexible, e.g. catheter-like, means

Family

Application10/443,617Parent of this continuation-in-part · filed 20 May 2003
Application60/591,694Us provisional application · filed 28 Jul 2004
US 2005/0263562 A1Pre-grant publication · published 1 Dec 2005
US 6,978,921 B2Parent of this continuation-in-part
US 2004/0232197 A1Published application
US 7,380,696 B2This patent

From the US filing history. Foreign family members aren’t listed.