US 8,066,167 B2Granted

Circular surgical stapling instrument with anvil locking system

AssigneeEthicon Endo-Surgery, Inc.

InventorsJohn P. Measamer, Mark Tsonton, Nicholas G. Molitor, Barry T. Jamison, Scott B. Killinger, Randall S. Koplin, Wai N. Chin

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Abstract

Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of anvil locking systems designed to selectively prevent the anvil from moving axially relative to the stapling head of the stapling instrument. One embodiment employs an elongated gear rack that is selectively engagable with locking gears to prevent axial motion of the elongated gear rack and an adjustment shaft used to axially position the anvil. Other embodiments employ a gear assembly that cooperates with the elongated gear rack. A locking member is movably supported by a handle assembly that houses the gear assembly and elongated gear rack. The locking member is configured for selective meshing engagement with the gear assembly to ultimately prevent axial movement of the gear rack and adjustment shaft.

Claims14

Dependent claims

A surgical stapling instrument, comprising:

a handle assembly;
a shaft assembly coupled to said handle assembly;
a stapling head assembly operably coupled to said shaft assembly, said stapling head assembly comprising:
a staple cartridge for supporting one or more surgical staples;
a staple driver for engaging and driving the staples from said staple cartridge;
and
a knife movably supported in said stapling head assembly;
a drive system for applying drive motions to said staple driver and said knife;
an anvil movably supported relative to said staple cartridge for axial movement toward and away from said staple cartridge;
an anvil adjustment assembly for selectively adjusting an axial position of the anvil relative to the staple cartridge, said anvil adjustment assembly comprising:
an adjustment shaft movably supported by said handle assembly for selective axial travel therethrough;
and
a trocar portion coupled to said adjustment shaft for axial travel therewith, said trocar portion configured for removable attachment to said anvil and wherein said surgical stapling instrument further comprises:
a force measurement system operably interfacing with said anvil adjustment assembly for measuring an amount of compression force applied to tissue clamped between said anvil and said staple cartridge;
and
an anvil locking system configured to cooperate with said anvil adjustment assembly to selectively lock and unlock the anvil in axial position relative to said staple cartridge, said anvil locking system comprising:
an elongated gear rack coupled to one of said adjustment shaft and said trocar portion;
and
a locking assembly pivotally coupled to said handle assembly and configured to pivot between positions wherein said lockinq assembly retainingly engages said elongated gear rack and a position wherein said locking assembly does not engage said elongated gear rack.

16 more elements

A circular surgical stapling instrument, comprising:

a handle assembly;
a stapling head assembly operably coupled to said handle assembly;
an anvil movably supported relative to said stapling head assembly for selective axial travel toward and away from said stapling head assembly;
an anvil adjustment assembly supported by said handle assembly for selectively adjusting an axial position of the anvil relative to the staple cartridge, said anvil adjustment assembly comprising:
an adjustment shaft movably supported by said handle assembly for selective axial travel therethrough;
and
a trocar portion coupled to said adjustment shaft for axial travel therewith, said trocar portion configured for removable attachment to said anvil, and wherein said circular surgical stapling instrument further comprises:
a force measurement system operably interfacing with said anvil adjustment assembly for measuring an amount of compression force applied to tissue clamped between said anvil and said stapling head;
and
an anvil locking system configured to cooperate with said anvil adjustment assembly to selectively lock and unlock the anvil in axial positions relative to said stapling head, said anvil locking system comprising:
an elongated gear rack coupled to one of said adjustment shaft and said trocar portion;
and
a locking assembly pivotally coupled to said handle assembly and configured to pivot between positions wherein said locking assembly retainingly engages said elongated gear rack and a position wherein said locking assembly does not engage said elongated gear rack.

10 more elements

A surgical stapling instrument, comprising:

a handle assembly;
a shaft assembly coupled to said handle assembly;
a stapling head assembly operably coupled to said shaft assembly, said stapling head assembly comprising:
a staple cartridge for supporting one or more surgical staples;
a staple driver for engaging and driving the staples from said staple cartridge;
and
a knife movably supported in said stapling head assembly;
a drive system for applying drive motions to said staple driver and said knife;
an anvil movably supported relative to said staple cartridge for axial movement toward and away from said staple cartridge;
an anvil adjustment assembly for selectively adjusting an axial position of the anvil relative to the staple cartridge, said anvil adjustment assembly comprising:
an adjustment shaft movably supported by said handle assembly for selective axial travel therethrough;
and
a trocar portion coupled to said adjustment shaft for axial travel therewith, said trocar portion configured for removable attachment to said anvil and wherein said surgical stapling instrument further comprises:
a force measurement system operably interfacing with said anvil adjustment assembly for measuring an amount of compression force applied to tissue clamped between said anvil and said staple cartridge;
and
an anvil locking system configured to cooperate with said anvil adjustment assembly to selectively lock and unlock the anvil in axial position relative to said staple cartridge, said anvil locking system comprising:
an elongated gear rack;
and
a gear assembly in meshing engagement with said elongated gear rack and further oriented for selective engagement with a second locking member pivotally coupled to said handle assembly and configured to pivot between positions wherein said second locking member retainingly engages said elongated gear rack and a position wherein said second locking member does not engage said elongated gear rack.

16 more elements

A circular surgical stapling instrument, comprising:

a handle assembly;
a stapling head assembly operably coupled to said handle assembly;
an anvil movably supported relative to said stapling head assembly for selective axial travel toward and away from said stapling head assembly;
an anvil adjustment assembly supported by said handle assembly for selectively adjusting an axial position of the anvil relative to the staple cartridge, said anvil adjustment assembly comprising:
an adjustment shaft movably supported by said handle assembly for selective axial travel therethrough;
and
a trocar portion coupled to said adjustment shaft for axial travel therewith, said trocar portion configured for removable attachment to said anvil, and wherein said circular surgical stapling instrument further comprises:
a force measurement system operably interfacing with said anvil adjustment assembly for measuring an amount of compression force applied to tissue clamped between said anvil and said stapling head;
and
an anvil locking system configured to cooperate with said anvil adjustment assembly to selectively lock and unlock the anvil in axial positions relative to said stapling head, said anvil locking system comprising:
an elongated gear rack;
and
a gear assembly in meshing engagement with said elongated gear rack and selective engagement with a locking assembly pivotally coupled to said handle assembly and configured to pivot between positions wherein said locking assembly retainingly engages said elongated gear rack and a position wherein said locking assembly does not engage said elongated gear rack.

10 more elements

Dependencies are inferred from the claim text.

Facts

Application: 12/408,905Filed 23 Mar 2009
Published: US 2010/0237132 A123 Sep 2010
Granted: 29 Nov 2011
Term ends: Not estimatedThe source records don’t support an estimate.

Classification9 codes

A61B 17/115
For performing anastomosis; Buttons for anastomosis: staplers for performing anastomosis, e.g. in a single operation
A61B 90/06
Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00,…
A61B 17/072
Surgical staplers , e.g. containing multiple staples or clamps: for applying a row of staples in a single action, e.g. the staples being applied…
A61B 17/1155
Staplers for performing anastomosis, e.g. in a single operation: circular staplers comprising a plurality of staples