A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i. e. , staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.
Surgical Stapling Instrument Incorporating An E-Beam Firing Mechanism
A surgical severing and stapling instrument clamps, 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 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 clot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing.
Surgical Stapling Instrument Having A Spent Cartridge Lockout
A surgical instrument for laparoscopic and endoscopic clinical procedures simultaneously severs and staples tissue clamped in an end effector comprising an elongate channel, which holds a staple cartridge, and a pivotally attached anvil. An E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular, a wedge integral to the staple cartridge is driven distally by a middle pin of the firing bar to effect stapling. A lockout mechanism of the staple cartridge responds to the presence of the wedge sled in its unfired position to allow the firing bar to fire. Otherwise, the lockout mechanism prevents firing when the staple cartridge is spent.
Surgical Stapling Instrument Having Separate Distinct Closing And Firing Systems
Michael Earl Setser - Burlington KY, US Brian J. Hemmelgarn - Kettering OH, US
Assignee:
Ethicon, Endo-Surger, Inc. - Concinnati OH
International Classification:
A61B 17/072
US Classification:
2271761, 227 19, 2271781
Abstract:
A surgical severing and stapling instrument clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar affirmatively maintains a desired spacing while severing and stapling tissue by longitudinally engaging the anvil and elongate channel. Separate closing action and firing (i. e. , severing and stapling) action of the end effector allows a clinician to selectively position and clamp tissue. The end effector enables this advantageous separate firing while affirmatively spacing the end effector by having an upper pin of the firing bar reside within an anvil pocket before firing. When the anvil is closed and clamped, the upper pin of the E-beam firing bar may move longitudinally and distally from the anvil pocket to an anvil slot thereby engaging the anvil.
Surgical Stapling Instrument Having A Single Lockout Mechanism For Prevention Of Firing
A surgical instrument for laparoscopic and endoscopic clinical procedures simultaneously severs and staples tissue clamped in an end effector comprising an elongate channel, which holds a staple cartridge, and a pivotally attached anvil. An E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular, a wedge integral to the staple cartridge is driven distally by a middle pin of the firing bar to effect stapling. A single lockout of the elongate channel responds to the presence of the wedge sled in its unfired position to allow the firing bar to fire. Otherwise, the single lockout prevent firing when the staple cartridge is missing or spent.
Surgical Stapling Instrument Incorporating A Tapered Firing Bar For Increased Flexibility Around The Articulation Joint
A surgical stapling and severing instrument particularly suited to endoscopic articulates an end effector by having a geared articulation mechanism that converts rotational motion from a handle portion. A firing bar longitudinally translates between the handle portion and the end effector. The firing bar head is thickened in order to present an undistorted cutting edge and engagement features to the opposing jaws of the end effector. The firing bar also advantageously includes a thinned or tapered proximal portion in the form of a strip or band that negotiates the articulation mechanism.
Surgical Stapling Instrument Incorporating An Uneven Multistroke Firing Mechanism Having A Rotary Transmission
Michael Earl Setser - Burlington KY, US Douglas B. Hoffman - Harrison OH, US
Assignee:
Ethicon Endo-Surgery, Inc. - Cincinnati OH
International Classification:
A61B 17/68
US Classification:
2271752, 191761, 191801
Abstract:
A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i. e. , staple and sever) the end effector. Varying the center of rotation, circumferential length, and depth of cam lobes in a cam disk that interacts with the firing trigger via a drive wedge allows optimization. In particular, mechanical advantages during specific firing strokes mitigates increased force to fire at the end effector, enabling a more uniform tactile force at the firing trigger.
Surgical Stapling Instrument Incorporating A Multistroke Firing Mechanism Having A Rotary Slip-Clutch Transmission
Michael Earl Setser - Burlington KY, US Douglas B. Hoffman - Harrison OH, US
Assignee:
Ethicon Endo-Surgery, Inc. - Cincinnati OH
International Classification:
A61B 17/068
US Classification:
2271811, 2271751, 227 19
Abstract:
A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i. e. , staple and sever) the end effector.
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