DRIVING AXLE ASSEMBLY UNDERSTANDING A CONFIGURED CLUTCH TO ADAPT THE OUTPUT OF A ROTARY TRIGGER MEMB

专利摘要:
the present invention relates to a drive shaft assembly that can be used with a surgical system, such as a surgical robot and / or a handle of a surgical system, for example. the drive shaft assembly is configured to receive a rotary input movement from the surgical system and a transmission, or clutch, which is displaceable between a first operating mode and a second operating mode to selectively transmit the rotary input movement to a first drive system and a second drive system.
公开号:BR112019012420A2
申请号:R112019012420-9
申请日:2017-10-26
公开日:2020-02-27
发明作者:D. Overmyer Mark；E. Shelton Frederick Iv
申请人:Ethicon Llc；
IPC主号:

专利说明:

Invention Patent Descriptive Report for AXIS DRIVE ASSEMBLY UNDERSTANDING A CONFIGURED CLUTCH TO ADAPT THE EXIT OF A ROTARY TRIGGER MEMBER TO TWO DIFFERENT SYSTEMS.
BACKGROUND OF THE INVENTION [0001] The present invention relates to surgical instruments and, in various arrangements, surgical instruments for stapling and cutting, and staple cartridges for use with them, which are designed to staple and cut fabric.
BRIEF DESCRIPTION OF THE DRAWINGS [0002] Several characteristics of the modalities described here, together with their advantages, can be understood according to the description presented below, considered together with the attached drawings, as shown below:
[0003] Figure 1 is a perspective view of a set of drive axes according to at least one modality;
[0004] Figure 2 is a perspective view of the drive shaft assembly of Figure 1 illustrated with some components removed;
[0005] Figure 3 is a perspective view of a column assembly of the drive shaft assembly of Figure 1;
[0006] Figure 4 is a partial cross-sectional view of the drive shaft assembly of Figure 1;
[0007] Figure 5 is an exploded view of the drive shaft assembly of Figure 1 illustrated with some components removed;
[0008] Figure 6 is an exploded view of the column assembly of the
Figure 3;
[0009] Figure 7 is an exploded view of a distal end
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2/136 of the drive shaft assembly of Figure 1;
[0010] Figure 8 is an exploded view of an intermediate portion of the drive shaft assembly of Figure 1;
[0011] Figure 9 is an exploded view of a proximal end of the drive shaft assembly of Figure 1 illustrated with some components removed;
[0012] Figure 10 is a partial cross-sectional view of the distal end of the drive shaft assembly of Figure 1 illustrated in an open, non-triggered configuration and comprising a staple cartridge in an unused condition;
[0013] Figure 11 is a partial cross-sectional view of the distal end of the drive shaft assembly of Figure 1 illustrated before a trigger member of the drive shaft assembly is advanced distally;
[0014] Figure 12 is a partial cross-sectional view of the distal end of the drive shaft assembly of Figure 1 illustrated after the firing member has been distally advanced through a closing stroke, but before the firing member is advanced through a firing course;
[0015] Figure 13 is a partial cross-sectional view of the distal end of the drive shaft assembly of Figure 1 illustrated after the firing stroke of the firing member has been started;
[0016] Figure 14 is a partial cross-sectional view of the distal end of the drive shaft assembly of Figure 1 illustrating the firing member in a retracted position after the firing stroke;
[0017] Figure 15 is a partial cross-sectional view of the distal end of the drive shaft assembly of Figure 1 illustrating the staple cartridge in a worn condition and the member
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3/136 firing in a locked condition;
[0018] Figure 16 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrated in a hinge operation mode;
[0019] Figure 17 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrated in a trigger operation mode;
[0020] Figure 18 is a partial cross-sectional view of the proximal end of the drive shaft assembly of Figure 1 illustrated in the articulation operation mode of Figure 16;
[0021] Figure 19 is a partial cross-sectional view of the proximal end of the drive shaft assembly of Figure 1 illustrated in the triggering operation mode of Figure 17;
[0022] Figure 20 is a partial cross-sectional view of the proximal end of the drive shaft assembly of Figure 1 taken along line 20-20 in Figure 18;
[0023] Figure 21 is a partial cross-sectional view of the proximal end of the drive shaft assembly of Figure 1 taken along line 21-21 of Figure 18;
[0024] Figure 22 is a partial cross-sectional view of the proximal end of the drive shaft assembly of Figure 1 taken along line 22-22 of Figure 19;
[0025] Figure 23 is a partial cross-sectional view of the proximal end of the drive shaft assembly of Figure 1 taken along line 23-23 in Figure 19;
[0026] Figure 24 is a partial exploded view of the drive shaft assembly in Figure 1 illustrating a switchable clutch in the drive system of the drive shaft assembly;
[0027] Figure 25 is a cross-sectional view of an intermediate firing rod of the firing system of Figure 24;
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4/136 [0028] Figure 26 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrating the switchable clutch of Figure 24 in a firing configuration;
[0029] Figure 27 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrating the switchable clutch of Figure 24 about to be changed from the firing configuration of Figure 26 to an articulation configuration;
[0030] Figure 28 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrating the switchable clutch of Figure 24 being changed from the trigger configuration of Figure 26 to the articulation configuration;
[0031] Figure 29 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrating the switchable clutch of Figure 24 in the articulation configuration;
[0032] Figure 30 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrated in a non-articulated configuration;
[0033] Figure 31 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrated in an articulation configuration;
[0034] Figure 32 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrating the articulation system of the drive shaft assembly in an unlocked state;
[0035] Figure 33 is a partial cross-sectional view of the drive shaft assembly of Figure 1 illustrating the articulation system of the drive shaft assembly in a locked state;
[0036] Figure 34 is a cross-sectional view of the proximal end of the drive shaft assembly of Figure 1 illustrates Petition 870190055774, of 06/17/2019, p. 25/216
5/136 with a drive shaft assembly retraction system in an unimplanted state;
[0037] Figure 35 is a cross-sectional view of the proximal end of the drive shaft assembly of Figure 1 illustrated with the retraction system of Figure 34 in an implanted state;
[0038] Figure 36 is a cross-sectional view of the proximal end of the drive shaft assembly of Figure 1 illustrating the retraction system of Figure 34 in a driven state;
[0039] Figure 37 is a perspective view of a set of drive axes according to at least one modality;
[0040] Figure 38 is a partial perspective view of the drive shaft assembly of Figure 37 illustrated with some components removed;
[0041] Figure 39 is a partial perspective view of the drive shaft assembly of Figure 37 illustrated with additional components removed;
[0042] Figure 40 is a partial cross-sectional view of the drive shaft assembly of Figure 37;
[0043] Figure 41 is a partial cross-sectional view of the drive shaft assembly of Figure 37;
[0044] Figure 42 is an exploded view of the drive shaft assembly of Figure 37 illustrated with some components removed;
[0045] Figure 43 is an exploded view of a distal end of the drive shaft assembly of Figure 37;
[0046] Figure 44 is an exploded view of a proximal end of the drive shaft assembly of Figure 37 illustrated with some components removed;
[0047] Figure 45 is a partial cross-sectional view of the drive shaft assembly of Figure 37 illustrated in a confiPetition 870190055774, of 06/17/2019, pg. 26/216
6/136 closed or stuck setting;
[0048] Figure 46 is a partial cross-sectional view of the drive shaft assembly of Figure 37 illustrated in an open configuration;
[0049] Figure 47 is a perspective view of a drive shaft assembly according to at least one illustrated embodiment with some components removed;
[0050] Figure 48 is a perspective view of a displacement assembly of the drive shaft assembly of Figure 47;
[0051] Figure 49 is an exploded view of the drive shaft assembly of Figure 47 illustrated with some components removed;
[0052] Figure 50 is a partial cross-sectional view of the drive shaft assembly of Figure 47 illustrated in a hinge operation mode;
[0053] Figure 51 is a partial cross-sectional view of the drive shaft assembly of Figure 47 illustrated in a trigger operation mode;
[0054] Figure 52 is a perspective view of a set of driving axes comprising a set of displacement according to at least one alternative mode;
[0055] Figure 53 is a partial cross-sectional view of the drive shaft assembly of Figure 52 illustrated in a hinge operation mode;
[0056] Figure 54 is a partial cross-sectional view of the drive shaft assembly of Figure 52 illustrated in a trigger operation mode;
[0057] Figure 55 is a perspective view of a fixing portion of a drive shaft assembly according to at least one embodiment;
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7/136 [0058] Figure 56 is a perspective view of the fixing portion of Figure 55 illustrated in an open configuration;
[0059] Figure 57 is an exploded view of the fixing portion of Figure 55;
[0060] Figure 58 is a perspective view of the fixing portion of Figure 55 shown in the open configuration of Figure 56 and illustrated with some components removed;
[0061] Figure 59 is a perspective view of the fixing portion of Figure 55 shown in the open configuration of Figure 56 and illustrated with additional components removed;
[0062] Figure 60 is a plan view of a drive train of the fixing portion of Figure 55 illustrated in a trigger operation mode;
[0063] Figure 61 is a cross-sectional view of the drive train of Figure 60 taken along line 61-61 in Figure 60 and illustrated in the triggering operation mode in Figure 60;
[0064] Figure 62 is a cross-sectional view of the drive train of Figure 60 taken along line 62-62 in Figure 60 and illustrated in the trigger operation mode 60;
[0065] Figure 63 is a cross-sectional view of the drive train of Figure 60 taken along line 63-63 in Figure 60 and illustrated in the triggering operation mode of Figure 60;
[0066] Figure 64 is a cross-sectional view of the drive train of Figure 60 taken along line 62-62 in Figure 60 and illustrated in a second mode of operation;
[0067] Figure 65 is a cross-sectional view of the drive train of Figure 60 taken along line 63-63 in the Figure and illustrated in the retraction operation mode;
[0068] Figure 66 is a partial cross-sectional view of the fixing portion of Figure 55 illustrated in the repeat operation mode 870190055774, from 06/17/2019, pg. 28/216
8/136 traction of Figure 65;
[0069] Figure 67 is a partial cross-sectional view of a drive shaft assembly comprising an end actuator, a first hinge lock, and a second hinge lock illustrated with the first hinge lock in a locked state and the second articulation lock in an unlocked state;
[0070] Figure 68 is a partial cross-sectional view of the drive shaft assembly of Figure 67 illustrated with the first and second hinge locks in a locked state;
[0071] Figure 69 is a partial cross-sectional view of the drive shaft assembly of Figure 67 illustrated with the first and second hinge locks in a locked state;
[0072] Figure 70 is a partial cross-sectional view of the drive shaft assembly of Figure 67 illustrated with the hinge lock in a locked state and the second hinge lock in an unlocked state;
[0073] Figure 71 is a partial cross-sectional view of the drive shaft assembly of Figure 67 illustrated with the first and second hinge locks in an unlocked state.
[0074] Figure 72 is a perspective view of a surgical system including a handle and an interchangeable drive shaft assembly; and [0075] Figure 73 is a perspective view of a robotic surgical system that operationally supports a plurality of surgical tools.
[0076] The corresponding reference characters indicate the corresponding parts through the various views. The exemplifications described herein illustrate various embodiments of the invention, in one form, and such exemplifications should not be considered to limit the scope of the invention in any way.
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DETAILED DESCRIPTION [0077] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated by reference in their respective totalities:
- US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS AND REPLACEABLE TOOL ASSEMBLIES THEREOF; Attorney document number END7980USNP / 160155;
- US patent application serial number, entitled ARTICULATABLE SURGICAL STAPLING INSTRUMENTS; Attorney document number END7981USNP / 160156;
- US patent application serial number, entitled LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS; Attorney document number END7982USNP / 160157;
- US patent application serial number, entitled SURGICAL END EFFECTORS AND FIRING MEMBERS THEREOF; Attorney document number END7983USNP / 160158;
- US patent application serial number, entitled LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS AND REPLACEABLE TOOL ASSEMBLIES; Attorney document number END7984USNP / 160159; and
- US patent application serial number, entitled SURGICAL END EFFECTORS AND ADAPTABLE FIRING MEMBERS THEREFOR; Attorney document number END7985USNP / 160160. [0078] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number, entitled
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STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN; Attorney document number END7986USNP / 160161;
- US patent application serial number, entitled SURGICAL TOOL ASSEMBLIES WITH CLUTCHING ARRANGEMENTS FOR SHIFTING BETWEEN CLOSURE SYSTEMS WITH CLOSURE STROKE REDUCTION FEATURES AND ARTICULATION AND FIRING SYSTEMS; Attorney document number END7987USNP / 160162;
- US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS; Attorney document number END7988USNP / 160163;
- US patent application serial number, entitled SURGICAL TOOL ASSEMBLIES WITH CLOSURE STROKE REDUCTION FEATURES; Attorney document number END7989USNP / 160164;
- US patent application serial number, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN; Attorney document number END7990USNP / 160165;
- US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS; Attorney document number END7991USNP / 160166;
- US patent application serial number, entitled SURGICAL INSTRUMENTS WITH JAW OPENING FEATURES FOR INCREASING A JAW OPENING DISTANCE; Attorney document number END7992USNP / 160167;
- US patent application serial number, entitled METHODS OF STAPLING TISSUE; Attorney document number END7993USNP / 160168;
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- US patent application serial number, entitled FIRING MEMBERS WITH ΝΟΝ-PARALLEL JAW ENGAGEMENT FEATURES FOR SURGICAL END EFFECTORS; Attorney document number END7994USNP / 160169;
- US patent application serial number, entitled SURGICAL END EFFECTORS WITH EXPANDABLE TISSUE STOP ARRANGEMENTS; Attorney document number END7995USNP / 160170;
- US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS; Attorney document number END7996USNP / 160171;
- US patent application serial number, entitled SURGICAL INSTRUMENTS WITH POSITIVE JAW OPENING FEATURES; Attorney document number END7997USNP / 160172;
- US patent application serial number, entitled SURGICAL INSTRUMENTS WITH LOCKOUT ARRANGEMENTS FOR PREVENTING FIRING SYSTEM ACTUATION UNLESS AN UNSPENT STAPLE CARTRIDGE IS PRESENT; Attorney document number END7998USNP / 160173; and
- US patent application serial number, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN; Attorney document number END7999USNP / 160174.
[0079] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number, entitled METHOD FOR RESETTING A FUSE OF A SURGICAL INSTRUMENT SHAFT; Attorney document number END8013USNP / 160175;
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- US patent application serial number, entitled STAPLE FORMING POCKET ARRANGEMENT TO ACCOMMODATE DIFFERENT TYPES OF STAPLES; Attorney document number END8014USNP / 160176;
- US patent application serial number, entitled SURGICAL INSTRUMENT COMPRISING IMPROVED JAW CONTROL; Attorney document number END8016USNP / 160178;
- US patent application serial number, entitled STAPLE CARTRIDGE AND STAPLE CARTRIDGE CHANNEL COMPRISING WINDOWS DEFINED THEREIN; Attorney document number END8017USNP / 160179;
- US patent application serial number, entitled SURGICAL INSTRUMENT COMPRISING A CUTTING MEMBER; Attorney document number END8018USNP / 160180;
- US patent application serial number, entitled STAPLE FIRING MEMBER COMPRISING A MISSING CARTRIDGE AND / OR SPENT CARTRIDGE LOCKOUT; Attorney document number END8019USNP / 160181;
- US patent application serial number, entitled FIRING ASSEMBLY COMPRISING A LOCKOUT; Attorney document number END8020USNP / 160182;
- US patent application serial number, entitled SURGICAL INSTRUMENT SYSTEM COMPRISING AN END EFFECTOR LOCKOUT AND A FIRING ASSEMBLY LOCKOUT; Attorney document number END8021USNP / 160183;
- US patent application serial number, entitled FIRING ASSEMBLY COMPRISING A FUSE; Attorney document number END8022USNP / 160184; and
- US patent application serial number, entitled FIRING ASSEMBLY COMPRISING A MULTIPLE FAILED-STATE FU-
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SE; Attorney document number END8023USNP / 160185.
[0080] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number, entitled STAPLE FORMING POCKET ARRANGEMENTS; Attorney document number END8038USNP / 160186;
- US patent application serial number, entitled ANVIL ARRANGEMENTS FOR SURGICAL STAPLERS; Attorney document number END8039USNP / 160187;
- US patent application serial number, entitled METHOD OF DEFORMING STAPLES FROM TWO DIFFERENT TYPES OF STAPLE CARTRIDGES WITH THE SAME SURGICAL STAPLING INSTRUMENT; Attorney document number END8041USNP / 160189;
- US patent application serial number, entitled BILATERALLY ASYMMETRIC STAPLE FORMING POCKET PAIRS; Attorney document number END8042USNP / 160190;
- US patent application serial number, entitled CLOSURE MEMBERS WITH CAM SURFACE ARRANGEMENTS FOR SURGICAL INSTRUMENTS WITH SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS; Attorney document number END8043USNP / 160191;
- US patent application serial number, entitled SURGICAL STAPLERS WITH INDEPENDENTLY ACTUATABLE CLOSING AND FIRING SYSTEMS; Attorney document number END8044USNP / 160192;
- US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS WITH SMART STAPLE CAR-
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TRIDGES; Attorney document number END8045USNP / 160193;
- US patent application serial number, entitled STAPLE CARTRIDGE COMPRISING STAPLES WITH DIFFERENT CLAMPING BREADTHS; Attorney document number END8047USNP / 160195;
- US patent application serial number, entitled STAPLE FORMING POCKET ARRANGEMENTS COMPRISING PRIMARY SIDEWALLS AND POCKET SIDEWALLS; Attorney document number END8048USNP / 160196;
- US patent application serial number, entitled NO-CARTRIDGE AND SPENT CARTRIDGE LOCKOUT ARRANGEMENTS FOR SURGICAL STAPLERS; Attorney document number END8050USNP / 160198;
- US patent application serial number, entitled FIRING MEMBER PIN ANGLE; Attorney document number END8051USNP / 160199;
- US patent application serial number, entitled STAPLE FORMING POCKET ARRANGEMENTS COMPRISING ZONED FORMING SURFACE GROOVES; Attorney document number END8052USNP / 160200;
- US patent application serial number, entitled SURGICAL INSTRUMENT WITH MULTIPLE FAILURE RESPONSE MODES; Attorney document number END8053USNP / 160201;
- US patent application serial number, entitled SURGICAL INSTRUMENT WITH PRIMARY AND SAFETY PROCESSORS; Attorney document number END8054USNP / 160202;
- US patent application serial number, entitled SURGICAL INSTRUMENTS WITH JAWS THAT ARE PIVOTABLE ABOUT A FIXED AXIS AND INCLUDE SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS; Attorney document number
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END8056USNP / 160204;
- US patent application serial number, entitled ANVIL HAVING A KNIFE SLOT WIDTH; Attorney document number END8057USNP / 160205;
- US patent application serial number, entitled CLOSURE MEMBER ARRANGEMENTS FOR SURGICAL INSTRUMENTS; Attorney document number END8058USNP / 160206; and
- US patent application serial number, entitled FIRING MEMBER PIN CONFIGURATIONS; Attorney document number END8059USNP / 160207.
[0081] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number, entitled STEPPED STAPLE CARTRIDGE WITH ASYMMETRICAL STAPLES; Attorney document number END8000USNP / 160208;
- US patent application serial number, entitled STEPPED STAPLE CARTRIDGE WITH TISSUE RETENTION AND GAP SETTING FEATURES; Attorney document number END8001USNP / 160209;
- US patent application serial number, entitled STAPLE CARTRIDGE WITH DEFORMABLE DRIVER RETENTION FEATURES; Attorney document number END8002USNP / 160210;
- US patent application serial number, entitled DURABILITY FEATURES FOR END EFFECTORS AND FIRING ASSEMBLIES OF SURGICAL STAPLING INSTRUMENTS; Attorney document number END8003USNP / 160211;
- US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS HAVING END EFFECTORS
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WITH POSITIVE OPENING FEATURES; Attorney document number END8004USNP / 160212; and
- US patent application serial number, entitled CONNECTION PORTIONS FOR DISPOSABLE LOADING UNITS FOR SURGICAL STAPLING INSTRUMENTS; Attorney document number END8005USNP / 160213.
[0082] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number, entitled METHOD FOR ATTACHING A SHAFT ASSEMBLY TO A SURGICAL INSTRUMENT AND, ALTERNATIVELY, TO A SURGICAL ROBOT; Attorney document number END8006USNP / 160214;
- US patent application serial number, entitled SHAFT ASSEMBLY COMPRISING A MANUALLY-OPERABLE RETRACTION SYSTEM FOR USE WITH A MOTORIZED SURGICAL INSTRUMENT SYSTEM; Attorney document number END8007USNP / 160215;
- US patent application serial number, entitled SHAFT ASSEMBLY COMPRISING SEPARATELY ACTUATABLE AND RETRACTABLE SYSTEMS; Attorney document number END8008USNP / 160216;
- US patent application serial number, entitled SURGICAL SYSTEM COMPRISING A FIRING MEMBER ROTATABLE INTO AN ARTICULATION STATE TO ARTICULATE AN END EFFECTOR OF THE SURGICAL SYSTEM; Attorney document number END8010USNP / 160218;
- US patent application serial number, entitled SHAFT ASSEMBLY COMPRISING A LOCKOUT; document number
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17/136 Attorney END8011USNP / 160219; and
- US patent application serial number, entitled SHAFT ASSEMBLY COMPRISING FIRST AND SECOND ARTICULATION LOCKOUTS; Attorney document number END8012USNP / 160220.
[0083] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number, entitled SURGICAL STAPLING SYSTEMS; Attorney document number END8024USNP / 160221;
- US patent application serial number, entitled SURGICAL STAPLING SYSTEMS; Attorney document number END8025USNP / 160222;
- US patent application serial number, entitled SURGICAL STAPLING SYSTEMS; Attorney document number END8026USNP / 160223;
- US patent application serial number, entitled SURGICAL STAPLE CARTRIDGE WITH MOVABLE CAMMING MEMBER CONFIGURED TO DISENGAGE FIRING MEMBER LOCKOUT FEATURES; Attorney document number END8027USNP / 160224;
- US patent application serial number, entitled SURGICAL STAPLING SYSTEMS; Attorney document number END8028USNP / 160225;
- US patent application serial number, entitled JAW ACTUATED LOCK ARRANGEMENTS FOR PREVENTING ADVANCEMENT OF A FIRING MEMBER IN A SURGICAL END EFFECTOR UNLESS AN UNFIRED CARTRIDGE IS INSTALLED IN THE
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END EFFECTOR; Attorney document number END8029USNP / 160226;
- US patent application serial number, entitled AXIALLY MOVABLE CLOSURE SYSTEM ARRANGEMENTS FOR APPLYING CLOSURE MOTIONS TO JAWS OF SURGICAL INSTRUMENTS; Attorney document number END8030USNP / 160227;
- US patent application serial number, entitled PROTECTIVE COVER ARRANGEMENTS FOR A JOINT INTERFACE BETWEEN A MOVABLE JAW AND ACTUATOR SHAFT OF A SURGICAL INSTRUMENT; Attorney document number END8031USNP / 160228;
- US patent application serial number, entitled SURGICAL END EFFECTOR WITH TWO SEPARATE COOPERATING OPENING FEATURES FOR OPENING AND CLOSING END EFFECTOR JAWS; Attorney document number END8032USNP / 160229;
- US patent application serial number, entitled ARTICULATABLE SURGICAL END EFFECTOR WITH ASYMMETRIC SHAFT ARRANGEMENT; Attorney document number END8033USNP / 160230;
- US patent application serial number, entitled ARTICULATABLE SURGICAL INSTRUMENT WITH INDEPENDENT PIVOTABLE LINKAGE DISTAL OF AN ARTICULATION LOCK; Attorney document number END8034USNP / 160231;
- US patent application serial number, entitled ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR IN AN ARTICULATED POSITION IN RESPONSE TO ACTUATION OF A JAW CLOSURE SYSTEM; Attorney document number END8035USNP / 160232;
- US patent application serial number, entitled
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LATERALLY ACTUATABLE ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR OF A SURGICAL INSTRUMENT IN AN ARTICULATED CONFIGURATION; Attorney document number END8036USNP / 160233; and
- US patent application serial number, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH ARTICULATION STROKE AMPLIFICATION FEATURES; Attorney document number END8037USNP / 160234.
[0084] The applicant for this application holds the following US patent applications that were filed on June 24, 2016 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 15 / 191,775, entitled STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES;
- US patent application serial number 15 / 191.807, entitled STAPLING SYSTEM FOR USE WITH WIRE STAPLES AND STAMPED STAPLES;
- US patent application serial number 15 / 191,834, entitled STAMPED STAPLES AND STAPLE CARTRIDGES USING THE SAME;
- US patent application serial number 15 / 191,788, entitled STAPLE CARTRIDGE COMPRISING OVERDRIVEN STAPLES; and
- US patent application serial number 15 / 191,818, entitled STAPLE CARTRIDGE COMPRISING OFFSET LONGITUDINAL STAPLE ROWS.
[0085] The applicant for this application holds the following US patent applications that were filed on June 24, 2016 and which are each incorporated herein by reference in their respective totalities:
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- US industrial design patent application serial number 29 / 569,218, entitled SURGICAL FASTENER;
- US industrial design patent application serial number 29 / 569,227, entitled SURGICAL FASTENER;
- US industrial design patent application serial number 29 / 569,259, entitled SURGICAL FASTENER CARTRIDGE; and
- US industrial design patent application serial number 29 / 569.264, entitled SURGICAL FASTENER CARTRIDGE.
[0086] The applicant for this application holds the following patent applications that were filed on April 1, 2016 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 15 / 089,325, entitled METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM;
- US patent application serial number 15 / 089,321, entitled MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY;
- US patent application serial number 15 / 089,326, entitled SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE-ORIENTABLE DISPLAY FIELD;
- US patent application serial number 15 / 089,263, entitled SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIP PORTION;
- US patent application serial number 15 / 089,262, entitled ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLE BAILOUT SYSTEM;
- US patent application serial number 15 / 089,277, entitled SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVIL CONCENTRIC DRIVE MEMBER;
- US patent application serial number 15 / 089,296, entitled
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INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL END EFFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS;
- US patent application serial number 15 / 089,258, entitled SURGICAL STAPLING SYSTEM COMPRISING A SHIFTABLE TRANSMISSION;
- US patent application serial number 15 / 089,278, entitled SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVE CUTTING OF TISSUE;
- US patent application serial number 15 / 089,284, entitled SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE SHAFT;
- US patent application serial number 15 / 089,295, entitled SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSION LOCKOUT;
- US patent application serial number 15 / 089,300, entitled SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT;
- US patent application serial number 15 / 089,196 entitled SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT;
- US patent application serial number 15 / 089,203, entitled SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT;
- US patent application serial number 15 / 089,210, entitled SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGE LOCKOUT;
- US patent application serial number 15 / 089,324, entitled SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM;
- US patent application serial number 15 / 089,335, entitled
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SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS;
- US patent application serial number 15 / 089,339, entitled SURGICAL STAPLING INSTRUMENT;
- US patent application serial number 15 / 089,253, entitled SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OF STAPLES HAVING DIFFERENT HEIGHTS;
- US patent application serial number 15 / 089,304, entitled SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET;
- US patent application serial number 15 / 089,331, entitled ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLERS;
- US patent application serial number 15 / 089,336, entitled STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES;
- US patent application serial number 15 / 089,312, entitled CIRCULAR STAPLING SYSTEM COMPRISING AN INCISABLE TISSUE SUPPORT;
- US patent application serial number 15 / 089,309, entitled CIRCULAR STAPLING SYSTEM COMPRISING ROTARY FIRING SYSTEM; and
- US patent application serial number 15 / 089,349, entitled CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL.
[0087] The applicant for this application also holds the US patent applications identified below, which were filed on December 31, 2015, which are each incorporated in this document for reference in their entirety, respectively:
- US patent application serial number 14 / 984,488, entitled MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE IN POWERED SURGICAL INSTRUMENTS;
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- US patent application serial number 14 / 984,525, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS; and
- US patent application serial number 14 / 984,552, entitled SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROL CIRCUITS.
[0088] The applicant for this application also holds the US patent applications identified below, which were filed on February 9, 2016, which are each incorporated into this document for reference in their respective totalities:
- US patent application serial number 15 / 019,220, entitled SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLY TRANSLATABLE END EFFECTOR;
- US patent application serial number 15 / 019,228, entitled SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATION ARRANGEMENTS;
- US patent application serial number 15 / 019,196, entitled SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTED SECONDARY CONSTRAINT;
- US patent application serial number 15 / 019.206, entitled SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLY ARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY;
- US patent application serial number 15 / 019,215, entitled SURGICAL INSTRUMENTS WITH ΝΟΝ-SYMMETRICAL ARTICULATION ARRANGEMENTS;
- US patent application serial number 15 / 019,227, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATION LINK ARRANGEMENTS;
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- US patent application serial number 15 / 019,235, entitled SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLE DRIVEN ARTICULATION SYSTEMS;
- US patent application serial number 15 / 019,230, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF-AXIS FIRING BEAM ARRANGEMENTS; and
- US patent application serial number 15 / 019,245, entitled SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTION ARRANGEMENTS.
[0089] The applicant for this application also holds the US patent applications identified below, which were filed on February 12, 2016, which are each incorporated in this document for reference in their entirety, respectively:
- US patent application serial number 15 / 043,254, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS;
- US patent application serial number 15 / 043,259, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS;
- US patent application serial number 15 / 043,275, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS; and
- US patent application serial number 15 / 043,289, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS.
[0090] The applicant for this application holds the following patent applications that were filed on June 18, 2015 and which are each incorporated herein by reference in their respective totalities:
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- US patent application serial number 14 / 742,925, entitled SURGICAL END EFFECTORS WITH POSITIVE JAW OPENING ARRANGEMENTS;
- US patent application serial number 14 / 742,941, entitled SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSING FEATURES;
- US patent application serial number 14 / 742,914, entitled MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS;
- US patent application serial number 14 / 742,900, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAM STRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT;
- US patent application serial number 14 / 742,885, entitled DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS; and
- US patent application serial number 14 / 742,876, entitled PUSH / PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLE SURGICAL INSTRUMENTS.
[0091] The applicant for the present application holds the following patent applications that were filed on March 6, 2015 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 14 / 640,746, entitled POWERED SURGICAL INSTRUMENT, now publication of US patent application No. 2016/0256184;
- US patent application serial number 14 / 640,795, entitled MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWERED SURGICAL INSTRUMENTS, now US patent application publication 2016/02561185;
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- US patent application serial number 14 / 640,832, entitled ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURE RATES FOR MULTIPLE TISSUE TYPES, now publication of US patent application No. 2016/0256154;
- US patent application serial number 14 / 640,935, entitled OVERLAID MULTI SENSOR RADIO FREQUENCY (RF) ELECTRODE SYSTEM TO MEASURE TISSUE COMPRESSION, now publication of US patent application No. 2016/0256071;
- US patent application serial number 14 / 640,831, entitled MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTOR FOR POWERED SURGICAL INSTRUMENTS, now US patent application publication 2016/0256153;
- US patent application serial number 14 / 640,859, entitled TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINE STABILITY, CREEP, AND VISCOELASTIC ELEMENTS OF MEASURES, now publication of US patent application No. 2016/0256187;
- US patent application serial number 14 / 640,817, entitled NTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS, now US patent application publication 2016/0256186;
- US patent application serial number 14 / 640,844, entitled CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULAR SHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE, now publication of US patent application No. 2016/0256155;
- US patent application serial number 14 / 640,837, entitled SMART SENSORS WITH LOCAL SIGNAL PROCESSING, now, publication of US patent application No. 2016/0256163;
- US patent application serial number 14 / 640,765, entitled
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SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGE INTO A SURGICAL STAPLER, now US patent application publication No. 2016/0256160;
- US patent application serial number 14 / 640,799, entitled SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON A ROTATABLE SHAFT, now publication of US patent application No. 2016/0256162; and
- US patent application serial number 14 / 640,780, entitled SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING, now, publication of US patent application No. 2016/0256161.
[0092] The applicant for this application holds the following patent applications that were filed on February 27, 2015 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 14 / 633,576, entitled SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION, now US patent application publication 2016/0249919;
- US patent application serial number 14 / 633,546, entitled SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCE PARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND, now publication of patent application 2016/0249915;
- US patent application serial number 14 / 633,560, entitled SURGICAL CHARGING SYSTEM THAT CHARGES AND / OR CONDITIONS ONE OR MORE BATTERIES, now publication of US patent application No. 2016/0249910;
- US patent application serial number 14 / 633,566, entitled CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTI-
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ONS FOR CHARGING A BATTERY, now publication of patent application No. 2016/0249918;
- US patent application serial number 14 / 633,555, entitled SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TO BE SERVICED, now US patent application publication 2016/0249916;
- US patent application serial number 14 / 633,542, entitled REINFORCED BATTERY FOR A SURGICAL INSTRUMENT, now US patent application publication 2016/0249908;
- US patent application serial number 14 / 633,548, entitled POWER ADAPTER FOR A SURGICAL INSTRUMENT, now publication of US patent application No. 2016/0249909;
- US patent application serial number 14 / 633,526, entitled ADAPTABLE SURGICAL INSTRUMENT HANDLE, now US patent application publication 2016/0249945;
- US patent application serial number 14 / 633,541, entitled MODULAR STAPLING ASSEMBLY, now publication of US patent application No. 2016/0249927; and
- US patent application serial number 14 / 633,562, entitled SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OFLIFE PARAMETER, now publication of US patent application No. 2016/0249917.
[0093] The applicant for this application holds the following patent applications that were filed on December 18, 2014 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 14 / 574,478, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END EFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING MEMBER, now order publication
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US Patent No. 29/136 2016/0174977;
- US patent application serial number 14 / 574,483, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS, now, publication of US patent application No. 2016/0174969;
- US patent application serial number 14 / 575,139, entitled DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS, now US patent application publication 2016/0174978;
- US patent application serial number 14 / 575,148, entitled LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITH ARTICULATABLE SURGICAL END EFFECTORS, now publication of US patent application 2016/0174976;
- US patent application serial number 14 / 575,130, entitled SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLE ABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE, now publication of US patent application 2016/0174972;
- US patent application serial number 14 / 575,143, entitled SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS, now US patent application publication 2016/0174983;
- US patent application serial number 14 / 575,117, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS, now US patent application publication 2016/0174975;
- US patent application serial number 14 / 575,154, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND IMPROVED FIRING BEAM SUPPORT ARRANGEMENTS, now US patent application publication 2016/0174973;
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- US patent application serial number 14 / 574,493, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLE ARTICULATION SYSTEM, now US patent application publication 2016/0174970. and
- US patent application serial number 14 / 574,500, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLE ARTICULATION SYSTEM, now US patent application publication 2016/0174971.
[0094] The applicant for this application holds the following patent applications that were filed on March 1, 2013 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 13 / 782,295, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH CONDUCTIVE PATHWAYS FOR SIGNAL COMMUNICATION, now publication of US patent application No. 2014/0246471;
- US patent application serial number 13 / 782,323, entitled ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0246472;
- US patent application serial number 13 / 782,338, entitled THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0249557;
- US patent application serial number 13 / 782,499, entitled ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY ARRANGEMENT, now publication of US patent application No. 9,358,003;
- US patent application serial number 13 / 782,460, entitled MULTIPLE PROCESSOR MOTOR CONTROL FOR MODULAR
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SURGICAL INSTRUMENTS, now US patent application publication No. 2014/0246478;
- US patent application serial number 13 / 782,358, entitled JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS, now US patent No. 9,326,767;
- US patent application serial number 13 / 782,481, entitled SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH TROCAR, now US patent No. 9,468,438;
- US patent application serial number 13 / 782,518, entitled CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH REMOVABLE IMPLEMENT PORTIONS, now publication of US patent application No. 2014/0246475;
- US patent application serial number 13 / 782,375, entitled ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM, now US patent No. 9,398,911; and
- US patent application serial number 13 / 782,536, entitled SURGICAL INSTRUMENT SOFT STOP, now US patent No. 9,307,986.
[0095] The applicant for this application also holds the following patent applications that were filed on March 14, 2013 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 13 / 803,097, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, now publication of US patent application No. 2014/0263542;
- US patent application serial number 13 / 803,193, entitled CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT, now patent No. 9,332,987;
- US patent application serial number 13 / 803,053, entitled
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INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT, now US patent application publication No. 2014/0263564;
- US patent application serial number 13 / 803,086, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, now publication of US patent application No. 2014/0263541;
- US patent application serial number 13 / 803,210, entitled SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0263538;
- US patent application serial number 13 / 803,148, entitled MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT, now publication of US patent application No. 2014/0263554;
- US patent application serial number 13 / 803,066, entitled DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0263565;
- US patent application serial number 13 / 803,117, entitled ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS, now US patent No. 9,351,726;
- US patent application serial number 13 / 803,130, entitled DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, now US patent No. 9,351,727; and
- US patent application serial number 13 / 803,159, entitled METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT, now publication of US patent application No. 2014/0277017. [0096] The applicant for this application also holds the following patent application that was filed on March 7, 2014 and is hereby incorporated by reference in its entirety:
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- US patent application serial number 14 / 200,111, entitled CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0263539.
[0097] The applicant for this application also holds the following patent applications that were filed on March 26, 2014 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 14 / 226,106, entitled POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS, now US patent application publication 2015/0272582;
- US patent application serial number 14 / 226,099, entitled STERILIZATION VERIFICATION CIRCUIT, now publication of US patent application No. 2015/0272581;
- US patent application serial number 14 / 226,094, entitled VERIFICATION OF NUMBER OF BATTERY EXCHANGES / PROCEDURE COUNT, now publication of US patent application No. 2015/0272580;
- US patent application serial number 14 / 226,117, entitled POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL, now US patent application publication 2015/0272574;
- US patent application serial number 14 / 226,075, entitled MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES, now, US patent application publication 2015/0272579;
- US patent application serial number 14 / 226,093, entitled FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS, now publication of US patent application No. 2015/0272569;
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- US patent application serial number 14 / 226,116, entitled SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION, now publication of US patent application No. 2015/0272571;
- US patent application serial number 14 / 226,071, entitled SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR, now publication of US patent application No. 2015/0272578;
- US patent application serial number 14 / 226,097, entitled SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS, now US patent application publication 2015/0272570;
- US patent application serial number 14 / 226.126, entitled INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS, now US patent application publication 2015/0272572;
- US patent application serial number 14 / 226,133, entitled MODULAR SURGICAL INSTRUMENT SYSTEM, now publication of US patent application No. 2015/0272557;
- US patent application serial number 14 / 226,081, entitled SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT, now publication of US patent application No. 2015/0277471;
- US patent application serial number 14 / 226,076, entitled POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION, now publication of US patent application No. 2015/0280424;
- US patent application serial number 14 / 226,111, entitled SURGICAL STAPLING INSTRUMENT SYSTEM, now publication of US patent application No. 2015/0272583; and
- US patent application serial number 14 / 226.125, entitled SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT, now US patent application publication 2015/0280384.
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35/136 [0098] The applicant for this application also holds the following patent applications that were filed on September 5, 2014 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 14 / 479,103, entitled CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE, now US patent application publication 2016/0066912;
- US patent application serial number 14 / 479,119, entitled ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE COMPRESSION, now, publication of US patent application No. 2016/0066914;
- US patent application serial number 14 / 478,908, entitled MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION, now US patent application publication 2016/0066910;
- US patent application serial number 14 / 478,895, entitled MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'S OUTPUT OR INTERPRETATION, now, publication of US patent application No. 2016/0066909;
- US patent application serial number 14 / 479,110, entitled POLARITY OF HALL MAGNET TO DETECT MISLOADED CARTRIDGE, now US patent application publication 2016/0066915;
- US patent application serial number 14 / 479,098, entitled SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION, now, US patent application publication 2016/0066911;
- US patent application serial number 14 / 479,115, entitled MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE, now, publication of US patent application No. 2016/0066916; and
- US patent application serial number 14 / 479,108, entitled LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION, now,
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36/136 US patent application publication No. 2016/0066913.
[0099] The applicant for this application also holds the following patent applications that were filed on April 9, 2014 and which are each incorporated herein by reference in their respective totalities:
- US patent application serial number 14 / 248,590, entitled MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS, now, US patent application publication No. 2014/0305987;
- US patent application serial number 14 / 248,581, entitled SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT, now publication of patent application No. 2014/0305989;
- US patent application serial number 14 / 248,595, entitled SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLING THE OPERATION OF THE SURGICAL INSTRUMENT, now, publication of US patent application No. 2014/0305988;
- US patent application serial number 14 / 248,588, entitled POWERED LINEAR SURGICAL STAPLER, now publication of US patent application No. 2014/0309666;
- US patent application serial number 14 / 248,591, entitled TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT, now publication of US patent application No. 2014/0305991;
- US patent application serial number 14 / 248,584, entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS, now, publication of US patent application No. 2014/0305994;
- US patent application serial number 14 / 248,587, entitled POWERED SURGICAL STAPLER, now publication of application for
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37/136 US patent No. 2014/0309665;
- US patent application serial number 14 / 248,586, entitled DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICAL INSTRUMENT, now publication of patent application No. 2014/0305990; and
- US patent application serial number 14 / 248,607, entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION ARRANGEMENTS, now publication of US patent application No. 2014/0305992.
[0100] The applicant for this application also holds the following patent applications that were filed on April 16, 2013 and which are each incorporated herein by reference in their respective totalities:
- US provisional patent application serial number 61 / 812,365, entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR;
- US provisional patent application serial number 61 / 812,376, entitled LINEAR CUTTER WITH POWER;
- US provisional patent application serial number 61 / 812,382, entitled LINEAR CUTTER WITH MOTOR AND PISTOL GRIP;
- US provisional patent application serial number 61 / 812,385, entitled SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS AND MOTOR CONTROL; and
- US provisional patent application serial number 61 / 812,372, entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR.
[0101] Numerous specific details are presented to provide a complete understanding of the structure, function, manufacture and general use of the modalities described in the specification and illustrated in the attached drawings. Operations, components and elePetition 870190055774, of 06/17/2019, p. 58/216
38/136 well-known elements have not been described in detail, so as not to obscure the modalities described in the specification. The reader will understand that the modalities described and illustrated in the present invention are non-limiting examples and, therefore, it can be understood that the specific structural and functional details described in the present invention can be representative and illustrative. Variations and changes can be made to this, without departing from the scope of the claims.
[0102] The terms comprise (and any form of understand, as you understand and understand), have (and any form of have, as you have and have), include (and any form of include, include and include) and contains (and any form of contains, as contains and that contains) are unrestricted link verbs. As a result, a surgical system, device or apparatus that comprises, has, includes or contains one or more elements has those one or more elements, but is not limited to having only those one or more elements. Likewise, an element of a surgical system, device or apparatus that comprises, has, includes or contains one or more resources has those one or more resources, but is not limited to having only those one or more resources.
[0103] The terms proximal and distal are used in the present invention with reference to a physician who handles the handle portion of the surgical instrument. The term proximal refers to the portion closest to the doctor, and the distal term refers to the portion located opposite the doctor. It will also be understood that, for the sake of convenience and clarity, spatial terms such as vertical, horizontal, up and down can be used in the present invention with respect to drawings. However, surgical instruments can be used in many orientations and positions, and esPetição 870190055774, dated 06/17/2019, p. 59/216
39/136 These terms are not intended to be limiting and / or absolute.
[0104] Various devices and exemplifying methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, the reader will readily understand that the various methods and devices described in the present invention can be used in a number of surgical procedures and applications, including, for example, in relation to open surgical procedures. With the advancement of this Detailed Description, the reader will also understand that the various instruments described here can be inserted into a body in any way, such as through a natural orifice, through an incision or perforation formed in tissue, etc. Functional portions or portions of the instrument end actuator can be inserted directly into a patient's body or can be inserted via an access device that has a working channel through which the end actuator and the elongated drive shaft surgical instrument can be advanced.
[0105] The surgical stapling system can comprise a drive shaft and an end actuator that extends from the drive shaft. The end actuator comprises a first jaw and a second jaw. The first gripper comprises a staple cartridge. The staple cartridge is insertable into, and removable from, the first jaw; however, other modalities are provided for in which a staple cartridge is not removable, or at least readily replaceable, from the first gripper. The second claw comprises an anvil configured to deform the staples ejected from the staple cartridge. The second claw is pivoting relative to the first claw around a geometric axis of the lid; however, other modalities are foreseen in which the first claw is pivoting in relation to the second claw. The stapling system Petition 870190055774, from 06/17/2019, p. 60/216
40/136 surgical equipment also comprises an articulation joint configured to allow the end actuator to be rotated or articulated in relation to the drive shaft. The end actuator is rotatable about a geometric pivot axis that extends through the pivot joint. Other modalities are foreseen that do not include an articulation joint.
[0106] The staple cartridge comprises a cartridge body. The cartridge body includes a proximal end, a distal end, and a platform that extends between the proximal end and the distal end. In use, the staple cartridge is positioned on a first side of the fabric to be stapled and the anvil is positioned on a second side of the fabric. The anvil is moved towards the staple cartridge to compress and secure the fabric against the platform. After that, the staples removably stored in the cartridge body can be implanted in the fabric. The cartridge body includes staple cavities defined therein, the staples are removably stored in the staple cavities. The staple cavities are arranged in six longitudinal rows. Three rows of staple cavities are positioned on a first side of a longitudinal slot and three rows of staple cavities are positioned on a second side of the longitudinal slot. Other arrangements of staple cavities and staples may be possible.
[0107] Staples are supported by staple actuators on the cartridge body. The actuators are movable between a first position, or non-triggered position, and a second position, or triggered position, to eject the clamps from the clamp cavities. The drivers are retained in the cartridge body by a retainer that extends around the bottom of the cartridge body and includes resilient members configured to secure the cartridge body and retain repeat 870190055774, from 06/17/2019, pg. 61/216
41/136 tentor in the cartridge body. The actuators are movable between their non-triggered positions and their positions triggered by a slider. The slide is movable between a proximal position adjacent to the proximal end and a distal position adjacent to the distal end. The slider comprises a plurality of inclined surfaces configured to slide under the actuators and lift the actuators, and the staples held therein, towards the anvil.
[0108] In addition to the above, the slider is moved distally by a firing member. The firing member is configured to be in contact with the slide and push the slide towards the distal end. The longitudinal slot defined in the cartridge body is configured to receive the firing member. The anvil also includes a slot configured to receive the firing member. The firing member further comprises a first meat that engages the first claw and a second meat that engages the second claw. As the firing member is advanced distally, the first meat and the second meat can control the distance, or fabric span, between the staple cartridge platform and the anvil. The firing member also comprises a knife configured to make an incision in the tissue captured between the anvil and the staple cartridge. It is desirable for the knife to be positioned at least partially proximal to the inclined surfaces, so that the clamps are ejected in front of the knife.
[0109] A drive shaft assembly 1000 is illustrated in Figure 1. The drive shaft assembly 1000 comprises a clamping portion 1100, a drive shaft 1200 that extends distally from the clamping portion 1100, and an actuator end piece 1300 attached to drive shaft 1200. With reference to Figures 1 and 2, the attachment portion 1100 comprises a frame 1110, a housing 1120 and a lock 1130. The frame 1110 is
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42/136 configured to engage the structure of a surgical system, such as the handle of a surgical instrument and / or the arm of a surgical robot, for example. In at least one case, the structure 1110 and the structure of the surgical system comprise an interlocking fitting arrangement, for example. The latch 1130 comprises a latch configured to reliably secure the drive shaft assembly 1000 to the surgical system. As a result of the above, the drive shaft assembly 1000 can be selectively used with a portable surgical instrument and, alternatively, a remotely controlled robotic surgical system.
[0110] With reference to Figures 3 to 6, the drive shaft 1200 comprises a structure, or central column, attached to the structure 1110 of the fixing portion 1100. The central column comprises a portion of the proximal central column 1210 swivelly engaged with structure 1110 around a longitudinal drive axis 1001 that extends through the central column. Referring mainly to Figure 6, the proximal central column portion 1210 comprises an opening 1211 defined therein configured to receive a proximal end 1221 of an actuation cap 1220. The actuation cap 1220 further comprises a distal end 1222 configured to be positioned within a proximal end 1232 of an intermediate central column portion 1230. The central column further comprises an upper distal portion 1250 and a lower distal portion 1260 engaged with a distal end 1231 of the central column portion 1230. More specifically, the distal portions 1250 and 1260 comprise proximal ends 1251 and 1261, respectively, which are inserted laterally, or slid, into a slot defined at the distal end 1231 of the intermediate central column portion 1230. The central column further comprises a cap 1240 configured for
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43/136 close a defined opening in the central column portion 1230 and / or lock the distal portions 1250 and 1260 in place.
[0111] With reference mainly to Figure 7, the end actuator 1300 comprises a channel claw 1310 and an anvil clamp 1330 rotatably mounted to the channel claw 1310. The channel claw 1310 is configured to receive inside a staple cartridge 1320, or any other suitable staple cartridge. The channel clamp 1310 and the staple cartridge 1320 comprise cooperating alignment features that are configured to allow the clamp cartridge 1320 to be seated in just one proper position and orientation within the channel clamp 1310. Since a clamp cartridge not worn 1320 is properly seated in the channel clamp 1310, a staple trigger member can be advanced through the staple cartridge 1320 to eject the staples from the staple cartridge 1320 and cut a patient's tissue positioned between the staple cartridge 1320 and the 1330 anvil claw, as described in more detail below. In addition to the above, the anvil claw 1330 comprises forming pockets defined therein, which are configured to deform the clamps as they are ejected from the 1320 clamp cartridge.
[0112] With reference mainly to Figure 7, the claw channel 1310 of the end actuator 1300 is pivotally coupled to the central column of the drive shaft 1200 around an articulation joint 1660. The channel claw 1310 comprises a structure hinge 1270 fixed to it that comprises pins 1271 extending laterally from it, which are positioned within openings 1311 defined in the channel of cartridge 1310. Pins 1271 and openings 1311 are dimensioned and configured to firmly mount the structure of articulation 1270 to the cartuPetition channel 870190055774, of 06/17/2019, p. 64/216
44/136 cho 1310. The hinge structure 1270 comprises a hinge opening defined therein and the distal end of the central column comprises a hinge column 1262 positioned within the hinge opening. The articulation column 1262 is dimensioned and configured so that it is received narrowly within the articulation opening and so that the relative movement between the articulation structure 1270 and the central column of the drive shaft 1200 is limited to the pivoting movement around a geometry axis that is orthogonal to the geometry axis of the drive axis 1001.
[0113] In addition to the above, again with reference to Figure 1, the drive shaft assembly 1000 also comprises an external structure 1600. Now with reference to Figure 2, the external structure 1600 is rotatable in relation to the structure 1110 of the fixing 1100 around a sliding joint. The sliding joint includes a proximal flange 1610 that is parallel, or at least substantially parallel, to a corresponding flange 1111 defined in structure 1110. In addition to providing a rotating mechanical interface, the sliding joint also provides a rotating electrical interface. More specifically, the sliding joint comprises electrical tracks 1190 defined on flange 1111 and, in addition, an electrical connector 1690 attached to flange 1610 comprising electrical contacts engaged with tracks 1190. In several cases, electrical tracks 1190 comprise annular conductive rings that they are electrically isolated from each other and are part of a separate electrical circuit. When the outer structure 1600 is rotated in relation to the structure 1110, the contacts of the electrical connector 1690 remain in electrical contact with the tracks 1190. Referring to Figure 5, the lock 1130 of the fixing portion 1100 further comprises an electrical connector 1192 in communication electric with the 1190 tracks, which can be
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45/136 placed in electrical communication with a surgical system when lock 1130 couples the drive shaft assembly 1000 to the surgical system. As a result of the above, sensors 1000 in the drive shaft assembly can communicate with a controller and / or microprocessor in the handle of the surgical instrument and, alternatively, with the surgical robot through the sliding joint.
[0114] The outer structure 1600 further comprises a tube 1620 extending distally from the proximal flange 1610 and, in addition to the above, compartment 1120 of the fixing portion 1100 is mounted on tube 1620. The compartment 1120 comprises handles for the fingers 1128 defined therein, which are configured to assist a physician to rotate the compartment 1120 and the tube 1620 around the geometric axis of the longitudinal drive axis 1001. The outer structure 1600 further comprises a portion of distal tube 1630 which is mounted pivotally to the tube 1620. More specifically, with reference mainly to Figure 7, the outer structure 1600 further comprises links 1640 that connect the distal tube portion 1630 to the tube 1620 and provide one or more degrees of freedom between the distal tube portion 1630 and tube 1620. Such one or more degrees of freedom between the distal tube portion 1630 and tube 1620 allow the end actuator 1300 to pivot in relation to the drive shaft 1200 around the articulation joint 1660. As a result of the above, the outer structure 1600 is rotatable about the geometric axis of the longitudinal drive shaft and rotatable around the joint joint 1660. That said, the outer structure 1600 is not translatable longitudinally in relation to the structure 1110 of the fixing portion 1100.
[0115] Referring mainly to Figure 5, the drive shaft assembly 1000 also comprises a joint systemPetition 870190055774, of 06/17/2019, p. 66/216
46/136 tion 1400 configured to articulate the end actuator 1300 in relation to the drive shaft 1200. In addition, the drive shaft assembly 1000 also comprises a firing system 1500 configured to, one, close the anvil claw 1330 of the end actuator 1300 and, two, trigger the staples stored in the staple cartridge 1320, as discussed above. As discussed in greater detail below, the hinge system 1400 is selectively coupled with the firing system 1500 so that the hinge system 1400 can be triggered by the firing system 1500 to pivot the end actuator 1300. Once the actuator end cap 1300 has been sufficiently hinged, hinge system 1400 can be operationally disengaged from trigger system 1500. At that point, trigger system 1500 can be operated independently of hinge system 1400. As also discussed in more detail below, the drive shaft assembly 1000 further comprises an articulation locking system which, one, locks the end actuator 1300 in position and, two, switches the drive shaft assembly 1000 between a pivoting operation mode and an operating mode firing time.
[0116] With reference mainly to Figure 9, the firing system 1500 comprises a firing rod 1510 which is translatable proximally and distally during the articulation operating mode and / or the firing operating mode of the drive shaft assembly 1000 The firing rod 1510 comprises a proximal end 1511 which is operably coupled with the operating system of a surgical system, such as the handle of a surgical instrument and / or the arm of a surgical robot, for example. The firing system 1500 also includes a rack 1520 fixedly mounted to the firing rod 1510 so
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47/136 that the rack 1520 is translatable with the firing rod 1510. The firing rod 1510 extends through a longitudinal opening 1521 defined in the rack 1520. In addition, the rack 1520 is fixedly mounted to the firing rod 1510 so that rack 1520 and firing rod 1510 can be rotated together around the longitudinal drive axis. The articulation system 1400 further comprises an articulation driver 1420 which is mounted to the rack 1520 so that the rack 1520 is translatable, or longitudinally slidable, in relation to the articulation driver 1420. That said, the articulation driver 1420 is mounted to the rack 1520 so that the hinge driver 1420, the rack 1520, and the firing rod 1510 rotate together on the geometric axis of the longitudinal drive axis 1001.
[0117] In addition to the above, referring mainly to Figures 9, 21 and 23, the rack 1520 comprises longitudinal slots 1522 defined on opposite sides of it and the articulation driver 1420 comprises projections 1422 positioned in the longitudinal slots 1522. The slots 1522 and projections 1422 are configured to allow rack 1520 to move proximally and distally with respect to hinge driver 1420. More specifically, hinge driver 1420 is mounted within the clamping portion 1100 of the drive shaft assembly 1000 of so that the hinge driver 1420 is prevented from moving, or at least substantially moving, longitudinally with respect to the frame 1110 of the fixing portion 1100 and, when the rack 1520 is moved longitudinally to drive the hinge system 1400 and / or the system 1500 of the drive shaft assembly 1000, rack 1520 can be move longitudinally in relation to the articulation driver 1420. That said, as described in greater detail below, slots 1522 and projections 1422 are
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48/136 configured to transmit rotational movement between the articulation actuator 1420 and the rack 1520.
[0118] Referring mainly to Figure 8, the articulation system 1400 further comprises, one, a displacer 1430 mounted on the firing rod 1510 and, two, an articulating actuator 1440. The displacer 1430 is fixedly mounted to the firing rod firing 1510 so that displacer 1430 is moved longitudinally with firing rod 1510. In addition, displacer 1430 is fixedly mounted to firing rod 1510 so that displacer 1430 is rotatable with firing rod 1510. O displacer 1430 comprises a longitudinal tooth rack 1431, similarly, the hinge drive 1440 comprises a longitudinal tooth rack 1441. When the drive shaft assembly 1000 is in its operating mode of articulation, referring to Figures 16, 18 , 20, and 21, the teeth 1441 of the articulation actuator 1440 are in engagement with the teeth 1431 of the displacer 1430. In such a configuration, the longitudinal movement l of the firing rod 1510 can be transmitted to the articulation actuator 1440.
[0119] Referring mainly to Figure 30, the hinge actuator 1440 further comprises a distal end 1443 which has an elongated opening defined therein. The hinge structure 1270 of the end actuator 1300, which is mounted to the claw of the channel 1310, comprises a hinge pin 1444 which extends from it which is positioned in the opening defined at the distal end 1443. When the drive 1000 is in its pivoting operating mode and firing rod 1510 is advanced distally, firing rod 1510 pushes distal hinge actuator 1440 and pivot pin 1444 distally to pivot end actuator 1300 in
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49/136 a first direction, as shown in Figure 31. When the firing rod 1510 is pulled proximally, the firing rod pulls the hinge actuator 1440 and the hinge pin 1444 proximally to pivot the end actuator 1300 in a second direction that is opposite to the first direction. In use, a physician can operate the surgical system to push and / or pull the hinge actuator 1440 to rotate the end actuator 1300 to a desired orientation.
[0120] Again with reference to Figure 30, the articulation system 1400 further comprises a second articulation drive 1450 and a transfer gear 1470. The transfer gear 1470 is mounted on the central column of the drive shaft 1200 and is rotatable around of a fixed geometric axis. In addition, the transfer gear 1470 is in engagement with a longitudinal tooth rack 1442 defined on the hinge drive 1440. Similarly, the second hinge drive 1450 comprises a longitudinal tooth rack 1452 in engagement with the gear transfer switch 1470. The second hinge driver 1450 further comprises a distal end 1453 which has an elongated opening defined therein. The hinge structure 1270 of the end actuator 1300 further comprises a hinge pin 1454 which extends from it and which is positioned in the opening defined at the distal end 1453. When the hinge actuator 1440 is advanced distally by the firing rod 1510 , as shown in Figure 31, the hinge drive 1440 turns the transfer gear 1470 which, in turn, proximally drives hinge drive 1450 and hinge pin 1454. As a result, hinge drives 1440 and 1450 cooperate to turn the end actuator 1300 in the same direction. When the articulation actuator
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1440 is pulled proximally by the firing rod 1510, the hinge driver 1440 turns the transfer gear 1470 in an opposite direction which, correspondingly, pushes the hinge driver 1450 and the hinge pin 1454 distally.
[0121] Once the 1300 end actuator is in a desired orientation, the 1300 end actuator can be locked in position. Referring mainly to Figures 5 and 7 to 9, the drive shaft assembly 1000 further comprises a hinge lock bar 1480 and a hinge lock actuator 1410. The hinge lock bar 1480 comprises a proximal end 1481 mounted on the articulation lock actuator 1410. When the articulation lock actuator 1410 is moved from a proximal position (Figure 32) to a distal position (Figure 33), the articulation lock actuator 1410 pushes the lock bar 1480 distally. When the hinge lock actuator 1410 is moved from a distal position (Figure 33) to a proximal position (Figure 32), the hinge lock actuator 1410 pulls the lock bar 1480 proximally. Referring primarily to Figure 9, the articulation lock actuator 1410 comprises a proximal actuating hook 1411 which is operably coupled to an actuator in a surgical system that can move the articulation lock actuator 1410 proximally and distally, as described above.
[0122] With reference to Figures 32 and 33, the drive shaft assembly 1000 further comprises a hinge lock 1494 mounted on the central column of the drive shaft 1200. The hinge lock 1494 comprises a first and a second locking arm 1495 that extend from it. Referring to Figure 32, a distal end 1482 of the hinge lock bar 1480 is not engaged with the locking arms 1495 when the hinge lock actuator 1410 is in its proximal position.
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In such cases, the end actuator 1300 is in an unlocked configuration and is rotatable with respect to the central column of the drive shaft 1200. When the articulation lock bar 1480 is advanced distally by the articulation lock actuator 1410, with reference to Figure 33, the distal end 1482 of the articulation lock bar 1480 engages the locking arms 1495 and moves the locking arms 1495 in engagement with the articulation actuators 1440 and 1450. Referring mainly to Figure 7, the articulation actuator 1440 comprises a longitudinal tooth rack 1445 which is engaged by a locking arm 1495 when the locking arms 1495 are moved outwardly by the bar of the hinge lock 1480. Similarly, the hinge driver 1450 comprises a longitudinal tooth rack 1455 which is engaged by the other locking arm 1495 when the locking arms 1495 are released located outward by the hinge lock bar 1480. In such cases, the end actuator 1300 is in a locked configuration and is not rotatable with respect to the center column of the drive shaft 1200.
[0123] Moving the actuator of the joint lock 1410 from its proximal position (Figure 32) to its distal position (Figure 33) does more than lock the end actuator 1300 in position - it also moves the drive shaft assembly 1000 from its hinge operation mode (Figures 16, 18, 20 and 21) to the trigger operation mode (Figures 17, 19, 22, and 23). Referring primarily to Figure 9, the hinge lock actuator 1410 comprises one or more drive projections 1415 that extend inwardly into a longitudinal opening 1414 defined in the hinge lock actuator 1410. The longitudinal opening 1414 encircles, or at least substantially surrounds, the hinge driver 1420 and the drive projections 1415 are positioned
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52/136 within a flesh groove 1425 defined on the outer surface of the hinge actuator 1420. When the hinge lock actuator 1410 is advanced distally, in addition to the above, the drive projections 1415 rotate the hinge actuator 1420, a rack 1520 and firing rod 1510 from its orientation shown in Figure 16 to its orientation shown in Figure 17. In such cases, the teeth 1431 of the displacer 1430 are rotated out of the operable engagement with the teeth 1441 of the pivot driver 1440 and as a result, the hinge system 1400 is operationally decoupled from the firing system 1500. Thus, the distal movement of the hinge lock actuator 1410 locks the end actuator 1300 in position and changes the drive shaft assembly 1000 to its shooting operation mode. In several cases, the hinge lock actuator 1410 can be pulled proximally to move the drive shaft assembly 1000 back to its hinge operating mode.
[0124] Once the hinge system 1400 has been operationally decoupled from the firing system 1500, as described above, the firing system 1500 can be advanced distally to perform a closing stroke to close the 1330 anvil claw and, in addition In addition, execute a firing stroke that ejects the staples from the staple cartridge 1320 and cuts the tissue captured between the staple cartridge 1320 and the anvil claw 1330. Referring to Figures 7 to 9, the firing system 1500 further comprises a intermediate firing rod 1530 and a firing rod 1550. As described in more detail below, firing rod 1510 is operationally engaged with intermediate firing rod 1530 so that the longitudinal movement of firing rod 1510 is transferable to the rod intermediate firing 1530. The firing bar 1550 comprises a proximal end 1552
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53/136 positioned in a longitudinal opening 1532 defined at the distal end of the distal firing rod 1510.
[0125] When intermediate firing rod 1530 is pushed distally by firing rod 1510, with reference to Figure 11, intermediate firing rod 1530 pushes firing bar 1550 distally to engage anvil claw 1330 and move the anvil 1330 towards its closed or clamped position, as shown in Figure 12. This movement distal from the firing bar 1550 represents a closing stroke. If the clinician is not satisfied with the positioning of the tissue between the staple cartridge 1320 and the anvil claw attached 1330, the physician can operate the surgical system to retract the firing bar 1550. In such cases, a compressed spring between the cartridge clamp 1320 and the closed anvil clamp 1330 can act by opening clamp 1330.
[0126] If the doctor is satisfied with the positioning of the tissue between the staple cartridge 1320 and the anvil claw 1330 attached, even to the above, the doctor can operate the surgical system to advance the firing bar 1550 through the cartridge staples 1320 to eject the staples from it and cut the fabric. This distal movement of the firing bar 1550 represents a firing stroke and the beginning of the firing stroke is represented in Figure 13. In the present case, the closing stroke and firing stroke are separate and distinct. The surgical system being used to operate the firing system 1500 is paused, or is paused, between the closing stroke and the firing stroke, which gives a doctor an opportunity to retract the 1550 firing bar and reopen the 1330 anvil claw if desired. In other cases, the closing stroke and the firing stroke are not separate and distinct. Instead, the surgical system immediately changes from the closing stroke to the firing stroke. In any case, with reference to Figure 14,
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54/136 the surgical system can be operated to retract the firing bar 1550 to its non-fired position and allow the spring to reopen the anvil clamp 1330.
[0127] As discussed above, the firing rod 1510 is used to drive the hinge system 1400 and firing system 1500. Without further ado, it may appear that firing rod 1510 moves firing bar 1550 at the same time. the firing rod 1510 is used to operate the articulation system 1400; however, with reference to Figures 24 to 29, the drive shaft assembly 1000 further comprises a clutch 1540 configured to operationally couple firing rod 1510 to intermediate firing rod 1530 when clutch 1540 is in a firing configuration (Figure 26 ) and operationally disengage firing rod 1510 from intermediate firing rod 1530 when clutch 1540 is in a hinge configuration (Figure 29). The 1540 clutch is configured to be in its articulation configuration (Figure 29) when the drive shaft assembly 1000 is in its articulation operating mode and, correspondingly, in its firing configuration (Figure. 26) when the drive shaft assembly 1000 is in its trigger operating mode.
[0128] Referring mainly to Figure 24, firing rod 1510 comprises a distal piston 1515 slidably positioned on a cylinder 1535 defined on intermediate firing rod 1530. Clutch 1540 comprises a cantilever bar 1543 fixedly mounted to the intermediate firing rod 1530 and, in addition, a meat head 1544 positioned slidably in a side slot 1534 defined in the intermediate firing rod 1530. The meat head 1544 comprises an opening 1545 defined therein that is configured to receive the distal piston
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1515 of the firing rod 1510.
[0129] When the drive shaft assembly 1000 is in its articulation operating mode and the clutch 1540 is in its articulation configuration, with reference to Figure 29, at least a portion of the distal piston 1515 is positioned in a proximal portion 1531 of cylinder 1535 defined on intermediate firing rod 1530. Another portion of the distal piston 1515, in such cases, is positioned in the opening 1545 defined in the cam head 1544 of the clutch 1540. Although the side walls of the opening 1545 may be in contact with the distal piston side 1515, in such cases, the piston 1515 is movable in relation to the clutch 1540 and the intermediate firing rod 1530 without transmitting, or at least without substantially transmitting, the movement of the firing rod 1510 to the firing rod intermediate firing 1530. As a result, firing rod 1510 does not move firing bar 1550 distally when firing rod 1510 is being used to drive the hinge system 1400. In certain cases, a gap may be present between the proximal end 1552 of the firing bar 1550 and the walls of the longitudinal end of the opening 1532 to accommodate a certain amount of movement that the intermediate firing rod 1530 can suffer when the drive shaft assembly 1000 is in its articulation operating mode.
[0130] In addition to the above, again with reference to Figure 29, the cantilever bar 1543 of clutch 1540 is deflected, or resiliently flexed laterally when clutch 1540 is in its articulation configuration. This is because the opening 1545 defined in the meat head 1544 is not naturally aligned with the distal piston 1515, and when the distal piston 1515 is positioned in the opening 1545, the meat head 1544 is displaced laterally and the beam 1543 is deflected laterally, in order to accommodate this
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56/136 forced alignment. When the drive shaft assembly 1000 is placed in its firing mode of operation and the firing rod 1510 is advanced distally, piston 1515 moves distally with respect to the cam head 1544 until the distal piston 1515 passes completely through the opening 1545. At that point, with reference to Figure 26, clutch 1540 resiliently returns to an uninflected state and places clutch 1540 in its trigger configuration. Notably, in such cases, the cam head 1544 moves laterally behind a proximal shoulder of piston 1515 to secure distal piston 1515 to cylinder 1535. As a result, clutch 1540 locks firing rod 1510 to intermediate firing rod 1530 during the entire operation of the firing set 1500 so that the longitudinal movement of the firing rod 1510 is transmitted to the intermediate firing rod 1530 during the firing stroke.
[0131] In addition to the above, clutch 1540 continues to hold firing rod 1510 and intermediate firing rod 1530 together after the firing stroke has been completed, or at least partially completed. As a result, firing rod 1510 can be moved proximally to retract intermediate firing rod 1530 and firing bar 1550 proximally. In several cases, the worn staple cartridge 1320 can be removed from the end actuator 1300 and an unused staple cartridge 1320, for example, can be accommodated in the claw of channel 1310. If the physician is still satisfied with the orientation of the actuator endpoint 1300, the practitioner can operate trigger set 1500 again. If, however, the physician wants to change the orientation of the end actuator 1300, he can operate the surgical system to retract firing rod 1510 more proximally and uncoupling firing rod 1510 from intermediate firing rod 1530 to re-enter the
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57/136 operating mode of the drive shaft assembly 1000. This transition is described in more detail below.
[0132] With reference to Figures 27 and 28, the central column of the drive shaft assembly 1000 comprises a cam 1234 which is configured to deflect the cam head 1544 of the clutch 1540 laterally when the cam head 1544 comes into contact with the meat 1234 when intermediate firing rod 1530 is being intermediate retracted proximally. Once the meat head 1544 is deflected laterally, the opening 1545 defined in the meat head 1544 is realigned with the distal piston 1515 and, as a result, the distal piston 1515 is released from the clutch 1540 and can move proximally to the meat 1540 for its articulation configuration (Figure 29). At that point, firing rod 1510 can be used to operate the hinge system 1400 to reorient the end actuator 1300. Once the clinician is satisfied with the orientation of the end actuator 1300, he can use the surgical system to advance the distal piston 1515 to move the clutch 1540 back to its triggered configuration. In addition, it should be considered that the 1540 clutch can be shifted from its firing configuration and its articulation configuration whenever the physician wishes to switch between the firing and articulation operating modes of the 1000 drive shaft assembly.
[0133] As discussed above, now with reference to Figures 10 to 12, the firing bar 1550 is movable distally to move the anvil claw 1330 from an open position (Figure 11) to, or at least towards, a position closed (Figure 12) during the closing stroke of the firing set 1500. The firing bar 1550 comprises an anvil meat 1564 configured to engage anvil claw 1330 and, in addition, a cartridge meat 1563 configured to engage the claw of channel 1310. The anvil claw
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1330 comprises a longitudinal slit 1334 defined therein which includes a lower flesh surface. Similarly, the channel claw 1310 comprises a longitudinal slot 1313 defined therein, which includes an upper cam surface. When the firing bar 1550 is distally advanced, anvil meat 1564 can engage the lower meat surface of longitudinal slot 1334 and cartridge meat 1563 can engage the upper meat surface of longitudinal slot 1313 to cooperatively control the position of the anvil claw 1330 in relation to the staple cartridge 1320.
[0134] As discussed above, the anvil claw 1330 is rotatably coupled to the claw of the channel 1310. In at least one case, the anvil claw 1330 is mounted on the channel claw 1310 by one or more pins and is rotatable to the around a fixed geometric axis. In other cases, the anvil jaw 1330 is not mounted on the channel jaw 1310 around a fixed geometric axis. In at least one such case, the anvil claw 1330 is translatable in relation to the channel claw 1310 when the anvil claw 1330 is being rotated in relation to the channel claw 1310. In any case, the cartridge claw 1310 can be called of a fixed jaw although the jaw of the 1310 cartridge is rotatable, or pivotable, around the articulated joint 1660. In this context, the term fixed means that the surgical system 1000 does not rotate the channel jaw 1310 between an open position and a closed position . Alternative modalities are provided in which the cartridge claw 1310 is rotatable in relation to the anvil claw 1330. In such cases, the anvil claw 1330 can be a fixed claw.
[0135] With reference to Figure 7, the anvil claw 1330 comprises several components that have been assembled together. More specifically, the 1330 anvil claw includes one or more side plates
1333 that were fixed to it. In at least one case, the anvil claw 1330 and side plates 1333 are made of steel and have been
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59/136 welded together, for example. Among other things, such an arrangement can simplify the manufacturing process used to create the longitudinal slit 1334 defined in the anvil claw 1330. In at least one case, a portion of the longitudinal slit 1334 can be formed on a side plate 1333 before the plate side 1333 is attached to the anvil claw 1330. In several cases, the lower meat surface of the longitudinal slit 1334 comprises a curved contour that can be formed on the side plates 1333 using a grinding process, for example. In addition, in certain cases, side plates 1333 can be subjected to a heat treatment process that is different from the rest of the 1330 anvil claw. That said, the 1330 anvil claw can be formed using any proper manufacturing.
[0136] In addition to the above, the staple cartridge 1320 comprises a cartridge body 1322 and a slide 1360 positioned, movably, in the cartridge body 1322. The slide 1360 is movable between a proximal position not fired (Figures 10, 11, and 12) and a distal position fired by the firing bar 1550. More specifically, the firing bar 1550 comprises a coupling member 1560 mounted at the distal end thereof which is configured to be in contiguity with the slider 1360 and to move the slider 1360 distally during the firing stroke. Notably, however, coupling member 1560 is not in a boundary position with slider 1360 during the closing stroke of firing member 1550. As a result, firing member 1550 can be moved proximally and distally to open and close the claw. anvil 1330 without moving the slider 1360 distally. As a result, the staple cartridge 1320 remains in an uns worn state regardless of the number of times the anvil clamp 1330 is opened and closed before the firing stroke is
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[0137] In addition to the above, the staple cartridge 1320 is replaceable. As a result, several cases can arise when a staple cartridge is not positioned in the 1310 channel claw. In addition, cases can arise in which a worn staple cartridge is positioned in the 1310 channel claw. Now with reference to Figures 10 to 15 , the axis assembly 1000 comprises a block configured to prevent the triggering stroke from being started when any of the conditions exists. The lock comprises a latch 1570 that is swiveled to the firing bar 1550 and is movable between an unlocked position (Figures 10-14.) And a locked position (Figure 15). The latch 1570 comprises lateral projections 1572 pivotally mounted on opposite side sides of the coupling member 1560 that provide an axis of rotation around which the latch 1570 is rotated. When the firing bar 1550 is moved longitudinally to open and close the anvil claw 1330, with reference to Figures 10 to 12, the channel claw 1310 retains lock 1570 in an unlocked position.
[0138] When the firing stroke of the firing bar 1550 is initiated, with reference to Figure 13, the deflector 1360 is configured to hold the latch 1570 in its unlocked position when the deflector 1360 is in its proximal non-triggered position. More specifically, the desiisor 1360 comprises a proximal protrusion 1365 which is configured to support a distal shoulder 1575 of the lock 1570 when the lock 1570 approaches a locking recess 1315 defined in the channel claw 1310. In other words, the desiizador 1360 can prevent the lock 1570 from entering the locking recess 1315, but only if the desiizador 1360 is in its proximal position not fired. Since the distal shoulder 1575 is supported by the proximal projection 1365 of the desiizador 1360 at the beginning
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61/136 of the firing stroke, the proximal projection 1365 can continue to support the distal shoulder 1575 throughout the firing stroke. That said, since lock 1570 has been moved distally from locking recess 1315, lock 1570 cannot enter locking recess 1315 and protrusion 1365 is not required to support shoulder 1575 over the rest of the stroke. shooting.
[0139] Again with reference to Figures 10 to 13, the lock further comprises a locking spring 1370 configured to tilt lock 1570 into locking recess 1315. Locking spring 1370 comprises a proximal end 1371 fixedly mounted to the articulation structure 1270 and, in addition, a distal end 1375 positioned opposite the proximal end 1371. When the firing bar 1550 is used to open and close the anvil claw 1330 during the closing stroke, with reference to Figures 10 to 12, the projections 1572 can slide in relation to the locking spring 1370. When the firing bar 1550 is advanced distally to carry out the firing stroke and the slider 1360 is in its proximal non-firing position, as shown in Figure 13, projections 1572 can flex the distal end 1375 of the locking spring 1370 upwards to allow projections 1572 to slide under them. As the firing bar 1550 is advanced distally and the projections 1572 move beyond the distal end 1375 of the lock spring 1370, the lock spring 1370 can return resiliently to its uninflected condition.
[0140] After the firing stroke has been completed, or at least sufficiently complete, firing bar 1550 can be retracted back to its proximal non-triggered position, as shown in Figure 14. Notably, slider 1360 is not retracted proximally with firing member 1550. Instead, DisPetition 870190055774, of 6/17/2019, p. 82/216
62/136 lizer 1360 remains in a distal triggered position. As a result, the slider 1360 of the spent cartridge 1320 is unable to hold lock 1570 in its unlocked position if the firing bar 1550 has to be advanced distally to execute a second firing stroke. Instead, with reference to Figure 15, locking spring 1370 would tilt the side projections 1572 of lock 1570 into locking recess 1315, which would prevent the firing bar 1550 from performing a second firing stroke, that is, a firing stroke with a spent staple cartridge on the channel claw 1310. As shown in Figure 15, the distal end 1375 of the lock spring 1370 is engaged with the projections 1572 of the lock 1570 at a location that is distal to the rotation joint that connects latch 1570 to coupling member 1560. As a result, lock spring 1370 is configured to apply tilt torque downward to latch 1570 which rotates latch 1570 down to its locked position and into locking recess 1315 To reset lock 1570 to its unlocked position, firing bar 1550 can be pulled proximally to pull lock 1570 out of locking recess 1315 until q Use lock 1570 to be supported by channel clamp 1310 again.
[0141] Despite not being able to execute a firing stroke when an spent cartridge is positioned in the channel claw 1310, the firing system 1500 could be used to open and close the 1330 anvil claw even if a worn staple cartridge be positioned on the 1310 channel claw. In addition, the firing system 1500 can also be used to operate the 1400 hinge system even if a worn staple cartridge is positioned on the 1310 channel claw. Similarly, the firing system 1500 could be used to open and close the anvil clamp 1330 and / or operate the hinge system 1400 when a staple cartridge
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63/136 is missing from the 1310 channel claw. To reuse the drive shaft assembly 1000 to fire another staple cartridge, however, the spent staple cartridge 1320 must be removed from the 1310 channel clamp and replaced with a staples not worn, like another staple cartridge 1320, for example. Such an unused staple cartridge would have to comprise a slide 1360 in its proximal non-fired position, which would allow the firing bar 1550 to be advanced through another firing stroke.
[0142] Again with reference to Figures 10 to 15, the coupling member 1560 of the firing bar 1550 comprises a cutting edge 1565 configured to cut the tissue captured between the staple cartridge 1320 and the anvil claw 1330. Notably, the member coupling 1560 is not moved down and into the locking recess 1315 defined in the claw of channel 1310 by locking spring 1370. Instead, only lock 1570 is moved downwards by locking spring 1370. As a result, cutting edge 1565 is not displaced with respect to, and remains aligned with, the tissue captured between the staple cartridge 1320 and the anvil claw 1330 during the firing stroke of the firing bar 1550.
[0143] As described above, the firing system 1500 is configured to perform a closing stroke to close the 1300 end actuator and a firing course to staple and cut the captured tissue within the 1300 end actuator. As also described above , the trigger system 1500 is operationally coupled to and driven by the drive system of a surgical system. In several cases, the operating system of the surgical system may fail and may not be able to advance and / or retract the firing system 1500 once the closing stroke and / or firing stroke has been performed. Such cases could be quite
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64/136 problematic since the end actuator 1300 would be locked by the firing bar 1550. More specifically, as discussed above, the firing bar 1550 comprises meat 1563 and 1564 (Figures 10 to 15) configured to hold the 1330 anvil claw and the channel claw 1310 in position relative to each other during closing and firing strokes and, if the firing bar 1550 were not retractable, the 1563 and 1564 meats would, without further, effectively lock claws 1310 and 1330 together. A retraction system configured to pull the firing bar 1550 proximally is described below so that the anvil claw 1330 can be opened again. [0144] Turning now to Figures 34 to 36, the drive shaft assembly 1000 comprises a retraction system, or ejection 1700 configured to be selectively positioned to engage the firing system 1500 and retract the firing bar 1550 proximally . Referring mainly to Figure 34, the retraction system 1700 comprises a handle, or actuator, 1702 pivotally mounted in compartment 1120 of the fixing portion 1100 around a pivot pin 1704. The pivot pin 1704 defines a geometric axis of rotation fixed around which the grip 1702 can be rotated. The retraction system 1700 further comprises a tongue 1706 pivotally mounted on the handle 1702 around a pivot pin 1708 that defines a fixed axis of rotation around which the tongue 1706 can rotate 1702 with respect to the handle. The tongue 1706 comprises teeth defined therein, which are configured to engage a longitudinal rack of teeth 1526 defined in the rack 1520. When the handle 1702 is in a stored position, or not extended, as shown in Figure 34, the teeth of the tongue 1706 are not engaged with the tooth rack 1526.
[0145] Again with reference to Figure 34, the compartment
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1120 comprises an access window 1129 defined therein that is dimensioned and configured to allow a doctor to hold the grip 1702 and rotate it to an extended position, which is illustrated in Figure 35. Still above, the tube 1620 of the structure external 1600 comprises a window 1629 and, similarly, the central column of the drive shaft 1200 comprises a window 1229 defined therein through which they are aligned, or at least substantially aligned, with the window 1129 defined in the compartment 1120. The windows 1629 and 1229 are configured to allow the tongue 1706 to access the tooth rack 1526 defined in the rack 1520. When the handle 1702 is raised to its extended position, as shown in Figure 35, the teeth of the tongue 1706 engage the tooth rack 1526 At this point, the grip 1702 can be rotated to activate the rack 1520, the firing rod 1510, the intermediate firing rod 1530 and the firing bar 1550 proximally.
[0146] In addition to the above, the grip 1702 and the tongue 1706 comprise a ratchet assembly that can be actuated several times, if necessary, to activate the firing system 1500 proximally to a position in which the firing bar 1550 is sufficiently disengaged from the anvil claw 1330 to allow the anvil claw 1330 to open. When the handle 1702 is in its extended position in Figure 35, the handle 1702 can be rotated distally by approximately 45 degrees, for example to the position illustrated in Figure 36, to pull the firing system 1500 proximally. Such a 45 degree rotation of the grip 1702 may or may not be sufficient to disengage the firing bar 1550 from the anvil grip 1330. If this is not sufficient, the grip 1702 can be rotated proximally and returned to the position shown in Figure 35 so that the 1702 grip can
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66/136 be actuated again to further retract the firing bar 1550. This process can be repeated as many times as necessary until the anvil claw 1330 can be opened to release the end actuator 1300 from the tissue and remove the assembly drive shaft 1000 from the surgical site.
[0147] In addition to the above, circumstances may arise that require the drive shaft assembly 1000 to be separated from the surgical system before the firing bar 1550 is retracted, or at least fully retracted. In such cases, similarly to the above, the drive shaft assembly 1000 would not be powered by the surgical system - however, the retraction system 1700 could be used to quickly release the end actuator 1300 from the tissue even though the set of drive shaft 1000 is not attached to a surgical system. Such an arrangement is an improvement over other arrangements in which the retraction system is part of the surgical system instead of the fixable drive shaft assembly. In such other arrangements, the drive shaft assembly may need to remain attached to the surgical system in order for the retraction system to be used to reopen the end actuator.
[0148] The retraction system 1700 can be used to retract the trigger set 1500 after a portion of the closing stroke has been performed, after the entire closing stroke has been performed, after a portion of the trigger stroke has been performed , and / or after the entire firing stroke has been carried out. When the firing stroke has been completely completed and the retract system 1700 is used to retract the firing set 1500, the physician may have to rotate the retract system like a crank 1700 several times to retract the firing bar 1550 through the entire triggering stroke and, in addition, the entire closing stroke to open the actuator
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67/136 of end 1300. This situation is totally adequate, but it can take many actions of the retraction system 1700 to retract the firing bar 1550 sufficiently. A drive shaft assembly comprising an alternative ejection system is discussed below.
[0149] A drive shaft assembly 2000 is illustrated in Figures 37 to 46 and is similar to drive shaft assembly 1000 in many respects - several of which are not discussed here for the sake of brevity. Referring mainly to Figure 37, the drive shaft assembly 2000 comprises a clamping portion 2100 configured to releasably secure the drive shaft assembly 2000 to a surgical system, such as the handle of a surgical instrument and, alternatively, the arm of a surgical robot, for example. The drive shaft assembly 2000 further comprises an end actuator 2300, an articulation system 1400 configured to articulate end actuator 2300 around an articulation joint 1660, and a firing system 1500 configured to trigger clamps from a cartridge of clamps positioned on end actuator 2300. Referring mainly to Figures 38 and 39, the drive shaft assembly 2000 also comprises an external structure 1600 which is mounted to a structure 2110 of the fixing portion 2100 and is rotatable with respect to structure 2110 around a geometric axis of the longitudinal drive axis 2001. This arrangement may allow the end actuator 2300 to be reoriented in relation to the patient's tissue. For example, the anvil jaw 1330 of the end actuator 2300 can be rotated from one side of the patient's tissue to the other before the anvil jaw 1330 is attached to the tissue. As stated above, the outer frame 1600 is mounted on the frame 2110 of the fastening portion 2100 so that the outer frame 1660
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68/136 is not translatable, or at least substantially translatable, in relation to structure 2110.
[0150] Similar to the drive shaft assembly 1000, the drive shaft assembly 2000 comprises a retraction system 1700 configured to retract the trigger system 1500. In addition to the above, the retraction system 1700 aims to retract the firing bar 1550 proximally and allow the end actuator 2300 to be reopened from a closed or clamped configuration (Figure 45) to an open configuration (Figure 46). Referring mainly to Figures 42 to 44, the drive shaft assembly 2000 also comprises a translatable central column 2200 and an ejection system 2800 that is configured to drive the end actuator 2300 of its closed or clamped configuration (Figure 45 ), for its open configuration (Figure 46) to reopen the 2300 end actuator. As described in more detail below, the 2800 ejection system is configured to move the central column 2200 distally from a proximal unacted position (Figure 45 ) to a distal actuated position (Figure 46) to move a channel claw 2310 of the end actuator 2300 distally from the firing bar 1550.
[0151] The translatable central column 2200 is similar to the central column 1200 in many ways. Referring mainly to Figures 42 to 44, the central column 2200 comprises a portion of the proximal central column 2210 that is rotatable with respect to the structure 2110 around the geometric axis of the longitudinal drive axis 2001. The portion of the proximal central column 2210 comprises an opening defined therein that is configured to receive a proximal end of a drive cover 2220. The drive cover 2220 further comprises a distal end configured to be positioned within a proximal end of a coluPetition portion 870190055774, of 06/17 / 2019, p. 89/216
69/136 at intermediate center 2230 of central column 2200. Central column 2200 further comprises an upper distal portion 2250 and a lower distal portion 2260 engaged with a distal end of the central column portion 2230. The distal portions 2250 and 2260 comprise proximal ends , which are inserted, or slid, laterally, in a slot defined at the distal end of the intermediate central column portion 2230. The central column 2200 further comprises a lid 2240 configured to enclose a defined opening in the central column portion 2230 and / or lock distal portions 2250 and 2260 in place. The lower distal portion 2260 comprises a hinge projection 1262 extending therefrom, which is intimately positioned within a hinge opening defined in a hinge structure 2270 mounted within the channel claw 2210.
[0152] Unlike the central column 1200 which is mounted on the structure 1110 to prevent translation of the central column 1200 in relation to the structure 1110, the central column 2200 is slidably positioned on the structure 2110 and is movable proximally and distally in relation to to the structure 2110 by the ejection system 2800. Referring mainly to Figures 38 and 39, the ejection system 2800 comprises an ejection lever 2802 pivotally mounted to the structure 2110 around a fixed axis pivot 2804. In fact , with reference to Figure 41, the ejection system 2800 comprises two ejection levers 2802 pivotally mounted to the structure 2110 on opposite sides of it, which are connected to each other by a crossbar 2807, as shown in Figure 42, so that the ejection levers 2802 rotate together. The ejection system 2800 further comprises a drive link 2806 rotatably mounted on each of the ejection levers 2802. Referring to Figure 41, each ejection lever 2802
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70/136 comprises a drive pin 2803 that extends into a drive opening defined in the drive links 2806 and operationally couples drive links 2806 to the ejection levers 2802.
[0153] In addition to the above, with reference to Figures 40 and 41, each drive link 2806 comprises a drive pin 2808 extending from it, which is positioned in an annular slot 2218 defined in the central column portion proximal 2210. When ejection levers 2802 are rotated distally to their actuated positions, as shown in Figure 46, ejection levers 2802 pull drive links 2806 and central column 2200 distally to move channel claw 2310 distally into relation to the firing bar 1550. In addition, the distal movement of the channel claw 2310 also moves the anvil claw 1330 distally due to the fact that the anvil claw 1330 is pivotally mounted to the channel claw 2310. Such a distal movement of the claws 2310 and 1330 comprises an ejection opening stroke that can disengage the anvil claw 1330 from the anvil meat 1564 from the firing bar 1550 and allow the claw the anvil 1330 moves to an open position. In addition to the above, end actuator 2300 comprises a compressed bias member, for example a spring, which can force anvil claw 1330 into its open position when anvil claw 1330 has been sufficiently disengaged from anvil meat 1564.
[0154] As the reader must understand, the 2800 ejection system is separate and distinct from the 1700 retraction system. As a result, the 2800 ejection system and the 1700 retraction system can be operated independently of each other. In at least one case, the ejection system 2800 can be used to open the end actuator 2300 during the closing stroke, if necessary, and the system
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71/136 retraction 1700 can be used to open the end actuator 2300 during the firing stroke, if necessary. In several cases, the retraction system 1700 could be used to open the end actuator 2300 at any point during the closing stroke and / or at any point during the firing stroke. In certain cases, the ejection system 2800 can be used to open the end actuator 2300 during the closing stroke and / or firing stroke. In at least one of these cases, the ejection opening stroke created by the ejection system 2800 is sufficient to open the end actuator 2300 at any point during the closing stroke and / or at any point during the firing stroke. In some cases, however, the ejection opening stroke created by the ejection system 2800 may be insufficient to open the end actuator 2300 during the firing stroke. In such cases, a physician could use the 1700 retraction system in addition to or in place of the 2800 ejection system to open the 2300 end actuator.
[0155] In addition to the above, the 2800 ejection system is operable to quickly open the 2300 end actuator. Comparatively, the 1700 retraction system may have to be rotated several times like a crank to open the 2300 end actuator, while that the 2800 ejection system can open the end actuator 2300 with a single stroke. In cases where the 2800 ejection system cannot open the 2300 end actuator on its own, the 2800 ejection system can be actuated to reduce the number of times the 1700 retract system needs to be rotated to open the end actuator 2300. In addition, in such cases, the claw of channel 2310 is pushed distally away from the firing bar 1550 and the firing bar 1550 is pulled in the opposite direction to the anvil claw 1330. In cases where the ejection system 2800 can open the 2300 end actuator by itself, the bar
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72/136 trip 1550 of trip system 1500 does not need to be retracted to open end actuator 2300.
[0156] In several cases, in addition to the above, the ejection levers 2802 of the 2800 ejection system can be rotated from their proximal unacted position (Figure 45) to their distal acted position (Figure 46) to open the end actuator 2300 and release the 2300 end actuator from the patient's tissue. The 2300 end actuator can then be moved away from the patient's tissue. Thereafter, the ejection levers 2802 can be rotated from their distal actuated position (Figure 46) to their proximal unacted position (Figure 45) to pull the central column 2200 and the claw of channel 2310 proximally and close the end actuator 2300. This feature can be especially useful when removing the 2300 end actuator from a surgical site as, in many cases, removing the 2300 end actuator from the surgical site can be easier when the 2300 end actuator is in its closed configuration. In any case, the 2800 ejection system can be actuated and disengaged to open and close the 2300 end actuator as many times as necessary.
[0157] As discussed above, again with reference to Figures 32 and 33, the drive shaft assembly 1000 comprises a hinge lock bar 1480 that is configured to engage the drive shaft lock 1494 of the drive shaft assembly 1000 and move the arms 1495 of the articulation lock 1494 for engagement with the articulation actuators 1440 and 1450 of the articulation system 1400 in order to lock the end actuator 1300 in position and prevent the end actuator 1300 from being articulated by the articulation system 1400. Such arrangement comprises a single stage articulation locking system, since both arms 1495 are engaged with the articulation actuators 1440 and
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1450 at the same time, or at least substantially at the same time. In an alternative embodiment, a drive shaft assembly 6000, which is illustrated in Figures 67 to 71, comprises a 6490 two-stage articulation locking system configured to lock an end actuator, such as end actuator 1300, for example, in position.
[0158] The drive shaft assembly 6000 is similar to the drive shaft assemblies 1000 and 2000 in many respects - several of which are not discussed here for the sake of brevity. Although not necessarily shown in Figures 67 to 71, the drive shaft assembly 6000 comprises a drive shaft 1200, an end actuator 1300, an articulation system 1400, a trigger system 1500, and an outer frame 1600. The assembly drive shaft 6000 also comprises a hinge lock actuator that is configured to move a locking bar 6480 relative to end actuator 1300 and engage the locking bar 6480 with the hinge lock system 6490. As described in more detail below, the 6490 locking system is configured to, one, directly engage a first lock with the end actuator 1300 and, two, engage a second lock with the hinge actuators 1440 and 1450 of the hinge system 1400. In such cases, the first lock and the second lock of the 6490 hinge lock system can cooperatively hold the end actuator 1300 in position.
[0159] Referring mainly to Figure 67, the 6490 two-stage articulation lock system comprises a 6491 frame that is positioned on the outer tube 1620 of the outer frame 1600 and fixedly mounted to the center column of the drive shaft 1200. The the hinge locking system 6490 further comprises a, a first lock 6496 positioned slidably on the
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74/136 inside a cavity 6492 defined in the structure 6491 and, two, a tension spring 6499 configured to pull the first lock 6496 in engagement with the articulation structure 1270 mounted on the end actuator 1300. The first lock 6496 comprises a flange 6498 extending from it and the 6499 tension spring is compressed between the 6498 flange and a proximal end wall of the 6492 cavity defined in the 6491 structure. As a result, the 6499 tension spring is configured to move the first 6496 lock from a proximal unlocked position (Figure 66) in which the first lock 6496 is not engaged with the hinge structure 1270 to a distal locked position (Figures 67 to 70) in which the first lock 6496 is engaged with the hinge structure 1270.
[0160] In addition to the above, the articulation structure 1270 comprises a set of circumferential teeth 1277, the teeth of which are each configured to be engaged by a recess for tooth 6497 defined at the distal end of the first lock 6496 when the first 6496 lock is advanced distally to its locked position. The array of teeth 1277 extends around a perimeter of the hinge structure 1270 so that a tooth 1277 is aligned, or at least substantially aligned, with the first lock 6496 regardless of the orientation of the end actuator 1300. As a result, a tooth 1277 is always shown in front of the distal end of the first lock 6496 so that the first lock 6496 can lock the end actuator 1300 in position when the first lock 6496 is forced into its locked position by the tension spring 6499.
[0161] The 6490 hinge lock system further comprises a second 6494 hinge lock that is configured to be selectively engaged with the 1440 hinge actuators and
1450 of the 1400 hinge system. The 6494 hinge lock is
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75/136 mounted fixedly to the central column of the drive shaft assembly 6490 and 6495 and comprises locking arms extending therefrom. The locking arms 6495 are movable between a non-flexed configuration (Figure 67) in which they are not engaged with the articulation actuators 1440 and 1450 and a flexed configuration (Figure. 68) in which they are engaged with the articulation actuators 1440 and 1450. In other words, the locking arms 6495 are flexible laterally, or outwardly, from an unlocked configuration to a locked configuration to engage the 1440 and 1450 hinge actuators.
[0162] Each locking arm 6495 comprises teeth defined therein, which are configured to engage the articulation actuators 1440 and 1450 when the locking arms 6495 are deflected out in engagement with the articulation actuators 1440 and 1450. More specifically , the teeth of a first locking arm 6495 are configured to engage the teeth 1445 defined in the hinge driver 1440 and the teeth of a second locking arm 6495 are configured to engage the teeth 1455 defined in the hinge driver 1450. This interaction between locking arms 6495 and hinge actuators 1440 and 1450 prevent the hinge actuators 1440 and 1450 from being moved proximally and distally to pivot the end actuator 1330 and, as a result, lock the end actuator 1330 in position. Locking arms 6495 are also configured to prevent hinge actuators 1440 and 1450 from being driven back by end actuator 1330 when torque is applied to end actuator 1330.
[0163] Figures 67 and 68 illustrate a locking sequence of the 6490 two-stage joint locking system. As shown in Figure. 67, the first 6496 hinge lock is
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76/136 forced into its locked state by the 6499 tension spring, as discussed above. As a result, the first 6496 hinge lock does not need to be actuated to place the 6490 hinge locking system in a first locked state. Notably, however, the second 6494 hinge lock is not engaged with the 1640 and 1650 hinge drives when the 6490 hinge locking system is in its first locked state as the 6495 locking arms of the 6494 hinge lock have not been forced. to engage with articulation drives 1640 and 1650. Instead, with reference to Figure 68, the locking bar 6480 must be advanced distally to engage the locking arms 6495 and displacing the locking arms 6495 to engage with the locking actuators. articulation 1640 and 1650. As a result, the second 6494 articulation lock must be actuated to place the 6490 articulation locking system in a second locked state.
[0164] Again with reference to Figure 67, the locking bar 6480 comprises a portion of the drive shaft 6481 that is configured to slide between the locking arms 6495 without displacing the locking arms 6495 laterally to engage with the 1440 hinge drives and 1450. That said, with reference now to Figure 68, the locking bar 6480 comprises an enlargement 6485 defined on the drive shaft portion 6481 which is configured to engage the locking arms 6495 and deflecting the locking arms 6495 to the its settings locked when the 6480 locking bar is advanced distally. At that point, the 6490 articulation locking system is in its second locked state. Notably, the first hinge lock 6496 is engaged with the end actuator 1300 and the second hinge lock 6494 is engaged with hinge drives 1440 and 1450 when the hinge lock system 6490 is
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77/136 in its second locked state. In addition, notably, the first hinge lock 6496 engages the end actuator 1300 before the second hinge lock 6494 engages hinge actuators 1440 and 1450 during the two-stage locking sequence of the hinge locking system 6490.
[0165] Figures 69 to 71 illustrate an unlocking sequence of the 6490 two-stage articulation locking system. Figure 69 illustrates the 6490 articulation locking system in its second locked state and in order to unlock the end actuator. 1300 so that it can be articulated as described above, the 6490 articulation locking system is sequentially placed in its first locked state, as illustrated in the Figure. 70, and then placed in its unlocked state, as shown in Figure 71. With reference to Figure 70, the locking bar 6480 is retracted proximally to disengage the 6485 widening of the locking arms 6495 so that the locking arms
6495 can flex resiliently inward and disengage from hinge actuators 1440 and 1450. At that point, the hinge locking system 6490 was returned to its first locked state. Notably, the locking bar 6480 comprises a distal end 6482 which is slidably positioned in an elongated opening 6493 defined in the first hinge lock
6496 and, when the locking bar 6480 is moved proximally to transition the joint locking system from its second locked state to its first locked state, as discussed above, the distal end 6482 can slide into the elongated opening 6493 without moving the first 6496 hinge lock out of its locked state.
[0166] Once the 6490 joint locking system has been returned to its first locked state, as per DisPetition 870190055774, of 06/17/2019, pg. 98/216
78/136 described above, the locking bar 6480 can be retracted even more proximally to pull the first hinge lock 6496 out of engagement with the hinge structure 1270. More specifically, the distal end 6482 of the locking bar 6480 may be in contiguity with a proximal end wall of the opening 6483 when the locking bar 6480 is retracted proximally to apply a retraction force to the first 6494 joint lock. Such a proximal retraction force must be able to overcome the distal tractive force that the spring 6499 is applying to the first 6496 hinge lock to move the first 6496 hinge lock proximally. In any case, the hinge locking system 6490 is in an unlocked state once the first hinge lock 6496 has been disengaged from the hinge structure 1270. At this point, the end actuator 1300 can be hinged. In order to lock the end actuator 1300 in position, locking bar 6480 could be released to allow spring 6499 to return first hinge lock 6496 to its locked state. Alternatively, the locking bar 6480 can be operated distally to re-lock the end actuator 1300 in position.
[0167] As discussed above, the 6490 two-stage hinge locking system is configured to sequentially lock the first 6496 hinge lock and then the second 6494 hinge lock. Alternative modalities are provided in which a hinge locking system is configured to sequentially lock the second 6494 hinge lock and then the first 6496 hinge lock. In addition, alternative modalities are provided, which are configured to lock the first 6494 hinge lock and the second 6494 hinge lock at the same time.
[0168] As also discussed above, the locking systemPetição 870190055774, dated 06/17/2019, p. 99/216
79/136 two-stage hinge 6490 is configured to sequentially unlock the second hinge lock 6494 and then the first hinge lock 6496. Alternative arrangements are provided in which a hinge locking system is configured to unlock the first lock sequentially hinge lock 6496 and then the second hinge lock 6494. In addition, alternative modalities are provided, which are configured to unlock the first hinge lock 6494 and the second hinge lock 6494 at the same time.
[0169] A drive shaft assembly 3000 is illustrated in Figures 47 to 51. The drive shaft assembly 3000 is similar to the drive shaft assembly 1000 in many respects - several of which are not discussed here for the sake of brevity . Although not necessarily shown in Figures 47 to 51, the drive shaft assembly 3000 comprises a clamping portion 3100 and a central column mounted on the clamping portion 3100, which is rotatable, but not translatable, relative to a structure 3110 of the clamping portion 3100. The drive shaft assembly 3000 also comprises an end actuator 1300, an articulation system 1400 configured to pivot end actuator 1300, and a trigger system 1500. As discussed above, end actuator 1300 it comprises an anvil claw 1330 which is rotatable with respect to the channel claw 1310 between an open position and a closed position. The drive shaft assembly 3000 further comprises an external drive shaft portion 3600 configured to engage the anvil jaw 1330 and move the anvil jaw 1330 to its closed position, as described in greater detail below.
[0170] Referring mainly to Figures 47 and 49, the external drive shaft assembly 3600 comprises a proxiPetition portion 870190055774, dated 06/17/2019, pg. 100/216
80/136 mal 3610, an intermediate portion 3620 coupled to the proximal portion 3610, and a distal portion 3630 coupled to the intermediate portion 3620. The proximal portion 3610 is mounted on the structure 3110 of the attachment portion 3100 so that the proximal portion 3610 is rotatable , but not translatable, in relation to the structure 3110. The proximal portion 3610 comprises a longitudinal passage 3615 extending through it, and similarly, the intermediate portion 3620 comprises a longitudinal passage 3625 extending through it. The longitudinal passages 3615 and 3625 are aligned, or at least substantially aligned, with each other and surround the central column, the hinge system 1400, and the firing system 1500 of the drive shaft assembly 3600. The distal portion 3630, in addition to the above, it comprises a longitudinal passage 3635 which extends through it and which is aligned with the longitudinal passage 3625 defined in the intermediate portion 3620. A proximal end of the distal portion 3630 is positioned in the longitudinal passage 3625 and is engaged with the portion intermediate 3620 in the form of a press fit so that there is little, if any, relative movement between the intermediate portion 3620 and the distal portion 3630.
[0171] Again with reference to Figure 49, the proximal portion
3610 of the external drive shaft assembly 3600 comprises a distal flange 3611. In addition, the intermediate portion 3620 of the external drive shaft assembly 3600 comprises a proximal flange 3621 positioned adjacent to the distal flange 3611. The distal flange 3611 and the proximal flange 3621 they are parallel, or at least substantially parallel to each other. Referring mainly to Figures 48 and 49, the external drive shaft assembly 3600 further comprises an extension set 3700 that connects the distal flange
3611 from the proximal portion 3610 to the proximal flange 3621 from the intermediate portion 3620. Extension set 3700 is configured to
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81/136 allow the external drive shaft assembly 3600 to move between a contracted configuration (Figure 50) and an expanded configuration (Figure. 51), as discussed in more detail below.
[0172] With reference to Figures 48 and 49, the extension set 3700 comprises a first connection that includes a proximal link 3710 and a distal link 3720 and, in addition, a second connection that includes proximal links 3730 and distal links 3740 The proximal link 3710 is pivotally mounted to the proximal portion 3610 of the external drive shaft assembly 3600. The proximal portion 3610 comprises mounting columns 3612 extending therefrom and positioned in defined column openings 3712 at the proximal link 3710. Similarly, and the distal link 3720 is rotatably mounted to the intermediate portion 3620 of the external drive shaft assembly 3600. The intermediate portion 3620 further comprises mounting openings 3622 defined therein, which are configured to receive columns 3722 extending from distal link 3720. In addition, proximal link 3710 is rotatably coupled to distal link 3720. More speci the proximal link 3710 comprises connector columns 3724 which extend from it and are pivotally positioned in the connector openings 3724 defined in distal link 3720.
[0173] In addition to the above, the proximal links 3730 of the extension set 3700 are pivotally mounted to the proximal portion 3610 of the external drive shaft assembly 3600. The proximal portion 3610 comprises the mounting columns 3616 extending from and which are positioned in column openings 3736 defined at proximal links 3730. Similarly, the distal links 3740 of the extension set 3700 are swiveled to the intermediate portion 3620 of the drive shaft setPetition 870190055774, of 17 / 06/2019, p. 102/216
82/136 external 3600. The intermediate portion 3620 comprises mounting openings defined therein, which are configured to receive columns 3746 that extend from distal links 3740. In addition, proximal links 3730 are rotatably coupled to the distal links 3740. More specifically, each proximal link 3730 comprises a connecting column 3734 extending therefrom and which is pivotally positioned in a connecting opening 3744 defined in a distal link 3740.
[0174] Now with reference to Figure 50, the extension set 3700 of the external drive shaft assembly 3600 is positioned distally with respect to the rack 1520 of the firing system 1500 before the rack 1520 is advanced distally by the firing rod 1510 to execute a closing stroke and / or a trigger stroke. When rack 1520 is advanced distally, with reference to Figure 51, rack 1520 engages extension set 3700 and moves external drive shaft set 3600 from its contracted configuration (Figure 50) to its expanded configuration (Figure. 51) . More specifically, rack 1520 adjoins links 3710 and 3720 of extension set 3700 and rotates them laterally, or outwards, which, as a result, pushes links 3730 and 3740 distally, or longitudinally. Referring mainly to Figure 49, links 3710 and 3720 may comprise meat surfaces 3715 defined therein that are engaged and driven by rack 1520. As a result of the above, the intermediate portion 3620 and the distal portion 3630 of the axle assembly external drive 3600 are pushed distally from the proximal portion 3610 when the external drive shaft assembly 3600 is switched from its contracted configuration (Figure 50) to its expanded configuration (Figure. 51).
[0175] Still to the above, with reference mainly to the
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83/136
Fig. 51, the distal portion 3630 of the external drive shaft assembly 3600 engages the anvil jaw 1330 when the distal portion 3630 is distally advanced and, as a result, the anvil jaw 1330 rotates to its closed position. In other words, the distal movement of the rack 1520 of the firing system 1500 generates a closing stroke that closes the end actuator 1300. After that, the firing system 1500 can be used to drive the firing rod 1510, the rack 1520, the intermediate firing rod 1530 and the firing bar 1550 through a firing stroke - which is discussed in more detail above. In this way, the firing system 1500 transmits separate and distinct firing and firing movements to the end actuator 1300 through the external drive shaft assembly 1600 and firing bar 1550, respectively. Notably, the firing system 1500 is able to generate the closing stroke after the drive shaft assembly 3000 has been switched from its pivot mode to its firing mode when the pivot lock actuator 1410 is advanced distally to lock the 1300 end actuator in position - which, again, is discussed in more detail above.
[0176] As discussed above, the rack 1520 of the firing system 1500 engages the extension set 3700 during the closing stroke to place the external drive shaft set 3600 in its expanded configuration. Rack 1520 remains attached to extension set 3700 for the entire closing and firing stroke and, as a result, maintains the external drive shaft assembly 3600 in its expanded configuration throughout the entire firing and closing stroke. After the closing stroke and / or the trigger stroke has been completed, or at least sufficiently completed, the trigger system 1500 can be operated to
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84/136 retract firing rod 1510 and rack 1520 proximally. As rack 1520 is retracted proximally, rack 1520 disengages from extension set 3700 and, as a result, external drive shaft assembly 3600 will no longer be maintained in its extended configuration by rack 1520.
[0177] Again with reference to Figure 49, the external drive shaft assembly 3600 further comprises springs 3750 configured to pull, or pull, the intermediate portion 3620 towards the proximal portion 3610 and return the external drive shaft assembly 3600 to its contracted configuration. The distal flange 3611 of the proximal portion 3610 comprises openings 3619 defined therein that are configured to mount the springs 3750 in the proximal portion 3610 and, similarly, the proximal flange 3621 of the intermediate portion 3620 comprises openings 3629 defined therein that are configured for mount the springs 3750 to the intermediate portion 3620. When the intermediate portion 3620 of the external drive shaft assembly 3600 is displaced distally by the rack 1520, the rack 1520 must apply a distal extension force to the extension set 3700, which exceeds the force of proximal traction of the 3750 springs.
[0178] An alternative drive shaft assembly 4000 is illustrated in Figures 52 to 54. The drive shaft assembly 4000 is similar to the drive shaft assembly 3000 in many respects - most of which are not discussed here as a matter brevity. The drive shaft assembly 4000 comprises an external drive shaft assembly that includes a proximal portion 4610 and an intermediate portion 4620 that are connected by a tension spring 4750 that extends around the extension assembly 3700. Similar to the exposed above, the tension spring 4750 applies a proximal tensile force to the intermediate portion 4620
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85/136 when the intermediate portion 4620 is displaced distally in the opposite direction from the proximal portion 4610 by the rack 1520. Also similarly to the above, the tension spring 4750 retracts the intermediate portion 4620 towards the proximal portion 4610 after the rack 1520 have been disengaged from extension set 3700. [0179] As discussed above, again with reference to Figures 34 to 36, the drive shaft assembly 1000 comprises a retraction system 1700 configured to manually retract trigger system 1500. if now for Figures 55 to 66, a drive shaft assembly 5000 also comprises a manually actuated retraction system, which is discussed in more detail below. The drive shaft assembly 5000 is similar to the drive shaft assembly 1000 in many respects, most of which are not discussed here for the sake of brevity.
[0180] With reference to Figure 55, the drive shaft assembly 5000 comprises a clamping portion 5100 that includes an external compartment 5120. With reference mainly to Figure 57, the external compartment 5120 comprises a first and a second portion of compartment 5121 which are attached to each other to comprise a housing structure. Portions of compartment 5121 can be coupled together by one or more snapping features, one or more snap-fit features, and / or one or more latches, for example. The 5120 external compartment further comprises one or more features configured to releasably connect the 5100 fixation portion to the structure of a surgical system, such as the handle of a surgical instrument and, alternatively, the arm of a surgical robot, for example. The compartment portions 5121 further comprise one or more support surfaces configured to slide the components 870190055774, of 06/17/2019, p. 106/216
86/136 translatable components of a 5500 drive assembly and, in addition, one or more bearing openings configured to pivot the rotating components of the 5500 drive assembly, for example.
[0181] Referring mainly to Figures 57 to 59, the drive assembly 5500 comprises a translatable trigger rod 5510 configured to be operationally coupled to a drive system of the surgical system. The drive system 5500 further comprises an input rack 5520 fixedly mounted to the trigger rod 5510 so that the input rack 5520 is translatable with the trigger rod 5510. The drive assembly 5500 is configured to transmit the translation of the inlet rack 5520 for a first rack 5560 of a first drive system and, alternatively, a second rack 5580 of a second drive system. To achieve this, the drive assembly 5500 comprises a switchable rod 5540 that is displaceable between a first position (Figure 64) in which the inlet rack 5520 is operationally coupled to the first rack 5560 during a first mode of operation and a second position ( Figures 60-62) in which the input rack 5520 is operationally coupled to the second rack 5580 during a second mode of operation. The drive shaft 5540 comprises a first end 5542 which extends from the first portion of compartment 5121 and a second end 5542 which extends from the second portion of compartment 5121. The first and second ends 5542 of the drive shaft 5540 each comprises a propelling surface that can be moved to slide, or alternate, the drive shaft 5540 between its first position (Figure 64) and its second position (Figures 60 to 62).
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87/136 [0182] Again with reference to Figures 57 to 59, the drive assembly 5500 further comprises a gear 5530 slidably mounted on the drive shaft 5540, a first output gear 5550 operably interlockable with the drive shaft 5540, and a second output gear 5570 operably engageable with the drive shaft 5540. With reference to Figure 62, gear 5530 comprises a tooth array 5536 extending around its perimeter and, in addition, a splined opening 5534 which extends through it. Teeth 5536 are operationally interwoven with a longitudinal array of teeth 5526 defined on the input rack 5520. When the input rack 5520 is moved distally, the input rack 5520 rotates the gear 5530 in a first direction and, when the input rack 5520 is moved proximally, the input rack 5520 rotates gear 5530 in a second opposite direction. The splined opening 5534 of gear 5530 is operationally interlaced with a splined portion 5544 defined on drive shaft 5540. As a result, gear 5530 rotates drive shaft 5540 in the first direction when gear 5530 is rotated in the first direction. Likewise, gear 5530 rotates drive shaft 5540 in the second direction when gear 5530 is rotated in the second direction.
[0183] In addition to the above, gear 5530 is constricted within compartment 5120 so that gear 5530 does not move, or moves at least substantially laterally with respect to first gear 5550 and second gear 5570. The drive shaft 5540, however, is laterally movable with respect to gear 5530, the first output gear 5550 and the second output gear 5570 when the
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88/136 drive shaft 5540 is moved between its first position (Figure 64) to place the drive shaft assembly 5000 in its first operating mode and its second position (Figure 62) to place the drive shaft assembly 5000 in its second mode of operation. Notably, the splined portion 5544 of the drive shaft 5540 has a length that is sufficient to operationally couple the gear 5530 to the drive shaft 5540 regardless of whether the drive shaft 5540 is in its first position (Figure 64) or its second position (Figure 62). As a result of the above, gear 5530 remains operationally engaged with input rack 5520 and drive shaft 5540 regardless of the position of the drive shaft 5540 and regardless of the operating mode in which the drive shaft assembly 5000 is placed.
[0184] When the drive shaft 5540 is in its first position, with reference to Figure 64, the spline portion 5544 of the drive shaft 5540 is operationally engaged with the first output gear 5550. More specifically, the spline portion 5544 of the drive shaft drive 5540 is positioned in a splined opening 5554 defined in the first output gear 5550 when the drive shaft 5540 is in its first position, so that rotation of the drive shaft 5540 is transmitted to the first output gear 5550. As a result , the drive shaft 5540 rotates the first output gear 5550 in the first direction when the drive shaft 5540 is rotated in the first direction, and correspondingly, the drive shaft 5540 rotates the first output gear 5550 in the second direction when the drive shaft 5540 is rotated in the second direction. The first 5550 output gear comprises a set of 5556 teeth extending around the perimeter of the same, which are operationally Petition 870190055774, of 06/17/2019, p. 109/216
89/136 te interlaced with a longitudinal array of teeth 5566 defined in the first rack 5560. As a result, the first rack 5560 is moved distally when the inlet rack 5520 is moved distally and, correspondingly, the first rack 5560 is moved proximally when the 5520 input rack is moved proximally. Similar to gear 5530, the first 5550 output gear is constricted within the 5520 housing so that the first 5550 output gear does not move, or at least moves substantially, laterally in relation to the first 5560 rack. As a result, the first 5550 output gear remains operationally engaged with the first 5560 rack regardless of the operating mode of the drive shaft assembly 5000.
[0185] When the drive shaft 5540 is in its second position, with reference to Figure 62, the splined portion 5544 of the drive shaft 5540 is operationally engaged with the second output gear 5570. More specifically, the splined portion 5544 of the drive shaft drive 5540 is positioned in a splined opening 5574 defined in the second output gear 5570 when the drive shaft 5540 is in its second position, so that rotation of the drive shaft 5540 is transmitted to the second output gear 5570. As a result , the drive shaft 5540 rotates the second output gear 5570 in the first direction when the drive shaft 5540 is rotated in the first direction, and correspondingly, the drive shaft 5540 rotates the second output gear 5570 in the second direction when the drive shaft 5540 is rotated in the second direction. The second output gear 5570 comprises a set of teeth 5576 that extends around the perimeter thereof, which are operationally interlaced with a defined longitudinal array of teeth 5586
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90/136 on the second rack 5580. As a result, the second rack 5580 is displaced distally when the inlet rack 5520 is moved distally, and correspondingly, the second rack 5580 is moved proximally when the inlet rack 5520 is moved proximally. Similar to gear 5530 and the first gear 5550, the second gear 5570 is constricted within compartment 5520 so that the second gear 5570 does not move, or at least moves substantially, laterally with respect to the second rack 5580. As a result, the second output gear 5570 remains operationally engaged with the second rack 5580 regardless of the operating mode of the drive shaft assembly 5000.
[0186] In addition, in addition to the above, the splined portion 5544 of the drive shaft 5540 has a length that prevents the drive shaft 5540 from driving the first drive system and the second drive system at the same time. More specifically, the splined portion 5544 is not operationally engaged with the second output gear 5570 when the splined portion 5544 is operationally engaged with the first output gear 5550. Correspondingly, the splined portion 5544 is not operationally engaged with the first gear output 5550 when the splined portion 5544 is operatively engaged with the second output gear 5570. As a result, the firing rod 1510 engages with the first rack 5560 and the second rack 5580, but not both at the same time. Alternative modalities are provided in which the splined portion 5544 is selectively positioned in an intermediate position in which the splined portion 5544 is operationally engaged with the first 5550 outlet gear and the second 5570 outlet gear
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91/136 at the same time. In such cases, the firing rod 1510 can drive the first rack 5560 and the second rack 5580 at the same time.
[0187] The 5500 drive system can be used to selectively drive a first drive system that includes the first 5560 rack or a second drive system that includes the second 5580 rack. The first drive system and the second drive system can configured to perform any suitable function of the drive shaft assembly 5000. For example, the first drive system can be used to produce a closing stroke that closes one end actuator of the drive shaft assembly 5000 and the second drive system. The drive can be used to produce a firing stroke that ejects the clamps from a clamp cartridge positioned on the end actuator, for example. In such cases, the drive shaft assembly 5000 is capable of executing separate and distinct closing and firing strokes. Alternatively, the first drive system can be used to pivot the end actuator of the 5000 shaft assembly and the second drive system can be used to produce one or more strokes that close the end actuator and eject the staples from the staple cartridge , for example. In any case, the 5500 drive system is configured to selectively transmit the linear input movement applied to the 5510 trip rod to two separate drive systems.
[0188] Referring mainly to Figure 60, the 5500 drive system further comprises an output drive shaft assembly 5590. The output drive shaft assembly
5590 comprises a splined portion 5594, a gear 5596 slidably mounted on the splined portion 5594, and an enPetition 870190055774, of 06/17/2019, pg. 112/216
92/136 5598 conical grille fixedly mounted to it. The 5596 gear is slid between a drive position (Figures 60, 61 and 63) and a retraction position (Figure 65). When gear 5596 is in its actuation position, with reference to Figures 60, 61 and 63, gear 5596 is operationally interlaced with the longitudinal tooth array 5586 defined in the second rack 5580. In such cases, the second rack 5580 can rotate the drive shaft assembly 5590 through gear 5596 when the second rack 5580 is driven proximally and distally by the firing rod 1510, as described above. When the 5596 gear is in its retracted position, with reference to Figure 65, the 5596 gear is operationally decoupled from the second 5580 rack. Instead, in such cases, the 5596 gear is operationally coupled with a 5700 retraction system, as described in more detail below.
[0189] With reference to Figure 56, the retraction system 5700 is stored, or packaged, in compartment 5120 of the 5100 mounting portion. The 5120 compartment comprises a lid, or window, 5125 swiveled to one of the compartment portions 5121 that can be opened to access the retraction system 5700. Referring to Figure 57, cover 5125 comprises pin openings 5128 defined therein that are aligned with the pin openings 5123 defined in a portion of compartment 5121. Each set of pin openings 5123, 5128 is configured to receive a pin 5127 in it, which swivels the cap 5125 to the compartment portion 5121. Other arrangements for connecting the cap 5125 to the compartment portion 5121 can be used. The 5120 compartment further comprises an opening 5122 defined therein through which the retraction system 5700 can be accessed when the lid 5125 is rotated from a closed position
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93/136 (Figure 55) to an open position (Figure. 56). Notably, cover 5125 comprises arms 5126 extending from it that are configured to engage gear 5596 of drive shaft assembly 5590 when cover 5125 is rotated from its closed position (Figure 55) to its open position (Figure . 56), as described in more detail below.
[0190] In addition to the above, cover 5125 is configured to push gear 5596 from its drive position (Figure 63) to its retracted position (Figure 65) when cover 5125 is opened. Referring to Figure 63, gear 5596 is operationally engaged with rack 5580 and operationally disengaged from retraction system 5700 when gear 5596 is in its actuation position. Referring to Figure 65, gear 5596 is operationally disengaged from second rack 5580 and operationally engaged with retraction system 5700 when gear 5596 is in its retracted position. Thus, when the lid 5125 is opened to give access to the retraction system 5700, the lid 5125 automatically changes the drive shaft assembly 5000 from its second operating mode to a retraction operating mode (Figures 65 and 66.) . As a result, the retraction system 5700 is operationally coupled to the drive shaft assembly 5590 and the second rack 5580 is operationally decoupled from the drive shaft assembly 5590 before the doctor can even hold a crank 5702 from the retraction system 5700. In addition, cover 5125 holds gear 5596 in its retracted position while cover 5125 is in its open position.
[0191] In view of the above, the set of drive shaft 5590 is operable by the second rack 5580 or by the retraction system 5700, depending on which mode of operation ConPetition 870190055774, of 06/17/2019, pg. 114/216
94/136 next to drive shaft 5000 is. In the second operating mode or in the retracting operation mode, with reference mainly to Figure 60, the bevel gear 5598 of the drive shaft assembly 5590 is operationally engaged with an output system 5600. The output system 5600 comprises a bevel gear 5608 operationally interlaced with bevel gear 5598. The output system 5600 further comprises a rotary output drive shaft 5606. Bevel gear 5608 is fixedly mounted to the output drive shaft 5606 so that when the shaft assembly drive unit 5590 is rotated, output rod 5606 is rotated. The output system 5600 further comprises a rotary drive drive shaft 5602 and a gear reduction box 5604 that operationally couples the rotary drive drive shaft 5602 and the rotary output drive shaft 5606. When the drive shaft assembly drive 5000 is in its second operating mode and gear 5596 is operationally coupled with the second rack 5580, in addition to the above, the trigger drive shaft 5602 is rotatable in a first direction or a reverse direction by the second rack 5580 depending on the direction in which the second 5580 rack is moved. When the drive shaft assembly 5000 is in its retract mode of operation, the retraction system 5700 is able to rotate only the drive shaft 5602 in its reverse direction, as described in more detail below.
[0192] With reference to Figures 58, 59, and 66, the crank 5702 of the retraction system 5700 is rotatable in relation to a drive shaft 5710 which is swiveled by compartment 5120. Notably, the crank 5702 does not drive directly drive shaft 5710 when crank 5702 is turned; instead, crank 5702 comprises a tongue 5706 mounted
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95/136 swiveling on it, which drives a ratchet gear 5716 mounted fixedly to the drive shaft 5710. With reference mainly to Figure 59, the tongue 5706 is swivelly coupled with the crank 5702 around a pin 5704 mounted on the crank 5702. In use, tongue 5706 is configured to drive ratchet gear 5716 and rotate trigger drive shaft 5602 in its reverse direction when crank 5702 is rotated in a first direction. On the other hand, the tongue 5706 is configured to slide in relation to the ratchet gear 5716 when the crank 5702 is turned in a second or opposite direction. The retraction system 5700 further comprises a gear 5712 fixedly mounted to the drive shaft 5710 which is rotated with the drive shaft 5710 when the drive shaft 5710 is rotated by the tongue 5706. Referring mainly to Figure 66, the gear 5712 it is operationally interlaced with a gear 5722 pivotally mounted to a drive shaft 5724 so that the rotation of gear 5712 is transmitted to gear 5722. When gear 5596 is in its retracted position, in addition to the above, the gear 5596 is operationally interwoven with gear 5722. As a result, the rotation of crank 5702 in its first direction, which is illustrated in Figure 66, is transmitted to the drive shaft assembly 5690 to rotate the drive shaft drive 5602 towards you reverse. In several cases, rotation of the trigger drive shaft 5602 in its reverse direction retracts the trigger member proximally in the opposite direction of the end actuator of the drive shaft assembly 5000, for example.
[0193] Opening the cover 5125 permanently decouples gear 5596 from the second rack 5580 and, correspondingly, permanently decouples the drive shaft from disPetition 870190055774, from 06/17/2019, pg. 116/216
96/136 to 5602 of the input drive shaft 5510. More specifically, gear 5596 is not readjustable, or at least readily readjustable, to its actuation position (Figure 63) after it has been moved to its retracted position (Figure. 65). As a result, the drive shaft assembly 5000 cannot be returned to its second operating mode after it has been placed in its retract operating mode. In the event that cover 5125 had to be opened and then closed again, for example, arms 5126 of cover 5125 would disengage from gear 5596, but gear 5596 would not be moved back to engage with second rack 5580. In such cases however, the 5700 retraction system could still be used to rotate the 5602 firing rod in its reverse direction. In addition, in such cases, the 5500 drive system can still be used to engage the first 5560 rack with the 5510 firing rod and operate the first drive system. Such a provision would prevent a physician from reusing a drive shaft assembly 5000 which may be defective since the act of opening the cover 5125 may suggest that something may be wrong with the drive shaft assembly 5000.
[0194] Several alternative modes are provided in which the drive shaft set 5000 is readjustable to its second operating mode after being placed in its retraction operating mode. For example, the drive shaft assembly 5000 may comprise a spring positioned between gear 5596 and bevel gear 5598 which is compressed by gear 5596 when cover 5125 is opened and gear 5596 is slid along the splined portion 5594 of the assembly drive shaft 5590 to its retracted position. When cover 5125 is closed in such cases, the spring can force the 5596 gear back to its actuation position and operationally re-engage the gearsPetition 870190055774, from 06/17/2019, pg. 117/216
97/136 nage 5596 with second rack 5580. Such an arrangement would allow a drive shaft assembly 5000 to be repaired during use and then used to terminate a surgical technique.
[0195] Figure 72 illustrates an exemplary surgical instrument 100 comprising a handle 110 and an interchangeable drive shaft assembly 200 operably coupled thereto. The handle 110 comprises a compartment 140 that is configured to be held, handled and / or acted on by a physician. The drive shaft assembly 200 comprises a drive shaft 210 and an end actuator 300. The drive shaft 210 comprises a drive shaft structure (not shown in Figure 78), and a hollow outer sleeve or closing tube 250 through which the drive shaft structure extends. The drive shaft assembly 200 further includes a nozzle assembly 290 configured to interface with the outer sleeve 250 and allow the physician to selectively rotate the drive shaft 210 about a longitudinal geometric axis. The drive shaft assembly 200 also includes a latch 230 which is a part of a locking system that reliably attaches the drive shaft assembly 200 to the handle 110. In various circumstances, the latch 230 may close an electrical circuit in the handle 110, for example, when latch 230 is engaged with handle 110. All description of patent application serial number US 13 / 803.086, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, which was filed on March 14, 2013, is hereby incorporated by reference. All embodiments shown in the present invention are usable with the handle 110.
[0196] Figure 73 represents an exemplary surgical robot
500 configured to operate a plurality of surgical tools,
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98/136 generically designated as 600, for example. The surgical robot 500 can be used in conjunction with a master controller, not shown, configured to allow a surgeon to control and see a surgical procedure being performed by the surgical robot 500. In various forms, the robotic robot 500 includes a base 510 from of which, in the illustrated modality, three surgical tools 600 are supported, for example. In various forms, surgical tools 600 are all supported by a series of articulating connections, generally referred to as arm 520, and are operationally coupled to one or more 530 drive systems. These structures are illustrated with protective covers that obscure much of their moving components. These protective covers can be optional, and can be limited in size or can be completely eliminated in some ways to minimize the inertia that is found by the servo mechanisms used to manipulate the 520 arms. In various forms, the surgical robot 500 has wheels that allow the robot surgical 500 is positioned adjacent to an operating table by a single attendant. Figure 73 further illustrates a working envelope 700 for surgical robot 500. Working envelope 700 refers to the movement range of surgical tools 600 for surgical robot 500. The shape and size of working envelope 700 shown in Figure 73 it is merely illustrative. Thus, a work envelope is not limited to the specific size and shape of the sample work envelope shown in Figure 73. The full description of US patent No. 9,060,770, entitled ROBOTICALLY-DRIVEN SURGICAL INSTRUMENT WITH E-BEAM DRIVER, which was granted on June 23, 2015, is hereby incorporated by reference. All the modalities presented in the present invention are usable with the surgical robot 500.
Examples
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99/136 [0197] Example 1 - Method comprising the steps of obtaining a drive shaft assembly comprising an end actuator, attaching the driving shaft assembly to a handle of a surgical instrument, and removing the shaft assembly from handle operation. The method also comprises the steps of attaching the drive shaft assembly to a surgical robot arm, and removing the drive shaft assembly from the arm. [0198] Example 2 - The method of Example 1, in which the step of removing the drive shaft assembly from the surgical instrument handle occurs before the step of fixing the drive shaft assembly to the surgical robot arm, and where the method also comprises the step of sterilizing the drive shaft assembly after removing the drive shaft assembly from the handle of the surgical instrument.
[0199] Example 3 - The method of Example 1, in which the step of removing the drive shaft assembly from the surgical robot arm occurs before the step of attaching the drive shaft assembly to the handle of the surgical instrument, and where the method also comprises the step of sterilizing the drive shaft assembly after removing the drive shaft assembly from the surgical robot arm.
[0200] Example 4 - The method of examples 1,2 or 3, the drive shaft assembly comprising a firing member, the surgical instrument handle comprising an electric motor operably coupled to the firing member during the step of fixing the drive shaft assembly to the handle of the surgical instrument, and the surgical robot arm comprises an electric motor operably coupled with the firing member during the step of fixing the driving shaft assembly to the surgical robot arm.
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100/136 [0201] Example 5 - The method of examples 1, 2, 3 or 4, in which the drive shaft assembly comprises a lock configured to engage the handle of the surgical instrument and, alternatively, the arm of the surgical robot.
[0202] Example 6 - The method of examples 1,2, 3, 4 or 5, in which the drive shaft assembly comprises a drive shaft microprocessor and an electrical drive shaft connector, the handle being comprised of a microprocessor of the handle and an electrical connector of the handle, and the surgical robot comprises a microprocessor of robot and a connector of robot.
[0203] Example 7 - The method of Example 6, in which the step of attaching the drive shaft assembly to the handle of the surgical instrument comprises electrically coupling the electrical connector of the driving shaft with the electrical connector of the handle.
[0204] Example 8 - The method of Example 6, in which the step of attaching the drive shaft assembly to the handle of the surgical instrument comprises placing the drive shaft microprocessor in signal communication with the handle microprocessor.
[0205] Example 9 - The method of Example 6, in which the step of fixing the drive shaft assembly to the surgical robot arm comprises electrically coupling the electrical connector of the driving shaft with the electrical connector of the robot.
[0206] Example 10 - the method of Example 6, in which the step of fixing the drive shaft assembly to the surgical robot arm comprises placing the drive shaft microprocessor signal communication with the robot microprocessor.
[0207] Example 11-0 Method of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, which further comprises a step of fixing a cartridge
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101/136 clamps to the drive shaft assembly before the step of fixing the drive shaft assembly to the handle of the surgical instrument.
[0208] Example 12-0 Method of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, which further comprises a step of attaching a staple cartridge to the drive shaft assembly after the step attaching the drive shaft assembly to the handle of the surgical instrument.
[0209] Example 13-0 Method of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, which further comprises a step of attaching a staple cartridge to the drive shaft assembly prior to the step attaching the drive shaft assembly to the surgical robot arm.
[0210] Example 14 - The method of examples 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, which further comprises a step of attaching a staple cartridge to the drive shaft assembly after the step attaching the drive shaft assembly to the surgical robot arm.
[0211] Example 15-0 Method of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 or 14, which further comprises a step of mounting the end actuator to the drive shaft assembly.
[0212] Example 16 - A method comprising the steps of obtaining a drive shaft assembly, attaching the driving shaft assembly to a handle of a surgical system and alternatively attaching the driving shaft assembly to an arm a surgical robot.
[0213] Example 17-0 The method of Example 16, which further comprises a step of attaching an end actuator to the drive shaft assembly.
[0214] Example 18-0 The method of Example 17, which further comprises a step of attaching a staple cartridge to the end actuator.
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102/136 [0215] Example 19 - A method that comprises the steps of obtaining a drive shaft assembly, and selectively attaching the driving shaft assembly to a handle of a surgical system or a surgical robot arm.
[0216] Example 20 - A drive shaft assembly for use with a motorized surgical system, the drive shaft assembly comprising a structure selectively mountable to the motorized surgical system, a drive shaft extending from the structure and an end actuator coupled to the drive shaft.
[0217] The drive shaft assembly also comprises a firing member operably coupled with the motorized surgical system, the firing member being movable towards the end actuator during a firing stroke. The drive shaft assembly further comprises a retractable crank mounted pivotally on the structure, the retractable crank being selectively engageable with the firing member, and the retracting crank is selectively operable to retract the firing member in the opposite direction of the end actuator in the event that the drive shaft assembly is not mounted on the motorized surgical system.
[0218] Example 21 - The drive shaft assembly of example 20, in which the end actuator comprises a movable jaw between an open position and a closed position, and the firing member is configured to move the jaw from the position open to the closed position during the firing stroke.
[0219] Example 22 - The drive shaft assembly of examples 20 or 21, in which the end actuator comprises a first jaw and a second jaw, in which the first jaw is movable between an open position and a closed position, and being that
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103/136 the drive shaft assembly further comprises a closing member configured to move the first jaw towards the closed position.
[0220] Example 23 - The drive shaft assembly of examples 20, 21 or 22, in which the drive shaft comprises a sliding drive shaft structure in relation to the structure, the second jaw being mounted on the shaft structure drive, and the second jaw can be moved by the drive shaft structure to move the first jaw towards the open position.
[0221] Example 24 - The drive shaft assembly of examples 20, 21, 22 or 23, which further comprises a retracting lug pivotally mounted to the retract crank, and the retracting lug is configured to engage the firing member when the retract handle is rotated relative to the frame.
[0222] Example 25 - The drive shaft set of examples 20, 21, 22, 23 or 24, in which the motorized surgical system comprises a first motorized surgical system, the structure being configured to be mounted on a second system motorized surgical, and the trigger member is configured to be operationally coupled to the second motorized surgical system.
[0223] Example 26 - The drive shaft assembly of Example 25, in which the first motorized surgical system comprises a handle of a surgical instrument, and the second motorized surgical system comprises a surgical robot.
[0224] Example 27 - The drive shaft assembly of Examples 20, 21, 22, 23, 24, 25 or 26, in which the end actuator comprises a staple cartridge.
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104/136 [0225] Example 28 - The drive shaft assembly of Example 27, in which the staple cartridge is replaceable.
[0226] Example 29 - A surgical system comprising a first motorized surgical system comprising a first electric motor, a second motorized surgical system comprising a second electric motor, and a drive shaft assembly. The drive shaft assembly comprises a structure selectively mountable to the first motorized surgical system and the second motorized surgical system. The drive shaft assembly also comprises a drive shaft that extends from the frame, an end actuator coupled to the drive shaft, and a firing member operably coupled to the first electric motor and the second electric motor, the firing member is movable towards the end actuator during a firing stroke. The drive shaft assembly further comprises a retractable crank mounted pivotally on the structure, the retractable crank being selectively engageable with the firing member, and the retracting crank is selectively operable to retract the firing member in the opposite direction of the end actuator in the event that the drive shaft assembly is mounted on the first motorized surgical system, mounted on the second motorized surgical system and is not mounted on the first motorized surgical system or the second motorized surgical system.
[0227] Example 30 - The surgical system of example 29, in which the end actuator comprises a movable jaw between an open position and a closed position, and the firing member is configured to move the jaw from the open position to the closed position during the firing stroke.
[0228] Example 31 - The surgical system of examples 29 or 30,
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105/136 in which the end actuator comprises a first jaw and a second jaw, the first jaw being movable between an open position and a closed position, and the drive shaft assembly further comprising a configured closing member to move the first claw towards the closed position.
[0229] Example 32 - The surgical system of examples 29, 30 or 31, in which the drive shaft comprises a sliding drive shaft structure in relation to the structure, the second claw being mounted on the driving shaft structure, and the second jaw can be moved by the drive shaft structure to move the first jaw towards the open position.
[0230] Example 33 - The surgical system of examples 29, 30, 31 or 32, which further comprises a retracting latch pivotally mounted to the retraction crank, and the retracting latch is configured to engage the firing member when the retract crank is rotated in relation to the frame.
[0231] Example 34 - The surgical system of Examples 29, 30, 31, 32 or 33, in which the first motorized surgical system comprises a handle of a surgical system, and the second motorized surgical system comprises a surgical robot.
[0232] Example 35 - The drive shaft assembly of Examples 29, 30, 31, 32, 33 or 34, in which the end actuator comprises a staple cartridge.
[0233] Example 36 - The drive shaft assembly of Example 35, in which the staple cartridge is replaceable.
[0234] Example 37 - A drive shaft set for use with a first surgical instrument system and a second surgical instrument system, the drive shaft assembly comprising a structure selectively mountable to the priPetition 870190055774, of 17/06 / 2019, p. 126/216
106/136 first surgical instrument system and the second surgical instrument system. The drive shaft assembly also comprises a drive shaft that extends from the frame, an end actuator coupled to the drive shaft, and a firing member operably coupled to the first surgical instrument system and the second surgical instrument system. , the firing member being movable towards the end actuator during a firing stroke. The drive shaft assembly further comprises manually operated retractable means for selectively engaging the firing member and retracting the firing member in the direction opposite to the end actuator.
[0235] Example 38 - The drive shaft assembly of Example 37, in which the end actuator comprises a staple cartridge.
[0236] Example 39 - The drive shaft assembly of Example 38, the staple cartridge being replaceable.
[0237] Example 40 - A drive shaft assembly for use with a surgical system, in which the drive shaft assembly comprises a structure, the structure comprising a proximal portion configured to be mounted in the surgical system, and a tube which extends distally from the proximal portion. The drive shaft assembly also comprises a central column, the central column extending through the tube, and the central column is mounted in a sliding manner in the proximal portion. The drive shaft assembly also comprises an end actuator, the end actuator comprising a first jaw extending distally from the central column, and a second jaw rotatable to the first jaw, the second jaw it is rotatable between an open position and a closed position. The drive shaft assembly
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107/136 also comprises a firing member operably coupled to a surgical system drive system, the firing member being movable distally from the central column during a firing stroke. The drive shaft assembly further comprises a firing member retraction system configured to pull the firing member proximally, and an end actuator opening system configured to slide the central column distally and allow the second claw rotate to the open position.
[0238] Example 41 - The drive shaft assembly of Example 40, in which the retraction system of the firing member comprises a manually actuated lever.
[0239] Example 42 - The drive shaft assembly of Example 40 or 41, in which the end actuator opening system comprises a manually actuated lever.
[0240] Example 43 - The drive shaft assembly of Example 40, 41 or 42, in which the end actuator further comprises a staple cartridge.
[0241] Example 44 - The drive shaft assembly of Example 43, on which the staple cartridge is replacably seated on the first gripper.
[0242] Example 45 - The drive shaft assembly of Example 43, in which the staple cartridge is replacably seated on the second claw.
[0243] Example 46 - The drive shaft set of examples 40, 41, 42, 43, 44 or 45, which also comprises a spring configured to pull the second claw to the open position.
[0244] Example 47 - The drive shaft assembly of examples 40, 41, 42, 43, 44, 45 or 46, in which the end actuator opening system and the firing member are operable inPetition 870190055774, of 17 / 06/2019, p. 128/216
108/136 dependent on each other.
[0245] Example 48 - The drive shaft assembly of examples 40, 41,42, 43, 44, 45, 46 or 47, in which the firing member comprises a first cam configured to engage the first jaw and a second member of meat configured to engage the second grapple during the firing stroke.
[0246] Example 49 - The drive shaft assembly of Examples 43, 44, 45, 46, 47 or 48 where the staple cartridge comprises removably stored staples, and the trigger member is configured to eject the staple cartridge staples.
[0247] Example 50 - The drive shaft assembly of Examples 40, 41, 42, 43, 44, 45, 46, 47, 48 or 49, in which the end actuator further comprises a staple cartridge comprising staples in it removably stored, and the firing member is configured to eject the staples from the staple cartridge.
[0248] Example 51 - The drive shaft assembly of examples 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, or 50, which further comprises a closing member configured to move the second jaw from the open position towards the closed position during a closing stroke.
[0249] Example 52 - The drive shaft assembly of Example 51, in which the firing member is configured to engage the closing member and move the closing member through a closing stroke.
[0250] Example 53 - The drive shaft assembly of the
Examples 51 or 52, in which the closing member is configurable in a contracted and an expanded configuration, and the closing member is configured to perform the course
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109/136 of closing when the closing member changes between the contracted configuration and the expanded configuration.
[0251] Example 54 - The drive shaft assembly of examples 51, 52 or 53, in which the closing member comprises a lock configured to releasably secure the closing member in the contracted configuration.
[0252] Example 55 - The drive shaft set of examples 51, 52, 53 or 54, in which the firing member is configured to engage the closing member and release the lock before making a firing stroke.
[0253] Example 56 - The drive shaft assembly of examples 51, 52, 53, 54, or 55, in which the closing member comprises a proximal portion and a distal portion, the proximal portion of the closing member being mounted on the proximal portion of the structure, and the distal portion being movable in the opposite direction from the proximal portion of the closing member during a closing course.
[0254] Example 57 - The drive shaft assembly of examples 51, 52, 53, 54, 55 or 56, in which the closing member further comprises a spring configured to pull the distal portion towards the proximal portion of the limb closure.
[0255] Example 58 - The drive shaft assembly of example 53, which also comprises a spring configured to pull the closing member to the contracted configuration.
[0256] Example 59 - A drive shaft assembly for use with a surgical system, in which the drive shaft assembly comprises a structure mountable to the surgical system, and an end actuator, the end actuator comprising a first claw; and a second claw mounted rotatable to the first claw, with the second claw rotating between
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110/136 an open position and a closed position. The drive shaft assembly further comprises a configurable closing member in a contracted configuration and an expanded configuration, the closing member being configured to move the second claw towards the closed position when the closing member is moved from the contracted configuration for the expanded configuration during a closing stroke.
[0257] Example 60 - The drive shaft set of Example 59, which further comprises a firing member operably coupled to a surgical system firing system, the firing member being movable through a firing stroke through the system drive.
[0258] Example 61 - The drive shaft assembly of Example 60, in which the firing member is configured to engage the closing member and changing the closing member from the contracted configuration to the expanded configuration.
[0259] Example 62 - The drive shaft assembly of examples 60 or 61, in which the closing member comprises a lock configured to releasably secure the closing member in the contracted configuration.
[0260] Example 63 - The drive shaft set of examples 60, 61 or 62, in which the firing member is configured to release the lock before carrying out the firing stroke.
[0261] Example 64 - The drive shaft assembly of Examples 59, 60, 61, 62, or 63, in which the closing member comprises a proximal portion and a distal portion, the proximal portion of the closing member being mounted on the structure, and the distal portion is movable in the opposite direction from the proximal portion during a closing course.
[0262] Example 65 - The drive shaft set of ExemPetição 870190055774, of 06/17/2019, pg. 131/216
111/136 pio 64, in which the closing member further comprises a spring configured to pull the distal portion of the closing member towards the proximal portion.
[0263] Example 66 - The drive shaft set of examples 59, 60, 61, 62, 63, 64 or 65, which further comprises a spring configured to pull the closing member into the contracted configuration.
[0264] Example 67 - The drive shaft assembly of Examples 59, 60, 61, 62, 63, 64, 65 or 66, in which the end actuator comprises a staple cartridge.
[0265] Example 68 - The drive shaft assembly of Example 67, in which the staple cartridge is replaceable.
[0266] Example 69 - The drive shaft assembly of Examples 67 or 68, in which the staple cartridge is settable in the first claw.
[0267] Example 70 - The drive shaft assembly of Examples 67 or 68, in which the staple cartridge is settable in the second claw.
[0268] Example 71 - A drive shaft assembly for use with a surgical system, comprising an end actuator, and a clamping portion. The end actuator comprises a first jaw, a second jaw, a closing member configured to move the first jaw with respect to the second jaw between an open position and a closed position, and a movable firing member through a firing stroke. The clamping portion comprises a drive shaft structure configured to engage a structure of the surgical system, a pivot entry configured to receive a pivoting movement from the surgical system, and a closing system operatively coupled to the closing member. The fixing portion also comprises a system of
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112/136 trigger operationally coupled to the trigger member, and a clutch, the clutch being configurable in a closing mode and a trigger mode. The clutch operationally couples the rotary input to the closing system when the clutch is in the closing mode, and the clutch operationally disengages the triggering system from the rotary input when the clutch is placed in the closing mode. The clutch operationally couples the rotary input to the trigger system when the clutch is in trigger mode, and the clutch operationally disengages the closing system from the rotary input when the clutch is placed in trigger mode.
[0269] Example 72 - The drive shaft assembly of example 71, in which the clutch comprises an alternator positioned in a closed position to place the clutch in the closed mode and a trigger position to place the clutch in a closed mode. shooting.
[0270] Example 73 - The drive shaft assembly of examples 71 or 72, in which the alternator comprises a first drive end and a second drive end.
[0271] Example 74 - The drive shaft set of examples 71, 72 or 73, which further comprises a manually operable retraction system configured to retract the firing member.
[0272] Example 75 - The drive shaft assembly of Example 74, in which the retraction system is configurable in a deactivated configuration and an activated configuration, and the retraction system is configured to decouple the rotating input from the trigger when the retraction system is placed in the activated configuration.
[0273] Example 76 - The drive shaft assembly of the
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113/136 examples 74 or 75, in which the closing system is operably coupled with the rotating input when the retraction system is in the activated configuration.
[0274] Example 77 - The drive shaft set of examples 74, 75 or 76, in which the triggering system is permanently decoupled from the rotating input when the retraction system is placed in the activated configuration.
[0275] Example 78 - The drive shaft assembly of example 75, in which the triggering system is operably coupled to the rotary input after the retraction system has been returned to the disabled setting.
[0276] Example 79 - The drive shaft assembly of examples 74, 75, 76, 77 or 78, in which the fixing portion comprises a compartment, and the compartment comprises a movable cover between a closed position and a position open to expose a retraction system lever.
[0277] Example 80 - The drive shaft assembly of example 79, in which the cover is configured to operationally disengage the triggering system from the rotary inlet when the cover is moved from the closed position to the open position.
[0278] Example 81 - The drive shaft set of examples 79 or 80, in which the cover does not operationally disengage the closing system of the rotary inlet when the cover is moved from the closed position to the open position.
[0279] Example 82 - The drive shaft assembly of example 80, in which the triggering system is operationally re-engaging with the rotating input when the cover is moved back to the closed position.
[0280] Example 83 - The drive shaft assembly of Examples 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, or 82, in which the
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114/136 firing member comprises a rotating output drive shaft.
[0281] Example 84 - The drive shaft assembly of examples 80, 81, 82 or 83, in which the firing system comprises a first gear and a second gear, the first gear being operationally interlaced with the second gear when the cover is in the closed position, and the first gear is de-interlaced from the second gear when the cover is in the open position.
[0282] Example 85 - The drive shaft assembly of example 84, which also comprises a spring configured to pull the first gear in operational interlacing with the second gear.
[0283] Example 86 - The drive shaft assembly of Examples 71, 72, 73, 74, 75, 76, 77, 78, 79, or 80, in which the end actuator further comprises a staple cartridge.
[0284] Example 87 - The drive shaft assembly of Example 86, in which the staple cartridge is replaceable.
[0285] Example 88 - The drive shaft assembly of Examples 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, or 87, no which the firing member is rotatable and the closing member is translatable.
[0286] Example 89 - A drive shaft assembly for use with a surgical system comprising an end actuator, a first drive system, and a second drive system. The drive shaft assembly also comprises a clamping portion, the clamping portion comprising a drive shaft structure configured to engage a structure of the surgical system, and a pivoting drive shaft configured to receive a pivoting movement from the
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115/136 surgical system. The clamping portion also comprises a clutch configurable in a first mode of operation, and a second mode of operation. The clutch operationally couples the rotary input drive shaft to the first drive system when the clutch is in the first mode of operation, and the clutch operationally uncouples the second drive system from the rotary input drive shaft when the clutch is placed on the first operation mode. The clutch operationally couples the rotary input drive shaft to the second drive system when the clutch is in the second mode of operation, and the clutch operationally disengages the first drive system from the rotary input drive shaft when the clutch is placed in the second mode of operation.
[0287] Example 90 - A drive shaft assembly for use with a surgical system comprising a first drive system, a second drive system and a drive shaft structure configured to engage a surgical system structure. The drive shaft assembly also comprises a rotary input drive shaft configured to receive a rotary movement from the surgical system, and a transmission configurable in a first operating mode and a second operating mode. The transmission operationally couples the rotary input drive shaft to the first drive system when the transmission is in the first operating mode, and the transmission operationally disengages the second drive system from the rotary input drive shaft when the transmission is placed in the first operation mode. The transmission operationally couples the rotating input drive shaft to the second drive system when the transmission is in section 870190055774, dated 06/17/2019, p. 136/216
116/136 second mode of operation, and the transmission operationally decouples the second drive system from the rotary input drive shaft when the transmission is placed in the first operating mode and a manually operable retraction system configured to operationally disable the first drive mode. operation and retract the second drive system when actuated.
[0288] Example 91 - A drive shaft assembly for use with a surgical system, the drive shaft assembly comprising a structure that can be attached to the surgical system, and an end actuator comprising a first claw, a second grapple, the first grapple being rotatable in relation to the second grapple, and a staple cartridge comprising staples removably stored therein. The drive shaft assembly also comprises a pivot joint, the end actuator being pivotally connected to the structure around the pivot joint. The drive shaft assembly also comprises a translatable firing member between an un-firing position and a firing position during a firing stroke to eject staples from the staple cartridge, the firing member being rotatable between a first orientation and a second orientation. The drive shaft assembly further comprises an articulation actuator configured to rotate the end actuator around the articulation joint, the trigger member being operationally coupled to the articulation driver when the trigger member is in the first orientation, being that the translation movement of the firing member is transmitted to the articulation trigger when the firing member is in the first orientation, and the firing member is operationally decoupled from the articulation trigger when the firing member is in the second orientation.
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117/136 [0289] Example 92 - The drive shaft assembly of example 91, which also comprises a movable articulation lock between an unlocked configuration and a locked configuration, the end actuator being rotatable in relation to the structure when the articulation lock is in the unlocked configuration, and the articulation lock is configured to prevent the end actuator from rotating in relation to the frame when the articulation lock is in the locked configuration.
[0290] Example 93 - The drive shaft assembly of Example 92, in which the hinge lock is configured to engage the hinge driver and keep the hinge driver in position when the hinge lock is in the locked configuration.
[0291] Example 94 - The drive shaft assembly of examples 92 or 93, in which the articulation lock is configured to engage the end actuator and keep the end actuator in position when the articulation lock is in the locked configuration.
[0292] Example 95 - The drive shaft assembly of Examples 92, 93, or 94, which further comprises an articulation lock actuator configured to move the articulation lock between an unlocked configuration and a locked configuration.
[0293] Example 96 - The drive shaft assembly of Example 95, in which the articulation lock actuator is configured to rotate the trigger member to the first orientation and operationally couple the trigger member with the articulation driver when the pivot lock actuator moves the pivot lock to the unlocked configuration.
[0294] Example 97 - The drive shaft assembly of the
Examples 95 or 96, in which the pivot lock actuator is configured to rotate the firing member to the second orientation and
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118/136 operationally disengage the hinge member firing member when the hinge lock actuator moves the hinge lock to the locked configuration.
[0295] Example 98 - The drive shaft assembly of examples 91, 92, 93, 94, 95, 96 or 97, in which the firing member is configured to engage the first jaw and move the first jaw towards the second during a closing stroke, and the firing member is configured to execute the closing stroke before the firing stroke.
[0296] Example 99 - The drive shaft set of Examples 91, 92, 93, 94, 95, 96, 97, or 98, which further comprises a retract actuator, the retract actuator being selectively coupled with the trigger member and can be manually actuated to retract the trigger member to the non-triggered position.
[0297] Example 100-0 drive shaft assembly of examples 91, 92, 93, 94, 95, 96, 97, 98 or 99, which further comprises a closing member configured to engage the first jaw and move the first jaw towards the second grapple during a closing stroke.
[0298] Example 101-0 drive shaft assembly of examples 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100, wherein the firing member comprises a first portion, a second portion and a clutch, the clutch being configured to switch the firing member between a hinge mode configuration and a firing mode configuration, the first portion being movable relative to the second portion when the firing member is in the configuration of articulation mode, and the first portion being engaged with the second portion to drive the second portion distally when the firing member is in the firing mode configuration.
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119/136 [0299] Example 102-0 drive shaft assembly of example 101, in which the clutch comprises a lock configured to reliably retain the firing member in the firing mode configuration.
[0300] Example 103-0 drive shaft assembly of examples 101 or 102, in which the lock is mounted on the second portion of the firing member.
[0301] Example 104-0 drive shaft assembly of examples 101, 102 or 103, in which the first portion of the firing member is movable towards the fired position to allow the latch to releasably secure the first portion in engagement operational with the second portion when the clutch transitions the firing member between the hinge mode configuration and the firing mode configuration.
[0302] Example 105-0 drive shaft assembly of examples 101, 102, 103, or 104, in which the structure further comprises a key, in which the lock is configured to engage the key when the firing member is retracted in direction to the non-triggered position, and the switch is configured to unlock the lock and allow the trigger member to transition from the trigger mode setting to the hinge mode setting.
[0303] Example 106-0 driving shaft assembly of example 91, in which the structure comprises a first rotational stop and a second rotational stop, the first rotational stop being configured to stop the firing member in the first orientation, and the second rotational stop being configured to stop the firing member in the second orientation.
[0304] Example 107-0 drive shaft assembly for
Examples 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104,
105, or 106, in which the staple cartridge is replaceable.
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120/136 [0305] Example 108 - A drive shaft assembly for use with a surgical system, in which the drive shaft assembly comprises a structure that can be attached to the surgical system, and an end actuator comprising a first jaw and a second claw, the first claw being rotatable in relation to the second claw. The drive shaft assembly also comprises a pivot joint, the end actuator being pivotally connected to the structure around the pivot joint, and a pivot actuator configured to rotate the end actuator around the pivot joint. The drive shaft assembly further comprises a translatable firing assembly between an un-triggered position and a triggered position during a firing stroke, the firing assembly comprising a first portion and a second portion. The first portion is rotatable with respect to the second portion between a hinge mode orientation and a firing mode orientation, the first portion being operatively coupled to the hinge driver when the first portion is in the hinge mode orientation. The translational movement of the firing assembly is transmitted to the articulation trigger when the first portion is in the articulation mode orientation, and the firing assembly is operationally decoupled from the articulation trigger when the first portion is in the articulation mode orientation. shooting.
[0306] Example 109-0 drive shaft assembly of Example 108, in which the end actuator further comprises a staple cartridge.
[0307] Example 110 - A drive shaft assembly for use with a surgical system, which comprises a structure that can be attached to the surgical system, and an end actuator, the end actuator comprising a first claw
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121/136 and a second jaw, the first jaw being rotatable in relation to the second jaw. The drive shaft assembly also comprises a pivot joint, the end actuator being pivotally connected to the structure around the pivot joint, and a pivot actuator configured to rotate the end actuator around the pivot joint. The drive shaft assembly also further comprises a translatable firing assembly between an un-triggered position and a triggered position during a firing stroke, the firing assembly comprising a first portion and a second portion. The drive shaft assembly further comprises a means for selectively rotating the first portion of the firing assembly in and out of operational engagement with the pivot actuator, and means for operationally uncoupling the second portion of the firing assembly from the first portion when the first portion is operationally engaged with the articulation actuator.
[0308] Example 111 - A drive shaft assembly for use with a surgical system, in which the drive shaft assembly comprises a clamp cartridge, an end actuator, and a firing member. The staple cartridge comprises a cartridge body that includes staple wells, staples removably stored in the staple wells, and a movable slide between an un-triggered position and a triggered position during a firing stroke to eject staples from the staple wells . The end actuator comprises a cartridge channel configured to receive the staple cartridge, the cartridge channel comprising a locking recess. The end actuator further comprises an anvil configured to deform the clamps, and a locking spring. The firing member comprises a firing bar comprising a cutting edge
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122/136 cutter configured to cut a patient's tissue during a firing stroke. The firing member further comprises a lock rotatable mounted to the firing bar, the lock being rotatable between an unlocked position and a locked position, the slider being configured to retain the lock in the unlocked position when the staple cartridge is seated in the cartridge channel and the slide is in the non-triggered position, and the lock is rotatable from the unlocked position to the position locked by the locking spring when the staple cartridge is not in the cartridge channel or the slide is not in the not triggered position.
[0309] Example 112-0 drive shaft assembly of Example 111, which further comprises staple actuators, the slider being configured to engage the staple actuators to eject the staples from the staple cavities during a firing stroke.
[0310] Example 113-0 drive shaft set of Example 112, in which the clamp drivers are integrally formed with the clamps.
[0311] Example 114-0 drive shaft assembly of examples 111, 112 or 113, in which the firing bar further comprises a coupling member, the coupling member comprising the cutting edge, and the The coupling comprises a cartridge meat configured to engage the cartridge channel and an anvil meat configured to engage the anvil during a firing stroke.
[0312] Example 115-0 drive shaft assembly of example 114, in which the anvil is rotatable in relation to the cartridge channel between an open position and a closed position, and the coupling member is configured to control the position of the anvil in relation to the staple cartridge.
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123/136 [0313] Example 116-0 drive shaft assembly of example 114, in which the cartridge channel is rotatable with respect to the anvil between an open position and a closed position, and the coupling member is configured to check the position of the staple cartridge in relation to the anvil.
[0314] Example 117-0 drive shaft assembly of examples 111, 112, 113, 114, 115, or 116, in which the anvil is rotatable with respect to the cartridge channel between an open position and a closed position, and being that the drive shaft assembly further comprises a closing member configured to move the anvil towards the closed position.
[0315] Example 118-0 drive shaft assembly of Examples 111, 112, 113, 114, 115, 116, or 117, in which the cartridge channel is rotatable with respect to the anvil between an open position and a closed position, and the drive shaft assembly further comprising a closing member configured to move the cartridge channel towards the closed position.
[0316] Example 119 - Drive shaft assembly of examples 111, 112, 113, 114, 115, 116, 117 or 118, in which the end actuator comprises a proximal end and a distal end, the lock being extends distally from the cutting edge.
[0317] Example 120-0 drive shaft assembly of Examples 111, 112, 113, 114, 115, 116, 117, 118, or 119, in which the lock is forced into the locking recess by the locking spring when the firing stroke is initiated and the staple cartridge is not in the cartridge channel or the slide is not in the non-firing position, and the firing stroke is interrupted by the lock and locking recess before the staples are ejected from the staple cavities.
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124/136 [0318] Example 121-0 drive shaft assembly of examples 111, 112, 113, 114, 115, 116, 117, 118, 119 or 120, in which the firing bar is not forced towards the recess locking by the locking spring.
[0319] Example 122-0 drive shaft assembly of Examples 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, or 121, in which the lock is configured to push the slide through the stroke trigger if the staple cartridge is seated in the cartridge channel and the slide is in the non-triggered position at the start of a trigger stroke.
[0320] Example 123-0 driving shaft set of Example 122, in which the firing member is retractable after at least a portion of the firing stroke has been completed, and the slider is not retractable with the firing member .
[0321] Example 124-0 drive shaft assembly of examples 122 or 123, in which the firing member is retractable after at least a portion of the firing stroke has been completed, and the latch is configured to remain in position unlocked as the lock is retracted beyond the locking spring.
[0322] Example 125-0 drive shaft assembly of examples 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, or 124, in which the lock comprises a bar in cantilever comprising a proximal end fixedly mounted to the cartridge channel and a distal end movable with respect to the proximal end.
[0323] Example 126-0 drive shaft assembly of examples 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122,
123, 124, or 125, in which the cartridge channel is removably attached to the end actuator.
[0324] Example 127-0 drive shaft assembly for
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125/136 examples 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, or 125, in which the cartridge channel is not removably attached to the actuator far end.
[0325] Example 128 - A drive shaft assembly for use with a surgical system, in which the drive shaft assembly comprises a clamp cartridge, an end actuator, and a trigger assembly. The staple cartridge comprises a cartridge body and staples, each staple being at least partially stored in the cartridge body. The staple cartridge further comprises a movable slide between an un-triggered position and a triggered position during a firing stroke to eject staples from the cartridge body. The end actuator comprises a cartridge channel configured for the staple cartridge, the cartridge channel comprising a lock. The end actuator further comprises an anvil configured to deform the clamps, and a traction member. The firing assembly comprises a firing member, and a latch pivotally mounted to the firing member, the latch being rotatable between an unlocked position and a locked position, the slider being configured to retain the lock in the unlocked position. when the staple cartridge is seated in the cartridge groove and the slide is in the non-triggered position, and the lock is rotatable from the unlocked position to the position locked by the draw member when the staple cartridge is not in the cartridge groove or the slider is not in the non-triggered position.
[0326] Example 129 - An end actuator for use with a surgical system, in which the end actuator comprises a staple cartridge, the staple cartridge comprising a cartridge body, and staples, each clamp being next to least partially stored in the cartridge body. The print cartridge
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126/136 clamps further comprise a movable slide between an unstressed position and a triggered position during a firing stroke to eject clamps from the cartridge body. The end actuator also comprises a cartridge channel configured to receive the staple cartridge, the cartridge channel comprising a lock, an anvil configured to deform the staples, and a pulling member. The end actuator further comprises a firing assembly, the firing assembly comprising a firing member, and a latch pivotally mounted to the firing member, the latch being rotatable between an unlocked position and a locked position, the slider is configured to retain the lock in the unlocked position when the staple cartridge is seated in the cartridge groove and the slider is in the non-triggered position, and the lock is rotatable from the unlocked position to the locked position by the traction when the staple cartridge is not in the cartridge groove or the slide is not in the non-triggered position.
[0327] Example 130 - A drive shaft assembly comprising a drive shaft structure, an end actuator comprising an end actuator structure, and a pivot joint, the pivot joint connecting the actuator structure swiveling end plate to the drive shaft structure. The drive shaft assembly also comprises a pivot driver configured to rotate the end actuator around the pivot joint. The drive shaft assembly further comprises a first selectively actuating hinge lock to engage the end actuator structure and prevent the end actuator structure from rotating relative to the drive shaft structure, and a second selectively actuable hinge lock to engage the artiPetition trigger 870190055774, dated 06/17/2019, p. 147/216
127/136 and prevent the structure of the end actuator from rotating in relation to the structure of the drive shaft.
[0328] Example 131-0 drive shaft assembly of example 130, in which the first hinge lock and the second hinge lock are both actuated in a condition locked by a lock actuator during a locking movement.
[0329] Example 132-0 drive shaft assembly of Examples 130 or 131, in which the first hinge lock is configured to engage the end actuator frame before the second hinge lock engages the hinge actuator during the locking.
[0330] Example 133-0 drive shaft assembly of Examples 130 or 131, in which the second hinge lock is configured to disengage from the hinge driver before the first hinge lock disengages from the end actuator frame during a movement of the locking actuator.
[0331] Example 134-0 drive shaft assembly of Examples 130 or 131, in which the first hinge lock is configured to engage the end actuator frame after the second hinge lock engages the hinge driver during the stroke locking.
[0332] Example 135-0 drive shaft assembly of Examples 130 or 131, in which the second hinge lock is configured to disengage from the hinge driver after the first hinge lock disengages from the end actuator frame during a unlocking the locking actuator.
[0333] Example 136-0 drive shaft assembly for
Examples 130 or 131, in which the first hinge lock is
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128/136 configured to engage the end actuator frame at the same time that the second pivot lock engages the pivot actuator during the locking stroke.
[0334] Example 137-0 drive shaft assembly of Examples 130 or 131, in which the second hinge lock is configured to disengage from the hinge driver at the same time that the first hinge lock disengages from the end actuator frame during an unlocking movement of the locking actuator.
[0335] Example 138-0 drive shaft assembly of Example 130, in which the first hinge lock and the second hinge lock are separately operable.
[0336] Example 139-0 drive shaft assembly of Examples 130, 131, 132, 133, 134, 135, 136, 137, or 138, in which the pivot driver comprises a first pivot driver configured to rotate the actuator end in a first direction, the drive shaft assembly further comprising a second pivot driver configured to rotate the end actuator around a pivot joint in a second direction, and the second direction being opposite the first direction.
[0337] Example 140-0 drive shaft assembly from Example 139, in which the second hinge lock is configured to engage the second hinge drive and prevent the end actuator frame from rotating relative to the drive shaft structure when the second articulation lock is activated.
[0338] Example 141-0 drive shaft assembly
Example 139, in which the second hinge lock is configured to engage the first hinge driver and the second hinge driver at the same time as the second hinge lockPetition 870190055774, of 6/17/2019, pg. 149/216
129/136 tion is actuated.
[0339] Example 142-0 drive shaft assembly of Example 139, in which the second hinge lock is configured to engage the first hinge driver and the second hinge driver at different times when the second hinge lock is actuated.
[0340] Example 143-0 drive shaft assembly of examples 139, 140, 141 or 142, in which the second hinge lock comprises a first arm configured to engage the first hinge driver and a second arm configured to engage the second articulation actuator, and the first articulation lock is configured to engage the first arm with the first articulation actuator and the second arm with the second articulation actuator during a locking movement of the first articulation lock.
[0341] Example 144-0 drive shaft assembly of Examples 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142 or 143, in which the end actuator further comprises a staple cartridge.
[0342] Example 145-0 drive shaft assembly from Example 144, in which the staple cartridge is replaceable.
[0343] Example 146 - A drive shaft assembly comprising a drive shaft structure and an end actuator comprising an end actuator structure. The drive shaft assembly also comprises a pivot joint, the pivot joint pivotally connecting the end actuator frame to the drive shaft structure, and a pivot driver configured to rotate the end actuator around of the articulation joint. The drive shaft assembly also comprises a locking system
Petition 870190055774, of 06/17/2019, p. 150/216
130/136 configured to engage the end actuator frame and prevent the end actuator frame from rotating in relation to the drive shaft structure, and engage the pivot actuator and prevent the end actuator frame from rotating in relation to the drive shaft structure.
[0344] Example 147-0 drive shaft assembly of Example 146, in which the end actuator further comprises a staple cartridge.
[0345] Example 148 - A drive shaft assembly comprising a drive shaft structure and an end actuator comprising an end actuator structure. The drive shaft assembly also comprises a pivot joint, the pivot joint pivotally connecting the end actuator structure to the drive shaft structure, and a movable pivot actuator to rotate the end actuator around of the articulation joint. The drive shaft assembly further comprises a first locking means to selectively prevent rotation of the end actuator around the articulation joint, and the second locking means to selectively prevent the displacement of the articulation driver.
[0346] Example 149-0 drive shaft assembly of Example 148, in which the end actuator further comprises a staple cartridge.
[0347] Many of the surgical instrument systems described here are driven by an electric motor; however, the surgical instrument systems described herein can be induced in any suitable manner. In several instances, the surgical instrument systems described herein can be induced, for example, by a manually operated trigger. In certain cases, the engines described in
Petition 870190055774, of 06/17/2019, p. 151/216
131/136 the present document may comprise a portion or portions of a robotically controlled system. In addition, any of the end actuators and / or tool sets shown in the present invention can be used with a robotic surgical instrument system. US patent application serial number 13 / 118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now US patent No. 9,072,535, for example, reveals several examples of a robotic surgical system system in more detail.
[0348] The surgical instrument systems described here have been described in connection with the implantation and deformation of the clamps; however, the embodiments described in the present invention are not limited in this way. Several modalities are foreseen, which implant fasteners in addition to staples, such as claws or tacks, for example. In addition, several modalities are contemplated, which use any suitable means to seal the fabric. For example, an end actuator, according to various modalities, may comprise electrodes configured to heat and seal the tissue. Likewise, for example, an end actuator according to certain modalities, can apply vibrational energy to seal the tissue.
[0349] The entire descriptions of:
- US patent No. 5,403,312, entitled ELECTROSURGICAL HEMOSTATIC DEVICE, which was granted on April 4, 1995;
- US patent No. 7,000,818, entitled SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS, which was granted on February 21, 2006;
- US patent No. 7,422,139, entitled MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK, which was granted on September 9,
Petition 870190055774, of 06/17/2019, p. 152/216
132/136
2008;
- US patent No. 7,464,849, entitled ELECTROMECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS, which was granted on December 16, 2008;
- US patent No. 7,670,334, entitled SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR, which was granted on March 2, 2010;
- US patent No. 7,753,245, entitled SURGICAL STAPLING INSTRUMENTS, which was granted on July 13, 2010;
- US patent No. 8,393,514, entitled SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE, which was granted on March 12, 2013;
- US patent application serial number 11 / 343,803, entitled SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES; now US patent No. 7,845,537;
- US patent application serial number 12 / 031,573, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES, filed on February 14, 2008;
- US patent application serial number 12 / 031,873, entitled END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT, filed on February 15, 2008, now US patent No. 7,980,443;
- US patent application serial number 12 / 235,782, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT, now US patent No. 8,210,411;
- US patent application serial number 12 / 249,117, entitled POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM, now US patent No. 8,608,045;
Petition 870190055774, of 06/17/2019, p. 153/216
133/136
- US patent application serial number 12 / 647,100, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY, filed on December 24, 2009; now US patent No. 8,220,688;
- US patent application serial number 12 / 893,461, entitled STAPLE CARTRIDGE, filed on September 29, 2012, now US patent No. 8,733,613;
- US patent application serial number 13 / 036,647, entitled SURGICAL STAPLING INSTRUMENT, filed on February 28, 2011, now US patent No. 8,561,870;
- US patent application serial number 13 / 118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now US patent No. 2012 / 9,072,535;
- US patent application serial number 13 / 524,049, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, filed on June 15, 2012; now US patent No. 9,101,358;
- US patent application serial number 13 / 800,025, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on March 13, 2013, now US patent No. 9,345,481;
- US patent application serial number 13 / 800,067, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on March 13, 2013, now publication of US patent application No. 2014/0263552;
- US patent application publication No. 2007/0175955, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM, filed on January 31, 2006; and
- publication of US patent application No. 2010/0264194, including
Petition 870190055774, of 06/17/2019, p. 154/216
134/136 titled SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR, filed on April 22, 2010, now US patent No. 8,308,040, are hereby incorporated by reference.
[0350] Although several devices have been described here in connection with certain modalities, modifications and variations of these modalities can be implemented. Specific features, structures or characteristics can be combined in any suitable way in one or more modalities. Therefore, the specific resources, structures or characteristics illustrated or described together with a modality can be combined, in whole or in part, with the structures of the resources or characteristics of one or more other modalities, without limitation. In addition, where materials for certain components are described, other materials can be used. In addition, according to various modalities, a single component can be replaced by multiple components and multiple components can be replaced by a single component, to perform one or more specific functions. The aforementioned description and the following claims are intended to cover all such modifications and variations.
[0351] The devices described here can be designed so that they are discarded after a single use, or can be designed so that they are used multiple times. In either case, however, a device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of steps including, but not limited to, disassembling the device followed by cleaning or replacing specific parts of the device and subsequent reassembly of the device. In particular, a reconditioning facility and / or surgical staff can disassemble a device and, after cleaning and / or replacing particular parts of the device, the device can
Petition 870190055774, of 06/17/2019, p. 155/216
135/136 be reassembled for subsequent use. Those skilled in the art will understand that reconditioning a device can use a variety of techniques to disassemble, clean / replace and reassemble. The use of these techniques, as well as the resulting refurbished device, are all within the scope of this application.
[0352] The devices described here can be processed before surgery. First, a new or used instrument can be obtained and, if necessary, cleaned. The instrument can then be sterilized. In a sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and the instrument can then be placed in a radiation field that can penetrate the container, such as gamma radiation, X-rays and / or high-energy electrons. Radiation can kill bacteria on the instrument and the container. The sterile instrument can then be stored in a sterile container. The sealed container can keep the instrument sterile until it is opened at the medical facility. A device can also be sterilized using any other known technique, including, but not limited to, beta radiation, gamma radiation, ethylene oxide, plasma peroxide and / or water vapor.
[0353] Although this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of the description. It is intended, therefore, that this application covers any variations, uses or adaptations of the invention with the use of its general principles.
[0354] Any patent, publication or other description material, in whole or in part, that is said to be incorporated into the present invention as a reference, is incorporated into the present invention only to the extent that the incorporated materials do not conflict with definitions, statements or other description material
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136/136 presented in this description. Accordingly, and to the extent necessary, the description as explicitly presented herein replaces any conflicting material incorporated by reference to the present invention. Any material, or portion thereof, which is incorporated herein by reference, but which conflicts with the definitions, statements, or other description materials contained herein, will be incorporated here only insofar as there is no conflict between the material and the existing description material.

权利要求:
Claims (20)
[1]
1. Drive shaft assembly for use with a surgical system, characterized by comprising:
an end actuator, comprising:
a first claw;
a second claw;
a closing member configured to move said first jaw relative to said second jaw between an open position and a closed position; and a movable firing member through a firing stroke; and a fixing portion, comprising:
a drive shaft structure configured to engage a surgical system structure;
a revolving entry configured to receive a revolving movement from the surgical system;
a closing system operationally coupled to said closing member;
a firing system operatively coupled to said firing member; and a configurable clutch in:
a closing mode, in which said clutch operationally couples said rotating input to said closing system when said clutch is in said closing mode, and in which said clutch operationally disengages said firing system from said rotating input when said clutch is placed in said closing mode; and a firing mode, in which said clutch operationally couples said rotary input to said firing system when said clutch is in said firing mode, and in which
Petition 870190055774, of 06/17/2019, p. 158/216
[2]
2/6 said clutch operationally decouples said closing system from said rotary input when said clutch is placed in said firing mode.
2. Drive shaft assembly, according to claim 1, characterized in that said clutch comprises an alternator positioned in a closed position to place said clutch in said closing mode and a trigger position to place said clutch in a shooting mode.
[3]
3. Drive shaft assembly according to claim 2, characterized in that said alternator comprises a first drive end and a second drive end.
[4]
4. Drive shaft assembly, according to claim 1, characterized by further comprising a manually operable retraction system configured to retract said firing member.
[5]
5. Drive shaft assembly, according to claim 4, characterized in that said retraction system is configurable in a deactivated configuration and an activated configuration, and in which said retraction system is configured to decouple said input rotation of said firing system when said retraction system is placed in said activated configuration.
[6]
6. Drive shaft assembly, according to claim 5, characterized by the fact that said closing system is operably coupled with said rotating input when said retraction system is in said activated configuration.
[7]
7. Drive shaft assembly, according to claim 5, characterized in that said firing system is permanently decoupled from said rotary input when said retraction system is placed in said activated configuration.
Petition 870190055774, of 06/17/2019, p. 159/216
3/6
[8]
8. Drive shaft assembly, according to claim 5, characterized by the fact that said firing system is operably coupled to said rotary input after said retraction system has been returned to said deactivated configuration.
[9]
Drive shaft assembly according to claim 4, characterized in that said fixing portion comprises a compartment, and wherein said compartment comprises a movable cover between a closed position and an open position to expose a lever of said system retraction.
[10]
10. Drive shaft assembly, according to claim 9, characterized in that said cover is configured to operationally disengage said firing system from said rotating entrance when said cover is moved from said closed position to said position open.
[11]
11. Drive shaft assembly, according to claim 10, characterized in that said cover does not operationally disengage said closing system from said rotating inlet when said cover is moved from said closed position to said open position.
[12]
12. Drive shaft assembly, according to claim 10, characterized in that said firing system is operably re-engaging with said rotating entrance when said cover is moved back to said closed position.
[13]
13. Drive shaft assembly according to claim 1, characterized in that said trigger member comprises a rotating output drive shaft.
[14]
14. Drive shaft assembly according to claim 10, characterized in that said firing system comprises a first gear and a second gear, in which said first gear is operationally interlaced
Petition 870190055774, of 06/17/2019, p. 160/216
4/6 with said second gear when said cover is in said closed position, and wherein said first gear is deinterlaced from said second gear when said cover is in said open position.
[15]
15. Drive shaft assembly, according to claim 14, characterized in that it also comprises a spring configured to provide said first gear in operational interlacing with said second gear.
[16]
16. Drive shaft assembly according to claim 1, characterized in that said end actuator further comprises a staple cartridge.
[17]
17. Drive shaft assembly, according to claim 16, characterized in that said staple cartridge is replaceable.
[18]
18. Drive shaft assembly according to claim 1, characterized in that said firing member is rotatable and said closing member is translatable.
[19]
19. Drive shaft assembly for use with a surgical system, characterized by comprising:
an end actuator;
a first drive system;
a second drive system; and a fixing portion, comprising:
a drive shaft structure configured to engage a surgical system structure;
an input rotary drive shaft configured to receive a rotary movement from the surgical system; and a configurable clutch in:
a first mode of operation, in which said clutch operationally couples said drive shaft of rotary inputPetição 870190055774, of 06/17/2019, p. 161/216
5/6 to said first drive system when said clutch is in said first mode of operation, and said clutch operationally decouples said second drive system from said rotary input drive shaft when said clutch is placed in said first mode of operation; and a second mode of operation, in which said clutch operationally couples said drive shaft of rotary input with said second drive system when said clutch is in said second mode of operation, and in which said clutch operationally disengages said first drive system of said rotary input drive shaft when said clutch is placed in said second mode of operation.
[20]
20. Drive shaft assembly for use with a surgical system, characterized by comprising:
a first drive system;
a second drive system;
a drive shaft structure configured to engage a surgical system structure;
an input rotary drive shaft configured to receive a rotary movement from the surgical system;
configurable transmission in:
a first mode of operation, wherein said transmission operationally couples said drive shaft of rotary input to said first drive system when said transmission is in said first mode of operation, and wherein said transmission operationally disengages said second drive system for said drive shaft of rotary input when said transmission is placed in said first mode of operation; and a second mode of operation, in which said transmission operationally couples said drive shaft of rotary inputPetição 870190055774, of 06/17/2019, p. 162/216
6/6 with said second drive system when said transmission is in said second mode of operation, and wherein said transmission operationally decouples said first drive system from said rotary input drive shaft when said transmission is placed in said second mode of operation; and a manually operable retraction system configured to operationally disable said first mode of operation and retract said second drive system when actuated.

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公开号 | 公开日

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MX2019007307A|2019-11-18|

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WO2018115996A9|2018-08-30|

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WO2018115996A2|2018-06-28|

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引用文献:

---

公开号 | 申请日 | 公开日 | 申请人 | 专利标题

---

---

US3187308A|1961-07-03|1965-06-01|Gen Electric|Information storage system for microwave computer|

---

US3157308A|1961-09-05|1964-11-17|Clark Mfg Co J L|Canister type container and method of making the same|

---

US5403312A|1993-07-22|1995-04-04|Ethicon, Inc.|Electrosurgical hemostatic device|

---

US9060770B2|2003-05-20|2015-06-23|Ethicon Endo-Surgery, Inc.|Robotically-driven surgical instrument with E-beam driver|

---

US6978921B2|2003-05-20|2005-12-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument incorporating an E-beam firing mechanism|

---

US7670334B2|2006-01-10|2010-03-02|Ethicon Endo-Surgery, Inc.|Surgical instrument having an articulating end effector|

---

US20070175955A1|2006-01-31|2007-08-02|Shelton Frederick E Iv|Surgical cutting and fastening instrument with closure trigger locking mechanism|

---

US7845537B2|2006-01-31|2010-12-07|Ethicon Endo-Surgery, Inc.|Surgical instrument having recording capabilities|

---

US7422139B2|2006-01-31|2008-09-09|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting fastening instrument with tactile position feedback|

---

US7464849B2|2006-01-31|2008-12-16|Ethicon Endo-Surgery, Inc.|Electro-mechanical surgical instrument with closure system and anvil alignment components|

---

US8308040B2|2007-06-22|2012-11-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument with an articulatable end effector|

---

US7753245B2|2007-06-22|2010-07-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments|

---

US8561870B2|2008-02-13|2013-10-22|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument|

---

US7980443B2|2008-02-15|2011-07-19|Ethicon Endo-Surgery, Inc.|End effectors for a surgical cutting and stapling instrument|

---

US8210411B2|2008-09-23|2012-07-03|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument|

---

US8608045B2|2008-10-10|2013-12-17|Ethicon Endo-Sugery, Inc.|Powered surgical cutting and stapling apparatus with manually retractable firing system|

---

US8220688B2|2009-12-24|2012-07-17|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument with electric actuator directional control assembly|

---

US8733613B2|2010-09-29|2014-05-27|Ethicon Endo-Surgery, Inc.|Staple cartridge|

---

US8740037B2|2010-09-30|2014-06-03|Ethicon Endo-Surgery, Inc.|Compressible fastener cartridge|

---

US9072535B2|2011-05-27|2015-07-07|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments with rotatable staple deployment arrangements|

---

US9101358B2|2012-06-15|2015-08-11|Ethicon Endo-Surgery, Inc.|Articulatable surgical instrument comprising a firing drive|

---

US9700309B2|2013-03-01|2017-07-11|Ethicon Llc|Articulatable surgical instruments with conductive pathways for signal communication|

---

US20140263552A1|2013-03-13|2014-09-18|Ethicon Endo-Surgery, Inc.|Staple cartridge tissue thickness sensor system|

---

US9687230B2|2013-03-14|2017-06-27|Ethicon Llc|Articulatable surgical instrument comprising a firing drive|

---

US9629629B2|2013-03-14|2017-04-25|Ethicon Endo-Surgey, LLC|Control systems for surgical instruments|

---

US10136887B2|2013-04-16|2018-11-27|Ethicon Llc|Drive system decoupling arrangement for a surgical instrument|

---

US20150272580A1|2014-03-26|2015-10-01|Ethicon Endo-Surgery, Inc.|Verification of number of battery exchanges/procedure count|

---

US10013049B2|2014-03-26|2018-07-03|Ethicon Llc|Power management through sleep options of segmented circuit and wake up control|

---

US10004497B2|2014-03-26|2018-06-26|Ethicon Llc|Interface systems for use with surgical instruments|

---

US9757128B2|2014-09-05|2017-09-12|Ethicon Llc|Multiple sensors with one sensor affecting a second sensor's output or interpretation|

---

US9844375B2|2014-12-18|2017-12-19|Ethicon Llc|Drive arrangements for articulatable surgical instruments|

---

US10188385B2|2014-12-18|2019-01-29|Ethicon Llc|Surgical instrument system comprising lockable systems|

---

US10117649B2|2014-12-18|2018-11-06|Ethicon Llc|Surgical instrument assembly comprising a lockable articulation system|

---

US9968355B2|2014-12-18|2018-05-15|Ethicon Llc|Surgical instruments with articulatable end effectors and improved firing beam support arrangements|

---

US9844374B2|2014-12-18|2017-12-19|Ethicon Llc|Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member|

---

US10085748B2|2014-12-18|2018-10-02|Ethicon Llc|Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors|

---

US9987000B2|2014-12-18|2018-06-05|Ethicon Llc|Surgical instrument assembly comprising a flexible articulation system|

---

US10321907B2|2015-02-27|2019-06-18|Ethicon Llc|System for monitoring whether a surgical instrument needs to be serviced|

---

US10180463B2|2015-02-27|2019-01-15|Ethicon Llc|Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band|

---

US10226250B2|2015-02-27|2019-03-12|Ethicon Llc|Modular stapling assembly|

---

US10441279B2|2015-03-06|2019-10-15|Ethicon Llc|Multiple level thresholds to modify operation of powered surgical instruments|

---

US10548504B2|2015-03-06|2020-02-04|Ethicon Llc|Overlaid multi sensor radio frequency electrode system to measure tissue compression|

---

US10687806B2|2015-03-06|2020-06-23|Ethicon Llc|Adaptive tissue compression techniques to adjust closure rates for multiple tissue types|

---

US9924961B2|2015-03-06|2018-03-27|Ethicon Endo-Surgery, Llc|Interactive feedback system for powered surgical instruments|

---

US10245033B2|2015-03-06|2019-04-02|Ethicon Llc|Surgical instrument comprising a lockable battery housing|

---

US9808246B2|2015-03-06|2017-11-07|Ethicon Endo-Surgery, Llc|Method of operating a powered surgical instrument|

---

US10617412B2|2015-03-06|2020-04-14|Ethicon Llc|System for detecting the mis-insertion of a staple cartridge into a surgical stapler|

---

US9895148B2|2015-03-06|2018-02-20|Ethicon Endo-Surgery, Llc|Monitoring speed control and precision incrementing of motor for powered surgical instruments|

---

US10045776B2|2015-03-06|2018-08-14|Ethicon Llc|Control techniques and sub-processor contained within modular shaft with select control processing from handle|

---

US9901342B2|2015-03-06|2018-02-27|Ethicon Endo-Surgery, Llc|Signal and power communication system positioned on a rotatable shaft|

---

US9993248B2|2015-03-06|2018-06-12|Ethicon Endo-Surgery, Llc|Smart sensors with local signal processing|US20070084897A1|2003-05-20|2007-04-19|Shelton Frederick E Iv|Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism|

---

US9060770B2|2003-05-20|2015-06-23|Ethicon Endo-Surgery, Inc.|Robotically-driven surgical instrument with E-beam driver|

---

US8215531B2|2004-07-28|2012-07-10|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a medical substance dispenser|

---

US11246590B2|2005-08-31|2022-02-15|Cilag Gmbh International|Staple cartridge including staple drivers having different unfired heights|

---

US7669746B2|2005-08-31|2010-03-02|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights|

---

US7934630B2|2005-08-31|2011-05-03|Ethicon Endo-Surgery, Inc.|Staple cartridges for forming staples having differing formed staple heights|

---

US10159482B2|2005-08-31|2018-12-25|Ethicon Llc|Fastener cartridge assembly comprising a fixed anvil and different staple heights|

---

US9237891B2|2005-08-31|2016-01-19|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical stapling devices that produce formed staples having different lengths|

---

US20070106317A1|2005-11-09|2007-05-10|Shelton Frederick E Iv|Hydraulically and electrically actuated articulation joints for surgical instruments|

---

US11224427B2|2006-01-31|2022-01-18|Cilag Gmbh International|Surgical stapling system including a console and retraction assembly|

---

US11207064B2|2011-05-27|2021-12-28|Cilag Gmbh International|Automated end effector component reloading system for use with a robotic system|

---

US7753904B2|2006-01-31|2010-07-13|Ethicon Endo-Surgery, Inc.|Endoscopic surgical instrument with a handle that can articulate with respect to the shaft|

---

US8186555B2|2006-01-31|2012-05-29|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting and fastening instrument with mechanical closure system|

---

US8708213B2|2006-01-31|2014-04-29|Ethicon Endo-Surgery, Inc.|Surgical instrument having a feedback system|

---

US8820603B2|2006-01-31|2014-09-02|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of a surgical instrument|

---

US20110295295A1|2006-01-31|2011-12-01|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical instrument having recording capabilities|

---

US20120292367A1|2006-01-31|2012-11-22|Ethicon Endo-Surgery, Inc.|Robotically-controlled end effector|

---

US7845537B2|2006-01-31|2010-12-07|Ethicon Endo-Surgery, Inc.|Surgical instrument having recording capabilities|

---

US8992422B2|2006-03-23|2015-03-31|Ethicon Endo-Surgery, Inc.|Robotically-controlled endoscopic accessory channel|

---

US8322455B2|2006-06-27|2012-12-04|Ethicon Endo-Surgery, Inc.|Manually driven surgical cutting and fastening instrument|

---

US10568652B2|2006-09-29|2020-02-25|Ethicon Llc|Surgical staples having attached drivers of different heights and stapling instruments for deploying the same|

---

US8360297B2|2006-09-29|2013-01-29|Ethicon Endo-Surgery, Inc.|Surgical cutting and stapling instrument with self adjusting anvil|

---

US8684253B2|2007-01-10|2014-04-01|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor|

---

US8652120B2|2007-01-10|2014-02-18|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between control unit and sensor transponders|

---

US11039836B2|2007-01-11|2021-06-22|Cilag Gmbh International|Staple cartridge for use with a surgical stapling instrument|

---

US8540128B2|2007-01-11|2013-09-24|Ethicon Endo-Surgery, Inc.|Surgical stapling device with a curved end effector|

---

US7735703B2|2007-03-15|2010-06-15|Ethicon Endo-Surgery, Inc.|Re-loadable surgical stapling instrument|

---

US8893946B2|2007-03-28|2014-11-25|Ethicon Endo-Surgery, Inc.|Laparoscopic tissue thickness and clamp load measuring devices|

---

US8931682B2|2007-06-04|2015-01-13|Ethicon Endo-Surgery, Inc.|Robotically-controlled shaft based rotary drive systems for surgical instruments|

---

US7753245B2|2007-06-22|2010-07-13|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments|

---

US8636736B2|2008-02-14|2014-01-28|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument|

---

US8573465B2|2008-02-14|2013-11-05|Ethicon Endo-Surgery, Inc.|Robotically-controlled surgical end effector system with rotary actuated closure systems|

---

US7866527B2|2008-02-14|2011-01-11|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with interlockable firing system|

---

US7819298B2|2008-02-14|2010-10-26|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with control features operable with one hand|

---

JP5410110B2|2008-02-14|2014-02-05|エシコン・エンド−サージェリィ・インコーポレイテッド|Surgical cutting / fixing instrument with RF electrode|

---

US9179912B2|2008-02-14|2015-11-10|Ethicon Endo-Surgery, Inc.|Robotically-controlled motorized surgical cutting and fastening instrument|

---

US8758391B2|2008-02-14|2014-06-24|Ethicon Endo-Surgery, Inc.|Interchangeable tools for surgical instruments|

---

US9585657B2|2008-02-15|2017-03-07|Ethicon Endo-Surgery, Llc|Actuator for releasing a layer of material from a surgical end effector|

---

US8210411B2|2008-09-23|2012-07-03|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument|

---

US9005230B2|2008-09-23|2015-04-14|Ethicon Endo-Surgery, Inc.|Motorized surgical instrument|

---

US9386983B2|2008-09-23|2016-07-12|Ethicon Endo-Surgery, Llc|Robotically-controlled motorized surgical instrument|

---

US8608045B2|2008-10-10|2013-12-17|Ethicon Endo-Sugery, Inc.|Powered surgical cutting and stapling apparatus with manually retractable firing system|

---

US8517239B2|2009-02-05|2013-08-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument comprising a magnetic element driver|

---

US8444036B2|2009-02-06|2013-05-21|Ethicon Endo-Surgery, Inc.|Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector|

---

US20110024477A1|2009-02-06|2011-02-03|Hall Steven G|Driven Surgical Stapler Improvements|

---

US8220688B2|2009-12-24|2012-07-17|Ethicon Endo-Surgery, Inc.|Motor-driven surgical cutting instrument with electric actuator directional control assembly|

---

US9232941B2|2010-09-30|2016-01-12|Ethicon Endo-Surgery, Inc.|Tissue thickness compensator comprising a reservoir|

---

US9364233B2|2010-09-30|2016-06-14|Ethicon Endo-Surgery, Llc|Tissue thickness compensators for circular surgical staplers|

---

US8777004B2|2010-09-30|2014-07-15|Ethicon Endo-Surgery, Inc.|Compressible staple cartridge comprising alignment members|

---

US10945731B2|2010-09-30|2021-03-16|Ethicon Llc|Tissue thickness compensator comprising controlled release and expansion|

---

JP6305979B2|2012-03-28|2018-04-04|エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ．|Tissue thickness compensator with multiple layers|

---

JP6224070B2|2012-03-28|2017-11-01|エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ．|Retainer assembly including tissue thickness compensator|

---

BR112013027794B1|2011-04-29|2020-12-15|Ethicon Endo-Surgery, Inc|CLAMP CARTRIDGE SET|

---

US9861361B2|2010-09-30|2018-01-09|Ethicon Llc|Releasable tissue thickness compensator and fastener cartridge having the same|

---

US9629814B2|2010-09-30|2017-04-25|Ethicon Endo-Surgery, Llc|Tissue thickness compensator configured to redistribute compressive forces|

---

US9320523B2|2012-03-28|2016-04-26|Ethicon Endo-Surgery, Llc|Tissue thickness compensator comprising tissue ingrowth features|

---

US8695866B2|2010-10-01|2014-04-15|Ethicon Endo-Surgery, Inc.|Surgical instrument having a power control circuit|

---

US9072535B2|2011-05-27|2015-07-07|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments with rotatable staple deployment arrangements|

---

US9044230B2|2012-02-13|2015-06-02|Ethicon Endo-Surgery, Inc.|Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status|

---

MX350846B|2012-03-28|2017-09-22|Ethicon Endo Surgery Inc|Tissue thickness compensator comprising capsules defining a low pressure environment.|

---

US9101358B2|2012-06-15|2015-08-11|Ethicon Endo-Surgery, Inc.|Articulatable surgical instrument comprising a firing drive|

---

US9364230B2|2012-06-28|2016-06-14|Ethicon Endo-Surgery, Llc|Surgical stapling instruments with rotary joint assemblies|

---

US11197671B2|2012-06-28|2021-12-14|Cilag Gmbh International|Stapling assembly comprising a lockout|

---

US20140005718A1|2012-06-28|2014-01-02|Ethicon Endo-Surgery, Inc.|Multi-functional powered surgical device with external dissection features|

---

RU2636861C2|2012-06-28|2017-11-28|Этикон Эндо-Серджери, Инк.|Blocking of empty cassette with clips|

---

US20140001231A1|2012-06-28|2014-01-02|Ethicon Endo-Surgery, Inc.|Firing system lockout arrangements for surgical instruments|

---

US9289256B2|2012-06-28|2016-03-22|Ethicon Endo-Surgery, Llc|Surgical end effectors having angled tissue-contacting surfaces|

---

RU2669463C2|2013-03-01|2018-10-11|Этикон Эндо-Серджери, Инк.|Surgical instrument with soft stop|

---

RU2672520C2|2013-03-01|2018-11-15|Этикон Эндо-Серджери, Инк.|Hingedly turnable surgical instruments with conducting ways for signal transfer|

---

US9629629B2|2013-03-14|2017-04-25|Ethicon Endo-Surgey, LLC|Control systems for surgical instruments|

---

US9687230B2|2013-03-14|2017-06-27|Ethicon Llc|Articulatable surgical instrument comprising a firing drive|

---

US10136887B2|2013-04-16|2018-11-27|Ethicon Llc|Drive system decoupling arrangement for a surgical instrument|

---

US20150053746A1|2013-08-23|2015-02-26|Ethicon Endo-Surgery, Inc.|Torque optimization for surgical instruments|

---

MX369362B|2013-08-23|2019-11-06|Ethicon Endo Surgery Llc|Firing member retraction devices for powered surgical instruments.|

---

US9839428B2|2013-12-23|2017-12-12|Ethicon Llc|Surgical cutting and stapling instruments with independent jaw control features|

---

US9724092B2|2013-12-23|2017-08-08|Ethicon Llc|Modular surgical instruments|

---

US20150173756A1|2013-12-23|2015-06-25|Ethicon Endo-Surgery, Inc.|Surgical cutting and stapling methods|

---

US9687232B2|2013-12-23|2017-06-27|Ethicon Llc|Surgical staples|

---

US9962161B2|2014-02-12|2018-05-08|Ethicon Llc|Deliverable surgical instrument|

---

CN106232029B|2014-02-24|2019-04-12|伊西康内外科有限责任公司|Fastening system including firing member locking piece|

---

US11259799B2|2014-03-26|2022-03-01|Cilag Gmbh International|Interface systems for use with surgical instruments|

---

US10004497B2|2014-03-26|2018-06-26|Ethicon Llc|Interface systems for use with surgical instruments|

---

US20150272580A1|2014-03-26|2015-10-01|Ethicon Endo-Surgery, Inc.|Verification of number of battery exchanges/procedure count|

---

JP6612256B2|2014-04-16|2019-11-27|エシコンエルエルシー|Fastener cartridge with non-uniform fastener|

---

US10561422B2|2014-04-16|2020-02-18|Ethicon Llc|Fastener cartridge comprising deployable tissue engaging members|

---

US9757128B2|2014-09-05|2017-09-12|Ethicon Llc|Multiple sensors with one sensor affecting a second sensor's output or interpretation|

---

BR112017004361A2|2014-09-05|2017-12-05|Ethicon Llc|medical overcurrent modular power supply|

---

US9801627B2|2014-09-26|2017-10-31|Ethicon Llc|Fastener cartridge for creating a flexible staple line|

---

BR112017005981A2|2014-09-26|2017-12-19|Ethicon Llc|surgical staplers and ancillary materials|

---

US10076325B2|2014-10-13|2018-09-18|Ethicon Llc|Surgical stapling apparatus comprising a tissue stop|

---

US9924944B2|2014-10-16|2018-03-27|Ethicon Llc|Staple cartridge comprising an adjunct material|

---

US10517594B2|2014-10-29|2019-12-31|Ethicon Llc|Cartridge assemblies for surgical staplers|

---

US11141153B2|2014-10-29|2021-10-12|Cilag Gmbh International|Staple cartridges comprising driver arrangements|

---

US9844376B2|2014-11-06|2017-12-19|Ethicon Llc|Staple cartridge comprising a releasable adjunct material|

---

US10736636B2|2014-12-10|2020-08-11|Ethicon Llc|Articulatable surgical instrument system|

---

US10085748B2|2014-12-18|2018-10-02|Ethicon Llc|Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors|

---

US9844375B2|2014-12-18|2017-12-19|Ethicon Llc|Drive arrangements for articulatable surgical instruments|

---

US10188385B2|2014-12-18|2019-01-29|Ethicon Llc|Surgical instrument system comprising lockable systems|

---

US9844374B2|2014-12-18|2017-12-19|Ethicon Llc|Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member|

---

US9987000B2|2014-12-18|2018-06-05|Ethicon Llc|Surgical instrument assembly comprising a flexible articulation system|

---

US9968355B2|2014-12-18|2018-05-15|Ethicon Llc|Surgical instruments with articulatable end effectors and improved firing beam support arrangements|

---

US10180463B2|2015-02-27|2019-01-15|Ethicon Llc|Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band|

---

US10321907B2|2015-02-27|2019-06-18|Ethicon Llc|System for monitoring whether a surgical instrument needs to be serviced|

---

US11154301B2|2015-02-27|2021-10-26|Cilag Gmbh International|Modular stapling assembly|

---

US10245033B2|2015-03-06|2019-04-02|Ethicon Llc|Surgical instrument comprising a lockable battery housing|

---

US10441279B2|2015-03-06|2019-10-15|Ethicon Llc|Multiple level thresholds to modify operation of powered surgical instruments|

---

US10548504B2|2015-03-06|2020-02-04|Ethicon Llc|Overlaid multi sensor radio frequencyelectrode system to measure tissue compression|

---

US9901342B2|2015-03-06|2018-02-27|Ethicon Endo-Surgery, Llc|Signal and power communication system positioned on a rotatable shaft|

---

US9808246B2|2015-03-06|2017-11-07|Ethicon Endo-Surgery, Llc|Method of operating a powered surgical instrument|

---

US9993248B2|2015-03-06|2018-06-12|Ethicon Endo-Surgery, Llc|Smart sensors with local signal processing|

---

US10687806B2|2015-03-06|2020-06-23|Ethicon Llc|Adaptive tissue compression techniques to adjust closure rates for multiple tissue types|

---

US9924961B2|2015-03-06|2018-03-27|Ethicon Endo-Surgery, Llc|Interactive feedback system for powered surgical instruments|

---

US10617412B2|2015-03-06|2020-04-14|Ethicon Llc|System for detecting the mis-insertion of a staple cartridge into a surgical stapler|

---

US10390825B2|2015-03-31|2019-08-27|Ethicon Llc|Surgical instrument with progressive rotary drive systems|

---

US11058425B2|2015-08-17|2021-07-13|Ethicon Llc|Implantable layers for a surgical instrument|

---

CN108348233B|2015-08-26|2021-05-07|伊西康有限责任公司|Surgical staple strip for allowing changing staple characteristics and achieving easy cartridge loading|

---

US10028744B2|2015-08-26|2018-07-24|Ethicon Llc|Staple cartridge assembly including staple guides|

---

US11213295B2|2015-09-02|2022-01-04|Cilag Gmbh International|Surgical staple configurations with camming surfaces located between portions supporting surgical staples|

---

US10327769B2|2015-09-23|2019-06-25|Ethicon Llc|Surgical stapler having motor control based on a drive system component|

---

US10238386B2|2015-09-23|2019-03-26|Ethicon Llc|Surgical stapler having motor control based on an electrical parameter related to a motor current|

---

US10363036B2|2015-09-23|2019-07-30|Ethicon Llc|Surgical stapler having force-based motor control|

---

US10105139B2|2015-09-23|2018-10-23|Ethicon Llc|Surgical stapler having downstream current-based motor control|

---

US10299878B2|2015-09-25|2019-05-28|Ethicon Llc|Implantable adjunct systems for determining adjunct skew|

---

US10561420B2|2015-09-30|2020-02-18|Ethicon Llc|Tubular absorbable constructs|

---

US10980539B2|2015-09-30|2021-04-20|Ethicon Llc|Implantable adjunct comprising bonded layers|

---

US10285699B2|2015-09-30|2019-05-14|Ethicon Llc|Compressible adjunct|

---

US10292704B2|2015-12-30|2019-05-21|Ethicon Llc|Mechanisms for compensating for battery pack failure in powered surgical instruments|

---

US10265068B2|2015-12-30|2019-04-23|Ethicon Llc|Surgical instruments with separable motors and motor control circuits|

---

US10368865B2|2015-12-30|2019-08-06|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US11213293B2|2016-02-09|2022-01-04|Cilag Gmbh International|Articulatable surgical instruments with single articulation link arrangements|

---

US10413291B2|2016-02-09|2019-09-17|Ethicon Llc|Surgical instrument articulation mechanism with slotted secondary constraint|

---

US11224426B2|2016-02-12|2022-01-18|Cilag Gmbh International|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US10448948B2|2016-02-12|2019-10-22|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US10258331B2|2016-02-12|2019-04-16|Ethicon Llc|Mechanisms for compensating for drivetrain failure in powered surgical instruments|

---

US10376263B2|2016-04-01|2019-08-13|Ethicon Llc|Anvil modification members for surgical staplers|

---

US10617413B2|2016-04-01|2020-04-14|Ethicon Llc|Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts|

---

US10828028B2|2016-04-15|2020-11-10|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion|

---

US10357247B2|2016-04-15|2019-07-23|Ethicon Llc|Surgical instrument with multiple program responses during a firing motion|

---

US11179150B2|2016-04-15|2021-11-23|Cilag Gmbh International|Systems and methods for controlling a surgical stapling and cutting instrument|

---

US10492783B2|2016-04-15|2019-12-03|Ethicon, Llc|Surgical instrument with improved stop/start control during a firing motion|

---

US10456137B2|2016-04-15|2019-10-29|Ethicon Llc|Staple formation detection mechanisms|

---

US10405859B2|2016-04-15|2019-09-10|Ethicon Llc|Surgical instrument with adjustable stop/start control during a firing motion|

---

US10426467B2|2016-04-15|2019-10-01|Ethicon Llc|Surgical instrument with detection sensors|

---

US10335145B2|2016-04-15|2019-07-02|Ethicon Llc|Modular surgical instrument with configurable operating mode|

---

US10368867B2|2016-04-18|2019-08-06|Ethicon Llc|Surgical instrument comprising a lockout|

---

USD826405S1|2016-06-24|2018-08-21|Ethicon Llc|Surgical fastener|

---

USD850617S1|2016-06-24|2019-06-04|Ethicon Llc|Surgical fastener cartridge|

---

USD847989S1|2016-06-24|2019-05-07|Ethicon Llc|Surgical fastener cartridge|

---

US10542979B2|2016-06-24|2020-01-28|Ethicon Llc|Stamped staples and staple cartridges using the same|

---

US20180168598A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Staple forming pocket arrangements comprising zoned forming surface grooves|

---

US20180168625A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments with smart staple cartridges|

---

US11179155B2|2016-12-21|2021-11-23|Cilag Gmbh International|Anvil arrangements for surgical staplers|

---

US20180168608A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical instrument system comprising an end effector lockout and a firing assembly lockout|

---

US10426471B2|2016-12-21|2019-10-01|Ethicon Llc|Surgical instrument with multiple failure response modes|

---

US10993715B2|2016-12-21|2021-05-04|Ethicon Llc|Staple cartridge comprising staples with different clamping breadths|

---

US11191539B2|2016-12-21|2021-12-07|Cilag Gmbh International|Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system|

---

US20180168618A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling systems|

---

US10687810B2|2016-12-21|2020-06-23|Ethicon Llc|Stepped staple cartridge with tissue retention and gap setting features|

---

US10779823B2|2016-12-21|2020-09-22|Ethicon Llc|Firing member pin angle|

---

US10675026B2|2016-12-21|2020-06-09|Ethicon Llc|Methods of stapling tissue|

---

US11160551B2|2016-12-21|2021-11-02|Cilag Gmbh International|Articulatable surgical stapling instruments|

---

JP2020501779A|2016-12-21|2020-01-23|エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ|Surgical stapling system|

---

US10945727B2|2016-12-21|2021-03-16|Ethicon Llc|Staple cartridge with deformable driver retention features|

---

US10888322B2|2016-12-21|2021-01-12|Ethicon Llc|Surgical instrument comprising a cutting member|

---

US20180168633A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments and staple-forming anvils|

---

US10736629B2|2016-12-21|2020-08-11|Ethicon Llc|Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems|

---

US11134942B2|2016-12-21|2021-10-05|Cilag Gmbh International|Surgical stapling instruments and staple-forming anvils|

---

US20180168647A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments having end effectors with positive opening features|

---

US10888321B2|2017-06-20|2021-01-12|Ethicon Llc|Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument|

---

US10624633B2|2017-06-20|2020-04-21|Ethicon Llc|Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument|

---

USD890784S1|2017-06-20|2020-07-21|Ethicon Llc|Display panel with changeable graphical user interface|

---

US10327767B2|2017-06-20|2019-06-25|Ethicon Llc|Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation|

---

US11090046B2|2017-06-20|2021-08-17|Cilag Gmbh International|Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument|

---

US10307170B2|2017-06-20|2019-06-04|Ethicon Llc|Method for closed loop control of motor velocity of a surgical stapling and cutting instrument|

---

US10881396B2|2017-06-20|2021-01-05|Ethicon Llc|Surgical instrument with variable duration trigger arrangement|

---

USD879809S1|2017-06-20|2020-03-31|Ethicon Llc|Display panel with changeable graphical user interface|

---

US11071554B2|2017-06-20|2021-07-27|Cilag Gmbh International|Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements|

---

US10646220B2|2017-06-20|2020-05-12|Ethicon Llc|Systems and methods for controlling displacement member velocity for a surgical instrument|

---

US10390841B2|2017-06-20|2019-08-27|Ethicon Llc|Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation|

---

USD879808S1|2017-06-20|2020-03-31|Ethicon Llc|Display panel with graphical user interface|

---

US10813639B2|2017-06-20|2020-10-27|Ethicon Llc|Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions|

---

US10779820B2|2017-06-20|2020-09-22|Ethicon Llc|Systems and methods for controlling motor speed according to user input for a surgical instrument|

---

US10980537B2|2017-06-20|2021-04-20|Ethicon Llc|Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations|

---

US10368864B2|2017-06-20|2019-08-06|Ethicon Llc|Systems and methods for controlling displaying motor velocity for a surgical instrument|

---

US10881399B2|2017-06-20|2021-01-05|Ethicon Llc|Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument|

---

US10856869B2|2017-06-27|2020-12-08|Ethicon Llc|Surgical anvil arrangements|

---

US11266405B2|2017-06-27|2022-03-08|Cilag Gmbh International|Surgical anvil manufacturing methods|

---

USD865174S1|2017-06-27|2019-10-29|Ethicon Llc|Shaft assembly for surgical stapler|

---

US10993716B2|2017-06-27|2021-05-04|Ethicon Llc|Surgical anvil arrangements|

---

US11141154B2|2017-06-27|2021-10-12|Cilag Gmbh International|Surgical end effectors and anvils|

---

US10772629B2|2017-06-27|2020-09-15|Ethicon Llc|Surgical anvil arrangements|

---

USD906355S1|2017-06-28|2020-12-29|Ethicon Llc|Display screen or portion thereof with a graphical user interface for a surgical instrument|

---

US20190000474A1|2017-06-28|2019-01-03|Ethicon Llc|Surgical instrument comprising selectively actuatable rotatable couplers|

---

US10211586B2|2017-06-28|2019-02-19|Ethicon Llc|Surgical shaft assemblies with watertight housings|

---

USD869655S1|2017-06-28|2019-12-10|Ethicon Llc|Surgical fastener cartridge|

---

US10765427B2|2017-06-28|2020-09-08|Ethicon Llc|Method for articulating a surgical instrument|

---

US11259805B2|2017-06-28|2022-03-01|Cilag Gmbh International|Surgical instrument comprising firing member supports|

---

USD851762S1|2017-06-28|2019-06-18|Ethicon Llc|Anvil|

---

US10639037B2|2017-06-28|2020-05-05|Ethicon Llc|Surgical instrument with axially movable closure member|

---

USD854151S1|2017-06-28|2019-07-16|Ethicon Llc|Surgical instrument shaft|

---

US11246592B2|2017-06-28|2022-02-15|Cilag Gmbh International|Surgical instrument comprising an articulation system lockable to a frame|

---

US10903685B2|2017-06-28|2021-01-26|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies forming capacitive channels|

---

US10716614B2|2017-06-28|2020-07-21|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies with increased contact pressure|

---

US11007022B2|2017-06-29|2021-05-18|Ethicon Llc|Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument|

---

US10398434B2|2017-06-29|2019-09-03|Ethicon Llc|Closed loop velocity control of closure member for robotic surgical instrument|

---

US10258418B2|2017-06-29|2019-04-16|Ethicon Llc|System for controlling articulation forces|

---

US10932772B2|2017-06-29|2021-03-02|Ethicon Llc|Methods for closed loop velocity control for robotic surgical instrument|

---

US10898183B2|2017-06-29|2021-01-26|Ethicon Llc|Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing|

---

US10743872B2|2017-09-29|2020-08-18|Ethicon Llc|System and methods for controlling a display of a surgical instrument|

---

US10729501B2|2017-09-29|2020-08-04|Ethicon Llc|Systems and methods for language selection of a surgical instrument|

---

US10765429B2|2017-09-29|2020-09-08|Ethicon Llc|Systems and methods for providing alerts according to the operational state of a surgical instrument|

---

USD917500S1|2017-09-29|2021-04-27|Ethicon Llc|Display screen or portion thereof with graphical user interface|

---

USD907648S1|2017-09-29|2021-01-12|Ethicon Llc|Display screen or portion thereof with animated graphical user interface|

---

US10796471B2|2017-09-29|2020-10-06|Ethicon Llc|Systems and methods of displaying a knife position for a surgical instrument|

---

USD907647S1|2017-09-29|2021-01-12|Ethicon Llc|Display screen or portion thereof with animated graphical user interface|

---

US11141160B2|2017-10-30|2021-10-12|Cilag Gmbh International|Clip applier comprising a motor controller|

---

US11229436B2|2017-10-30|2022-01-25|Cilag Gmbh International|Surgical system comprising a surgical tool and a surgical hub|

---

US11103268B2|2017-10-30|2021-08-31|Cilag Gmbh International|Surgical clip applier comprising adaptive firing control|

---

US11134944B2|2017-10-30|2021-10-05|Cilag Gmbh International|Surgical stapler knife motion controls|

---

US11090075B2|2017-10-30|2021-08-17|Cilag Gmbh International|Articulation features for surgical end effector|

---

US10779903B2|2017-10-31|2020-09-22|Ethicon Llc|Positive shaft rotation lock activated by jaw closure|

---

US10842490B2|2017-10-31|2020-11-24|Ethicon Llc|Cartridge body design with force reduction based on firing completion|

---

US10779825B2|2017-12-15|2020-09-22|Ethicon Llc|Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments|

---

US11033267B2|2017-12-15|2021-06-15|Ethicon Llc|Systems and methods of controlling a clamping member firing rate of a surgical instrument|

---

US11006955B2|2017-12-15|2021-05-18|Ethicon Llc|End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments|

---

US10743875B2|2017-12-15|2020-08-18|Ethicon Llc|Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member|

---

US10779826B2|2017-12-15|2020-09-22|Ethicon Llc|Methods of operating surgical end effectors|

---

US11071543B2|2017-12-15|2021-07-27|Cilag Gmbh International|Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges|

---

US10966718B2|2017-12-15|2021-04-06|Ethicon Llc|Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments|

---

US10743874B2|2017-12-15|2020-08-18|Ethicon Llc|Sealed adapters for use with electromechanical surgical instruments|

---

US10869666B2|2017-12-15|2020-12-22|Ethicon Llc|Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument|

---

US10687813B2|2017-12-15|2020-06-23|Ethicon Llc|Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments|

---

US11197670B2|2017-12-15|2021-12-14|Cilag Gmbh International|Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed|

---

US10828033B2|2017-12-15|2020-11-10|Ethicon Llc|Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto|

---

US10835330B2|2017-12-19|2020-11-17|Ethicon Llc|Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly|

---

US10716565B2|2017-12-19|2020-07-21|Ethicon Llc|Surgical instruments with dual articulation drivers|

---

US11045270B2|2017-12-19|2021-06-29|Cilag Gmbh International|Robotic attachment comprising exterior drive actuator|

---

US11020112B2|2017-12-19|2021-06-01|Ethicon Llc|Surgical tools configured for interchangeable use with different controller interfaces|

---

USD910847S1|2017-12-19|2021-02-16|Ethicon Llc|Surgical instrument assembly|

---

US10729509B2|2017-12-19|2020-08-04|Ethicon Llc|Surgical instrument comprising closure and firing locking mechanism|

---

US11129680B2|2017-12-21|2021-09-28|Cilag Gmbh International|Surgical instrument comprising a projector|

---

US10743868B2|2017-12-21|2020-08-18|Ethicon Llc|Surgical instrument comprising a pivotable distal head|

---

US11076853B2|2017-12-21|2021-08-03|Cilag Gmbh International|Systems and methods of displaying a knife position during transection for a surgical instrument|

---

US10932872B2|2017-12-28|2021-03-02|Ethicon Llc|Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set|

---

US10966791B2|2017-12-28|2021-04-06|Ethicon Llc|Cloud-based medical analytics for medical facility segmented individualization of instrument function|

---

US11045591B2|2017-12-28|2021-06-29|Cilag Gmbh International|Dual in-series large and small droplet filters|

---

US11069012B2|2017-12-28|2021-07-20|Cilag Gmbh International|Interactive surgical systems with condition handling of devices and data capabilities|

---

US11160605B2|2017-12-28|2021-11-02|Cilag Gmbh International|Surgical evacuation sensing and motor control|

---

US11266468B2|2017-12-28|2022-03-08|Cilag Gmbh International|Cooperative utilization of data derived from secondary sources by intelligent surgical hubs|

---

US10892995B2|2017-12-28|2021-01-12|Ethicon Llc|Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs|

---

US10892899B2|2017-12-28|2021-01-12|Ethicon Llc|Self describing data packets generated at an issuing instrument|

---

US11076921B2|2017-12-28|2021-08-03|Cilag Gmbh International|Adaptive control program updates for surgical hubs|

---

US10943454B2|2017-12-28|2021-03-09|Ethicon Llc|Detection and escalation of security responses of surgical instruments to increasing severity threats|

---

US11202570B2|2017-12-28|2021-12-21|Cilag Gmbh International|Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems|

---

US20190205001A1|2017-12-28|2019-07-04|Ethicon Llc|Sterile field interactive control displays|

---

US10849697B2|2017-12-28|2020-12-01|Ethicon Llc|Cloud interface for coupled surgical devices|

---

US20190206551A1|2017-12-28|2019-07-04|Ethicon Llc|Spatial awareness of surgical hubs in operating rooms|

---

US11056244B2|2017-12-28|2021-07-06|Cilag Gmbh International|Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks|

---

US10944728B2|2017-12-28|2021-03-09|Ethicon Llc|Interactive surgical systems with encrypted communication capabilities|

---

US11257589B2|2017-12-28|2022-02-22|Cilag Gmbh International|Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes|

---

US11013563B2|2017-12-28|2021-05-25|Ethicon Llc|Drive arrangements for robot-assisted surgical platforms|

---

US11132462B2|2017-12-28|2021-09-28|Cilag Gmbh International|Data stripping method to interrogate patient records and create anonymized record|

---

US11253315B2|2017-12-28|2022-02-22|Cilag Gmbh International|Increasing radio frequency to create pad-less monopolar loop|

---

US11234756B2|2017-12-28|2022-02-01|Cilag Gmbh International|Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter|

---

US11166772B2|2017-12-28|2021-11-09|Cilag Gmbh International|Surgical hub coordination of control and communication of operating room devices|

---

US10695081B2|2017-12-28|2020-06-30|Ethicon Llc|Controlling a surgical instrument according to sensed closure parameters|

---

US10987178B2|2017-12-28|2021-04-27|Ethicon Llc|Surgical hub control arrangements|

---

US20190274716A1|2017-12-28|2019-09-12|Ethicon Llc|Determining the state of an ultrasonic end effector|

---

US11109866B2|2017-12-28|2021-09-07|Cilag Gmbh International|Method for circular stapler control algorithm adjustment based on situational awareness|

---

US10758310B2|2017-12-28|2020-09-01|Ethicon Llc|Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices|

---

US20190201087A1|2017-12-28|2019-07-04|Ethicon Llc|Smoke evacuation system including a segmented control circuit for interactive surgical platform|

---

US11213359B2|2017-12-28|2022-01-04|Cilag Gmbh International|Controllers for robot-assisted surgical platforms|

---

US11100631B2|2017-12-28|2021-08-24|Cilag Gmbh International|Use of laser light and red-green-blue coloration to determine properties of back scattered light|

---

US11096693B2|2017-12-28|2021-08-24|Cilag Gmbh International|Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing|

---

US11179208B2|2017-12-28|2021-11-23|Cilag Gmbh International|Cloud-based medical analytics for security and authentication trends and reactive measures|

---

US11147607B2|2017-12-28|2021-10-19|Cilag Gmbh International|Bipolar combination device that automatically adjusts pressure based on energy modality|

---

US11051876B2|2017-12-28|2021-07-06|Cilag Gmbh International|Surgical evacuation flow paths|

---

US11259830B2|2018-03-08|2022-03-01|Cilag Gmbh International|Methods for controlling temperature in ultrasonic device|

---

US10973520B2|2018-03-28|2021-04-13|Ethicon Llc|Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature|

---

US20190298350A1|2018-03-28|2019-10-03|Ethicon Llc|Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems|

---

US11090047B2|2018-03-28|2021-08-17|Cilag Gmbh International|Surgical instrument comprising an adaptive control system|

---

US11096688B2|2018-03-28|2021-08-24|Cilag Gmbh International|Rotary driven firing members with different anvil and channel engagement features|

---

US20190298353A1|2018-03-28|2019-10-03|Ethicon Llc|Surgical stapling devices with asymmetric closure features|

---

US11213294B2|2018-03-28|2022-01-04|Cilag Gmbh International|Surgical instrument comprising co-operating lockout features|

---

US20190298352A1|2018-03-28|2019-10-03|Ethicon Llc|Surgical stapling devices with improved rotary driven closure systems|

---

US11219453B2|2018-03-28|2022-01-11|Cilag Gmbh International|Surgical stapling devices with cartridge compatible closure and firing lockout arrangements|

---

US11197668B2|2018-03-28|2021-12-14|Cilag Gmbh International|Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout|

---

US11207067B2|2018-03-28|2021-12-28|Cilag Gmbh International|Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing|

---

US11166716B2|2018-03-28|2021-11-09|Cilag Gmbh International|Stapling instrument comprising a deactivatable lockout|

---

USD914878S1|2018-08-20|2021-03-30|Ethicon Llc|Surgical instrument anvil|

---

US11253256B2|2018-08-20|2022-02-22|Cilag Gmbh International|Articulatable motor powered surgical instruments with dedicated articulation motor arrangements|

---

US11083458B2|2018-08-20|2021-08-10|Cilag Gmbh International|Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions|

---

US11207065B2|2018-08-20|2021-12-28|Cilag Gmbh International|Method for fabricating surgical stapler anvils|

---

US11045192B2|2018-08-20|2021-06-29|Cilag Gmbh International|Fabricating techniques for surgical stapler anvils|

---

US20200054321A1|2018-08-20|2020-02-20|Ethicon Llc|Surgical instruments with progressive jaw closure arrangements|

---

US10856870B2|2018-08-20|2020-12-08|Ethicon Llc|Switching arrangements for motor powered articulatable surgical instruments|

---

US11039834B2|2018-08-20|2021-06-22|Cilag Gmbh International|Surgical stapler anvils with staple directing protrusions and tissue stability features|

---

US10842492B2|2018-08-20|2020-11-24|Ethicon Llc|Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system|

---

US20200054324A1|2018-08-20|2020-02-20|Ethicon Llc|Surgical stapling devices with improved closure members|

---

US10912559B2|2018-08-20|2021-02-09|Ethicon Llc|Reinforced deformable anvil tip for surgical stapler anvil|

---

US10779821B2|2018-08-20|2020-09-22|Ethicon Llc|Surgical stapler anvils with tissue stop features configured to avoid tissue pinch|

---

US11259807B2|2019-02-19|2022-03-01|Cilag Gmbh International|Staple cartridges with cam surfaces configured to engage primary and secondary portions of a lockout of a surgical stapling device|

---

US11172929B2|2019-03-25|2021-11-16|Cilag Gmbh International|Articulation drive arrangements for surgical systems|

---

US11147553B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|

---

US20200305870A1|2019-03-25|2020-10-01|Ethicon Llc|Firing drive arrangements for surgical systems|

---

US11147551B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|

---

US11253254B2|2019-04-30|2022-02-22|Cilag Gmbh International|Shaft rotation actuator on a surgical instrument|

---

US20200345354A1|2019-04-30|2020-11-05|Ethicon Llc|Articulation actuators for a surgical instrument|

---

US20200345358A1|2019-04-30|2020-11-05|Ethicon Llc|Rotatable jaw tip for a surgical instrument|

---

US20200345355A1|2019-04-30|2020-11-05|Ethicon Llc|Articulation control mapping for a surgical instrument|

---

US20200345356A1|2019-04-30|2020-11-05|Ethicon Llc|Intelligent firing associated with a surgical instrument|

---

US20200345357A1|2019-04-30|2020-11-05|Ethicon Llc|Intelligent firing associated with a surgical instrument|

---

US20200345359A1|2019-04-30|2020-11-05|Ethicon Llc|Tissue stop for a surgical instrument|

---

US20200345360A1|2019-04-30|2020-11-05|Ethicon Llc|Articulation pin for a surgical instrument|

---

US20200345446A1|2019-04-30|2020-11-05|Ethicon Llc|Articulation directional lights on a surgical instrument|

---

US11246678B2|2019-06-28|2022-02-15|Cilag Gmbh International|Surgical stapling system having a frangible RFID tag|

---

US11224497B2|2019-06-28|2022-01-18|Cilag Gmbh International|Surgical systems with multiple RFID tags|

---

US11051807B2|2019-06-28|2021-07-06|Cilag Gmbh International|Packaging assembly including a particulate trap|

---

US11219455B2|2019-06-28|2022-01-11|Cilag Gmbh International|Surgical instrument including a lockout key|

---

US11241235B2|2019-06-28|2022-02-08|Cilag Gmbh International|Method of using multiple RFID chips with a surgical assembly|

---

US11259803B2|2019-06-28|2022-03-01|Cilag Gmbh International|Surgical stapling system having an information encryption protocol|

---

US20210186503A1|2019-12-19|2021-06-24|Ethicon Llc|Surgical instrument comprising a powered articulation system|

---

US11234698B2|2019-12-19|2022-02-01|Cilag Gmbh International|Stapling system comprising a clamp lockout and a firing lockout|

---

US20210186492A1|2019-12-19|2021-06-24|Ethicon Llc|Staple cartridge comprising driver retention members|

法律状态:
2021-10-13| B350| Update of information on the portal [chapter 15.35 patent gazette]|

优先权:

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申请号 | 申请日 | 专利标题

---

US15/385,891|US20180168592A1|2016-12-21|2016-12-21|Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems|

---

US15/385,891|2016-12-21|

---

PCT/IB2017/056665|WO2018115996A2|2016-12-21|2017-10-26|Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems|

---