surgical instrument comprising a joint system lockable to a structure

专利摘要:
A surgical instrument comprising a drive shaft, a rotary end actuator in relation to said drive shaft around an articulated joint, an articulation system configured to rotate the end actuator and an articulation lock. The articulation lock is configured to selectively couple the articulation system to a drive shaft structure. In various embodiments, the surgical instrument additionally comprises a movable locking plate in the drive shaft structure. In such embodiments, the hinge lock is configured to lock the hinge system to the lock plate.
公开号:BR112019027068A2
申请号:R112019027068-0
申请日:2018-06-12
公开日:2020-07-07
发明作者:Frederick E. Shelton Iv；Jason L. Harris
申请人:Ethicon Llc；
IPC主号:

专利说明:

[001] [001] The present invention relates to surgical instruments and, in various provisions, surgical instruments for stapling and cutting, and staple cartridges for use with them, which are designed to staple and cut tissue. BRIEF DESCRIPTION OF THE DRAWINGS
[002] [002] 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:
[003] [003] Figure 1 is a side elevation view of a surgical system that comprises a set of handles and multiple sets of interchangeable surgical tools that can be used with it;
[004] [004] Figure 2 is an exploded view of portions of the handle set and one of the interchangeable surgical tool sets shown in Figure 1;
[005] [005] Figure 3 is a perspective view of one of the interchangeable surgical tool sets represented in Figure 1;
[006] [006] Figure 4 is an exploded view of the interchangeable surgical tool set of Figure 3;
[007] [007] Figure 5 is another exploded view of a distal portion of the interchangeable surgical tool set of Figures 3 and 4;
[008] [008] Figure 6 is an exploded view of a distal portion of the interchangeable surgical tool set of Figures 3 to 5;
[009] [009] Figure 7 is an exploded view of a proximal portion of the interchangeable surgical tool set of Figures 3 to 6;
[0010] [0010] Figure 8 is an exploded view of a proximal portion of the interchangeable surgical tool set of Figures 3 to 7;
[0011] [0011] Figure 9 is another exploded view of a portion of the interchangeable surgical tool set of Figures 3 to 8;
[0012] [0012] Figure 10 is a perspective view of a proximal portion of the interchangeable surgical tool set of Figures 3 to 9;
[0013] [0013] Figure 11 is another perspective view of the proximal portion of the interchangeable surgical tool set of Figures 3 to 10;
[0014] [0014] Figure 12 is a perspective view of the cross section of the proximal portion of the interchangeable surgical tool set of Figures 3 to 11;
[0015] [0015] Figure 13 is another perspective view of the cross section of the proximal portion of the interchangeable surgical tool set of Figures 3 to 12;
[0016] [0016] Figure 14 is another perspective view of the cross section of the proximal portion of the interchangeable surgical tool set of Figures 3 to 13;
[0017] [0017] Figure 15 is a perspective view of the cross section of a distal portion of the interchangeable surgical tool set of Figures 3 to 14;
[0018] [0018] Figure 16 is a partial plan view of an end actuator of a surgical instrument according to at least one modality;
[0019] [0019] Figure 16A is a partial plan view of the end actuator of Figure 16 illustrating the end actuator articulated in a first direction;
[0020] [0020] Figure 16B is a partial plan view of the end actuator of Figure 16 illustrating the end actuator articulated in a second direction;
[0021] [0021] Figure 17 is a partial plan view of an end actuator of a surgical instrument according to at least one embodiment;
[0022] [0022] Figure 17A is a partial plan view of the end actuator of Figure 17 illustrating the end actuator articulated in a first direction;
[0023] [0023] Figure 17B is a partial plan view of the end actuator of Figure 17 illustrating the end actuator articulated in a second direction;
[0024] [0024] Figure 18 is a partial plan view of the end actuator of Figure 16;
[0025] [0025] Figure 19 is a partial plan view of the end actuator of Figure 17;
[0026] [0026] Figure 20 is a partial plan view of the end actuator of Figure 16 in an articulated position;
[0027] [0027] Figure 21 is a partial plan view of the end actuator of Figure 17 in an articulated position;
[0028] [0028] Figure 22 is a schematic illustration illustrating an articulation band of the end actuator of Figure 16;
[0029] [0029] Figure 23 is a schematic illustration of an articulation strip of the end actuator of Figure 17;
[0030] [0030] Figure 24 is a partial perspective view of the end actuator of Figure 17 illustrated with some components removed;
[0031] [0031] Figure 25 is a partial plan view of the end actuator of Figure 17 illustrated with some components removed;
[0032] [0032] Figure 26 is a partial plan view of the end actuator of Figure 17 illustrated in an open and non-articulated configuration;
[0033] [0033] Figure 26A is a partial plan view of the end actuator of Figure 17 illustrated in an open and fully articulated configuration on the right;
[0034] [0034] Figure 26B is a partial plan view of the end actuator of Figure 17 illustrated in an open configuration and completely articulated to the left;
[0035] [0035] Figure 27 is a partial plan view of the end actuator of Figure 17 illustrated in a closed and non-articulated configuration;
[0036] [0036] Figure 27A is a partial plan view of the end actuator of Figure 17 illustrated in a closed and fully articulated configuration on the right;
[0037] [0037] Figure 27B is a partial plan view of the end actuator of Figure 17 illustrated in a closed configuration and completely articulated to the left;
[0038] [0038] Figure 28 is a partial plan view of the end actuator of Figure 17 illustrated in a non-articulated configuration;
[0039] [0039] Figure 29 is a partial plan view of the end actuator of Figure 17 in an articulated configuration;
[0040] [0040] Figure 30 is a partial plan view of the end actuator of Figure 17 illustrated in a non-articulated configuration;
[0041] [0041] Figure 30A is a partial plan view of the end actuator of Figure 17 illustrated in a fully articulated configuration on the right;
[0042] [0042] Figure 30B is a partial plan view of the end actuator of Figure 17 illustrated in a fully articulated configuration on the left;
[0043] [0043] Figure 31 is a partial plan view of the end actuator of Figure 17 illustrated in a non-articulated configuration;
[0044] [0044] Figure 31A is a partial plan view of the end actuator of Figure 17 illustrated in a fully articulated configuration on the right;
[0045] [0045] Figure 31B is a partial plan view of the end actuator of Figure 17 illustrated in a fully articulated configuration on the left;
[0046] [0046] Figure 32 is a partial perspective view of an end actuator according to at least one embodiment;
[0047] [0047] Figure 33 is a partial plan view of the end actuator of Figure 32;
[0048] [0048] Figure 34 is a cross-sectional view of the end actuator of Figure 32 illustrated in a non-articulated configuration;
[0049] [0049] Figure 34A is a cross-sectional view of the end actuator of Figure 32 illustrated in an articulated configuration;
[0050] [0050] Figure 34B is a cross-sectional view of the end actuator of Figure 32 illustrated in an articulated configuration;
[0051] [0051] Figure 35 is a partial perspective view of an end actuator according to at least one embodiment;
[0052] [0052] Figure 36 is a partial perspective view of the end actuator of Figure 35 illustrated with some components removed;
[0053] [0053] Figure 37 is a partial plan view of the end actuator of Figure 35 illustrated with some components removed;
[0054] [0054] Figure 38 is a partial elevation view of the end actuator of Figure 35 illustrated with some components removed;
[0055] [0055] Figure 39 is a cross-sectional view of the end actuator of Figure 35 illustrated in a non-articulated configuration;
[0056] [0056] Figure 39A is a cross-sectional view of the end actuator of Figure 35 illustrated in an articulated configuration;
[0057] [0057] Figure 39B is a cross-sectional view of the end actuator of Figure 35 illustrated in an articulated configuration;
[0058] [0058] Figure 40 is a partial cross-sectional view of an end actuator comprising an articulation system, including an articulation lock according to at least one embodiment;
[0059] [0059] Figure 41 is a partial exploded view of the end actuator of Figure 40;
[0060] [0060] Figure 42 is an end view in cross section of the end actuator of Figure 40;
[0061] [0061] Figure 43 is a partial cross-sectional view of the end actuator of Figure 40 illustrating the articulation lock in an engaged condition;
[0062] [0062] Figure 44 is a partial cross-sectional view of the end actuator of Figure 40 illustrating the articulation lock in an unlocked condition;
[0063] [0063] Figure 45 is a partial cross-sectional view of the end actuator of Figure 40 illustrating the joint lock in a locked condition;
[0064] [0064] Figure 46 is a partial cross-sectional view of an end actuator that includes a sliding lock plate according to at least one embodiment;
[0065] [0065] Figure 47 is a partial cross-sectional view of another end actuator that includes a sliding lock plate according to at least one embodiment;
[0066] [0066] Figure 48 is a partial cross-sectional view of the end actuator of Figure 47 that illustrates the self-adjustment of the lock plate;
[0067] [0067] Figure 49 is a partial cross-sectional view of the end actuator of Figure 47 in a locked condition;
[0068] [0068] Figure 50 is a partial cross-sectional view of an end actuator that includes another sliding lock plate according to at least one embodiment;
[0069] [0069] Figure 51 is a partial cross-sectional view of the end actuator of Figure 50 illustrated in a locked condition;
[0070] [0070] Figure 52 is a partial cross-sectional view of the end actuator of Figure 50 illustrated in another locked condition;
[0071] [0071] Figure 53 is a partial cross-sectional view of an end actuator comprising an articulation system and an articulation lock according to at least one illustrated embodiment with some components removed;
[0072] [0072] Figure 53A is a partial cross-sectional view of the end actuator of Figure 53 articulated in a first direction;
[0073] [0073] Figure 53B is a partial cross-sectional view of the end actuator of Figure 53 articulated in a second direction;
[0074] [0074] Figure 54 is a partial cross-sectional view of the end actuator of Figure 53 in an unlocked condition;
[0075] [0075] Figure 55 is a partial cross-sectional view of the end actuator of Figure 53 in a partially locked condition;
[0076] [0076] Figure 56 is a partial cross-sectional view of the end actuator of Figure 53 in a locked condition;
[0077] [0077] Figure 57 is a graph illustrating the gradual lock of the end actuator of Figure 53;
[0078] [0078] Figure 58 is a partial cross-sectional view of an end actuator comprising an articulation system and an articulation lock according to at least one embodiment illustrated with some components removed;
[0079] [0079] Figure 59 is a partial cross-sectional view of the end actuator of Figure 58 illustrated in a partially locked condition;
[0080] [0080] Figure 60 is a partial cross-sectional view of the end actuator of Figure 58 in a locked condition;
[0081] [0081] Figure 61 is a partial cross-sectional view of an end actuator comprising an articulation system and an articulation lock according to at least one illustrated embodiment with some components removed;
[0082] [0082] Figure 62 is a partial cross-sectional view of the end actuator of Figure 61 illustrating the articulation lock moving towards the articulation system;
[0083] [0083] Figure 63 is a partial cross-sectional view of the end actuator of Figure 61 illustrating the joint lock engaged with the joint system;
[0084] [0084] Figure 64 is a partial cross-sectional view of the end actuator of Figure 61 illustrating the articulation lock in a locked condition;
[0085] [0085] Figure 65 is another partial cross-sectional view of the end actuator of Figure 61 that illustrates the joint lock in a locked condition;
[0086] [0086] Figure 66 is a partial cross-sectional view of an end actuator comprising an articulation system and an articulation lock according to at least one illustrated embodiment with some components removed;
[0087] [0087] Figure 67 is a partial cross-sectional view of the end actuator of Figure 66 illustrating the articulation lock engaged with the articulation system;
[0088] [0088] Figure 68 is a partial cross-sectional view of the end actuator of Figure 66 illustrating the articulation lock in a locked condition;
[0089] [0089] Figure 69 is a partial cross-sectional view of an end actuator comprising an articulation system and an articulation lock according to at least one illustrated embodiment with some components removed;
[0090] [0090] Figure 70 is a partial cross-sectional view of the end actuator of Figure 69 illustrating the articulation lock moving towards the articulation system;
[0091] [0091] Figure 71 is a partial cross-sectional view of the end actuator of Figure 69 illustrating the joint lock in a locked condition;
[0092] [0092] Figure 72 is a partial perspective view of a joint actuator system for the end actuator according to at least one embodiment;
[0093] [0093] Figure 73 is a plan view of the end actuator pivoting system of Figure 72;
[0094] [0094] Figure 74 is an elevation view of the joint actuator system of the end actuator of Figure 72;
[0095] [0095] Figure 75 is a partial perspective view of a joint actuator system for the end actuator according to at least one embodiment;
[0096] [0096] Figure 76 is a plan view of the joint actuator system of the end actuator of Figure 75;
[0097] [0097] Figure 77 is an elevation view of the end actuator pivoting system of Figure 75;
[0098] [0098] Figure 78 is a detailed view of the end actuator pivoting system of Figure 75;
[0099] [0099] Figure 79 is another view in detail of the joint actuator system of the end actuator of Figure 75;
[00100] [00100] Figure 80 is a perspective view of a surgical instrument according to at least one modality that comprises a drive shaft and an end actuator;
[00101] [00101] Figure 81 is a perspective view of the surgical instrument in Figure 80 that illustrates the articulated end actuator in relation to the drive shaft;
[00102] [00102] Figure 82 is a perspective view of the end actuator of Figure 80 in an open configuration;
[00103] [00103] Figure 83 is a partial elevation view of a firing member according to at least one embodiment;
[00104] [00104] Figure 84 is a plan view in partial cross section of the firing member of Figure 83;
[00105] [00105] Figure 85 is a partial cross-sectional view of a distal end of a staple cartridge with a shortened tip according to at least one embodiment;
[00106] [00106] Figure 86 is a partial cross-sectional view of a distal end of a staple cartridge with an elongated tip according to at least one embodiment;
[00107] [00107] Figure 87 is a top view of various internal components of the staple cartridge of Figure 85 illustrating a triple staple driver extending over three longitudinal rows of staple cavities positioned on top of a portion of a wedge slide;
[00108] [00108] Figure 88 is a cross-sectional view of the triple clamp driver of Figure 87 illustrating the center line of the triple clamp driver in relation to the slider;
[00109] [00109] Figure 89 is a partial plan view of the staple cartridge of Figure 85 illustrating one side of the staple cartridge platform in cross section and showing the position of the slide of Figure 88 within the recesses defined in the shortened tip of the cartridge after the completion of a firing course;
[00110] [00110] Figure 90 is a partial cross-sectional view of the staple cartridge of Figure 85 taken along line 90-90 in Figure 89 illustrating the position of the slide after the completion of a firing stroke;
[00111] [00111] Figure 91 is a diagram comparing the accessibility of the end actuators comprising the clamp cartridges in Figures 85 and 86 during a surgical procedure in a pelvic cavity;
[00112] [00112] Figure 92 is a partial perspective view of an end actuator comprising the clamp cartridge of Figure 85 and an opposite anvil shortened with a protective tip according to at least one embodiment;
[00113] [00113] Figure 93 is a partial elevation view of the end actuator of Figure 92;
[00114] [00114] Figure 94 is a partial plan view of an anvil modality represented in Figure 92 with a protective tip in an assembled configuration;
[00115] [00115] Figure 95 is a partial cross-sectional view of the anvil shown in Figure 94 taken along line 95-95 in Figure 94 and illustrated in a partially disassembled configuration showing exemplary fixation means for removably fixing the tip protective to the anvil;
[00116] [00116] Figure 96 is a partial cross-sectional view of the anvil represented in Figure 95 taken along line 96-96 in Figure 95 and illustrated in a partially disassembled configuration showing the geometry of a fixing feature on the anvil for connection to the corresponding geometry at the protective tip;
[00117] [00117] Figure 97 is a partial cross-sectional view of an additional embodiment of the anvil shown in Figure 92 in a partially disassembled configuration, illustrating a protective tip positioned within a temporary support;
[00118] [00118] Figure 98 is a cross-sectional view of the anvil represented in Figure 97 taken along line 98-98 in Figure 97 in a partially disassembled configuration, showing the geometry of a point-to-anvil fixation feature;
[00119] [00119] Figure 99 is a cross-sectional view of the anvil represented in Figure 97 taken along line 99-99 in Figure 97 in a mounted configuration, with the temporary support still attached;
[00120] [00120] Figure 100 is a cross-sectional view of a trocar seal system before the insertion of an end actuator through it;
[00121] [00121] Figure 101 is a cross-sectional view of the trocar seal system of Figure 100 illustrating the end actuator shown in Figure 100 being inserted through it;
[00122] [00122] Figure 102 is a cross-sectional view of a trocar seal system of Figure 100 illustrating the insertion of the end actuator shown in Figure 100 through it;
[00123] [00123] Figure 103 is a cross-sectional view of the trocar seal system of Figure 100 illustrating an end actuator comprising the shortened staple cartridge of Figure 85 and a shortened anvil with a protective tip being inserted through it;
[00124] [00124] Figure 104 is a cross-sectional view of the trocar seal system of Figure 100 before an end actuator comprising the elongated cartridge of Figure 86 and a shortened anvil with a sharp tip being inserted through it;
[00125] [00125] Figure 105 is a cross-sectional view of the trocar seal system of Figure 100 illustrating the end actuator shown in Figure 104 being inserted through it; and
[00126] [00126] Figure 106 is a cross-sectional view of the trocar seal system of Figure 100 illustrating the end actuator shown in Figure 104 being inserted through it;
[00127] [00127] Corresponding reference characters indicate 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. DETAILED DESCRIPTION
[00128] [00128] 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:
[00129] [00129] - U.S. Patent Application Serial No. __________, entitled
[00130] [00130] - U.S. Patent Application Serial No. __________, entitled
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[00134] [00134] - U.S. Patent Application Serial No. __________, entitled
[00135] [00135] - U.S. Patent Application Serial No. __________, entitled
[00136] [00136] - U.S. Patent Application Serial No. __________, entitled
[00137] [00137] - U.S. Patent Application Serial No. __________, entitled
[00138] [00138] - U.S. Patent Application Serial No. ___________, entitled METHOD FOR ARTICULATING A SURGICAL INSTRUMENT; proxy document number END8200USNP / 170089M;
[00139] [00139] - U.S. Patent Application Serial No. __________, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END
[00140] [00140] U.S. Patent Application Serial No. __________, entitled SURGICAL INSTRUMENTS WITH OPEN AND CLOSABLE JAWS
[00141] [00141] U.S. Patent Application Serial No. __________, entitled SURGICAL INSTRUMENTS WITH JAWS CONSTRAINED TO PIVOT
[00142] [00142] - U.S. Patent Application Serial No. __________, entitled
[00143] [00143] - U.S. Patent Application Serial No. __________, entitled SURGICAL CUTTING AND FASTENING DEVICES WITH PIVOTABLE
[00144] [00144] - U.S. Patent Application Serial No. __________, entitled JAW RETAINER ARRANGEMENT FOR RETAINING A PIVOTABLE
[00145] [00145] - U.S. Patent Application Serial No. __________, entitled
[00146] [00146] - U.S. Patent Application Serial No. __________, entitled
[00147] [00147] - US Patent Application Serial No. __________, entitled SURGICAL INSTRUMENT LOCKOUT ARRANGEMENT; proxy document number END8233USNP / 170084;
[00148] [00148] - U.S. Industrial Design Patent Application Serial No. __________, entitled STAPLE FORMING ANVIL; proxy document number END8236USDP / 170109D;
[00149] [00149] - U.S. Industrial Design Patent Application Serial No. __________, entitled SURGICAL INSTRUMENT SHAFT; proxy document number END8239USDP / 170108D; and
[00150] [00150] - US Industrial Design Patent Application No. __________, entitled "SURGICAL FASTENER CARTRIDGE"; power of attorney document END8240USDP / 170110D.
[00151] [00151] The applicant for this application holds the following US patent applications that were filed on June 27, 2017, and which are each incorporated herein by reference in their respective totalities:
[00152] [00152] - US Patent Application Serial No. __________, entitled SURGICAL ANVIL MANUFACTURING METHODS; proxy document number END8165USNP / 170079M;
[00153] [00153] - US Patent Application Serial No. __________, entitled SURGICAL ANVIL ARRANGEMENTS; proxy document number END8168USNP / 170080;
[00154] [00154] - US Patent Application Serial No. __________, entitled SURGICAL ANVIL ARRANGEMENTS; proxy document number END8170USNP / 170081;
[00155] [00155] - US Patent Application Serial No. __________, entitled SURGICAL ANVIL ARRANGEMENTS; proxy document number END8164USNP / 170082;
[00156] [00156] - US Patent Application Serial No. __________, entitled STAPLE FORMING POCKET ARRANGEMENTS; proxy document number END8169USNP / 170083;
[00157] [00157] - US Patent Application Serial No. __________, entitled STAPLE FORMING POCKET ARRANGEMENTS; power of attorney document END8167USNP / 170085;
[00158] [00158] - US Patent Application Serial No. __________, entitled STAPLE FORMING POCKET ARRANGEMENTS; power of attorney document END8232USNP / 170086;
[00159] [00159] - US Patent Application Serial No. __________, entitled ANVIL ARRANGEMENTS FOR SURGICAL STAPLERS; proxy document number END8166USNP / 170087; and
[00160] [00160] - US Patent Application Serial No. __________, entitled ARTICULATION SYSTEMS FOR SURGICAL INSTRUMENTS; power of attorney document END8171USNP / 170088.
[00161] [00161] The applicant for this application holds the following US patent applications that were filed on December 21, 2016, and which are each incorporated herein by reference in their respective totalities:
[00162] [00162] - US Patent Application Serial No. 15 / 386,185, entitled SURGICAL STAPLING INSTRUMENTS AND REPLACEABLE TOOL ASSEMBLIES THEREOF;
[00163] [00163] - US Patent Application Serial No. 15 / 386,230, entitled ARTICULATABLE SURGICAL STAPLING INSTRUMENTS;
[00164] [00164] - US Patent Application Serial No. 15 / 386,221, entitled LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS;
[00165] [00165] - US Patent Application Serial No. 15 / 386,209, entitled SURGICAL END EFFECTORS AND FIRING MEMBERS THEREOF;
[00166] [00166] - US Patent Application Serial No. 15 / 386,198, entitled LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS AND REPLACEABLE TOOL ASSEMBLIES;
[00167] [00167] - US Patent Application Serial No. 15 / 386,240, entitled SURGICAL END EFFECTORS AND ADAPTABLE FIRING MEMBERS THEREFOR;
[00168] [00168] - US Patent Application Serial No. 15 / 385,939, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN;
[00169] [00169] US Patent Application Serial No. 15 / 385,941, entitled SURGICAL TOOL ASSEMBLIES WITH CLUTCHING ARRANGEMENTS FOR SHIFTING BETWEEN CLOSURE SYSTEMS WITH CLOSURE STROKE REDUCTION FEATURES AND ARTICULATION AND FIRING SYSTEMS;
[00170] [00170] - US Patent Application Serial No. 15 / 385,943, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS;
[00171] [00171] - US Patent Application Serial No. 15 / 385,950, entitled SURGICAL TOOL ASSEMBLIES WITH CLOSURE STROKE REDUCTION FEATURES;
[00172] [00172] - US Patent Application Serial No. 15 / 385,945, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN;
[00173] [00173] - US Patent Application Serial No. 15 / 385,946, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS;
[00174] [00174] - US Patent Application Serial No. 15 / 385,951, entitled SURGICAL INSTRUMENTS WITH JAW OPENING FEATURES FOR INCREASING A JAW OPENING DISTANCE;
[00175] [00175] - US Patent Application Serial No. 15 / 385,953, entitled METHODS OF STAPLING TISSUE;
[00176] [00176] US Patent Application Serial No. 15 / 385,954, entitled FIRING MEMBERS WITH NON-PARALLEL JAW ENGAGEMENT FEATURES FOR SURGICAL END EFFECTORS;
[00177] [00177] US Patent Application Serial No. 15 / 385,955, entitled SURGICAL END EFFECTORS WITH EXPANDABLE TISSUE STOP ARRANGEMENTS;
[00178] [00178] US Patent Application Serial No. 15 / 385,948, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS;
[00179] [00179] - US Patent Application Serial No. 15 / 385,956, entitled SURGICAL INSTRUMENTS WITH POSITIVE JAW OPENING FEATURES;
[00180] [00180] US Patent Application Serial No. 15 / 385,958, entitled SURGICAL INSTRUMENTS WITH LOCKOUT ARRANGEMENTS FOR PREVENTING FIRING SYSTEM ACTUATION UNLESS AN UNSPENT STAPLE CARTRIDGE IS PRESENT;
[00181] [00181] US Patent Application Serial No. 15 / 385,947, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN.
[00182] [00182] US Patent Application Serial No. 15 / 385,896, entitled METHOD FOR RESETTING A FUSE OF A SURGICAL INSTRUMENT SHAFT;
[00183] [00183] - US Patent Application Serial No. 15 / 385,898, entitled STAPLE FORMING POCKET ARRANGEMENT TO ACCOMMODATE DIFFERENT TYPES OF STAPLES;
[00184] [00184] - US Patent Application Serial No. 15 / 385,899, entitled SURGICAL INSTRUMENT COMPRISING IMPROVED JAW CONTROL;
[00185] [00185] - US Patent Application Serial No. 15 / 385,901, entitled STAPLE CARTRIDGE AND STAPLE CARTRIDGE CHANNEL COMPRISING WINDOWS DEFINED THEREIN;
[00186] [00186] - US Patent Application Serial No. 15 / 385,902, entitled SURGICAL INSTRUMENT COMPRISING A CUTTING MEMBER;
[00187] [00187] - US Patent Application Serial No. 15 / 385,904, entitled STAPLE FIRING MEMBER COMPRISING A MISSING CARTRIDGE AND / OR SPENT CARTRIDGE LOCKOUT;
[00188] [00188] - US Patent Application Serial No. 15 / 385,905, entitled FIRING ASSEMBLY COMPRISING A LOCKOUT;
[00189] [00189] - US Patent Application Serial No. 15 / 385,907, entitled SURGICAL INSTRUMENT SYSTEM COMPRISING AN END EFFECTOR LOCKOUT AND A FIRING ASSEMBLY LOCKOUT;
[00190] [00190] - US Patent Application Serial No. 15 / 385,908, entitled FIRING ASSEMBLY COMPRISING A FUSE;
[00191] [00191] - US Patent Application Serial No. 15 / 385,909, entitled FIRING ASSEMBLY COMPRISING A MULTIPLE FAILED-STATE FUSE;
[00192] [00192] - US Patent Application Serial No. 15 / 385,920, entitled STAPLE FORMING POCKET ARRANGEMENTS;
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[00194] [00194] US Patent Application Serial No. 15 / 385,914, entitled METHOD OF DEFORMING STAPLES FROM TWO DIFFERENT TYPES OF STAPLE CARTRIDGES WITH THE SAME SURGICAL STAPLING INSTRUMENT;
[00195] [00195] - US Patent Application Serial No. 15 / 385,893, entitled BILATERALLY ASYMMETRIC STAPLE FORMING POCKET PAIRS;
[00196] [00196] US Patent Application Serial No. 15 / 385,929, entitled CLOSURE MEMBERS WITH CAM SURFACE ARRANGEMENTS FOR SURGICAL INSTRUMENTS WITH SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS;
[00197] [00197] US Patent Application Serial No. 15 / 385,911, entitled URGICAL STAPLE / FASTENERS WITH INDEPENDENTLY ACTUATABLE CLOSING AND FIRING SYSTEMS;
[00198] [00198] - US Patent Application Serial No. 15 / 385,927, entitled SURGICAL STAPLING INSTRUMENTS WITH SMART STAPLE CARTRIDGES;
[00199] [00199] - US Patent Application Serial No. 15 / 385,917, entitled STAPLE CARTRIDGE COMPRISING STAPLES WITH DIFFERENT CLAMPING BREADTHS;
[00200] [00200] - US Patent Application Serial No. 15 / 385,900, entitled STAPLE FORMING POCKET ARRANGEMENTS COMPRISING PRIMARY SIDEWALLS AND POCKET SIDEWALLS;
[00201] [00201] - US Patent Application Serial No. 15 / 385,931, entitled NO- CARTRIDGE AND SPENT CARTRIDGE LOCKOUT ARRANGEMENTS FOR SURGICAL STAPLERS / FASTENERS;
[00202] [00202] - US Patent Application Serial No. 15 / 385,915, entitled FIRING MEMBER PIN ANGLE;
[00203] [00203] - US Patent Application Serial No. 15 / 385,897, entitled STAPLE FORMING POCKET ARRANGEMENTS COMPRISING ZONED FORMING SURFACE GROOVES;
[00204] [00204] - US Patent Application Serial No. 15 / 385,922, entitled SURGICAL INSTRUMENT WITH MULTIPLE FAILURE RESPONSE MODES;
[00205] [00205] - US Patent Application Serial No. 15 / 385,924, entitled SURGICAL INSTRUMENT WITH PRIMARY AND SAFETY PROCESSORS;
[00206] [00206] US Patent Application Serial No. 15 / 385,912, entitled SURGICAL INSTRUMENTS WITH JAWS THAT ARE PIVOTABLE ABOUT A FIXED AXIS AND INCLUDE SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS;
[00207] [00207] - US Patent Application Serial No. 15 / 385,910, entitled ANVIL HAVING A KNIFE SLOT WIDTH;
[00208] [00208] - US Patent Application Serial No. 15 / 385,906, entitled FIRING MEMBER PIN CONFIGURATIONS;
[00209] [00209] - US Patent Application Serial No. 15 / 386,188, entitled STEPPED STAPLE CARTRIDGE WITH ASYMMETRICAL STAPLES;
[00210] [00210] US Patent Application Serial No. 15 / 386,192, entitled STEPPED STAPLE CARTRIDGE WITH TISSUE RETENTION AND GAP SETTING FEATURES;
[00211] [00211] US Patent Application Serial No. 15 / 386,206, entitled STAPLE CARTRIDGE WITH DEFORMABLE DRIVER RETENTION FEATURES;
[00212] [00212] US Patent Application Serial No. 15 / 386,226, entitled DURABILITY FEATURES FOR END EFFECTORS AND FIRING ASSEMBLIES OF SURGICAL STAPLING INSTRUMENTS;
[00213] [00213] US Patent Application Serial No. 15 / 386,222, entitled SURGICAL STAPLING INSTRUMENTS HAVING END EFFECTORS WITH POSITIVE OPENING FEATURES;
[00214] [00214] US Patent Application Serial No. 15 / 386,236, entitled CONNECTION PORTIONS FOR DISPOSABLE LOADING UNITS FOR SURGICAL STAPLING INSTRUMENTS;
[00215] [00215] US Patent Application Serial No. 15 / 385,887, entitled METHOD FOR ATTACHING A SHAFT ASSEMBLY TO A SURGICAL INSTRUMENT AND, ALTERNATIVELY, TO A SURGICAL ROBOT;
[00216] [00216] US Patent Application Serial No. 15 / 385,889, entitled "SHAFT ASSEMBLY COMPRISING A MANUALLY-OPERABLE RETRACTION SYSTEM FOR USE WITH A MOTORIZED SURGICAL INSTRUMENT SYSTEM ";
[00217] [00217] US Patent Application Serial No. 15 / 385,890, entitled SHAFT ASSEMBLY COMPRISING SEPARATELY ACTUATABLE AND RETRACTABLE SYSTEMS;
[00218] [00218] US Patent Application Serial No. 15 / 385,891, entitled SHAFT ASSEMBLY COMPRISING A CLUTCH CONFIGURED TO ADAPT THE OUTPUT OF A ROTARY FIRING MEMBER TO TWO DIFFERENT SYSTEMS;
[00219] [00219] US Patent Application Serial No. 15 / 385,892, entitled SURGICAL SYSTEM COMPRISING A FIRING MEMBER ROTATABLE INTO AN ARTICULATION STATE TO ARTICULATE AN END EFFECTOR OF THE SURGICAL SYSTEM;
[00220] [00220] - US Patent Application Serial No. 15 / 385,894, entitled SHAFT ASSEMBLY COMPRISING A LOCKOUT;
[00221] [00221] - US Patent Application Serial No. 15 / 385,895, entitled SHAFT ASSEMBLY COMPRISING FIRST AND SECOND ARTICULATION LOCKOUTS;
[00222] [00222] - US Patent Application Serial No. 15 / 385,916, entitled SURGICAL STAPLING SYSTEMS;
[00223] [00223] - US Patent Application Serial No. 15 / 385,918, entitled "SURGICAL STAPLING SYSTEMS";
[00224] [00224] - US Patent Application Serial No. 15 / 385,919, entitled SURGICAL STAPLING SYSTEMS;
[00225] [00225] US Patent Application Serial No. 15 / 385,921, entitled SURGICAL STAPLE / FASTENER CARTRIDGE WITH MOVABLE CAMMING MEMBER CONFIGURED TO DISENGAGE FIRING MEMBER LOCKOUT FEATURES;
[00226] [00226] - US Patent Application Serial No. 15 / 385,923, entitled "SURGICAL STAPLING SYSTEMS";
[00227] [00227] US Patent Application Serial No. 15 / 385,925, 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 END EFFECTOR;
[00228] [00228] US Patent Application Serial No. 15 / 385,926, entitled AXIALLY MOVABLE CLOSURE SYSTEM ARRANGEMENTS FOR APPLYING CLOSURE MOTIONS TO JAWS OF SURGICAL INSTRUMENTS;
[00229] [00229] US Patent Application Serial No. 15 / 385,928, entitled PROTECTIVE COVER ARRANGEMENTS FOR A JOINT INTERFACE BETWEEN A MOVABLE JAW AND ACTUATOR SHAFT OF A SURGICAL INSTRUMENT;
[00230] [00230] US Patent Application Serial No. 15 / 385,930, entitled SURGICAL END EFFECTOR WITH TWO SEPARATE COOPERATING OPENING FEATURES FOR OPENING AND CLOSING END EFFECTOR JAWS;
[00231] [00231] US Patent Application Serial No. 15 / 385,932, entitled ARTICULATABLE SURGICAL END EFFECTOR WITH ASYMMETRIC SHAFT ARRANGEMENT;
[00232] [00232] US Patent Application Serial No. 15 / 385,933, entitled ARTICULATABLE SURGICAL INSTRUMENT WITH INDEPENDENT PIVOTABLE LINKAGE DISTAL OF AN ARTICULATION LOCK;
[00233] [00233] US Patent Application Serial No. 15 / 385,934, entitled ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR IN AN ARTICULATED POSITION IN RESPONSE TO ACTUATION OF A JAW CLOSURE SYSTEM;
[00234] [00234] US Patent Application Serial No. 15 / 385,935, entitled LATERALLY ACTUATABLE ARTICULATION LOCK ARRANGEMENTS
[00235] [00235] - US Patent Application Serial No. 15 / 385,936, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH ARTICULATION STROKE AMPLIFICATION FEATURES.
[00236] [00236] 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:
[00237] [00237] - US Patent Application Serial No. 15 / 191,775, entitled STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES;
[00238] [00238] - US Patent Application Serial No. 15 / 191.807, entitled STAPLING SYSTEM FOR USE WITH WIRE STAPLES AND STAMPED STAPLES;
[00239] [00239] - US Patent Application Serial No. 15 / 191,834, entitled "STAMPED STAPLES AND STAPLE CARTRIDGES USING THE SAME";
[00240] [00240] - US Patent Application Serial No. 15 / 191,788, entitled STAPLE CARTRIDGE COMPRISING OVERDRIVEN STAPLES; and
[00241] [00241] - US Patent Application Serial No. 15 / 191,818, entitled STAPLE CARTRIDGE COMPRISING OFFSET LONGITUDINAL STAPLE ROWS.
[00242] [00242] 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:
[00243] [00243] - US industrial design patent application serial number 29 / 569,218, entitled SURGICAL FASTENER;
[00244] [00244] - US industrial design patent application serial number 29 / 569,227, entitled SURGICAL FASTENER;
[00245] [00245] - US industrial design patent application serial number 29 / 569,259, entitled "SURGICAL FASTENER CARTRIDGE"; and
[00246] [00246] - US industrial design patent application serial number
[00247] [00247] 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:
[00248] [00248] - US Patent Application Serial No. 15 / 089,325, entitled METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM;
[00249] [00249] - US Patent Application Serial No. 15 / 089,321, entitled MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY;
[00250] [00250] - US Patent Application Serial No. 15 / 089,326, entitled SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE-ORIENTABLE DISPLAY FIELD;
[00251] [00251] - US Patent Application Serial No. 15 / 089,263, entitled SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIP PORTION;
[00252] [00252] - US Patent Application Serial No. 15 / 089,262, entitled ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLE BAILOUT SYSTEM;
[00253] [00253] - US Patent Application Serial No. 15 / 089,277, entitled SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVIL CONCENTRIC DRIVE MEMBER;
[00254] [00254] US Patent Application Serial No. 15 / 089,296, entitled INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL END EFFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS;
[00255] [00255] - US Patent Application Serial No. 15 / 089,258, entitled SURGICAL STAPLING SYSTEM COMPRISING A SHIFTABLE TRANSMISSION;
[00256] [00256] - US Patent Application Serial No. 15 / 089,278, entitled SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVE CUTTING OF TISSUE;
[00257] [00257] - US Patent Application Serial No. 15 / 089,284, entitled SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE SHAFT;
[00258] [00258] - US Patent Application Serial No. 15 / 089,295, entitled SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSION LOCKOUT;
[00259] [00259] - US Patent Application Serial No. 15 / 089,300, entitled SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT;
[00260] [00260] - US Patent Application Serial No. 15 / 089,196, entitled SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT;
[00261] [00261] - US Patent Application Serial No. 15 / 089,203, entitled SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT;
[00262] [00262] - US Patent Application Serial No. 15 / 089,210, entitled SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGE LOCKOUT;
[00263] [00263] - US Patent Application Serial No. 15 / 089,324, entitled SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM;
[00264] [00264] - US Patent Application Serial No. 15 / 089,335, entitled SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS;
[00265] [00265] - US Patent Application Serial No. 15 / 089,339, entitled SURGICAL STAPLING INSTRUMENT;
[00266] [00266] US Patent Application Serial No. 15 / 089,253, entitled SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OF STAPLES HAVING DIFFERENT HEIGHTS;
[00267] [00267] - US Patent Application Serial No. 15 / 089,304, entitled SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET;
[00268] [00268] - US Patent Application Serial No. 15 / 089,331, entitled ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLE / FASTENERS;
[00269] [00269] - US Patent Application Serial No. 15 / 089,336, entitled STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES;
[00270] [00270] - US Patent Application Serial No. 15 / 089,312, entitled CIRCULAR STAPLING SYSTEM COMPRISING AN INCISABLE TISSUE SUPPORT;
[00271] [00271] - US Patent Application Serial No. 15 / 089,309, entitled
[00272] [00272] - US Patent Application Serial No. 15 / 089,349, entitled CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL.
[00273] [00273] The applicant for this application also holds the US patent applications identified below, which were filed on December 31, 2015, which are each incorporated herein by reference in their respective totalities:
[00274] [00274] - US Patent Application Serial No. 14 / 984,488, entitled "MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE IN POWERED SURGICAL INSTRUMENTS";
[00275] [00275] - US Patent Application Serial No. 14 / 984,525, entitled
[00276] [00276] - US Patent Application Serial No. 14 / 984,552, entitled "SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROL CIRCUITS".
[00277] [00277] The applicant for this application also holds the US patent applications identified below, which were filed on February 9, 2016, which are each incorporated herein by reference in their respective totalities:
[00278] [00278] - US Patent Application Serial No. 15 / 019,220, entitled "SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLY TRANSLATABLE END EFFECTOR";
[00279] [00279] - US Patent Application Serial No. 15 / 019,228, entitled "SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATION ARRANGEMENTS";
[00280] [00280] US Patent Application Serial No. 15 / 019,196, entitled "SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTED SECONDARY CONSTRAINT";
[00281] [00281] US Patent Application Serial No. 15 / 019,206, entitled "SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLY ARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY ";
[00282] [00282] - US Patent Application Serial No. 15 / 019,215, entitled "SURGICAL INSTRUMENTS WITH NON-SYMMETRICAL ARTICULATION ARRANGEMENTS";
[00283] [00283] - US Patent Application Serial No. 15 / 019,227, entitled "ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATION LINK ARRANGEMENTS";
[00284] [00284] - US Patent Application Serial No. 15 / 019,235, entitled "SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLE DRIVEN ARTICULATION SYSTEMS";
[00285] [00285] - US Patent Application Serial No. 15 / 019,230, entitled "ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF-AXIS FIRING BEAM ARRANGEMENTS"; and
[00286] [00286] - US Patent Application Serial No. 15 / 019,245, entitled "SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTION ARRANGEMENTS".
[00287] [00287] The applicant for this application also holds the US patent applications identified below, which were filed on February 12, 2016, which are each incorporated herein by reference in their respective totalities:
[00288] [00288] - US Patent Application Serial No. 15 / 043,254, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS;
[00289] [00289] - US Patent Application Serial No. 15 / 043,259, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS;
[00290] [00290] - US Patent Application Serial No. 15 / 043,275, entitled
[00291] [00291] - US Patent Application Serial No. 15 / 043,289, entitled "MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS".
[00292] [00292] 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:
[00293] [00293] - patent application serial number US 14 / 742,925, entitled
[00294] [00294] - US Patent Application Serial No. 14 / 742,941, entitled
[00295] [00295] - US Patent Application Serial No. 14 / 742,914, entitled MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR
[00296] [00296] - US Patent Application Serial No. 14 / 742,900, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE
[00297] [00297] - US Patent Application Serial No. 14 / 742,885, entitled
[00298] [00298] - US Patent Application Serial No. 14 / 742,876, entitled PUSH / PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLE SURGICAL INSTRUMENTS, now publication of US Patent Application No. 2016/0367245.
[00299] [00299] The applicant for this 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:
[00300] [00300] - US Patent Application Serial No. 14 / 640,746, entitled "POWERED SURGICAL STAPLER", now publication of US Patent Application No. 2016/0256184;
[00301] [00301] - US Patent Application Serial No. 14 / 640,795, entitled
[00302] [00302] - US Patent Application Serial No. 14 / 640,832, entitled
[00303] [00303] - US Patent Application No. 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;
[00304] [00304] - US Patent Application Serial No. 14 / 640,831, entitled
[00305] [00305] - US Patent Application Serial No. 14 / 640,859, entitled
[00306] [00306] - US Patent Application Serial No. 14 / 640,817, entitled
[00307] [00307] - US Patent Application Serial No. 14 / 640,844, entitled CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED
[00308] [00308] - US Patent Application Serial No. 14 / 640,837, entitled SMART SENSORS WITH LOCAL SIGNAL PROCESSING, now, publication of US Patent Application No. 2016/0256163;
[00309] [00309] - US Patent Application Serial No. 14 / 640,765, entitled SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGE INTO A SURGICAL STAPLER, now publication of US Patent Application No. 2016/0256160;
[00310] [00310] - US Patent Application No. 14 / 640,799, entitled SIGNAL
[00311] [00311] - US Patent Application Serial No. 14 / 640,780, entitled
[00312] [00312] 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:
[00313] [00313] - US Patent Application Serial No. 14 / 633,576, entitled
[00314] [00314] - US Patent Application Serial No. 14 / 633,546, entitled "SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A
[00315] [00315] - 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;
[00316] [00316] - US Patent Application Serial No. 14 / 633,566, entitled
[00317] [00317] - US Patent Application Serial No. 14 / 633,555, entitled SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT
[00318] [00318] - US Patent Application Serial No. 14 / 633,542, entitled REINFORCED BATTERY FOR A SURGICAL INSTRUMENT, now publication of US Patent Application No. 2016/0249908;
[00319] [00319] - US Patent Application Serial No. 14 / 633,548, entitled POWER ADAPTER FOR A SURGICAL INSTRUMENT, now publication of US Patent Application No. 2016/0249909;
[00320] [00320] - US Patent Application Serial No. 14 / 633,526, entitled ADAPTABLE SURGICAL INSTRUMENT HANDLE, now publication of US Patent Application No. 2016/0249945;
[00321] [00321] - US Patent Application Serial No. 14 / 633,541, entitled MODULAR STAPLING ASSEMBLY, now publication of US Patent Application No. 2016/0249927; and
[00322] [00322] - US Patent Application Serial No. 14 / 633,562, entitled SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF- LIFE PARAMETER, now publication of US Patent Application No. 2016/0249917.
[00323] [00323] 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:
[00324] [00324] - US Patent Application Serial No. 14 / 574,478, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING AN
[00325] [00325] - US Patent Application Serial No. 14 / 574,483, entitled
[00326] [00326] - US Patent Application Serial No. 14 / 575,139, entitled
[00327] [00327] - US Patent Application Serial No. 14 / 575,148, entitled
[00328] [00328] - US Patent Application Serial No. 14 / 575,130, entitled
[00329] [00329] - US Patent Application Serial No. 14 / 575,143, entitled
[00330] [00330] - US Patent Application Serial No. 14 / 575,117, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END
[00331] [00331] - US Patent Application Serial No. 14 / 575,154, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END
[00332] [00332] - US Patent Application 14 / 574,493, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLE ARTICULATION
[00333] [00333] - US Patent Application Serial No. 14 / 574,500, entitled
[00334] [00334] 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:
[00335] [00335] - US Patent Application Serial No. 13 / 782,295, entitled "ARTICULATABLE SURGICAL INSTRUMENTS WITH CONDUCTIVE PATHWAYS FOR SIGNAL COMMUNICATION", now publication of US Patent Application No. 2014/0246471;
[00336] [00336] - US Patent Application Serial No. 13 / 782,323, entitled "ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS", now publication of US Patent Application No. 2014/0246472;
[00337] [00337] - US Patent Application Serial No. 13 / 782,338, entitled "THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS", now publication of US Patent Application No. 2014/0249557;
[00338] [00338] - US Patent Application Serial No. 13 / 782,499, entitled
[00339] [00339] - US Patent Application Serial No. 13 / 782,460, entitled
[00340] [00340] - US Patent Application Serial No. 13 / 782,358, entitled JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS, now US Patent No. 9,326,767;
[00341] [00341] - US Patent Application Serial No. 13 / 782,481, entitled
[00342] [00342] - US Patent Application Serial No. 13 / 782,518, entitled "CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH REMOVABLE IMPLEMENT PORTIONS", now publication of US Patent Application No. 2014/0246475;
[00343] [00343] - US Patent Application Serial No. 13 / 782,375, entitled
[00344] [00344] - US Patent Application Serial No. 13 / 782,536, entitled SURGICAL INSTRUMENT SOFT STOP, now US Patent No.
[00345] [00345] 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:
[00346] [00346] - US Patent Application Serial No. 13 / 803,097, entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE", now publication of US Patent Application No. 2014/0263542;
[00347] [00347] - US Patent Application Serial No. 13 / 803,193, entitled
[00348] [00348] - US Patent Application Serial No. 13 / 803,053, entitled "INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT", now, publication of US Patent Application No. 2014/0263564;
[00349] [00349] - US Patent Application Serial No. 13 / 803,086, entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN
[00350] [00350] - US Patent Application Serial No. 13 / 803,210, entitled "SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS", now publication of US Patent Application No. 2014/0263538;
[00351] [00351] - US Patent Application Serial No. 13 / 803,148, entitled "MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT", now publication of US Patent Application No. 2014/0263554;
[00352] [00352] - US Patent Application 13 / 803,066, entitled DRIVE
[00353] [00353] - US Patent Application Serial No. 13 / 803,117, entitled ROBOTICALLY-CONTROLLED CABLE-BASED SURGICAL END EFFECTORS, now US Patent No. 9,351,726;
[00354] [00354] - US Patent Application 13 / 803,130, entitled DRIVE
[00355] [00355] - US Patent Application Serial No. 13 / 803,159, entitled "METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT", now publication of US Patent Application No. 2014/0277017.
[00356] [00356] 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:
[00357] [00357] - US Patent Application Serial No. 14 / 200,111, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT, now US Patent No. 9,629,629.
[00358] [00358] 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:
[00359] [00359] - US Patent Application Serial No. 14 / 226,106, entitled "POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS", now publication of US Patent Application No. 2015/0272582;
[00360] [00360] - US Patent Application Serial No. 14 / 226,099, entitled "STERILIZATION VERIFICATION CIRCUIT", now publication of US Patent Application No. 2015/0272581;
[00361] [00361] - US Patent Application Serial No. 14 / 226,094, entitled "VERIFICATION OF NUMBER OF BATTERY EXCHANGES / PROCEDURE COUNT", now publication of US Patent Application No. 2015/0272580;
[00362] [00362] - US Patent Application Serial No. 14 / 226,117, entitled "POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL", now publication of US Patent Application No. 2015/0272574;
[00363] [00363] - US Patent Application Serial No. 14 / 226,075, entitled "MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES", now, publication of US Patent Application No. 2015/0272579;
[00364] [00364] - US Patent Application Serial No. 14 / 226,093, entitled "FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS", now publication of US Patent Application No. 2015/0272569;
[00365] [00365] - US Patent Application Serial No. 14 / 226,116, entitled "SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION", now publication of US Patent Application No. 2015/0272571;
[00366] [00366] - US Patent Application Serial No. 14 / 226,071, entitled "SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY
[00367] [00367] - US Patent Application Serial No. 14 / 226,097, entitled "SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS", now publication of US Patent Application No. 2015/0272570;
[00368] [00368] - US Patent Application Serial No. 14 / 226,126, entitled "INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS", now publication of US Patent Application No. 2015/0272572;
[00369] [00369] - US Patent Application Serial No. 14 / 226,133, entitled "MODULAR SURGICAL INSTRUMENT SYSTEM", now publication of US Patent Application No. 2015/0272557;
[00370] [00370] - US Patent Application Serial No. 14 / 226,081, entitled "SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT", now publication of US Patent Application No. 2015/0277471;
[00371] [00371] - US Patent Application Serial No. 14 / 226,076, entitled "POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION", now publication of US Patent Application No. 2015/0280424;
[00372] [00372] - US Patent Application Serial No. 14 / 226,111, entitled "SURGICAL STAPLING INSTRUMENT SYSTEM", now publication of US Patent Application No. 2015/0272583; and
[00373] [00373] - US Patent Application Serial No. 14 / 226,125, entitled "SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT", now, publication of US Patent Application No. 2015/0280384.
[00374] [00374] 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:
[00375] [00375] - US Patent Application Serial No. 14 / 479,103, entitled "CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE", now, publication of US Patent Application No. 2016/0066912;
[00376] [00376] - US Patent Application Serial No. 14 / 479,119, entitled "ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE COMPRESSION", now, publication of US Patent Application No. 2016/0066914;
[00377] [00377] - US Patent Application Serial No. 14 / 478,908, entitled "MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION", now, publication of US Patent Application No. 2016/0066910;
[00378] [00378] - US Patent Application Serial No. 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;
[00379] [00379] - US Patent Application Serial No. 14 / 479,110, entitled
[00380] [00380] - US Patent Application Serial No. 14 / 479,098, entitled "SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION", now, publication of US Patent Application No. 2016/0066911;
[00381] [00381] - US Patent Application Serial No. 14 / 479,115, entitled "MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE", now, publication of US Patent Application No. 2016/0066916; and
[00382] [00382] - US Patent Application Serial No. 14 / 479,108, entitled "LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION", now, publication of US Patent Application No. 2016/0066913.
[00383] [00383] 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:
[00384] [00384] - US Patent Application Serial No. 14 / 248,590, entitled "MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS", now, publication of US Patent Application No. 2014/0305987;
[00385] [00385] - US Patent Application Serial No. 14 / 248,581, entitled SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A
[00386] [00386] - US Patent Application Serial No. 14 / 248,595, entitled "SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR
[00387] [00387] - US Patent Application Serial No. 14 / 248,588, entitled POWERED LINEAR SURGICAL STAPLE / FASTENER, now publication of US Patent Application No. 2014/0309666;
[00388] [00388] - US Patent Application Serial No. 14 / 248,591, entitled TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT, now publication of US Patent Application No. 2014/0305991;
[00389] [00389] - US Patent Application Serial No. 14 / 248,584, entitled "MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH
[00390] [00390] - US Patent Application Serial No. 14 / 248,587, entitled POWERED LINEAR SURGICAL STAPLER / FASTENER, now publication of US Patent Application No. 2014/0309665;
[00391] [00391] - US Patent Application Serial No. 14 / 248,586, entitled "DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICAL INSTRUMENT", now publication of patent application No. 2014/0305990; and
[00392] [00392] - US Patent Application Serial No. 14 / 248,607, entitled "MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION ARRANGEMENTS", now publication of US Patent Application No. 2014/0305992.
[00393] [00393] 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:
[00394] [00394] - US Provisional Patent Application Serial No. 61 / 812,365, entitled "SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR";
[00395] [00395] - US Provisional Patent Application serial number 61 / 812,376, entitled "LINEAR CUTTER WITH POWER";
[00396] [00396] - US Provisional Patent Application serial number 61 / 812,382, entitled "LINEAR CUTTER WITH MOTOR AND PISTOL GRIP";
[00397] [00397] - US Provisional Patent Application Serial No. 61 / 812,385, entitled "SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS AND MOTOR CONTROL"; and
[00398] [00398] - US Provisional Patent Application Serial No. 61 / 812,372, entitled "SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR".
[00399] [00399] 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,
[00400] [00400] The terms "understands" (and any form of understands, such as "understands" and "that understands"), "has" (and any form of has, such as "has" and "that has"), "includes" (and any form of includes, such as "includes" and "which includes") and "contains" (and any form of contains, such as "contains" and "which contains") are unrestricted linking 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 features.
[00401] [00401] 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 term "distal" 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 the drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and / or absolute.
[00402] [00402] 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 disclosed 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 disclosed here can be inserted into a body in any way, such as through a natural orifice, through an incision or perforation formed in fabric, 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.
[00403] [00403] 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 jaw 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 surgical stapling system additionally 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 pivot axis that extends through the pivot joint. Other modalities are foreseen that do not include an articulation joint.
[00404] [00404] 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 being 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.
[00405] [00405] The clamps are supported by clamp 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 the retainer in the cartridge body. The actuators are mobile between their non-triggered positions and their positions triggered by a slider. The slider 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.
[00406] [00406] In addition to the above, the slider is moved distally by a firing member. The firing member is configured to contact 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 cam that engages the first claw and a second cam that engages the second claw. As the firing member is advanced distally, the first cam and the second cam 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.
[00407] [00407] Figure 1 depicts a motor-driven surgical system 10 that can be used to perform a variety of different surgical procedures. As can be seen in Figure 1, an example of surgical system 10 includes four interchangeable surgical tool sets 1000, 3000, 5000 and 7000 which are adapted for interchangeable use with a 500 handle set. Each interchangeable surgical tool set 1000, 3000 , 5000 and 7000 can be designed for use in connection with the performance of one or more specific surgical procedures. In another type of surgical system, one or more of the interchangeable surgical tool sets 1000, 3000, 5000 and 7000 can also be effectively employed with a tool drive set of a robotically controlled or automated surgical system. For example, the surgical instrument sets disclosed herein can be used with various robotic systems, instruments, components and methods such as those disclosed in US Patent No. 9,072,535, but not limited to them, entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS ", which is incorporated herein by reference, in its entirety.
[00408] [00408] Figure 2 illustrates the attachment of the interchangeable surgical tool set 1000 to the handle set 500. It will be understood that any of the other interchangeable tool sets 3000, 5000 and 7000 can be coupled to the handle set 500 in a similar manner. The fixing arrangement and process shown in Figure 2 can also be used in connection with the attachment of any of the interchangeable surgical tool sets 1000, 3000, 5000 and 7000 to a tool drive portion or drive tool housing a robotic system. The cable assembly 500 may comprise a cable compartment 502 that includes a pistol grip portion 504 that can be held and handled by the physician. As will be briefly discussed below, the handle set 500 operationally supports a plurality of drive systems 510, 530, which are configured to generate and apply various control movements to the corresponding portions of the interchangeable surgical tool set 1000, 3000, 5000 and / or 7000 that is operationally attached to it.
[00409] [00409] As seen in Figure 2, the handle assembly 500 can also include a handle structure 506 that operationally supports the plurality of drive systems.
[00410] [00410] In at least one form, the handle assembly 500 and the handle structure 506 can operationally support another drive system called in the present invention a trigger drive system 530, which is configured to apply trigger movements to the portions corresponding to the interchangeable surgical tool set that is attached to it. As described in detail in US Patent Application Publication No. 0272575, the firing drive system 530 may employ an electric motor 505 which is located in the pistol grip portion 504 of the handle assembly 500. In various forms, the motor 505 can be a brushless DC drive motor with a maximum speed of approximately 25,000 RPM, for example.
[00411] [00411] The 505 electric motor is configured to axially drive a longitudinally movable driving member in the distal and proximal directions depending on the polarity of the voltage applied to the motor. For example, when the motor is started in a rotating direction, the longitudinally movable drive member will be driven axially in a "DD" distal direction. When the 505 motor is driven in the opposite rotating direction, the longitudinally movable drive member will be driven axially in a proximal "PD" direction. The grip set 500 may include a switch 513 that can be configured to reverse the polarity applied to the electric motor 505 by power source 522 or otherwise control the engine 505. The grip set 500 may also include a sensor or sensors that they are configured to detect the position of the drive member and / or the direction in which the drive member is being moved. The activation of motor 505 can be controlled by a trigger trigger 532 (Figure 1) pivotally held in the handle assembly 500. The trigger trigger 532 can be rotated between an unacted position and an acted position. The trigger trigger 532 can be moved to the unacted position by means of a spring or other propensity arrangement so that, when the physician releases the trigger trigger 532, the trigger trigger 532 can be rotated or otherwise , returned to the unacted position by means of the spring or the propensity In at least one way, the trigger trigger 532 can be positioned "far" from the closing trigger 512, as discussed above. As discussed in US Patent Application publication 2015/0272575, the grip handle 500 can be equipped with a trigger trigger safety button to prevent the trigger trigger 532 from inadvertently operating. When the closing trigger 512 is in the unacted position, the safety button is contained in the handle assembly 500, where the doctor cannot readily access it and move it between a safety position, which prevents the trigger trigger 532 from operating and a position trigger in which trigger trigger 532 can be fired. When the physician presses the closing trigger 512, the safety button and trigger trigger 532 pivot downward, where they can then be manipulated by the physician.
[00412] [00412] In at least one form, the longitudinally movable drive member may have a toothed rack formed thereon for engagement with a corresponding drive gear arrangement that interfaces with the motor. Additional details regarding those features can be found in US Patent Application publication No. 2015/0272575. In at least one form, the handle assembly 500 also includes a manually actionable retraction assembly that is configured to enable the physician to manually retract the longitudinally movable driving member if the 505 motor is disabled. The rescue set can include a lever or rescue cable set that is stored inside the cable set 500 under a removable door 550. See Figure 2. The lever can be configured to be manually pivoted in ratchet engagement with the teeth on the drive member. In this way, the physician can manually retract drive member 540 using the retract handle assembly to engage drive member 540 in the proximal "PD" direction. US Patent No. 8,608,045, entitled POWERED SURGICAL CUTTING
[00413] [00413] Turning now to Figures 3 and 4, the interchangeable surgical tool set 1000 includes a surgical end actuator 1500 comprising a first jaw 1600 and a second jaw 1800. In one arrangement, the first jaw 1600 comprises a elongated channel 1602 which is configured to operationally support a 1700 surgical staple / clamp cartridge inside. The second claw 1800 comprises an anvil 1810 which is pivotally supported in relation to the elongated channel 1602. The interchangeable surgical tool set 1000 includes a hinge system 1300 comprising a hinge joint 1302 and a hinge lock 1400 (Figures 4 to 6), which can be configured to release the surgical end actuator 1500 in a desired articulated position relative to a geometric axis of the drive axis SA1.
[00414] [00414] As can be seen further in Figures 4 and 7-9, the interchangeable surgical tool set 1000 includes a tool frame set 1200 comprising a tool frame 1210 that operationally supports a nozzle assembly 1240 therein. In one form, the nose assembly 1240 is comprised of nozzle portions 1242, 1244 as well as an actuator wheel portion 1246 that is configured to be coupled to the assembled nozzle portions 1242, 1244 by pressure fittings, pins and / or screws, for example.
[00415] [00415] As can be seen in Figures 4 and 5, the central column assembly 1250 additionally includes a segment of the drive shaft of the intermediate dorsum 1256 that has a diameter that is smaller than the diameter of the proximal end 1253 of the column assembly central
[00416] [00416] Again with reference to Figures 6 and 15, the anvil 1810 includes an anvil body 1812 that ends at the anvil assembly portion 1820. The anvil assembly portion 1820 is movably supported or articulated in the elongated channel 1602 for selective pivoting displacement in relation to it around a fixed anvil pivot geometric axis PA1 (Figure 15) that is transversal to the geometric axis of the driving axis SA1. An anvil pivot member or rotating pin 1822 extends laterally outwardly on either side of the anvil mounting portion 1820 to be received on a corresponding rotating pin support 1614 formed on the vertical walls 1612 of the proximal end portion 1610 of the channel elongated 1602. The rotating pins of the anvil 1822 are pivotally retained in their corresponding rotating pin supports 1614 by the channel cover or anvil retainer 1630. The channel cover or anvil retainer 1630 includes a pair of fixing pins 1636 which are configured to be received retentively within the corresponding pin slots or notches 1616 formed in the vertical walls 1612 of the proximal end portion 1610 of the elongated channel 1602.
[00417] [00417] The surgical end actuator 1500 is selectively articulated around the articulation axis AA1 by the articulation system
[00418] [00418] The movement of the anvil 1810 in relation to the elongated channel 1602 is effected by the axial movement of the set of the proximal closing system 1900 and the set of the distal closing system 2000. Now with reference to Figures 4 and 7, the closing set proximal 1900 comprises a proximal closing tube 1910 that has a proximal closing tube portion 1920 and a distal portion 1930. The distal portion 1930 has a diameter that is less than the diameter of the proximal closing tube portion 1920. The end proximal 1922 of the proximal closing tube portion 1920 is pivotally supported on a reciprocating closing element 1940 which is slidably supported within the chassis of the tool 1210, so that the reciprocating closing element 1940 can move axially with respect to the chassis of tool 1210. In one form, the reciprocating closing element 1940 includes a pair of hooks that project proximally 1942 that are configured to be attached to the fixing pin 516 which is attached to the closing hinge assembly 514 of the handle assembly 500. A proximal end 1922 of the proximal closing tube portion 1920 is pivotally coupled to the reciprocating closing element 1940. For example , a U-shaped connector 1944 is inserted into an annular slot 1924 in the portion of the proximal closing tube 1920 and is retained within the vertical slots 1946 in the reciprocating closing element 1940. This arrangement serves to secure the proximal closing member 1900 to the reciprocating closing element 1940 for axial displacement with the same, while allowing the proximal closing member 1900 to rotate in relation to the reciprocating closing element 1940 around the geometric axis of the driving axis SA1. A closing spring 1948 (Figures 12-14) extends over the portion of the proximal closing tube 1920 to prop the reciprocating closing element 1940 in the proximal direction PD, which can serve to revolve the closing trigger 512 over the handle assembly 500 (Figure 2) to the unactivated position when the interchangeable surgical tool set 1000 is operationally coupled to the handle set 500.
[00419] [00419] Now with reference to Figures 5 and 6, a distal portion 1930 of the proximal closing tube 1910 is attached to the distal closing assembly 2000. The distal closing assembly 2000 includes a hinge connector 2010 that is coupled to a segment of distal closing tube 2030. The segment of the distal closing tube 2030 has a diameter that is larger than the diameter of the distal portion 1930 of the proximal closing tube 1910. The hinge connector 2010 has an end portion that extends proximally 2012 which is adapted to be received on a 1934 connection flange formed at the distal end of the distal portion 1930. The hinge connector 2010 can be retained on the 1934 connection flange by a suitable fastener arrangement, adhesive and / or welds, for example. The hinge connector 2010 includes the upper and lower protrusions 2014, 2016 that project distally from a distal end of the hinge connector 2010 that are movably coupled to a closing sleeve of the end actuator or segment of the closing tube distal 2030. The segment of the distal closing tube 2030 includes an upper protrusion 2032 and a lower protrusion that project proximally from a proximal end thereof. An upper double pivot link 2060 includes the proximal and distal pins that engage the corresponding holes 2015, 2034 in the upper latches 2014, 2032 of the hinge connector 2010 and the segment of the distal closing tube 2030, respectively. Similarly, a lower double pivot link 2064 includes the proximal and distal pins 2065, 2066 that engage the corresponding holes 2019 in the lower latches 2016 of the hinge connector 2010 and the distal segment of the closing tube 2030, respectively. As will be discussed in more detail below, the distal and proximal axial translation of the proximal closing set 1900 and the distal closing set 2000 will result in the closing and opening of the anvil 1810 in relation to the elongated channel 1602.
[00420] [00420] The interchangeable surgical tool set 1000 additionally includes a firing system generally referred to as 2100. The firing system 2100 includes a firing member assembly 2110 that is supported for axial displacement within the center column assembly 1250. The firing member assembly 2110 includes a portion of the intermediate firing drive shaft 2120, which is configured to be connected to a distal cutting portion or cutter bar 2130. Firing member assembly 2110 can also be referred to in the present invention of a "second drive shaft" and / or a
[00421] [00421] In addition to the above, the interchangeable tool set 1000 may include a gear set 2200, which can be configured to selectively and releasably couple the proximal articulation driver 1310 to the trigger member 2100. In one form, the exchange assembly 2200 comprises a locking ring or locking sleeve 2210 positioned around the intermediate firing drive shaft portion 2120 of the firing system 2100, where locking sleeve 2210 can be rotated between a engaged position in which the locking sleeve 2210 couples the proximal pivoting actuator 1310 to the firing member 2110 and a disengaged position, where the proximal pivoting actuator 1310 is not operably coupled to the firing member set
[00422] [00422] The intermediate firing drive shaft portion 2120 of the firing member assembly 2110 is formed with two opposing flat sides 2121, 2123 with a driving notch 2126 formed therein. See Figure 8. As can also be seen in Figure 13, locking sleeve 2210 comprises a cylindrical, or at least substantially cylindrical, body that includes a longitudinal opening 2212 that is configured to receive the portion of the intermediate firing drive shaft. 2120 through it. The locking sleeve 2210 comprises diametrically opposite and inward facing locking protrusions 2214, 2216 which, when the locking sleeve 2210 is in a position, are received in an engaging manner within the corresponding portions of the drive notch 2126 in the portion of the drive shaft. intermediate firing drive 2120 and, when in another position, are not received within the driving notch 2126 to thereby allow relative axial movement between the lock sleeve 2210 and the intermediate firing drive shaft portion 2120.
[00423] [00423] Now with reference to Figures 8 and 12 to 14, locking sleeve 2210 additionally includes a locking member 2218 which is dimensioned to be movably received within a notch 1319 at a proximal end 1318 of the proximal articulation driver 1310. This arrangement allows the locking sleeve 2210 to rotate slightly in and out of the engagement with the intermediate firing drive shaft portion 2120 while remaining in engagement with the notch 1319 on the proximal pivot driver 1310. For example, when the locking sleeve 2210 is in its engaged position, the locking protrusions 2214, 2216 are positioned within a drive notch 2126 in the portion of the intermediate firing drive shaft 2120, so that a distal pushing force and / or a proximal pulling force can be transmitted from the firing member assembly 2110 to the locking sleeve 2210. Such a proximal pulling or pushing movement is then the transmitted from the locking sleeve 2210 to the proximal articulation actuator 1310 in order to articulate the surgical end actuator 1500. In effect, the firing member assembly 2110, the locking sleeve 2210 and the proximal articulation actuator 1310 will move together when locking sleeve 2210 is in its engaged (pivot) position. On the other hand, when the locking sleeve 1622 is in its disengaged position, the locking protrusions 2214, 2216 may not be received inside the drive notch 2126 in the portion of the intermediate trip drive shaft 2120 and, as a result, a distal pushing force and / or a proximal pulling force may not be transmitted from the firing member assembly 2110 to the locking sleeve 2210 (and the proximal articulation actuator 1310).
[00424] [00424] The relative movement of the locking sleeve 2210 between its engaged and disengaged positions can be controlled by the displacer assembly 2200 that interfaces with the proximal closing tube 1910 of the proximal closing assembly 1900. More specifically and with reference to Figures 8 and 9, the displacement assembly 2200 additionally includes a displacement key 2240 which is configured to be received slidingly within a key groove 2217 formed on the outer perimeter of the locking sleeve 2210. Such an arrangement allows the displacement key 2240 to move axially in with respect to locking sleeve 2210. Referring to Figures 8 to 11, the displacement key 2240 includes an actuator pin 2242 that extends through a cam slot or cam opening 1926 in the proximal closing tube portion 1920. See Figure 9. A cam surface 2243 is also provided adjacent actuator pin 2242 which is configured to interact in cam with the 1926 cam opening of in order to cause the displacement key 2240 to rotate in response to axial movement of the proximal closing tube portion 1920.
[00425] [00425] The displacement assembly 2200 additionally includes a switching cylinder 2220 which is rotatably received at a proximal end portion of the proximal closing tube portion
[00426] [00426] Referring again to Figures 8 to 13, the switching cylinder 2220 may additionally comprise at least partially circumferential openings 2228, 2230 defined therein, which can receive circumferential pins / assemblies 1245 extending from the nozzle portions 1242 , 1244 and allow relative rotation, but not translation, between the switching cylinder 2220 and the nozzle assembly 1240. The nozzle pins 1245 extend through corresponding openings 1923 in the portion of the proximal closing tube 1920 to be seated in locations of pins 1254 in the center column assembly
[00427] [00427] Also as shown in Figures 7 and 12-14, the interchangeable tool set 1000 can comprise a slide ring set 1230 that can be configured to conduct electrical energy to and / or from the surgical end actuator 1500 and / or transmit signals to and / or from the surgical end actuator 1500 back to a microprocessor 560 (Figure 2) on the handle set 500 or on the robotic system controller, for example. More details about the 1230 slip ring assembly and associated connectors can be found in US Patent Application Serial No. 13 / 803,086, currently ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, currently US Patent Application No. 2014 / 0263541 and US Patent Application Serial No. 15 / 019,196, filed on February 9, 2016, entitled SURGICAL
[00428] [00428] Again with reference to Figure 2, the tool chassis 1210 includes at least one tapered clamping portion 1212 formed therein, which is adapted to be received inside a corresponding slot 507 formed inside the end portion distal from the handle structure 506 of the handle set 500. Several sets of interchangeable surgical tools employ a locking system 1220 to removably couple the interchangeable surgical tool set 1000 to the handle structure 506 of the handle set 500. At least a shape, as can be seen in Figure 7, the locking system 1220 includes a locking member or a locking fork 1222 which is movably coupled, for example, to the tool frame
[00429] [00429] The locking fork 1222 includes at least one locking hook 1227 which is adapted to contact the corresponding locking pin portion 1943 that is formed in the reciprocating closing element 1940. When the reciprocating closing element 1940 is in a non-actuated position, the locking fork 1222 can be pivoted in a distal direction to unlock the interchangeable surgical tool set 1000 from the handle set
[00430] [00430] Still referring to Figure 6, the cutter bar 2130 may comprise a laminated beam structure that includes at least two layers of beam. Such beam layers may comprise, for example, stainless steel bands that are interconnected, for example, by welds and / or pins, for example, at the proximal ends and / or at other locations along the length thereof. In alternative embodiments, the distal ends of the bands are not connected to allow the laminates or bands to spread out in relation to each other when the end actuator is pivoted. Such an arrangement allows the cutter bar 2130 to be flexible enough to accommodate the articulation of the end actuator. Various laminated cutter bar provisions are set forth in US Patent Application Serial No. 15 / 019,245, entitled SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTION ARRANGEMENTS, which is hereby incorporated by reference in its entirety. As can also be seen in Figure 6, a firing drive shaft support set 2300 is employed to provide lateral support to the cutter bar 2130 as it flexes to accommodate the articulation of the surgical end actuator 1500. More details regarding the operation of the firing drive shaft support assembly 2300 and alternative cutter bar support arrangements can be found in US Patent Application No. 15 / 019,245, entitled SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTION ARRANGEMENTS and in US Patent Application n Serial No. 15 / 019.220, entitled SURGICAL
[00431] [00431] As can also be seen in Figure 6, a firing member or cutting member 2140 is attached to the distal end of the cutter bar 2130. In an exemplary form, firing member 2140 comprises a body portion 2142 that supports a knife or fabric cutting portion 2144. The body portion 2142 projects through an elongated slot 1604 in the elongated channel 1602 and ends at a base member 2146 that extends laterally on each side of the body portion 2142. As measured whereas the firing member 2140 is driven distally through the surgical staple / fastener cartridge 1700, the base member 2146 moves within a passage in the elongate channel 1602 which is located under the surgical staple / fastener cartridge 1700. In one arrangement , the body portion 2142 includes two central flaps that project laterally 2145 that can move above the central passage inside the 1700 surgical clamp / clamp cartridge. See Figure 6. The po tissue cutting section 2144 is disposed between a distally projecting top tip portion 2143 and the base member 2146. As can be seen further in Figure 6, the firing member 2140 may additionally include two top flaps, pins or anvil hitch features 2147 that extend laterally. As the firing member 2140 is driven distally, a top portion of the body portion 2142 extends through an anvil slit 1814 centrally arranged and the anvil engaging features 2147 slide over the corresponding anvil projections 1816 formed on each side of the anvil slit
[00432] [00432] Again with reference to Figure 6, the firing member 2140 is configured to interface operationally with a slide assembly 2150 that is operationally supported within a body 1702 of the staple cartridge / surgical clamps 1700. Slide assembly 2150 is displaceable slidingly into the staple cartridge body / surgical clamps 1702 from a proximal starting position adjacent to the proximal end 1704 of cartridge body 1702 to a final position adjacent to distal end 1706 of cartridge body 1702. Cartridge body 1702 operationally supports within it a plurality of clip drivers that are aligned in rows on each side of a centrally arranged slot 1708. The centrally arranged slot 1708 allows the firing member 2140 to pass through it and cut the fabric that is trapped between the anvil 1810 and the staple cartridge / surgical clamps 1700. The actuators are associated attached to corresponding staple / fastener pockets 1712 that open across the upper platform surface 1710 of the cartridge body 1702. Each staple driver supports one or more staples or surgical fasteners therein. The slide assembly 2150 includes a plurality of inclined or wedge-shaped cams 2152 with each cam 2152 corresponding to a particular line of fasteners or drivers located on one side of the slot 1708.
[00433] [00433] To fix the interchangeable surgical tool set 1000 to the handle set 500, referred to in Figure 2, the doctor can position the tool frame 1210 of the interchangeable surgical tool set 1000 above or adjacent to the distal end of the handle structure 506 , so that the tapered clamping portions 1212 formed on the tool frame 1210 are aligned with the slot slots 507 in the handle structure 506. The physician can then move the interchangeable surgical tool set 1000 along a geometry axis of installation IA which is perpendicular to the drive axis SA to seat the tapered fastening portions 1212 in "operational engagement" with the corresponding receiving slots 507 at the distal end of the grip structure
[00434] [00434] During a typical surgical procedure, the doctor can introduce the surgical end actuator 1500 into the surgical site through a trocar or other opening in the patient to access the target tissue. In doing so, the physician aligns axially, or at least substantially, aligns the surgical end actuator 1500 in a non-articulated state along the geometric axis of the drive shaft and inserts the surgical end actuator 1500 through the trocar. Once the surgical end actuator 1500 has passed through the trocar, the physician may need to articulate the end actuator 1500 to advantageously position the end actuator 1500 adjacent to the target tissue. In addition to the above, the trigger drive system 530 is operated through a limited range of motion to move the hinge actuator 1310 and hinge the end actuator 1500. This hinge occurs before the anvil closes on the target tissue. Once the end actuator has reached the desired articulated position, the physician can then activate the closing drive system 510 to close the anvil 1810 on the target tissue. Such actuation of the closing drive system 510 activates the displacement assembly 2200 and detaches the articulation drive 1310 from the portion of the intermediate firing drive shaft 2120. Thus, once the target tissue has been properly captured in the end actuator surgical 1500, the physician can again trigger the trigger drive system 530 to axially advance the trigger member 2140 through the staple cartridge / surgical fasteners 1700 to trigger the staples inward and cut the target tissue. Other closing and firing arrangements, such as portable, manual, automated and / or robotic arrangements, for example, can be used to control the axial movement of the components of the closing system, the components of the articulation system and / or the components of the surgical tool set trigger system
[00435] [00435] An end actuator 10500 of a surgical instrument 10000 is illustrated in Figures 16 to 16B. The end actuator 10500 comprises a 10600 cartridge claw (Figure 18), including a staple cartridge 10700 and, in addition, an anvil 10800 configured to deform staples ejected from the staple cartridge 10700. In use, the anvil 10800 it can be rotated between an open, unfixed position and a closed and locked position; however, the 10600 cartridge gripper can be rotatable towards the anvil 10800 in other embodiments. The surgical instrument 10000 additionally comprises a drive shaft 10100 where the end actuator 10500 is pivotally connected to the drive shaft 10100 around a hinge joint 10200. In use, the end actuator 10500 is rotatable around the articulation joint 10200 between a fully articulated right position (Figure 16A), indicated by the angle ɵR, and a fully articulated left position (Figure 16B), indicated by the angle ɵL - and / or any suitable position between them. As discussed in more detail below, the ɵR and ɵL angles are limited by the design of the 10000 surgical instrument pivot trigger system. In at least one case, the ɵR and ɵL angles are limited to approximately 45 degrees from the non-articulated position. end actuator 10500 (Figure 16).
[00436] [00436] Referring to Figure 18, the driving shaft 10100 of the surgical instrument 10000 comprises an outer closing tube that includes an outer housing 10110 that is movable distally to engage the anvil 10800 and move the anvil 10800 towards the staple cartridge 10700. The drive shaft 10100 additionally comprises a distal housing portion 10130 pivotally connected to the outer housing 10110 by two connector plates 10120 positioned on opposite sides of the hinge joint 10200. Each connector plate 10120 is connected to the outer housing 10110 in one pivot 10115 and, similarly, to the portion of the distal housing 10130 in a pivot 10125. Connector plates 10120 allow the closing tube to slide relative to the hinge joint 10200 when end actuator 10500 is in an articulated position and, as a result, anvil 10800 can be opened and closed while end actuator 10500 is in a position linked. In addition to the above, the distal housing 10130 comprises an opening defined there configured to receive a flap extending from the proximal end of the anvil 10800 - the side wall of which is configured to engage the flap and transfer a proximal or opening movement, from the closing tube to the 10800 anvil.
[00437] [00437] An end actuator 11500 of an 11000 surgical instrument is illustrated in Figures 17 to 17B. The 11500 end actuator comprises a 11600 cartridge gripper (Figure 19), including a 11700 staple cartridge and, in addition, an 11800 anvil configured to deform staples ejected from the staple cartridge
[00438] [00438] With reference to Figure 19, the driving shaft 11100 of the surgical instrument 11000 comprises an external closing tube that includes an external housing 11110 that is movable distally to engage the anvil 11800 and move the anvil 11800 towards the staple cartridge 11700. The drive shaft 11100 additionally comprises a distal housing 11130 rotatably connected to the outer housing 11110 by two connector plates 11120 positioned on opposite sides of the articulation joint 11200. Each connector plate 11120 is connected to the outer housing 11110 in a pivot 11115 and, similarly, to the distal housing 11130 in a pivot 11125. Similar to the above, the connector plates 11120 allow the closing tube to slide in relation to the hinge joint 11200 when the end actuator 11500 is in an articulated position in that, as a result, the anvil 11800 can be opened and closed while the end actuator 11500 is in a the articulated position. In addition to the above, the distal housing 11130 comprises an opening defined there configured to receive a flap extending from the proximal end of the anvil 11800 - the side wall of which is configured to engage the flap and transfer a proximal or opening movement, from the closing tube to the 11800 anvil.
[00439] [00439] Again with reference to Figure 18, the surgical instrument 10000 additionally comprises a hinge actuator system 10300 that includes a hinge actuator actuator 10310 that extends through an inner opening 10105 defined in the closing tube 10110 of the shaft drive 10100. The hinge actuator actuator 10310 comprises a distal end operably engaged with the jaw of the 10600 end actuator cartridge 105. More specifically, the distal end of the hinge actuator actuator 10310 comprises a defined opening, or slot, 10320 in it, and the cartridge claw 10600 comprises a pin 10620 that extends into the slot 10320. When the hinge actuator actuator 10310 is pushed distally, the end actuator 10500 is driven to the right (Figure 16A) around of a fixed geometry axis defined by a pivot 10210 that swivelly connects the claw of the 10600 cartridge to a drive shaft structure 10100. Correspondingly, end actuator 10500 is rotated to the left (Figure 16B) around pivot 10210 when hinge actuator actuator 10310 is pulled proximally.
[00440] [00440] Again with reference to Figure 19, surgical instrument 11000 additionally comprises a hinge actuator system 11300 that includes a hinge actuator actuator 11310 that extends through an inner opening 11105 defined in closure tube 11110. The system hinge actuator 11300 additionally comprises a hinge connection 11320 pivotally coupled to a distal end of the hinge actuator 11310 around a pin 11315. Similarly, hinge connection 11320 is pivotally coupled to the gripper of the 11600 cartridge around a drive pin 11620 that extends through an opening defined in the hinge connection 11320. When the hinge actuator 11310 is pushed distally, the end actuator 11500 is driven to the right (Figure 17A ) around a fixed geometric axis defined by a 11210 pivot that rotatably connects the tuple 11600 to a drive shaft structure 11100. Correspondingly, the end actuator 11500 is rotated to the left (Figure 17B) around pivot 11210 when the hinge actuator actuator 11310 is pulled proximally.
[00441] [00441] In addition to the above, the hinge connection 11320 of the hinge system 11300 allows the end actuator 11500 to be hinged over a wider range of hinge angles than the end actuator 10500 for a given, or equal, stroke length of hinge actuators 10310 and 11310. A side-by-side comparison of end actuators 10500 and 11500 is provided in Figures 20 and 21 illustrating end actuators 10500 and 11500 in their fully hinged configurations on the right - and also illustrating that the 11500 end actuator can be further hinged to the right than the 10500 end actuator. A similar comparison can be made by showing the 10500 and 11500 end actuators in their fully hinged configurations on the left. In addition, Figure 22 represents the entire articulation range of the 10500 end actuator while Figure 23 represents the entire articulation range of the 11500 end actuator.
[00442] [00442] Again with reference to Figure 22, the articulation actuator 10310 of surgical instrument 10000 is advanced in a distal stroke length (DSL) in relation to its non-articulated position to fully articulate end actuator 10500 to the right. Correspondingly, the articulation actuator 10310 is retracted to a proximal stroke length (PSL) in relation to its non-articulated position to fully articulate the end actuator 10500 to the left. The distal stroke length (DSL) and the proximal stroke length (PSL) of the 10310 hinge actuator are the same, or at least substantially the same. Now referring to Figure 23, the 10310 pivot actuator is advanced by a distal stroke length (DSL) relative to its non-pivoted position to fully pivot the 11500 end actuator to the right. Correspondingly, the 11310 pivot actuator is retracted to a proximal stroke length (PSL) relative to its non-pivoted position to fully pivot the 11500 end actuator to the left. The distal stroke length (DSL) and proximal stroke length (PSL) of the 11310 joint actuator are not the same - the distal stroke length (DSL) is shorter than the proximal stroke length (PSL instead) ). In other embodiments, the proximal stroke length (DSL) is shorter than the distal stroke length (PSL). In any case, now with reference to Figures 31 to 31B, the combination of proximal stroke length (PSL) and distal stroke length (DSL) is equal to the entire stroke length (SL).
[00443] [00443] In addition to the above, the articulation actuator
[00444] [00444] In at least one case, the length of the TAC1 arm is approximately 0.180 ", the length of the TAR1 arm is approximately 0.130" and the length of the TAL1 arm is approximately 0.130 ", for example.
[00445] [00445] In addition to the above, the 11310 hinge actuator of the surgical instrument 11000 is configured to torque the first claw 11600 of the end actuator 11500 through pin 11620 to rotate the end actuator 11500 around the hinge joint 11200 Referring to Figures 23, 28 and 30, a lateral torque arm (LTA) defined between pivot joint 11210 of articulation joint 11200 and pin 11620 is defined by a length TAC2 when end actuator 11500 is in its non-articulated position.
[00446] [00446] In at least one case, the length of the TAC2 arm is approximately 0.149 ", the TAR2 length is approximately 0.154" and the length of the TAL2 arm is approximately 0.015 ", for example.
[00447] [00447] In addition to the above, the 11000 surgical instrument is configured and arranged to provide a large torque to the 11500 end actuator while, at the same time, providing a wide range of articulation, or sweeping, in response to a short articulation stroke . Namely, several design reasons for these relationships can be established and used to design the 11000 surgical instrument. For example, a first reason comprises the length of the fully articulated torque arm to the right (TA) divided by the length of the joint stroke complete (SL) of the 11310 articulation actuator. The value of this first ratio is dimensionless. In at least one case, the torque arm fully articulated to the right (TA) measures 0.154 "and the length of the complete articulation stroke (SL) measures 0.275", resulting in a ratio value of 0.56, for example. Higher ratio values for the first ratio indicate more efficient articulation systems. In many cases, the value for the first ratio is less than 1.0, but it can be greater than 1.0. In at least one case, the fully articulated torque arm to the right (TA) measures 2.79 cm and the length of the complete articulation stroke (SL) measures 11.43 mm, resulting in a ratio value of 0.24 , for example.
[00448] [00448] The examples provided above for the first reason were based on the length of the torque arm (TA) when the end actuator 11500 is in its fully hinged position to the right. This specific position of the 11500 end actuator is notable because the 11310 hinge actuator is compressed and can buckle when the load transmitted through it is excessive. That said, the first reason could also be used to analyze any suitable position of the 11500 end actuator, such as its non-articulated position and its completely articulated to the left, for example. In at least one case, the length of the non-articulated torque arm (TA) is 6.17 mm, resulting in a ratio value of 0.54 for a stroke length (SL) of 11.43 mm, for example. In addition, in at least one case, the length of the fully articulated torque arm to the left (TA) is 1.41 mm, resulting in a ratio value of 0.12 for a stroke length (SL) of 11, 43 mm, for example.
[00449] [00449] A second reason includes the arc length at which the drive pin 11620 is swept when the end actuator 11500 is pivoted between its fully pivoted position to the right and its fully pivoted position to the left, that is, its length scanning arc (ALS). More specifically, the second ratio comprises the sweeping arc length (ALS) of the drive pin 11620 divided by the length of the complete articulation stroke (SL) of the 11310 articulation actuator. The value of this second ratio is dimensionless. In at least one case, the length of the scanning arm (ALS) of the drive pin 11620 is 0.387 "and the length of the complete articulation stroke (SL) is 0.275", resulting in a ratio value of 1.41, per example. In at least one case, the length of the scanning arc (ALS) measures 0.444 "and the length of the complete articulation stroke (SL) measures 0.306", resulting in a ratio value of 1.45, for example. In at least one case, the length of the scanning arc (ALS) measures 12.94 mm and the length of the complete articulation stroke (SL) measures 11.43 mm, resulting in a ratio value of 1.13, for example . Higher ratio values for the second ratio indicate more efficient articulation systems. In several cases, the value for the second ratio is greater than 1.0, such as between 1.0 and 3.0, for example. In at least one case, the second ratio value is approximately 2.0, for example. In certain cases, the value for the second ratio is about 1.1, but between 0.9 and 1.3, for example.
[00450] [00450] A third reason comprises the sum of the length of the torque arm fully articulated to the right (TA) and the length of the sweeping arc (ALS) of the drive pin 11620 divided by the length of the complete articulation stroke (SL). The value of this third reason is dimensionless. In at least one case, the length of the torque arm fully articulated to the right (TA) is 0.154 ", the length of the sweeping arc (ALS) of the drive pin 11620 is 0.387" and the length of the complete articulation stroke ( SL) is 0.275 ", resulting in a ratio value of 1.97, for example. In at least one case, the torque arm length fully articulated to the right (TA) is 2.79 mm, the arm length sweep length (ALS) of the 11620 drive pin is 12.94 mm and the length of the complete articulation stroke (SL) is 11.43 mm, resulting in a ratio value of 1.38, for example. for the third ratio, they indicate more efficient articulation systems. In several cases, the value for the third ratio is greater than 1.0, such as between 1.0 and 3.0, for example. In at least one case, the third ratio value is approximately 2.0 or greater than 2.0, for example.
[00451] [00451] Similar to the above, the third reason could be used to evaluate the articulation system when the 11500 end actuator is in any suitable position, such as in its non-articulated and fully articulated positions to the left, for example.
[00452] [00452] A fourth reason comprises the product of the length of the torque arm fully articulated to the right (TA) and the length of the sweeping arc (ALS) of the drive pin 11620 divided by the length of the complete articulation stroke (SL). The value of this fourth reason is not dimensionless and is instead measured at a distance. In at least one case, the length of the torque arm fully articulated to the right (TA) is 0.154 ", the length of the sweeping arc (ALS) of the drive pin 11620 is 0.387" and the length of the complete articulation stroke ( SL) is 0.275 ", resulting in a ratio value of 0.217", for example. This value can be dimensionless by dividing it by the stroke length (SL) again, resulting in a value of 0.79. In at least one case, the length of the torque arm fully articulated to the right (TA) is 2.79 mm, the length of the scanning arm (ALS) of the 11620 drive pin is 12.94 mm and the stroke length complete articulation (SL) is 11.43 mm, resulting in a ratio value of 3.15 mm, for example. In certain cases, the value for the fourth ratio is about 3.1 mm, but between 0.9 mm and 5.4 mm, for example. Similar to the above, this value can be dimensionless by dividing it by the stroke length (SL) again, resulting in a value of 0.28. Higher ratio values for the fourth ratio indicate more efficient articulation systems.
[00453] [00453] Similar to the above, the fourth reason could be used to evaluate the articulation system when the 11500 end actuator is in any suitable position, such as in its non-articulated and completely articulated positions to the left,
[00454] [00454] As discussed above, the end actuator 11500 is pivotally mounted to the drive shaft 11100 around a fixed pivot 11210 of the articulation joint 11200. Now with reference to Figures 24 and 25, the drive shaft 11100 comprises distal mounting flaps 11220 that extend from and are fixedly mounted to the structure, or central column, of the drive shaft 11100. A first distal mounting flap 11220 is mounted on the first claw 11600, which comprises a lower frame portion, and a second distal mounting tab 11220 is mounted on an upper frame portion 11230. The interconnection between the mounting tabs 11220 and the first jaw 11600 and the upper frame portion 11230 defines the fixed pivot 11210. As is also discussed above, the pivot of the fixed axis 11210 is laterally displaced with respect to a central longitudinal axis LA of the drive axis 11100 by a travel distance OD. In at least one case, the fixed axis pivot 11210 is laterally displaced by approximately 0.036 ", for example. In addition, with reference to Figures 28 to 30B, pin 11620 is longitudinally displaced in relation to the fixed pivot 11210 which creates an arm of longitudinal or axial torque (ATA).
[00455] [00455] As discussed above, the drive shaft closure tube 11100 is distally movable to engage the anvil claw 11800 of the end actuator 11500 and move the anvil claw 11800 towards a staple cartridge 11700 positioned on the clamp cartridge. 11600 cartridge. In other words, the closing tube is configured to move the 11800 anvil from an open position (Figures 26 to 26B) to a closed position (Figures 27 to 27B) to secure a patient's tissue against the staples 11700. In such cases, the closing tube, which comprises housing 11110, connector plates 11120 and distal housing 11130 slide distally from the hinge joint 11200 during a closing stroke. When the end actuator 11500 is in an open, non-articulated configuration, now with reference to Figure 26, the connector plates 11120 extend in a direction that is slightly transverse to the central longitudinal axis LA of the drive shaft 11100. More specifically, a CA geometry axis extending between joints 11115 and 11125 is slightly transverse to the longitudinal geometry LA of drive axis 11100 when end actuator 11500 is in an open, non-articulated configuration. When the 11500 end actuator is pivoted in relation to the right (Figure 26A) or to the right (Figure 26B), the orientation of the CA axis in relation to the central longitudinal axis LA may change.
[00456] [00456] In several cases, in addition to the above, the orientation of the CA axis will change in relation to a longitudinal axis that extends between the proximal end and the distal end of the 11500 end actuator. In at least one case, the AC axis is transversal to such a axis of the longitudinal end actuator, except in a configuration in which the AC axis will be parallel to the geometric axis of the longitudinal end actuator.
[00457] [00457] In addition to the above, the orientation of an AA geometry axis defined between the pivot pivot 11210 and the distal pivot 11125 of the connector plates 11120 changes as the end actuator 11500 is pivoted. With reference to Figure 26, the geometric axis AA extends at an angle β with respect to the geometric axis AC when the end actuator 11500 is in an open, non-articulated configuration. When the 11500 end actuator is pivoted in an open configuration on the right (Figure 26A), the angle β decreases.
[00458] [00458] With reference to Figure 27, the AA axis extends at an angle γ in relation to the CA axis when the end actuator 11500 is in a closed, non-articulated configuration. When the 11500 end actuator is pivoted in a closed configuration to the right (Figure 27A), the angle γ increases. When the 11500 end actuator is pivoted in a closed configuration to the left (Figure 27B), the δ angle increases. At no time, however, the AA axis is collinear with the CA axis when the end actuator 11500 is articulated in a closed configuration, and / or any other configuration between an open configuration and a closed configuration. Instead, the AA axis is transverse to the CA axis when the end actuator 11500 is pivoted in a closed configuration and / or in any other configuration between an open configuration and a closed configuration.
[00459] [00459] Again with reference to Figures 20 and 21, the design of the surgical instrument 11000 can shorten the end actuator 11500 compared to the end actuator 10500. In addition, the distance between the joint joint 10200 and the proximal end of the staple line that is applied to a patient's tissue by the end actuator 10500 is an L1 distance - while the distance between the hinge joint 11200 and the proximal end of the staple line that is applied by the 11500 end actuator is an L2 distance , which is shorter than the distance L1.
[00460] [00460] Now with reference to Figures 40 to 45, the surgical instrument 11000 additionally comprises a hinge lock 11400 configured to selectively lock the hinge actuator system 11300 and the end actuator 11500 in position. The hinge lock 11400 comprises a distal end 11402 mounted on a frame 11180 of the drive shaft 11100. More particularly, the frame of the drive shaft 11180 comprises pins, or projections, 11182 received and / or pressed closely into the openings defined at the distal end 11402. The hinge lock 11400 further comprises a proximal end 11404 configured to move with respect to the distal end 11402. In at least one aspect, the hinge lock 11400 comprises a cantilever beam where the distal end 11402 comprises a fixed end and the proximal end 11404 comprises a free end. The proximal end 11404 is positioned in a cavity 11184 defined in the drive shaft structure 11180 and is configured to move laterally towards and opposite the hinge actuator actuator 11310, as described in more detail below.
[00461] [00461] In addition to the above, the proximal end 11404 of the joint lock 11400 comprises one or more teeth 11406 defined therein that are configured to engage the joint actuator actuator 11310. As shown in Figure 40, teeth 11406 are arranged in a longitudinal matrix; however, any suitable arrangement can be used. The actuator of the hinge actuator 11310 comprises a longitudinal tooth array 11316 defined therein which is configured to be engaged by the hinge lock teeth 11406. Referring to Figure 41, the structure of the drive shaft 11180 additionally comprises a tooth array longitudinal 11186 defined in the same that is configured to be engaged by the teeth of the joint lock 11406. When the joint lock 11400 is in a completely locked state, as described in greater detail below, the teeth of the joint lock 11406 are engaged with the actuator teeth 11316 and the teeth of the drive shaft structure 11186, so that hinge lock 11400 locks the hinge actuator actuator 11310 to the drive shaft structure 11180 and prevents, or at least inhibits, the relative movement between the 11310 hinge actuator actuator and the 11180 drive shaft structure.
[00462] [00462] In addition to the above, hinge lock 11400 is configurable in three states - a self-locking state, an unlocked state, and a fully locked state. When pivot lock 11400 is in a self-locking state, with reference to Figure 43, pivot lock teeth 11406 11400 are engaged with the teeth of the 11316 actuator actuator and the teeth of the drive shaft structure 11186. In such cases , hinge lock 11400 can withstand some force transmitted through the hinge actuator 11310 actuator; However, the proximal and / or distal movement of the 11310 hinge actuator actuator can overcome the clamping force of the hinge lock 11400 and move the hinge lock 11400 to its unlocked configuration, as shown in Figure
[00463] [00463] As discussed further above, the drive shaft 11100 of the surgical instrument 11000 comprises a closing tube 11110 that is advanced distally during a closing stroke to close the end actuator 11500. Before the closing stroke, the hinge lock 11400 is movable between its self-locking and unlocked configurations to allow the 11500 end actuator to be pivoted by the pivot drive system
[00464] [00464] The surgical instrument 11000 described above is further illustrated in figures 80 to 82. The surgical instrument 11000 comprises a drive shaft 11100 that is configured for use with a trocar that has a defined passage in it. The drive shaft of the surgical instrument 11100 comprises different diameters at different points along the length of the drive shaft of the surgical instrument 11100. Among other things, the drive shaft of the surgical instrument 11100 comprises a central region 11160 that comprises a diameter smaller than any other region of the 11000 surgical instrument's drive shaft. This 11100 surgical instrument's drive shaft geometry provides significant advantages over previous designs and solves a long-standing problem associated with the use of a trocar. Typically, when a surgical instrument is used in combination with a trocar during a surgical procedure, the surgical procedure is limited by the range of angles that the instrument can assume as a result of the constraints created by the passage of the trocar. The drive shaft configuration of the 11100 surgical instrument is an improvement over the existing drive shaft configurations because it increases the range of angles that a surgical instrument can assume in relation to the longitudinal geometric axis of a trocar. As a result, the 11000 surgical instrument user can manipulate the 11000 surgical instrument at a variety of angles in relation to the longitudinal geometric axis of the trocar due to the smaller diameter of the 11160 central region of the surgical instrument drive axis
[00465] [00465] Referring to Figures 80 and 81, the driving axis of the surgical instrument 11100 additionally comprises a proximal region 11150 and a distal region 11170. The proximal region 11150 of the driving axis of the surgical instrument 11000 is located adjacent to a set nozzle 11140 of the drive shaft 11100. The distal region 11170 is located closest to the end actuator 11500. The proximal region 11150 of the drive shaft of the surgical instrument comprises a first diameter, and the central region 11160 comprises a second diameter. The distal region 11170 further comprises a third diameter. The first diameter of the proximal region 11150 is different from the second diameter of the central region
[00466] [00466] In addition to the above, the proximal region 11150 defines a central longitudinal geometric axis. The central region 11160 extends along the longitudinal geometric axis and is centered in relation to the central longitudinal geometric axis. Each of the proximal region 11150 and central region 11160 define a circular profile, although they can comprise any suitable configuration. The distal region 11170 is not centered in relation to the central longitudinal geometric axis. Instead, the distal region 11170 is displaced laterally with respect to the central longitudinal geometric axis. In addition, more of the cross section and / or perimeter of the distal region 11170 is positioned on a first side of the central longitudinal geometric axis than a second side. In at least one example, the distal region 11170 comprises an enlargement that extends to one side of the central longitudinal axis. In addition, the 11170 distal region does not define a circular profile.
[00467] [00467] Still with reference to Figures 80 and 81, the central region 11160 comprises a second width which is less than the first width of the proximal region 11150. The central region additionally comprises a second width which is less than the third width of the distal region 11170. The proximal region 11150 additionally comprises a different width than the width of the distal region
[00468] [00468] With reference to Figures 80 to 82, the drive axis of the surgical instrument 11100 of the surgical instrument 11000 is configured, for example, to fit through a 12 mm trocar. In at least one such case, the central region 11160 of the driving axis of the surgical instrument 11100 comprises a maximum diameter of approximately 9 mm. Such a diameter of the central region 11160 provides a wider range of angles that the drive shaft 11100 can assume in relation to the center line of the trocar. In addition, such an arrangement may reduce the possibility of causing damage to the intercostal nerves associated with placing the 11100 surgical instrument drive shaft between a patient's ribs during certain surgical procedures. The 11170 distal region of the 11100 surgical instrument drive shaft is configured to fit through a 12 mm trocar, and comprises one or more 11172 flat sides to provide an increased level of access during procedures requiring a high level articulation. Other modalities are provided in which the 11100 drive shaft is inserted through an 8 mm trocar and / or a 5 mm trocar, for example.
[00469] [00469] The 11150 proximal region comprises a stepped, or tapered region, close to the proximal end of the 11100 surgical instrument drive axis, where the 11100 surgical instrument drive axis translates from the 11150 proximal region to the 11160 central region. central 11160 additionally comprises a staggered, or tapered region, close to the distal end of the driving axis of the surgical instrument 11100, where the driving axis of the surgical instrument 11100 transitions from the central region 11160 to the distal region 11170.
[00470] [00470] Still with reference to Figures 80 and 81, the proximal region 11150 comprises a first circumference, the central region 11160 comprises a second circumference and the distal region 11170 comprises a third circumference. The circumference of the proximal region 11150 is different from the circumference of the central region 11160, due to the difference in diameters of such portions of the driving axis of the 11100 surgical instrument. Similarly, the circumference of the central region 11160 and the circumference of the distal region 11170 are many different. The circumference of the proximal region 11150 and the circumference of the distal region 11170 are the same, but may be different in other modalities.
[00471] [00471] Again with reference to Figures 80 and 81, the drive shaft of the surgical instrument 11100 comprises a single piece of material formed, although the drive shaft of the surgical instrument 11100 can comprise multiple pieces of material that are combined to form a single drive axis of the cohesive surgical instrument, in other cases. The pieces of material can be assembled using any suitable process. The drive shaft of the 11100 surgical instrument is configured to operate with a variety of surgical arrangements not limited to the surgical stapling instruments described above. The drive shaft of the 11100 surgical instrument can be used with other surgical instruments that have swiveling end actuators. Other surgical instruments may include, for example, ultrasonic surgical devices, clip applicators and fastener applicators. In addition, the 11100 surgical instrument drive shaft is configured to be used with any surgical instrument where the use of a trocar passage is appropriate.
[00472] [00472] In addition to the above, the outer tube 11110 of the drive shaft 11100 comprises a proximal end 11150 and a longitudinal portion 11160 comprising a diameter, or width, which is narrower than the diameter, or width, of the proximal end 11150. That said, the 11000 surgical instrument is configured and arranged to provide a high torque for the 11500 end actuator while, at the same time, the longitudinal portion 11160 comprises a narrow diameter. Namely, at least one design ratio for this relationship can be established and used to design the 11000 surgical instrument. For example, a ratio comprises the diameter of the longitudinal portion 11160 (D) divided by the length of the fully articulated torque arm for the right (TA). The value of this ratio is dimensionless. In at least one case, the diameter of the longitudinal portion 11160 (D) is 0.316 "and the length of the torque arm (TA) is 0.154", resulting in a ratio value of 2.06, for example. Lower values for this ratio indicate more efficient articulation systems. In many cases, the value for this ratio is less than 2.0, such as between 1.0 and 2.0, for example. In at least one case, the ratio value is between 2.0 and 3.0, for example. In certain cases, the ratio value is less than 3.38, for example.
[00473] [00473] In addition to the above, the external tube 11110 of the drive shaft 11100 includes a longitudinal portion 11160 and an enlarged distal end 11170 (Figure 80). Again with reference to Figure 40, the entire articulation lock 11400 is positioned in the longitudinal portion 11160 and not in the enlarged distal end 11170. However, modalities are provided in which at least a portion of the articulation lock 11400 is positioned in the enlarged distal end. 11170. In at least one of these Cases, hinge lock 11400 is mounted on the drive shaft structure so that the distal end 11402 of hinge lock 11400 is at the increased distal end 11170 of outer tube 11110. In certain cases, the hinge lock 11400 is again arranged so that the movable end of hinge lock 11400 is positioned at the increased distal end 11170 of the outer tube 11110. In several cases, the entire hinge lock 11400 is positioned at the extended distal end 11170.
[00474] [00474] Now returning to Figure 46, a surgical instrument 14000 comprises a drive shaft 14100, an end actuator 11500 and, in addition, a pivot drive system including a pivot actuator 14310 configured to pivot the end actuator 11500. The drive shaft 14100 comprises a hinge lock system configured to selectively lock the 14310 hinge actuator actuator and the 14500 end actuator in position. The hinge lock system comprises a hinge lock 14400 that includes the proximal and distal ends mounted on a structure 14180 of the drive shaft 14100. In at least one aspect, the hinge lock 14400 comprises a fixed and / or simply supported beam at both ends. The hinge lock 14400 further comprises an intermediate portion 14404 positioned in a cavity 14184 defined in the drive shaft structure 14180 which is configured to move laterally towards and away from a hinge actuator actuator 14310 of the hinge drive system 14300 Similar to the above, hinge lock 14400 comprises one or more spring portions 14403 configured to allow hinge lock 14400 to flex toward and away from hinge actuator 14310.
[00475] [00475] In addition to the above, the intermediate portion 14404 of the joint lock 14400 comprises one or more teeth
[00476] [00476] The locking plate 14420 comprises a shoulder-shaped part 14424 that is positioned under the actuator of the articulation actuator
[00477] [00477] Again with reference to Figure 46, the locking plate 14420 is longitudinally slidable inside the cavity 14184; however, the longitudinal movement of the lock plate 14420 is limited by the proximal and distal end walls 14427. As a result, the lock plate 14420 can float within the cavity of the drive shaft 14184 between the end walls 14427. In several cases , the teeth of the 14426 locking plate may not be fully aligned with the teeth of the 14316 actuator actuator when the 14400 pivot lock engages teeth 14426 and 14316. In such cases, the 14420 locking plate may move longitudinally, to some extent degree, so that the teeth of the 14426 lock plate are aligned with the teeth of the 14316 actuator actuator. In many cases, the 14420 lock plate can move in response to a locking force applied to it by the 14400 hinge lock In at least one case, the 14420 lock plate may be allowed to move distally at a tooth pitch distance and proximally to a pitch distance from within its position c centered, for example, where a pitch distance from within is the distance between the peaks of the adjacent lock teeth 14426 of the lock plate
[00478] [00478] In addition to the above, the 14400 articulation lock is configurable in three states - a self-locking state, an unlocked state and a fully locked state. When articulation lock 14400 is in a self-locking state, teeth 14406 of articulation lock 14400 are engaged with teeth of actuator actuator 14316 and teeth of drive shaft structure 14186. In such cases, articulation lock 14400 can withstand some force transmitted through the 14310 articulation actuator actuator; however, the proximal and / or distal movement of the 14310 hinge actuator actuator can overcome the clamping force of the hinge lock 14400 and move the hinge lock 14400 to its unlocked configuration. In such cases, the articulation lock 14400 can flex or deflect laterally in the opposite direction to the actuator of the 11500 actuator, so that the 11500 end actuator can be articulated. Similar to the above, the spring elements 14403 of the hinge lock 14400 can resiliently return, or at least tilt, the hinge lock 14400 towards its self-locking configuration. As a result, the hinge driver system can lock and unlock itself as a result of its own movement, unless it is placed in its fully locked position, as discussed below.
[00479] [00479] Similar to the above, the driving shaft 14100 of the surgical instrument 14000 comprises a closing tube that is advanced distally during a closing stroke to close the 11500 end actuator. Before the closing stroke, the hinge 14400 is movable between its self-locking and unlocked configurations to allow the 11500 end actuator to be pivoted by the hinge drive system. During the closing stroke, the closing tube is configured to engage the 14400 hinge lock and place, lock and / or secure the 14400 hinge lock in its fully locked configuration. More specifically, the closure tube comprises a cam 14118 configured to engage a cam surface 14405 defined on the rear side of the articulation lock 14400 and prevent the teeth of the articulation lock 14406 from detaching from the teeth of the actuator 14316 and the teeth of the drive shaft structure 14186. The cam 14118 comprises an inclined surface 14115 which engages a corresponding inclined surface defined on the cam surface 14405, although any suitable arrangement can be used. When the closing tube is retracted proximally to allow end actuator 11500 to be opened, flap 14118 disengages from hinge lock 14400 and hinge lock 14400 is free to move between its self-locked and unlocked positions, as discussed above , so that the 11500 end actuator can be pivoted once again.
[00480] [00480] When the hinge lock 14400 moves to its configuration completely locked by the closing tube, again with reference to Figure 46, the hinge lock 14400 pushes the lock plate 14420 against a wall on the side side 14183 of the cavity of the drive shaft 14184. Actually, the hinge lock 14400 engages the lock plate 14420 with enough force to secure the lock plate 14420 against the side wall 14183, so that the lock plate 14420 cannot move, or at least least move substantially, longitudinally with respect to the drive shaft structure 14180. Lock plate 14420 comprises one or more projections 14422 extending from it that are configured to enter, crack and / or deflect sidewall 14183 of the drive shaft cavity 14184 when the locking plate 14420 is pushed against the side wall 14183 to prevent, or at least reduce the possibility of the locking plate 14420 moving er longitudinally in relation to the 14180 drive shaft structure.
[00481] [00481] In addition to the above, the drive shaft structure 14180 comprises one or more cavities, or openings, defined therein that are configured to allow and / or facilitate deflection of the sidewall 14183. For example, as illustrated in Figure 46, the drive shaft structure 14180 comprises cavities 14182 defined therein that are aligned, or at least substantially aligned, with the projections 14422. When the locking plate 14420 is disposed laterally by the closing tube, as discussed above, the wall lateral 14183 moves elastically into the cavities 14182 and the locking plate 14420 is locked in position. In such cases, the engagement between the drive shaft structure 14180 and the locking plate 14420 prevents the actuator of the 14310 hinge actuator from moving longitudinally and locks the end actuator 11500 in position. When the closing tube is retracted and disengaged from the Articulation Lock 14400, the side wall 14183 can return to its non-flexed state and move the lock plate 14420 laterally. At such a point, locking plate 14420 is unlocked and end actuator 11500 can be pivoted, as described above.
[00482] [00482] A 15000 surgical instrument is illustrated in Figures 47 to 49 and is similar to the 14000 surgical instrument in many respects, most of which will not be repeated here, for the sake of brevity. Among other things, the 15000 surgical instrument comprises a drive shaft, a 11500 end actuator and a hinge driver system including a hinge driver actuator
[00483] [00483] A surgical instrument 16000 is illustrated in Figures 50 to 52 and is similar to surgical instruments 14000 and 15000 in many respects, most of which will not be repeated here, for the sake of brevity. Among other things, the 16000 surgical instrument comprises a drive shaft, an 11500 end actuator and a hinge driver system including a 16310 hinge driver. Referring primarily to Figure 50, the 16000 surgical instrument further comprises a locking system articulation that includes a 16400 articulation lock that is, similar to the above, configurable in a self-locking configuration, an unlocked configuration and a completely locked configuration. The hinge lock system additionally comprises a lock plate 16420 which is similar to the lock plate 14420 in many respects. For example, lock plate 16420 is movable laterally in engagement with wall 14183, as shown in Figure 51. In addition, for example, lock plate 16420 is movable longitudinally to float in a suitable locked position in which teeth 16426 lock plate 16420 are engaged with teeth 16406 of joint lock 16400, as shown in Figure 52. In addition, teeth 16406 of joint lock 16400, teeth 16426 of lock plate 16420 and lock teeth 16316 of the articulation actuator 16310 are configured and arranged to provide a plurality of positions, or permutations of positions, in which the articulation lock 16400 can lock the articulation actuator 16310 to the lock plate 16420. For example, the articulation lock system has achieved a configuration completely locked in a set of positions illustrated in Figure 51 and a configuration completely locked in a different set of positions illustrated in Figure 52.
[00484] [00484] The adaptability discussed above of the joint locking system can be obtained through tooth steps of the joint locking teeth 16406, the teeth of the articulation trigger 16316 and the teeth of the locking plate 16426. For example, with reference mainly to Figure 50, the articulation lock teeth 16406 are defined in a first step 16407, the articulation trigger teeth 16316 are defined in a second step 16317, and the teeth of the lock plate 16426 are defined in a third step 16427 The first step is different from the second step and the third step - the second step is different from the first step and the third step - and the third step is different from the first step and the second step, although modalities are foreseen in which two of the first step, second step and third interval are the same. Again with reference to Figure 50, the third step 16427 of the teeth of the lock plate 16426 is greater than the second step 16317 of the teeth of the 16316 pivoting driver, and the second step 16317 is greater than the first step 16407 of the teeth of the locking latch. articulation 16406, although any suitable arrangement can be used.
[00485] [00485] A 17000 surgical instrument is illustrated in Figures 53 to 56 and is similar to the 11000 surgical instrument in many respects, most of which will not be repeated here, for the sake of brevity. The surgical instrument 17000 comprises a drive shaft, an end actuator 11500 pivotally connected to the drive shaft around a pivot joint 11200 and a pivot drive system configured to pivot the end actuator around the pivot joint. articulation
[00486] [00486] In addition to the above, the articulation drive 17310 comprises a longitudinal tooth rack 17316 defined therein and the articulation lock 17400 comprises a longitudinal tooth rack 17406 defined therein. When the hinge lock 17400 is in its unlocked position, as shown in Figures 53 and 54, the teeth 17406 of the hinge lock 17400 are not engaged with the teeth 17316 of the hinge trigger 17310. In such cases, the hinge trigger 17310 may move freely in relation to the hinge lock 17400 to pivot the end actuator 11500. When the hinge lock 17400 is in a partially locked position, as shown in Figure 55, the teeth of the hinge lock 17406 are partially engaged with the teeth of the articulation trigger 17316. In these cases, the proximal and distal movement of the articulation trigger 17310 is prevented by the articulation lock 17400; however, the articulation trigger 17310 can still move freely in relation to the articulation lock 17400 to articulate the end actuator 11500. When the articulation lock 17400 is in a completely locked position, as shown in Figure 56, the teeth of the pivot lock 17406 are completely engaged with the teeth of the pivot actuator 17316. In such cases, the proximal and distal movement of the pivot actuator 17310 and the pivot of the end actuator 11500 are prevented by the pivot lock 17400.
[00487] [00487] In addition to the above, surgical instrument 17000 does not include a bias member configured to move hinge lock 17400 towards hinge actuator 17310 other than a closing member, or tube, 17110. Closing tube 17110 it is configured to engage the 17400 hinge lock and move the 17400 hinge lock from its unlocked position (Figure 54) to its partially locked (Figure 55) and completely locked (Figure 56) positions. Similar to the above, the closing tube 17110 comprises a cam 17118 configured to engage a defined cam surface over the hinge lock 17400, although other arrangements may be used. Closing tube 17110 is configured to move hinge lock 17400 between its unlocked position and its partially locked position when closing tube 17110 is moved distally through a partial closing stroke (PCs) that at least partially closes the actuator. end 11500. In such cases, the end actuator 11500 of the surgical instrument 17000 can be used to hold a patient's tissue, for example. Closing tube 17110 is configured to move hinge lock 17400 to its fully locked position when closing tube 17110 is moved distally through a full closing stroke (FCS) that completely closes end 11500 actuator. In some cases, the 11500 end actuator of the 17000 surgical instrument can be used to hold a patient's tissue, for example.
[00488] [00488] As discussed above, the locking force applied to the 17310 hinge actuator by the 17400 hinge lock increases as the closing tube 17110 advances distally. In other words, the hinge lock force is a function of the stroke of the 17110 closing tube. In addition to the above, with reference now to Figure 57, the lock force between the 17310 hinge driver and the 17400 hinge lock is represented by line 17101. As shown in Figure 57, the teeth of the 17406 hinge lock initially become engaged with the teeth of the 17316 hinge driver during the partial closing stroke. In at least one case, such initial engagement of teeth 17406 and 17316 occurs after approximately 0.050 "of the closing stroke of closing tube 17110, although any suitable distance can be used. Notably, such initial engagement of teeth 17406 and 17316 does not necessarily coincide with the end of the partial closing stroke; instead, it can occur at some point during the partial closing stroke (PCS) .This also occurs at some point during the full closing stroke (FCS). does not comprise a coupling lock force, instead a coupling lock force between teeth 17406 and 17316 is only established at some point during the total closing stroke (FCS). closing stroke (FCS) has a length of approximately 0.260 ", for example.
[00489] [00489] An 18000 surgical instrument is illustrated in Figures 58 to 60 and is similar to surgical instruments 11000 and 17000 in many respects, most of which will not be repeated here, for the sake of brevity. The surgical instrument 18000 comprises a drive shaft, a 11500 end actuator pivotally connected to the drive shaft around a pivot joint and a pivot system configured to pivot the 11500 end actuator. The drive shaft comprises a structure 18180 including the first and second longitudinal racks of teeth 18186 that are parallel, or at least substantially parallel to each other, although the racks 18186 may extend transversely with respect to each other. The surgical instrument 18000 further comprises a hinge lock 18400 and a closing member including a cam 18118. Hinge lock 18400 includes a first lock arm 18410 configured to engage the first longitudinal tooth rack 18186 and a second lock arm 18420 configured to engage the second longitudinal tooth rack 18186. Referring mainly to figures 59 and 60, the first lock arm 18410 comprises a first cam surface 18415 defined therein and the second lock arm 18420 comprises a second cam surface 18425 defined in the same that is configured to be brought into contact by the cam 18118 during a closing stroke of the closing member and displaced or flexed out in a fully locked coupling with the 18186 teeth longitudinal racks. In addition, one or both arms locking systems 18410 and 18420 also engage the articulation system to lock the actuator end owl 11500 in place when locking arms 18410 and 18420 are moved outwardly in engagement with the drive shaft structure 18180.
[00490] [00490] Once displaced or flexed in their fully locked states, locking arms 18410 and 18420 define a longitudinal slot 18430 between them, which is configured to allow cam 18118 to pass through it during the rest of the closing stroke, for example. In addition, in such cases, the cam 18118 forces the articulation lock 18400 in engagement with the frame 18180 and securely fixes the lock arms 18410 and 18420 in their completely locked positions.
[00491] [00491] In at least one alternative modality, in addition to the above, the first locking arm 18410 of the articulation lock 18400 can be configured to engage the 18180 drive shaft structure of the 18000 surgical instrument, while the second locking arm 18420 of the 18400 hinge lock can be configured to engage the 18000 surgical instrument hinge system.
[00492] [00492] A 19000 surgical instrument is illustrated in Figures 61 to 65 and is similar to the 11000 surgical instrument in many respects, most of which will not be repeated here, for the sake of brevity. The surgical instrument 19000 comprises a drive shaft 19100 including a closing member 19110, an end actuator 11500 pivotally connected to the drive shaft 19100 around a joint 11200 and a drive system 19300 including a drive pivot 19310 configured to pivot end actuator 11500 around pivot joint 11200. Referring primarily to Figure 61, surgical instrument 19000 additionally comprises a pivot lock 19400 configured to selectively lock the pivot actuator system 19300 and lock the end actuator 11500 in position. The drive shaft 19100 additionally comprises a frame 19180 and the articulation lock 19400 is movably mounted to the frame 19180 between an unlocked position (Figure 61), a partially locked position (Figure 63) and a locked position (Figure 64). As described in greater detail below, the articulation lock 19400 is movable laterally towards the articulation actuator 19310 to bring the articulation lock 19400 in close proximity to the articulation actuator 19310 (Figure 63) and also transversely in interference with the articulation actuator 19310 (Figure 64).
[00493] [00493] In addition to the above, the drive shaft structure 19180 comprises a proximal guide protrusion 19182 and a distal guide protrusion 19184. The proximal guide protrusion 19182 extends into an elongated lateral slot defined at a proximal end 19402 of the lock articulation 19400 and, similarly, the distal guide protrusion 19184 extends into a lateral elongated slot defined at a distal end 19404 of the articulation lock 19400. The lateral elongated slits allow the 19400 articulation lock to move laterally in direction and in the opposite direction to the 19310 articulation actuator, as described above. The side elongated slots also define the lateral path of the 19400 hinge lock and prevent, or at least substantially avoid, the longitudinal movement of the 19400 hinge lock relative to the 19180 drive shaft structure. As a result, the elongated hinge lock slots pivot 19400 can guide pivot latch 19400 between an unlocked position (Figure 61) in which the latch teeth 19406 of pivot latch 19400 are not engaged with a longitudinal rack of teeth 19316 defined in pivot driver 19310, a partially locked position (Figure 63) in which the 19406 locking teeth are partially engaged with the 19316 teeth, and a completely locked position (Figure 64) in which the 19406 locking teeth are completely engaged with the teeth
[00494] [00494] In addition to the above, the hinge lock 19400 additionally comprises a longitudinal cam slot 19408 defined therein and the closing member 19110 comprises a cam pin 19188 positioned in the cam slot
[00495] [00495] When closing member 19110 is moved further distally, as shown in Figure 63, cam pin 19188 moves to a distal portion 19408c of the cam slot
[00496] [00496] In addition to the above, the articulation lock 19400 is not raised or lowered transversely in relation to the drive shaft structure 19180 during the partial closing stroke of the closing member 19110 (Figures 61 to 63). Instead, hinge lock 19400 is lifted upwards so that the teeth 19406 of hinge lock 19400 fully engage teeth 19316 of hinge driver 19310 and lock hinge driver 19310 in position during the final or last portion of the closing stroke of the closing member 19110, as shown in Figure 64. The hinge lock 19400 moves upwards by means of a different cam pin that extends from the closing member 19110, that is, the locking pin cam 19189 that engages hinge lock 19400 at the end of the closing stroke of closing member 19110. Notably, cam pin 19189 is not engaged with hinge lock 19400 at the beginning of the closing stroke or during the partial closing stroke of the closing member 19110. At most, the cam pin 19189 can slide the bottom of the articulation lock 19400 during the partial closing stroke. That said, with reference mainly to Figure 65, the hinge lock 19400 comprises a cutout, or recess, 19409 defined therein that provides a gap between the cam pin 19189 and the hinge lock 19400 during the partial closing stroke. That said, cam pin 19189 comes into contact with articulation lock 19400 when cam pin 19189 reaches the end of recess 19409 and, in such cases, activates articulation lock 19400 transversely upwards so that the teeth of lock 19406 interference interlock with teeth 19316 of the articulation driver 19310 and the articulation lock 19400 is placed in its completely locked position, as shown in Figure 64. At such a point, the articulation driver 19310 is locked in position and not can be moved longitudinally to articulate end actuator 11500.
[00497] [00497] Again with reference to Figure 65, the teeth 19316 of the articulation drive 19310 are angled, or inclined, in relation to the longitudinal geometric axis of the drive shaft 19100. The lock teeth 19406 of the joint lock 19400 are not angled, or are angled in a different orientation with respect to teeth 19316. As a result, lock teeth 19406 of pivot lock 19400 can be partially engaged with teeth 19316 of pivot driver 19310 when pivot lock 19400 is in its lowered position ( Figure 63) and completely engaged with teeth 19316 when the articulation lock 19400 is in its raised position (Figure 64).
[00498] [00498] In order to unlock the articulation system 19300 from the surgical instrument 19000, the closing member 19110 must be retracted to disengage the cam pin 19189 from the articulation lock 19400 so that the articulation lock 19400 can return to its lowered position. Once the cam pin 19189 has been disengaged from the articulation lock 19400, the proximal retraction of the cam pin 19188 can drive the articulation lock 19400 down as the cam pin 19188 is pulled proximally through the cam slot 19408. In addition, cam pin 19188 can move hinge lock 19400 away from hinge driver 19310 when it is pulled proximally. In various embodiments, the drive shaft 19110 can comprise one or more bias members, such as springs, for example, configured to bend or push the hinge lock 19400 down to quickly reset the hinge lock to an unlocked position.
[00499] [00499] A surgical instrument 20000 is illustrated in Figures 66 to 68 and is similar to surgical instruments 11000, 17000, 18000 and 19000 in many respects, most of which will not be repeated here, for the sake of brevity. The surgical instrument 20000 comprises a drive shaft that includes a 20110 closing tube, an end actuator 11500 pivotally mounted to the drive shaft around a hinge joint 11200 and a hinge system configured to pivot the end actuator 11500 in relation to the drive shaft. Similar to the above, the pivot system comprises a pivot link 20320 pivotally attached to the end actuator 11500 and, in addition, a pivot actuator 20310 pivotally attached to the pivot link 20320. In use, the pivot actuator 20310 moves proximally and / or distally to drive hinge connection 20320 and hinge end actuator 11500. Surgical instrument 20000 additionally comprises a hinge lock system comprising a hinge lock gear 20400 pivotally mounted to a shaft structure drive around a fixed geometric axis. The articulation lock gear 20400 comprises an annular tooth array 20406 that is engaged in engagement with a longitudinal array of teeth 20316 defined in the articulation actuator 20310. As a result, with reference generally to Figure 66, the articulation lock gear 20400 will rotate in response to the proximal and / or distal movement of the 20310 hinge actuator until the hinge lock 20400 gear is locked in position by the closing tube 20110, as shown in Figure 68.
[00500] [00500] In addition to the above, the articulation lock system additionally comprises locking arms 20405 that extend from the drive shaft structure to a central opening defined in the gear of the articulation lock 20400 and, when the closing tube 20110 is moved distally during a closing stroke to close the end actuator 11500, a cam, or wedge 20118 of the closing tube 20110 is configured to engage the lock arms 20405 and extend the lock arms 20405 outwardly in engagement with the articulation lock gear 20400. Since the lock arms 20405 are engaged with the articulation lock gear 20400, the lock arms 20405 can prevent the rotation of the articulation lock 20400 and also the longitudinal movement of the articulation actuator 20310. In such cases, the locking arms 20405 can prevent, or at least substantially prevent, the articulation of the end actuator 11500 until the wedge 20118 of closure tube 20110 is retracted proximally during an opening stroke and lock arms 20405 return resiliently to their non-flexed, or unlocked configurations.
[00501] [00501] In addition to the above, the articulation system of the surgical instrument 20000 can be placed in an unlocked configuration (Figure 66), a partially locked configuration (Figure 67) and a completely locked configuration (Figure 68). The articulation system can be placed in its partially locked configuration (Figure 67) when the 20110 closing tube is advanced distally through a partial closing stroke (PCS). In such cases, the end actuator 11500 is at least partially closed, but can still be pivoted, although the locking arms 20405 can be partially engaged with the pivoting locking gear.
[00502] [00502] A surgical instrument 21000 is illustrated in Figures 69 to 71 and is similar to surgical instruments 11000, 17000, 18000, 19000 and 20000 in many respects, most of which will not be repeated here, for the sake of brevity. The surgical instrument 21000 comprises a drive shaft that includes a closing member 21110, an end actuator 11500 pivotally mounted to the drive shaft around a hinge joint 11200 and a hinge system that includes a hinge actuator 21130 configured to articulate the 11500 end actuator in relation to the drive shaft. The surgical instrument 21000 further comprises a hinge lock system comprising a hinge lock gear 21400 pivotally mounted to a drive shaft structure about a fixed geometric axis. The hinge lock gear 21400 comprises an annular tooth array 21406 that is engaged in engagement with a longitudinal hinge matrix 21316 defined on the hinge actuator 21310. As a result, with reference generally to Figure 69, the hinge lock gear 21400 rotates in response to the proximal and / or distal longitudinal movement of the articulation actuator 21310 until, as described in more detail below, the articulation lock 21400 gear is locked in position by the closing member 21110 (Figure 71).
[00503] [00503] In addition to the above, the articulation locking system of the surgical instrument 21000 additionally comprises a mobile locking element 21405 that is slidably mounted to the drive shaft structure. More specifically, with reference mainly to Figure 69, the locking element 21405 comprises a guide projection 21402 extending from it and extending into a lateral elongated slot 21403 defined in the drive shaft structure which is configured to allow the locking element 21405 slides laterally towards and / or in the opposite direction to the hinge actuator 21310. In addition, with reference mainly to Figure 70, the locking element 21405 slides laterally within a defined opening in the locking gear. articulation 21400 between an unlocked position (Figure 69) and a locked position (Figure 71). The locking element 21405 comprises an annular matrix of the locking teeth 21407 and the hinge locking gear 21400 comprises an annular matrix of the locking teeth 21408 defined around its internal opening and, when the locking element 21405 is in position unlocked (Figure 69), the locking teeth 21407 of the locking element 21405 are not engaged with the locking teeth 21408 of the hinge locking gear 21400. When the locking element 21405 is in its locked position (Figure 71), the locking teeth 21407 of locking element 21405 are engaged with locking teeth 21408 of pivoting locking gear 21400 so that pivoting locking gear 21400 cannot rotate and, as a result, pivoting actuator 21300 is prevented from rotating. move longitudinally to articulate the end actuator
[00504] [00504] Figures 69 to 71 illustrate the distal progression of closing member 21110 during a closing course. Figure 69 illustrates the closing member 21110 in a non-actuated or open position. In such a position, the closing member 21110 is not engaged with the locking element 21405. Figure 70 illustrates the closing member 21110 in a partially closed position where the closing member 21110 has the end actuator 11500 at least partially closed . In such a position, a cam surface 21115 of the closing member 21110 engaged the locking member
[00505] [00505] In view of the above, a surgical instrument may include a joint locking system configured to prevent the surgical instrument end actuator from being articulated and / or unintentionally driven back by a load, or torque, applied to the end actuator. At least a portion of the articulation lock system can move in engagement with a surgical instrument pivot drive system to prevent pivoting of the end actuator. In at least one case, a hinge lock can be an integral part of the hinge drive system, as described in more detail below.
[00506] [00506] With reference to Figures 72 to 74, a 22000 surgical instrument comprises a drive shaft and a 22300 hinge drive system that is configured to pivot an end actuator, such as an 11500 end actuator, for example, of the surgical instrument 22000 in relation to the drive shaft. The hinge drive system 22300 comprises a hinge drive 22310 and a pinion gear 22320. The hinge drive 22310 comprises a longitudinal tooth rack 22316 defined therein that is operationally engaged with teeth 22326 of pinion gear 22320. When the articulation actuator 22310 is moved distally, the pinion gear 22320 rotates in a first direction. Correspondingly, pinion gear 22320 rotates in a second direction when hinge actuator 22310 is moved proximally. Pinion gear 22320 comprises an inclined gear 22330 mounted securely to it, so that inclined gear 22330 rotates with pinion gear 22320 about a common axis of rotation. The combined set of pinion gear 22320 and inclined gear 22330 is pivotally mounted on the drive shaft of the surgical instrument 22000.
[00507] [00507] In addition to the above, teeth 22336 of inclined gear 22330 are engaged in engagement with teeth 22346 of an inclined gear 22340 which is pivotally mounted around a threaded pivoting pivot screw 22350. More specifically, the inclined gear 22340 comprises a portion of nut that includes an at least partially threaded opening that is threadably engaged with the articulation drive screw 22350. When the inclined gear 22340 is rotated in a first direction by the articulation driver 22310 through the inclined gear 22330, the inclined gear 22340 rotates the pivot screw 22350 in a first direction. Likewise, inclined gear 22340 rotates pivot bolt 22350 in a second direction when inclined gear 22340 is rotated in a second direction. In addition, the 11500 end actuator is rotated in a first direction when the pivot drive screw 22350 is rotated in its first direction and correspondingly in a second direction when the drive shaft of the threaded pivot drive 22350 is rotated in your second direction.
[00508] [00508] In addition to the above, the pitch of the threads on the 22350 threaded pivoting screw can be selected to avoid recoil within the 22300 pivoting system. In other words, a steep pitch of the threads defined on the pivoting screw 22350 would be able to resist a force and / or torque transmitted proximally from the end actuator 11500 through the hinge actuator system 22300 and, as a result, may prevent the end actuator 11500 from being unintentionally articulated. As such, the thread pitch can serve as an integral pivot lock with the 22300 pivot drive system. In at least one case, the pivot drive screw comprises an ACME drive screw, for example.
[00509] [00509] With reference to Figures 75 to 79, a 23000 surgical instrument comprises a drive shaft and a 23300 articulation drive system that is configured to articulate an end actuator, such as an 11500 end actuator, for example, of the surgical instrument 23000 in relation to the drive shaft. The articulation actuator system 23300 comprises an articulation actuator 23310 and a pinion gear 23320. The articulation actuator 23310 comprises a longitudinal rack of teeth 23316 defined therein that is operationally engaged with teeth 23326 of pinion gear 23320. When the articulation actuator 23310 is moved distally, the pinion gear 23320 rotates in a first direction. Correspondingly, the pinion gear 23320 rotates in a second direction when the hinge driver 23310 is moved proximally. The pinion gear 23320 comprises a worm gear 23330 mounted fixedly thereto, so that the worm gear 23330 rotates with the pinion gear 23320 about a common axis of rotation. The combined set of pinion gear 23320 and worm gear 23330 is pivotally mounted on the drive shaft of the surgical instrument 23000.
[00510] [00510] In addition to the above, the teeth 23336 of the worm gear 23330 are in engagement with the teeth 23346 of a worm thread 23340 which is pivotally mounted to the drive shaft structure. The worm thread 23340 comprises a pinion gear 23350 mounted fixedly to it so that the pinion gear 23350 rotates with the worm thread 23340 around a common axis of rotation. Pinion gear 23350 is operationally engaged with a translatable hinge output driver 23360. More specifically, pinion gear 23350 comprises teeth 23356 that are in engagement with a tooth rack 23366 defined in output driver 23360. When the thread worm 23340 is rotated in a first direction by the articulation driver 23310 through worm gear 23330, pinion gear 23350 drives output driver 23360 distally. Correspondingly, worm 23340 and pinion gear 23350 drive output driver 23360 proximally when worm 23340 is rotated in a second direction by worm gear 23330. In addition, the actuator end cap 11500 is rotated in a first direction when the output driver 23350 is driven distally by the hinge driver system 23330 and in a second direction when the output driver 23350 is driven proximally by the hinge driver system 23330.
[00511] [00511] In addition to the above, the pitch of the threads on the worm thread 23340 can be selected to avoid indentation within the drive system 23300. In other words, a steep pitch of the threads defined in the worm thread 23340 , for example, would be able to withstand a force and / or torque transmitted proximally from the end actuator 11500 through the hinge actuator system 23300 and can prevent the end actuator 11500 from being unintentionally articulated. As such, the thread pitch can serve as an integral hinge lock with the 23300 hinge drive system.
[00512] [00512] A surgical instrument 12000, illustrated in Figures 32 to 34B, is similar to the surgical instrument 11000 in several aspects, most of which will not be repeated here, for the sake of brevity. In addition to a drive shaft 11100, an end actuator 11500 and a hinge joint 11200, the surgical instrument 12000 additionally comprises a clamp firing system 12900, for example, including a firing bar 12910 that extends through the joint hinge 11200. In use, the firing bar 12910 is translatable distally to perform a staple firing stroke and retracts proximally after at least a portion of the staple firing course has been completed. The firing bar 12910 extends through a channel, or slot, 11190 defined in the structure 11180 of the driving shaft 11100 which is configured to receive and / or guide firing bar 12910 closely as firing bar 12910 moves in relation to to the drive shaft 11100. Similarly, end actuator 11500 comprises a channel, or slot 11590, defined in structure 11580 of end actuator 11500 which is also configured to receive narrowly and / or guide firing bar 12910 according to firing rod 12910 moves relative to end actuator 11500.
[00513] [00513] In addition to the above, channels 11190 and 11590 do not extend into the hinge joint 11200 and, without further ado, the firing bar 12910 may not be supported within the hinge joint 11200. When the end actuator 11500 is in a non-hinged configuration (Figure 34), the 12910 firing bar is unlikely to warp within the 11120 hinge joint during the staple firing stroke - however, the probability of the 12910 firing bar warping laterally during the stroke clamp trigger increases when the 11500 end actuator is in an articulated configuration (Figures 34A and 34B). To reduce the possibility of such deformation, the surgical instrument 12000 further comprises a firing bar support 12400 configured to support firing bar 12910. The firing bar support 12400 comprises a proximal portion 12410 connected to the structure of the driving shaft 11180 a distal portion 12430 connected to the frame of the end actuator 11580 and an intermediate portion 12420 extending between the proximal portion 12410 and the distal portion 12430. Portions 12410, 12420 and 12430 of the firing bar support 12400 are integrally formed; however, other embodiments are provided in which the portions 12410, 12420 and 12430 are assembled together and / or comprise separate components.
[00514] [00514] In addition to the above, the distal portion 12430 of the firing bar 12400 is fixedly mounted to the end actuator support 11580 and does not move, or at least move substantially, relative to the structure of the end actuator
[00515] [00515] In several cases, the firing rod 12910 is comprised of a plurality of parallel layers, or at least substantially parallel. The layers are affixed to a distal cutting member and can partially translate or slide longitudinally in relation to each other - especially within the 11200 hinge joint. Each of these layers is configured to transmit a load in the same direction, that is, proximally or distally, although such layers can move, or slide, relative to each other. In addition to the above, such layers can widen laterally relative to each other - especially within the articulation joint 11200 - when the end actuator 11500 has been articulated. The intermediate portion 12420 of the firing bar holder 12400 comprises a plurality of connected control elements which can at least reduce, if not prevent, the relative lateral widening of the firing bar layers. Alternatively, as mentioned above, one or more of the control elements can be disconnected from each other.
[00516] [00516] In addition to or instead of the support of the firing bar 12400, the surgical instrument 12000 comprises one or more dividers that separate and control the layers of the firing bar 12910. With reference to Figures 34 to 34B, the drive shaft 11110 comprises a divider 12920 positioned within the layers of the firing bar 12910. Two layers of the firing bar 12910 are positioned on one side of the divider 12920, while two layers are positioned on the other side of the divider 12920, although any suitable arrangement can be used . The divider 12920 prevents half the layers of the firing bar 12910 from extending outward when the end actuator 11500 is pivoted. In other words, divider 12920 prevents the two rightmost layers of the firing bar from extending to the left when end actuator 11500 is hinged to the right (Figure 34A) and, similarly, divider 12920 prevents that the two leftmost layers of the firing bar widen to the right when the end actuator 11500 is pivoted to the left (Figure 34B). The divider 12920 extends through the hinge joint 11200 and the firing bar support 12400 and into the end actuator 11500, and can flex when the end actuator 11500 is pivoted. Consequently, in such cases, divider 12920 is flexible. The divider 12920 is mounted on the 11180 frame of the 11110 drive shaft and does not move relative to the 11180 frame; however, modalities are foreseen in which the divisor
[00517] [00517] A surgical instrument 13000, illustrated in Figures 35 to 39B, is similar to surgical instruments 11000 and 12000 in several aspects, most of which will not be repeated here, for the sake of brevity. In addition to a drive shaft 13100, an end actuator 13500 and a hinge joint 11200, the surgical instrument 13000 additionally comprises a clamp firing system 12900, for example, including a firing bar 12910 that extends through the gasket hinge 11200. In use, the firing bar 12910 is translatable distally to perform a staple firing stroke and retracts proximally after at least a portion of the staple firing course has been completed. With reference mainly to Figures 39 to 39B, the firing bar 12910 extends through a channel, or slot, 13190 defined in the structure 13180 of the driving shaft 13100 which is configured to receive narrowly and / or guide the firing bar 12910 as the firing bar 12910 moves in relation to the drive shaft 11100. Similarly, end actuator 13500 comprises a channel, or slot, defined in structure 13580 of end actuator 13500 which is also configured to receive narrowly and / or guide firing bar 12910 as firing bar 12910 moves relative to end actuator 13500.
[00518] [00518] When end actuator 13500 is in a non-hinged configuration (Figure 39), in addition to the above, the 12910 firing bar is unlikely to warp inside the 11120 hinge joint during the clamp firing stroke - however, the probability that the 12910 firing bar will bend sideways during the clamp firing stroke increases when the 13500 end actuator is in an articulated configuration (Figures 39A and
[00519] [00519] In addition to the above, the first side plate 13410 comprises a distal portion 13416 which is fixedly mounted to the end actuator support 13580 and does not move, or at least substantially move, relative to the structure of the actuator. end 13580. Similarly, the second side plate 13420 comprises a distal portion 13426 which is fixedly mounted to the structure of the end actuator 13580 and does not move, or at least move substantially, with respect to the structure of the end actuator 13580. The first side plate 13410 comprises a proximal portion 13412 that is slidably mounted on the structure of the drive shaft 13180, so that the first side plate 13410 can translate with respect to the structure of the drive shaft 13180 when the end actuator 13500 is articulated. The proximal portion 13412 comprises a head that is slidable within a chamber, or cavity, 13185 defined within the structure of the drive shaft 13180 that can limit the displacement of the firing bar support 13400. Similarly, the second side plate 13420 it comprises a proximal portion 13422 which is slidably mounted on the drive shaft structure 13180 so that the firing rod holder 13400 can translate with respect to the drive shaft structure 13180 when the end actuator 13500 is pivoted. The proximal portion 13422 comprises a head which is slidable within the chamber 13185 defined within the structure of the drive shaft 13180 which can also limit the displacement of the firing bar holder 13400.
[00520] [00520] The first side plate 13410 comprises a flexible portion 13414 positioned on the hinge joint 11200 that allows the distal portion 13416 of the first side plate 13410 to flex with respect to the proximal portion 13412 and accommodate the hinge of the end actuator 13500. A flexible portion 13414 extends laterally from the first side plate 13410 and comprises a hinge including the spans 13413 defined therein, which allow rotation within the first side plate 13410. In addition to or instead of the above, the first side plate 13410 comprises longitudinal openings 13415 defined therein that allow the first side plate 13410 to flex within the end actuator 13500 and accommodate the hinge of the end actuator 13500. The first side plate 13410 can comprise any number and configuration of openings and / or recesses defined therein in any suitable location that is configured to allow the first side plate 13410 flexes during pivoting of end actuator 13500. Similarly, second side plate 13412 comprises a flexible portion 13424 positioned on pivot joint 11200 that allows distal portion 13426 of second side plate 13420 to flex in relative to the proximal portion 13422 and accommodates the end actuator hinge 13500. The flexible portion 13424 extends laterally from the first side plate 13420 and comprises a hinge including the gaps defined therein, which allow rotation within the second side plate 13420. In addition to or instead of the above, the second side plate 13420 comprises longitudinal openings defined therein that allow the second side plate 13420 to flex within the end actuator 13500 and accommodate the hinge of the end actuator 13500. The second plate 13420 can comprise any number and configuration of suitable openings and / or recesses used therein in any suitable location that is configured to allow the second side plate 13420 to flex during the articulation of the end actuator 13500.
[00521] [00521] In addition to the above, side plates 13410 and 13420 are flexible and can resiliently return to their non-flexed configurations when the end actuator 13500 is returned to its non-articulated configuration. In several cases, side plates 13410 and 13420 comprise springs that resiliently tilt the 13500 end actuator in its non-articulated configuration.
[00522] [00522] A 24900 firing member is illustrated in Figures 83 and 84 and can be used with any of the surgical stapling instruments disclosed herein. The firing member 24900 comprises a firing bar 24910 which, similar to the above, comprises a plurality of layers. More specifically, the firing bar 24910 comprises two outer layers 24911 and two inner layers
[00523] [00523] Layers 24911 and 24912 of firing bar 24910 are welded to distal cutting member 24920 in welds 24930. As shown in Figure 84, a first weld 24930 is present on a first side of firing member 24900 and a second weld 24930 is present on a second side of firing member 24900. The first weld 24930 penetrates a first outer layer 24911 and the adjacent inner layer 24912. In several cases, the first weld 24930 penetrates entirely through the adjacent inner layer 24912 and / or also penetrates the other inner layer 24912. The second weld 24930 penetrates a second outer layer 24911 and the adjacent inner layer 24912. In several cases, the second weld 24930 penetrates entirely through the adjacent inner layer 24912 and / or also penetrates the other inner layer 24912.
[00524] [00524] With reference mainly to Figure 83, each weld 24930 of firing member 24900 comprises a weld line that is configured to firmly secure firing bar 24910 to cutting member 24920 and, at the same time, provide a flexible connection between the same. Each weld 24930 comprises a junction weld 24931 that connects cutting member 24920 to the distal ends of plates 24911 and 24912 and is placed under tension and / or compression when a longitudinal firing force is transmitted through firing member 24900. A junction weld is orthogonal, or at least substantially orthogonal to a longitudinal firing (FA) geometric axis of firing member 24900. junction weld 24931 can comprise any suitable configuration, such as a square, closed square, single chamfer configuration , double chamfer, single J, double J, single V, double V, single U, double U, flange, swelling and / or T configuration, for example.
[00525] [00525] In addition to the above, each 24930 weld additionally comprises a distal hook weld portion 24932 and a proximal hook weld portion 24933. Each hook weld portion 24932 and 24933 comprises a longitudinal portion that is aligned with, or is parallel to the longitudinal firing (FA) geometry axis of firing member 24900 and is sheared when a longitudinal firing force is transmitted through firing member 24900. In addition, each hook weld portion 24932 and 24933 comprises a junction portion which is orthogonal, or at least substantially orthogonal, to the longitudinal firing (FA) geometric axis and is placed under tension and / or compression when a longitudinal firing force is transmitted through the firing member 24900. Notably, each set of weld hook portions 24932 and 24933 comprises an interlocking connection between firing bar 24910 and cutting member 24920 that can transmit a flow of stress between them without fail and / or causing inadequate performance.
[00526] [00526] Each 24930 weld is generally L-shaped, for example; however, 24930 welds can comprise any suitable configuration.
[00527] [00527] Although surgical instruments 10000, 11000, 12000, 13000, 14000, 15000, 16000, 17000, 18000, 19000, 20000, 21000, 22000 and 23000 are surgical staplers, their designs can be readily adapted to other surgical instruments that have articulated end actuators, among others. Such other surgical instruments may include, for example, clip applicators, fastener applicators and / or surgical instruments capable of supplying electrical and / or vibrational energy to the tissue.
[00528] [00528] Figure 86 shows a surgical staple cartridge 25100 comprising an elongated tip 25150 located at a distal end thereof, generically designated as 25102. The elongated tip 25150 has a base 25152 which is defined by a first length 25154 extending by a distance between the end of the staple line 25056 and a distal tip 25142 of the staple cartridge 25100. The distal tip 25142 is formed at an angle σ from the base 25152 of the staple cartridge 25100. The distal tip 25142 on the clamps 25100 is positioned and configured to serve as a stop area for a wedge slide, not shown, of the trigger system after completing a clamp trigger course.
[00529] [00529] In an effort to shorten the overall length of the staple cartridge without sacrificing the length of the stapled tissue, the surgical staple cartridge 25200 shown in Figure 85 comprises a cartridge body 25210 including a shortened tip 25250 located at a distal end of the same, generically designated as 25202. The shortened tip 25250 has a base 25252 which is defined by a second length 25254 that extends a distance between the end of the staple line 25056 and a rounded distal tip 25242 of the staple cartridge 25200. The second length 25254 of the shortened tip 25250 is minimized by dulling the stop area for the wedge slide 25270 (see Figure 89). While the shortened rounded tip 25250 of the staple cartridge 25200 in Figure 85 still provides a stop area for the wedge slider, it may be necessary to make additional accommodation for storage, as will be discussed below. The rounded distal tip 25242 is formed at an angle γ from the base 25252 of the staple cartridge 25200.
[00530] [00530] When comparing staple cartridges 25200 and 25100 shown in Figures 85 and 86, respectively, the reader should recognize that the second length 25254 is shorter than the first length 25154. As a result, the length of the staple cartridge 25200 in addition to the end of the 25056 staple line it is minimized to allow for improved spatial access in a surgical site, among other things. The shortened tip 25250 also prevents the rounded distal tip 25242 from perforating a seal in a trocar system, as is further discussed below. In addition, a person will recognize that the angle γ of the rounded distal tip 25242 of the staple cartridge 25200 to the base 25252 is greater than the angle σ of the sharp distal tip 25142 of the staple cartridge 25100 to the base 25152. For example , the rounded distal tip 25242 can extend at an angle of approximately 45 to 50 degrees to the base 25252 of the staple cartridge 25200, while the sharp distal tip 25142 can extend at an angle of approximately 30 degrees to the base 25152 of the 25100 staple cartridge. The steeper angle of the rounded distal tip 25242 provides increased stability in all distal regions of the 25200 staple cartridge structure.
[00531] [00531] Figure 89 is a plan view of the staple cartridge 25200; The cartridge body 25210 of the staple cartridge 25200 comprises an elongated slot 25230 that extends from a proximal end 25204 of the staple cartridge 25200 towards the shortened distal tip 25250. A plurality of staple cavities 25220 are formed within the body of cartridge 25210. Staple cavities 25220 extend between the proximal end 25204 and the distal end 25202 of staple cartridge 25200. Staple cavities 25220 are arranged in six laterally spaced rows 25221, 25222, 25223, 25224, 25225, 25226, with three rows on each side of the elongated slot 25230. Clamps 25260 are removably positioned within clamp cavities 25220.
[00532] [00532] Figure 87 illustrates an embodiment of a triple clamp driver 25240 inside the clamp cartridge 25200 to support and drive three clamps 25260. Clamp driver 25240 comprises a first driver portion 25342, a second driver portion 25344 and a third driver portion 25346. A central base member 25348 connects the first driver portion 25342 and the third driver portion 25346 to the second driver portion
[00533] [00533] On the other side of the elongated slot 25230, a plurality of second clip drivers are mounted within the corresponding clip cavities 25220 in the three longitudinal rows 25224, 25225, 25226. Similar to the clip driver 25240, each of the seconds Staple actuators comprise a first portion of driver 25342, a second portion of driver 25344 and a third portion of driver 25346. A central base member 25348 connects the first portion of driver 25342 and the third portion of driver 25346 to the second portion of the driver 25344. The first portion of the driver 25342 is positioned at least partially distal to the second portion of the driver 25344. Additionally, the third portion of the driver 25346 is positioned at least partially distal to the second portion of the driver 25344. Just like the staple driver 25240 above , each second clamp trigger is configured to support three 25260 clamps: one 25260 clamp stored in the interior of a staple cavity 25220 in the fourth longitudinal row 25224, a staple 25260 stored inside a staple cavity 25220 in the fifth longitudinal row 25225 and a staple 25260 stored inside a staple cavity 25220 in the sixth longitudinal row 25226. Due at the distal position of the first portion of the driver 25342 and the third portion of the driver 25346 relative to the second portion of the driver 25344, the clamps 25260 are fired in a backward arrow configuration. As shown in Figure 89, the last clamps 25260 in the fourth longitudinal row 25224 and in the sixth longitudinal row 25226 are closer to the shortened end 25250 of the staple cartridge 25200 than the last clamp 25260 in the fifth longitudinal row 25225.
[00534] [00534] The first portion 25342 of the staple driver 25240 has a first support column for the front 25352 and a first support column for the back 25354 projecting upwardly from a first base of the driver portion. The first front support column 25352 and the first back support column 25354 are spaced apart from one another and collectively form a first clamp support to hold a clamp 25260 in an upright position (ie the clamp pins facing the anvil). Similarly, the second clamp portion 25344 has a second forward support column 25362 and a second back support column 25364 projecting upwardly from a second base of the driver portion. The second back support column 25362 and the second back support column 25364 are spaced apart and collectively form a second clamp support to hold a clamp 25260 in an upright position (ie the clamp pins facing the anvil). The third portion of the driver 25346 has a third support column for the front 25372 and a third support column for the back 25374 projecting upwardly from a third base of the driver portion. The third front support column 25372 and the third rear support column 25374 are spaced from one another and collectively form a third clamp support to hold a clamp 25260 in a vertical position (ie, the clamp pins facing the anvil).
[00535] [00535] The center of mass of the first and third portions of the driver 25342, 25346 is represented by the dashed line D-D. Similarly, the dashed line P-P represents the center of mass of the second portion of the 25344 driver. The combined center of mass of the triple clamp driver 25240 is shown in Figures 87 and 88 as the dashed line C-C. As such, the 25240 clamp driver is less likely to roll forward. Notably, C-C is closer to D-D than P-P, which makes the 25240 clip driver very stable.
[00536] [00536] As discussed above, the central base member 25348 of the clip driver 25240, shown in Figure 88, fixes the first portion of the driver 25342 and the third portion of the driver 25346 to the second portion of the driver 25344. The central base member 25348 extends laterally between the proximal ends of the first and third backing columns 25354, 25374 in the first and third portions of the driver 25342, 25346, respectively, and the proximal end of the second forward column 25362 over the second driver portion 25344. As can be seen in Figure 90, the central base member 25348 has an angled backward edge 25349 adapted to be engaged by a wedge slide 25270, as will be discussed further in detail below. Due to the extension of the central base member 25348 between all three portions of the driver 25342, 25344, 25346, the midpoint of the rear facing edge 25349 can be bifurcated into a portion that is closest to the first portion 25342 and a portion that is closest to third portion 25346. Such an arrangement can balance the moments created during firing and the formation of staples 25260 stored within the staple cavities 25220.
[00537] [00537] Referring mainly to Figure 89, each staple cavity 25220 defined in the cartridge body 25210 of the staple cartridge 25200 comprises a proximal wall 25264 and a distal wall 25262. The reverse orientation of the arrow formed by the arrangement of the first, second, and third portions of the driver 25342, 25344, 25346 of the triple clamp driver 25240 discussed above, reduces the forward and / or side scrolling of the clamp driver 25240 during a clamp firing stroke. In several cases, the distal end of the first forward support column 25352 and the distal end of the third forward support column 25372 are pushed into the distal walls 25262 of their respective staple cavities
[00538] [00538] As shown in Figures 87 to 90, the elongated slot 25230 of the staple cartridge 25200 is configured to receive a portion of a trigger assembly 25280. The trigger assembly 25280 is configured to push the slider 25270 distally to eject the staples 25260 stored inside the staple wells 25220 and deform the staples 25260 against an anvil positioned opposite the staple cartridge 25200. More specifically, a coupling member 25282 pushes the wedge slide 25270 distally from the staple cartridge 25200. The slide in wedge 25270 has four rails, two inner rails 25272 and two outer rails 25274 that are connected to each other by means of a central member 25276. An inner rail 25272 and an outer rail 25274 are positioned on one side of the elongated slot 25230, while the other inner rail 25272 and the other outer rail 25272 are positioned on the opposite side of the elongated slot
[00539] [00539] Again with reference to Figure 87, the positioning of the first, second and third portions of the driver 25342, 25344, 25346 of the clip driver 25240 between or adjacent to an inner rail 25272 and an outer rail 25274 of the wedge slider 25270 provides increased lateral stability. Two rails, an inner rail 25272 and an outer rail 25274, span the clamp driver 25240 to provide greater support and stability for the entire firing stroke. In addition to providing greater stability for the clamp driver 25240, another benefit of having a clamp driver 25240 extending over two rails 25272, 25274 of a wedge slide 25270 is the reduced force required to execute a firing stroke. The required force is reduced because there is less deflection and loss within the system. In addition, the additional drive surface provided by the rear facing edge 25349 allows the rails 25272, 25274 of the wedge slider 25270 to extend at a steeper angle from the base 25278 of the wedge slider 25270. The steeper angle of the slider wedge 25270 allows a general decrease in the length of the base 25278 of the wedge slider 25270, further contributing to the reduction of the length of the shortened tip 25250 of the staple cartridge 25200. After the completion of the staple firing stroke, again with reference to Figure 89, the wedge slide 25270 of the firing assembly 25280 into the shortened tip 25250 of the staple cartridge 25200.
[00540] [00540] Figure 89 represents the wedge slider 25270 of the firing set 25280 stopped at the shortened tip 25250 after the completion of the staple firing stroke. The shortened tip 25250 comprises a plurality of openings 25292, 25294 at the distal end of the shortened tip 25250 for receiving the four rails 25272,
[00541] [00541] Again with reference to Figure 89, the staple cartridge 25200 additionally includes projections 25262 that extend around the proximal and distal ends of the staple cavities 25220. The projections 25262 in the first longitudinal row 25221 are shown to be unique, while the projections in the second and third longitudinal rows 25222, 25223 are shown to be connected. The 25262 projections are configured to provide additional support for the 25260 clamps as they are fired up and out of their 25220 clamp cavities. In addition, the 25264 projections formed on the more distal clamp cavity 25220 are angled to control flow of fabric on the end actuator. A more detailed discussion of the projections can be found in the publication of US Patent Application 2015/0297228, entitled
[00542] [00542] Figure 91 illustrates some of the advantages obtained with the use of the shortened staple cartridge 25200 of Figure 85 instead of the extended staple cartridge 25100 of Figure 86. Both staple cartridges are suitable for various surgical procedures, including, for example, example, low anterior resection (LAR) surgery. LAR is a common treatment, for example, for colorectal cancer. Such procedures require precise dissection and sealing of tissue deep within a patient's pelvic cavity. As will be discussed in more detail below, the reduced length of the staple cartridge 25200 due to the reduced tip 25250 in Figure 85, among other things, allows the surgical instrument end actuator to gain greater access to tissue in the pelvic cavity. The reader should understand that the staple cartridges described herein can be used in various surgical treatments and should not be limited by the specific procedures discussed in the present invention.
[00543] [00543] In addition to the above, the staple cartridge 25200 is part of a first end actuator 25202 in a first surgical instrument 25201, which also includes an anvil
[00544] [00544] In addition to the above, in use, the doctor inserts the end actuator 25202 through a cannula, or trocar, and into a patient when the end actuator 25202 is in its non-articulated condition. Once through the trocar, the end actuator 25202 can be articulated as shown in Figure
[00545] [00545] The first end actuator 25202 is capable of reaching an X1 distance from the pelvic floor within the pelvic cavity during a LAR procedure. The second end actuator 25102 is capable of reaching a distance X 2 from the pelvic floor within the pelvic cavity during an LAR procedure. The distance X1 is shorter than the distance X 2, allowing the first surgical instrument 25201 to be placed more deeply in the pelvic cavity than the second surgical instrument 25101, giving the surgeon the ability, among other things, to target, access and remove a larger matrix of diseased tissue from the colon. In addition, the articulation capabilities of the first 25201 surgical instrument enable deeper access to tissue within the surgical site while inflicting minimal trauma to the surrounding tissue. The first end actuator 25202 is capable of pivoting to a greater degree than the second end actuator 25102, since β is greater than α. For example, the first end actuator 5202 can be pivoted to an angle 115 degrees from the first drive shaft 25206, while the second end actuator 2 can be pivoted only to an angle 135 degrees from the second drive shaft 25106 .
[00546] [00546] As shown in Figure 91, staple cartridge 25100 and anvil 25103 of end actuator 25102 are approximately the same length, but staple cartridge 25100 is noticeably longer than anvil 25103. Comparatively, the cartridge of clamps 25200 and anvil 25203 of end actuator 25202 are of substantially the same, if not the same length. In any case, the difference in length between the staple cartridge 25200 and the anvil 25203 of the end actuator 25202, if any, is much smaller than that of the end actuator 25102.
[00547] [00547] An extreme difference between the distal end of a staple cartridge and the distal end of an anvil can cause damage to a trocar when the end actuator is inserted through it. Referring to Figure 92, an end actuator 25810 comprises a distal end 25802, an anvil 25820 and a staple cartridge 25830. The staple cartridge 25830 has a shortened and rounded nose 25840 similar to the shortened nose 25250 over the staple cartridge 25200 in the figure
[00548] [00548] As can be seen in Figures 92 and 93, the protective tip 25822 of the anvil 25820 has a first curved or angled outer surface 25824, and a second curved or angled outer surface 25826 configured to form a stubby distal end over the anvil 25820 The first angled outer surface 25824 extends downwardly from a top surface 25828 of the anvil 25820 at a first angle φ. The second angled outer surface 25826 extends downwardly from the first angled outer surface 25824 towards the staple cartridge 25830 at a second angle θ. The second angle θ is greater than the first angle φ. Several modalities are predictions in which the angle θ measures, for example, approximately 90 degrees. Other modalities of the protective tip 25822 are provided for having only one of a first inclined external surface 25824 or a second inclined external surface 25826. The first inclined external surface 25824 serves to deflect a centering ring from a trocar seal assembly during insertion of the end actuator 25810 through the trocar. When the second angle θ is 90 degrees apart, and / or when the first and second curved outer surfaces 25824, 25826 are not continuous, the anvil 25820 can pierce through a trocar seal or it can displace the centering ring from one trocar sealing system, as will be discussed in more detail below.
[00549] [00549] A protective tip can be attached to an anvil in any suitable way. Figures 94 to 99 illustrate exemplary modalities of protective tips formed separately 25922, 26022, and various methods for attaching them to an anvil. As shown in Figures 94 to 96, a distal portion of an anvil 25920 comprises a fixing feature that includes fixing members 25927, 25929 that are configured to fit retentively with the complementary retaining channels 25926, 25928 formed on the protective tip 25922. More specifically, a central retaining channel 25928 is formed within the protective tip 25922 to receive a central fixing member 25929 of the anvil
[00550] [00550] In addition, or alternatively to the above, the protective tip 25922 can be attached to the anvil 25920 using rivets 25924. As shown in the Figure. 96, a through hole 25925 extends through the central retaining channel 25928 of the protective tip 25922. A through hole 25925 also extends through the central fixing member 25929 of the anvil 25920 so that when the protective tip 25922 is attached to the anvil 25920 , through holes 25925 line up to facilitate the insertion of a rivet 25924 in them. Figure 95 is a cross-sectional view of anvil 25920 shown in Figure 94 taken along line 95-95 in Figure 94 in a disassembled configuration illustrating a rivet assembly for removably securing protective tip 25922 to anvil 25920. In addition, or alternatively to the above, the protective tip 25922 can be fixed to the anvil 25920 by means of adhesives such as, for example, cyanoacrylates, light-curable acrylics, polyurethanes, silicones, epoxies and / or ultraviolet-curable adhesives, such as HENKEL LOCTITE®. In any case, a combination of fixing members and retaining channels can be provided on the 25920 anvil and the protective tip
[00551] [00551] Figures 97 to 99 illustrate another embodiment of a tip attachment arrangement. A distal portion of an anvil 26020 comprises fixing members 26027 which are configured to fit retentively with the complementary retaining channels 26026 defined in the protective tip 26022. In addition, a central retaining channel 26028 defined within the protective tip 26022 is configured to receive a central fixing member 26029 of anvil 26020. Figure 98 is a cross-sectional view of anvil 26020 of Figure 97 taken along line 98-98 in Figure 97 in a disassembled configuration showing the alignment of the retaining channels 26026, 26028 with their respective fixing members 26027, 26029. Figure 99 is a cross-sectional view of anvil 26020 in Figure 97, taken along line 99-99 in Figure 97 in an assembled configuration. Protective tip 26022 is attached to the 26020 anvil using a compression fitting. The central fixing member 26029 is pressed into the central retaining channel 26028, remaining in place due to the geometry of the central retaining channel 26028. The central fixing member 26029 of the anvil 26020 in Figure 98 has a trapezoidal shape that is imitated by the central retention channel 26028. An elongated slot 26094 extends longitudinally from a proximal end 26004 of the anvil 26020 towards the distal end 26002 of the anvil 26020. The elongated slot 26094 is configured to receive a portion of the firing set discussed herein.
[00552] [00552] In addition, or as an alternative to the above, the protective tip 26022 can be fixed to the anvil 26020 by means of adhesives such as, for example, cyanoacrylates, light-curable acrylics, polyurethanes, silicones, epoxies and / or ultraviolet curable adhesives , such as HENKEL LOCTITE®. In various embodiments, a combination of fixing members and retaining channels can be provided on the 26020 anvil and the 26022 protective tip. Still other forms of fixations and fixing arrangements can be used to fix the 26022 protective tip to the 26020 anvil. Figures 97 to 99 additionally illustrate means to assist a user in fixing the protective tip 26022 to the anvil 26020. Figure 97 illustrates the protective tip 26022 positioned removably within a temporary support 26030. In order to releasably secure the protective tip 26022 to anvil 26020, the user presses the temporary support 26030 and the anvil 26020 together. The temporary support 26030 can provide an additional sterilization barrier to the protective tip 26022 while the protective tip 26022 is attached to the anvil 26020. In addition, the temporary support 26030 provides the user with an object that is more substantial to hold when attaching the protective tip 26022 to the anvil 26020, since the protective tip 26022 may be small in size. It is envisaged that the temporary support 26030 can be used in various modalities of protective tips, including in the other modalities presented in the present invention.
[00553] [00553] Various protective anvil tips have been described and shown in the present invention as being used in conjunction with a linear end actuator. Those skilled in the art will readily understand, however, that the protective anvil tips described herein can be used together with a variety of different end actuator configurations, such as curved end actuators and other types of end actuators without departing from the spirit. and the scope of this description. Thus, the protective tip described above should not be limited to use only in conjunction with linear end actuators and / or staplers.
[00554] [00554] Figures 100 to 106 illustrate an exemplary practical application of the various end actuators described here when they are inserted through a trocar seal system before being introduced into a surgical site. The trocar seal system 27040 of Figures 100 to 106 comprises a housing 27042 configured to support a floating seal assembly 27050 and a central opening 27044 configured to receive a surgical instrument. The floating seal assembly 27050 comprises a first seal port 27052 and a second seal port 27054 that work together to prevent gas from escaping from an inflated cavity in a patient during a surgical procedure. The floating seal assembly 27050 additionally comprises a centering ring 27058 that is configured to guide a surgical instrument through the central opening 27044 of the trocar seal system 27040. The floating seal assembly 27050 is attached to housing 27042 of the seal system trocar 27040 through a resilient annular element 27056.
[00555] [00555] Figure 100 shows an example end actuator 27000 comprising an anvil 27010 and a staple cartridge 27020. The staple cartridge 27020 comprises a shortened and rounded nose 27022 similar to the shortened nose 25250 shown in the staple cartridge 25200 in Figure
[00556] [00556] Figure 102 represents the end actuator 27000 of Figures 100 and 101 when the end actuator 27000 was additionally introduced into the central opening 27044 of the trocar seal system 27040. After the initial contact of the shortened staple cartridge tip 27022 with the 27040 trocar seal system, the pointed distal end 27002 of the anvil 27010 comes into contact with the first seal port 27052 of the 27040 trocar system. In many cases, the pointed distal end 27002 of the anvil 27010 may break the first seal port 27052 of the trocar seal system 27040 As the contact between the shortened tip 27022 and the second seal port 27054 has already changed the position of the floating seal assembly 27050, laterally. As shown in Figure 103, if the distal end 27002 of anvil 27010 comprised a protective tip 27012 similar to the protective tip 25822 shown in Figure 92, the risk of rupture of the first seal port 27052 would be reduced. The risk of breakage decreases with the use of a 27012 protective tip on the 27010 anvil, as the first seal port 27052 stretches smoothly around the protective tip 27012. In addition, the same length of the cartridge and anvil reduces, or prevents pre-displacement of the floating seal assembly.
[00557] [00557] Figure 104 shows an example end actuator 27100 comprising an anvil 27110 and a staple cartridge 27120. The staple cartridge 27120 comprises an elongated and pointed nose 27122 similar to the elongated nose 25150 shown in the staple cartridge 25100 in Figure
[00558] [00558] Figure 106 represents the end actuator 27100 of Figures 104 and 105 when the end actuator 27100 was additionally introduced into the central opening 27044 of the trocar seal system 27040. After the initial contact of the elongated tip 27100 of the staple cartridge 27120, the pointed distal end 27102 of the anvil 27110 comes into contact with the first seal port 27052 of the trocar seal system 27040. In several cases, the pointed distal end 27102 of the anvil 27110 may break the first seal port 27052 of the system Trocar seal 27040 as the contact between the elongated tip 27122 and the second seal port 27054 displaced the position of the 27050 floating seal assembly.
[00559] [00559] As discussed in the present invention, a first staple cartridge can comprise a first cartridge length and a second staple cartridge can comprise a second cartridge length that is different from the first cartridge length. In several cases, an end actuator of a surgical stapling instrument may comprise a cartridge gripper configured to receive the first staple cartridge and, in an alternative embodiment, the second staple cartridge. In other words, the cartridge gripper is configured to receive the first staple cartridge and the second staple cartridge, but not at the same time. The first staple cartridge and the second staple cartridge individually comprise a proximal end that is aligned with a detail of the proximal cartridge jaw when it is positioned on the cartridge jaw. When the first length of the cartridge is longer than the second length of the cartridge, for example, the distal end of the first staple cartridge would be positioned further from the detail of the proximal cartridge jaw given the distal end of the second staple cartridge. The reader should understand that the second cartridge length may be longer than the first cartridge length in other cases.
[00560] [00560] In addition to the above, the end actuator comprises a movable anvil claw relative to the cartridge claw between an open, or not clamped position, and a closed, or clamped position. In alternative embodiments, the jaw of the cartridge is movable in relation to the jaw of the anvil. In any case, the anvil claw comprises a distal anvil end that is supported by the first staple cartridge and the second staple cartridge, depending on which staple cartridge is positioned in the cartridge claw. The distal anvil end is supported at a first location on the first cartridge jaw and at a second location on the second cartridge jaw. In many cases, the first location and the second location may not be at the same distance from the detail of the given proximal cartridge grip. In some cases, however, they may be at the same distance from the detail of the given proximal cartridge grip. In addition, in several cases, the first location is located at a first distance from the distal end of the first staple cartridge while the second location is located at a second, or different, distance from the distal end of the second staple cartridge. In use, a patient's tissue will be positioned between the anvil jaw and the cartridge jaw but, however, the staple cartridge support locations will still support the anvil jaw, or the fixation load applied by the jaw jaw. anvil.
[00561] [00561] In several cases, in addition to the above, the distal anvil end may extend distally beyond the distal end of the first staple cartridge when the end actuator is in a closed configuration and the first staple cartridge is positioned in the grip of the cartridge and, similarly, the distal end of the anvil may extend distally beyond the distal end of the second staple cartridge when the end actuator is in a closed configuration and the second staple cartridge is positioned in the cartridge grip. However, when the first cartridge length is longer than the second cartridge length, in many cases, the distal anvil tip may extend distally beyond the distal end of the second staple cartridge, but may not extend distally beyond the distal end of the first staple cartridge. In such cases, the anvil claw may be longer than the second staple cartridge when the second staple cartridge is positioned in the cartridge claw, but shorter than the first staple cartridge when the first staple cartridge is positioned on the cartridge grip. In some cases, the anvil claw is the same length as the first staple cartridge or the second staple cartridge.
[00562] [00562] In addition to the above, the anvil claw will deflect when it moves to its closed position. Due to the different cartridge lengths of the staple cartridges, the deflection of the anvil claw can be different depending on which staple cartridge is positioned in the cartridge claw. As a result, the staple gap between the anvil clamp and the staple drivers of the first cartridge jaw may be different from the staple gap between the anvil clamp and the staple drivers of the second cartridge jaw. In some cases, the gap in the staple formation gap is negligible, and the staples ejected from the first staple cartridge and the second staple cartridge will be formed at the same height, or at least at the lowest suitable and sufficient heights for staple the fabric caught between the anvil claw and the cartridge claw. In such cases, the unformed height of the clamps on the first clamp cartridge can be equal to the unformed height of the clamps on the second clamp cartridge. In other cases, the unformed height of the clamps on the first clamp cartridge is different from the unformed height of the clamps on the second clamp cartridge. In such cases, the higher staples can be used on the first staple cartridge and the shorter staples can be used on the second staple cartridge, for example, depending on the deflection and / or anticipated orientation of the anvil claw when closed against the first and the second staple cartridges. In at least one of these cases, each of the staples in the first staple cartridge has an unformed height in a first unformed height range and each of the staples in the second staple cartridge has an unformed height in a second height range not formed. In some cases, the first unformed height band is completely different from the second unformed height band while in other cases, the first unformed height band partially overlaps the second unformed height band.
[00563] [00563] As discussed above, the first staple cartridge and the second staple cartridge are selectively positioned on the end actuator's cartridge gripper and, in addition to the above, the cartridge gripper additionally comprises a support or bottom surface configured for support the staple cartridges when they are seated on the cartridge gripper. Such support may comprise a vertical detail. In several cases, the first support location on the first staple cartridge and the second support location on the second staple cartridge, discussed above, have the same vertical distance from the vertical detail of the cartridge grip. The vertical distance is measured orthogonally from the vertical reference, but it can be measured in any suitable way. In other cases, the first support location on the first staple cartridge has a different vertical height from the second support location on the second staple cartridge. In such cases, the orientation and / or deflection of the anvil claw when the anvil claw is in its secured position may be different as a result of the first local support location and the second support location having different vertical heights. Such different vertical heights can occur when the distal end, or tip, of the first staple cartridge, is different from the distal end of the second staple cartridge, among other reasons.
[00564] [00564] 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 examples, the surgical instrument systems described herein can be induced, for example, by a manually operated trigger. In certain cases, the motors disclosed in this 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 No. 13 / 118,241, entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS", now publication of US Patent Application No. 2012/0298719, for example, reveals several examples of a surgical instrument system robotic with more details.
[00565] [00565] 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 so limited. 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.
[00566] [00566] Examples
[00567] [00567] Example 1 - A surgical instrument comprising an end actuator. The end actuator comprises a cartridge jaw and an anvil jaw, one of which between the cartridge jaw and the anvil jaw is rotatable with respect to the other around a geometric axis of the cover. The surgical instrument additionally comprises a drive shaft that comprises a structure that defines a longitudinal drive shaft geometric axis and a closing actuator, the closing actuator being translatable in relation to the structure. The closing actuator comprises a proximal portion, a distal portion and a connection. The connection is pivotally connected to the proximal portion around a geometric axis of the proximal connection and to the distal portion around a geometric axis of the distal connection. The geometric axis of the proximal connection and the geometric axis of the distal connection define a geometric axis of the longitudinal connection between them. The surgical instrument additionally comprises an articulation joint, the end actuator being swivelly connected to the drive axis around an articulation axis defined by the articulation joint. The end actuator is articulated in an articulation plane between a non-articulated position and an articulated position, the articulation axis being displaced from the geometric axis of the longitudinal drive axis. The geometric axis of the longitudinal link is not collinear with the geometric axis of the longitudinal drive axis when the end actuator is in the non-hinged or hinged position.
[00568] [00568] Example 2 - The surgical instrument of Example 1, with the geometric axis of the proximal connection being positioned along the geometric axis of the longitudinal drive axis.
[00569] [00569] Example 3 - The surgical instrument of Example 1 or 2, the cartridge jaw comprising a staple cartridge that includes the staples removably stored therein.
[00570] [00570] Example 4 - The surgical instrument of Example 3, the staple cartridge being replaceable.
[00571] [00571] Example 5 - The surgical instrument of Example 3 or 4, which additionally comprises a trigger actuator that is separate and distinct from the closing actuator, the trigger actuator being operable to eject the staples from the staple cartridge.
[00572] [00572] Example 6 - The surgical instrument of Example 3, 4 or 5, the geometric axis of the longitudinal connection not being parallel to the said geometric axis of the longitudinal drive axis when the end actuator is in said non-articulated position or in articulated position.
[00573] [00573] Example 7 - The surgical instrument of Example 3, 4 or 5, the end actuator additionally comprising a geometric axis of the longitudinal end actuator. The geometric axis of the longitudinal end actuator is collinear with the geometric axis of the longitudinal drive axis when the end actuator is in the non-hinged position. The end actuator additionally comprises a distal end positioned along the geometry axis of the longitudinal end actuator, the distal connection geometry axis being displaced in relation to a geometry axis extending between the distal end and the geometric connection axis proximal when the end actuator is in the non-hinged and hinged position.
[00574] [00574] Example 8 - A surgical instrument comprising an end actuator. The end actuator comprises a geometric axis of the longitudinal end actuator, a distal end positioned along the geometric axis of the end actuator, a cartridge jaw and an anvil jaw, one of which is between the cartridge jaw and the anvil jaw. anvil is rotatable relative to the other around a geometric axis of the lid. The surgical instrument additionally comprises a drive shaft which comprises a structure that defines a geometric axis of longitudinal drive shaft and a translatable closing actuator in relation to the structure. The closing actuator comprises a proximal portion, a distal portion and a connection. The connection is pivotally connected to the proximal portion around a geometric axis of the proximal connection and to the distal portion around a geometric axis of the distal connection. The surgical instrument additionally comprises an articulation joint, the end actuator being swivelly connected to the drive axis around an articulation axis defined by the articulation joint. The end actuator is articulated in an articulation plane between a non-articulated position and an articulated position, the articulation axis being displaced from the geometric axis of the longitudinal drive axis. The geometric axis of the longitudinal end actuator is aligned with the geometric axis of the longitudinal drive axis when the end actuator is in the non-hinged position. The geometric axis of the distal connection is displaced with respect to a geometric axis that extends between the distal end of the end actuator and the geometric axis of the proximal connection when the end actuator is in the non-hinged or hinged position.
[00575] [00575] Example 9 - The surgical instrument of Example 8, the geometrical axis of proximal connection and the geometrical axis of distal connection defining a geometrical axis of longitudinal connection. The geometrical axis of the longitudinal link is not collinear with the geometrical axis of the longitudinal drive axis when the end actuator is in the non-hinged or hinged position.
[00576] [00576] Example 10 - The surgical instrument of Example 9, the geometric axis of the longitudinal connection not being parallel to the geometric axis of the longitudinal drive axis when the end actuator is in the non-articulated position or in the articulated position.
[00577] [00577] Example 11 - The surgical instrument of Example 8, 9 or 10,
[00578] [00578] Example 12 - The surgical instrument of Example 8, 9, 10 or 11, the cartridge jaw comprising a staple cartridge that includes the staples removably stored therein.
[00579] [00579] Example 13 - The surgical instrument of Example 12, the staple cartridge being replaceable.
[00580] [00580] Example 14 - The surgical instrument of Example 12 or 13, which additionally comprises a trigger actuator that is separate and distinct from the closing actuator, the trigger actuator being able to eject the staples from the staple cartridge.
[00581] [00581] Example 15 - A surgical instrument comprising an end actuator. The end actuator comprises a geometric axis of the longitudinal end actuator, a distal end positioned along the geometric axis of the end actuator, a first jaw and a second jaw, one of which between the first jaw and the second jaw is rotatable in relation to the other between an open position and a closed position. The surgical instrument additionally comprises a drive shaft which comprises a structure that defines a geometric axis of longitudinal drive shaft and a translatable closing actuator in relation to the structure. The closing actuator comprises a proximal portion, a distal portion and a connection. The connection is pivotally connected to the proximal portion around a geometric axis of the proximal connection and to the distal portion around a geometric axis of the distal connection. The surgical instrument additionally comprises an articulation joint, the end actuator being swivelly connected to the drive axis around an articulation axis defined by the articulation joint. The end actuator is articulated between a non-articulated position and an articulated position, the articulation axis being positioned laterally in relation to the geometric axis of the longitudinal drive axis. The geometric axis of the longitudinal end actuator is aligned with the geometric axis of the longitudinal drive axis when the end actuator is in the non-hinged position. The geometric axis of the distal connection is positioned laterally in relation to a geometric axis that extends between the distal end of the end actuator and the geometric axis of the proximal connection when the first jaw is in the open position, in the closed position and in any position between the open position and the closed position.
[00582] [00582] Example 16 - The surgical instrument of Example 15, with the geometric axis of proximal connection and the geometric axis of distal connection defining a geometric axis of longitudinal connection. The geometric axis of the longitudinal link is not aligned with the geometric axis of the longitudinal drive axis when the first jaw is in the closed position, regardless of whether the end actuator is in the non-hinged position or in the hinged position.
[00583] [00583] Example 17 - The surgical instrument, according to Example 15 or 16, the geometric axis of the longitudinal connection not being parallel to the geometric axis of the longitudinal drive axis when the first jaw is in the closed position, regardless of whether the end actuator is in the non-hinged or hinged position.
[00584] [00584] Example 18 - The surgical instrument of Example 15, 16 or 17, with the geometric axis of the proximal connection being positioned along the geometric axis of the longitudinal drive axis.
[00585] [00585] Example 19 - The surgical instrument of Example 15, 16, 17 or 18, the first jaw comprising a staple cartridge that includes the staples removably stored therein.
[00586] [00586] Example 20 - The surgical instrument of Example 19, the staple cartridge being replaceable.
[00587] [00587] Example 21 - The surgical instrument of Example 19 or 20, which additionally comprises a trigger actuator that is separate and distinct from the closing actuator, the trigger actuator being able to eject the staples from the staple cartridge.
[00588] [00588] Example 22 - A surgical instrument comprising a drive shaft comprising a proximal end, a distal end and a longitudinal geometric axis that extends between the proximal end and the distal end. The surgical instrument additionally comprises an end actuator comprising an end actuator structure pivotally coupled to the drive shaft around a pivot pivot, the pivot pivot defining a fixed pivot axis, and the fixed pivot axis is positioned laterally offset from the longitudinal geometric axis. The surgical instrument additionally comprises an articulation actuator coupled to the structure of the end actuator in a fixation location, the articulation actuator being movable in a proximal position to rotate the end actuator to a first fully articulated position and a distal position to rotate the end actuator to a second fully hinged position. The proximal position and the distal position define an articulation stroke of the articulation actuator, the articulation stroke having a length of articulation stroke. A lateral moment arm is defined between the attachment location and the fixed articulation axis, the lateral moment arm being orthogonal to the longitudinal geometric axis. The surgical instrument is configured so that a ratio between the lateral moment arm and the joint stroke length is maximized.
[00589] [00589] Example 23 - The surgical instrument of Example 22, the end actuator being positionable in a non-articulated position that is aligned with the longitudinal geometric axis. The end actuator is moved through a first arc length when the end actuator moves from the non-hinged position to the first fully hinged position. The end actuator is moved through a second arc length when the end actuator moves from the non-hinged position to the second fully hinged position.
[00590] [00590] Example 24 - The surgical instrument of Example 23, the first arc length being equal to the second arc length.
[00591] [00591] Example 25 - The surgical instrument of Example 23, the first arc length and the second arc length being different.
[00592] [00592] Example 26 - The surgical instrument of Example 22, 23, 24 or 25, the ratio being between 1.1 and 1.4.
[00593] [00593] Example 27 - The surgical instrument of Example 22, 23, 24, 25 or 26, the fixation site being displaced through a length of articulation arc when the end actuator moves between the first fully articulated position and the second position is fully articulated.
[00594] [00594] Example 28 - The surgical instrument of Example 27, the surgical instrument being configured in such a way that an articulation ratio comprising the articulation arc length and the articulation stroke length is maximized.
[00595] [00595] Example 29 - The surgical instrument of Example 28, the articulation ratio being between 1.2 and 1.7.
[00596] [00596] Example 30 - The surgical instrument of Example 27, 28 or 29, the surgical instrument being configured so that a ratio comprising the product of the articulation arc length and the lateral moment arm for the stroke length articulation is maximized.
[00597] [00597] Example 31 - The surgical instrument of Example 30, the ratio being between 1 and 3.
[00598] [00598] Example 32 - The surgical instrument of Example 22, 23, 24, 25, 26, 27, 28, 29, 30 or 31, the end actuator additionally comprising a staple cartridge comprising removably stored staples the same.
[00599] [00599] Example 33 - The surgical instrument of Example 32, the staple cartridge being replaceable.
[00600] [00600] Example 34 - A surgical instrument comprising a drive axis comprising a proximal end, a distal end and a longitudinal geometric axis that extends between the proximal end and the distal end. The surgical instrument additionally comprises an end actuator comprising an end actuator structure pivotally coupled to the drive shaft around a pivot pivot, the pivot pivot defining a fixed pivot axis, and the fixed pivot axis is positioned laterally offset from the longitudinal geometric axis. The surgical instrument additionally comprises an articulation actuator coupled to the structure of the end actuator in a fixation location. The articulation actuator is movable in a proximal position to rotate the end actuator to a first fully articulated position and a distal position to rotate the end actuator to a second fully articulated position. The proximal position and the distal position define an articulation stroke of the articulation trigger. The pivot stroke has a pivot stroke length, in which a side moment arm is defined between the attachment location and the fixed pivot axis. The lateral moment arm is orthogonal to the longitudinal geometric axis. The surgical instrument is configured so that a ratio between the lateral moment arm and the joint stroke length is greater than 1.
[00601] [00601] Example 35 - The surgical instrument of Example 34, the ratio being between 1.1 and 1.4.
[00602] [00602] Example 36 - The surgical instrument of Example 34 or 35, the fixation site being displaced through a length of articulation arc when the end actuator moves between the first fully articulated position and the second fully articulated position .
[00603] [00603] Example 37 - The surgical instrument of Example 36, the surgical instrument being configured in such a way that an articulation ratio comprising the articulation arc length and the articulation stroke length is maximized.
[00604] [00604] Example 38 - The surgical instrument of Example 37, the articulation ratio being between 1.2 and 1.7.
[00605] [00605] Example 39 - The surgical instrument of Example 36, the surgical instrument being configured so that a ratio comprising the product of the articulation arc length and the lateral moment arm to the articulation stroke length is maximized .
[00606] [00606] Example 40 - The surgical instrument of Example 39, the articulation ratio being between 1 and 3.
[00607] [00607] Example 41 - The surgical instrument of Example 34, 35, 36, 37, 38, 39 or 40, the end actuator further comprising a staple cartridge comprising staples removably stored therein.
[00608] [00608] Example 42 - The surgical instrument of Example 41, the staple cartridge being replaceable.
[00609] [00609] Example 43 - A surgical instrument comprising a drive axis comprising a proximal end, a distal end and a longitudinal geometric axis that extends between the proximal end and the distal end. The surgical instrument additionally comprises an end actuator comprising an end actuator structure pivotally coupled to the drive shaft around a pivot pivot, the pivot pivot defining a fixed pivot axis, and the fixed pivot axis is positioned laterally offset from the longitudinal geometric axis. The surgical instrument additionally comprises an articulation actuator coupled to the structure of the end actuator in a fixation location, the articulation actuator being movable in a proximal position to rotate the end actuator to a first fully articulated position and a distal position to rotate the end actuator to a second fully hinged position. The proximal position and the distal position define an articulation stroke of the articulation actuator, the articulation stroke having a length of articulation stroke. The attachment location is displaced by a length of articulation arc when the end actuator moves between the first fully articulated position and the second fully articulated position. A lateral moment arm is defined between the attachment location and the fixed articulation axis, the lateral moment arm being orthogonal to the longitudinal geometric axis. The surgical instrument is configured so that the ratio of the product of the lateral moment arm and the length of the articulation arc to the length of the articulation stroke is greater than 1.
[00610] [00610] Example 44 - A surgical instrument comprising a driving axis comprising a proximal end, a distal end and a longitudinal geometric axis extending between the proximal end and the distal end. The surgical instrument additionally comprises an end actuator comprising an end actuator structure pivotally coupled to the drive axis around a pivot pivot, the pivot pivot defining a fixed pivot axis, and the axis fixed articulation is positioned laterally offset in relation to the longitudinal geometric axis. The surgical instrument additionally comprises an articulation actuator coupled to the structure of the end actuator in a fixation location, the articulation actuator being movable in a proximal position to rotate the end actuator to a first fully articulated position and a distal position to rotate the end actuator to a second fully hinged position. The proximal position and the distal position define an articulation stroke of the articulation actuator, the articulation stroke having a length of articulation stroke. A side moment arm is defined between the attachment location and the fixed pivot axis. The surgical instrument additionally comprises a means to increase the lateral moment arm while limiting the articulation stroke.
[00611] [00611] Example 45 - A surgical instrument comprising a drive shaft comprising a proximal end, a distal end, a longitudinal geometric axis extending between the proximal end and the distal end and an outer housing comprising a radius of the axis drive defined in relation to the longitudinal geometric axis. The surgical instrument additionally comprises an end actuator comprising an end actuator structure pivotally coupled to the drive shaft around a pivot pivot, the pivot pivot defining a fixed pivot axis, and the fixed pivot axis is positioned laterally offset from the longitudinal geometric axis. The surgical instrument additionally comprises an articulation actuator coupled to the structure of the end actuator in a fixation location, the articulation actuator being proximally movable to rotate the end actuator in a first direction, the articulation actuator being it is distally movable to rotate the end actuator in a second direction that is opposite the first direction. A side moment arm is defined between the attachment location and the fixed pivot axis. The lateral moment arm is orthogonal to the longitudinal geometric axis, with a ratio between the driving axis radius and the lateral moment arm being less than 1.4.
[00612] [00612] Example 46 - The surgical instrument of Example 45, the ratio being less than 1.3.
[00613] [00613] Example 47 - The surgical instrument of Example 45, the ratio being less than 1.2.
[00614] [00614] Example 48 - The surgical instrument of Example 45, the ratio being less than 1.1.
[00615] [00615] Example 49 - The surgical instrument of Example 45, 46, 47 or 48, the end actuator being rotatable in a first distance in the first direction and a second distance in the second direction, and the first distance and the second distance are equal.
[00616] [00616] Example 50 - The surgical instrument of Example 45, 46, 47 or 48, the end actuator being rotatable through a first band in the first direction and a second band in the second direction, and the first band and the second track are not the same.
[00617] [00617] Example 51 - The surgical instrument of Example 45, 46, 47, 48, 49 or 50, which further comprises a staple cartridge that includes the staples removably stored therein.
[00618] [00618] Example 52 - The surgical instrument of Example 51, the staple cartridge being replaceable.
[00619] [00619] Example 53 - The surgical instrument of Example 45, 46, 47, 48, 49, 50, 51 or 52, the outer housing defining an internal opening, and the radius of the drive shaft is defined by the opening internal.
[00620] [00620] Example 54 - The surgical instrument of Example 53, the drive shaft comprising a drive shaft structure extending through the internal opening, and the end actuator structure being rotationally coupled to the shaft structure drive.
[00621] [00621] Example 55 - The surgical instrument of Example 45, 46, 47, 48, 49, 50, 51, 52, 53 or 54, the driving axis comprising a first longitudinal portion and a second longitudinal portion, being that the drive shaft radius of the outer housing comprises a first drive shaft radius in the first longitudinal portion and a second drive shaft radius in the second longitudinal portion, and the first drive shaft radius is different from the second radius of the drive shaft.
[00622] [00622] Example 56 - A drive shaft assembly comprising a drive shaft comprising a proximal end, a distal end, a longitudinal geometric axis extending between the proximal end and the distal end and an outer housing comprising a driving axis radius defined in relation to the longitudinal geometry axis. The drive shaft assembly further comprises an end actuator that comprises an end actuator structure pivotally coupled to the drive shaft around a pivot pivot, the pivot pivot defining a fixed pivot axis, and the fixed articulation axis being positioned laterally offset in relation to the longitudinal geometric axis. The drive shaft assembly additionally comprises an articulation actuator coupled to the frame of the end actuator at a clamping location. The articulation actuator is proximally movable to rotate the end actuator in a first direction, the articulation actuator being movable distally to rotate the end actuator in a second direction which is opposite to the first direction. A side moment arm is defined between the attachment location and the fixed pivot axis. The lateral moment arm is orthogonal to the longitudinal geometric axis, and the drive shaft assembly is configured so that a ratio between the radius of the drive axis and the lateral moment arm is minimized.
[00623] [00623] Example 57 - The drive shaft set of Example 56, the ratio being less than 1.4.
[00624] [00624] Example 58 - The drive shaft set of Example 56, the ratio being less than 1.1.
[00625] [00625] Example 59 - The drive shaft assembly of Example 56, 57 or 58, which additionally comprises a staple cartridge that includes the staples removably stored therein.
[00626] [00626] Example 60 - The drive shaft assembly of Example 59, in which the staple cartridge is replaceable.
[00627] [00627] Example 61 - The drive shaft set of Example 56, 57, 58, 59 or 60, the outer housing defining an internal opening, and the driving shaft radius is defined by the internal opening.
[00628] [00628] Example 62 - The drive shaft assembly of Example 56, 57, 58, 59, 60 or 61, the drive shaft comprising a first longitudinal portion and a second longitudinal portion. The driving shaft radius of the housing of the outer housing comprises a first driving shaft radius in the first longitudinal portion and the second driving shaft radius in the second longitudinal portion. The first radius of the drive shaft is different from the second radius of the drive shaft.
[00629] [00629] Example 63 - A surgical instrument comprising a drive shaft comprising an external housing comprising a driving shaft radius. The surgical instrument additionally comprises an end actuator comprising an end actuator structure pivotally coupled to the drive shaft around a pivot pivot, the pivot pivot defining a pivot axis, and the axis being pivot point is positioned laterally offset from the center line of the drive shaft. The surgical instrument additionally comprises an articulation actuator coupled to the structure of the end actuator in a fixation location. The articulation actuator is proximally movable to rotate the end actuator in a first direction in a first fully articulated position, the articulation actuator being distally movable to rotate the end actuator in a second direction in a fully articulated position . A side moment arm is defined between the attachment location and the pivot axis. The side moment arm is orthogonal to the center line of the drive shaft, and the ratio between the radius of the drive shaft and the side moment arm is between 1 and 1.4.
[00630] [00630] Example 64 - A surgical instrument comprising a drive shaft and an end actuator. The end actuator comprises a proximal end, a distal end, a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position, one of which between the first jaw and the second jaw comprises a staple cartridge including staples removably stored therein.
[00631] [00631] Example 65 - The surgical instrument, according to Example 64, with the control elements being positioned inside the joint.
[00632] [00632] Example 66 - The surgical instrument of Example 64 or 65, the first jaw comprising the staple cartridge.
[00633] [00633] Example 67 - The surgical instrument of Example 64 or 65, the second claw comprising the staple cartridge.
[00634] [00634] Example 68 - The surgical instrument of Example 64, 65, 66 or 67, the cutting member being welded to the firing bar.
[00635] [00635] Example 69 - The surgical instrument of Example 64, 65, 66, 67 or 68, the control elements being connected to each other.
[00636] [00636] Example 70 - The surgical instrument of Example 64, 65, 66, 67 or 68, the control elements being disconnected from each other.
[00637] [00637] Example 71 - The surgical instrument of Example 64, 65, 66, 67, 68, 69 or 70, the control elements being disconnected from each other.
[00638] [00638] Example 72 - The surgical instrument of Example 64, 65, 66, 67, 68, 69, 70 or 71, the articulation joint defining a fixed axis of rotation around which the end actuator is rotated .
[00639] [00639] Example 73 - A surgical instrument comprising a drive shaft that defines a longitudinal geometric axis and an end actuator. The end actuator comprises a proximal end, a distal end, a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The surgical instrument additionally comprises an articulation joint, the end actuator being swiveled connected to the drive shaft around the articulation joint. The surgical instrument additionally comprises a joint link operatively connected to the end actuator, the link joint being movable distally to rotate the end actuator in a first direction, and the link joint is movable proximally to rotate the actuator end in a second direction; The surgical instrument additionally comprises a gripping member configured to engage the first gripper and move the first gripper towards the closed position during a gripping stroke, the gripping member being slidable in relation to the hinge joint during the gripping stroke . The surgical instrument additionally comprises a set of trigger clips. The clamp firing assembly comprises a movable cutting member through the end actuator during a clamp firing stroke and a firing member. The firing member comprises a plurality of flexible layers attached to the cutting member, the flexible layers being configured to slide longitudinally with respect to each other. The firing member extends through the pivot joint. The surgical instrument additionally comprises control elements, with each control element comprising an opening defined therein. The firing bar extends through the openings, and the control elements are configured to hold the flexible layers together.
[00640] [00640] Example 74 - The surgical instrument of Example 73, with the control elements being positioned inside the joint.
[00641] [00641] Example 75 - The surgical instrument of Example 73 or 74, the first jaw comprising a staple cartridge.
[00642] [00642] Example 76 - The surgical instrument of Example 73 or 74,
[00643] [00643] Example 77 - The surgical instrument of Example 73, 74, 75 or 76, the cutting member being welded to the firing bar.
[00644] [00644] Example 78 - The surgical instrument of Example 73, 74, 75, 76 or 77, the control elements being connected to each other.
[00645] [00645] Example 79 - The surgical instrument of Example 73, 74, 75, 76 or 77, with the control elements being connected together.
[00646] [00646] Example 80 - The surgical instrument of Example 73, 74, 75, 76, 77, 78 or 79, the drive shaft comprising a drive shaft structure, and the support being mounted on the shaft structure drive.
[00647] [00647] Example 81 - A surgical instrument that comprises a drive shaft that defines a longitudinal geometric axis and an end actuator. The end actuator comprises a proximal end, a distal end, a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The surgical instrument additionally comprises an articulation joint, the end actuator being swiveled connected to the drive shaft around the articulation joint. The surgical instrument additionally comprises a hinge connection operatively connected to the end actuator. The hinge link is movable distally to rotate the end actuator in a first direction, the hinge link is movable proximally to rotate the end actuator in a second direction. The surgical instrument further comprises a gripping member configured to engage the first jaw and move the first jaw towards the closed position during a gripping stroke. The gripping member is slid in relation to the hinge joint during the gripping stroke. The surgical instrument additionally comprises a set of trigger clips. The clamp firing assembly comprises a cutting member and a firing member. The cutting member is movable through the end actuator during a clamping stroke. The firing member comprises a plurality of flexible layers attached to the cutting member, the flexible layers being configured to slide longitudinally with respect to each other. The firing member extends through the pivot joint. The clamp firing assembly further comprises a support positioned between two of the flexible layers. The clip firing assembly further comprises means for limiting lateral displacement between the flexible layers.
[00648] [00648] Example 82 - The surgical instrument of Example 81, the first jaw comprising a staple cartridge.
[00649] [00649] Example 83 - The surgical instrument of Example 81, the second claw comprising a staple cartridge.
[00650] [00650] Example 84 - A surgical instrument comprising a drive shaft and an end actuator. The end actuator comprises a proximal end, a distal end, a longitudinal geometric axis that extends between the proximal end and the distal end, a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The surgical instrument additionally comprises an articulation joint, the end actuator being swiveled connected to the drive shaft around the articulation joint. The surgical instrument additionally comprises a set of trigger clips. The clamp firing assembly comprises a movable cutting member through the end actuator during a clamp firing stroke, the cutting member comprising a first portion configured to engage the first jaw and a second portion configured to engage the second claw. The clip firing assembly further comprises a firing member comprising a plurality of flexible layers welded to the cutting member along a weld line. The weld line comprises a longitudinal portion and a transverse portion that extends orthogonally with respect to the longitudinal portion.
[00651] [00651] Example 85 - The surgical instrument of Example 84, the first jaw comprising a staple cartridge.
[00652] [00652] Example 86 - The surgical instrument of Example 84, the second claw comprising a staple cartridge.
[00653] [00653] Example 87 - The surgical instrument of Example 84, 85 or 86, the second claw comprising a staple cartridge.
[00654] [00654] Example 88 - The surgical instrument of Example 84, 85, 86 or 87, the firing member comprising a first lateral side and a second lateral side, and said weld line is present on the first lateral side and on the second side.
[00655] [00655] Example 89 - A surgical instrument comprising a drive shaft comprising a drive shaft structure and an end actuator. The end actuator comprises a proximal end, a distal end, a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The surgical instrument additionally comprises an articulation joint, the end actuator being swiveled connected to the drive shaft around the articulation joint. The surgical instrument further comprises a clamp firing assembly comprising a movable cutting member through the end actuator during a clamp firing course. The clip firing assembly further comprises a firing member, the firing member comprising a plurality of flexible layers attached to the cutting member, and the firing member extending through the hinge joint. The surgical instrument additionally comprises a lateral spring support positioned adjacent to the firing member. The lateral spring support comprises a distal end mounted on the proximal structure of the end actuator. The side spring support additionally comprises a proximal end configured to slide in relation to the drive shaft structure.
[00656] [00656] Example 90 - The surgical instrument of Example 89, the first jaw comprising a staple cartridge.
[00657] [00657] Example 91 - The surgical instrument of Example 89, the second claw comprising a staple cartridge.
[00658] [00658] Example 92 - The surgical instrument of Example 89, 90 or 91, the lateral spring support comprising a first lateral spring support positioned along a first lateral side of the firing member. The surgical instrument further comprises a second lateral spring support positioned along a second lateral side of the firing member.
[00659] [00659] Example 93 - A surgical instrument comprising a drive shaft and an end actuator. The end actuator comprises a proximal end, a distal end, a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position, one of which between the first jaw and the second jaw comprises a staple cartridge including staples removably stored therein. The surgical instrument additionally comprises an articulation joint, the end actuator being swiveled connected to the drive shaft around the articulation joint. The surgical instrument additionally comprises a pivot rod operatively connected to the end actuator, the pivot rod being distally movable to rotate the end actuator in a first direction, and the pivot rod is movable proximally to rotate the actuator end in a second direction. The surgical instrument further comprises a firing bar comprising a plurality of flexible layers, the firing bar being movable through the hinge joint during a staple firing stroke. The surgical instrument additionally comprises a first flexible support positioned on a first side of the firing bar, a second flexible support positioned on a second side of the firing bar and a plurality of control elements, each control element comprising a defined opening the same. The firing bar extends through the openings, with the first flexible support, the second flexible support and the control elements configured to keep the flexible layers together.
[00660] [00660] Example 94 - The surgical instrument of Example 93, the first flexible support and the second flexible support extending through at least some of the openings of the control element.
[00661] [00661] Example 95 - A surgical instrument comprising an end actuator comprising a proximal end and a distal end. The surgical instrument additionally comprises a drive shaft. The drive shaft comprises a frame, a locking plate movable in relation to the structure, the locking plate comprising a first longitudinal rack of locking teeth. The drive shaft additionally comprises a pivot joint, the end actuator being pivotally connected to the drive shaft by the pivot joint. The drive shaft comprises a pivot actuator operationally connected to the end actuator, the pivot actuator being movable distally to rotate the end actuator in a first direction, and proximally to rotate the end actuator in a second direction. The articulation actuator comprises a second longitudinal rack of locking teeth. The drive shaft additionally comprises an articulation lock comprising a third longitudinal rack of lock teeth. The articulation lock is positioned in an unlocked position in which the articulation actuator can move in relation to the structure and a locked position in which the third longitudinal rack of the locking teeth is engaged with the first longitudinal rack of locking teeth and the second longitudinal rack of locking teeth to prevent the proximal and distal movement of the articulation actuator.
[00662] [00662] Example 96 - The surgical instrument of Example 95, the first longitudinal rack of the locking teeth being defined in the foreground and the second longitudinal rack of the locking teeth being defined in the background. The foreground and the background are different.
[00663] [00663] Example 97 - The surgical instrument of Example 95 or 96, the locking plate being slid in relation to the structure.
[00664] [00664] Example 98 - The surgical instrument of Example 95, 96 or 97, the structure comprising a recess and the locking plate is positioned inside the recess. The recess comprises a proximal end wall configured to limit the proximal movement of the lock plate within the recess. The recess further comprises a distal end wall configured to limit the distal movement of the locking plate within the recess.
[00665] [00665] Example 99 - The surgical instrument of Example 98, which comprises a bias member positioned end to end wall proximal and the locking plate.
[00666] [00666] Example 100 - The surgical instrument of Example 98, which comprises a biasing member positioned end to end distal wall and locking plate.
[00667] [00667] Example 101 - The surgical instrument of Example 95, 96, 97, 98, 99 or 100, the surgical end actuator comprising a first jaw and a second jaw, the first jaw being movable in relation to the second claw between an open position and a closed position. The surgical instrument further comprises a gripping member configured to move the first gripper in the direction of the closed position during a gripping stroke. The closing member is configured to engage the articulation lock during the gripping stroke and keep the articulation lock in the locked position.
[00668] [00668] Example 102 - The surgical instrument of Example 101, the driving axis defining a longitudinal geometric axis. The structure comprises a flexible portion, the closing member being configured to push the locking plate against the flexible portion and to deflect the flexible portion laterally in relation to the longitudinal geometric axis.
[00669] [00669] Example 103 - The surgical instrument of Example 102, the flexible portion comprising a side wall on the side and a defined cavity behind the side wall on the side. The side wall of the side is configured to flex into the cavity.
[00670] [00670] Example 104 - The surgical instrument of Example 95, 96, 97, 98, 99, 100, 101, 102 or 103, the articulation lock being provided in engagement with the locking plate and the articulation actuator.
[00671] [00671] Example 105 - The surgical instrument of Example 95, 96, 97, 98, 99, 100, 101, 102, 103 or 104, the end actuator additionally comprising a staple cartridge comprising removably stored staples the same.
[00672] [00672] Example 106 - The surgical instrument of Example 105, the staple cartridge being replaceable.
[00673] [00673] Example 107 - The surgical instrument of Example 105 or 106, the end actuator comprising a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The first jaw comprises a staple cartridge.
[00674] [00674] Example 108 - The surgical instrument of Example 105 or 106, the end actuator comprising a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The first gripper comprises the staple cartridge.
[00675] [00675] Example 109 - The surgical instrument of Example 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107 or 108, the first rack comprising locking teeth comprising teeth spaced at a first step. The second longitudinal locking tooth rack comprises teeth spaced in a second step, the second step being different from the first step. The third longitudinal locking tooth rack comprises teeth spaced in a third step, the third step being different from the first step and the second step.
[00676] [00676] Example 110 - A surgical instrument comprising an end actuator and a drive shaft. The end actuator comprises a proximal end and a distal end. The drive shaft comprises a structure comprising a first longitudinal rack of locking teeth. The drive shaft additionally comprises a pivot joint, the end actuator being pivotally connected to the drive shaft by the pivot joint. The drive shaft additionally comprises a pivot actuator operationally connected to the end actuator. The pivot actuator is movable distally to rotate the end actuator in a first direction and the pivot actuator is movable proximally to rotate the end actuator in a second direction. The articulation actuator comprises a second longitudinal rack of locking teeth. The drive shaft additionally comprises an articulation lock comprising a third longitudinal rack of lock teeth. The articulation lock is positioned in an unlocked position in which the articulation actuator can move in relation to the structure and a locked position in which the third longitudinal rack of the locking teeth is engaged with the first longitudinal rack of locking teeth of the structure and the second longitudinal rack of locking teeth of the articulation actuator to prevent proximal and distal movement of the articulation actuator.
[00677] [00677] Example 111 - The surgical instrument of Example 110, the structure comprising a sliding locking plate, and the first longitudinal locking tooth rack is defined on the locking plate.
[00678] [00678] Example 112 - The surgical instrument of Example 110 or 111, the end actuator comprising a staple cartridge that includes the staples removably stored therein.
[00679] [00679] Example 113 - A surgical instrument comprising an end actuator and a drive shaft. The drive shaft comprises a frame and an articulation joint, the end actuator being swiveled connected to the drive shaft by the articulation joint. The drive shaft additionally comprises a pivot actuator operationally connected to the end actuator. The pivot actuator is movable in a first direction to rotate the end actuator in one direction and the pivot actuator is movable in a second direction to rotate the end actuator in the other direction. The drive shaft additionally comprises an articulation lock that can be positioned in a first position in which the articulation actuator can move in relation to the structure and a second position in which the articulation lock is engaged with the structure and the articulation actuator to limit the movement of the articulation actuator in the first direction and in the second direction.
[00680] [00680] Example 114 - The surgical instrument of Example 113, the end actuator comprising a staple cartridge that includes the staples removably stored therein.
[00681] [00681] Example 115 - A surgical instrument comprising an end actuator head configurable in an open configuration and in a closed configuration. The surgical instrument additionally comprises a drive shaft. The drive shaft comprises a longitudinal geometric axis and an articulation joint, the head of the end actuator being pivotally connected to the drive axis by the articulation joint. The drive shaft additionally comprises a pivot actuator operationally connected to the head of the end actuator. The pivot actuator is movable in a first direction to rotate the end actuator head in one direction and the pivot actuator is movable in a second direction to rotate the end actuator head in the other direction. The articulation actuator comprises at least one lock projection that extends laterally in relation to the longitudinal geometric axis. The drive axis additionally comprises an articulation lock comprising at least two projections extending laterally in relation to the longitudinal geometric axis. The articulation lock is configured to flex laterally in relation to the longitudinal geometric axis to allow the articulation movement of the end actuator head. The drive shaft additionally comprises a closing member configured to move the end actuator head from the open configuration to the closed configuration during a closing stroke, the closing member preventing the pivot lock from flexing laterally after the stroke. closing, thus retaining the articulation end actuator head.
[00682] [00682] Example 116 - A surgical instrument comprising an end actuator comprising a proximal end, a distal end, a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The surgical instrument additionally comprises a drive shaft which comprises a structure, the structure comprising a first longitudinal rack of locking teeth. The drive shaft additionally comprises a pivot joint, the end actuator being pivotally connected to the drive shaft by the pivot joint. The drive shaft comprises a pivot actuator operationally connected to the end actuator, the pivot actuator being movable distally to rotate the end actuator in a first direction, and proximally to rotate the end actuator in a second direction. The articulation actuator comprises a second longitudinal rack of locking teeth. The drive shaft further comprises a hinge lock comprising a third group of lock teeth. The hinge lock is positioned in a disengaged position in which the third group of lock teeth is not engaged with the frame and the articulation actuator, and in a engaged position in which the third group of lock teeth is engaged with said first longitudinal rack of locking teeth and said second longitudinal rack of locking teeth to prevent proximal and distal movement of the articulation actuator. The drive shaft further comprises a gripping member configured to move the first gripper in the direction of the closed position during a gripping stroke. The closing member is configured to engage the hinge lock during the gripping stroke and move the hinge lock from the open to the closed position.
[00683] [00683] Example 117 - The surgical instrument of Example 116, the first longitudinal rack of the locking teeth being defined in a foreground. The second longitudinal rack of the lock teeth is defined in the background. The foreground and the background are different.
[00684] [00684] Example 118 - The surgical instrument of Example 116 or 117, the end actuator additionally comprising a staple cartridge comprising the staples removably stored therein.
[00685] [00685] Example 119 - The surgical instrument of Example 118, the staple cartridge being replaceable.
[00686] [00686] Example 120 - The surgical instrument of Example 118 or 119, the end actuator comprising a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The first jaw comprises a staple cartridge.
[00687] [00687] Example 121 - The surgical instrument of Example 118 or
[00688] [00688] Example 122 - The surgical instrument of Example 116, 117, 118, 119, 120 or 121, the first longitudinal rack of the locking teeth comprising teeth spaced at a first step. The second longitudinal locking tooth rack comprises teeth spaced in a second step, the second step being different from the first step. The third group of lock teeth comprises teeth spaced in a third step, the third step being different from the first step and the second step.
[00689] [00689] Example 123 - The surgical instrument of Example 116, 117, 118, 119, 120, 121 or 122, with the drive axis defining a longitudinal geometric axis. The articulation lock comprises a locking plate sliding laterally in relation to the longitudinal geometric axis between the disengaged position and the engaged position. The structure comprises a proximal guide protrusion and a distal guide protrusion. The locking plate comprises a proximal lateral slit and a distal lateral slit, the proximal guide protrusion extending to the proximal lateral slit and the distal guide protruding extending to the distal lateral slit. The proximal guide protrusion and the distal guide protrusion cooperate to define the lateral path of the lock plate.
[00690] [00690] Example 124 - The surgical instrument of Example 123, the locking plate comprising a locking slot that includes the side walls defined therein. The closing member comprises a lock actuator that extends into the lock slot. The lock actuator is configured to engage a side wall to move the lock plate from the disengaged position to the engaged position during the closing stroke.
[00691] [00691] Example 125 - The surgical instrument of Example 124, the closing member being movable through a retraction course to allow the first claw to be moved to the open position. The lock actuator is configured to engage one of the side walls of the lock slot to move the lock plate from the engaged position to the disengaged position during the retract stroke.
[00692] [00692] Example 126 - The surgical instrument of Example 124, the closing member being movable through an opening stroke to move the first claw to the open position. The lock actuator is configured to engage one of the side walls of the lock slot to move the lock plate from the engaged position to the disengaged position during the opening stroke.
[00693] [00693] Example 127 - The surgical instrument of Example 116, 117, 118, 119, 120, 121, 122, 123, 124, 125 or 126, in which the articulation lock comprises a deflecting lock arm for the position engaged by the closing member.
[00694] [00694] Example 128 - The surgical instrument of Example 116, 117, 118, 119, 120, 121, 122, 123, 124, 125 or 126, the articulation lock comprising a first locking arm and a second locking arm hangs. The closing member comprises a wedge positionable between the first locking arm and the second locking arm during the closing stroke to deflect the hinge lock to the engaged position.
[00695] [00695] Example 129 - The surgical instrument of Example 128, the third group of locking teeth being present in the first locking arm and said second locking arm.
[00696] [00696] Example 130 - The surgical instrument of Example 128 or 129, the first locking arm being configured to engage the first longitudinal locking tooth rack and the second locking arm is configured to engage the second longitudinal toothing rack lock.
[00697] [00697] Example 131 - A surgical instrument comprising an end actuator comprising a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The surgical instrument additionally comprises a drive shaft. The drive shaft comprises a frame and a movable locking plate in relation to the structure, the locking plate comprising a first group of locking teeth. The drive shaft additionally comprises a pivot joint, the end actuator being pivotally connected to the drive shaft by the pivot joint. The drive shaft additionally comprises a pivot actuator operationally connected to the end actuator, the pivot actuator being configured to rotate the end actuator in a first direction and in a second direction. The articulation actuator comprises a second group of locking teeth. The drive shaft comprises a hinge lock comprising a third group of lock teeth. The articulation lock is positioned in a disengaged position in which the third group of locking teeth is not engaged with the locking plate, the structure and the articulation actuator, and in a engaged position in which the third group of locking teeth it is engaged with the first group of locking teeth and said second group of locking teeth to prevent articulation of the end actuator. The drive shaft further comprises a gripping member configured to move the first gripper in the direction of the closed position during a gripping stroke. The closing member is configured to engage the hinge lock during the gripping stroke and move the hinge lock from the open to the closed position.
[00698] [00698] Example 132 - The surgical instrument of Example 131, the end actuator additionally comprising a staple cartridge that includes the staples removably stored therein.
[00699] [00699] Example 133 - A surgical instrument comprising an end actuator comprising a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The surgical instrument additionally comprises a drive shaft. The drive shaft comprises a frame, the frame comprising a first group of lock teeth. The drive shaft additionally comprises a pivot joint, the end actuator being pivotally connected to the drive shaft by the pivot joint. The drive shaft additionally comprises a pivot actuator operationally connected to the end actuator, the pivot actuator being configured to rotate the end actuator in a first direction and in a second direction. The drive shaft additionally comprises an articulation lock comprising a gear including a second group of teeth in engagement with the first group of teeth, the gear being pivotally mounted to the structure. The drive shaft further comprises a gripping member configured to move the first gripper in the direction of the closed position during a gripping stroke. The closing member is configured to engage the gear during the closing stroke to prevent the end actuator from being pivoted.
[00700] [00700] Example 134 - The surgical instrument of Example 133, the end actuator additionally comprising a staple cartridge that includes the staples removably stored therein.
[00701] [00701] Example 135 - A surgical instrument comprising an end actuator comprising a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The surgical instrument additionally comprises a drive shaft. The drive shaft comprises a frame and a movable locking plate in relation to the structure, the locking plate comprising a first group of coupling features. The drive shaft additionally comprises a pivot joint, the end actuator being pivotally connected to the drive shaft by the pivot joint. The drive shaft additionally comprises a pivot actuator operationally connected to the end actuator, the pivot actuator being configured to rotate the end actuator in a first direction and in a second direction. The articulation actuator comprises a second group of coupling features. The drive shaft additionally comprises an articulation lock comprising a third group of coupling resources, the articulation lock being positionable in a disengaged position in which the third group of coupling resources is not engaged with the lock plate and the pivot actuator and in an engaged position in which the third group of coupling resources is engaged with the first group of coupling resources and the second group of coupling resources to prevent pivoting of the end actuator. The drive shaft further comprises a gripping member configured to move the first gripper in the direction of the closed position during a gripping stroke. The closing member is configured to engage the hinge lock during the gripping stroke and move the hinge lock from the open to the closed position.
[00702] [00702] Example 136 - A surgical instrument comprising an end actuator comprising a first jaw and a second jaw. The first jaw is movable in relation to the second jaw between an open position and a closed position. The surgical instrument additionally comprises a drive shaft. The drive shaft comprises a frame, a movable immobilizing member in relation to the frame and a pivot joint, the end actuator being pivotally connected to the drive shaft by the pivot joint. The drive shaft additionally comprises a pivot actuator operationally connected to the end actuator, the pivot actuator being configured to rotate the end actuator in a first direction and in a second direction. The drive shaft additionally comprises an articulation lock that can be positioned in a disengaged position in which the articulation lock is not engaged with said immobilizing member and the articulation actuator and in an engaged position in which the articulation lock is engaged with the immobilization member and the articulation actuator to inhibit the articulation of the end actuator; The drive shaft further comprises a gripping member configured to move the first gripper in the direction of the closed position during a gripping stroke. The closing member is configured to engage the hinge lock during the gripping stroke and move the hinge lock from the open to the closed position.
[00703] [00703] Example 137 - A surgical instrument insertable through a trocar. The surgical instrument comprises a handle and a drive shaft that extends from the handle. The drive shaft comprises a frame, a proximal portion connected to the handle, a distal portion comprising an end actuator and a pivot joint, the end actuator being rotatable around the pivot joint. The drive shaft additionally comprises a pivot actuator operationally connected to the end actuator, the pivot actuator being selectively movable to rotate the end actuator in a first direction and in a second direction. The drive shaft additionally comprises an external housing slidable in relation to the structure. The outer housing comprises a distal non-round housing portion adjacent the hinge joint and a longitudinal round housing portion extending between the proximal portion and the distal portion of the non-round housing portion. The longitudinal round housing portion comprises a first diameter. The distal non-round housing portion comprises a second diameter. The first diameter is smaller than the second diameter. The distal non-round housing portion and the longitudinal round housing portion are sized and configured to be inserted through the trocar into a surgical site. The drive shaft additionally comprises a hinge lock configured to engage the hinge actuator and prevent rotation of the end actuator, the hinge lock being positioned within the distal non-round housing portion.
[00704] [00704] Example 138 - The surgical instrument of Example 137, the end actuator comprising a staple cartridge that includes the staples removably stored therein.
[00705] [00705] Example 139 - The surgical instrument of Example 138, the end actuator additionally comprising an anvil configured to deform the clamps. The anvil is rotatable in relation to the staple cartridge.
[00706] [00706] Example 140 - The surgical instrument of Example 138, the end actuator additionally comprising an anvil configured to deform the staples and the staple cartridge rotating in relation to the anvil.
[00707] [00707] Example 141 - The surgical instrument of Example 137, 138, 139 or 140, the staple cartridge being replaceable.
[00708] [00708] Example 142 - The surgical instrument of Example 137, 138, 139, 140 or 141, the end actuator being replaceable.
[00709] [00709] Example 143 - The surgical instrument of Example 137, 138, 139, 140, 141 or 142, the longitudinal round housing portion defining a longitudinal geometric axis. The distal non-round housing portion is displaced eccentrically in relation to the longitudinal geometric axis.
[00710] [00710] Example 144 - The surgical instrument of Example 137, 138, 139, 140, 141, 142 or 143, the proximal portion of the drive shaft comprising a connector that includes a lock configured to releasably secure the shaft of drive to the handle.
[00711] [00711] Example 145 - The surgical instrument of Example 137, 138, 139, 140, 141, 142, 143 or 144, the articulation lock being completely positioned in the distal non-round housing portion.
[00712] [00712] Example 146 - The surgical instrument of Example 137, 138, 139, 140, 141, 142, 143 or 144, the articulation lock comprising a fixed portion mounted to the structure and a movable lock portion within the distal non-round housing.
[00713] [00713] Example 147 - The surgical instrument of Example 146, the hinge lock comprising a fixed portion mounted to the structure and a movable lock portion within the distal non-round housing portion.
[00714] [00714] Example 148 - A surgical instrument insertable through a trocar. The surgical instrument comprises a handle and a drive shaft that extends from the handle. The drive shaft comprises a frame, a proximal portion attachable to the handle, a distal portion comprising an end actuator and an articulation joint, the end actuator being rotatable about the articulation joint. The drive shaft additionally comprises a pivot actuator operationally connected to the end actuator, the pivot actuator being movable to rotate the end actuator in a first direction and in a second direction. The drive shaft additionally comprises an external housing slidable in relation to the structure. The outer housing comprises a distal housing portion adjacent the articulation joint, the distal housing portion comprising a non-round perimeter comprising a width. The outer housing further comprises a housing portion that extends between the proximal portion and the distal housing portion. The longitudinal housing portion comprises a substantially round perimeter comprising a diameter, the diameter being less than the width. The distal housing portion and the longitudinal housing portion are sized and configured to be inserted through the trocar into a surgical site. The drive shaft additionally comprises a hinge lock configured to engage the hinge actuator and prevent rotation of the end actuator, the hinge lock being positioned inside the distal housing portion.
[00715] [00715] Example 149 - The surgical instrument of Example 148, the end actuator comprising a staple cartridge that includes the staples removably stored therein.
[00716] [00716] Example 150 - The surgical instrument of Example 148 or 149, the staple cartridge being replaceable.
[00717] [00717] Example 151 - The surgical instrument of Example 148, 149 or 150, the end actuator being replaceable.
[00718] [00718] Example 152 - The surgical instrument of Example 148, 149, 150 or 151, the articulation lock being completely positioned in the distal housing portion.
[00719] [00719] Example 153 - The surgical instrument of Example 148, 149, 150 or 151, the articulation lock comprising a fixed portion mounted to the structure and a movable lock portion within the distal housing portion.
[00720] [00720] Example 154 - The surgical instrument of Example 153, the fixed portion being in the longitudinal housing portion.
[00721] [00721] Example 155 - A surgical instrument comprising a handle and a removable drive shaft that extends from the handle. The removable drive shaft comprises a frame, a proximal lock that can be attached to the handle, a distal portion comprising an end actuator and an articulation joint, the end actuator being rotatable around the articulation joint. The removable drive shaft further comprises an articulation actuator configured to articulate end actuator 230 in a first direction and in a second direction. The removable drive shaft additionally comprises an external tube translatable in relation to the structure. The outer tube comprises a portion of the distal tube adjacent to the hinge joint, the portion of the distal tube comprising a non-round perimeter comprising a width. The outer tube further comprises a portion of the longitudinal tube. The longitudinal tube portion comprises a substantially round perimeter comprising a diameter, the diameter being less than the width. The distal tube portion and the longitudinal tube portion are sized and configured to be inserted through the trocar into a surgical site. The removable drive shaft additionally comprises a hinge lock configured to engage the hinge actuator and prevent rotation of the end actuator, the hinge lock being positioned inside the distal tube portion.
[00722] [00722] Example 156 - A surgical stapling instrument system comprising a handle, a mouthpiece and an elongated drive shaft. The elongated drive axis comprises a proximal end, a distal end, a proximal region comprising a first diameter, a central region comprising a second diameter, the central region defining a longitudinal geometric axis, and a distal region comprising a third diameter. The first diameter is different from the second diameter and the distal region is displaced laterally in relation to the longitudinal geometric axis. The surgical stapling instrument system further comprises an end actuator comprising a first claw. The first gripper comprises an elongated channel and a staple cartridge comprising a plurality of staples, the staple cartridge being operatively supported in the elongated channel. (i) The end actuator comprises a second jaw, the second jaw being movable in relation to the first jaw. The surgical stapling instrument further comprises a pivot joint pivotally connecting the end actuator to the elongated drive shaft, a firing member configured to move within the end actuator and a firing system configured to apply a firing motion the shooting member.
[00723] [00723] Example 157 - The surgical stapling instrument system of Example 156, the first diameter being larger than the second diameter.
[00724] [00724] Example 158 - The surgical stapling instrument system of Example 156 or 157, the second diameter being smaller than the third diameter.
[00725] [00725] Example 159 - The surgical stapling instrument system of Example 156, 157 or 158, the third diameter being smaller than the first diameter and larger than the second diameter.
[00726] [00726] Example 160 - The surgical stapling instrument system of Example 156, 157, 158 or 159, the second claw comprising an anvil configured to deform the clamps.
[00727] [00727] Example 161 - The surgical stapling instrument system of Example 156, 157, 158, 159 or 160, the distal region of the elongated drive axis comprising at least one flat side.
[00728] [00728] Example 162 - The surgical stapling instrument system of Example 156, 157, 158, 159, 160 or 161, the distal region being not completely cylindrical.
[00729] [00729] Example 163 - A surgical stapling instrument that comprises an elongated drive shaft. The elongated drive shaft comprises a proximal end, a distal end and a first width at the proximal end, the first width of the elongated drive shaft transitioning to a second width in the center of the elongated drive shaft, and the second width the elongated drive shaft transitions to a third width at the distal end of the elongated drive shaft. The distal end of the elongated drive shaft is not cylindrical, the distal end comprising an enlargement that extends laterally in relation to the second width, and the first, second and third widths are different. The surgical stapling instrument further comprises an end actuator configured to be attached to the distal end of the elongated drive shaft. The end actuator comprises a first jaw and a second jaw, the first jaw being movable in relation to the second jaw. The surgical stapling instrument further comprises a hinge assembly configured to apply hinge movements to the end actuator, a trigger member and a trigger system configured to apply a trigger movement to the trigger member.
[00730] [00730] Example 164 - The surgical stapling instrument of Example 163, the first width being greater than the second width.
[00731] [00731] Example 165 - The surgical stapling instrument of Example 163 or 164, the second width being smaller than the third width.
[00732] [00732] Example 166 - The surgical stapling instrument of Example 163, 164 or 165, the third width being less than the first width and greater than the second width.
[00733] [00733] Example 167 - The surgical stapling instrument of Example 163, 164, 165 or 166, the distal end of the elongated drive shaft being configured to adjust through a 12 mm cannula passage.
[00734] [00734] Example 168 - The surgical stapling instrument of Example 163, 164, 165, 166 or 167, with the center of the elongated drive shaft comprising a width that is less than 10 mm.
[00735] [00735] Example 169 - A surgical stapling instrument that comprises an elongated drive shaft. The elongated drive axis comprises a proximal end, a distal end, a proximal region comprising a first circumference, a central region comprising a second circumference, the central region defining a central longitudinal geometric axis, and a distal region comprising a third circumference. The first circle is different from the second circle, the third circle being offset from the second circle. The surgical clamp instrument further comprises an end actuator configured to be attached to the distal end of the elongated drive shaft. The end actuator comprises a gripper cartridge gripper and an anvil. The surgical clamp instrument further comprises an articulation system configured to apply articulation movements to the end actuator, a firing member, the firing member being configured to move through the end actuator, and a firing system configured to apply firing and retraction movements to the firing member.
[00736] [00736] Example 170 - The surgical fastening instrument of Example 169, the first circumference being greater than the second circumference.
[00737] [00737] Example 171 - The surgical stapling instrument of Example 169 or 170, the second circumference being smaller than the third circumference.
[00738] [00738] Example 172 - The surgical stapling instrument of Example 169, 170 or 171, the third circumference being smaller than the first circumference and larger than the second circumference.
[00739] [00739] Example 173 - The surgical fastening instrument of Example 169, 170, 171 or 172, the proximal region comprising a configuration scaled down.
[00740] [00740] Example 174 - The surgical fastening instrument of Example 169, 170, 171, 172 or 173, the distal region of the elongated drive shaft comprising at least one flat side.
[00741] [00741] Example 175 - The surgical clamp instrument of Example 169, 170, 171, 172, 173 or 174, the central region comprising an upwardly scaled region at the distal end.
[00742] [00742] Example 176 - A surgical instrument comprising a housing and a drive shaft extending from the housing comprising an external tube portion. The outer tube portion includes a proximal tube portion, the proximal tube portion defining a longitudinal geometric axis, and an elongated intermediate tube portion extending distally from the proximal tube portion, the tube portion being intermediate is centered along the longitudinal geometric axis. The outer tube portion additionally includes a distal tube portion that extends distally from the intermediate tube portion, the distal tube portion being laterally displaced relative to the longitudinal geometric axis, and the distal tube portion comprises an enlargement that extends to one side of the longitudinal geometric axis. The outer tube portion additionally includes a tapered narrowing defined between the intermediate tube portion and the distal tube portion.
[00743] [00743] Example 177 - The surgical instrument of Example 176, which further comprises an end actuator and an articulation joint pivotally connecting the end actuator to the distal tube portion.
[00744] [00744] Example 178 - The surgical instrument of Example 177, the end actuator comprising a staple cartridge that includes the staples removably stored therein.
[00745] [00745] Example 179 - A surgical instrument comprising a housing comprising an electric motor. The surgical instrument additionally comprises a drive shaft extending from the housing, the drive shaft comprising a frame and an end actuator. The end actuator comprises a first jaw, a second jaw, the first jaw being rotatable with respect to the second jaw, a staple cartridge that comprises staples removably stored therein, and an anvil configured to deform the staples. The surgical instrument further comprises a closing system configured to move the first jaw towards the second jaw during a closing stroke, a pivot joint pivotally connecting the end actuator to the drive shaft, a pivot system configured to pivot the end actuator in relation to the drive shaft and a trigger system operationally engaged with the electric motor. A firing system is configured to eject the staples from the staple cartridge during a staple firing stroke. The surgical instrument additionally comprises a first rotating member configured to selectively transmit the movement from the firing system to the articulation system and a second rotating member rotatably mounted to the structure, the second rotating member being operatively engaged with the articulation system. The closing system is configured to engage the second rotating member during the closing stroke to lock the pivot system in place and prevent pivoting of the end actuator.
[00746] [00746] Example 180 - The surgical instrument of Example 179, in which the closure system comprises a closure tube that surrounds the structure. The closing system additionally comprises a wedge configured to engage the second rotating member and locking the second rotary in position during the closing stroke.
[00747] [00747] Example 181 - The surgical instrument of Example 179 or 180,
[00748] [00748] Example 182 - The surgical instrument of Example 179, 180 or 181, the second rotating member comprising a gear engaged with a tooth rack defined in the articulation system.
[00749] [00749] Example 183 - The surgical instrument of Example 179, 180, 181 or 182, the first claw comprising a staple cartridge and the second claw comprising the anvil.
[00750] [00750] Example 184 - The surgical instrument of Example 179, 180, 181 or 182, the first claw comprising the anvil and the second claw comprising the staple cartridge.
[00751] [00751] Example 185 - The surgical instrument of Example 179, 180, 181, 182, 183 or 184, the housing comprising a handle.
[00752] [00752] Example 186 - The surgical instrument of Example 179, 180, 181, 182, 183, 184 or 185, the housing being fixed to a robotic surgical system.
[00753] [00753] Example 187 - The surgical instrument of Example 179, 180, 181, 182, 183, 184, 185 or 186, the first rotating member being configured to operationally disengage the articulation system from the firing system during the course of closure.
[00754] [00754] Example 188 - The surgical instrument of Example 179, 180, 181, 182, 183, 184, 185, 186 or 187, the articulation system being operationally decoupled from the firing system during the firing stroke of the clamp.
[00755] [00755] Example 189 - The surgical instrument of Example 179, 180, 181, 182, 183, 184, 185, 186, 187 or 188, the closure system being retractable after the closing stroke to open the first claw and unlock the articulation system.
[00756] [00756] Example 190 - The surgical instrument of Example 179, 180, 181, 182, 183, 184, 185, 186, 187, 188 or 189, the second rotating member being rotatable around a protuberance that extends to from the structure. The protrusion comprises a first brake arm and a second brake arm, the closure system being configured to engage the first and second brake arms during the closing stroke and to prevent rotation of the second rotating member.
[00757] [00757] Example 191 - The surgical instrument of Example 179, 180, 181, 182, 183, 184, 185, 186, 187, 188, 189 or 190, the second rotating member comprising an annular matrix of teeth, and being that the closure system is configured to engage the annular matrix of the teeth during the closing stroke and prevent rotation of the second rotating member.
[00758] [00758] Example 192 - A surgical instrument comprising a housing comprising a rotating inlet, a drive shaft extending from the housing, the drive shaft comprising a frame and an end actuator. The end actuator comprises a first jaw and a second jaw, the first jaw being rotatable with respect to the second jaw. The surgical instrument additionally comprises a closing system configured to close the first jaw during a closing stroke, an articulation joint pivotally connecting the end actuator to the drive shaft, an articulation system configured to articulate the end actuator in relation to the drive shaft and a trigger system operationally engaged with the swiveling input. The trigger system is configured to move through the end actuator during a trigger stroke. The surgical instrument additionally comprises a first rotating member configured to selectively synchronize the firing system and the articulation system and a second rotating member rotatable mounted to the structure. The second rotating member is operatively engaged with the hinge system, the closing system being configured to engage the second rotating member during the closing stroke to lock the hinge system in place and prevent the end actuator from pivoting.
[00759] [00759] Example 193 - The surgical instrument of Example 192, additionally comprising a staple cartridge that includes the staples removably stored therein.
[00760] [00760] Example 194 - A surgical instrument comprising a housing comprising a rotating inlet, a drive shaft extending from the housing, the drive shaft comprising a frame, and an end actuator. The end actuator comprises a first jaw and a second jaw, the first jaw being rotatable with respect to the second jaw. The surgical instrument additionally comprises a closing system configured to close the first jaw during a closing stroke, an articulation joint pivotally connecting the end actuator to the drive shaft, an articulation system configured to articulate the end actuator in relation to the drive shaft and a trigger system operationally engaged with the swiveling input. The trigger system is configured to move through the end actuator during a trigger stroke. The surgical instrument additionally comprises a first rotating member configured to selectively synchronize the movement of the firing system with the movement of the articulation system and a second rotating member mounted operably interlockable with the articulation system. The closing system is configured to stop the rotation of the second rotating member during the closing stroke to lock the pivot system in place and prevent pivoting of the end actuator.
[00761] [00761] Example 195 - The surgical instrument of Example 194, further comprising a staple cartridge that includes the staples removably stored therein.
[00762] [00762] Example 196 - A staple cartridge assembly comprising a proximal end, a distal end, a cartridge body comprising a rounded tip at the distal end, a plurality of staple cavities defined in the cartridge body, the plurality of staple cavities extends longitudinally from the proximal end to the distal end, a plurality of staples removably stored within the plurality of staple cavities, a driver configured to support at least one of the plurality of staples, and one movable slide towards the distal end during a firing stroke. The slider comprises a first ramp and a second ramp, the first ramp being laterally displaced in relation to the second ramp. The first ramp and the second ramp are configured to lift the actuator, the rounded tip of the cartridge body comprising a first recess formed within the distal end configured to receive the first slider ramp after the end of the firing stroke and a second recess formed within the distal end configured to receive the second slider ramp after the firing stroke is completed.
[00763] [00763] Example 197 - The staple cartridge set of Example 196, the first ramp and the second ramp being exposed at the distal end upon completion of the firing stroke.
[00764] [00764] Example 198 - the clamp cartridge assembly of Example 196 or 197, the driver comprising a first portion of the driver configured to support a first clamp, a second portion of the driver configured to support a second clamp and a third portion of the trigger configured to support a third clamp.
[00765] [00765] Example 199 - The staple cartridge assembly of Example 198, the actuator additionally comprising a central base member that connects the first portion of the actuator, the second portion of the actuator and the third portion of the actuator.
[00766] [00766] Example 200 - The staple cartridge assembly of Example 199, the first portion of the driver comprising a first support column forward comprising a proximal end and the second portion of the driver comprising a second support column forward which comprises a distal end. The central base member extends longitudinally between the proximal end of the first support column forward and the distal end of the second support column forward.
[00767] [00767] Example 201 - The staple cartridge assembly of Example 196, 197, 198, 199 or 200, the central base member comprising a backward inclined wall configured to be engaged by the slide.
[00768] [00768] Example 202 - The staple cartridge set of Example 196, 197, 198, 199, 200 or 201, the slider being configured to drive the trigger towards an anvil positioned opposite the staple cartridge set .
[00769] [00769] Example 203 - A staple cartridge assembly comprising a proximal end, a distal end, a cartridge body comprising a shortened tip at the distal end and a row of staples removably stored in the cartridge body. The row of staples extends longitudinally from the proximal end to the distal end. The row of clamps comprises a more distal clamp and a more proximal clamp. The staple cartridge assembly additionally comprises actuators, each actuator being configured to support at least one of the staples, and a movable slide towards the distal end. The slide comprises a ramp configured to lift the actuators and the clamps towards an anvil positioned opposite the clamp cartridge assembly during a firing stroke. The slide further comprises a base, in which a shortened tip length extends from the most distal clamp to the distal end, and the shortened tip length is shorter than the base of the slide.
[00770] [00770] Example 204 - the staple cartridge assembly of Example 203, further comprising the anvil, the anvil comprising a protective tip at the distal end.
[00771] [00771] Example 205 - The staple cartridge assembly of Example 203 or 304, further comprising the anvil, the distal end of the shortened tip extending beyond the distal end of the anvil.
[00772] [00772] Example 206 - The staple cartridge set of Example 203, 204 or 205, the slider ramp being exposed at the distal end after the firing stroke is completed.
[00773] [00773] Example 207 - An end actuator for a surgical stapling instrument. The end actuator comprises a staple cartridge assembly. The staple cartridge assembly comprises a proximal end, a distal end, a cartridge body comprising a shortened tip at the distal end, staples removably stored in the cartridge body, a driver configured to hold at least one of the staples and a movable slide towards the distal end. The slide comprises a ramp configured to lift the actuator and at least one clamp. The slide further comprises a base, the shortened end of the cartridge body being shorter than the base of the slide. The end actuator additionally comprises an anvil. The anvil comprises a staple forming surface comprising a plurality of staple forming pockets. The anvil additionally comprises a rounded distal tip that extends downwards towards the staple cartridge assembly.
[00774] [00774] Example 208 - The end actuator of Example 207, the rounded distal tip being removably attached to the anvil.
[00775] [00775] Example 209 - The end actuator of Example 207 or 208, the anvil additionally comprising a structure comprising a fixing element configured to facilitate the fixation of the rounded distal tip to the structure.
[00776] [00776] Example 210 - The end actuator of Example 207, 208 or 209, the anvil comprising a distal end, and the distal end of the staple cartridge assembly extending beyond the distal end of the anvil.
[00777] [00777] Example 211 - A staple cartridge assembly comprising a cartridge body, a proximal end, a distal end, a slot configured to receive a cutting member and a first row of staples removably stored in the cartridge body , the first row of clamps extending between the proximal end and the distal end along a first side of the slot. The staple cartridge assembly additionally comprises a second row of staples removably stored in the cartridge body,
[00778] [00778] Example 212 - The staple cartridge assembly of Example 211, the first staple, the second staple, and the third staple forming a backward arrow configuration.
[00779] [00779] Example 213 - The staple cartridge assembly of Example 211 or 212, which additionally comprises a slide configured to lift the driver towards an anvil positioned opposite the staple cartridge assembly.
[00780] [00780] Example 214 - The staple cartridge assembly of Example 211, 212 or 213, which further comprises an anvil, the anvil comprising a distal end.
[00781] [00781] Example 215 - The staple cartridge assembly of Example 214, the distal end of the staple cartridge extending distally from the distal end of the anvil.
[00782] [00782] Example 216 - A staple cartridge system comprising an end actuator configurable in an open configuration and a closed configuration. The end actuator comprises an anvil jaw and a cartridge jaw.
[00783] [00783] Example 217 - The staple cartridge system of Example 216, the second length of the cartridge being different from the first length of the cartridge.
[00784] [00784] Example 218 - The staple cartridge system of Examples 216 or 217, the second cartridge length being shorter than the first cartridge length.
[00785] [00785] Example 219 - The staple cartridge system of Example 216, 217 or 218, the second orthogonal distance being shorter than the first orthogonal distance.
[00786] [00786] Example 220 - The staple cartridge system of Example 216, 217 or 218, the second orthogonal distance being higher than the first orthogonal distance.
[00787] [00787] Example 221 - The staple cartridge system of Examples 216, 217, 219 or 220, the second cartridge length being longer than the first cartridge length.
[00788] [00788] Example 222 - The staple cartridge system of Example 216, 217, 218 or 221, the second orthogonal distance being shorter than the first orthogonal distance.
[00789] [00789] Example 223 - The staple cartridge system of Example 216, 217, 218 or 221, the second orthogonal distance being higher than the first orthogonal distance.
[00790] [00790] Example 224 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222 or 223, the second location being closer to the second distal end than the first location of the first end distal.
[00791] [00791] Example 225 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222 or 223, the second location being positioned posterior to the second distal end than the first location of the first end distal.
[00792] [00792] Example 226 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224 or 225, the anvil claw comprising a distal anvil tip. The first length of the cartridge is adjusted so that the tip of the distal anvil extends beyond the first distal end, with the second length of the cartridge being adjusted so that the tip of the distal anvil does not extend beyond the second distal end.
[00793] [00793] Example 227 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224, 225 or 226, with the anvil jaw experiencing a first deflection when the actuator end is in the closed configuration and the first staple cartridge is positioned in the cartridge grip. The anvil jaw experiences a second deflection when the end actuator is in the closed configuration and the second staple cartridge is positioned in the cartridge jaw. The second deflection is greater than the first deflection.
[00794] [00794] Example 228 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226 or 227,
[00795] [00795] Example 229 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226 or 227, with each first clamp comprising an unformed height within a first strip of unformed height, each second clamp comprising an unformed height within a second unformed height strip, and the second unformed height strip comprising heights that are shorter than the heights in the first of unformed height.
[00796] [00796] Example 230 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228 or 229, with each first staple comprising a height unformed within a first unformed height range, each second clamp comprising an unformed height within a second unformed height range, and the second unformed height range being different from the first unformed height range formed, but partially overlaps with the first unformed height range.
[00797] [00797] Example 231 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229 or 230, the anvil claw being comprises a tip of the distal anvil, the first length of the cartridge being adjusted so that the tip of the distal anvil extends beyond the first distal end, and the second length of the cartridge is adjusted so that the tip of the distal anvil it is shorter than the second distal end.
[00798] [00798] Example 232 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230 or 231, the jaw being anvil is rotatable in relation to the claw of the cartridge.
[00799] [00799] Example 233 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230 or 231, the claw being of the cartridge is rotatable in relation to the anvil claw.
[00800] [00800] Example 234 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230, 231, 232 or 233, the first distal end comprising a first cartridge tip and the second distal end comprising a second cartridge tip. The second cartridge tip is more rounded than the first cartridge tip.
[00801] [00801] Example 235 - The staple cartridge system of Example 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230, 231, 232, 233 or 234, the first distal end comprising a first cartridge tip and the second distal end comprising a second cartridge tip. The second cartridge tip is shorter than the first cartridge tip.
[00802] [00802] The entire descriptions of:
[00803] [00803] - US Patent No. 5,403,312, entitled "ELECTROSURGICAL HEMOSTATIC DEVICE", which was granted on April 4, 1995;
[00804] [00804] - US Patent No. 7,000,818, entitled "SURGICAL STAPLING
[00805] [00805] - US Patent No. 7,422,139, entitled "MOTOR-DRIVEN
[00806] [00806] - US Patent No. 7,464,849, entitled "ELECTRO-
[00807] [00807] - US Patent No. 7,670,334, entitled "SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR", which was granted on March 2, 2010;
[00808] [00808] - US Patent No. 7,753,245, entitled "SURGICAL STAPLING INSTRUMENTS", which was granted on July 13, 2010;
[00809] [00809] - US Patent No. 8,393,514, entitled "SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE", which was granted on March 12, 2013;
[00810] [00810] - US Patent Application Serial No. 11 / 343,803, entitled "SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES"; now US Patent No. 7,845,537;
[00811] [00811] - US Patent Application Serial No. 12 / 031,573, entitled "SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES", filed on February 14, 2008;
[00812] [00812] - US Patent Application Serial No. 12 / 031,873, entitled "END
[00813] [00813] - US Patent Application Serial No. 12 / 235,782, entitled "MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT", now US Patent No. 8,210,411;
[00814] [00814] - US Patent Application Serial No. 12 / 249,117, entitled "POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM", now US Patent No.
[00815] [00815] - US Patent Application Serial No. 12 / 647,100, entitled
[00816] [00816] - US Patent Application Serial No. 12 / 893,461, entitled "STAPLE CARTRIDGE", filed on September 29, 2012, now US Patent No. 8,733,613;
[00817] [00817] - US Patent Application Serial No. 13 / 036,647, entitled "SURGICAL STAPLING INSTRUMENT", filed on February 28, 2011, now US Patent No. 8,561,870;
[00818] [00818] - US Patent Application Serial No. 13 / 118,241, entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS", now US Patent No. 2012 / 9,072,535;
[00819] [00819] - US Patent Application Serial No. 13 / 524,049, entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE", filed on June 15, 2012; now US Patent No. 9,101,358;
[00820] [00820] - US Patent Application Serial No. 13 / 800,025, entitled "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM", filed on March 13, 2013, now US Patent No. 9,345,481;
[00821] [00821] - US Patent Application Serial No. 13 / 800,067, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on March 13, 2013, now publication of US Patent Application No. 2014/0263552;
[00822] [00822] - publication of US Patent Application No. 2007/0175955, entitled "SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM", filed on January 31, 2006; and
[00823] [00823] - publication of US Patent Application No. 2010/0264194,
[00824] [00824] Although several devices have been described here in connection with certain modalities, modifications and variations of these modalities can be implemented. The specific resources, structures or characteristics can be combined in any suitable way in one or more modalities. Therefore, the resources, structures or specific features illustrated or described in connection with a modality may be combined, in whole or in part, with the resources, structures or characteristics of one or more other modalities, without limitation. In addition, where materials are revealed for certain components, 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 description mentioned above and the following claims are intended to cover all such modifications and variations.
[00825] [00825] The devices disclosed herein can be designed to be discarded after a single use, or can be designed to be 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 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.
[00826] [00826] The devices revealed 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.
[00827] [00827] 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.
[00828] [00828] Any patent, publication or other description material, in whole or in part, that is said to be incorporated into the present invention for reference purposes, is incorporated into the present invention only to the extent that the incorporated materials do not conflict with existing definitions, statements or other description material 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 to the extent that there is no conflict between the embedded material and the existing description material.

权利要求:
Claims (21)
[1]
1. Surgical instrument characterized by comprising: an end actuator comprising a proximal end and a distal end; and a drive shaft comprising: a structure; a locking plate movable with respect to said structure, said locking plate comprising a first longitudinal rack of locking teeth; an articulated joint, the said end actuator being pivotally connected to said drive shaft by said articulated joint; a pivot actuator operably connected to said end actuator, wherein said pivot actuator is movable distally, to rotate said end actuator in a first direction, and proximally to rotate said end actuator in a second direction, and said articulation actuator comprising a second longitudinal rack of locking teeth; and an articulation lock comprising a third longitudinal rack of locking teeth, said articulation lock being positioned in an unlocked position, in which said articulation actuator can move in relation to said structure, and in a position locked, in which said third longitudinal locking tooth rack is engaged with said first longitudinal locking tooth rack and said second longitudinal locking tooth rack to prevent said proximal and distal movement of said articulation actuator.
[2]
2. Surgical instrument, according to claim 1, characterized in that said first longitudinal locking tooth rack is defined in a foreground, wherein said second longitudinal locking tooth rack is defined in a second plane and being that said first plane and said second plane are different.
[3]
Surgical instrument according to claim 1, characterized in that said locking plate is slidable in relation to said structure.
[4]
4. Surgical instrument according to claim 3, characterized in that said structure comprises a recess, wherein said lock plate is positioned in said recess, wherein said recess comprises a proximal end wall configured to limit movement proximal to said lock plate within said recess, and wherein said recess comprises a distal end wall configured to limit the distal movement of said lock plate within said recess.
[5]
Surgical instrument according to claim 4, characterized in that it additionally comprises a bending member positioned between said proximal end wall and said lock plate.
[6]
Surgical instrument according to claim 4, characterized in that it further comprises a biasing member positioned between said distal end wall and said lock plate.
[7]
Surgical instrument according to claim 1, characterized in that said end actuator comprises a first jaw and a second jaw, wherein said first jaw is movable in relation to said second jaw between an open position and a closed position , said surgical instrument further comprising a closing member configured to move said first claw towards said closed position during a closing stroke and said closing member being configured to engage said articulation lock during the said closing stroke and maintaining said articulation lock in said closed position.
[8]
Surgical instrument according to claim 7, characterized in that said drive axis defines a longitudinal geometric axis, wherein said structure comprises a flexible portion, said closing member being configured to push said plate it locks against said flexible portion and deflects said flexible portion laterally in relation to said longitudinal geometric axis.
[9]
Surgical instrument according to claim 8, characterized in that said flexible portion comprises a side wall and a defined cavity behind said side wall and said side wall is configured to flex into said cavity.
[10]
10. Surgical instrument, according to claim 1, characterized in that said articulation lock is provided for engagement with said locking plate and said articulation actuator.
[11]
Surgical instrument according to claim 1, characterized in that said end actuator additionally comprises a staple cartridge comprising staples removably stored therein.
[12]
Surgical instrument according to claim 11, characterized in that said staple cartridge is replaceable.
[13]
13. Surgical instrument according to claim 11, characterized in that said end actuator comprises a first jaw and a second jaw, wherein said first jaw is movable in relation to said second jaw between an open position and a closed position and said first jaw comprising said staple cartridge.
[14]
14. Surgical instrument, according to claim 11,
characterized in that said end actuator comprises a first jaw and a second jaw, wherein said first jaw is movable with respect to said second jaw between an open position and a closed position, and wherein said second jaw comprises said cartridge of staples.
[15]
Surgical instrument according to claim 1, characterized in that said first longitudinal rack of teeth comprises teeth spaced in a first step, said second longitudinal rack of teeth comprises teeth spaced in a second step, wherein said second step is different from said first step, wherein said longitudinal locking tooth rack comprises teeth spaced in a third step and said third step being different from said first step and said second step.
[16]
16. Surgical instrument characterized by comprising: an end actuator comprising a proximal end and a distal end; and a drive shaft comprising: a structure comprising a first longitudinal rack of locking teeth; an articulated joint, wherein said end actuator is pivotally connected to said drive shaft by said articulated joint; an articulation actuator operatively connected to said end actuator, wherein said articulation actuator is movable distally to rotate said end actuator in a first direction, said articulation actuator being movable proximally to rotate said actuator from end in a second direction and said articulation actuator comprising a second longitudinal rack of locking teeth; and an articulation lock comprising a third longitudinal rack of locking teeth, said articulation lock being positioned in an unlocked position, in which said articulation actuator can move in relation to said structure, and in a position locked, in which said third longitudinal rack of locking teeth is engaged with said first longitudinal rack of locking teeth of said structure and said second longitudinal rack of locking teeth of said articulation actuator to inhibit said proximal and distal movement of said articulation actuator.
[17]
17. Surgical instrument according to claim 16, characterized in that said structure comprises a sliding locking plate and said first longitudinal locking tooth rack is defined in said locking plate.
[18]
18. Surgical instrument according to claim 16, characterized in that said end actuator comprises a staple cartridge that includes staples removably stored therein.
[19]
19. Surgical instrument characterized by comprising: an end actuator; and a drive shaft comprising: a structure; an articulated joint, the said end actuator being pivotally connected to said drive shaft by said articulated joint; a pivot actuator operably connected to said end actuator, wherein said pivot actuator is movable in a first direction to rotate said end actuator in one direction and wherein said pivot actuator is movable in a second direction to rotating said end actuator in another direction; and an articulation lock that can be positioned in a first position in which said articulation actuator can move in relation to said structure, and in a second position in which said articulation lock is engaged with said structure and said articulation actuator for limiting the movement of said articulation actuator in said first direction and in said second direction.
[20]
20. Surgical instrument according to claim 19, characterized in that said end actuator comprises a staple cartridge that includes staples removably stored therein.
[21]
21. Surgical instrument characterized by comprising: an end actuator head configurable in a non-clamped configuration and a clamped configuration; and a driving axis comprising: a structure comprising a longitudinal geometric axis; an articulated joint, in which the head of said end actuator is pivotally connected to said drive axis by said articulated joint; a pivot actuator operatively connected to said end actuator head, wherein said pivot actuator is movable in a first direction to rotate said end actuator head in one direction, wherein said pivot actuator is movable in a second direction for rotating said head of the end actuator in another direction and wherein said articulation actuator comprises at least one lock projection which extends laterally with respect to said longitudinal geometric axis; an articulation lock comprising at least two projections that extend laterally in relation to said longitudinal geometric axis, wherein said articulation lock is configured to flex laterally in relation to said longitudinal geometric axis to enable the articulation movement of said head the end actuator; and a closing member configured to move said head of the end actuator from said non-clamped configuration to said clamped configuration during a closing stroke, wherein said closing member prevents said hinge lock from flexing laterally. after said closing stroke, thus preventing the articulation of said head of the end actuator.

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同族专利:

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公开号 | 公开日

---

US11246592B2|2022-02-15|

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CN110831513A|2020-02-21|

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JP2020525234A|2020-08-27|

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US20190000472A1|2019-01-03|

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法律状态:
2021-11-03| 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

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US15/635,837|US11246592B2|2017-06-28|2017-06-28|Surgical instrument comprising an articulation system lockable to a frame|

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US15/635,837|2017-06-28|

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PCT/IB2018/054262|WO2019003010A1|2017-06-28|2018-06-12|Surgical instrument comprising an articulation system lockable to a frame|

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