摘要:
A disposable staple cartridge for a surgical cutting and fastening instrument. Various embodiments include a disposable anvil that is supported relative to the cartridge body and movable between open and closed positions. At least one tissue stop is provided on the disposable anvil for orienting the tissue to be cut and stapled relative to the staples supported within the cartridge body. Other embodiments relate to end effectors for surgical cutting and fastening instruments that can be used in connection with a plurality of staple cartridge bodies that each have a common length but which may different lengths of staple lines.
摘要:
A powered surgical cutting and fastening instrument includes a drive shaft; a motor; and a gear shifting assembly connected to the drive shaft and the motor. The gear shifting assembly may include at least a first stage gear assembly coupled to the motor and to the drive shaft for operating the gear shifting assembly in a first gear setting; and a gear coupling assembly for selectively coupling at least one additional gear to the drive shaft for operating the gear shifting assembly in a second gear setting.
摘要:
A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw (anvil) and a lower jaw (staple cartridge engaged to an elongate staple channel) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, resilient structures may be formed into one or more of the elongate channel that supports the staple cartridge, the anvil that is pivotally attached to the elongate channel, and/or a firing member that includes a cutting surface (knife) that severs tissue between a top pin that engages the anvil and a lower foot that engage the elongate channel. The resilience responds to the force exerted by clamped tissue to vary the spacing between the anvil and the staple cartridge supported within the elongate channel.
摘要:
A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. The handle produces multiple firing strokes to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. One or more electrically activated lockout mechanisms, such as electroactive polymer (EAP) actuators, are biased to prevent firing unless activated. One lockout is a spring-biased side pawl firing mechanism enabled by an EAP block actuator. Another is a firing trigger EAP lock. Yet another is a closure yoke EAP lock. Yet a further one is a manual retraction EAP lock that locks the firing mechanism. Thereby, various sensed or commanded inputs may be incorporated to prevent inadvertent firing.
摘要:
A surgical instrument. The surgical instrument comprises a plurality of sensors, and a status module releasably connected to the surgical instrument. The status module comprises a plurality of contacts, a circuit, and a plurality of indicators. Each individual contact is in electrical communication with a different sensor. The circuit is in electrical communication with at least one of the contacts. At least one of the indicators is in electrical communication with the circuit.
摘要:
A surgical instrument. Various embodiments relate to a surgical cutting and fastening instrument that has an end effector with an anvil that can pivot between open and closed positions relative to an elongate channel that can support a staple cartridge therein. The anvil may be opened and closed by a drive system. Various embodiments employ a powered drive system for opening and closing the anvil and powering a knife and staple drive assembly used to cut tissue and deploy the staples in the cartridge. Other embodiments employ a mechanical system to open and close the anvil and employ a powered system to power the knife and staple drive assembly. In various embodiments, the drive assembly serves to axially and laterally align anvil relative to the elongate channel. The anvil is constructed to move in a substantially parallel path relative to the elongate channel during closing.
摘要:
A surgical instrument. The surgical instrument comprises a handle, a battery, a motor, and a lockout system. The handle comprises a primary portion and a grip portion. The grip portion is releasably connected to the primary portion. The battery is within the grip portion. The motor is in electrical communication with the battery. The lockout system is within the handle, and is structured and arranged to block connection of the grip portion to the primary portion after the grip portion is disconnected from the primary portion a predetermined number of times.
摘要:
A surgical instrument. The surgical instrument has an end effector and a trigger in communication with the end effector. The surgical instrument also has a first sensor and an externally accessible memory device in communication with the first sensor. The first sensor has an output that represents a first condition of either the trigger or the end effector. The memory device is configured to record the output of the first sensor. In various embodiments, memory device may include an output port and/or a removable storage medium.
摘要:
A surgical cutting and stapling instrument is disclosed. The instrument includes an end effector and a handle. The end effector includes a channel, an anvil pivotally attached to the channel, a moveable cutting instrument for cutting an object positioned between the anvil and the channel, and a staple cartridge configured for removable receipt by the channel. The staple cartridge includes a sled that is engaged by the cutting instrument during a cutting stoke. The handle includes a motor for actuating the cutting instrument via a main drive shaft assembly. The instrument further includes a first interlock circuit for enabling initiation of motor operation based upon a position of the staple cartridge.
摘要:
A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A spring-biased side pawl firing mechanism is enabled by activation of an Electroactive Polymer (EAP) block actuator that overcomes a disengagement spring bias and moves a linked rack into proximity with a side pawl firing mechanism. Thereby, various sensed or commanded inputs may be incorporated to prevent inadvertent firing.