(12) Un1ted States Patent
`(10) Patent No.:
`US 8,322,455 B2
`
`Shelton, IV et al.
`(45) Date of Patent:
`Dec. 4, 2012
`
`USOO8322455B2
`
`(75)
`
`(54) MANUALLY DRIVEN SURGICAL CUTTING
`AND FASTENING INSTRUMENT
`,
`Inventors: Frederlck E. Shelton, IV, New Vienna,
`OH (US); John N. Ouwerkerk,
`Cincinnati, OH (US); Jerome R.
`Morgan, Cincinnati, OH (US); Jeffrey
`’
`.
`S. vaayze, Hamilton, OH (US), Eugene
`L. Tlmperman, C1nc1nnat1, OH (US);
`Leslie M. Fugikawa, Cincinnati, OH
`(Us)
`
`227/19
`
`....................
`
`3.33533 2 *
`,
`,
`3,894,174 A
`3,940,844 A
`4,331,277 A
`4,383,634 A
`4,396,139 A
`:aj‘fia‘ll‘g :
`,
`,
`4,429,695 A
`
`313;: gr???“
`1
`01 es et a .
`7/1975 Camm
`3/1976 Colby et a1.
`5/1982 Green
`5/1983 Green
`8/1983 Hall et a1.
`1?;1333 green
`reen
`2/1984 Green
`C t'
`d
`( on inue )
`FOREIGN PATENT DOCUMENTS
`
`(73) Assignee: Ethicon Endo-Surgery, Inc., Cincinnati,
`OH (US)
`
`CA
`
`3/2003
`2458946 A1
`(Continued)
`
`( * ) Notice:
`
`Subject to any disclaimer, the term of this
`51:13 155:?h31hde?2%28§u5ted under 35
`'
`'
`'
`y
`ys.
`(21) Appl. No.: 11/475,412
`
`OTHER PUBLICATIONS
`CC. Thompson et a1., “Peroral Endoscopic Reduction of Dilated
`Gastrojejunal Anastomosis After Roux-en-Y Gastric Bypass: A Pos-
`sible New Option for Patients with Weight Regain,” Surg Endosc
`(2006) vol. 20, pp. 1744-1748.
`
`(22)
`
`Filed:
`
`Jun. 27, 2006
`
`(Continued)
`
`(65)
`
`Prior Publication Data
`US 2007/02957 80 A1
`Dec. 273 2007
`
`Primary Examiner 7 Rinaldi Rada
`Assistant Examiner 7 Nathaniel Chukwurah
`
`(51)
`
`Int. Cl.
`(200601)
`E213 37/06
`(52) US. Cl.
`............................ 173/1; 227/19; 227/ 180.1
`(58) Field of Classification Search .................... 227/19,
`227/1761, 180.1; 74/851, 841; 192/21
`See application file for complete search history.
`_
`References Clted
`U.S. PATENT DOCUMENTS
`
`(56)
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`
`ABSTRACT
`(57)
`A surgical cutting and fastening instrument that includes an
`elongate channel that is attached to a handle assembly by an
`elongate shaft assembly. The elongate channel is configured
`to receive a cartridge and has a pivotally translatable anvil
`attached thereto and a knife bar supported therein. The anvil
`may be selectively opened and closed by manipulating a
`closure trigger supported by the handle assembly. The knife
`bar may be distally advanced through the elongate channel by
`actuating a firing trigger that cooperates with a reversible
`rotary drive supported by the handle assembly. The knife bar
`may also be retracted to its starting position by actuating the
`firing trigger after the reversible rotary drive has been shifted
`to a retraction orientation.
`
`23 Claims, 18 Drawing Sheets
`
`
`
`IS 1006
`
`IS 1006
`
`1
`
`

`

`US 8,322,455 B2
`
`Page2
`
`U.S. PATENT DOCUMENTS
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`6/1985 G12:
`4,522,327 A
`6/1985 Korthoffet a1.
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`7/1985 Froehlich
`4530 453 A
`7/1985 G
`4’565’109 A
`1/1986 Tree“
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`“1986 Gsay ......1 ~~~~~~~~~~~~~~~~
`4’573’622 A
`3/1986 (£23321
`4,580,712 A
`4/1986 Green
`4606343 A
`8/1986 Contaetal
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`9/1986 Rothfuss et al.
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`10/1986 Taylor
`4,629,107 A
`12/1986 Fedotovetal.
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`4/1987 Florezeta1
`4,664,305 A
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`4671445 A
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`11/1987 Pearson
`4715 520 A
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`”988 Green,et81
`4,752,024 A
`6/1988 Green etal,
`4,754,909 A
`7/1988 Barker et a1.
`4767044 A
`8/1988 G
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`4,809,695 A
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`4,817,847 A
`4/1989 Redtenbacher et al.
`4819 853 A
`4/1989 G
`4’821’939 A
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`4’844’068 A
`7/1989 Afifziletal
`4’869’414 A
`9/1989 Greeneta1
`4,869,415 A
`9/1989 F
`4’880’015 A
`“/1989 NQX
`4’892’244 A
`1/1990 Flam“;
`4’941’623 A
`7/1990 P039”
`4’944’443 A
`7/1990 OETiSenetal
`4,955,959 A
`9/1990 Tompkins et al.
`4,973,274 A
`11/1990 Hirukawa ......................... 440/1
`5027 834 A
`7/1991 Pruitt
`5,031,814 A
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`5040715 A
`8/1991 Green et a1
`5,065,929 A
`11/1991 Schulze eta1.
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`5080 556 A
`“1992 Carreno
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`5,111,987 A
`5/1992 Moeinzadehetal.
`5,129,570 A
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`5137198 A
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`1
`5’139’513 A
`8/1992 Sggitsoeta'
`5,156,315 A
`10/1992 Green eta1.
`5158 567 A
`10/1992 G
`5’209’747 A
`5/1993 Kileenfl
`5’211’649 A
`5/1993 K fifP efl
`5’221’036 A
`@993 T3133” 3'
`5’222’975 A
`@993 C fieh
`5’236’440 A
`8/1993 15‘“ka
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`5’246’156 A
`9/1993 R2111?
`5’253’793 A
`10/1993 G‘r’eenztsflta'
`5,258,009 A
`11/1993 Conners
`5271543 A
`12/1993 Grant et a1.
`R3334,519 E
`“1994 FOX et a1
`5275323 A
`1/1994 Schulze eta1
`5’282’806 A
`2/1994 Haberetal
`5’282’829 A
`2/1994 H
`5’304’204 A
`4994 13:12:15
`5’307’976 A
`5,1994 Olsfnetal
`5’312’024 A
`5/1994 Grantetal,
`5,318,221 A
`6/1994 Greenetal.
`5,342,395 A
`8/1994 Jarrett eta1.
`5,342,396 A
`8/1994 Cook
`5,350,400 A
`9/1994 Esposito et al.
`5,366,479 A
`11/1994 McGarry eta1.
`5,379,933 A
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`5,383,880 A
`1/1995 Hooven
`
`475/305
`
`5,383,888 A
`5,395,033 A
`2233232 A
`’
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`5,405,072 A
`5,413,267 A
`5,413,268 A
`2’212222 A
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`5,417,361 A
`5,425,745 A
`5,431,322 A
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`5’462’215 A
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`5,465,896 A
`5’470’006 A
`5’472’132 A
`5,474,566 A
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`5’480’089 A
`5,482,197 A
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`223232; A
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`5,485,952 A
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`5,487,500 A
`5,489,058 A
`5,497,933 A
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`5,505,363 A
`5,509,596 A
`5,514,157 A
`2212222 A
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`
`1/1995 Zvenyatsky et al.
`3/1995 Byrne et al.
`2,332 23%; 2::
`'
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`4/1995 Zlocketal.
`5/1995 Solyntjesetal.
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`’
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`6/1995 Greeneta1.
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`$332 grime e: 311'
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`121995 savage eta'
`12/1995 A1esreta1.
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`$332 Sizgoztjfial'
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`3/1996 DeFonzo etal.
`4/1996 Websteretal.
`4/1996 Greeneta1.
`4/1996 Greeneta1.
`5/1996 Nicholas eta1.
`2,332 322::
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`“996 gamer At 31'
`6/1996 B01-arsk16tal.
`$332 8403113313; a1
`.
`7/1996 Vrc1a1eta1.
`$332 3:13:12: 311'
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`-
`'
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`10/1996 DeFonzo eta1.
`10/1996 Boiarski eta1.
`10/1996 Knodeleta1.
`10/1996 Oberlinetal.
`10/1996 Bishopetal.
`11/1996 Bolanoseta1.
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`12/1996 Paul eta1.
`12/1996 Conloneta1.
`1/1997 Knodeleta1.
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`2/1997 Clark etal~
`2/1997 W1ttet-a1.
`2/1997 Hamblln et al.
`3/1997 C1arketa1.
`3/1997 Smith eta1.
`3/1997 Grant eta1.
`
`'
`
`~
`
`'
`
`'
`
`'
`
`2
`
`

`

`US 8,322,455 B2
`
`Page 3
`
`5,609,601
`5,624,452
`5,626,587
`5,628,446
`5,630,539
`5,630,540
`5,632,432
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`5,762,255
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`5,779,131
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`
`>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
`
`3/1997
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`
`>>>E>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
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`11/1998
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`
`3
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`

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`US 8,322,455 B2
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`Page 4
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`6,669,073 B2
`6,681,978 B2
`6,681,979 B2
`6,695,199 B2
`6,698,643 B2
`6,716,233 B1
`6,755,338 B2
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`US 8,322,455 B2
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`Page 7
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`FOREIGN PATENT DOCUMENTS
`
`CA
`CA
`CN
`CN
`DE
`DE
`DE
`DE
`DE
`33
`DE
`33
`DE
`DE
`DE
`DE
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`EP
`EP
`EP
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`EP
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`EP
`EP
`EP
`EP
`E;
`EP
`EP
`EP
`EP
`EP
`EP
`Ep
`EP
`EP
`
`A1
`1/2006
`2514274 A1
`11/2006
`1868411 A
`”2007
`1915180 A
`#914
`273689 C
`1 1972
`1775926 A
`4/1982
`3036217 A1
`9;”83
`3210466 A1
`9 1994
`9412228 U
`3333
`33333333 :3
`11/2000
`19924311 A1
`3333
`33333333 33
`10/2001
`20112837 U1
`4/2003
`20121753 U1
`10/2004
`10314072 A1
`6/2007
`202007003114 U1
`10/1984
`0122046 A1
`10/1985
`0070230 B1
`10/1985
`0387980 B1
`5/1986
`0033548 B1
`7/1988
`0276104 A2
`1/1993
`0248844 B1
`18%;;
`ggg‘gggg Q}
`11/1993
`0233940 B1
`11/1993
`0261230 B1
`/1994
`2
`0639349 A2
`“994
`0324636 Bl
`“994
`0593920 A1
`3133::
`82331;: i:
`11/1994
`0310431 B1
`1“ 1994
`0375302 Bl
`/1994
`11
`0376562 Bl
`”/1994
`0630612 A1
`IP95
`0634144 A1
`4 1995
`0646356 A2
`“995
`0646357 A1
`3133?
`8223133 2?
`10/1995
`0511470 B1
`11/1995
`0679367 A2
`12/1995
`0392547 B1
`12/1995
`0685204 A1
`/1996
`$1996
`036046291964§§ A1
`”996
`0702937 A1
`4/1996
`0705571 A1
`5/1996
`0711611 A2
`0484677 B2 @996
`0541987 Bl
`7/1996
`0667119 B1
`7/1996
`0708618 131
`3/1997
`0770355 A1
`5/1997
`0503662 B1
`6/1997
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`EP
`EP
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`33:
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`EP
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`0447121 B1
`0625077 B1
`0633749 B1
`0710090 B1
`0578425 B1
`0625335 B1
`0552423 B1
`0592244 B1
`0648476 B1
`0649290 B1
`0598618 B1
`0676173 B1
`0678007 B1
`0603472 B1
`0605351 B1
`0878169 A1
`0879742 A1
`0695144 B1
`0722296 Bl
`0760230 Bl
`0623316 B1
`0650701 Bl
`
`7/1997
`7/1997
`8/1997
`8/1997
`9/1997
`11/1997
`1/1998
`1/1998
`1/1998
`3/1998
`9/1998
`9/1998
`9/1998
`11/1998
`11/1998
`11/1998
`11/1998
`12/1998
`12/1998
`2/1999
`3/1999
`3/ 1999
`
`figggg
`
`33333
`3/2000
`5/2000
`5/2000
`9/2000
`9/2000
`9/2000
`11/2000
`11/2000
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`3333333 33
`0843906 B1
`0552050 B1
`0833592 B1
`0830094 B1
`1034747 A1
`1034748 A1
`0694290 B1
`1050278 A1
`A1
`133353 :1
`A1
`$881
`183823: :1
`5/2001
`1095627 A1
`5/2001
`1256318 B1
`9/2001
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`12/2001
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`“2002
`0908152 B1
`5/2002
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`9/2002
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`9/2002
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`12/2002
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`$88;
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`10/2003
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