`
`US8,322,455 B2
`(10) Patent No.:
`a2) United States Patent
`Shelton, IV et al.
`(45) Date of Patent:
`Dec.4, 2012
`
`
`(75)
`
`(54) MANUALLY DRIVEN SURGICAL CUTTING
`AND FASTENING INSTRUMENT
`Inventors: Frederick E. Shelton, IV, New Vienna,
`OH (US); John N. Ouwerkerk,
`Cincinnati, OH (US); JeromeR.
`Morgan,Cincinnati, OH (US); Jeffrey
`7
`.
`S. Swayze, Hamilton, OH US); Eugene
`L. Timperman,Cincinnati, OH (US);
`Leslie M. Fugikawa, Cincinnati, OH
`(US)
`(73) Assignee: Ethicon Endo-Surgery, Inc., Cincinnati,
`OH (US)
`
`étora Neen
`;
`F419100 A
`olles etal. wo
`;
`;
`W975. Cartun
`3894174 A
`4331077 A ae Corby otal.
`4,383,634 A
`5/1983 Green
`4,396,139 A
`8/1983 Hall et al.
`TaeiD A
`LLIons creen
`’
`4
`reen
`4.420695 A
`9/1984 Green
`Continued
`(Continued)
`FOREIGN PATENT DOCUMENTS
`2458946 Al
`3/2003
`(Continued)
`
`CA
`
`oo7/19
`
`(*) Notice:
`
`Subject to any disclaimer, the term ofthis
`
`ree Hsaqb)by1207adjusted under 35
`“—
`y
`ys:
`(21) Appl. No.: 11/475,412
`
`Filed:
`
`Jun. 27, 2006
`
`(22)
`
`(65)
`
`Prior Publication Data
`US 2007/0295780 Al
`Dec. 27, 2007
`
`Primary Examiner — Rinaldi Rada
`Assistant Examiner — Nathaniel Chukwurah
`
`OTHER PUBLICATIONS
`
`C.C. Thompsonet al., “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.
`(Continued)
`
`(51)
`
`Int. Cl.
`(2006.01)
`E21B 3706
`(52) US. Ch cece eeees 173/1; 227/19; 227/180.1
`(58) Field of Classification Search ..........0.0..... 227/19,
`227/176.1, 180.1; 74/851, 841; 192/21
`See application file for complete search history.
`.
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`ABSTRACT
`(57)
`A surgical cutting and fastening instrumentthat includes an
`elongate channelthat 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
`£8
`pP
`y
`y
`bar maybedistally advanced throughthe elongate channel by
`actuating a firing trigger that cooperates with a reversible
`rotary drive supported by the handle assembly. The knife bar
`mayalso beretracted to its starting position by actuating the
`firing triggerafter the reversible rotary drive has been shifted
`to a retraction orientation.
`
`23 Claims, 18 Drawing Sheets
`
`IS 1006
`
`IS 1006
`
`1
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`6,102,271
`6,109,500
`6,119,913
`H1904
`6,126,058
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`6,155,473
`6,171,330
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`6,241,139
`6,250,532
`6,264,086
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`6,273,897
`6,302,311
`6,315,184
`6,320,123
`6,330,965
`6,358,224
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`6,387,113
`6,416,486
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`US 8,322,455 B2
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