throbber
US008322455B2
`
`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.
`.
`References Cited
`
`(56)
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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
`
`

`

`US 8,322,455 B2
`
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`,
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`2
`
`

`

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`5,609,601
`5,624,452
`5,626,587
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`5,634,584
`5,636,779
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`5,639,008
`5,645,209
`5,647,526
`5,649,937
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`5,653,373
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`5,655,698
`5,657,921
`5,662,258
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`5,667,517
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`5,673,840
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`5,685,474
`5,688,270
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`5,692,668
`5,697,543
`5,702,408
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`5,706,997
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`5,709,334
`5,709,680
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`5,713,505
`5,715,987
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`5,716,366
`5,718,359
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`5,725,536
`5,725,554
`5,730,758
`5,732,821
`5,732,871
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`5,735,445
`5,743,456
`5,752,644
`5,758,814
`5,762,255
`5,762,256
`5,779,130
`5,779,131
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`5,782,396
`5,782,397
`5,785,232
`5,794,834
`5,797,536
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`US 8,322,455 B2
`
`Page 3
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`5,871,135
`5,878,937
`5,878,938
`5,893,506
`5,894,979
`5,897,562
`5,901,895
`5,904,693
`5,908,427
`5,911,353
`5,915,616
`5,918,791
`5,919,198
`5,941,442
`5,954,259
`5,988,479
`6,010,054
`6,017,356
`6,022,352
`6,032,849
`6,045,560
`6,047,861
`6,050,472
`6,053,390
`6,062,360
`6,079,606
`6,083,234
`6,083,242
`6,086,600
`6,099,551
`6,102,271
`6,109,500
`6,119,913
`H1904
`6,126,058
`6,131,789
`6,155,473
`6,171,330
`6,193,129
`6,202,914
`6,241,139
`6,250,532
`6,264,086
`6,264,087
`6,273,897
`6,302,311
`6,315,184
`6,320,123
`6,330,965
`6,358,224
`6,370,981
`6,387,113
`6,416,486
`RE37,814
`6,436,107
`6,439,439
`6,443,973
`6,488,196
`6,488,197
`6,491,201
`6,505,768
`6,517,565
`6,522,101
`6,569,171
`6,578,751
`6,588,643
`6,601,749
`6,616,686
`6,619,529
`6,629,630
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`6,644,532
`
`3
`
`

`

`US 8,322,455 B2
`
`Page 4
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`6,695,199 B2
`7/2007 Viola
`7,238,195 B2
`3/2004 Whitman
`6,698,643 B2
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`6,755,338 B2
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`7,278,562 B2
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`10/2007 Green
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`

`US 8,322,455 B2
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`Page 8
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`EP 0754437 B2=12/2004 EP 1721576 Bl 4/2009
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`15239

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