Dual independent keying lock member acting on same drive member

By introducing a two-factor authentication mechanism for the latching and staple cartridge in the surgical suture system, the problem of inability to effectively prevent unintentional cutting and suture in the prior art is solved, and higher surgical safety and accuracy are achieved.

CN119818134APending Publication Date: 2025-04-15CILAG GMBH INTERNATIONAL
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Patent Information

Application Number
CN202411425240.6
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Priority Date
2023-10-13
Filing Date
2024-10-12
Publication Date
2025-04-15

AI Technical Summary

Technical Problem

Existing surgical suture and cutting instruments cannot effectively prevent unintentional cutting and suture of patient tissues before use.

Method used

A surgical suture system is designed, including an end effector, a firing actuator, a first latching member and a second latching member. With the positioning of the staple cartridge, the system can place the locking member in an unlocked state, ensuring that only compatible and unused staple cartridges allow the firing drive movement.

Benefits of technology

Effectively prevents the inadvertent cutting and suture of patient tissue before conditions are met, ensuring the safety and accuracy of surgical procedures.

✦ Generated by Eureka AI based on patent content.

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Abstract

A surgical stapling system is disclosed that includes a firing drive, a first latch, and a second latch. The firing drive includes a first edge and a second edge. The first latch is configurable between a first locked state in which the first latch engages the first edge during a firing stroke and a first unlocked state in which the first edge bypasses the first latch during the firing stroke. The second latch is configurable between a second locked state in which the second latch engages the second edge during the firing stroke, and a second unlocked state in which the second edge bypasses the second latch during the firing stroke. A cartridge can be disposed in the stapling system, the cartridge including a first key that unlocks the first latch and a second key that unlocks the second latch.
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Description

Background Art

[0001] The present invention relates to surgical instruments and, in various arrangements, to surgical stapling and cutting instruments designed to stapling and cutting tissue and staple cartridges for use therewith. Summary of the invention

[0002] Lockouts are used with surgical stapling and cutting instruments to ensure that certain conditions are met before allowing a clinician to sew and cut patient tissue with the surgical stapling and cutting instrument. These lockouts ensure that patient tissue is not inadvertently cut and / or sutured before these conditions are met.

[0003] According to the present disclosure, a surgical suturing system includes an end effector, a firing actuator, a first locking member and a second locking member. The end effector includes a first jaw and a second jaw, and the second jaw can be pivoted between an open position and a closed position relative to the first jaw. The firing actuator can move from a proximal position to a distal position during a firing stroke. The firing stroke includes a first stroke portion and a second stroke portion distal to the first stroke portion. The firing actuator includes a first edge and a second edge. The first locking member can be configured in a first locked state and a first unlocked state, in which the first locking member engages the first edge during the firing stroke, and in the first unlocked state, the first edge bypasses the first locking member during the firing stroke. The second locking member can be configured in a second locked state and a second unlocked state, in which the second locking member engages the second edge during the firing stroke, and in the second unlocked state, the second edge bypasses the second locking member during the firing stroke. The staple cartridge including the first key is configured to place the first lockout member in a first unlocked state based on the staple cartridge being positioned in the end effector. The staple cartridge including the second key is configured to place the second lockout member in a second unlocked state based on the staple cartridge being positioned in the end effector. BRIEF DESCRIPTION OF THE DRAWINGS

[0004] The various features of the embodiments described herein, together with their advantages, may be understood from the following description in conjunction with the following drawings:

[0005] Figure 1 is a partial perspective view of a surgical stapling system including an end effector;

[0006] Figure 2 yes Figure 1 A perspective view of an end effector of with a staple cartridge removed from the end effector;

[0007] Figure 3 yes Figure 1 Another perspective view of the end effector of , wherein the staple cartridge is removed;

[0008] Figure 4 is in closed position Figure 1 A front view of an end effector;

[0009] Figure 5 is in the open position Figure 1 A front view of an end effector;

[0010] Figure 6 Shown for use with Figure 1 A locking system comprising a first locking member and a second locking member for use with a surgical suturing system;

[0011] Figure 7 Shows Figure 6 A top view of a locking system of FIG. 1 , wherein a compatible staple cartridge is inserted into the end effector;

[0012] Figure 8 Shows Figure 6 The locking system, in which Figure 7 The nail magazine changes the locking system to the unlocked state;

[0013] Fig. 9 Shows Figure 6 A locking system wherein the staple cartridge unlocks the first locking member but does not unlock the second locking member;

[0014] Fig.10 Shows Figure 6 A locking system wherein the staple cartridge unlocks the second locking member but does not unlock the first locking member;

[0015] Fig.11 Shows Figure 6 A locking system and a firing drive having longitudinally staggered locking shoulders;

[0016] Fig.12 Shows Fig.11 A system in which the staple cartridge is positioned in an unlocked Figure 6 an end effector of both a first locking member and a second locking member of a locking system;

[0017] Fig.13 Shows Fig.12 A system wherein the firing drive moves through the staple cartridge;

[0018] Fig.14 Shows Fig.11 A system wherein the staple cartridge unlocks a second locking member of the locking system but does not unlock the first locking member;

[0019] Fig.15 Shows Fig.11 A system wherein the staple cartridge unlocks a first locking member of the locking system but does not unlock a second locking member;

[0020] Fig.16 Shows Fig.11 systems and Fig.15 a staple cartridge of the type described herein, wherein the lockout system prevents distal movement of the firing drive after a first portion of its stroke;

[0021] Fig.17 Shows Figure 6 A locking system, wherein the firing drive has an elongated locking window;

[0022] Fig.18 Shows Fig.17 a system wherein a compatible staple cartridge is positioned in an end effector of a first lockout member and a second lockout member of an unlocked lockout system;

[0023] Fig.19 Shows Fig.18 A system wherein the firing drive moves through the staple cartridge;

[0024] Fig. 20 Shows Fig.17 A system wherein the staple cartridge has unlocked the second locking member of the locking system but has not unlocked the first locking member;

[0025] Fig.21 Shows Fig.17 A system wherein the staple cartridge has unlocked a first locking member of the locking system but has not unlocked a second locking member;

[0026] Fig. 22 Shows Fig.17 systems and Fig.21 a staple cartridge of the type described herein, wherein the lockout system prevents distal movement of the firing drive after a first portion of its stroke;

[0027] Fig.23 Shown for use with Figure 1 A locking system and a firing actuator for use with a surgical stapling system; and

[0028] Fig.24 Shown in locked configuration Fig.23 Locking system.

[0029] Corresponding reference characters indicate corresponding parts throughout the several views. DETAILED DESCRIPTION

[0030] The applicant of the present application owns the following U.S. patent applications filed on the same date as the present application and each of which is incorporated herein by reference in its entirety:

[0031] U.S. Patent Application Titled “METHOD OF OPERATING A SURGICAL STAPLING INSTRUMENT”; Attorney Docket No. END9484USNP2 / 220491-2M;

[0032] U.S. Patent Application Titled “SURGICAL STAPLING SYSTEMS WITH ADAPTIVESTAPLE FIRING ALGORITHMS”; Attorney Docket No. END9484USNP3 / 220491-3;

[0033] U.S. Patent Application Titled “LEARNED TRIGGERS FOR ADAPTIVE CONTROL OF SURGICAL STAPLING SYSTEMS”; Attorney Docket No. END9484USNP4 / 220491-4;

[0034] U.S. Patent Application Titled “CONTROL CIRCUIT FOR ACTUATING MOTORIZED FUNCTION OF SURGICALSTAPLING INSTRUMENT UTILIZINGINERTIAL DRIVE TRAIN PROPERTIES”; Attorney Docket No. END9484USNP5 / 220491-5;

[0035] U.S. Patent Application Titled “PROPORTIONATE BALANCING OF THE FUNCTION IMPACT MAGNITUDE OF BATTERY OUTPUT TO PEAK MOTOR CURRENT”; Attorney Docket No. END9484USNP6 / 220491-6;

[0036] ·The name is “MOTOR OPTIMIZATION BY MINIMIZATION OFPARASITIC LOSSES ANDTUNING MOTOR DRIVE

[0037] CONFIGURATION"; Attorney Docket No. END9484USNP7 / 220491-7;

[0038] U.S. Patent Application Titled “APPARATUS AND METHOD TO REDUCE PARASITICLOSSES OF THE ELECTRICAL SYSTEM OF A SURGICALIN STRUMENT”; Attorney Docket No. END9484USNP8 / 220491-8;

[0039] U.S. Patent Application Titled “SURGICAL TOOL WITH RELAXED FLEX CIRCUITARTICULATION”; Attorney Docket No. END9484USNP9 / 220491-9;

[0040] U.S. Patent Application Titled “WIRING HARNESS FOR SMART STAPLER WITH MULTI AXIS ISARTICULATION”; Attorney Docket No. END9484USNP10 / 220491-10;

[0041] U.S. Patent Application Titled “SURGICAL SYSTEM WITH WIRELESS ARRAY FOR POWER AND DATATRANSFER”; Attorney Docket No. END9484USNP11 / 220491-11; and

[0042] U.S. patent application titled “SURGICAL STAPLE CARTRIDGE COMPRISING REPLACEABLE ELECTRONICS PACKAGE”;

[0043] Attorney Docket No. END9484USNP12 / 220491-12.

[0044] The applicant of the present application owns the following U.S. patent applications filed on the same date as the present application and each of which is incorporated herein by reference in its entirety:

[0045] U.S. Patent Application Titled “METHOD OF ASSEMBLING A STAPLE CARTRIDGE”; Attorney Docket No. END9484USNP13 / 220491-13M;

[0046] U.S. Patent Application Titled “CONTROL SURFACES ON A STAPLE DRIVER OF ASURGICAL STAPLE CARTRIDGE”; Attorney Docket No. END9484USNP14 / 220491-14;

[0047] U.S. Patent Application Titled “INTEGRAL CARTRIDGE STIFFENING FEATURES TOREDUCE CARTRIDGE DEFLECTION”; Attorney Docket No. END9484USNP15 / 220491-15;

[0048] U.S. Patent Application Titled “STAPLE CARTRIDGE COMPRISING WALLSTRUCTURES TO REDUCE CARTRIDGE DEFLECTION”; Attorney Docket No. END9484USNP16 / 220491-16;

[0049] U.S. Patent Application Titled “PAN-LESS STAPLE CARTRIDGE ASSEMBLY COMPRISING RETENTION FEATURES FOR HOLDING STAPLE DRIVERS AND SLED”; Attorney Docket No. END9484USNP17 / 220491-17;

[0050] U.S. Patent Application Titled “STAPLE CARTRIDGE COMPRISING A SLED HAVING A DRIVER LIFT CAM”; Attorney Docket No. END9484USNP18 / 220491-18;

[0051] U.S. Patent Application Titled “SURGICAL STAPLE CARTRIDGES WITH SLEDSCONFIGURED TO BECOUPLED TO A FIRING DRIVER OF A COMPATIBLE SURGICAL STAPLER”; Attorney Docket No. END9484USNP19 / 220491-19;

[0052] U.S. Patent Application Titled “STAPLE CARTRIDGE COMPRISING A COMPOSITE SLED”; Attorney Docket No. END9484USNP20 / 220491-20;

[0053] U.S. Patent Application Titled “SURGICAL INSTRUMENTS WITH JAW AND FIRING ACTUATOR LOCKOUTARRANGEMENTS LOCATED PROXIMAL TO A JAW PIVOT LOCATION”; Attorney Docket No. END9484USNP21 / 220491-21;

[0054] U.S. Patent Application Titled “SURGICAL INSTRUMENTS WITH LATERALLY ENGAGEABLE LOCKING ARRANGEMENTS FOR LOCKING AFIRING ACTUATOR”; Attorney Docket No. END9484USNP22 / 220491-22;

[0055] U.S. Patent Application Titled “ADJUNCTS FOR USE WITH SURGICAL STAPLING INSTRUMENTS”; Attorney Docket No. END9484USNP24 / 220491-24;

[0056] U.S. Patent Application Titled “ADJUNCTS FOR USE WITH SURGICAL STAPLING INSTRUMENTS”; Attorney Docket No. END9484USNP25 / 220491-25;

[0057] U.S. Patent Application Titled “JAW CONTROL SURFACES ON A SURGICAL INSTRUMENT JAW”; Attorney Docket No. END9484USNP26 / 220491-26;

[0058] U.S. Patent Application Titled “ZONED ALGORITHM ADAPTIVE CHANGES BASED ON CORRELATION OF COOPERATIVE COMPRESSION CONTRIBUTIONS OF TISSUE”; Attorney Docket No. END9484USNP27 / 220491-27;

[0059] U.S. Patent Application Titled “STAPLE CARTRIDGES COMPRISING TRACERETENTION FEATURES”; Attorney Docket No. END9484USNP29 / 220491-29; and

[0060] U.S. Patent Application Titled “STAPLE CARTRIDGES COMPRISING STAPLERETENTION FEATURES”; Attorney Docket No. END9484USNP30 / 220491-30.

[0061] Many specific details are listed herein to provide a thorough understanding of the overall structure, function, manufacture, and use of the embodiments described in the specification and shown in the drawings. Well-known operations, parts, and elements are not described in detail to avoid obscuring the embodiments described in the specification. The reader will understand that the embodiments described and shown herein are non-limiting examples, so that it can be recognized that the specific structural and functional details disclosed herein can be representative and illustrative. These embodiments can be modified and changed without departing from the scope of the claims.

[0062] The terms "proximal" and "distal" are used herein relative to a clinician manipulating the handle portion of a surgical instrument. The term "proximal" refers to the portion closest to the clinician, and the term "distal" refers to the portion positioned away from the clinician. It should also be understood that for brevity and clarity, spatial terms such as "vertical," "horizontal," "upper," and "lower" may be used herein in conjunction with the accompanying drawings. However, surgical instruments are used in many orientations and positions, and these terms are not intended to be limiting and / or absolute.

[0063] Various exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, the reader will readily appreciate that the various methods and devices disclosed herein can be used in a variety of surgical procedures and applications, including, for example, in conjunction with open surgical procedures. Continuing to refer to this detailed description, the reader will further appreciate that the various instruments disclosed herein can be inserted into the body in any manner, such as through a natural cavity, through an incision or puncture formed in the tissue, etc. The working portion or end effector portion of the instrument can be inserted directly into the patient's body or can be inserted through an access device having a working channel through which the end effector and elongated shaft of the surgical instrument can be advanced.

[0064] See also Figure 1 , the surgical stapling system 100000 includes a shaft 100002 and an end effector 100004 extending from the shaft 100002. The end effector 100004 includes a first jaw 100006 and a second jaw 100008. The first jaw 100006 includes an elongated channel 100007 and a staple cartridge 100010. The staple cartridge 100010 is configured to be replaceable during a surgical procedure. The staple cartridge 100010 includes tabs 100011 on its lateral sides that fit into corresponding recesses 100009 defined in the elongated channel 100007 and align the staple cartridge 100010 in the channel 100007. The staple cartridge 100010 includes one or more locking shoulders that releasably engage the elongated channel 100007 and allow the staple cartridge 100010 to be removed from the channel 100007. Alternatively, the staple cartridge 100010 may not be removable from the first jaw 100006 or at least not easily replaceable from the first jaw.

[0065] The second jaw 100008 includes an anvil configured to deform the nail ejected from the nail magazine 100010. The second jaw 100008 is capable of being moved in an open position ( Figure 5 ) and closed position ( Figure 4 ) between the first jaw 100006 and the second jaw 100008; however, the first jaw 100006 is capable of pivoting relative to the second jaw 100008. The surgical stapling system 100000 also includes an articulation joint 100013, which is configured to allow the end effector 100004 to rotate or articulate relative to the axis 100002. However, the surgical stapling system 1000000 may not include an articulation joint.

[0066] The staple cartridge 100010 includes a cartridge body 100012. The cartridge body 100012 includes: a proximal end 100014; a distal end 100016; and a platform 100018 extending between the proximal end 100014 and the distal end 100016. In use, the staple cartridge 100010 is positioned on a first side of the tissue to be stapled and the anvil 100008 is positioned on a second side of the tissue. The anvil 100008 moves toward the staple cartridge 100010 (see Figure 4 and Figure 5 ) to compress and clamp the tissue against the platform 100018. Then, the nails 100021 removably stored in the magazine body 100012 can be deployed into the tissue. The magazine body 100012 includes nail cavities 100020 defined therein, wherein the nails are removably stored in the nail cavities 100020. The nail cavities 100020 are arranged in six longitudinal rows. Three rows of nail cavities are positioned on the first side of the longitudinal slot 100022, and three rows of nail cavities are positioned on the second side of the longitudinal slot 100022. Other arrangements of nail cavities and nails are also possible.

[0067] The nails are supported in the cartridge body 100012 by the nail drivers. The nails supported on the nail drivers can be found in U.S. Patent Application Publication No. 2021 / 0059672, entitled "SURGICAL INSTRUMENT WITH WIRELESS COMMUNICATION BETWEEN A CONTROL UNIT OF AROBOTIC SYSTEM AND REMOTE SENSOR", which is hereby incorporated by reference in its entirety. The driver is movable between a first or unfired position and a second or fired position to eject the nail from the nail cavity 100020. The driver is retained in the cartridge body 100012 by a retainer or disc 100024, which extends at least partially around the bottom of the cartridge body 100012 and includes a resilient member configured to grip the cartridge body 100012 and retain the retainer 100024 to the cartridge body 100012. Alternatively, there may be no retainer or disc attached to the cartridge body 100012. The drive can be driven by a sliding member 100026 (see Figure 2 and Figure 6 ) between its unfired position and its fired position. Sliding member 100026 is movable between a proximal position adjacent to proximal end 100014 and a distal position adjacent to distal end 100016. Sliding member 100026 includes a plurality of ramp surfaces configured to slide under the driver and lift the driver toward anvil 100008, and the nail is supported thereon. The nail may not be supported by the nail driver, but the nail includes an integral driving surface that is directly engaged by the sliding member 100026 to lift the nail, and examples of these driving surfaces are described in U.S. Patent Application Publication No. 2015 / 0173756 entitled "SURGICAL CUTTING AND STAPLING METHODS", which is hereby incorporated by reference in its entirety.

[0068] In addition to the above, the slide 100026 is moved distally by a firing actuator 100027, which includes a firing driver 100028 and a firing rod extending proximally from the firing driver 100028. The firing driver 100028 is configured to contact the slide 100026 and push the slide 100026 toward the distal end 100016. The firing rod includes a plurality of laminated strips; however, the firing rod may include, for example, a rod. The longitudinal slot 100022 defined in the cartridge body 100012 is configured to receive the firing driver 100028 and the firing rod. The anvil 100008 also includes a slot defined therein for receiving the firing driver 100028. The firing drive 100028 also includes a first cam 100030 that engages the first jaw 100006 in the slot of the anvil 100008 and a second cam 100032 that engages the second jaw 100008. As the firing drive 100028 is advanced distally, the first cam 100030 and the second cam 100032 control the distance or tissue gap between the platform 100018 of the staple cartridge 100010 and the anvil 100008. The firing drive 100028 also includes a knife 100034 that is configured to cut into tissue captured between the staple cartridge 100010 and the anvil 100008. It is desirable that the knife 100034 is positioned at least partially proximate to the ramp surface of the sliding member 100026 so that the staples are ejected prior to the knife 100034. Additionally, the firing drive 100028 includes a first notch 100036 defined on a first lateral side thereof and a second notch 100038 defined on a second lateral side thereof.

[0069] The anvil 100008 can be moved from the open position to the closed position using a closure system that is controlled separately from the firing drive 100028. The firing drive is part of a firing actuator that is separate from the closure system and can be operated distinctly. The anvil 100008 can include a ramp on its proximal end, and the closure system includes a closure tube that can move distally to engage the ramp and cam the anvil 100008 to the closed position. In the closed position, the first cam 100030 and the second cam 100032 of the firing drive 100028 translate distally and hold the anvil 100008 in the closed position. In order to convert the anvil 100008 to the open position, the closure tube can be retracted proximally, and a spring positioned within the end effector 100004 can bias the anvil 100008 to the open position. The anvil 100008 may include a tab, and the closure tube may define an aperture that engages the tab when the closure tube is moved proximally, thereby actively transitioning the anvil 100008 to the open position. Exemplary closure systems and closure tubes are described in U.S. Patent Application Publication No. 2021 / 0059672, which was previously incorporated herein by reference in its entirety.

[0070] The anvil 100008 can be moved from an open position to a closed position using a firing driver 100028. Thus, the anvil 100008 can include a ramp extending proximally from a slot defined therein, which is engaged by the firing driver 100028 during the first portion of the stroke of the firing driver 100028 to move the anvil 100008 to a closed position. The first portion of the stroke of the firing driver can be, for example, about 0.100 "-0.250" of the stroke of the firing driver 100028. After the first portion of the stroke is completed, the firing driver 100028 can be advanced distally through the second portion of the stroke to deploy nails from the nail magazine 100010 and cut into the tissue captured by the end effector, as described above. The firing driver for closing the anvil and firing the nails is described in U.S. Patent No. 11,160,551. The firing driver 100028 can be driven distally by a drive beam extending therefrom. Thus, the drive beam may include a plurality of laminated strips.The firing drive 100028 may be driven distally by an upper drive rod attached at the upper end of the firing drive 100028 and a lower drive rod attached to the lower end of the firing drive 100028, examples of which may be found in U.S. Patent Application Publication No. 2015 / 0173756, which is hereby incorporated by reference in its entirety.

[0071] After the nail magazine 100010 has been fired or at least partially fired, if necessary, the nail magazine can be removed from the elongated channel 100007 and then replaced with another replaceable nail magazine. At this time, the surgical suturing system 100000 can be reused during surgery to continue suturing and cutting into patient tissue. However, the previously fired nail magazine can be accidentally loaded into the elongated channel 100007. If the firing driver 100028 will be advanced distally in such previously fired nail magazine, the surgical suturing system 100000 can cut patient tissue without suturing patient tissue. If the firing driver 100028 is advanced distally to complete the nail firing stroke without the nail magazine being positioned in the elongated channel 100007 at all, the surgical suturing system 100000 can similarly cut patient tissue without suturing patient tissue. In addition, various surgical nail magazines can have different arrays and / or orientations of nails / fasteners therein. The size of the nails or fasteners and the number of fasteners can vary, for example, depending on the type of magazine. In order to ensure that the nails are correctly crimped or formed, usually, the surgical nail magazine is matched with a corresponding compatible anvil having an appropriate array of nail forming pits and appropriate cutting and firing components. If an "incompatible" magazine is loaded into a surgical stapling device with an anvil that does not match the nail magazine, the nails may not be correctly formed during the firing process.

[0072] In view of the above, the surgical stapling system 100000 includes a lockout system 100100 configured to prevent distal movement of the firing drive 100028 unless a compatible and unused staple cartridge is positioned in the first jaw 100006. The lockout system 100100 includes a first lockout 100102 including a first wedge 100104 and a first spring 100106 that biases the first wedge 100104 into a first recess 100036 of the firing drive 100028. The first spring 100106 is mounted on a first lateral side 100108 thereof to the elongated channel 100007 of the first jaw 100006; however, the first spring 100106 may be mounted in any suitable location. The lockout system 100100 also includes a second lockout 100112, which includes a second wedge 100114 and a second spring 100116 that biases the second wedge 100114 into the second recess 100038 of the firing drive 100028. The second spring 100116 is mounted to the elongated channel 100007 of the first jaw 100006 on its second lateral side 100118; however, the second spring 100116 can be mounted in any suitable position. The first lockout 100102 and the second lockout 100112 can be mounted to the shaft 100002. In addition, the springs 100106 and 100116 include coil springs, but may include any suitable biasing member.

[0073] In use, the lockout system 100100 prevents advancement of the firing drive 100028 unless a compatible and unused staple cartridge is positioned in the first jaw 100006. The staple cartridge 100010 includes two discrete authentication keys, namely a first authentication key 100120 and a second authentication key 100130, the first authentication key being configured to move the first lockout member 100102 from a locked state (a state in which the first wedge member 100104 is positioned in the first recess 100036 of the firing drive 100028, see Figure 6 and Figure 7 ) is transformed to an unlocked state (a state in which the first wedge 100104 is displaced (i.e., “released”) from the first recess 100036 by the first authentication key 100120, see Figure 8 ), the second authentication key is configured to be able to move the second locking member 100112 from a locked state (a state in which the second wedge 100114 is positioned in the second recess 100038 of the firing drive 100028, see Figure 6 and Figure 7 ) is transformed to an unlocked state (a state in which the second wedge 100114 is displaced (i.e., “released”) from the second recess 100038 by the second authentication key 100130, see Figure 8 ).

[0074] The lockouts 100102, 100112 are designed so that a single lockout by itself can prevent the firing drive 100028 from moving distally through the staple cartridge 100010. The spring and wedge of each lockout 100102, 100112 are selected so that the lockout can resist the force transmitted through the firing drive 100028 and prevent the firing drive 100028 from being further advanced distally. As described in more detail below, the lockout system 100100 ensures that the staple cartridge positioned in the first jaw 100006 is compatible with the stapling instrument 100000 and is in an unused state so as to allow the firing drive 100028 to move through the firing stroke.

[0075] like Figure 6 As shown, the staple cartridge 100010 includes a first key 100120 extending from the proximal end 100014 of the cartridge body 100012. When the staple cartridge 100010 is inserted into the first jaw 100006, the first key 100120 engages the first cam surface 100107 of the first wedge 100104. When the staple cartridge 100010 is positioned in the elongated channel 100007, the first key 100120 cams the first wedge 100104 away from the first notch 100036, thereby releasing the first lockout 100102 and placing the first lockout 100102 in an unlocked state.

[0076] The first lockout 100102 can be a compatible staple cartridge lockout because a compatible staple cartridge having a sufficient authentication key, such as the first key 100120 on the cartridge body 100012, transitions the first lockout 100102 to the unlocked position, while a staple cartridge without the first key 100120 or the sufficient authentication key does not transition to the unlocked position. The first key 100120 or the sufficient authentication key can be located on another portion of the staple cartridge, such as the retainer 100024.

[0077] In addition to the above, the nail magazine 100010 includes a second key 100130 extending from the proximal end of the sliding member 100026. It is worth noting that Figure 6 As shown, the slider 100026 is positioned in the proximal unfired position, thereby indicating that the nail magazine 100010 is an unused nail magazine (i.e., no nails in the nail magazine have been deployed therefrom). When the nail magazine 100010 is inserted into the first jaw 100006, the second key 100130 engages the second cam surface 100117 of the second wedge 100114. When the nail magazine 100010 is placed in the elongated channel 100007, the second key 100130 cams the second wedge 100114 away from the second recess 100038, thereby releasing the second lockout 100112 and placing the second lockout 100112 in an unlocked state.

[0078] The second lockout 100112 can be a spent cartridge lockout because a cartridge having a slider with a sufficient key in a sufficient position will transition the second lockout to an unlocked position, while a cartridge without a slider with a sufficient key in a sufficient position will not transition to an unlocked position. If the clinician inadvertently positions a spent (i.e., all of the nails have been deployed from the cartridge) or a partially spent (i.e., some but not all of the nails have been deployed from the cartridge) cartridge 100010 in the first jaw 100006, the second key 100130 will not be able to engage the second wedge 100114 and cam the second wedge out of the second notch 100038, thereby preventing the firing driver 100028 from being advanced distally through the cartridge even if the cartridge 100010 were to unlock the first lockout 100102 with the first key 100120. The second key 100130 can extend a certain length from the slider 100026 so that if the slider 100026 is in its most proximal position or a position close enough to the most proximal position, the second key 100130 can only transform the second lockout 100112 to the unlocked position. The slider 100026 is in a position close enough to the most proximal position, where no nails have been fired from the nail magazine 100010, but the slider 100026 has moved less than a threshold amount from the most proximal position. In either such position, the slider 100026 is in a proximal unfired position, and when the nail magazine 100010 is seated in the first jaw 100006, the second key 100130 will unlock the second lockout 100112. However, if the slider 100026 has moved distally beyond the threshold distance when the staple cartridge 100010 is seated in the first jaw 100006, the staple cartridge 100010 will not be able to transition the second lockout 100112 to the unlocked position, and therefore, the staple cartridge will need to be replaced with an unused (and compatible) staple cartridge in order to fire the stapling instrument 100000. The second key 100130 may be positioned on another portion of the staple cartridge 100010 that indicates the firing state of the staple cartridge 100010 (unused, used, partially used), such as a cover removably positioned on the deck 100018 of the staple cartridge 100010.

[0079] Figure 7 and Figure 8The staple cartridge 100010 is shown inserted into the first jaw 100006 of the end effector 100004. Notably, the first authentication key 100120 engages the first cam surface 100107 of the first wedge 100104 to drive the first wedge 100104 out of the first recess 100036 and transition the first lockout 100102 to the unlocked state. Similarly, the second authentication key 100130 engages the second cam surface 100117 of the second wedge 100114 to drive the second wedge 100114 out of the second recess 100038 and transition the second lockout 100112 to the unlocked state. With both the first and second lockouts 100102 , 100112 in their respective unlocked states, the firing drive 100028 is free to translate through the longitudinal slot 100022 to deploy staples from the staple cartridge 100010 and incise tissue captured by the end effector 100004 .

[0080] See now Fig. 9 , the nail magazine 100010 has been replaced by a first replacement nail magazine 100140, which includes a first key 100120 extending therefrom, but does not include a second key. The absence of the second key may indicate, for example, a nail magazine that does not have a compatible slider even if the slider is in a proximal unused position, or alternatively, a slider with a sufficient second key that is not in an unfired position (i.e., a compatible slider is in a partially used or used position). Therefore, when the first nail magazine 100140 is removably positioned in the first jaw 100006, the first lockout 100102 is transformed to an unlocked state (via the first key 100120), but the second lockout 100112 remains in a locked state. In this state, the lockout system 100100 prevents distal movement of the firing drive 100028. More specifically, in this state, as the firing drive 100028 moves distally, the second wedge 100114 edges the trailing edge of the second recess 100038 , thereby preventing distal movement of the firing drive 100028 .

[0081] See now Fig.10, the nail magazine 100010 has been replaced by a second replacement nail magazine 100142, which includes a second key 100130 extending therefrom, but does not include a first key. The absence of the first key in the second replacement nail magazine 100142 may indicate that the second replacement nail magazine 100142 is an incompatible nail magazine. Therefore, when the second replacement nail magazine 100142 is placed in the first jaw 100006, the second lockout member 100112 is transformed into an unlocked state (via the second key 100130), but the first lockout member 100102 remains in the locked state. In this state, the lockout system 100100 prevents the distal movement of the firing driver 100028. More specifically, in this state, as the firing driver 100028 moves distally, the first wedge 100104 edges the trailing edge of the first recess 100036, thereby preventing the distal movement of the firing driver 100028.

[0082] Thus, the aforementioned lockout system 100100 provides a "two-factor" authentication lockout that communicates to the clinician not only that the staple cartridge positioned in the first jaw 100006 is a compatible staple cartridge, but also that the staple cartridge is ready to fire (i.e., unused). This eliminates the possibility that a compatible staple cartridge that has been used or at least partially used is positioned in the first jaw 100006 of the end effector 100004. In addition, as described above, the lockout system 100100 includes two lockouts 100102, 100112, each of which is used to constrain the same drive system, the firing drive 100028. The firing drive 100028 is prevented from moving through the staple cartridge to both position the jaws of the end effector 100004 relative to each other and drive the staples from the staple cartridge unless both the lockouts 100102, 100112 are transitioned to their respective unlocked states via the authentication key.

[0083] See now Fig.11 According to the present disclosure, a firing drive 100220 for use with a locking system 100100 is provided. The firing drive 100220 is similar in many respects to the firing drive 100028, with some differences described below. The firing drive 100220 can be used to replace the firing drive 100028 in the firing actuator 100027.

[0084] Similar to the firing drive 100028, the firing drive 100220 includes a first recess 100222 defined on a first lateral side thereof. The first recess 100222 includes a first leading edge 100227 at a first longitudinal distance from a distal end 100221 of the firing drive 100220, a first trailing edge 100223 at a second longitudinal distance from the distal end 100221 of the firing drive 100220, and a first sidewall 100231 extending between the first leading edge 100227 and the first trailing edge 100223. The distance between the first leading edge 100227 and the first trailing edge 100223 (i.e., the length of the first sidewall 100231) defines the width of the first recess 100222.

[0085] In addition, the firing drive 100220 includes a second recess 100224 defined on a second lateral side thereof. The second recess 100224 includes a second leading edge 100229 at a third longitudinal distance from the distal end 100221 of the firing drive 100220, a second trailing edge 100225 at a fourth longitudinal distance from the distal end 100221 of the firing drive 100220, and a second sidewall 100233 extending between the second leading edge 100229 and the second trailing edge 100225. The distance between the second leading edge 100229 and the second trailing edge 100225 (i.e., the length of the second sidewall 100233) defines the width of the second recess 100254.

[0086] like Fig.11 As shown, the width of the second recess 100224 is the same as the width of the first recess 100222; however, the widths may be different, as will be described in more detail elsewhere herein. The second leading edge 100229 and the first leading edge 100227 can be located at different longitudinal distances from the distal end 100221 of the firing drive 100220; however, the leading edges 100227, 100229 can be located at the same distance from the distal end 100221 of the firing drive 100220. In addition, as Fig.11 As shown, the second trailing edge 100225 and the first trailing edge 100223 are at different longitudinal distances from the distal end 100221 of the firing drive 100220; however, the longitudinal distances may be the same. For example, the first notch 100036 may include a first trailing edge (similar to the first trailing edge 100223), and the second notch 100038 may include a second trailing edge (similar to the second trailing edge 100225), and both trailing edges are at the same distance from the distal end of the firing drive 100028. Therefore, if a user attempts to drive the firing drive through a firing stroke without a compatible, unused staple cartridge positioned in the end effector, the trailing edges can cooperatively apply resistance to the firing drive.

[0087] The firing drive 100220 can be used with the end effector 100004 to move the anvil 100008 from an open position ( Figure 5 ) moves to the closed position ( Figure 4 ), and then firing the nail from the nail magazine 100010. As described above, an exemplary firing drive that closes the end actuator and then fires the nail from the nail magazine is described in U.S. Patent No. 11,160,551, entitled "ARTICULATABLE SURGICAL STAPLING INSTRUMENTS", which is incorporated herein by reference in its entirety.

[0088] In operation, the firing drive 100220 is driven through a first motion and a second motion, the second motion being distal to and subsequent to the first motion. During the first motion, the firing drive 100220 engages a ramp on the second jaw 100008 of the end effector 100004 to move the second jaw 100008 from an open position ( Figure 5 ) moves to the closed position ( Figure 4 ). The first movement of the firing driver 100220 can be, for example, approximately 0.100"-0.250" of the travel of the firing driver 100220. After the first movement and during a second movement distal to the first movement, the firing driver 100220 drives the sled 100026 through the staple cartridge 100010 to deploy staples therefrom. The second movement of the firing driver 100220 can be the remaining portion of the travel of the firing driver 100220 after the first movement.

[0089] like Fig.11 As shown and described above, the firing drive 100220 includes two longitudinally offset notches 100222, 100224. Fig.11 , the firing drive 100220 is in the proximal position. In the proximal position, the first notch 100222 receives the first wedge 100104, which corresponds to the first lockout 100102 being in the locked state. Additionally, in the proximal position, the second wedge 100114 engages the side wall 100235 of the firing drive 100220, thereby maintaining the second lockout 100112 in the unlocked state. As described elsewhere herein, each of the lockouts 100102, 100112 is designed such that the firing drive 100220 cannot travel distally as long as one of the lockouts is in its locked state. Thus, as Fig.11 As shown, when the first lockout 100102 is in its locked state, the firing driver 100220 cannot travel distally. Specifically, the first wedge 100104 of the first lockout 100102 engages the first rear edge 100223 of the first notch 100222, thereby preventing the distal movement of the firing driver 100220.

[0090] When a compatible and unused staple cartridge (such as staple cartridge 100010) is inserted into first jaw 100006 (such as Fig.12 As shown in FIG. 1 , the first authentication key 100120 engages the first wedge 100104 and causes its cam to move away from the first notch 100222, thereby transforming the first lockout member 100102 to an unlocked state. In addition, the second authentication key 100130 engages the second wedge 100114 to maintain the second lockout member 100112 in the unlocked state. Thus, the firing drive 100220 is able to move distally to move the anvil 100008 to the closed position and fire the nail from the nail magazine 100010, as shown in FIG. Fig.13 shown.

[0091] See now Fig.14 , when an incompatible staple cartridge (such as staple cartridge 100142) is inserted into first jaw 100006, second authentication key 100130 engages second wedge 100114 to maintain second lockout 100112 in a locked state. However, it is noteworthy that first staple cartridge 100142 does not include first authentication key 100120, and therefore first lockout 100102 remains in a locked position, thereby preventing distal movement of firing driver 100220. Specifically, first wedge 100104 of first lockout 100102 engages first rear edge 100223 of notch 100222, thereby preventing distal movement of firing driver 100220.

[0092] See now Fig.15 and Fig.16 , when an incompatible staple cartridge (such as staple cartridge 100140) is inserted into the first jaw 100006, the first authentication key 100120 engages the first wedge 100104 and cams it away from the first notch 100222, thereby transforming the first lockout 100102 to an unlocked state. However, it is worth noting that the staple cartridge 100140 does not include a second authentication key 100130 that engages the second lockout 100112 and holds it in the unlocked position. However, as described above, the second wedge 100114 engages the side wall 100235 of the firing driver 100220, which holds the second lockout 100112 in the unlocked state. Therefore, the firing driver 100220 is able to translate distally through the first portion of its firing stroke.

[0093] The first stroke portion may include the above-described first motion, wherein the firing drive 100220 engages a ramp on the second jaw 100008 of the end effector 100004 to move the anvil 100008 from the open position ( Figure 5 ) moves to the closed position ( Figure 4). The first stroke portion may include, for example, approximately 0.100"-0.250" of the stroke of the firing driver 100220. The first stroke portion may be defined as the distance until the second wedge 100114 engages the second trailing edge 100225 of the second recess 100224, as described in more detail below. During the first stroke portion, the second wedge 100114 of the second lockout 100112 travels along the side wall 100235 of the firing driver 100220, and the first wedge 100104 of the first lockout 100102 moves along the other side wall 100237 of the firing driver 100220. During the first movement, the wedge 10114 applies friction to the side wall 100235 of the firing driver 100220; however, the friction is not sufficient to prevent distal movement of the firing driver 100220.

[0094] Once the firing drive 100220 has been translated distally through the first stroke portion, as Fig.16 As shown, the second wedge 100114 becomes aligned with the second notch 100224. Since the nail cartridge 100140 does not include the second authentication key 100130 that engages the second lockout 100112 and holds it in the unlocked state, the second spring 100116 biases the second wedge 100114 into the second notch 100224, thereby preventing further distal movement of the firing driver 100220. Specifically, the second wedge 100114 of the second lockout 100112 engages the second rear edge 100225 of the second notch 100224, thereby preventing distal movement of the firing driver 100220.

[0095] Thus, using the firing drive 100220 with the lockout system 100100 enables the clinician to lock the end effector 100004 in the open state ( Figure 5 ) and closed state ( Figure 4 ) to grasp tissue, for example, when a staple cartridge having a first authentication key 100120 is positioned in the end effector. For example, such a staple cartridge may include a spent staple cartridge 100010. However, since there is not a sufficient second authentication key, the firing drive 100220 is prevented from being further advanced through the staple cartridge. The firing drive 100220 allows the staple cartridge including the first authentication key 100120 to maintain some functionality (i.e., thereby allowing the end effector 100004 to be opened and closed), but prevents the firing drive 100220 from advancing through a portion of its stroke, which may result in damage to patient tissue (moving the knife through a staple cartridge that may not include staples therein).

[0096] In addition, the inclusion of the second cam surface 100117 on the second wedge 100114 enables the clinician to move the firing driver 100220 proximally after the second lockout 100112 has transitioned to the locked state (i.e., when the second wedge 100114 is positioned in the second recess 100224). Specifically, as the firing driver 100220 moves proximally, the second cam surface 100117 engages the second leading edge 100229 of the second recess 100224, which cams the second wedge 100114 away from the second recess 100224 and reengages the second wedge 100114 with the sidewall 100235.

[0097] See now Fig.17 According to the present disclosure, a firing drive 100250 for use with a locking system 100100 is provided. The firing drive 100250 is similar in many respects to the firing drive 100028 and the firing drive 100220, with some differences described below. The firing drive 100250 can be used to replace the firing drive 100028 or the firing drive 100250 in the firing actuator 100027.

[0098] Similar to the firing drive 100028 and the firing drive 100220, the firing drive 100220 includes a first recess 100252 defined on a first lateral side thereof. The first recess 100252 includes a first leading edge 100257 at a first longitudinal distance from the distal end 100251 of the firing drive 100250, a first trailing edge 100253 at a second longitudinal distance from the distal end 100251 of the firing drive 100250, and a first sidewall 100261 extending between the first leading edge 100257 and the first trailing edge 100253. The distance between the first leading edge 100257 and the first trailing edge 100253 (i.e., the length of the first sidewall 100261) defines the width of the first recess 100252.

[0099] In addition, the firing drive 100220 includes a second recess 100254 defined on a second lateral side thereof. The second recess 100254 includes a second leading edge 100259 at a third longitudinal distance from the distal end 100251 of the firing drive 100250, a second trailing edge 100255 at a fourth longitudinal distance from the distal end 100251 of the firing drive 100250, and a second sidewall 100263 extending between the second leading edge 100259 and the second trailing edge 100255. The distance between the second leading edge 100259 and the second trailing edge 100255 (i.e., the length of the second sidewall 100263) defines the width of the second recess 100254.

[0100] like Fig.1720. As shown, the width of the second recess 100254 is different from the width of the first recess 100252. Specifically, the width of the second recess 100254 is greater than the width of the first recess 100252. The second leading edge 100259 and the first leading edge 100257 can be located at the same longitudinal distance from the distal end 100251 of the firing drive 100250; however, the leading edges 100257, 100259 can be located at different distances from the distal end 100251 of the firing drive 100250. The second trailing edge 100255 can be located at a longitudinal distance from the distal end 100251 of the firing drive 100250 that is greater than the longitudinal distance of the first trailing edge 100253 from the distal end 100251 of the firing drive 100250.

[0101] The firing drive 100250 can be used with the end effector 100004 to move the anvil 100008 from an open position ( Figure 5 ) moves to the closed position ( Figure 4 ), and then firing the nail from the nail magazine 100010. As described above, the firing drive of the closing end actuator and then firing the nail from the nail magazine is described in U.S. Patent No. 11,160,551, which is incorporated herein by reference in its entirety.

[0102] In operation, the firing drive 100250 is driven through a first motion and a second motion, the second motion being distal to and subsequent to the first motion. During the first motion, the firing drive 100250 engages a ramp on the second jaw 100008 of the end effector 100004 to move the second jaw 100008 from an open position ( Figure 5 ) moves to the closed position ( Figure 4 ). The first movement of the firing driver 100250 can be, for example, approximately 0.100"-0.250" of the travel of the firing driver 100220. After the first movement and during a second movement distal to the first movement, the firing driver 100250 drives the sled 100026 through the staple cartridge 100010 to deploy staples therefrom. The second movement of the firing driver 100250 can be the remaining portion of the travel of the firing driver 100250 after the first movement.

[0103] As described above, the firing drive 100250 includes two notches having different widths, namely notches 100252 and 100254. Fig.17As shown, the firing drive 100250 is in a proximal position. In the proximal position, the first notch 100252 receives the first wedge 100104, which corresponds to the first lockout 100102 being in a locked state. In addition, the second notch 100254 receives the second wedge 100114, which corresponds to the second lockout 100112 being in a locked state. The firing drive 100250 is capable of translating with one of the lockouts in a locked state, as described in more detail below.

[0104] When a compatible and unused staple cartridge (such as staple cartridge 100010) is inserted into first jaw 100006 (such as Fig.18 100252), the first authentication key 100120 engages the first wedge 100104 and causes its cam to move away from the first notch 100252, thereby transforming the first lock 100102 to an unlocked state. In addition, the second authentication key 100130 engages the second wedge 100114 and causes its cam to move away from the second notch 100254, thereby transforming the second lock 100112 to an unlocked state. Thus, the firing drive 100250 is able to move distally to move the anvil 100008 to a closed position and fire the nails from the nail magazine 100010, as shown. Fig.19 shown.

[0105] See now Fig. 20 , when an incompatible staple cartridge (such as staple cartridge 100142) is inserted into the first jaw 100006, the second authentication key 100130 engages the second wedge 100114 and cams it away from the second notch 100254, thereby transforming the second lockout 100112 to an unlocked state. However, it is worth noting that the first staple cartridge 100142 does not include the first authentication key 100120, and therefore the first lockout 100102 remains in the locked position, thereby preventing distal movement of the firing driver 100250. Specifically, the first wedge 100104 of the first lockout 100102 engages the first trailing edge 100253 of the first notch 100252, thereby preventing distal movement of the firing driver 100250.

[0106] See now Fig.21 and Fig. 22 , when an incompatible staple cartridge (such as staple cartridge 100140) is inserted into first jaw 100006, first authentication key 100120 engages first wedge 100104 and cams it away from first notch 100252, thereby transitioning first closure member 100102 to an unlocked state. However, it is worth noting that staple cartridge 100140 does not include second authentication key 100130 that engages second closure member 100112 and cams it to an unlocked position. Fig.2114, the second trailing edge 100255 of the second notch 100254 is positioned proximally relative to the second wedge 100114, and thus the second trailing edge 100255 cannot impede the movement of the firing drive 100250. Thus, the firing drive 100250 is able to translate distally through the first portion of its stroke even though the second lockout 100112 is still in the locked state. During the first portion of the stroke, the wedge 10114 applies a friction force to the second sidewall 100263 of the firing drive 100250; however, the friction force is insufficient to impede the distal movement of the firing drive 100250.

[0107] As further described above, the first stroke portion includes the above-mentioned first movement, in which the firing drive 100250 engages the ramp on the second jaw 100008 of the end effector 100004 to move the anvil 100008 from the open position ( Figure 5 ) moves to the closed position ( Figure 4 ). The first stroke portion may include, for example, approximately 0.100"-0.250" of the travel of the firing drive 100250. The first stroke portion may be defined as the distance between the second wedge 100114 and the second trailing edge 100255, and therefore, the distance that the firing drive 100250 may travel until the second wedge 100114 blocks the second trailing edge 100255 to prevent further displacement of the firing drive 100250, as shown in FIG. Fig. 22 shown.

[0108] Use of the firing drive 100250 with the lockout system 100100 enables the clinician to lock the end effector 100004 in the open state ( Figure 5 ) and closed state ( Figure 4 ) to grasp tissue, for example, when a staple cartridge having a first authentication key is positioned in the end effector. However, in the absence of a sufficient second authentication key, the firing drive 100250 is prevented from being further advanced through the staple cartridge. The firing drive 100250 allows the staple cartridge including the first authentication key to maintain some functionality (i.e., thereby allowing the end effector 100004 to be opened and closed), but prevents the firing drive 100250 from advancing through a portion of its stroke, which may result in damage to patient tissue (moving the knife through a staple cartridge that may not include staples therein).

[0109] See now Fig.23, a surgical stapling system 100300 including a firing actuator 100302 and a locking system 100310 is provided. The firing actuator 100302 and the locking system 100310 can be used with an end effector 100004. The firing actuator 100302 and the locking system 100310 can be used to replace the firing drive 100028 and the locking system 100100 in the surgical stapling system 100000.

[0110] The firing actuator 100302 includes a firing drive 100304, a first push rod 100306 attached to an upper end 100301 of the firing drive 100304, and a second push rod 100308 attached to a lower end 100303 of the firing drive 100304. The first push rod 100306 and the second push rod 100308 can be driven using any suitable drive system (such as a motor drive system) to move the firing drive 100304 from a proximal position (such as a proximal position) to a proximal position. Fig.23 The firing drive 100304 is driven to the distal position (as shown). An exemplary motor drive system is described in U.S. Patent Application Publication No. 2015 / 0173756, which is hereby incorporated by reference in its entirety. The firing drive 100304 also includes: a first cam 100305, which is configured to engage the first jaw of the end effector; a second cam 100307, ​​which is configured to engage the second jaw of the end effector; and a knife 100309, which is configured to cut tissue after the end effector is closed. As the firing drive 100304 is advanced distally, the first cam 100305 and the second cam 100307 control the distance or tissue gap between the platform of the nail magazine and the anvil. Driving the firing drive 100304 toward the distal position causes the nail to be deployed from the nail magazine, as described elsewhere herein. Driving the firing drive 100304 can cause the anvil to rotate distally toward the closed position (first stroke portion) and then cause the staples to be deployed from the staple cartridge when the firing drive 100304 is fired (see stroke portion).

[0111] The first push rod 100306 includes a first recess 100320 defined therein. The first recess 100320 includes a first leading edge 100322, a first trailing edge 100324, and a first sidewall 100326 extending from the first leading edge 100322 to the first trailing edge 100324. Similarly, the second push rod 100308 includes a second recess 100330 defined therein. The second recess 100330 includes a second leading edge 100332, a second trailing edge 100334, and a second sidewall 100336 extending from the second leading edge 100332 to the second trailing edge 100334.

[0112] The locking system 100310 includes a first locking member 100340, which includes a first locking arm 100342, a first cam surface 100344 and a first spring 100346. The first locking member 100340 can be in an unlocked state (a state in which the first locking arm 100342 is rotated within the first recess 100320, see Fig.24 ) and the unlocked state (a state in which the first locking arm 100342 rotates away from the first recess 100320, see Fig.23 ). The first spring 100346 can be configured to rotationally bias the first lockout 100340 into a locked state. The first lockout 100340 can be pivotally coupled to an elongated channel of an end effector, such as the elongated channel 100007 of the end effector 100004, but can be pivotally coupled at any suitable location in the stapling instrument, such as in a shaft.

[0113] The locking system 100310 also includes a second locking member 100350, which includes a second locking arm 100352, a second cam surface 100354 and a second spring 100356. The second locking member 100350 can be in an unlocked state (a state in which the second locking arm 100352 is rotated within the second recess 100330, see Fig.24 ) and the unlocked state (a state in which the second locking arm 100352 rotates away from the second recess 100330, see Fig.23 ). The second spring 100356 is capable of rotationally biasing the second locking member 100350 into a locked state. The second locking member 100350 is pivotally coupled to the elongated channel of the end effector, such as the elongated channel 100007 of the end effector 100004, but is pivotally coupled to any suitable position in the stapling instrument, such as in the shaft. The first locking arm 100342 and the second locking arm 100352 are pivotally coupled to the same lateral side of the elongated channel. Alternatively, the first locking arm 100342 and the second locking arm 100352 are pivotally coupled to different lateral sides of the elongated channel.

[0114] In use, the lockout system 100310 prevents advancement of the firing drive 100304 unless a compatible and unused staple cartridge is positioned in the first jaw of the end effector. Similar to the above, the staple cartridge includes two discrete and separately acting authentication keys, wherein the first authentication key is configured to be able to transition the first lockout 100340 from a locked state to an unlocked state, and the second authentication key is configured to be able to transition the second lockout 100350 from a locked state to an unlocked state, as described in more detail below.

[0115] The first lockout 100340 and the second lockout 100350 are designed so that either of the lockouts can by itself prevent the firing driver 100304 from moving distally through the staple cartridge. The lockout arm and spring are configured so that the lockout can individually block one of the drive rods of the firing driver 100304. A staple cartridge, such as the staple cartridge 100360, for example, includes a first key 100362 extending from a proximal end of a cartridge body 100364 thereof and including a first camming surface 100363. When the staple cartridge 100360 is disposed in the elongated channel, the first camming surface 100363 engages the first camming surface 100344 to rotate the first lockout 100340 to an unlocked state. With the first lockout 100340 in an unlocked state, the first push rod 100306 is permitted to drive the firing drive 100304 through the nail magazine 100360 (if the second lockout 100350 is also in an unlocked state, as described in more detail below).

[0116] In addition to the above, the nail magazine 100360 includes a second key 100366, which extends from the proximal end of the sliding member 100368 and includes a second camming surface 100369. It is worth noting that Fig.23 As shown, the slide 100368 is positioned in the proximal unfired position, thereby indicating that the nail magazine 100360 is an unused nail magazine (i.e., no nails in the nail magazine have been deployed therefrom). When the nail magazine 100360 is removably positioned in the first jaw, the second key 100366 engages the second lockout 100350. When the nail magazine 100360 is moved proximally to place the nail magazine 100360 in the elongated channel, the second cam movement surface 100369 engages the second cam surface 100354 to rotate the second lockout 100350 to an unlocked state. When the second lockout 100350 is in the unlocked state, the second push rod 100308 is allowed to drive the firing driver 100304 through the nail magazine 100360 (if the first lockout 100340 is also in the unlocked state, as described above).

[0117] In addition to the above, the first lockout 100340 includes a compatibility lockout. The second lockout 100350 includes a used magazine lockout, but is also used as a compatibility lockout. In order to unlock the second lockout 100350, two conditions about the slider of the nail magazine must be met, that is, the slider must be in a proximal unfired position and the slider must have a sufficient authentication key. In use, if the clinician attempts to drive the firing driver 100304 distally with one or two lockouts in their respective locked positions, its locking arm will engage the corresponding rear edge of the recess to stop the distal advancement of the firing driver 100304. Similar to the above, the first recess 100320 and the second recess 100330 may include a certain width (the distance from the leading edge to the trailing edge) that enables the firing driver 100304 to move through the first stroke portion to move the anvil to the closed position before the locking arm engages its corresponding rear edge to stop the distal translation of the firing driver 100304. Thus, the lockout system 100310 will still allow the clinician to transition the end effector between the open position and the closed position even if the installed staple cartridge is not certified and / or is in a spent state, but will not allow the firing drive 100304 to pass through the staple cartridge. Fig.24 , the nail magazine 100360 has been replaced by the first replacement nail magazine 100370, which does not include a first key on its magazine body 100374 or a second key on its slide 100378. Therefore, when the first replacement nail magazine 100370 is placed in the first jaw, both the first lockout 100340 and the second lockout 100350 remain in their respective locked positions, but as described above, the firing drive 100304 can still move distally to close the end effector. Alternatively, the distal movement of the firing drive 100304 can be prevented when one or both lockouts are in their respective locked positions, and the end effector cannot be closed by the firing drive 100304 unless the two lockouts have been released.

[0118] Many of the surgical instrument systems described herein are actuated by electric motors; however, the surgical instrument systems described herein may be actuated in any suitable manner. According to the present disclosure, the surgical instrument systems described herein may be actuated by, for example, a manually operated trigger. The motor disclosed herein may include a portion or portions of a robotic control system. In addition, any end effector and / or tool assembly disclosed herein may be used with a robotic surgical instrument system. For example, U.S. patent application serial number 13 / 118,241 (now U.S. Patent No. 9,072,535), entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS," discloses several examples of robotic surgical instrument systems in more detail.

[0119] Although various devices have been described herein in conjunction with certain embodiments, many modifications and variations of these embodiments may also be implemented. In one or more embodiments, specific features, structures, or characteristics may be combined in any suitable manner. Therefore, without limitation, specific features, structures, or characteristics shown or described in conjunction with one embodiment may be combined in whole or in part with features, structures, or characteristics of one or more other embodiments. In addition, where materials for certain components are disclosed, other materials may also be used. In addition, according to various embodiments, a single component may be replaced with multiple components, and multiple components may also be replaced with a single component to perform a given one or more functions. The above-described specific embodiments and the following claims are intended to cover all such modifications and variations.

[0120] Various aspects of the subject matter described herein are set forth in the following numbered examples:

[0121] Example 1 - A surgical stapling system (100000, 100300), comprising an end effector (100004), a firing actuator (100027, 100302) capable of moving from a proximal position to a distal position during a firing stroke, a first locking member (100102, 100340) and a second locking member (100112, 100350). The end effector comprises a first jaw (100006) and a second jaw (100008), the second jaw being capable of pivoting between an open position and a closed position relative to the first jaw. The firing stroke comprises a first stroke portion and a second stroke portion distal to the first stroke portion. The firing actuator comprises a first edge (100223, 100253, 100324) and a second edge (100233, 100255, 100334). The first lockout member is configurable in a first locked state and a first unlocked state, in which the first lockout member engages the first edge during the firing stroke, and in which the first unlocked state the first edge bypasses the first lockout member during the firing stroke. A staple cartridge (100010, 100360) comprising a first key (100120, 100362) is configured to place the first lockout member in the first unlocked state based on the staple cartridge being positioned in the end effector. The second lockout member is configurable in a second locked state and a second unlocked state, in which the second lockout member engages the second edge during the firing stroke, and in which the second edge bypasses the second lockout member during the firing stroke. A staple cartridge (100360) comprising a second key (100130, 100366) is configured to place the second lockout member in the second unlocked state based on the staple cartridge being positioned in the end effector.

[0122] Example 2 - A surgical stapling system according to Example 1, wherein the firing actuator is prevented from moving through the firing stroke when a staple cartridge including the first key and the second key is not positioned in the end actuator.

[0123] Example 3 - A surgical suturing system according to Example 1, wherein the firing actuator is allowed to move through the first stroke portion but is prevented from moving through the second stroke portion based on the staple magazine positioned in the end actuator including the first key but not the second key.

[0124] Example 4 - A surgical suturing system according to Example 3, wherein the firing actuator includes a side wall (100235), wherein the second locking member is configured to engage the side wall to maintain the second locking member in the second unlocked state during the first stroke portion.

[0125] Example 5 - A surgical stapling system according to Example 3, wherein the firing actuator is permitted to move through the first stroke portion when the second lockout member is in the second locked state.

[0126] Example 6 - A surgical suturing system according to Example 1, wherein the first edge is separated from its distal end by a first length, the second edge is separated from its distal end by a second length, and the first length is the same as the second length.

[0127] Example 7 - A surgical suturing system according to Example 1, wherein the first edge is separated from its distal end by a first length, the second edge is separated from its distal end by a second length, and the second length is different from the first length.

[0128] Example 8 - A surgical suturing system according to Example 1, wherein the firing actuator defines a first recess (100036, 100222, 100252, 100320) and a second recess, the first recess comprising the first edge and a first side wall (100231, 100261, 100326) extending from the first edge, the second recess comprising the second edge and a second side wall (100233, 100263, 100336) extending from the second edge, the first side wall having a first width, the second side wall having a second width, and the second width being the same as the first width.

[0129] Example 9 - A surgical suturing system according to Example 1, wherein the firing actuator defines a first recess (100036, 100222, 100252, 100320) and a second recess, the first recess comprising the first edge and a first side wall (100231, 100261, 100326) extending from the first edge, the second recess comprising the second edge and a second side wall (100233, 100263, 100336) extending from the second edge, the first side wall having a first width, the second side wall having a second width, and the second width being different from the first width.

[0130] Example 10 - A surgical suturing system according to any one of Examples 1 to 9, wherein the firing actuator includes a firing drive (100028, 100220, 100250) and a firing rod extending from the firing drive, and wherein the firing drive includes the first edge and the second edge.

[0131] Example 11 - A surgical suturing system according to any one of Examples 1 to 9, wherein the firing actuator comprises: a firing drive (100304); a first push rod (100306) capable of being operably connected to an upper end (100301) of the firing drive, wherein the first push rod includes the first edge; and a second push rod (100308) capable of being operably connected to a lower end (100303) of the firing drive, wherein the second push rod includes the second edge.

[0132] Example 12 - A surgical suturing system according to Example 1, wherein the first locking member includes a first wedge (100104) and a first spring (100106) configured to bias the first wedge toward the first edge, and the second locking member includes a second wedge (100114) and a second spring (100116) configured to bias the second wedge toward the second edge.

[0133] Example 13 - The surgical stapling system of Example 12, wherein the first wedge comprises a first cam surface (100107). The first key is configured to engage the first cam surface to move the first wedge away from the first edge. The second wedge comprises a second cam surface (100117). The second key is configured to engage the second cam surface to move the second wedge away from the second edge.

[0134] Example 14 - The surgical stapling system of Example 1, wherein the first lockout comprises a first lockout arm (100342) pivotably coupled to the first jaw and a first spring (100346) configured to bias the first lockout arm toward the first edge. The second lockout comprises a second lockout arm (100352) pivotably coupled to the first jaw and a second spring (100356) configured to bias the second lockout arm toward the second edge.

[0135] Example 15 - The surgical stapling system of Example 14, wherein the first lockout arm comprises a first cam surface (100344) and the second lockout arm comprises a second cam surface (100354). The first key is configured to engage the first cam surface to rotate the first lockout arm away from the first edge. The second key is configured to engage the second cam surface to rotate the second lockout arm away from the second edge.

[0136] Example 16 - A surgical stapling system, comprising an end effector, a firing actuator capable of moving from a proximal position toward a distal position during a firing stroke, a first locking member and a second locking member. The end effector comprises a first jaw and a second jaw, the second jaw being capable of pivoting between an open position and a closed position relative to the first jaw. The firing stroke comprises a first stroke portion and a second stroke portion distal to the first stroke portion. The firing actuator comprises a first edge and a second edge. The first locking member can be configured in a first locked state and a first unlocked state, in which the first locking member engages the first edge during the firing stroke, and in which the first unlocked state, the first edge bypasses the first locking member during the firing stroke. A staple cartridge comprising a first key is configured to place the first locking member in the first unlocked state based on the staple cartridge being positioned in the end effector. The second lockout member is configurable in a second locked state, in which the second lockout member engages the second edge during the firing stroke, and a second unlocked state, in which the second edge bypasses the second lockout member during the firing stroke. A staple cartridge including a second key is configured to place the second lockout member in the second unlocked state based on the staple cartridge being positioned in the end effector.

[0137] Example 17 - A surgical stapling system according to Example 16, wherein the firing actuator is prevented from moving through the firing stroke when a staple cartridge including the first key and the second key is not positioned in the end actuator.

[0138] Example 18 - A surgical suturing system according to Example 16, wherein, based on the staple magazine positioned in the end actuator including the first key but not including the second key, the firing actuator is allowed to move through the first stroke portion but is prevented from moving through the second stroke portion.

[0139] Example 19 - A surgical suturing system according to Example 18, wherein the firing actuator includes a side wall, and wherein the second lockout member is configured to engage the side wall to maintain the second lockout member in the second unlocked state during the first stroke portion.

[0140] Example 20 - A surgical stapling system according to Example 18, wherein the firing actuator is permitted to move through the first stroke portion when the second lockout member is in the second locked state.

[0141] Example 21 - A surgical suturing system according to Example 16, wherein the first edge is separated from its distal end by a first length, the second edge is separated from its distal end by a second length, and the first length is the same as the second length.

[0142] Example 22 - A surgical suturing system according to Example 16, wherein the first edge is separated from its distal end by a first length, the second edge is separated from its distal end by a second length, and the second length is different from the first length.

[0143] Example 23 - A surgical suturing system according to Example 16, wherein the firing actuator defines a first recess and a second recess, the first recess including the first edge and a first side wall extending from the first edge, the second recess including the second edge and a second side wall extending from the second edge, the first side wall having a first width, the second side wall having a second width, and the second width being the same as the first width.

[0144] Example 24 is a surgical suturing system according to Example 16, wherein the firing actuator defines a first recess and a second recess, the first recess includes the first edge and a first side wall extending from the first edge, the second recess includes the second edge and a second side wall extending from the second edge, the first side wall has a first width, the second side wall has a second width, and the second width is different from the first width.

[0145] Example 25 The surgical suturing system of Example 16, wherein the firing actuator comprises a firing drive and a firing rod extending from the firing drive, and wherein the firing drive comprises the first edge and the second edge.

[0146] Example 26 - A surgical suturing system according to Example 16, wherein the firing actuator comprises: a firing drive; a first push rod operably connected to an upper end of the firing drive, wherein the first push rod comprises the first edge; and a second push rod operably connected to a lower end of the firing drive, wherein the second push rod comprises the second edge.

[0147] Example 27 - A surgical suturing system according to Example 16, wherein the first locking member includes a first wedge and a first spring configured to bias the first wedge toward the first edge, and the second locking member includes a second wedge and a second spring configured to bias the second wedge toward the second edge.

[0148] Example 28 - The surgical stapling system of Example 27, wherein the first wedge includes a first cam surface. The first key is configured to engage the first cam surface to move the first wedge away from the first edge. The second wedge includes a second cam surface. The second key is configured to engage the second cam surface to move the second wedge away from the second edge.

[0149] Example 29 - The surgical stapling system of Example 16, wherein the first lockout comprises a first lockout arm pivotally coupled to the first jaw and a first spring configured to bias the first lockout arm toward the first edge. The second lockout comprises a second lockout arm pivotally coupled to the first jaw and a second spring configured to bias the second lockout arm toward the second edge.

[0150] Example 30 - The surgical stapling system of Example 29, wherein the first lockout arm comprises a first cam surface and the second lockout arm comprises a second cam surface. The first key is configured to engage the first cam surface to rotate the first lockout arm away from the first edge. The second key is configured to engage the second cam surface to rotate the second lockout arm away from the second edge.

[0151] Example 31 - A surgical stapling system, comprising an end effector, a firing drive capable of moving from a proximal position toward a distal position during a firing stroke, a first locking member, a second locking member, and a staple cartridge. The end effector comprises an elongated channel and an anvil capable of pivoting between an open position and a closed position relative to the elongated channel. The firing drive comprises a first shoulder and a second shoulder. The first locking member can be configured in a first locked state and a first unlocked state, in which the first locking member engages the first shoulder during the firing stroke, and in which the first unlocked state bypasses the first locking member during the firing stroke. The second locking member can be configured in a second locked state and a second unlocked state, in which the second locking member engages the second shoulder during the firing stroke, and in which the second unlocked state bypasses the second locking member during the firing stroke. The staple cartridge is configured to be removably positioned in the elongated channel. The staple cartridge includes a staple removably stored therein, a first component including a first key, and a second component including a second key. The staples can be deployed from the staple cartridge based on movement of the firing drive toward the distal position. The first key is configured to place the first lockout member in the first unlocked state based on the staple cartridge being positioned in the elongated channel. The second key is configured to place the second lockout member in the second unlocked state based on the staple cartridge being positioned in the elongated channel.

[0152] Example 32 - A surgical suturing system according to Example 31, wherein the first component comprises a cartridge body and wherein the second component comprises a slide.

[0153] Example 33 - A surgical stapling system, comprising an end effector, a firing actuator capable of moving from a proximal position toward a distal position during a firing stroke, a first locking member and a second locking member. The end effector comprises a first jaw and a second jaw, the second jaw being capable of pivoting between an open position and a closed position relative to the first jaw. The firing actuator defines a first notch and a second notch. The first locking member can be configured in a first locked state and a first unlocked state, in which the first locking member is received in the first notch, and in which the first unlocked state, the first locking member is removed from the first notch. A staple cartridge including a first key is configured to place the first locking member in the first unlocked state based on the staple cartridge being positioned in the end effector. The second locking member can be configured in a second locked state and a second unlocked state, in which the second locking member is received in the second notch, and in which the second unlocked state, the second locking member is removed from the second notch. A staple cartridge including a second key is configured to place the second lockout in the second unlocked state based on the staple cartridge being positioned in the end effector.

[0154] Example 34 - The surgical stapling system of Example 33, wherein the firing actuator comprises a firing drive and a firing rod extending from the firing drive. The first recess and the second recess are defined in the firing drive.

[0155] Example 35 - A surgical stapling system according to Example 33, wherein the firing actuator includes a firing drive, a first push rod operably coupled to an upper end of the firing drive, and a second push rod operably coupled to a lower end of the firing drive. The first recess is defined in the first push rod. The second recess is defined in the second firing rod.

[0156] The entire disclosures of the following patents are incorporated herein by reference: U.S. Patent No. 11,589,865, issued on February 28, 2023, entitled “METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HAS SEPARATE ROTARYCLOSURE AND FIRING SYSTEMS”, U.S. Patent No. 6,978,921, issued on December 27, 2005, entitled “SURGICAL STAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRING MECHANISM”, U.S. Patent No. 10,213,203, issued on February 26, 2019, entitled “STAPLE CARTRIDGE ASSEMBLY WITHOUTA BOTTOM COVER”, U.S. Patent No. 10,213,203, issued on March 16, 2021, entitled “STAPLE CARTRIDGE WITH DEFORMABLE DRIVER RETENTION No. 10,945,727, entitled “STAPLING SYSTEM COMPRISING A CLAMP LOCKOUT AND AFIRING LOCKOUT”, issued on February 1, 2022, U.S. Patent No. 11,234,698, entitled “STAPLING SYSTEM COMPRISING A CLAMP LOCKOUT AND AFIRING LOCKOUT”, issued on January 3, 2023, U.S. Patent No. 11,540,826, entitled “SURGICALSTAPLER END EFFECTOR SLED HAVING CARTRIDGE WALL SUPPORT FEATURE”, issued on May 28, 2019, U.S. Patent No. 10,299,792, entitled “FASTENER CARTRIDGE COMPRISING NON-UNIFORM FASTENERS”, issued on September 24, 2013, U.S. Patent No. 8,540,133, entitled “STAPLECARTRIDGE”, issued on October 17, 2017, U.S. Patent No. 1 No. 9,788,835 entitled "AND METHODS FOR FACILITATING EJECTION OF SURGICAL FASTENERS FROM CARTRIDGES", and No. 10,105,142 entitled "SURGICAL STAPLER WITH PLURALITY OF CUTTING ELEMENTS" issued on October 23, 2018.U.S. Patent No. 10,537,324, issued on January 21, 2020, entitled “STEPPED STAPLE CARTRIDGE WITH ASYMMETRICAL STAPLES”, U.S. Patent No. 7,669,746, issued on March 2, 2010, entitled “STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS”, U.S. Patent No. 8,123,100, issued on February 28, 2012, entitled “SURGICAL STAPLING INSTRUMENTS INCLUDING A CARTRIDGE HAVING MULTIPLESTAPLE SIZES”, U.S. Patent No. 8,123,100, issued on August 5, 2008, entitled “STAPLE CARTRIDGE HAVING MULTIPLE STAPLE SIZES FOR A SURGICAL STAPLING No. 7,407,075, entitled “SURGICAL APPARATUS WITH CONDUCTOR STRAIN RELIEF”, U.S. Patent No. 10,085,749, issued on October 2, 2018, entitled “SURGICAL APPARATUS WITH CONDUCTOR STRAIN RELIEF”, U.S. Patent No. 10,765,427, issued on September 8, 2020, entitled “METHOD FOR ARTICULATING A SURGICAL INSTRUMENT”, U.S. Patent No. 11,291,445, issued on April 5, 2022, entitled “SURGICAL STAPLE CARTRIDGES WITH INTEGRAL AUTHENTICATION KEYS”, U.S. Patent No. 10,194,866, issued on October 21, 2014, entitled “IMPLANTABLE FASTENER CARTRIDGE HAVING ANON-UNIFORM No. 8,864,007 entitled “COMPRESSIBLE NON-FIBROUS ADJUNCTS”, No. 11,490,890 issued on November 8, 2022, entitled “THREE DIMENSIONAL ADJUNCTS”, No. 10,952,724 issued on March 23, 2021, entitled “LAYER ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES”, No. 9,770,245 issued on September 26, 2017, entitled “LAYER ARRANGEMENTS FOR SURGICAL STAPLE CARTRIDGES”,No. 10,123,798, issued on November 13, 2018, entitled “TISSUE THICKNESSCOMPENSATOR COMPRISING CONTROLLED RELEASE AND EXPANSION”, No. 10,166,023, issued on January 1, 2019, entitled “METHOD OF APPLYING A BUTTRESS TO A SURGICALSTAPLER END EFFECTOR”, No. 11,207,065, issued on December 28, 2021, entitled “METHOD FOR FABRICATING SURGICAL STAPLER ANVILS”, No. 8,141,762, issued on March 27, 2012, entitled “SURGICAL STAPLER COMPRISING A STAPLE POCKET”, No. 8,141,762, issued on November 4, 2014, entitled “END EFFECTOR WITH REDUNDANT No. 8,876,857, entitled “COMPOSITE DRIVEBEAM FOR SURGICAL STAPLING,” U.S. Patent No. 9,629,631, published on April 25, 2017, entitled “METHOD FOR OPERATING A SURGICAL INSTRUMENT INCLUDING SEGMENTED ELECTRODES,” U.S. Patent Application Publication No. 2022 / 0346858, published on November 3, 2022, entitled “DRIVERS FOR FASTENER CARTRIDGE ASSEMBLIES HAVING ROTARY DRIVE SCREWS,” U.S. Patent Application Publication No. 2022 / 0304680, published on September 29, 2022, entitled “METHOD OF USING A POWERED ELECTRICAL SYSTEM WITH A SURGICAL SYSTEM WITH A SURGICAL SYSTEM WITH A SURGICAL SYSTEM WITH A SURGICAL SYSTEM WITH A SURGICAL SYSTEM STAPLING DEVICE”, U.S. Patent Application Publication No. 2022 / 0304679, entitled “METHODSFOR CONTROLLING APOWERED SURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS” published on October 3, 2019,U.S. Patent Application Publication No. 2017 / 0367695, published on December 28, 2017, entitled “STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES,” U.S. Patent Application Publication No. 2015 / 0134077, published on May 14, 2015, entitled “SEALING MATERIALS FOR USE INSURGICAL STAPLING,” U.S. Patent Application Publication No. 2018 / 0168615, published on June 21, 2018, entitled “METHOD OF DEFORMING STAPLES FROM TWO DIFFERENT TYPES OF STAPLE CARTRIDGESWITH THE SAME SURGICAL STAPLING INSTRUMENT,” and U.S. Patent Application Publication No. 2018 / 0168615, published on May 17, 2018, entitled “STAPLE FORMING POCKET CONFIGURATIONS FOR CIRCULAR SURGICAL STAPLER and U.S. Patent Application Publication No. 2018 / 0132849, entitled “SURGICAL INSTRUMENTS WITH JAWS THAT ARE PIVOTABLE ABOUT A FIXED AXISAND INCLUDE SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS,” published on June 21, 2018, and U.S. Patent Application Publication No. 2018 / 0168613, entitled “SURGICAL INSTRUMENTS WITH JAWS THAT ARE PIVOTABLE ABOUT A FIXED AXISAND INCLUDE SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS,” published on November 9, 2017, and U.S. Patent Application Publication No. 2017 / 0319205, entitled “POWERED END EFFECTOR ASSEMBLYWITH PIVOTABLE CHANNEL,” published on January 2, 2014, and U.S. Patent Application Publication No. 2014 / 0001231, entitled “FIRING SYSTEM LOCKOUT ARRANGEMENTS FOR SURGICAL INSTRUMENTS,” published on April 7, 2016, and U.S. Patent Application Publication No. 2018 / 0132849, entitled “SURGICAL INSTRUMENTS WITH JAWS THAT ARE PIVOTABLE ABOUT A FIXED AXISAND INCLUDE SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS,” published on June 21, 2018, and U.S. Patent Application Publication No. 2018 / 0168613, entitled “SURGICAL INSTRUMENTS WITH JAWS THAT ARE PIVOTABLE ABOUT A FIXED AXISAND FOR ENDOSCOPIC PROCEDURES” U.S. Patent Application Publication No. 2016 / 0095596,U.S. Patent Application Publication No. 2015 / 0297199, published on October 22, 2015, entitled “ADAPTER ASSEMBLY WITH GIMBAL FOR INTERCONNECTING ELECTROMECHANICAL SURGICALDEVICES AND SURGICAL LOADING UNITS, AND SURGICAL SYSTEMS THEREOF,” U.S. Patent Application Publication No. 2022 / 0031351, published on February 3, 2022, entitled “SURGICAL INSTRUMENTS WITH DIFFERENT ARTICULATION JOINT ARRANGEMENTS FOR ACCOMMODATING FLEXIBLE ACTUATORS,” and U.S. Patent Application Publication No. 2022 / 0031351, published on February 3, 2022, entitled “SURGICAL INSTRUMENTS WITH FLEXIBLE FIRING MEMBER ACTUATOR and U.S. Patent Application Publication No. 2022 / 0031320, entitled “CONSTRAINTARRANGEMENTS”, U.S. Patent Application Publication No. 2023 / 0119119, entitled “CABLE-DRIVEN ACTUATION SYSTEM FOR ROBOTIC SURGICAL TOOL ATTACHMENT”, published on April 20, 2023, International Patent Publication No. WO2018 / 071497, entitled “STAPLER CARTRIDGE WITH AN INTEGRAL KNIFE”, published on March 15, 2018, International Patent Publication No. WO2018 / 049211, entitled “WRIST ARCHITECTURE”, published on April 12, 2022, entitled “METHOD FOR PROVIDING AN AUTHENTICATION LOCKOUT IN A SURGICAL STAPLER WITH AREPLACEABLE No. 11,298,129 entitled “ROBOTIC SURGICAL INSTRUMENT WITH CLOSED LOOP FEEDBACK TECHNIQUES FOR ADVANCEMENT OF CLOSURE MEMBER DURING FIRING” issued on January 26, 2021,U.S. Patent No. 5,485,947, published on January 23, 1996, entitled “LINEAR STAPLING MECHANISM WITH CUTTING MEANS”, International Patent Publication No. WO2018 / 049206, published on March 15, 2018, entitled “STAPLER RELOAD DETECTION AND IDENTIFICATION”, U.S. Patent Application Publication No. 2016 / 0249920, published on September 1, 2016, entitled “Surgical fastener applying apparatus”, U.S. Design Patent No. D974,560, published on January 3, 2023, entitled “STAPLE CARTRIDGE”, U.S. Design Patent No. D967,421, published on October 18, 2022, entitled “STAPLE CARTRIDGE”, and U.S. Design Patent No. D967,421, published on October 12, 2021, entitled “BUTTRESS ASSEMBLY FOR A SURGICAL FASTENER APPLYING APPARATUS” No. D933,220, entitled “TISSUE THICKNESS COMPENSATOR COMPRISING AT LEASTONE MEDICAMENT,” U.S. Patent No. 9,839,420, issued on Dec. 12, 2017, entitled “TISSUE THICKNESS COMPENSATOR COMPRISING AT LEASTONE MEDICAMENT,” U.S. Patent No. 10,588,623, issued on Mar. 17, 2020, entitled “ADHESIVE FILM LAMINATE,” U.S. Patent No. 8,499,992, issued on Aug. 6, 2013, entitled “DEVICE AND METHOD FOR CONTROLLING COMPRESSION OF TISSUE,” U.S. Patent Application Publication No. 2022 / 0378427, issued on Dec. 1, 2022, entitled “STAPLING INSTRUMENT COMPRISING JAW MOUNTS,” and U.S. Patent Application Publication No. 2022 / 0378427, issued on Dec. 1, 2022, entitled “METHOD OF APPLYING A BUTTRESS TO A No. 10,349,939 entitled "SURGICAL STAPLER" and No. 9,386,988 entitled "RETAINER ASSEMBLY INCLUDING A TISSUE THICKNESS COMPENSATOR" issued on July 12, 2016.U.S. Patent No. 9,072,535, issued on July 7, 2015, entitled “SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS”, and U.S. Patent No. 9,844,369, issued on December 19, 2017, entitled “SURGICAL END EFFECTORS WITH FIRING ELEMENT MONITORING ARRANGEMENTS”.

[0157] The entire disclosures of the following patents are hereby incorporated herein by reference:

[0158] - U.S. Patent No. 5,403,312, issued on April 4, 1995, entitled "ELECTROSURGICALHEMOSTATIC DEVICE";

[0159] - U.S. Patent 7,000,818, issued on February 21, 2006, entitled "SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS";

[0160] - U.S. Patent 7,422,139, issued on September 9, 2008, entitled "MOTOR-DRIVEN SURGICALCUTTING AND FASTENING INSTRUMENT WITH TACTILEPOSITION FEEDBACK";

[0161] - U.S. Patent 7,464,849, issued on December 16, 2008, entitled "ELECTRO-MECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS";

[0162] - U.S. Patent 7,670,334, issued on March 2, 2010, entitled “SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR”;

[0163] - U.S. Patent 7,753,245, issued on July 13, 2010, entitled “SURGICAL STAPLING INSTRUMENTS”;

[0164] - U.S. Patent No. 8,393,514, entitled “SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE,” issued on March 12, 2013; - U.S. Patent Application Serial No. 11 / 343,803, entitled “SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES,” now U.S. Patent No. 7,845,537;

[0165] - U.S. Patent Application Serial No. 12 / 031,573, filed on February 14, 2008, entitled “SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES”;

[0166] - U.S. Patent Application Serial No. 12 / 031,873, filed on February 15, 2008, entitled “END EFFECTORS FOR ASURGICAL CUTTING AND STAPLING INSTRUMENT,” now U.S. Patent No. 7,980,443;

[0167] - U.S. Patent Application Serial No. 12 / 235,782, entitled “MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT,” now U.S. Patent No. 8,210,411;

[0168] - U.S. Patent Application Serial No. 12 / 235,972, entitled “MOTORIZED SURGICAL INSTRUMENT,” now U.S. Patent No. 9,050,083.

[0169] - U.S. Patent Application Serial No. 12 / 249,117, entitled “POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM,” now U.S. Patent No. 8,608,045;

[0170] - U.S. Patent Application Serial No. 12 / 647,100, filed December 24, 2009, entitled "MOTOR-DRIVEN SURGICALCUTTING INSTRUMENTWITH ELECTRIC ACTUATORDIRECTIONAL CONTROL ASSEMBLY," now U.S. Patent No. 8,220,688;

[0171] - The US application titled "STAPLE CARTRIDGE" was submitted on September 29, 2012

[0172] US patent application serial number 12 / 893,461, now US patent 8,733,613;

[0173] - U.S. Patent Application Serial No. 13 / 036,647, filed on February 28, 2011, entitled “SURGICAL STAPLING INSTRUMENT,” now U.S. Patent No. 8,561,870;

[0174] - U.S. Patent Application Serial No. 13 / 118,241, entitled “SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS,” now U.S. Patent No. 9,072,535;

[0175] - U.S. Patent Application Serial No. 13 / 524,049, filed on June 15, 2012, entitled “ARTICULATABLE SURGICALINSTRUMENT COMPRISING A FIRING DRIVE,” now U.S. Patent No. 9,101,358;

[0176] - U.S. Patent Application Serial No. 13 / 800,025, filed on March 13, 2013, entitled “STAPLE CARTRIDGE TISSUETHICKNESS SENSOR SYSTEM,” now U.S. Patent No. 9,345,481;

[0177] U.S. Patent Application Serial No. 13 / 800,067, filed on March 13, 2013, and entitled “STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM,” now U.S. Patent Application Publication No. 2014 / 0263552;

[0178] - U.S. Patent Application Publication No. 2007 / 0175955, filed January 31, 2006, entitled "SURGICAL CUTTING AND FASTENING INSTRUMENTWITH CLOSURE TRIGGERLOCKING MECHANISM"; and

[0179] - U.S. Patent Application Publication No. 2010 / 0264194, filed on April 22, 2010, entitled "SURGICAL STAPLING INSTRUMENT WITH ANARTICULATABLE END EFFECTOR," now U.S. Patent No. 8,308,040.

[0180] While several configurations have been described, further modifications are within the scope of this disclosure, which is intended to cover any variations, uses, or adaptations of the disclosed configurations using its general principles.

[0181] Those skilled in the art will recognize that, in general, the terms used herein, and in particular in the appended claims (e.g., the body of the appended claims), are generally intended to be "open" terms (e.g., the term "including" should be interpreted as "including but not limited to", the term "having" should be interpreted as "having at least", the term "comprising" should be interpreted as "including but not limited to", etc.). Those skilled in the art will also understand that if a specific number of an introduced claim recitation is intended, such intent will be explicitly stated in the claim, and in the absence of such recitation, no such intent is present. For example, to aid understanding, the following appended claims may contain use of the introductory phrases "at least one" and "one or more" to introduce claims. However, the use of such phrases should not be construed as implying that the introduction of a claim recitation by the indefinite article "a" or "an" limits any particular claim containing such introduced claim recitation to claims containing only one such recitation, even when the same claim includes the introductory phrases "one or more" or "at least one" and an indefinite article such as "a" or "an" (e.g., "a" and / or "an" should generally be interpreted as meaning "at least one" or "one or more"); this also applies to the use of definite articles used to introduce claim recitations.

[0182] It is worth mentioning that any reference to "one aspect", "an aspect", "an example", or "an example" means that the specific features, structures, or characteristics described in conjunction with the aspect are included in at least one aspect. Therefore, the phrases "in one aspect", "in an aspect", "in an example", or "in an example" appearing in various places throughout the specification do not necessarily refer to the same aspect. In addition, specific features, structures, or characteristics may be combined in any suitable manner in one or more aspects.

[0183] It is noted that any reference signs included in the appended claims are used to reference exemplary embodiments / elements described in the present disclosure. Therefore, any such reference signs are not meant to limit the scope of the subject matter recited in the appended claims.

[0184] Any patent application, patent, non-patent publication or other public material referred to in this specification and / or listed in any Application Data Sheet is incorporated herein by reference to the extent that the incorporated material is inconsistent herewith. Therefore, and to the extent necessary, the disclosure explicitly set forth herein supersedes any conflicting material incorporated herein by reference. Any material or portion thereof that is allegedly incorporated herein by reference but conflicts with existing definitions, statements or other public material set forth herein will be incorporated only to the extent that there is no conflict between the incorporated material and the existing public material.

[0185] The terms "proximal" and "distal" are used herein relative to a clinician manipulating the handle portion of a surgical instrument. The term "proximal" refers to the portion closest to the clinician, and the term "distal" refers to the portion positioned away from the clinician. It should also be understood that for brevity and clarity, spatial terms such as "vertical," "horizontal," "upper," and "lower" may be used herein in conjunction with the accompanying drawings. However, surgical instruments are used in many orientations and positions, and these terms are not intended to be limiting and / or absolute.

[0186] In summary, many of the benefits resulting from the use of the concepts described herein have been described. For purposes of illustration and description, one or more of the above specific embodiments have been provided. These specific embodiments are not intended to be exhaustive or limited to the precise forms disclosed by the invention. The invention may be modified or varied in accordance with the above teachings. The one or more forms selected and described are intended to illustrate the principles and practical applications so that one of ordinary skill in the art can utilize various forms and various modifications suitable for the intended specific use. The claims submitted herewith are intended to define the full scope.

Claims

1. A surgical suturing system (100000, 100300), the surgical suturing system comprising: An end effector (100004), the end effector comprising: a first jaw (100006); and a second jaw (100008) capable of pivoting relative to the first jaw between an open position and a closed position; A firing actuator (100027, 100302) capable of moving from a proximal position toward a distal position during a firing stroke, wherein the firing stroke includes a first stroke portion and a second stroke portion distal to the first stroke portion, and wherein the firing actuator includes a first edge (100223, 100253, 100324) and a second edge (100233, 100255, 100334); A first locking member (100102, 100340), wherein the first locking member can be configured in the following states: a first locked state in which the first lockout member engages the first edge during the firing stroke; and a first unlocked state in which the first edge bypasses the first closure member during the firing stroke; wherein a staple cartridge (100010, 100360) comprising a first key (100120, 100362) is configured to place the first locking member in the first unlocked state based on the staple cartridge being positioned in the end actuator; and A second locking member (100112, 100350), wherein the second locking member can be configured in the following states: a second locked state in which the second lockout member engages the second edge during the firing stroke; and a second unlocked state in which the second edge bypasses the second closure member during the firing stroke; Wherein, the nail magazine (100360) including the second key (100130, 100366) is configured to place the second locking member in the second unlocked state based on the positioning of the nail magazine in the end actuator.

2. The surgical stapling system according to claim 1, wherein: The firing actuator is prevented from moving through the firing stroke when a staple cartridge including the first key and the second key is not positioned in the end effector.

3. The surgical stapling system according to claim 1, wherein: Based on the nail magazine positioned in the end effector including the first key but not the second key, the firing actuator is allowed to move through the first stroke portion but is prevented from moving through the second stroke portion.

4. The surgical stapling system according to claim 3, wherein: The firing actuator includes a side wall (100235), wherein the second lockout member is configured to engage the side wall to maintain the second lockout member in the second unlocked state during the first stroke portion.

5. The surgical stapling system according to claim 3, wherein: With the second lockout in the second locked state, the firing actuator is permitted to move through the first stroke portion.

6. The surgical stapling system according to claim 1, wherein: The first edge is spaced a first length from its distal end; The second edge is spaced a second length from its distal end; and The first length is the same as the second length.

7. The surgical stapling system according to claim 1, wherein: The first edge is spaced a first length from its distal end; The second edge is spaced a second length from its distal end; and The second length is different from the first length.

8. The surgical stapling system according to claim 1, wherein: The firing actuator defines a first recess (100036, 100222, 100252, 100320) and a second recess; The first recess includes the first edge and a first sidewall (100231, 100261, 100326) extending from the first edge; The second recess includes the second edge and a second sidewall (100233, 100263, 100336) extending from the second edge; The first sidewall has a first width; The second sidewall has a second width; and The second width is the same as the first width.

9. The surgical stapling system according to claim 1, wherein: The firing actuator defines a first recess (100036, 100222, 100252, 100320) and a second recess; The first recess includes the first edge and a first sidewall (100231, 100261, 100326) extending from the first edge; The second recess includes the second edge and a second sidewall (100233, 100263, 100336) extending from the second edge; The first sidewall has a first width; The second sidewall has a second width; and The second width is different from the first width.

10. The surgical stapling system according to any one of claims 1 to 9, wherein: The firing actuator includes a firing drive (100028, 100220, 100250) and a firing rod extending from the firing drive, and wherein the firing drive includes the first edge and the second edge.

11. The surgical stapling system according to any one of claims 1 to 9, wherein: The firing actuator comprises: Firing driver (100304); a first push rod (100306) operably coupled to an upper end (100301) of the firing drive, wherein the first push rod includes the first edge; and A second push rod (100308) is operably coupled to a lower end (100303) of the firing drive, wherein the second push rod includes the second edge.

12. The surgical stapling system of claim 1, wherein: The first locking member includes a first wedge (100104) and a first spring (100106), the first spring being configured to bias the first wedge toward the first edge; and The second locking member includes a second wedge (100114) and a second spring (100116), wherein the second spring is configured to bias the second wedge toward the second edge.

13. The surgical stapling system of claim 12, wherein: The first wedge includes a first cam surface (100107), wherein the first key is configured to engage the first cam surface to move the first wedge away from the first edge; and The second wedge includes a second cam surface (100117), wherein the second key is configured to engage the second cam surface to move the second wedge away from the second edge.

14. The surgical stapling system of claim 1, wherein: The first locking member comprises: a first locking arm (100342) pivotably coupled to the first jaw; and A first spring (100346) configured to A first latching arm is biased toward the first edge; and The second locking member comprises: a second locking arm (100352) pivotably coupled to the first jaw; and A second spring (100356) is configured to bias the second locking arm toward the second edge.

15. The surgical stapling system of claim 14, wherein: The first latch arm includes a first cam surface (100344), wherein the first key is configured to engage the first cam surface to rotate the first latch arm away from the first edge; and The second locking arm includes a second cam surface (100354), wherein the second key is configured to engage the second cam surface to rotate the second locking arm away from the second edge.

Citation Information

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