Surgical instrument with articulation assembly

• US 10,039,532 B2
• Filed: 05/06/2015
• Issued: 08/07/2018
• Est. Priority Date: 05/06/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Srinivas, Jitendra Bhargava, Shankarsetty, Jeevan Maddur
• Primary Examiner(s): Desai, Hemant M
• Assistant Examiner(s): PALMER, LUCAS E A
• Application Number:
  US14/705,176
• Publication Number:
  US 20160324514A1
• Time in Patent Office: 1,189 Days
• Field of Search: 2271751
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2947 Pivots

Abstract

A surgical instrument includes an elongate body, a toothed rack, and an end effector. The elongate body has a proximal end and a distal end and defines a first longitudinal axis. The toothed rack is disposed within the elongate body and is movable in a direction parallel to the first longitudinal axis. The end effector has a proximal end pivotally supported on the distal end of the elongate body. The end effector defines a second longitudinal axis and supports a gear operatively associated with the rack. Longitudinal movement of the rack effects pivotal movement of the end effector relative to the elongate body from a first position to a second position. In the first position, the second longitudinal axis is aligned with the first longitudinal axis. In the second position, the second longitudinal axis is misaligned with the first longitudinal axis.

Claims

1. A surgical instrument comprising:

an elongate body having a proximal end and a distal end and defining a first longitudinal axis;

a toothed rack disposed within the elongate body and being movable in a direction parallel to the first longitudinal axis; and

an end effector having a proximal end pivotally supported on the distal end of the elongate body, the end effector defining a second longitudinal axis and supporting a gear operatively associated with the rack, wherein longitudinal movement of the rack effects rotational movement of the gear to effect pivotal movement of the end effector relative to the elongate body from a first position in which the second longitudinal axis is aligned with the first longitudinal axis to a second position in which the second longitudinal axis is misaligned with the first longitudinal axis, the proximal end of the end effector defining a first slot configured for receipt of a distal end of the rack.

2. The surgical instrument according to claim 1, further comprising another gear rotatably supported at the distal end of the elongate body, the gear supported on the elongate body defining a first gear and the gear supported on the end effector defining a second gear, wherein the first gear is in meshing engagement with the rack and the second gear such that the first gear converts longitudinal movement of the rack into rotational movement of the second gear.

3. The surgical instrument according to claim 2, wherein the first gear includes:

a bottom gear in meshing engagement with the rack; and

a top gear non-rotatably coupled to the bottom gear and in meshing engagement with the second gear.

4. The surgical instrument according to claim 3, wherein the bottom gear is coplanar with the rack and the top gear is coplanar with the second gear.

5. The surgical instrument according to claim 3, wherein the bottom and top gears of the first gear are spaced from one another.

6. The surgical instrument according to claim 3, wherein the bottom gear has a smaller diameter than a diameter of the top gear.

7. The surgical instrument according to claim 1, wherein the end effector is configured to rotate 180 degrees relative to the elongate body about a pivot axis extending perpendicularly relative to the first longitudinal axis.

8. The surgical instrument according to claim 1, further comprising an articulation mechanism coupled to the proximal end of the elongate body and including a lever operatively coupled to a proximal end of the rack such that rotation of the lever effects longitudinal movement of the rack.

9. The surgical instrument according to claim 1, wherein the rack is configured to move longitudinally relative to the elongate body between an intermediate position and a distal position, in which the distal end of the rack is disposed within the proximal end of the end effector.

10. The surgical instrument according to claim 9, wherein the end effector is in the first position when the rack is in the intermediate position, and the end effector is in the second position when the rack is in the distal position.

11. The surgical instrument according to claim 9, wherein when the rack is in the intermediate position the distal end of the rack is disposed proximally of the proximal end of the end effector.

12. The surgical instrument according to claim 9, wherein the rack is further configured to move to a proximal position, in which the end effector is moved to a third position whereby the second longitudinal axis is misaligned with the first longitudinal axis.

13. The surgical instrument according to claim 12, wherein a distal end of the end effector is disposed on a first side of the first longitudinal axis when the end effector is in the second position, and wherein the distal end of the end effector is disposed on a second side of the first longitudinal axis when the end effector is in the third position.

14. The surgical instrument according to claim 9, wherein the distal end of the rack extends across and through the proximal end of the end effector when in the distal position.

15. The surgical instrument according to claim 9, wherein the distal end of the rack extends across first and second opposing lateral sides of the proximal end of the end effector when in the distal position.

16. The surgical instrument according to claim 15, wherein the first slot is defined in the first lateral side, the proximal end of the end effector defining a second slot in the second lateral side, such that the distal end of the rack is received within both of the first and second slots when in the distal position.