Surgical system with selectively articulatable end effector

• US 10,064,688 B2
• Filed: 03/14/2016
• Issued: 09/04/2018
• Est. Priority Date: 03/23/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Morgan, Jerome R.
• Primary Examiner(s): Long, Robert
• Application Number:
  US15/069,137
• Publication Number:
  US 20160192997A1
• Time in Patent Office: 904 Days
• Field of Search: 2271751-1821, 606167-180, 30392-394
• CPC Class Codes: A61B 1/00042 for mechanical operation
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 1/0058 using shape-memory elements
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/00057 Light
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/0042 with special provisions for gripping
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 : Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00685 : Archimedes screw
• CPC Class Codes: A61B 2017/00734 : battery operated
• CPC Class Codes: A61B 2017/0688 : Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2017/07235 : containing different staples, e.g. staples of different shapes, sizes or materials
• CPC Class Codes: A61B 2017/07242 : achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• CPC Class Codes: A61B 2017/07264 : characterised by its staple forming cavities, e.g. geometry or material
• CPC Class Codes: A61B 2017/07271 : characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 : characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2905 : flexible
• CPC Class Codes: A61B 2017/291 : the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2919 : details of linkages or pivot points
• CPC Class Codes: A61B 2017/2923 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2933 : camming or guiding means
• CPC Class Codes: A61B 2017/2937 : with flexible part
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 2017/2947 : Pivots
• CPC Class Codes: A61B 2017/320052 : Guides for cutting instruments
• CPC Class Codes: A61B 2034/306 : Wrists with multiple vertebrae
• CPC Class Codes: A61B 2090/0811 : for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 2090/372 : Details of monitor hardware
• CPC Class Codes: A61B 34/30 : Surgical robots
• CPC Class Codes: A61B 34/71 : Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 50/30 : Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40
• CPC Class Codes: A61B 50/36 : for collecting or disposing of used articles
• CPC Class Codes: A61B 90/37 : Surgical systems with images on a monitor during operation

Abstract

Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting.

Claims

1. A surgical system, comprising:

a surgical end effector, comprising;

a first jaw and a second jaw, wherein one of said first and second jaws is movable relative to the other of said first and second jaws between open and closed positions upon application of jaw control motions thereto; and

a firing member axially movable between a starting position and an ending position within said first and second jaws and wherein said surgical system further comprises;

an elongate shaft assembly operably coupled to said surgical end effector and defining a longitudinal tool axis, said elongate shaft assembly comprising a plurality of discrete articulation segments wherein each said articulation segment defines a corresponding articulation plane and wherein each said articulation plane is not co-planar with any other of said articulation planes and each said articulation plane is transverse to said longitudinal tool axis;

a plurality of articulation members extending through said elongate shaft assembly and coupled to said surgical end effector;

an articulation transmission operably interfacing with each said articulation member and wherein at least a portion of said articulation transmission is selectively movable in at least one articulation direction to simultaneously apply corresponding articulation motions to each said articulation member;

a firing shaft configured to transmit firing motions to said firing member;

a firing control system interfacing with said firing shaft to apply said firing motions thereto; and

a closure control system configured to generate said jaw control motions independent from said firing control system, said closure control system comprising a closure output member selectively movable about a closure axis that is transverse to said longitudinal tool axis wherein each said articulation segment comprises;

a segment body;

a central passage in said segment body, wherein the central passage in said segment body of each said articulation segment cooperates with said central passages of the other of said articulation segments to form a passageway through said elongate shaft assembly for receiving said firing shaft therethrough; and

a plurality of notches in an outer edge of each said segment body wherein each said notch corresponds to one of said articulation members for movably receiving said corresponding one of said articulation members therethrough.

2. The surgical system of claim 1, wherein each said segment body comprises at least one circumferentially-extending slit.

3. The surgical system of claim 1, further comprising a rotary shaft supported in one of said first and second jaws, said rotary shaft operably interfacing with said firing member and said firing shaft such that an application of said firing motions to said firing shaft causes said rotary shaft to axially advance said firing member within said first and second jaws.

4. The surgical system of claim 3, wherein said jaw control motions are axial motions and wherein said firing motions are rotary motions.

5. The surgical system of claim 1, wherein one of said first and second jaws operably supports a plurality of surgical staples therein.

6. The surgical system of claim 5, wherein said surgical staples are operably supported in a replaceable staple cartridge removably supported in one of said first and second jaws.

7. The surgical system of claim 6, wherein said firing member comprises a tissue cutting surface and wherein said firing member is configured to eject said surgical staples from said replaceable staple cartridge as said firing member is axially driven in a distal direction through said surgical end effector.

8. The surgical system of claim 1, wherein said elongate shaft assembly is operably coupled to a housing and wherein said firing control system and said closure control system are each operably supported by said housing.

9. The surgical system of claim 8, wherein said housing is removably attachable to a portion of a robotic system.

10. The surgical system of claim 9, wherein said portion of a robotic system comprises a first rotary output member and wherein said firing control system comprises a firing drive member operably interfacing with said first rotary output member when said housing is attached to said portion of a robotic system.

11. The surgical system of claim 10, wherein said firing drive member comprises:

a firing rack gear operably interfacing with said firing shaft; and

a firing gear assembly operably interfacing with said firing rack gear and said first rotary output member such that rotation of said first rotary output member causes said firing gear assembly to axially drive said firing shaft.

12. The surgical system of claim 1, wherein said elongate shaft assembly is movably coupled to said surgical end effector by a rotatable joint.

13. A surgical system, comprising:

a surgical end effector, comprising;

a first jaw and a second jaw, wherein one of said first and second jaws is movable relative to the other of said first and second jaws between open and closed positions upon application of jaw control motions thereto; and

a firing member axially movable between a starting position and an ending position within said first and second jaws and wherein said surgical system further comprises;

an elongate flexible neck formed on a proximal end of said surgical end effector and extending proximally therefrom, said elongate flexible neck defining a longitudinal tool axis and facilitating articulation of said surgical end effector about a plurality of discrete articulation planes that each extend transversely to said longitudinal tool axis;

a plurality of articulation members extending through said elongate flexible neck and being coupled to said surgical end effector;

an articulation transmission operably interfacing with each said articulation member and wherein at least a portion of said articulation transmission is selectively movable in at least one articulation direction to simultaneously apply corresponding articulation motions to each said articulation member;

a firing shaft configured to transmit firing motions to said firing member;

a firing control system interfacing with said firing shaft to apply said firing motions thereto;

a closure control system configured to generate said jaw control motions independent from said firing control system, said closure control system comprising a closure output member selectively movable about a closure axis that is transverse to said longitudinal tool axis, said surgical system further comprising a central passage in said elongate flexible neck for receiving said firing shaft therethrough; and

a plurality of notches in a circumference of said elongate flexible neck wherein each said notch corresponds to one of said articulation members for movably receiving said corresponding one of said articulation members therethrough.

14. The surgical system of claim 13, wherein one of said first and second jaws operably supports a plurality of surgical staples therein.

15. The surgical system of claim 14, wherein said surgical staples are operably supported in a replaceable staple cartridge removably supported in one of said first and second jaws.

16. The surgical system of claim 15, wherein said firing member comprises a tissue cutting surface and wherein said firing member is configured to eject said surgical staples from said replaceable staple cartridge as said firing member is axially driven in a distal direction through said surgical end effector.

17. A surgical system, comprising:

a surgical end effector, comprising;

a first jaw and a second jaw, wherein one of said first and second jaws is movable relative to the other of said first and second jaws between open and closed positions upon application of jaw control motions thereto; and

a firing member axially movable between a starting position and an ending position within said first and second jaws and wherein said surgical system further comprises;

an elongate flexible neck formed on a proximal end of said surgical end effector and extending proximally therefrom, said elongate flexible neck defining a longitudinal tool axis and facilitating articulation of said surgical end effector about a plurality of discrete articulation planes that each extend transversely to said longitudinal tool axis;

a plurality of articulation members extending through said elongate flexible neck and being coupled to said surgical end effector;

an articulation transmission operably interfacing with each said articulation member and wherein at least a portion of said articulation transmission is selectively movable in at least one articulation direction to simultaneously apply corresponding articulation motions to each said articulation member;

a firing shaft configured to transmit firing motions to said firing member;

a firing control system interfacing with said firing shaft to apply said firing motions thereto;

a closure control system configured to generate said jaw control motions independent from said firing control system, said closure control system comprising a closure output member selectively movable about a closure axis that is transverse to said longitudinal tool axis;

a tool mounting portion operably coupled to said elongate flexible neck and configured to be releasably coupled to a housing, said tool mounting portion rotatably supporting said firing shaft thereon in operational engagement with a firing drive shaft of said firing control system; and

a rotary drive transmission in operable engagement with said firing shaft and operably supported on said tool mounting portion.

18. The surgical system of claim 17, wherein said housing comprises a manipulatable portion of a robotic system.