Electrically self-powered surgical instrument with manual release

• US 10,314,583 B2
• Filed: 12/20/2016
• Issued: 06/11/2019
• Est. Priority Date: 07/26/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Smith, Kevin W., Bales, Jr., Thomas O., Deville, Derek Dee, Rivera, Carlos, Palmer, Matthew A.
• Primary Examiner(s): Severson, Ryan J.
• Application Number:
  US15/385,385
• Publication Number:
  US 20170095252A1
• Time in Patent Office: 903 Days
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/00845 of moving parts with respect to each other
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 2090/0807 Indication means
• 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 2090/0814 : Preventing re-use
• CPC Class Codes: A61B 90/98 : using electromagnetic means, e.g. transponders
• CPC Class Codes: H04L 9/10 : with particular housing, physical features or manual controls

Abstract

A surgical instrument comprising a surgical end effector, operable to effect a surgical procedure when actuated, and an actuation assembly operable to actuate said surgical end effector. The actuation assembly comprises a part operable to move between a starting position and an actuated position in which the part actuates the surgical end effector, an electrically-powered motor, a transmission mechanically connecting the motor to the part and being operable to selectively displace the part to the starting position, the actuated position, and at least one point between the starting position and the actuated position when the motor is operated, and a manual release mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displace the part towards the starting position independent of operation of the motor.

Claims

1. A surgical instrument, comprising:

a surgical end effector operable to effect a surgical procedure when actuated; and

an actuation assembly operable to actuate the surgical end effector, the actuation assembly having;

a part operable to move between;

a starting position; and

an actuated position in which the part actuates the surgical end effector;

an electrically-powered motor;

a transmission mechanically connecting the motor to the part and being operable to selectively displace the part to the starting position, the actuated position, and at least one point between the starting position and the actuated position when the motor is operated; and

a manual release mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displace the part towards the starting position independent of operation of the motor.

2. The instrument according to claim 1, further comprising:

a self-contained power source; and

a controller electrically connected to the power source and to the motor and selectively operating the motor.

3. The instrument according to claim 2, wherein the power source is a removable battery pack containing at least one battery.

4. The instrument according to claim 3, wherein the power source is a series connection of between four and six CR123 or CR2 power cells.

5. The instrument according to claim 2, wherein the controller includes a multi-state switch operable to cause rotation of the motor in a forward direction when the switch is in a first state and to cause rotation of the motor in a reverse direction when the switch is in a second state.

6. The instrument according to claim 1, wherein:

the surgical end effector is an endoscopic linear stapler and cutter; and

the part includes at least a staple-actuating and tissue-cutting slide.

7. The instrument according to claim 6, wherein the power source, the transmission, the motor, and the controller are operable to actuate a stapling-cutting feature of the surgical end effector.

8. The instrument according to claim 1, wherein the transmission is operable to selectively displace the part to any point between the starting position and the actuated position when the motor is operated.

9. The instrument according to claim 1, wherein the manual release is mechanically disposed in the transmission.

10. The instrument according to claim 1, wherein the transmission has a motor drive side and an actuation drive side and the manual release is coupled therebetween.

11. The instrument according to claim 10, wherein:

the motor drive side has a series of rotation-reducing gears including a last gear;

the actuation drive side has;

at least one gear; and

a rack-and-pinion assembly coupled to the at least one gear and directly connected to at least a portion of the part; and

the manual release is mechanically coupled between the at least one gear and the last gear.

12. The instrument according to claim 11, wherein:

the motor has an output gear; and

the series of gears has a first stage coupled to the output gear.

13. The instrument according to claim 12, wherein:

the series of gears includes first, second, and third stages, and a cross-over gear with a shaft crossing from the motor drive side to the actuation drive side; and

the cross-over gear is coupled to the third stage.

14. The instrument according to claim 11, wherein:

the series of gears has a cross-over gear with a cross-over shaft crossing from the motor drive side to the actuation drive side;

the cross-over gear is coupled to the series of gears;

a castle gear is rotationally fixedly coupled about the cross-over shaft and longitudinally translatable thereon, the castle gear having castellations extending towards the actuation drive side;

the at least one gear of the actuation drive side includes a first pinion having castellation slots shaped to mate with the castellations;

a bias device is disposed between the cross-over gear and the castle gear and imparts a bias upon the castle gear towards the actuation drive side to permit selective engagement of the castle gear with the first pinion and, thereby, cause a corresponding rotation of the first pinion with rotation of the shaft when so engaged; and

the manual release has a release part shaped and positioned to provide an opposing force to overcome the bias on the castle gear and disengage the castle gear from the first pinion when the manual release is at least partially actuated.

15. The instrument according to claim 14, wherein the at least one gear of the actuation drive side includes a second pinion stage having:

a second pinion shaft;

a second pinion gear coupled to the first pinion and rotationally fixed to the second pinion shaft; and

a third pinion rotationally fixed to the second pinion shaft, the third pinion being a pinion of the rack-and-pinion assembly and longitudinally moving a rack thereof when rotated.

16. The instrument according to claim 14, wherein the manual release has:

a rest state in which the release part provides the opposing force at a magnitude less than the bias to the castle gear;

a first partially actuated state in which the release part provides the opposing force at a magnitude greater than the bias to the castle gear and move the castellations out from the castellation slots; and

a second partially actuated state in which the manual release rotates the pinion to move a rack of the rack-and-pinion assembly longitudinally in a withdrawing direction.

17. The instrument according to claim 14, wherein:

the at least one gear of the actuation drive side includes at least one release gear; and

the first pinion is directly connected to the at least one release gear to rotate the at least one release gear when rotated.

18. The instrument according to claim 17, wherein:

the manual release includes a lever;

rotatably connected to the handle; and

having a one-way ratchet assembly; and

the at least one release gear has an axle directly connected to the ratchet assembly to rotate in a corresponding manner with the lever when the lever is at least partially actuated and to rotate independent of the lever when the lever is not actuated.

19. The instrument according to claim 14, wherein:

the at least one gear of the actuation drive side includes first and second stage release gears; and

the first pinion is directly connected to the first stage release gear to rotate the first and second release gears when rotated.