Surgical instruments with E-beam driver and rotary drive arrangements

• US 10,342,541 B2
• Filed: 09/28/2015
• Issued: 07/09/2019
• Est. Priority Date: 10/03/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Setser, Michael E., Weisenburgh, II, William B.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US14/867,362
• Publication Number:
  US 20160015391A1
• Time in Patent Office: 1,380 Days
• Field of Search: 2271751, 2271801
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• 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 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• 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 2017/0688 Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• 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 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2017/320093 : additional movable means performing cutting operation
• CPC Class Codes: A61B 2017/320094 : additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 : with sealing or cauterizing means
• CPC Class Codes: A61B 2017/320097 : with stapling means
• CPC Class Codes: A61B 2018/00607 : Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/0063 : Sealing
• CPC Class Codes: A61B 2034/302 : specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
• CPC Class Codes: A61B 34/30 : Surgical robots
• CPC Class Codes: A61B 34/37 : Master-slave robots A61B34/35 takes precedence
• CPC Class Codes: A61B 50/20 : Holders specially adapted for surgical or diagnostic appliances or instruments drapes with means to hold surgical instruments A61B46/23; for catheters A61M25/02
• CPC Class Codes: A61B 50/36 : for collecting or disposing of used articles

Abstract

A surgical system that includes a surgical end effector that has a first jaw and a second jaw, wherein one of the first and second jaws is movable between open and closed positions. A firing member is axially movable between a starting position and an ending position and is configured to slidably engage each of the first and second jaws. A firing drive member interfaces with a rotary output member, such that rotation of the rotary output member about a first rotary output axis imparts a firing motion to the firing member.

Claims

1. A surgical system comprising:

a rotary output member operably supported by a housing;

a surgical end effector, comprising;

a first jaw and a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw 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 jaw and said second jaw, said firing member configured to slidably engage each of said first jaw and said second jaw upon application of a firing motion thereto to affirmatively orient said first jaw and said second jaw relative to each other at a desired spacing orientation 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 firing shaft operably interfacing with said firing member to apply said firing motion thereto, said firing shaft defining a firing shaft axis that is parallel to said longitudinal tool axis; and

a firing drive member operably coupled to said firing shaft and is configured to interface with said rotary output member, wherein said rotary output member rotates about a first rotary output axis that is transverse to said firing shaft axis such that rotation of said rotary output member about said first rotary output axis imparts a firing motion to said firing member to thereby axially move said firing member within said first jaw and said second jaw, and wherein said firing shaft is rotatable such that rotation of said rotary output member about said first rotary output axis rotates said firing shaft about said firing shaft axis to thereby axially drive said firing member within said first jaw and said second jaw.

2. The surgical system of claim 1, further comprising:

a tool mounting portion operably coupled to said elongate shaft assembly and configured to be releasably coupled to said housing, said tool mounting portion rotatably supporting said firing drive member thereon in operational engagement with said firing shaft; and

a rotary drive transmission in operable engagement with said firing drive member and said rotary output member.

3. The surgical system of claim 2, wherein said rotary drive transmission comprises:

a rotary drive gear rotatably supported on said tool mounting portion; and

a first rotary driven gear in meshing engagement with said rotary drive gear and said firing drive member.

4. The surgical system of claim 2, wherein said elongate shaft assembly comprises:

a hollow outer tube comprising a distal end operably coupled to said surgical end effector and a proximal end rotatably supported on said tool mounting portion for selective rotation about said longitudinal tool axis relative thereto, said hollow outer tube operably supporting said firing shaft therein; and

a rotational transmission assembly operably supported on said tool mounting portion and configured to operably interface with a second rotary output member of the surgical system to receive a second rotary output motion therefrom to thereby selectively rotate said elongate shaft assembly about said longitudinal tool axis.

5. The surgical system of claim 4, wherein said rotational transmission assembly comprises:

a rotation drive gear operably interfacing with said second rotary output member;

a rotation driven gear in meshing engagement with said rotation drive gear; and

a rotation gear on an outer portion of said hollow outer tube and in meshing engagement with said rotation driven gear and wherein said second rotary output member rotates about a second rotary output axis that is transverse to said firing shaft axis such that rotation of said second rotary output member about said second rotary output axis rotates said hollow outer tube and said surgical end effector about said firing shaft axis.

6. The surgical system of claim 4, further comprising:

an axially movable closure member operably interfacing with at least one of said first jaw and said second jaw to selectively apply said jaw control motions thereto; and

a closure clutch assembly operably coupled to said axially movable closure member and is configured to operably interface with a third rotary output member to receive a third rotary output motion therefrom to thereby selectively axially advance said closure member along said longitudinal tool axis to apply said jaw control motions to said at least one of said first jaw and said second jaw.

7. The surgical system of claim 6, wherein said third rotary output member rotates about a third rotary output axis that is transverse to said firing shaft axis and wherein said closure clutch assembly comprises:

a shifter rack gear coupled to said closure member; and

a shifter drive gear operably interfacing with said shifter rack gear and is configured to operably interface with said third rotary output member such that rotation of said third rotary output member causes said shifter drive gear to drive said shifter rack gear axially.

8. A surgical system, comprising:

a first rotary output member operably supported by a housing;

a second rotary output member operably supported by said housing;

a surgical end effector, comprising;

a first jaw and a second jaw, wherein one of said first jaw and said second jaw is movable relative to the other of said first jaw and said second jaw 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 jaw and said second jaw, said firing member configured to slidably engage each of said first jaw and said second jaw upon application of a firing motion thereto to affirmatively orient said first jaw and said second jaw relative to each other at a desired spacing orientation, and wherein said surgical system further comprises;

an elongate shaft assembly operably coupled to said surgical end effector and said housing and defining a longitudinal tool axis, said elongate shaft assembly comprising;

a closure member operably interfacing with at least one of said first jaw and said second jaw, wherein said closure member operably interfaces with said first rotary output member, said closure member configured to apply said jaw control motions to said at least one of said first jaw and said second jaw upon rotation of said first rotary output member about a first rotary output axis that is transverse to said longitudinal tool axis; and

a firing shaft operably interfacing with said firing member and said second rotary output member, said firing shaft configured to apply axial firing motions to said firing member upon rotation of said second rotary output member about a second rotary output axis that is transverse to said longitudinal tool axis.

9. The surgical system of claim 8, wherein said firing shaft is rotatable and axially movable between a proximal axial position and a distal axial position.

10. The surgical system of claim 9, wherein said closure member operably interfaces with said firing shaft such that when said firing shaft is in said proximal axial position, rotation of said firing shaft in a first rotary direction causes said closure member to apply closure motions to said at least one of said first jaw and said second jaw and rotation of said firing shaft in a second rotary direction causes said closure member to apply opening motions to said at least one of said first jaw and second said jaw and wherein when said firing shaft is in said distal axial position, rotation of said firing shaft in said first rotary direction retains said at least one of said first jaw and said second jaw in said closed position and causes said firing member to be advanced in a distal direction through said surgical end effector between said starting and ending positions and rotation of said firing shaft in said second rotary direction causes said firing member to move in a proximal direction between said ending and starting positions.

11. The surgical system of claim 10, wherein said firing member is threadably attached to an end effector drive shaft that is operably supported in said surgical end effector and wherein said firing shaft is selectively operably couplable with said end effector drive shaft by a clutch assembly.

12. The surgical system of claim 11, wherein said firing shaft comprises:

a rotatable proximal drive shaft in operable engagement with said second rotary output member;

a rotatable proximal drive sleeve operably interfacing with said clutch assembly and in driving engagement with said rotatable proximal drive shaft; and

a distal drive shaft segment operably interfacing with said clutch assembly.

13. The surgical system of claim 12, wherein said closure member comprises:

a distal closure tube segment in threaded engagement with said clutch assembly; and

a proximal closure shaft operably interfacing with said first rotary output member and coupled to said distal drive shaft segment to axially advance said distal drive shaft segment relative to said rotatable proximal drive shaft while remaining in driving engagement therewith.

14. The surgical system of claim 13, wherein said clutch assembly comprises:

a closure drive nut in threaded engagement with said distal closure tube segment;

a distal closure clutch portion coupled to said distal drive shaft segment; and

a drive clutch attached to said rotatable proximal drive sleeve and configured to drivingly engage said closure drive nut when said distal drive shaft segment is in a proximal axial position and to drivingly engage said distal closure clutch portion when said distal drive shaft segment is in a distal axial position.

15. The surgical system of claim 8, further comprising:

a tool mounting portion operably coupled to said elongate shaft assembly and configured to be releasably coupled to said housing, said tool mounting portion rotatably supporting said firing member thereon in operational engagement with said firing shaft; and

a rotary drive transmission in operable engagement with said firing shaft and said second rotary output member.

16. The surgical system of claim 15, wherein said housing comprises a portion of a robotic system and wherein said first and second rotary output members are driven by said robotic system.

17. The surgical system of claim 15, wherein said elongate shaft assembly further comprises:

a hollow outer tube comprising a distal end operably coupled to said surgical end effector and a proximal end rotatably supported on said tool mounting portion for selective rotation about said longitudinal tool axis relative thereto, said hollow outer tube operably supporting said firing shaft therein; and

a rotational transmission assembly operably supported on said tool mounting portion and configured to operably interface with said second rotary output member to receive a second rotary output motion therefrom to thereby selectively rotate said elongate shaft assembly about said longitudinal tool axis.

18. The surgical system of claim 17, wherein said rotational transmission assembly comprises:

a rotation drive gear operably interfacing with a third rotary output member;

a rotation driven gear in meshing engagement with said rotation drive gear; and

a rotation gear on an outer portion of said hollow outer tube and in meshing engagement with said rotation driven gear and wherein said third rotary output member rotates about a third rotary output axis that is transverse to said longitudinal tool axis such that rotation of said third rotary output member about said third rotary output axis rotates said hollow outer tube and said surgical end effector about said longitudinal tool axis.