Powered surgical instrument

• US 10,357,231 B1
• Filed: 03/22/2019
• Issued: 07/23/2019
• Est. Priority Date: 04/13/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Zemlok, Michael A., Racenet, David, Ross, Adam
• Primary Examiner(s): Lavert, Nicole F
• Assistant Examiner(s): Johnson, Nicole
• Application Number:
  US16/361,614
• Publication Number:
  US 20190216449A1
• Time in Patent Office: 123 Days
• Field of Search: 606 1, 600540, 607 42, 607 48
• 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 17/068 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders

Abstract

A surgical instrument including a housing, an endoscopic portion, a shaft portion, and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a longitudinal axis. The shaft portion is selectively connectable to a distal end of the endoscopic portion. The end effector is selectively connectable to a distal end of the shaft portion.

Claims

1. A transmission for a surgical tool, the transmission comprising:

a housing;

a first gear disposed within the housing, the first gear being configured to actuate a first function of the surgical tool;

a second gear disposed within the housing, the second gear being configured to actuate a second function of the surgical tool;

a third gear disposed within the housing, the third gear being configured to actuate a third function of the surgical tool;

a first rotatable input shaft disposed at least partially within the housing;

a second rotatable input shaft disposed at least partially within the housing, the second rotatable input shaft configured to rotate between a first position, a second position, and a third position,

when the second rotatable input shaft is in the first position, the first gear is operatively engaged with the first rotatable input shaft such that rotation of the first rotatable input shaft causes rotation of the first gear to actuate the first function of the surgical tool,

when the second rotatable input shaft is in the second position, the second gear is operatively engaged with the first rotatable input shaft such that rotation of the first rotatable input shaft causes rotation of the second gear to actuate the second function of the surgical tool, and

when the second rotatable input shaft is in the third position, the third gear is operatively engaged with the first rotatable input shaft such that rotation of the first rotatable input shaft causes rotation of the third gear to actuate the third function of the surgical tool;

one of the first function, the second function, and the third function comprising rotation of an end effector of the surgical tool; and

a different one of the first function, the second function, and the third function comprising pivoting of a first jaw of the end effector relative to a second jaw of the end effector.

2. The transmission of claim 1, wherein the first function comprises the rotation of the end effector of the surgical tool and a rotation of a tool shaft of the surgical tool connected to the end effector, and

the third function comprises the pivoting of the first jaw of the end effector relative to the second jaw of the end effector such that the first jaw and the second jaw clamp tissue therebetween.

3. The transmission of claim 1, wherein the second function comprises at least one of articulation, rotation, clamping or firing of the end effector.

4. The transmission of claim 1, wherein the third function comprises the pivoting of the first jaw of the end effector relative to the second jaw of the end effector such that the first jaw and the second jaw grasp tissue and clamp tissue therebetween;

and

wherein the third function further comprises firing of staples.

5. The transmission of claim 1, wherein the pivoting of the first jaw of the end effector relative to the second jaw of the end effector comprises grasping tissue therebetween.

6. A surgical tool comprising the transmission of claim 1, the surgical tool further comprising:

a first motor disposed within the housing, the first motor configured to rotate the first rotatable input shaft;

a second motor disposed within the housing, the second motor configured to rotate the second rotatable input shaft;

a tool shaft having a proximal end and a distal end, the proximal end of the tool shaft connected to the housing;

a loading unit removably coupled to the distal end of the tool shaft, the loading unit comprising the end effector at a distal end of the loading unit, the end effector comprising the first jaw and the second jaw, the first jaw being configured to pivot relative to the second jaw.

7. The transmission of claim 1, wherein the second rotatable input shaft is rotated about an input shaft axis to rotate the second rotatable input shaft between each of the first position, the second position, and the third position.

8. A surgical tool comprising the transmission of claim 1, the surgical tool further comprising:

a tool shaft comprising a proximal end and a distal end, the proximal end of the tool shaft being connected to the housing, and the distal end of the tool shaft connected to the end effector.

9. A surgical tool, comprising:

a housing;

a tool shaft comprising a proximal end and a distal end, the proximal end of the tool shaft being connected to the housing;

an end effector connected to the distal end of the tool shaft, the end effector comprising the first jaw and the second jaw, the first jaw being configured to pivot relative to the second jaw;

a transmission at least partially disposed within the housing, the transmission comprising;

a first gear, the first gear being configured to actuate a first function of the surgical tool;

a second gear, the second gear being configured to actuate a second function of the surgical tool;

a third gear, the third gear being configured to actuate a third function of the surgical tool;

a first rotatable input shaft disposed at least partially within the housing;

a second rotatable input shaft disposed at least partially within the housing, the second rotatable input shaft configured to rotate between a first position, a second position, and a third position,

when the second rotatable input shaft is in the first position, the first gear is operatively engaged with the first rotatable input shaft such that rotation of the first rotatable input shaft causes rotation of the first gear to actuate the first function of the surgical tool,

when the second rotatable input shaft is in the second position, the second gear is operatively engaged with the first rotatable input shaft such that rotation of the first rotatable input shaft causes rotation of the second gear to actuate the second function of the surgical tool, and

when the second rotatable input shaft is in the third position, the third gear is operatively engaged with the first rotatable input shaft such that rotation of the first rotatable input shaft causes rotation of the third gear to actuate the third function of the surgical tool;

one of the first function, the second function, and the third function comprising rotation of the tool shaft of the surgical tool; and

a different one of the first function, the second function, and the third function comprising pivoting of the first jaw of the end effector relative to the second jaw of the end effector.

10. The surgical tool of claim 9, wherein the first function comprises the rotation of the tool shaft of the surgical tool, and

the third function comprises the pivoting of the first jaw of the end effector relative to the second jaw of the end effector such that the first jaw and the second jaw clamp tissue therebetween.

11. The surgical tool of claim 9, wherein the second function comprises at least one of articulation, rotation, clamping or firing of the end effector.

12. The surgical tool of claim 9, wherein the third function comprises the pivoting of the first jaw of the end effector relative to the second jaw of the end effector such that the first jaw and the second jaw grasp tissue and clamp tissue therebetween;

and

wherein the third function further comprises firing of staples.

13. The surgical tool of claim 9, wherein the pivoting of the first jaw of the end effector relative to the second jaw of the end effector comprises grasping tissue therebetween.

14. The surgical tool of claim 9, further comprising:

a first motor disposed within the housing, the first motor configured to rotate the first rotatable input shaft;

a second motor disposed within the housing, the second motor configured to rotate the second rotatable input shaft;

a loading unit removably coupled to the distal end of the tool shaft, the loading unit comprising the end effector at a distal end of the loading unit.

15. The surgical tool of claim 9, wherein the second rotatable input shaft is rotated about an input shaft axis to rotate the second rotatable input shaft between each of the first position, the second position, and the third position.

16. A surgical tool, comprising:

a housing;

a shaft comprising a proximal end and a distal end, the proximal end of the shaft being connected to the housing;

an end effector connected to the distal end of the shaft, the end effector comprising a first jaw and a second jaw, at least one of the first jaw and the second jaw being configured to pivot relative to each other;

a transmission at least partially disposed within the housing, the transmission being shiftable between a first configuration, a second configuration, and a third configuration, the transmission comprising;

a first input configured to actuate a first function of the surgical tool when the transmission is in the first configuration, to actuate a second function of the surgical tool when the transmission is in the second configuration, and to actuate a third function of the surgical tool when the transmission is in the third configuration;

a second input configured to shift the transmission between the first configuration, the second configuration, and the third configuration;

one of the first function, the second function, and the third function comprising rotation of the shaft of the surgical tool; and

a different one of the first function, the second function, and the third function comprising pivoting at least one of the first jaw and the second jaw of the end effector relative to each other.

17. The surgical tool of claim 16, wherein the first function comprises the rotation of the shaft of the surgical tool, and

the third function comprises the pivoting of at least one of the first jaw of the end effector and the second jaw of the end effector such that the first jaw and the second jaw clamp tissue therebetween.

18. The surgical tool of claim 16, wherein the second function comprises at least one of articulation, rotation, clamping or firing of the end effector.

19. The surgical tool of claim 16, wherein the third function comprises the pivoting of at least one of the first jaw of the end effector and the second jaw of the end effector such that the first jaw and the second jaw grasp tissue and clamp tissue therebetween;

and

wherein the third function further comprises firing of staples.

20. The surgical tool of claim 16, wherein the pivoting of at least one of the first jaw of the end effector and the second jaw of the end effector comprises grasping tissue between the first jaw and the second jaw.