Surgical apparatus including articulation gear

• US 10,470,785 B1
• Filed: 01/10/2017
• Issued: 11/12/2019
• Est. Priority Date: 04/26/2011
• Status: Active Grant

• Current Assignee: Touchstone International Medical Science Co. Ltd
• Original Assignee: Aesculap AG (B. Braun Holding GmbH & Co. KG)
• Inventors: Knodel, Bryan D., Park, Jinhoon, Bosuego, Radulf B. R.
• Primary Examiner(s): Tecco, Andrew M
• Assistant Examiner(s): Jallow, Eyamindae C
• Application Number:
  US15/403,084
• Time in Patent Office: 1,036 Days
• Field of Search: 2271751-1821
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• 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 17/2909 Handles
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• 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 2017/2923 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

Abstract

One example of a surgical apparatus may include an end effector; a shaft extending proximally from the end effector, the shaft including an articulation region; a handle including at least one button; an articulation gear held by the handle, where at least one cam path is defined in the articulation gear; and at least one holder post extending into each cam path; where actuation of one button causes the end effector to articulate through a discrete angular increment relative to the shaft.

Claims

1. A surgical apparatus comprising:

an articulation gear;

a plurality of distinct cam paths each defined as a recess in said articulation gear;

at least one holder post extending into each cam path; and

a handle including at least one button,

wherein at least part of said articulation gear is held within said handle,

wherein said at least one button includes a holder post deflection cam defined thereon,

wherein each holder post and corresponding cam path are movable relative to one another, each holder post remaining within said corresponding cam path during such relative motion, and

wherein distal motion of said at least one button causes said holder post deflection cam on said at least one button to move linearly in the distal direction to engage at least one of the holder posts.

2. The surgical apparatus of claim 1, wherein each holder post is biased outwardly by a bias into contact with a surface of its corresponding cam path, and wherein said holder post deflection cam moves a corresponding holder post against said bias.

3. The surgical apparatus of claim 1, further comprising a pusher arm extending from said at least one button, wherein said articulation gear includes a plurality of outer teeth defined along at least part of a perimeter thereof, wherein distal motion of said at least one button causes said pusher arm to engage at least one of the outer teeth and thereby rotate said articulation gear.

4. The surgical apparatus of claim 1,

wherein distal motion of said at least one button additionally causes rotation of said articulation gear;

wherein an outer surface of at least one said cam path includes at least one ramp adjacent to at least one notch; and

wherein rotation of said articulation gear causes at least one holder post to slide along said at least one ramp and then into engagement with said at least one notch.

5. The surgical apparatus of claim 1, wherein at least one cam path includes a lower surface.

6. The surgical apparatus of claim 1, further comprising a toothed spindle extending from said articulation gear.

7. The surgical apparatus of claim 6, further comprising at least one articulation band that engages said toothed spindle.

8. The surgical apparatus of claim 7, wherein two articulation bands engage said toothed spindle;

and wherein rotation of said toothed spindle causes differential motion of said articulation bands.

9. The surgical apparatus of claim 8, wherein said differential motion consists of proximal motion of one of said two articulation bands and distal motion of another of the two articulation bands.

10. The surgical apparatus of claim 1, wherein distal motion of said at least one button causes said articulation gear to rotate through a discrete increment of rotation.

11. The surgical apparatus of claim 10, wherein said articulation gear stops rotation and maintains its rotational position upon cessation of distal motion of said at least one button.

12. The surgical apparatus of claim 1, wherein said handle comprises two buttons, wherein one of the two buttons is associated with clockwise rotation of said articulation gear, and wherein another of the two buttons is associated with counterclockwise rotation of said articulation gear.

13. The surgical apparatus of claim 1, wherein said recess is defined completely through said articulation gear.

14. A surgical apparatus comprising:

an articulation gear;

a plurality of distinct cam paths defined in said articulation gear;

at least one holder post extending into each cam path;

a torsion spring engaged with said articulation gear, wherein said torsion spring having a bias that biases said articulation gear to a neutral position; and

a handle including at least one button,

wherein at least part of said articulation gear is held within said handle, and

wherein said at least one button includes a holder post deflection cam defined thereon.

15. The surgical apparatus of claim 14, further comprising an anchor extending from said articulation gear radially outwardly from an axis of rotation of said articulation gear, wherein a portion of said torsion spring wraps around said anchor.

16. The surgical apparatus of claim 14, further comprising at least one upper tooth on an upper surface of said articulation gear.

17. The surgical apparatus of claim 16, wherein said at least one button comprises a holding arm, and wherein engagement between said holding arm and said at least one upper tooth holds said articulation gear in position against said bias of said torsion spring.