Endoscopic surgical instrument with a handle that can articulate with respect to the shaft

• US 10,499,890 B2
• Filed: 03/10/2016
• Issued: 12/10/2019
• Est. Priority Date: 01/31/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Balek, Stephen J., Timperman, Eugene L.
• Primary Examiner(s): Roane, Aaron F
• Application Number:
  US15/066,857
• Publication Number:
  US 20160192917A1
• Time in Patent Office: 1,370 Days
• Field of Search: 606 1
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• CPC Class Codes: A61B 2017/0069 with universal joint, cardan joint
• 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

Abstract

A surgical instrument particular suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to the effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of said elongated shaft assembly to enable the surgeon to move the handle portion to a more ergonomically comfortable position while carrying out the endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed.

Claims

1. A stapling assembly, comprising:

a first jaw;

a second jaw, wherein said second jaw is rotatable relative to said first jaw between an unclamped position and a fully-clamped position;

a staple cartridge comprising a plurality of staples removably stored therein;

a closure member;

a first motor-driven rotary shaft comprising a first thread configured to drive said closure member proximally relative to said second jaw to rotate said second jaw into said fully-clamped position;

a firing member; and

a second motor-driven rotary shaft comprising a second thread configured to drive said firing member relative to said staple cartridge to eject said staples from said staple cartridge, wherein rotation of said second motor-driven rotary shaft is only enabled after said closure member has placed said second jaw in said fully-clamped position.

2. The stapling assembly of claim 1, further comprising a channel, wherein said staple cartridge is positioned in said channel.

3. The stapling assembly of claim 2, wherein said staple cartridge is removable from said channel and replaceable with another staple cartridge.

4. The stapling assembly of claim 1, wherein said closure member comprises a threaded aperture aligned with said first motor-driven rotary shaft.

5. The stapling assembly of claim 1, wherein said firing member comprises a threaded aperture aligned with said second motor-driven rotary shaft.

6. The stapling assembly of claim 5, wherein said firing member comprises a first cam configured to engage said first jaw and a second cam configured to engage said second jaw.

7. The stapling assembly of claim 6, wherein said firing member comprises a cutting edge configured to incise tissue captured between said first jaw and said second jaw.

8. The stapling assembly of claim 1, wherein the first motor-driven rotary shaft is offset with respect to the second motor-driven rotary shaft.

9. A stapling assembly, comprising:

a first jaw;

a second jaw, wherein said second jaw is rotatable relative to said first jaw between an open position and a closed position;

a staple cartridge comprising a plurality of staples removably stored therein;

a closure member;

a first motor-driven rotary shaft comprising a first thread configured to drive said closure member proximally relative to said second jaw to rotate said second jaw into said closed position;

a firing member; and

a second motor-driven rotary shaft comprising a second thread configured to drive said firing member relative to said staple cartridge to eject said staples from said staple cartridge, wherein said second motor-driven rotary shaft is only rotatable when said second jaw in said closed position.

10. The stapling assembly of claim 9, further comprising a channel, wherein said staple cartridge is positioned in said channel.

11. The stapling assembly of claim 10, wherein said staple cartridge is removable from said channel and replaceable with another staple cartridge.

12. The stapling assembly of claim 9, wherein said closure member comprises a threaded aperture aligned with said first motor-driven rotary shaft.

13. The stapling assembly of claim 9, wherein said firing member comprises a threaded aperture aligned with said second motor-driven rotary shaft.

14. The stapling assembly of claim 13, wherein said firing member comprises a first cam configured to engage said first jaw and a second cam configured to engage said second jaw.

15. The stapling assembly of claim 14, wherein said firing member comprises a cutting edge configured to incise tissue captured between said first jaw and said second jaw.

16. The stapling assembly of claim 9, wherein the first motor-driven rotary shaft is offset with respect to the second motor-driven rotary shaft.

17. A stapling assembly, comprising:

a first jaw;

a second jaw, wherein said second jaw is rotatable relative to said first jaw between an unclamped position and a fully-clamped position;

a staple cartridge comprising a plurality of staples removably stored therein;

a closure member;

a first motor-driven rotary shaft, wherein said closure member is movably mounted to said first motor-driven rotary shaft, and wherein said first motor-driven rotary shaft is configured to drive said closure member proximally relative to said second jaw to rotate said second jaw into said fully-clamped position;

a firing member; and

a second motor-driven rotary shaft, wherein said firing member is movably mounted to said second motor-driven rotary shaft, and wherein said second motor-driven rotary shaft is configured to drive said firing member relative to said staple cartridge to eject said staples from said staple cartridge once said closure member has placed said second jaw in said fully-clamped position.

18. The stapling assembly of claim 17, further comprising a channel, wherein said staple cartridge is positioned in said channel.

19. The stapling assembly of claim 18, wherein said staple cartridge is removable from said channel and replaceable with another staple cartridge.

20. The stapling assembly of claim 17, wherein said closure member comprises a threaded aperture aligned with said first motor-driven rotary shaft.

21. The stapling assembly of claim 17, wherein said firing member comprises a threaded aperture aligned with said second motor-driven rotary shaft.

22. The stapling assembly of claim 21, wherein said firing member comprises a first cam configured to engage said first jaw and a second cam configured to engage said second jaw.

23. The stapling assembly of claim 22, wherein said firing member comprises a cutting edge configured to incise tissue captured between said first jaw and said second jaw.

24. The stapling assembly of claim 17, wherein the first motor-driven rotary shaft is offset with respect to the second motor-driven rotary shaft.

25. A stapling assembly, comprising:

a first jaw;

a second jaw, wherein said second jaw is rotatable relative to said first jaw between an unclamped position and a fully-clamped position;

a staple cartridge comprising a plurality of staples removably stored therein;

a closure member;

a first motor-driven rotary shaft comprising a first thread, wherein said first thread is configured to rotate to drive said closure member proximally relative to said second jaw to rotate said second jaw into said fully-clamped position;

a firing member; and

a second motor-driven rotary shaft comprising a second thread, wherein said second thread is configured to rotate to drive said firing member relative to said staple cartridge to eject said staples from said staple cartridge, wherein rotation of said second motor-driven rotary shaft is only enabled after said closure member has placed said second jaw in said fully-clamped position.