Surgical tool with manual control of end effector jaws

• US 10,500,000 B2
• Filed: 08/16/2016
• Issued: 12/10/2019
• Est. Priority Date: 08/16/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Swayze, Jeffrey S., Harris, Jason L., Shelton, IV, Frederick E.
• Primary Examiner(s): Long, Robert F
• Assistant Examiner(s): Ferrero, Eduardo R
• Application Number:
  US15/237,715
• Publication Number:
  US 20180049737A1
• Time in Patent Office: 1,211 Days
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• 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 for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2034/252 indicating steps of a surgical procedure
• CPC Class Codes: A61B 2090/0808 for indicating correct assembly of components, e.g. of the surgical apparatus
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• 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 46/10 : specially adapted for instruments, e.g. microscopes
• 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 50/22 : Racks
• CPC Class Codes: A61B 50/24 : Stands Mayo stands A61B50/15
• CPC Class Codes: A61B 50/30 : Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40
• CPC Class Codes: A61B 50/36 : for collecting or disposing of used articles
• CPC Class Codes: A61B 90/70 : Cleaning devices specially adapted for surgical instruments

Abstract

A surgical tool of a robotic surgical device is provided that is configured to be removably and replaceably attached to an electromechanical arm of a surgical robotic system that is capable of supplying electrical power to the surgical tool when the tool is attached to the arm. The tool has an elongate shaft with an end effector having opposed jaws movable between open and closed positions. The tool also has a member configured to move distally and proximally within at least a portion of the end effector to open and close the jaws. An actuator disposed on the shaft is configured to be manually moved from a first position to a second position to cause the member to move proximally to thereby open the jaws when the surgical tool is in a mode in which it is not deriving electrical power from the surgical robotic system.

Claims

1. A robotic surgical device, comprising:

a surgical tool configured to be removably and replaceably attached to an electromechanical arm of a surgical robotic system that is capable of supplying electrical power to the surgical tool when the surgical tool is attached to the electromechanical arm, the surgical tool having

a substantially cylindrical elongate shaft having a longitudinal axis and extending distally from a housing, with an end effector at a distal end thereof, the end effector having opposed jaws that are movable between open and closed positions with at least one of the jaws comprising a removable and replaceable staple cartridge assembly,

a member configured to move distally and proximally within at least a portion of the end effector to open and close the jaws, and

an actuator extending through a slot formed in the shaft and located distally from a distal end of the housing;

the actuator configured to be manually moved within the slot along the longitudinal axis from a first position to a second position to cause the member to move proximally to thereby open the jaws when the surgical tool is in a first mode in which it is not deriving electrical power from the surgical robotic system.

2. The robotic surgical device of claim 1, wherein the actuator is configured to be manually moved from the second position to the first position to cause the member to move distally to thereby close the jaws when the surgical tool is in the first mode and after the removable and replaceable staple cartridge assembly has been replaced with another removable and replaceable staple cartridge assembly.

3. The robotic surgical device of claim 2, wherein the surgical tool is configured to be placed in a second mode in which it is deriving electrical power from the surgical robotic system after the surgical tool has been loaded with the another removable and replaceable staple cartridge assembly.

4. The robotic surgical device of claim 1, wherein the actuator comprises a lever or a tab.

5. The robotic surgical device of claim 1, wherein the at least one of the jaws is configured to seat the removable and replaceable staple cartridge assembly.

6. The robotic surgical device of claim 1, wherein the member comprises an I-beam.

7. The robotic surgical device of claim 1, wherein the member comprises a drive member configured to move distally and proximally to cause the jaws to open and close.

8. The robotic surgical device of claim 1, wherein the elongate shaft comprises a proximal portion and a distal portion having the end effector, the distal portion being removably and replaceably coupled to the proximal portion.

9. The robotic surgical device of claim 8, wherein the actuator is disposed on the proximal portion of the elongate shaft.

20. The robotic surgical device of claim 1, wherein the actuator is configured to be manually moved radially outward from the longitudinal axis prior to being manually moved along the longitudinal axis.

10. A method, comprising:

placing a surgical tool in a first mode in which it is not deriving electrical power from a surgical robotic system, the surgical tool being configured to be removably and replaceably attached to an electromechanical arm of the surgical robotic system that is capable of supplying electrical power to the surgical tool when the surgical tool is attached to the electromechanical arm; and

when the surgical tool is in the first mode, manually moving an actuator extending through an opening formed in a substantially cylindrical elongated shaft of the surgical tool and along a longitudinal axis of the elongate shaft from a first position to a second position to cause a member extending through at least a portion of the elongate shaft to move proximally to open jaws that are part of an end effector of the surgical tool, the member being configured to move distally and proximally within at least a portion of the end effector to open and close the jaws, and the elongate shaft extending distally from a housing wherein the actuator is located distally from a distal end of the housing.

11. The method of claim 10, wherein at least one of the jaws comprises a removable and replaceable staple cartridge assembly.

12. The method of claim 10, further comprising retracting the surgical tool from a surgical access instrument when the surgical tool is deriving electrical power from the surgical robotic system, and before the actuator is moved to the second position.

13. The method of claim 11, further comprising, after the jaws of the end effector have been opened, replacing the removable and replaceable staple cartridge assembly with another removable and replaceable staple cartridge assembly.

14. The method of claim 13, further comprising, after the removable and replaceable staple cartridge assembly has been replaced with the another removable and replaceable staple cartridge, manually moving the actuator from the second position to the first position to cause the member to move distally to thereby close the jaws.

15. The method of claim 14, further comprising placing the surgical tool in a second mode in which it is deriving electrical power from the surgical robotic system.

16. The method of claim 11, wherein the at least one of the jaws is configured to seat the removable and replaceable staple cartridge assembly.

17. The method of claim 11, wherein the at least one of the jaws is the removable and replaceable staple cartridge assembly.

18. The method of claim 10, wherein the member comprises a drive member configured to move distally and proximally to cause the jaws to open and close.

19. The method of claim 10, wherein the elongate shaft comprises a proximal portion and a distal portion having the end effector, the distal portion being removably and replaceably coupled to the proximal portion.