Powered surgical stapling device platform

• US 10,542,983 B2
• Filed: 03/06/2017
• Issued: 01/28/2020
• Est. Priority Date: 05/01/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Zemlok, Michael, Racenet, David C.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US15/450,787
• Publication Number:
  US 20170172574A1
• Time in Patent Office: 1,058 Days
• Field of Search: 2271751, 2271761
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/00084 Temperature
• 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 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07221 curved
• 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 2017/2905 flexible
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Abstract

The present disclosure provides for a surgical instrument which includes a housing and an endoscopic portion extending distally from the housing and defining a first longitudinal axis. The surgical instrument also includes an end effector disposed adjacent a distal portion of the endoscopic portion. The end effector includes an anvil assembly and a cartridge assembly. The anvil assembly is pivotally coupled to the cartridge assembly to be movable from a first actuation position to at least one other second actuation position. The surgical instrument further includes a firing rod having a shaft defining a second longitudinal axis, the shaft having a cam member which is in mechanical cooperation with the anvil assembly and is configured to move the anvil assembly from the first actuation position to the at least one other second actuation position upon rotation of the firing rod about the second longitudinal axis.

Claims

1. A powered surgical system comprising:

a housing;

a battery disposed in the housing;

a motor coupled to the battery;

a flexible shaft extending distally from the housing and defining a first longitudinal axis;

an end effector disposed adjacent a distal portion of the flexible shaft, the end effector including a first jaw member and a second jaw member;

a flexible firing rod disposed within the flexible shaft and defining a second longitudinal axis, the flexible firing rod rotatable by the motor about the second longitudinal axis; and

a cam member disposed adjacent a distal portion of the flexible firing rod and having a pair of opposing camming surfaces, the cam member rotatable by the flexible firing rod such that one of the camming surfaces moves the first jaw member between a first position and a second position.

2. The powered surgical system according to claim 1, wherein the flexible shaft is movable between a straight configuration and an articulated configuration, the flexible shaft includes a plurality of interconnected angled outer tubes.

3. The powered surgical system according to claim 2, wherein each of the plurality of interconnected angled outer tubes has a narrow section and a wide section, such that when the flexible shaft is in the straight configuration, the narrow sections of the plurality of interconnected angled outer tubes alternate with the wide sections of the plurality of interconnected angled outer tubes, and when the flexible shaft is in the articulated configuration, the wide sections of the plurality of interconnected angled outer tubes are aligned and the narrow sections of the plurality of interconnected angled outer tubes are aligned.

4. The powered surgical system according to claim 3, further comprising:

a drive gear disposed in the housing, and

wherein the flexible shaft further includes a proximal end cap disposed on a proximal portion of the flexible shaft, the proximal end cap operatively coupled to the drive gear.

5. The powered surgical system according to claim 4, wherein the flexible shaft further includes a distal end cap disposed on a distal portion of the flexible shaft, the distal end cap operatively coupled to the end effector.

6. The powered surgical system according to claim 5, wherein each of the proximal end cap and the distal end cap includes an angled face, the proximal end cap configured to couple to one of the plurality of interconnected angled outer tubes at the proximal portion of the flexible shaft, and the distal end cap configured to couple to one of the plurality of interconnected angled outer tubes at the distal portion of the flexible shaft.

7. The powered surgical system according to claim 6, wherein the proximal end cap is rotated by rotation of the drive gear.

8. The powered surgical system according to claim 7, wherein the distal end cap is fixed from rotation.

9. The powered surgical system according to claim 1, wherein the flexible firing rod includes a proximal shaft member and a distal shaft member, the proximal shaft member pivotally linked to the distal shaft member.

10. The powered surgical system according to claim 9, wherein each of the proximal shaft member and the distal shaft member includes a surface feature along the length thereof.

11. The powered surgical system according to claim 10, wherein the surface feature of each of the proximal shaft member and the distal shaft member is selected from the group consisting of a non-circular cross-section and a curved shape.

12. The powered surgical system according to claim 1, wherein the end effector defines a third longitudinal axis, the end effector being movable from a first articulation position where the third longitudinal axis is substantially aligned with the first longitudinal axis to at least a second articulation position where the third longitudinal axis is disposed at an angle to the first longitudinal axis.

13. The powered surgical system according to claim 1, wherein the first jaw member is pivotally coupled to the second jaw member.

14. The powered surgical system according to claim 13, wherein the first jaw member is an anvil assembly and the second jaw member is a cartridge assembly.

15. The powered surgical system according to claim 14, wherein the end effector includes an actuation sled disposed therein, the actuation sled abutting a distal portion of the flexible firing rod such that, when the flexible firing rod is advanced in a distal direction, the actuation sled comes into contact with a plurality of pushers that translate and urge a plurality of corresponding fasteners toward the anvil assembly.

16. The powered surgical system according to claim 15, wherein the flexible firing rod is prevented from advancing in the distal direction unless the flexible firing rod is rotated about the second longitudinal axis to move the anvil assembly from a first actuation position to a second actuation position.