Surgical instruments with dual articulation drivers

• US 10,716,565 B2
• Filed: 12/19/2017
• Issued: 07/21/2020
• Est. Priority Date: 12/19/2017
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Goldenbogen, Michael W.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US15/847,297
• Publication Number:
  US 20190183504A1
• Time in Patent Office: 945 Days
• Field of Search: 2271751
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• 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
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2908 Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2018/00172 Connectors and adapters therefor
• CPC Class Codes: A61B 2034/302 specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
• CPC Class Codes: A61B 2090/067 for measuring angles
• 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
• CPC Class Codes: A61B 34/37 Master-slave robots A61B34/35 takes precedence

Abstract

A surgical instrument including a shaft and an end effector that is articulatable relative to the shaft is disclosed. First and second independently movable articulation drivers are coupled to the surgical end effector to apply articulation motions thereto. The first articulation driver is attached to the surgical end effector by a first link that extends transversely relative to a longitudinal axis defined by the shaft. The second articulation driver is attached to the surgical end effector by a second link that extends transversely relative to the longitudinal axis and the first link.

Claims

1. A surgical instrument, comprising:

a shaft, comprising;

a proximal end;

a distal end; and

a longitudinal axis extending between said proximal end and said distal end;

an end effector comprising an end effector frame rotatably coupled to said shaft about an articulation pivot, wherein said articulation pivot defines a fixed articulation axis, and wherein said fixed articulation axis is positioned laterally offset with respect to said longitudinal axis;

a first articulation driver selectively movable between a first neutral position, a first distal position, and a first proximal position in response to corresponding first articulation control motions applied thereto;

a first articulation link operably coupled to said first articulation driver, said first articulation link extending transverse to said longitudinal axis and coupled to said end effector frame at a first attachment location;

a second articulation driver selectively movable between a second neutral position, a second distal position, and a second proximal position in response to corresponding second articulation control motions applied thereto; and

a second articulation link operably coupled to said second articulation driver and extending transverse to said longitudinal axis and said first articulation link coupled to said end effector frame at a second attachment location.

2. The surgical instrument of claim 1, wherein when said first articulation driver is moved from said first neutral position to said first distal position, said second articulation driver is moved to said second proximal position to rotate said end effector to a first fully articulated position about said articulation pivot and when said second articulation driver is moved from said second neutral position to said second distal position, said first articulation driver is moved to said first proximal position to rotate said end effector to a second fully articulated position about said articulation pivot.

3. The surgical instrument of claim 1, wherein when said first articulation driver is in said first neutral position and said second articulation driver is in said second neutral position, said end effector is axially aligned with said longitudinal axis in an unarticulated position.

4. The surgical instrument of claim 2, wherein:

said first neutral position and said first distal position define a first distal articulation stroke of said first articulation driver;

said first neutral position and said first proximal position define a first proximal articulation stroke of said first articulation driver;

said second neutral position and said second distal position define a second distal articulation stroke of said second articulation driver;

said second neutral position and said second proximal position define a second proximal articulation stroke of said second articulation driver; and

said first distal articulation stroke is not equal to said second distal articulation stroke.

5. The surgical instrument of claim 4, wherein said first distal articulation stroke is less than said second distal articulation stroke.

6. The surgical instrument of claim 4, wherein said first proximal articulation stroke is not equal to said second proximal articulation stroke.

7. The surgical instrument of claim 6, wherein said first proximal articulation stroke is greater than said second proximal articulation stroke.

8. The surgical instrument of claim 1, wherein said first articulation link comprises a first link length and wherein said second articulation link comprises a second link length that differs from said first link length.

9. The surgical instrument of claim 1, wherein said first attachment location is offset from said longitudinal axis a first offset distance, and wherein said second attachment location is offset from said longitudinal axis a second offset distance that differs from said first offset distance.

10. The surgical instrument of claim 9, wherein said first offset distance is greater than said second offset distance.

11. The surgical instrument of claim 1, wherein said first articulation link is pivotally attached to said first articulation driver at a first link attachment location, wherein said second articulation link is pivotally attached to said second articulation driver at a second link attachment location, and wherein when said first articulation driver is in said first neutral position and said second articulation driver is in said second neutral position, said first link attachment location is axially offset from said second link attachment location.

12. The surgical instrument of claim 11, wherein said first link attachment location is laterally offset from said longitudinal axis a first lateral distance, and wherein said second link attachment location is laterally offset from said longitudinal axis a second lateral distance that differs from said first lateral distance.

13. The surgical instrument of claim 12, wherein said second lateral distance is less than said first lateral distance.

14. A surgical instrument, comprising:

a controller, comprising;

a source of first articulation control motions;

a source of second articulation control motions; and

a source of firing control motions, wherein said surgical instrument further comprises;

a surgical tool operably couplable to said controller, wherein said surgical tool comprises;

a shaft, comprising;

a proximal end;

a distal end; and

a longitudinal axis extending between said proximal end and said distal end;

an end effector comprising an end effector frame rotatably coupled to said shaft about an articulation pivot, wherein said articulation pivot defines a fixed articulation axis, and wherein said fixed articulation axis is positioned laterally offset with respect to said longitudinal axis;

a first articulation driver selectively movable between a first neutral position, a first distal position, and a first proximal position in response to corresponding first articulation control motions applied thereto by said source of first articulation control motions;

a first articulation link operably coupled to said first articulation driver, said first articulation link extending transverse to said longitudinal axis and coupled to said end effector frame at a first attachment location;

a second articulation driver selectively movable between a second neutral position, a second distal position, and a second proximal position in response to corresponding second articulation control motions applied thereto by said source of second articulation control motions;

a second articulation link operably coupled to said second articulation driver and extending transverse to said longitudinal axis and said first articulation link coupled to said end effector frame at a second attachment location; and

a firing member supported for selective axial travel between a starting and ending position within said end effector in response to firing control motions applied thereto by said source of firing control motions, wherein said source of first articulation control motions applies an amount of said first articulation control motions to said first articulation driver that correspond to a desired articulated position of said end effector, and wherein said source of second articulation control motions applies another amount of said second articulation control motions to said second articulation driver that correspond to said desired articulated position while said firing control motions are applied to said firing member.

15. The surgical instrument of claim 14, wherein said controller comprises a handheld housing.

16. The surgical instrument of claim 14, wherein said controller comprises a tool mounting portion of a robotic system.

17. The surgical instrument of claim 14, wherein said end effector further comprises a staple cartridge including staples removably stored therein.

18. A surgical instrument, comprising:

a shaft, comprising;

a proximal end;

a distal end; and

a longitudinal axis extending between said proximal end and said distal end;

an end effector comprising an end effector frame rotatably coupled to said shaft about an articulation pivot, wherein said articulation pivot defines a fixed articulation axis, and wherein said fixed articulation axis is positioned laterally offset with respect to said longitudinal axis;

a first articulation driver selectively movable through a first distal articulation stroke between a first neutral position and a first distal position and a first proximal articulation stroke between said first neutral position and a first proximal position in response to corresponding first articulation control motions applied thereto, said first articulation driver operably coupled to said end effector frame at a first attachment location located on an opposite side of said longitudinal axis from which said first articulation driver is movably supported; and

a second articulation driver selectively movable through a second distal articulation stroke between a second neutral position and a second distal position and a second proximal articulation stroke between said second neutral position and a second proximal position in response to corresponding second articulation control motions applied thereto, said second articulation driver operably coupled to said end effector frame at a second attachment location located on another opposite side of said longitudinal axis from which said second articulation driver is movably supported, and wherein said first distal articulation stroke comprises a first length that differs from a second length of said second distal articulation stroke.

19. The surgical instrument of claim 18, wherein said first proximal articulation stroke is not equal to said second proximal articulation stroke.

20. The surgical instrument of claim 18, wherein said first articulation driver is coupled to said end effector frame by a first articulation link comprising a first link length and extending transversely to said longitudinal axis, and wherein said second articulation driver is coupled to said end effector frame by a second articulation link comprising a second link length that differs from said first link length and extending transversely relative to said longitudinal axis and said first articulation link.

21. A surgical instrument, comprising:

a shaft, comprising;

a proximal end;

a distal end; and

a longitudinal axis extending between said proximal end and said distal end;

an end effector rotatably coupled to said shaft about an articulation pivot, wherein said articulation pivot defines an articulation axis, and wherein said articulation axis is positioned laterally offset with respect to said longitudinal axis;

a first articulation driver selectively movable in response to first articulation control motions applied thereto;

a first articulation link operably coupled to said first articulation driver, wherein said first articulation link extends transverse to said longitudinal axis, and wherein said first articulation link is coupled to said end effector at a first attachment location;

a second articulation driver selectively movable in response to second articulation control motions applied thereto; and

a second articulation link operably coupled to said second articulation driver, wherein said second articulation link extends transverse to said longitudinal axis and said first articulation link, and wherein said second articulation link is coupled to said end effector at a second attachment location.