Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion

• US 20080029572A1
• Filed: 08/02/2006
• Published: 02/07/2008
• Est. Priority Date: 08/02/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E., Morgan, Jerome R., Timperman, Eugene L., Fugikawa, Leslie M.
• Granted Patent: US 7,431,189 B2
• Time in Patent Office: Days
• US Class Current: 227/175.1
• 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 17/072 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00548 Gas cartridges therefor
• CPC Class Codes: A61B 2017/2902 characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0807 Indication means
• 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 2090/0814 Preventing re-use
• CPC Class Codes: F17C 2270/0545 Tools

Abstract

A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. In various embodiments, a drive system is supported by at least one of a handle assembly and an elongate shaft assembly and is configured to selectively apply a firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to the drive system. A travel monitoring member is operably supported by the handle assembly and is linked to the drive system to provide an indication of progress of the firing mechanism of the pneumatically powered tool as the firing mechanism moves from the unactuated position to the actuated position.

Claims

1. A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position, said surgical instrument comprising:

a handle assembly;

an elongate shaft assembly having a proximal end operably coupled to said handle assembly and a distal end;

a distal member associated with said distal end of said elongate shaft assembly and being configured to operably support the pneumatically powered tool;

a drive system supported by at least one of said handle assembly and said elongate shaft assembly and being configured to selectively apply a firing motion to the firing mechanism of the pneumatically powered tool when supported by said distal member to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to said drive system; and

a travel monitoring member operably supported by said handle assembly and being linked to said drive system to provide an indication of progress of the firing mechanism of the pneumatically powered tool as the firing mechanism moves from the unactuated position to the actuated position.

2. The surgical instrument of claim 1 wherein said drive system further being configured to selectively apply a retraction motion to the firing mechanism of the pneumatically powered tool when supported by said distal member to cause the firing mechanism to move from the actuated position to the unactuated position in response to another flow of said gas from said source of gas and wherein said travel monitoring member is configured to provide another indication of progress of the firing mechanism of the pneumatically powered tool as the firing mechanism moves from the actuated position to the unactuated position.

3. The surgical instrument of claim 1 wherein said travel monitoring member comprises a relative position trigger communicating with said drive system and being movably supported relative to said handle assembly, said relative position trigger being movable between a first position corresponding to the unactuated position of the firing mechanism of the pneumatically operated power tool and a second position corresponding to the actuated position of the firing mechanism of the pneumatically powered tool such that said drive system causes said relative position trigger to move between the first and second positions in a manner that corresponds to the relative position of the firing mechanism as the firing mechanism is moved between the unactuated and actuated positions.

4. The surgical instrument of claim 1 wherein said surgical instrument further comprises an activation trigger operably supported by said handle assembly for selectively controlling said flow of gas from said source of gas to said drive system.

5. The surgical instrument of claim 4 wherein said activation trigger is configured to selectively control flow of gas from said source of gas to the drive system in proportion to an amount of manual force applied to said activation trigger.

6. The surgical instrument of claim 4 wherein said relative position trigger is pivotally supported relative to said handle assembly and is pivotally movable between the first and second positions by said drive system and wherein said activation trigger is pivotally supported relative to said handle assembly and is configured to pivotally travel with said relative position trigger.

7. The surgical instrument of claim 1 wherein said drive system comprises:

a pneumatically powered motor fluidically coupled to said source of gas and selectively capable of generating the firing motion and the retraction motion; and

a drive member assembly coupled to said pneumatically powered motor for transmitting said firing motion and said retraction motion to the firing mechanism in the pneumatically powered tool.

8. The surgical instrument of claim 7 further comprising a linkage assembly operably coupled to said pneumatically powered motor and said relative position trigger such that the firing motion generated by said pneumatically powered motor causes said relative position trigger to move in a first direction from said first position to said second position at a rate that corresponds to a rate of travel of the firing mechanism traveling between the unactuated position and the actuated position and such that said retraction motion causes said relative position trigger to move in a second direction from said second position to said first position at another rate that corresponds to another rate of travel of the firing mechanism traveling between the actuated position to the unactuated position.

9. The surgical instrument of claim 3 further comprising a tactile feedback member supported adjacent said relative position trigger for applying a feedback force to said relative position trigger as said relative position trigger is moved between said first and second positions, said feedback force being tactilely detectable upon grasping said relative position trigger.

10. The surgical instrument of claim 3 further comprising an audible feedback assembly configured to interact with said relative position trigger for generating at least two audible signals as said relative position trigger is moved between said first and second positions.

11. A method for processing an instrument for surgery, said method comprising:

obtaining said surgical instrument of claim 1;

sterilizing said surgical instrument; and

storing said instrument in a sterile container.

12. A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position, said surgical instrument comprising:

a handle assembly;

an elongate shaft assembly having a proximal end operably coupled to said handle assembly and a distal end;

means associated with said distal end of said elongate shaft assembly for operably supporting the pneumatically powered tool;

means for selectively applying at least one of a firing motion and a retraction motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move between the unactuated position and the fully retracted position in response to pneumatic signals from a source of pneumatic power; and

position indicating means operably supported by said handle assembly and cooperating with said means for selectively applying to provide a tactile indication of progress of the firing mechanism of the pneumatically powered tool as the firing mechanism selectively moves back and forth between the unactuated position and the actuated position.

13. The surgical instrument of claim 12 further comprising means for generating a series of audible signals signifying progressive movement of said firing mechanism between said unactuated position and said actuated position.

15. The surgical instrument of claim 13 wherein the relative position trigger cannot be manually moved relative to the handle assembly.

16. The surgical instrument of claim 13 further comprising a tactile feedback member supported adjacent said relative position trigger for applying a feedback force to said relative position trigger as said relative position trigger is moved between said first and second positions, said feedback force being tactilely detectable upon grasping said relative position trigger.

17. The surgical instrument of claim 13 further comprising an audible feedback assembly configured to interact with said relative position trigger for generating at least two audible signals as said relative position trigger is moved between said first and second positions.

18. The surgical instrument of claim 16 wherein said tactile feedback member further generates a series of audible signals corresponding to the movement of the firing mechanism between said unactuated and actuated positions.

19. The surgical instrument of claim 13 further comprising:

a flow control member in fluid communication with said source of gas and said drive system; and

an activation trigger operably supported by said handle assembly and operably coupled to said flow control member for selective operation thereof.

20. The surgical instrument of claim 19 wherein said activation trigger is associated with said relative position trigger and travels therewith.

14. A surgical instrument comprising:

a handle assembly;

a closure drive supported by said handle assembly and configured to generate a closing motion and an opening motion;

an elongate shaft assembly coupled to said handle assembly and communicating with said closure drive to transfer said opening and closing motions;

a drive system supported by at least one of said handle assembly and said elongate shaft assembly and being configured to selectively generate at least one of a firing motion and a retraction motion;

an end effector coupled to said elongate shaft assembly, said end effector comprising;

an elongate channel sized to receive a staple cartridge therein;

an anvil pivotally coupled to said elongate channel and being pivotally responsive to said open and closing motions from said elongate shaft assembly; and

a firing mechanism operably supported within one of said elongate channel and the staple cartridge and being movable from an unactuated position to an actuated position in response to an application of said firing motion from said drive system and being movable from said actuated position to said unactuated position in response to another application of said retraction motion from said drive system and wherein said surgical instrument further comprises;

a relative position trigger communicating with said drive system and being movably supported by said handle assembly between a first position corresponding to said unactuated position of said firing mechanism and a second position corresponding to the actuated position, such that said drive system causes said relative position trigger to move back and forth between the first and second positions in a manner that corresponds to the relative position of the firing mechanism as the firing mechanism is moved back and forth between the unactuated and actuated positions.