POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM

• US 20100089970A1
• Filed: 10/10/2008
• Published: 04/15/2010
• Est. Priority Date: 10/10/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Swensgard, Brelt E., Smith, Bret W., Abbott, Daniel J., Boudreaux, Chad P., Schwemberger, Richard F., Laurent, Ryan J., Shelton, Frederick IV
• Granted Patent: US 8,608,045 B2
• Time in Patent Office: Days
• US Class Current: 227/175.100
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• 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 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.

Claims

1. A surgical cutting and fastening instrument comprising:

an end effector comprising a movable cutting member for cutting an object positioned in said end effector;

a drive shaft operably coupled with said cutting member, wherein said drive shaft is movable between a proximal position and a distal position, and wherein said drive shaft includes a plurality of first drive teeth and a plurality of second drive teeth;

a pinion gear selectively engageable with said plurality of first drive teeth;

a motor configured to rotate said pinion gear;

a firing trigger configured such that the operation of said firing trigger actuates said motor; and

a manual return mechanism comprising;

a pivot;

a lever rotatable about said pivot in a first direction and a second direction, wherein said second direction is opposite of said first direction;

a cam, wherein said lever is configured to move said cam between a first position and a second position;

a pinion spring configured to bias said pinion gear into operative engagement with said drive shaft when said cam is in said first position, wherein said cam is configured to engage said pinion gear when said cam is moved from said first position to said second position and move said pinion gear away from said drive shaft such that said pinion gear is operably disengaged from said plurality of first drive teeth;

a pawl rotatably mounted to said lever; and

a pawl spring operably engaged with said pawl, wherein said pawl spring is configured to move said pawl between a disengaged position in which said pawl is operably disengaged from said plurality of second drive teeth and an engaged position in which said pawl is operably engaged with said plurality of second drive teeth, wherein said pawl is configured to move said drive shaft from said distal position toward said proximal position when said lever is rotated in said first direction, and wherein said pawl is configured to slide over said plurality of second drive teeth when said lever is rotated in said second direction.

2. The surgical cutting and fastening instrument of claim 1, wherein said drive shaft includes a first side and a second side, wherein said plurality of first teeth are positioned on said first side, and wherein said plurality of second teeth are positioned on said second side.

3. The surgical cutting and fastening instrument of claim 1, wherein said lever includes an internal slot, and wherein said pawl is pivotably mounted within said slot.

4. The surgical cutting and fastening instrument of claim 1, further comprising:

a frame; and

a ledge extending from said frame, wherein said ledge comprises an end, wherein said ledge is configured to support said pawl in said disengaged position, and wherein said lever is configured to slide said pawl along said ledge when said cam is moved between said first position and said second position such that said pawl spring can bias said pawl into said engaged position when said pawl reaches said end of said ledge.

5. The surgical cutting and fastening instrument of claim 1, wherein said lever includes a cam driver extending therefrom, wherein said cam includes a drive surface, and wherein said cam driver is configured to engage said drive surface and move said cam between said first position and said second position when said lever is rotated in said first direction.

6. The surgical cutting and fastening instrument of claim 5, wherein said cam driver is configured to be moved away from said drive surface when said lever is rotated in said second direction and leave said cam in said second position.

7. A method for processing an instrument for surgery, comprising:

obtaining the surgical stapling instrument of claim 1;

sterilizing said surgical stapling instrument; and

storing said surgical stapling instrument in a sterile container.

8. A surgical cutting and fastening instrument comprising:

an end effector comprising a movable cutting member for cutting an object positioned in said end effector;

a drive shaft operably coupled with said cutting member, wherein said drive shaft is movable between a proximal position and a distal position, and wherein said drive shaft includes a plurality of first drive teeth and a plurality of second drive teeth;

a pinion gear selectively engageable with said plurality of first drive teeth;

a motor configured to rotate said pinion gear;

a firing trigger configured such that the operation of said firing trigger actuates said motor; and

a return mechanism comprising;

a lever movable in a first direction and a second direction;

a cam, wherein said lever is configured to move said cam between a first position and a second position, and wherein said cam is configured to move said pinion gear away from said drive shaft and operably disengage said pinion gear from said plurality of first drive teeth when said cam is moved from said first position to said second position; and

a pawl rotatably mounted to said lever, wherein said pawl is configured to move said drive shaft from said distal position toward said proximal position when said lever is moved in said first direction, and wherein said pawl is configured to slide over said plurality of second teeth when said lever is moved in said second direction.

9. The surgical cutting and fastening instrument of claim 8, further comprising a pinion spring configured to bias said pinion gear into operative engagement with said drive shaft when said cam is in said first position.

10. The surgical cutting and fastening instrument of claim 8, further comprising a pawl spring operably engaged with said pawl, and wherein said pawl spring is configured to move said pawl between a disengaged position in which said pawl is operably disengaged from said plurality of second drive teeth and an engaged position in which said pawl is operably engaged with said plurality of second drive teeth when said cam is moved from said first position to said second position.

11. The surgical cutting and fastening instrument of claim 10, further comprising:

a frame; and

a ledge extending from said frame, wherein said ledge comprises an end, wherein said ledge is configured to support said pawl in said disengaged position, and wherein said lever is configured to slide said pawl along said ledge when said cam is moved between said first position and said second position such that said pawl spring can bias said pawl into said engaged position when said pawl reaches said end of said ledge.

12. The surgical cutting and fastening instrument of claim 8, wherein said drive shaft includes a first side and a second side, wherein said plurality of first teeth are positioned on said first side, and wherein said plurality of second teeth are positioned on said second side.

13. The surgical cutting and fastening instrument of claim 8, wherein said lever includes an internal slot, and wherein said pawl is pivotably mounted within said slot.

14. The surgical cutting and fastening instrument of claim 8, wherein said lever includes a cam driver extending therefrom, wherein said cam includes a drive surface, and wherein said cam driver is configured to engage said drive surface and move said cam between said first position and said second position when said lever is moved in said first direction.

15. The surgical cutting and fastening instrument of claim 14, wherein said cam driver is configured to be moved away from said drive surface when said lever is moved in said second direction and leave said cam in said second position.

16. A method for processing an instrument for surgery, comprising:

obtaining the surgical stapling instrument of claim 8;

sterilizing said surgical stapling instrument; and

storing said surgical stapling instrument in a sterile container.

17. A surgical cutting and fastening instrument comprising:

an end effector comprising a movable cutting member for cutting an object positioned in said end effector;

a drive shaft operably coupled with said cutting member;

a motor selectively engageable with said drive shaft; and

a return mechanism comprising a return actuator movable in a first direction, wherein said return actuator is configured to operably disengage said motor from said drive shaft and move said drive shaft when said return actuator is moved in said first direction.

18. The surgical cutting and fastening instrument of claim 17, further comprising a cam, wherein said return actuator is configured to move said cam between a first position and a second position, and wherein said cam is configured to operably disconnect said motor from said drive shaft when said cam is moved from said first position to said second position.

19. The surgical cutting and fastening instrument of claim 18, wherein said return actuator is movable in a second direction, wherein said return actuator includes a cam driver extending therefrom, wherein said cam includes a drive surface, wherein said cam driver is configured to engage said drive surface and move said cam between said first position and said second position when said return actuator is moved in said first direction, and wherein said cam driver is configured to be moved away from said drive surface when said return actuator is moved in said second direction and leave said cam in said second position.

20. The surgical cutting and fastening instrument of claim 17, wherein said drive shaft is rotatable in a first direction and a second direction, wherein said instrument further comprises a pinion gear slidable along said drive shaft between a first position and a second position, wherein said pinion gear is operably engaged with said motor and said drive shaft when said pinion gear is in said first position in order to rotate said drive shaft in said first direction, wherein said pinion gear is operably engaged with said actuator and said drive shaft when said pinion gear is in said second position in order to rotate said drive shaft in said second direction, and wherein said pinion gear is operably disengaged from said motor when said pinion gear is in said second position.

21. The surgical cutting and fastening instrument of claim 20, further comprising:

a yoke configured to hold said pinion gear in said first position; and

a spring configured to bias said pinion gear into said second position when said yoke is disengaged from said pinion gear.

22. The surgical cutting and fastening instrument of claim 20, wherein said return actuator is movable in a second direction, wherein said return actuator includes a first ratchet portion, wherein said pinion gear includes a second ratchet portion, and wherein said first ratchet portion is configured to drive said second ratchet portion when said return actuator is moved in said first direction, and wherein said first ratchet portion is configured to slide relative to said second ratchet portion when said return actuator is moved in said second direction.

23. The surgical cutting and fastening instrument of claim 22, wherein said return actuator is configured to at least partially displace said pinion gear from said second position toward said first position and at least partially engage said pinion gear with said motor when said return actuator is moved in said second direction.

24. The surgical cutting and fastening instrument of claim 17, further comprising a pinion gear operably engaged with said motor, wherein said pinion gear is displaceable away from said drive shaft to operably disengage said motor from said drive shaft.

25. The surgical cutting and fastening instrument of claim 24, further comprising a swing arm rotatable between a first position and a second position, wherein said pinion gear is rotatably mounted to said swing arm, wherein said pinion gear is operably engaged with said motor and said drive shaft when said swing arm is in said first position, and wherein said pinion gear is operably disengaged from said motor and said drive shaft when said swing arm is in said second position.

26. The surgical cutting and fastening instrument of claim 25, wherein said return actuator is configured to hold said pinion gear in said first position, and wherein said return actuator is configured to release said pinion gear when said actuator is moved in said first direction.

27. The surgical cutting and fastening instrument of claim 17, further comprising a switch configured to operably disconnect a power source from said motor when said return actuator is moved in said first direction.

28. A method for processing an instrument for surgery, comprising:

obtaining the surgical stapling instrument of claim 17;

sterilizing said surgical stapling instrument; and

storing said surgical stapling instrument in a sterile container.