Electrically Self-Powered Surgical Instrument With Manual Release

• US 20110210156A1
• Filed: 04/18/2011
• Published: 09/01/2011
• Est. Priority Date: 07/26/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Palmer, Matthew A., Smith, Kevin W., Bales, Thomas O. JR., Deville, Derek Dee, Rivera, Carlos
• Granted Patent: US 8,672,951 B2
• Time in Patent Office: Days
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• 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 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

A method for operating a surgical instrument includes mechanically coupling a manual release to a transmission of a surgical instrument having a self-contained power supply disposed entirely within a handle thereof. The transmission translates movement of an electrically powered motor inside the handle to movement of a part of a surgical end effector connected to the handle. The part is operable to move anywhere between a start position and a fully actuated position. The method further includes selectively interrupting the transmission with the manual release to move the part towards the start position independent of motor operation.

Claims

1. A method for operating a surgical instrument, which comprises:

mechanically coupling a manual release to a transmission of a surgical instrument having a self-contained power supply disposed entirely within a handle thereof, the transmission translating movement of an electrically powered motor inside the handle to movement of a part of a surgical end effector connected to the handle, the part being operable to move anywhere between a start position and a fully actuated position; and

selectively interrupting the transmission with the manual release to move the part towards the start position independent of motor operation.

2. The method according to claim 1, wherein:

the surgical end effector is a surgical linear stapling endocutter; and

the moving part includes at least a staple-actuating and tissue-cutting slide; and

the method further comprises;

actuating a stapling-cutting feature of the endocutter with the transmission and a drive assembly disposed within the handle, the drive assembly comprising;

the electrically powered motor; and

a controller electrically connected to the power supply and to the motor and selectively operating the motor.

3. The method according to claim 2, wherein the controller includes a multi-state switch, the method further comprising:

rotating the motor in a forward direction when the multi-state switch is in a first state; and

rotating the motor in a reverse direction when the multi-state switch is in a second state.

4. The method according to claim 1, wherein:

the transmission has a motor drive side and an actuation drive side; and

the step of mechanically coupling the manual release to the transmission includes coupling the manual release between the motor drive side and the actuation drive side.

5. The method according to claim 4, wherein:

the motor drive side has a series of rotation-reducing gears including a last gear;

the actuation drive side has;

at least one gear; and

a rack-and-pinion assembly coupled to the at least one gear and directly connected to at least a portion of the moving part; and

the step of mechanically coupling the manual release to the transmission includes coupling the manual release between the at least one gear and the last gear.

6. The method according to claim 5, wherein:

the motor has an output gear; and

the series of gears has a first stage coupled to the output gear.

7. The method according to claim 6, wherein:

the series of gears includes first, second, and third stages, and a cross-over gear with a cross-over shaft crossing from the motor drive side to the actuation drive; and

the cross-over gear is coupled to the third stage.

8. The method according to claim 5, wherein:

the series of gears has a cross-over gear with a cross-over shaft crossing from the motor drive side to the actuation drive side;

the cross-over gear is coupled to the series of gears;

a castle gear is rotationally fixedly coupled about the cross-over shaft and longitudinally translatable thereon, the castle gear having castellations extending towards the actuation drive side;

the at least one gear of the actuation drive side includes a first pinion having castellation slots shaped to mate with the castellations;

the method further comprising;

imparting a bias, with a bias device disposed between the cross-over gear and the castle gear, upon the castle gear towards the actuation drive side to permit selective engagement of the castle gear with the first pinion;

rotating the first pinion with rotation of the cross-over shaft when so engaged;

providing an opposing force, with a release part of the manual release, to overcome the bias on the castle gear; and

at least partially actuating the manual release to disengage the castle gear from the first pinion.

9. The method according to claim 8, wherein the manual release has:

a rest state;

a first partially actuated state; and

a second partially actuated state;

the method further comprising;

providing the opposing force at a magnitude less than the bias to the castle gear when the manual release is in the rest state;

providing the opposing force at a magnitude greater than the bias to the castle gear and moving the castellations out from the castellations slots when the manual release is in the first partially actuated state; and

rotating the first pinion to move the rack of the rack-and-pinion assembly longitudinally in a withdrawing direction when the manual release is in the second partially actuated state.

10. The method according to claim 8, wherein:

the at least one gear of the actuation drive side includes at least one release gear;

the first pinion is directly connected to the at least one release gear to rotate the at least one release gear when rotated;

the manual release includes a manual release lever;

rotatably connected to the handle; and

having a one-way ratchet assembly; and

the at least one release gear has an axle directly connected to the ratchet assembly to rotate in a corresponding manner with the manual release lever when the manual release lever is at least partially actuated and to rotate independent of the manual release lever when the manual release lever is not actuated.

11. A method for operating a surgical instrument, which comprises:

providing a surgical end effector at a distal end of a surgical instrument handle, the end effector having an actuation assembly operable to effect a surgical procedure when actuated, the actuation assembly having a part operable to move between a start position and a fully actuated position;

disposing a self-contained power supply and an electrically powered motor entirely within a handle and connecting a motor controller to the motor and to the power supply to selectively operate the motor with the motor controller;

mechanically connecting the motor to the moving part through a transmission operable to selectively displace the moving part anywhere between the start and fully extended positions when the motor is operated; and

mechanically coupling a manual release to the transmission to selectively interrupt the transmission and, during interruption, displace the moving part towards the start position independent of motor operation.

12. The method according to claim 11, wherein:

the surgical end effector is a surgical linear stapling endocutter; and

the moving part includes at least a staple-actuating and tissue-cutting slide; and

the method further comprising;

actuating a stapling-cutting feature of the endocutter with the transmission and a drive assembly disposed within the handle, the drive assembly comprising;

the electrically powered motor; and

the motor controller.

13. The method according to claim 11, wherein the motor controller includes a multi-state switch, the method further comprising:

rotating the motor in a forward direction when the multi-state switch is in a first state; and

rotating the motor in a reverse direction when the multi-state switch is in a second state.

14. The method according to claim 11, wherein:

the step of mechanically coupling the manual release to the transmission includes;

coupling the manual release between a motor drive side and an actuation drive side of the transmission.

15. The method according to claim 14, wherein:

the step of mechanically coupling the manual release between the motor drive side and the actuation drive side includes;

coupling the manual release between;

a last gear of a series of rotation-reducing gears of the motor drive side; and

at least one gear of the actuation drive side,

the at least one gear being coupled to a rack-and-pinion assembly, which is directly connected to at least a portion of the moving part.

16. The method according to claim 15, further comprising:

coupling a cross-over gear to the series of gears, the cross-over gear having a cross-over shaft crossing from the motor drive side to the actuation drive side;

rotationally fixedly coupling a castle gear about the cross-over shaft so that the castle gear is longitudinally translatable thereon, the castle gear having castellations extending towards the actuation drive side;

imparting a bias, with a bias device disposed between the cross-over gear and the castle gear, upon the castle gear towards the actuation drive side to permit selective engagement of the castle gear with a first pinion of the at least one gear of the actuation drive side, the first pinion having castellation slots shaped to mate with the castellations of the castle gear;

rotating the first pinion with rotation of the cross-over shaft when so engaged;

providing an opposing force, with a release part of the manual release, to overcome the bias on the castle gear; and

at least partially actuating the manual release to disengage the castle gear from the first pinion.

17. The method according to claim 16, wherein the at least one gear of the actuation drive side includes a second pinion stage, and the method further comprises:

coupling a second pinion gear of the second pinion stage to the first pinion;

rotationally fixing the second pinion gear to a second pinion shaft of the second pinion stage;

rotationally fixing a third pinion to the second pinion shaft, the third pinion;

being a pinion of the rack-and-pinion assembly; and

longitudinally moving a rack of the rack-and-pinion assembly when rotated.

18. The method according to claim 16, wherein the manual release has:

a rest state;

a first partially actuated state; and

a second partially actuated state, and the method further comprises;

providing the opposing force at a magnitude less than the bias to the castle gear when the manual release is in the rest state;

providing the opposing force at a magnitude greater than the bias to the castle gear and moving the castellations out from the castellations slots when the manual release is in the first partially actuated state; and

rotating the pinion of the rack-and-pinion assembly to move the rack longitudinally in a withdrawing direction when the manual release is in the second partially actuated state.

19. The method according to claim 16, wherein the at least one gear of the actuation drive side includes first and second stage release gears, and the method further comprises directly connecting the first pinion to the first stage release gear to rotate the first and second stage release gears when rotated.

20. The method according to claim 16, further comprising:

directly connecting the first pinion to at least one release gear of the at least one gear to rotate the at least one release gear when rotated;

rotatably connecting a manual release lever of the manual release to the handle;

directly connecting an axle of the at least one release gear to a one-way ratchet assembly of the manual release;

rotating the at least one release gear in a corresponding matter with the manual release lever when the manual release lever is at least partially actuated; and

rotating the at least one release gear independent of the manual release lever when the manual release lever is not actuated.