Surgical Instrument with Stowing Knife Blade

• US 20130123822A1
• Filed: 10/26/2012
• Published: 05/16/2013
• Est. Priority Date: 11/15/2011
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Inventors: Burbank, William, Duque, Grant, Flanagan, Patrick, Wellman, Ashley
• Granted Patent: US 8,991,678 B2
• Time in Patent Office: Days
• US Class Current: 606/170
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2034/252 indicating steps of a surgical procedure
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 50/13 Trolleys, e.g. carts

Abstract

A surgical instrument with a stowing knife blade includes an elongated shaft, an end effector coupled to the shaft and including two opposed jaws, a housing included in one of the jaws, a first member mounted in the housing and movable distally, a knife pivotally coupled with the first member, and a second member. The knife is configured to cut when advanced distally. The first and second members are moved distally at the same rate during a cutting motion of the knife and the second member blocks a rotation of the knife relative to the first member during the cutting motion of the knife. After moving through the first distance, relative movement between the first and second members occurs so as to permit or induce the previously blocked rotation of the knife so that the knife can be stowed.

Claims

1. A method of articulating a knife in a surgical instrument, the instrument having a proximal end and a distal end, the method comprising:

pivotally supporting the knife from a first member, the knife being configured to cut when the knife is moved toward the distal end;

blocking a rotation of the knife relative to the first member with a second member while moving the first and second members toward the distal end at the same rate; and

after said act of moving the first and second members toward the distal end at the same rate, generating relative movement between the first and second members to accomplish at least one of permitting rotation of the knife or inducing rotation of the knife.

2. The method of claim 1, wherein:

said act of moving the first and second members toward the distal end at the same rate includes rotating a lead screw having a threaded portion and a non-threaded portion, the threaded portion being operatively coupled with at least one of the first member or the second member; and

said act of generating relative movement between the first and second members includes rotating the lead screw, the lead screw threaded portion operatively coupling with one of the first and second members and the non-threaded portion interfacing with the other of the first and second members.

3. The method of claim 1, wherein said act of generating relative movement between the first and second members includes moving the first member or the second member toward the distal end while preventing the other one of the first and second members from moving toward the distal end to reposition the second member relative to the first member to not block the rotation of the knife.

4. The method of claim 1, wherein said act of generating relative movement between the first and second members includes moving the first member or the second member toward the proximal end while preventing the other one of the first and second members from moving toward the proximal end to reposition the second member relative to the first member to not block the rotation of the knife.

5. The method of claim 1 comprising rotating the knife relative to the first member in response to the relative movement between the first and second members.

6. The method of claim 3, comprising engaging the knife with a kick-down feature to cause the knife to rotate relative to the first member to stow a cutting edge of the knife below an upper surface of a housing of the surgical instrument.

7. The method of claim 1, comprising engaging the knife with a kick-up feature to rotate the knife into a cutting position during said act of moving the first and second members toward the distal end at the same rate.

8. The method of claim 1, comprising engaging the knife with a kick-down feature coupled to the second member to cause the knife to rotate relative to the first member to stow a cutting edge of the knife below an upper surface of a housing of the surgical instrument.

9. The method of claim 1, comprising deploying staples during said act of moving the first and second members toward the distal end at the same rate.

10. A surgical instrument comprising:

an elongated shaft having a shaft distal end and a shaft proximal end;

an end effector coupled to the shaft distal end and including two opposed jaws;

a housing included in one of the jaws;

the housing including a housing proximal end, a housing distal end, an upper surface extending between the housing proximal and distal ends, a central cavity extending between the housing proximal and distal ends, and a longitudinal slot extending through the upper surface;

a first member mounted in the housing and movable toward the housing distal end;

a second member configured to move with the first member toward the housing distal end at the same rate through a first distance, relative movement between the first and second members occurring after the first and second members move through the first distance, the second member blocking a rotation of the knife relative to the first member while moving with the first member at the same rate toward the housing distal end and at least one of permitting rotation of the knife after a relative movement between the first and second members or inducing rotation of the knife during a relative movement between the first and second members; and

a knife pivotally coupled with the first member, the knife extending through the longitudinal slot, the knife having a cutting edge configured to cut when the first member is moved toward the housing distal end, the cutting edge extending above the housing upper surface for at least a portion of the distal movement of the first member.

11. The surgical instrument of claim 10, further comprising a lead screw coupled with the housing for rotation relative to the housing, the lead screw being operatively coupled with at least one of the first member or the second member to drive the coupled member along at least a portion of the lead screw in response to rotation of the lead screw.

12. The surgical instrument of claim 11, wherein the lead screw has a threaded portion and a non-threaded portion disposed distally of the threaded portion, both the first and second members being driven along the lead screw when the second member moves with the first member toward the housing distal end at the same rate and one of the first and second members interfacing with the non-threaded portion and the other one of the first and second members interfacing with the threaded portion to generate the relative movement between the first and second members.

13. The surgical instrument of claim 10, wherein the first member or the second member moves toward the housing distal end when the second member moves relative to the first member.

14. The surgical instrument of claim 10, wherein the first member or the second member moves toward the housing proximal end when the second member moves relative to the first member.

15. The surgical instrument of claim 10, wherein the relative movement between the first and second member induces rotation of the knife relative to the first member.

16. The surgical instrument of claim 15, wherein the knife includes gear teeth that mate with gear teeth coupled with the second member so that relative movement between the first and second members causes rotation of the knife relative to the first member.

17. The surgical instrument of claim 10, wherein the second member is slidably mounted to the first member to move with the first member along the first distance and to not move toward the distal end during a movement of the first member toward the distal end.

18. The surgical instrument of claim 10, comprising a kick-up feature coupled with the housing to rotate the knife into a cutting position during the movement of the second member with the first member toward the housing distal end at the same rate.

19. The surgical instrument of claim 10, wherein the housing includes a plurality of staple openings extending between the upper surface and the central cavity, the surgical instrument comprising a plurality of staples disposed in the staple openings, each of the staples being deployed during a movement of the first and second members toward the housing distal end at the same rate.

20. A demountably attachable cartridge of a surgical instrument, the cartridge comprising:

a housing demountably attachable to an end effector of the surgical instrument;

the housing including a proximal end, a distal end, an upper surface extending between the proximal and distal ends, a central cavity extending between the proximal and distal ends, and a longitudinal slot extending through the upper surface;

a first member mounted in the housing and movable toward the distal end;

a second member operable to move with the first member toward the distal end through a first distance, relative movement between the first and second members occurring after the first and second members move through the first distance, the second member blocking a rotation of the knife relative to the first member while moving with the first member and at least one of permitting rotation of the knife after a relative movement between the first and second members or inducing rotation of the knife during the relative movement between the first and second members; and

a knife pivotally coupled with the first member, the knife having a cutting edge configured to cut when moved toward the distal end, the cutting edge extending through the longitudinal slot for at least a portion of the distal movement of the first member.

21. The cartridge of claim 20, further comprising a lead screw coupled with the housing for rotation relative to the housing, the lead screw being operatively coupled with at least one of the first member or the second member to drive the coupled member along at least a portion of the lead screw in response to rotation of the lead screw.

22. The cartridge of claim 21, wherein the lead screw has a threaded portion and a non-threaded portion disposed distally of the threaded portion, both the first and second members being driven along the lead screw when the second member moves with the first member toward the distal end at the same rate and one of the first and second members interfacing with the non-threaded portion and the other one of the first and second members interfacing with the threaded portion to generate the relative movement between the first and second members in response to a rotation of the lead screw.

23. The cartridge of claim 22, wherein the first member or the second member moves toward the distal end when the second member moves relative to the first member.

24. The cartridge of claim 22, wherein the first member or the second member moves toward the proximal end when the second member moves relative to the first member.

25. The cartridge of claim 20, wherein the relative movement between the first and second member induces rotation of the knife relative to the first member.

26. The cartridge of claim 25, wherein the knife includes gear teeth that mate with gear teeth coupled with the second member so that relative movement between the first and second members causes rotation of the knife relative to the first member.

27. The cartridge of claim 20, wherein the second member is slidably mounted to the first member to move with the first member along the first distance and to not move toward the distal end during a movement of the first member toward the distal end.

28. The cartridge of claim 20, comprising a kickup feature coupled with the housing to rotate the knife into a cutting position during the movement of the second member with the first member toward the distal end at the same rate.

29. The cartridge of claim 20, wherein the housing includes a plurality of staple openings extending between the upper surface and the central cavity, the cartridge comprising a plurality of staples disposed in the staple openings, each of the staples being deployed during a movement of the first and second members toward the distal end at the same rate.