SUTURING INSTRUMENT WITH MULTI-MODE CARTRIDGES

• US 20160367239A1
• Filed: 06/16/2015
• Published: 12/22/2016
• Est. Priority Date: 06/16/2015
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Mumaw, Daniel J., Hess, Christopher J., Shelton, Frederick E. IV, Martin, David T.
• Granted Patent: US 9,782,164 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0467 Instruments for cutting sutures surgical cutting instruments A61B17/32
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/06066 Needles, e.g. needle tip configurations making needles B21G1/00
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/0684 having a forming anvil staying above the tissue during stapling
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/28 Surgical forceps for holding suture needles or materials A61B17/0483; for removing or smashing calculi A61B17/221; surgical scissors A61B17/3201 ; obstetrical forceps A61B17/44; for inserting intraocular lenses A61F2/1662; hand-held gripping tools in general B25B7/00 ]
• CPC Class Codes: A61B 17/2816 Pivots
• CPC Class Codes: A61B 17/2841 Handles
• CPC Class Codes: A61B 17/285 combined with cutting implements
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/0609 having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument MIS suturing instruments A61B17/0469; jaws of MIS forceps A61B2017/2926

Abstract

A surgical kit includes an instrument and two or more cartridges. The instrument includes a body, a shaft assembly, and a cartridge receiving assembly. The cartridge receiving assembly has a movable output feature, which is configured to move in response to activation of the actuation input feature. The cartridges may include a first suturing cartridge and a second suturing cartridge, with first and second suture needles, respectively. The second suture needle may extend along an arc that has a larger radius of curvature than an arc associated with the first suture needle. The cartridges may also include a drive assembly that is operable to drive the needle along an orbital path in response to movement of the actuation input feature. The cartridges may also include features that are operable to apply clips or staples. The cartridges may also include features that are operable to grasp or cut.

Claims

1. A surgical kit comprising:

(a) a surgical instrument, wherein the surgical instrument comprises;

(i) a body, wherein the body comprises an actuation input feature,

(ii) a shaft assembly extending distally from the body, and

(iii) a cartridge receiving assembly located at a distal end of the shaft assembly, wherein the cartridge receiving assembly comprises a movable output feature, wherein the movable output feature is configured to move in response to activation of the actuation input feature;

(b) a first suturing cartridge, wherein the cartridge receiving assembly is operable to removably receive the first suturing cartridge, wherein the first suturing cartridge comprises;

(i) a first curved needle, wherein the first curved needle extends along an arc defined by a first radius of curvature,

(ii) a first drive assembly, wherein the first drive assembly is operable to drive the first curved needle along an orbital path through a plurality of revolutions, and

(iii) a first input feature, wherein the first input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the first input feature is configured to actuate the first drive assembly in response to movement of the movable output; and

(c) a second suturing cartridge, wherein the cartridge receiving assembly is operable to removably receive the second suturing cartridge, wherein the second suturing cartridge comprises;

(i) a second curved needle, wherein the second curved needle extends along an arc defined by a second radius of curvature, wherein the second radius of curvature is larger than the first radius of curvature,

(ii) a second drive assembly, wherein the second drive assembly is operable to drive the second curved needle along an orbital path through a plurality of revolutions, and

(iii) a second input feature, wherein the second input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the second input feature is configured to actuate the second drive assembly in response to movement of the movable output.

2. The surgical kit of claim 1, further comprising a clip applier cartridge, wherein the cartridge receiving assembly is operable to removably receive the clip applier cartridge, wherein the clip applier cartridge comprises:

(i) a clip, wherein the clip is configured to transition from an open configuration to a closed configuration, wherein the clip is configured to remain in the closed configuration upon transitioning from the open configuration to the closed configuration,

(ii) a third drive assembly, wherein the third drive assembly is operable to drive the clip from the open configuration to the closed configuration, and

(iii) a third input feature, wherein the third input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the third input feature is configured to actuate the third drive assembly in response to movement of the movable output.

6. The surgical kit of claim 2, wherein the third drive assembly comprises a pair of jaws and a collar, wherein the collar is configured to transition between a proximal position and a distal position, wherein the jaws are configured to close in response to longitudinal movement of the collar to thereby transition the clip from the open configuration to the closed configuration.

9. The surgical kit of claim 6, wherein the third drive assembly further comprises a rack and pinion assembly operable to drive the collar longitudinally.

11. The surgical kit of claim 2, wherein the clip applier cartridge further comprises a plurality of clips, wherein the third drive assembly is operable to drive a succession of the clips from the open configuration to the closed configuration.

12. The surgical kit of claim 11, wherein the clip applier cartridge further comprises a retainer, wherein the retainer is operable to selectively retain one or more of the clips as the third drive assembly drives the succession of clips from the open configuration to the closed configuration.

13. The surgical kit of claim 12, wherein the third drive assembly further comprises a pair of jaws, wherein the jaws are configured to close in response movement of the third input feature to thereby transition the clip from the open configuration to the closed configuration.

14. The surgical kit of claim 13, wherein the retainer is configured to reciprocate longitudinally in response to movement of the third input feature to thereby successively index the clips in the succession relative to the jaws.

15. The surgical kit of claim 14, wherein the clip applier cartridge further comprises a rack and pinion assembly, wherein the rack and pinion assembly is configured to reciprocate the retainer longitudinally in response to rotary movement of the third input feature.

16. The surgical kit of claim 1, further comprising a grasper cartridge, wherein the cartridge receiving assembly is operable to removably receive the grasper cartridge, wherein the grasper cartridge comprises:

(i) a pair of grasping jaws, wherein the grasping jaws are configured to transition from an open configuration to a closed configuration,

(ii) a third drive assembly, wherein the third drive assembly is operable to drive the grasping jaws from the open configuration to the closed configuration, and

(iii) a third input feature, wherein the third input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the third input feature is configured to actuate the third drive assembly in response to movement of the movable output.

17. The surgical kit of claim 16, wherein the third drive assembly comprises a pair of links pivotably coupled with the pair of grasping jaws, wherein the links are operable to drive the grasping jaws from the open configuration to the closed configuration, wherein each of the links has a distal end and a proximal end, wherein the third drive assembly further comprises an actuator, wherein the distal end of each of the links is pivotably secured to a proximal end of a corresponding grasping jaw of the pair of grasping jaws, wherein the proximal end of each of the links is pivotably coupled with the actuator, wherein the actuator is configured to translate longitudinally in response to rotation of the third input feature to thereby drive the links.

21. The surgical kit of claim 1, further comprising a scissor cartridge, wherein the cartridge receiving assembly is operable to removably receive the scissor cartridge, wherein the scissor cartridge comprises:

(i) a pair of scissor blades, wherein the scissor blades are configured to transition from an open configuration to a closed configuration,

(ii) a third drive assembly, wherein the third drive assembly is operable to drive the scissor blades from the open configuration to the closed configuration, and

(iii) a third input feature, wherein the third input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the third input feature is configured to actuate the third drive assembly in response to movement of the movable output.

23. The surgical kit of claim 1, further comprising a stapling cartridge, wherein the cartridge receiving assembly is operable to removably receive the stapling cartridge, wherein the stapling cartridge comprises:

(i) a plurality of staples,

(ii) a staple driver, wherein the staple driver is operable to drive the staples distally,

(iii) a third drive assembly, wherein the third drive assembly is operable to drive the staple driver distally, and

(iv) a third input feature, wherein the third input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the third input feature is configured to actuate the third drive assembly in response to movement of the movable output.

25. The surgical kit of claim 23, wherein the stapling cartridge further comprises:

(i) an anvil member, wherein the staple driver is configured to cooperate with the anvil member to deform the staples in response to distal movement of the staple driver, and

(ii) a guide member, wherein the guide member has an obliquely angled guide feature configured to guide a distal-most staple of the plurality of staples into engagement with the anvil member.

34. The surgical kit of claim 1, wherein the movable output feature is configured to rotate in response to activation of the actuation input feature.

35. The surgical kit of claim 34, wherein the shaft assembly defines a longitudinal axis, wherein the movable output feature is configured to rotate about a rotation axis that is perpendicular to the longitudinal axis of the shaft assembly.

36. The surgical kit of claim 35, wherein the first drive assembly comprises a first link operable to convert rotation of the first input feature into orbital motion of the first curved needle.

37. The surgical kit of claim 36, wherein the first link is operable to convert rotation of the first input feature into orbital motion of the first curved needle about an orbit axis, wherein the orbit axis is perpendicular to the longitudinal axis of the shaft assembly.

3-5. -5. (canceled)

7-8. -8. (canceled)

10. (canceled)

18-20. -20. (canceled)

22. (canceled)

24. (canceled)

26-33. -33. (canceled)

38. (canceled)

39. A surgical kit comprising:

(a) a surgical instrument, wherein the surgical instrument comprises;

(i) a body, wherein the body comprises an actuation input feature,

(ii) a shaft assembly extending distally from the body, and

(iii) a cartridge receiving assembly located at a distal end of the shaft assembly, wherein the cartridge receiving assembly comprises a movable output feature, wherein the movable output feature is configured to move in response to activation of the actuation input feature; and

(b) a clip applier cartridge, wherein the cartridge receiving assembly is operable to removably receive the clip applier cartridge, wherein the clip applier cartridge comprises;

(i) a clip, wherein the clip is configured to transition from an open configuration to a closed configuration, wherein the clip is configured to remain in the closed configuration upon transitioning from the open configuration to the closed configuration,

(ii) a drive assembly, wherein the drive assembly is operable to drive the clip from the open configuration to the closed configuration, and

(iii) an input feature, wherein the input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the input feature is configured to actuate the drive assembly in response to movement of the movable output.

40-42. -42. (canceled)

43. A surgical kit comprising:

(a) a surgical instrument, wherein the surgical instrument comprises;

(i) a body, wherein the body comprises an actuation input feature,

(ii) a shaft assembly extending distally from the body, and

(iii) a cartridge receiving assembly located at a distal end of the shaft assembly, wherein the cartridge receiving assembly comprises a movable output feature, wherein the movable output feature is configured to move in response to activation of the actuation input feature;

(b) at least two cartridges selected from the following cartridges;

(i) a first suturing cartridge, wherein the cartridge receiving assembly is operable to removably receive the first suturing cartridge, wherein the first suturing cartridge comprises;

(A) a first curved needle, wherein the first curved needle extends along an arc defined by a first radius of curvature,

(B) a first drive assembly, wherein the first drive assembly is operable to drive the first curved needle along an orbital path through a plurality of revolutions, and

(C) a first input feature, wherein the first input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the first input feature is configured to actuate the first drive assembly in response to movement of the movable output, and

(ii) a second suturing cartridge, wherein the cartridge receiving assembly is operable to removably receive the second suturing cartridge, wherein the second suturing cartridge comprises;

(A) a second curved needle, wherein the second curved needle extends along an arc defined by a second radius of curvature, wherein the second radius of curvature is larger than the first radius of curvature,

(B) a second drive assembly, wherein the second drive assembly is operable to drive the second curved needle along an orbital path through a plurality of revolutions, and

(C) a second input feature, wherein the second input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the second input feature is configured to actuate the second drive assembly in response to movement of the movable output,

(iii) a clip applier cartridge, wherein the cartridge receiving assembly is operable to removably receive the clip applier cartridge, wherein the clip applier cartridge comprises;

(A) a clip, wherein the clip is configured to transition from an open configuration to a closed configuration, wherein the clip is configured to remain in the closed configuration upon transitioning from the open configuration to the closed configuration,

(B) a third drive assembly, wherein the third drive assembly is operable to drive the clip from the open configuration to the closed configuration, and

(C) a third input feature, wherein the third input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the third input feature is configured to actuate the third drive assembly in response to movement of the movable output,

(iv) a grasper cartridge, wherein the cartridge receiving assembly is operable to removably receive the grasper cartridge, wherein the grasper cartridge comprises;

(A) a pair of grasping jaws, wherein the grasping jaws are configured to transition from an open configuration to a closed configuration,

(B) a fourth drive assembly, wherein the third drive assembly is operable to drive the grasping jaws from the open configuration to the closed configuration, and

(C) a fourth input feature, wherein the fourth input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the fourth input feature is configured to actuate the fourth drive assembly in response to movement of the movable output,

(v) a scissor cartridge, wherein the cartridge receiving assembly is operable to removably receive the scissor cartridge, wherein the scissor cartridge comprises;

(A) a pair of scissor blades, wherein the scissor blades are configured to transition from an open configuration to a closed configuration,

(B) a fifth drive assembly, wherein the third drive assembly is operable to drive the scissor blades from the open configuration to the closed configuration, and

(C) a fifth input feature, wherein the fifth input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the fifth input feature is configured to actuate the fifth drive assembly in response to movement of the movable output, and

(vi) a stapling cartridge, wherein the cartridge receiving assembly is operable to removably receive the stapling cartridge, wherein the stapling cartridge comprises;

(A) a plurality of staples,

(B) a staple driver, wherein the staple driver is operable to drive the staples distally,

(C) a third drive assembly, wherein the third drive assembly is operable to drive the staple driver distally, and

(D) a third input feature, wherein the third input feature is configured to couple with the movable output of the cartridge receiving assembly, wherein the third input feature is configured to actuate the third drive assembly in response to movement of the movable output.