Surgical instrument

• US 5,673,840 A
• Filed: 10/02/1996
• Issued: 10/07/1997
• Est. Priority Date: 12/19/1994
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Schulze, Dale R., Zeiner, Mark S., Fox, William D., Setser, Michael E., Wales, Kenneth S., Paraschac, Joseph
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US08/725,682
• Time in Patent Office: 370 Days
• Field of Search: 227/175.1, 227/176.1, 227/178.1, 227/19, 227/179.1, 128/4
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• 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 2017/2905 flexible
• CPC Class Codes: A61B 2017/2913 cams or guiding means
• 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 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking

Abstract

A surgical instrument for performing endoscopic surgical procedures. In one embodiment, the instrument includes a knife that remains unexposed until initiation of a cutting sequence, and returns to an unexposed position at the conclusion of the cutting sequence, minimizing the risk of injury to the person handling the instrument. In another embodiment, the instrument includes a flexible neck for articulating a surgical head assembly with respect to the shaft of the instrument. In another embodiment, a device for locking the articulated head at an angle of articulation is provided. In yet another embodiment, a mechanism for opening and closing an anvil assembly is disclosed.

Claims

1. An articulatable surgical instrument having a handle with a shaft connected thereto, said shaft having a head assembly including a surgical component articulatably mounted to the distal end thereof via flexible neck means, said flexible neck means comprising a flexible material having at least one axial kerf therein enabling said flexible material to bend along said at least one kerf, said articulatable surgical instrument further including articulation means proximate said handle for remotely articulating said head assembly along one or more bend radii defined by said flexible neck means.

2. The articulatable surgical instrument of claim 1, wherein said flexible neck includes a plurality of said kerfs and a plurality of ribs separating said kerfs.

3. The articulatable surgical instrument of claim 2, wherein said kerfs and ribs are equally spaced along said flexible neck means.

4. The articulatable surgical instrument of claim 2, wherein said kerfs comprise annular grooves in said flexible neck means.

5. The articulatable surgical instrument of claim 2, wherein said kerfs comprise herringbone-shaped grooves in said flexible neck means.

6. The articulatable surgical instrument of claim 2, wherein said kerfs and ribs are unequally spaced along said flexible neck means, thereby dictating the bend radii of said flexible neck means.

7. The articulatable surgical instrument of claim 1, wherein said flexible material is selected from the consisting of polycarbonate, nylon, high density polyethylene, rubber, neoprene, polyester, polytetrafluoroethylene, polypropylene, polyetherimide, and polyvinyl chloride.

8. The articulatable surgical instrument of claim 1, wherein said articulation means comprises actuation means proximate said handle and force transfer means connecting said actuation means to said head assembly.

9. The articulatable surgical instrument of claim 8, wherein said force transfer means comprises at least one flexible member connected at a distal end to said head assembly at a point spaced from an axis of said head assembly.

10. The articulatable surgical instrument of claim 9, wherein said at least one flexible member is slideably received through said flexible neck means.

11. The articulatable surgical instrument of claim 10, wherein said at least one flexible member is selected from the group consisting of rods, bands, ribbons, straps, cables, chains, and wire.

12. The articulatable surgical instrument of claim 9, including two said flexible members, a first flexible member articulating said head assembly in a first direction, and a second flexible member articulating said head assembly in a second direction opposite said first direction.

13. The articulatable surgical instrument of claim 10, wherein said at least one flexible member comprises a ribbon fastened at a distal end to a proximal end of said head assembly, and fastened at a proximal end to a rigid pusher rod, said rigid pusher rod being fastened at a proximal end to said actuation means, said actuation means comprising means for pushing and pulling said pusher rod with respect to said shaft.