Surgical instrument with articulating shaft with rigid firing bar supports

• US 7,455,208 B2
• Filed: 09/29/2005
• Issued: 11/25/2008
• Est. Priority Date: 02/18/2005
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Wales, Kenneth S.
• Primary Examiner(s): Rada; Rinaldi I.
• Assistant Examiner(s): LOW, LINDSAY M
• Application Number:
  US11/238,358
• Publication Number:
  US 20060190031A1
• Time in Patent Office: 1,153 Days
• Field of Search: 2271751-1821, 227/19
• US Class Current: 227/178.1
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft

Abstract

A surgical stapling and severing instrument particularly suited to endoscopic use includes a proximal portion that is manipulated external to a patient to position an attached elongate shaft and end effector to a desired surgical site inside of the patient. An articulation joint pivotally attaches the end effector to the elongate shaft to give further clinical flexibility in reaching tissue at a desired angle. A firing bar translates within the elongate shaft and articulates through the articulation joint with a reduced force to fire, supported within a knife slot formed in a link that pivots at both ends, thereby reducing the radius of curvature of the firing bar by half at a particular location. One version includes a link that connects across portions of a closure sleeve assembly and another version includes a link that connects proximal and frame ground portions.

Claims

1. An articulating surgical instrument, comprising:

a handle;

a shaft extending distally from the handle and defining a longitudinal axis;

an end effector moveably attached to a distal end of the shaft, the end effector moveable through an articulation angle from a first position in alignment with the longitudinal axis to a second position at an angle with the longitudinal axis;

a bendable firing member extending from the handle to the end effector for actuation of the end effector, the bendable firing member moveable proximally and distally within the surgical instrument; and

a link member moveably connected to the end effector and the shaft, the link member moving to a link angle relative to the longitudinal axis in response to articulating movement of the end effector and including a link slot to support at least a portion of the bendable firing member between the shaft and the end effector at any articulation angle;

a single pivot proximal frame ground member located within the shaft and rotatably attached to the handle and pivotally attached to the end effector at a single pivot, the single pivot proximal frame ground member including a guide slot for the bendable firing member; and

wherein the shaft further comprises an articulating sleeve assembly having a proximal closure tube portion longitudinally moveable distally and proximally over the single pivot frame ground member, the articulating sleeve assembly further comprising a distal tube portion movable distally and proximally over the end effector, and at least one closure link pivotally connecting the proximal tube portion to the distal tube portion and movable distally and proximally over the single pivot, the at least one closure link distally pivotally attached to the distal tube portion and proximally pivotally attached to the proximal tube portion.

2. The surgical instrument of claim 1 wherein the link angle is less than the articulation angle when the end effector is at an articulation angle away from the longitudinal axis.

3. The surgical instrument of claim 2 wherein the link angle comprises a range between 90 percent of the articulation angle and 10 percent of the articulation angle.

4. The surgical instrument of claim 1 wherein the articulation angle comprises a range of between 0 degrees and 90 degrees to a selected side of the shaft.

5. The surgical instrument of claim 1 wherein the link member is pivotally connected to at least one of the shaft and the end effector.

6. The surgical instrument of claim 1 wherein the link member is pivotally connected to a selected one of a group consisting of the shaft and the end effector and slidably connected to the other one of the group.

7. The surgical instrument of claim 1 wherein the bendable firing member has a generally rigid proximal portion and a generally rigid distal portion and a bendable portion passing through the link slot of the link member.

8. The surgical instrument of claim 7 wherein the bendable portion of the firing member is a spring.

9. The surgical instrument of claim 1 wherein the firing member is a spring.

10. The surgical instrument of claim 1, wherein when the end effector is articulated to an articulation angle, the link member bends the firing member through a first angle between the shaft and the link member and a second angle between the link member and the end effector, the sum of the first and the second angles being generally equal to the articulation angle.

11. The surgical instrument of claim 1, wherein when the end effector is articulated to an articulation angle, the link member forms a guide path that guides the firing member through at least two angles.

12. The surgical instrument of claim 1, wherein the link member comprises a resilient material.

13. The surgical instrument of claim 1, wherein the link member comprises a rigid material.

14. An articulating surgical instrument, comprising:

a handle;

a shaft extending distally from the handle and defining a longitudinal axis;

an end effector moveably attached to a distal end of the shaft, the end effector moveable through an articulation angle from a first position in alignment with the longitudinal axis to a second position at an angle with the longitudinal axis;

a bendable firing member for actuation of the end effector, the bendable firing member extending from the handle to the end effector and moveable proximally and distally;

a link member moveably connected to the end effector and the shaft, the link member moving to a link angle relative to the longitudinal axis in response to movement of the end effector and including a link slot to support at least a portion of the bendable firing member between the shaft and the end effector at any articulation angle;

a single pivot proximal frame ground member located within the shaft and rotatably attached to the handle and pivotally attached to the end effector at a single pivot, the single pivot proximal frame ground member including a guide slot for the bendable firing member; and

wherein the shaft further comprises an articulating sleeve assembly having a proximal closure tube portion longitudinally moveable distally and proximally over the single pivot frame ground member, the articulating sleeve assembly further comprising a distal tube portion movable distally and proximally over the end effector, and at least one closure link pivotally connecting the proximal tube portion to the distal tube portion and movable distally and proximally over the single pivot, the at least one closure link distally pivotally attached to the distal tube portion and proximally pivotally attached to the proximal tube portion.

15. The surgical instrument of claim 14, the end effector further comprising a single pivot distal frame ground pivotally attached to the single pivot proximal frame ground member and fixedly attached to a channel.

16. The surgical instrument of claim 15, the single pivot distal frame ground including a distal guide slot for reception of the bendable firing member.

17. The surgical instrument of claim 14, the end effector further comprising a channel and an anvil, the channel fixedly attached to the single pivot distal frame ground pivotally and the anvil moveably attached to the end effector, the anvil moveable from an open position away from the channel to a closed position adjacent to the channel.

18. The surgical instrument of claim 17, further comprising a staple cartridge received within the end effector responsive to the distal movement of the firing member, and wherein the end effector further comprises an anvil presenting a staple forming surface.

19. The surgical instrument of claim 14, wherein the link member comprises a resilient material.

20. The surgical instrument of claim 14, wherein the link member comprises a rigid material.

21. The surgical instrument according to claim 14, further comprising a closure trigger attached to the handle and operatively coupled to the articulating sleeve assembly to effect distal and proximal movement thereof.

22. The surgical instrument according to claim 17, further comprising a closure trigger attached to the handle and operatively coupled to the articulating closure sleeve to effect closure movement of the anvil.

23. A surgical instrument, comprising:

a handle;

a shaft extending distally from the handle and defining a longitudinal axis;

an end effector moveably attached to a distal end of the shaft, the end effector moveable through an articulation angle from a first position in alignment with the longitudinal axis to a second position at an angle with the longitudinal axis;

a bendable firing member extending from the handle to the end effector for actuation of the end effector, the bendable firing member moveable proximally and distally;

a link member moveably connected to the end effector and the shaft, the link member including a link slot;

a single pivot proximal frame ground member located within the shaft and rotatably attached to the handle and pivotally attached to the end effector at a single pivot, the single pivot proximal frame ground member including a guide slot for the bendable firing member; and

wherein the shaft further comprises an articulating sleeve assembly having a proximal closure tube portion longitudinally moveable distally and proximally over the single pivot frame ground member, the articulating sleeve assembly further comprising a distal tube portion movable distally and proximally over the end effector, and at least one closure link pivotally connecting the proximal tube portion to the distal tube portion and movable distally and proximally over the single pivot, the at least one closure link distally pivotally attached to the distal tube portion and proximally pivotally attached to the proximal tube portion; and

an articulation mechanism operably coupled to the end effector and the link member wherein actuation of the articulation mechanism moves the end effector through an articulation angle and moves the link member and a portion of the bendable firing member located within the link member to a link angle away from the longitudinal axis.

24. The surgical instrument of claim 23 wherein the link angle is less than the articulation angle when the end effector is at an articulation angle away from the longitudinal axis.

25. The surgical instrument of claim 24 wherein the link angle is between 90 percent of the articulation angle and 10 percent of the articulation angle.

26. The surgical instrument of claim 23 wherein the articulation angle comprises a range between 0 degrees and 90 degrees to a selected side of the shaft.

27. The surgical instrument of claim 23 wherein the link member is pivotally connected to at least one of the shaft and the end effector.

28. The surgical instrument of claim 23 wherein the link member is pivotally connected to one of the shaft or the end effector and slidably connected to the other.

29. The surgical instrument of claim 23 wherein the bendable firing member has a generally rigid proximal portion and a generally rigid distal portion and a bendable portion passing through the link slot of the link member.

30. The surgical instrument of claim 23 wherein the bendable portion of the firing member is a spring.

31. The surgical instrument of claim 23 wherein the firing member is a spring.

32. The surgical instrument of claim 23 wherein when the end effector is articulated to an articulation angle, the rigid link member bends the firing member through a first angle between the shaft and the link member and a second angle between the link member and the end effector, the sum of the first and the second angles being generally equal to the articulation angle.

33. The surgical instrument of claim 23 wherein when the end effector is articulated to an articulation angle, the link member forms a guide path that guides the firing member through at least two angles.

34. A surgical instrument, comprising:

a handle;

a shaft extending distally from the handle and defining a longitudinal axis;

an end effector moveably attached to a distal end of the shaft, the end effector moveable through an articulation angle from a first position in alignment with the longitudinal axis to a second position at an angle with the longitudinal axis;

a bendable firing member extending from the handle to the end effector and moveable proximally and distally from the handle;

a link member moveably connected to the end effector and the shaft, the link member moving to a link angle relative to the longitudinal axis in response to movement of the end effector and configured to support at least a portion of the bendable firing member bar between the shaft and the end effector at any articulation angle;

a single pivot proximal frame ground member rotatably attached to the handle and pivotally attached to the end effector, the frame ground forming a single pivot frame ground member to rotatably and moveably attach the end effector to the handle; and

wherein the shaft further comprises an articulating sleeve assembly having a proximal closure tube portion longitudinally moveable distally and proximally over the single pivot frame ground member, the articulating sleeve assembly further comprising a distal tube portion movable distally and proximally over the end effector, and a flexible portion connecting the distal and proximal closure tube portions and movable distally and proximally over the single pivot.

35. The surgical instrument of claim 34, the end effector further comprising a single pivot distal frame ground pivotally attached to the single pivot proximal frame ground member and fixedly attached to a channel.

36. The surgical instrument of claim 35, the single pivot distal frame ground including a distal guide slot for reception of the bendable firing member.

37. The surgical instrument of claim 34, the end effector further comprising a channel and an anvil, the channel fixedly attached to the single pivot distal frame ground pivotally and the anvil moveably attached to the end effector, the anvil moveable from an open position away from the channel to a closed position adjacent to the channel.

38. The surgical instrument of claim 37, further comprising a staple cartridge received within the end effector responsive to the distal movement of the firing member, and wherein the end effector further comprises an anvil presenting a staple forming surface.

39. The surgical instrument of claim 34, wherein the link member comprises a resilient material.

40. The surgical instrument of claim 34, wherein the link member comprises a rigid material.

41. The surgical instrument according to claim 34, further comprising a closure trigger attached to the handle and operatively coupled to the articulating sleeve to effect distal to proximal movement thereof.

42. The surgical instrument according to claim 37, further comprising a closure trigger attached to the handle and operatively coupled to the articulating sleeve to effect closure movement of the anvil.