Electro-mechanical surgical instrument with closure system and anvil alignment components

• US 7,464,849 B2
• Filed: 01/31/2006
• Issued: 12/16/2008
• Est. Priority Date: 01/31/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Timperman, Eugene L., Balek, Stephen J.
• Primary Examiner(s): Nash; Brian D
• Application Number:
  US11/344,021
• Publication Number:
  US 20070175961A1
• Time in Patent Office: 1,050 Days
• Field of Search: 227/178.1, 227/179.1, 227/19, 227/181.1
• US Class Current: 227/178.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/0038 Simultaneous actuation of two tools by pushing one button or the like
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/0688 Packages or dispensers for surgical staplers
• CPC Class Codes: A61B 2017/07285 characterised by its cutter

Abstract

A surgical instrument. Various embodiments relate to a surgical cutting and fastening instrument that has an end effector with an anvil that can pivot between open and closed positions relative to an elongate channel that can support a staple cartridge therein. The anvil may be opened and closed by a drive system. Various embodiments employ a powered drive system for opening and closing the anvil and powering a knife and staple drive assembly used to cut tissue and deploy the staples in the cartridge. Other embodiments employ a mechanical system to open and close the anvil and employ a powered system to power the knife and staple drive assembly. In various embodiments, the drive assembly serves to axially and laterally align anvil relative to the elongate channel. The anvil is constructed to move in a substantially parallel path relative to the elongate channel during closing.

Claims

1. A surgical cuffing and fastening instrument comprising:

a control handle;

an elongate channel coupled to said control handle and sized to support a cartridge therein, said elongate channel defining a longitudinal axis;

an anvil having a pair of trunnions protruding therefrom, each said trunnion received in a corresponding elongate pivot hole formed in said elongate channel to pivotally couple said anvil to said elongate channel, said trunnions defining a pivot axis that is substantially transverse to said longitudinal axis, said elongate pivot holes sized relative to said trunnions to facilitate axial travel of said pivot axis within said elongate pivot holes and such that said anvil is selectively pivotable between open and closed positions relative to said elongate channel;

a drive system operably supported in said elongate channel; and

a closure nut movably supported in said channel and responsive to separate opening and closing motions from said drive system, said closure nut configured to coact with said anvil such that upon receiving a closing motion from said drive system, said closure nut pulls the entire said anvil relative to said elongate channel to cause said anvil to close and axially move to an aligned position relative to said elongate channel and upon application of an opening motion to said closure nut, said closure nut causes said anvil to move to an open position relative to said elongate channel.

2. The surgical cutting and fastening instrument of claim 1 wherein as said anvil is pulled to said closed position, a bottom surface of said anvil is maintained in a substantially parallel position relative to a top surface of a cartridge seated in said elongate channel.

3. The surgical cuffing and fastening instrument of claim 1 wherein said closure nut is threaded onto a rotary drive member that is operably supported in said elongate channel, said rotary drive member controlled by a control system in said control handle.

4. The surgical cuffing and fastening instrument of claim 1 further comprising tissue stops on said anvil, said tissue stops coacting with said elongate channel to laterally align said anvil thereon as said anvil is moved to said closed position.

5. The surgical cuffing and fastening instrument of claim 1 further comprising a knife assembly operably supported within said elongate channel and coupled to said drive system for receiving control motions therefrom.

6. The surgical cuffing and fastening instrument of claim 5 wherein said knife assembly is threaded on a knife screw that is rotatably supported within said elongate channel and coupled to said drive system for receiving rotary driving motions therefrom.

7. The surgical cuffing and fastening instrument of claim 6 wherein said drive system comprises:

a drive shaft configured to receive rotary motion from a motor in said control handle;

a gear assembly coupled to said drive shaft and knife screw to transmit rotary motion from said drive shaft to said knife screw.

8. The surgical cuffing and fastening instrument of claim 7 wherein said gear assembly comprises:

a drive gear engagably and disengagably journaled on said drive shaft; and

a transfer gear in meshing engagement with said drive gear and a knife screw gear on said knife screw.

9. The surgical cuffing and fastening instrument of claim 8 wherein said closure nut is threadably receiving on a closure thread formed on said drive shaft such that upon rotation of said drive shaft in a first direction, said closure nut moves in a proximal direction to pull said anvil to said closed position and upon rotation of said drive shaft in a second direction, said closure threaded moves in a distal direction to open said anvil.

10. The surgical cuffing and fastening instrument of claim 9 further comprising a clutch assembly movably received on said drive shaft and having said drive gear attached thereto, said clutch assembly selectively engagable with said drive shaft for rotatable travel therewith upon contact by said closure nut when said closure nut is moved proximally to close said anvil and to rotatably disengage said drive shaft upon when said closure nut has moved distally to cause said anvil to open.

11. The surgical cuffing and fastening instrument of claim 10 wherein said clutch assembly comprises:

a tapered clutch member movably received on said drive shaft, said tapered clutch member having a series of male splines therein oriented to engage and disengage a series of female splines on said drive shaft, said tapered clutch member supporting said drive gear thereon;

a clutch plate received on said tapered clutch member and being movable between an engaged position wherein said clutch plate urges said male splines of said tapered clutch member into meshing engagement with said female splines on said drive shaft and a disengaged position wherein said male splines on said tapered clutch member are not engaged with said female splines on said drive shaft;

a spring between said tapered clutch member and said clutch plate to bias said clutch plate to said disengaged position; and

a thrust bearing on said drive shaft between said clutch plate and said closure nut.

12. The surgical cuffing and fastening instrument of claim 1 wherein each of said elongate pivot holes have a proximal end portion and a distal end portion opposite to said distal end portion, said trunnion tabs contacting said proximal end portions of said corresponding elongate pivot holes to axially align said anvil on said elongate channel.

13. The surgical cuffing and fastening instrument of claim 1 wherein said oversized pivot holes are oval-shaped.

14. A surgical cutting and fastening instrument comprising:

a control handle;

an elongate channel coupled to said control handle and sized to support a cartridge therein;

an anvil having a pair of trunnions protruding therefrom, each said trunnion received in a corresponding elongate pivot hole formed in said elongate channel to pivotally couple said anvil to said elongate channel, said trunnions defining a pivot axis about which said anvil may selectively pivot relative to said elongate channel between open and closed positions, said elongate pivot holes sized relative to said trunnions to facilitate axial travel of said pivot axis within said elongate pivot holes; and

a closure wedge supported on a drive member that operably extends into a portion of said elongate channel and being configured to coact with said anvil, said drive member controlled by a control system in said control handle and being axially movable relative to said elongate channel such that upon application of a closing motion to said drive member, said drive member causes said closure wedge to pull the entire- said anvil relative to said elongate channel to cause said anvil to move to a closed position wherein said anvil is aligned relative to said elongate channel and upon application of an opening motion to said drive member said closure wedge causes said anvil to move to an open position relative to said elongate channel.

15. The surgical cutting and fastening instrument of claim 14 wherein said drive member axially moves in a proximal direction upon application of said closing motion thereto and wherein said drive member axially moves in a distal direction upon application of said opening motion thereto.

16. The surgical cutting and fastening instrument of claim 15 further comprising a knife assembly operably supported within said elongate channel and coupled to drive member such that upon application of a first rotary motion to said drive member by said control system, said drive member causes said knife assembly to be driven in said distal direction within said elongate channel and upon application of a second rotary motion to said drive member by said control system, said drive member causes said knife assembly to be driven proximally in said elongate channel.

17. The surgical cutting and fastening instrument of claim 16 wherein said knife assembly is movably supported on an elongated knife screw rotatably supported within said elongate channel and wherein said drive member further comprises a drive gear on said drive member oriented to transmit rotation to said knife screw upon application of said closure force to said drive member to cause said drive member to axially move to a closed position.

18. The surgical cutting and fastening instrument of claim 17 further comprising:

a knife screw gear on said knife screw; and

a transfer gear in meshing engagement with said knife screw gear and oriented for selective meshing engagement with said drive gear when said drive member has moved to said closed position.

19. The surgical cutting and fastening instrument of claim 14 further comprising a closure actuator on said control handle and operably coupled to said drive member such that upon movement of said closure actuator to a closed position, said drive member is moved in a proximal direction to apply a pulling force to said closure wedge and upon movement of said closure actuator to an open position, said drive member is moved in a distal direction to cause said closure wedge to open said anvil.

20. A surgical cuffing and fastening instrument comprising:

control means;

means for supporting a cartridge, said means for supporting attached to said control means;

an anvil having a pair of trunnions protruding therefrom, each said trunnion received in a corresponding elongate pivot hole formed in said means for supporting to pivotally couple said anvil to said means for supporting, said trunnions defining a pivot axis that is substantially transverse to said longitudinal axis, said elongate pivot holes sized relative to said trunnions to facilitate axial travel of said pivot axis within said elongate pivot holes such that the entire said anvil is axially and laterally movable relative to said means for supporting and selectively pivotable between open and closed positions relative to said means for supporting; and

drive means supported in said means for supporting, said drive means selectively pulling the entire said anvil relative to said elongate channel to cause said anvil to close and move to an aligned position relative to said means for supporting and selectively applying an opening force to said anvil to cause said anvil to move to an open position relative to said means for supporting.

21. A surgical cuffing and fastening instrument comprising:

a control handle;

an elongate channel coupled to said control handle and sized to support a cartridge therein, said elongate channel having a pair of oversized pivot holes defined therein;

an anvil pivotally coupled to said elongate channel within said oversized pivot holes such that the entire said anvil is axially and laterally movable relative to said elongate channel and selectively pivotable between open and closed positions relative to said elongate channel;

a drive shaft configured to receive rotary motion from a motor in said control handle;

a drive gear engagably and disengagably journaled on said drive shaft;

a knife assembly threaded on a knife screw that is rotatably supported within said elongate channel;

a transfer gear in meshing engagement with said drive gear and a knife screw gear on said knife screw; and

a closure nut movably supported in said channel and responsive to separate opening and closing motions from said drive system, said closure nut configured to coact with said anvil such that upon receiving a closing motion from said drive system, said closure nut pulls the entire said anvil relative to said elongate channel to cause said anvil to close and axially move to an aligned position relative to said elongate channel and upon application of an opening motion to said closure nut, said closure nut causes said anvil to move to an open position relative to said elongate channel.

22. The surgical cuffing and fastening instrument of claim 21 wherein said closure nut is threadably receiving on a closure thread formed on said drive shaft such that upon rotation of said drive shaft in a first direction, said closure nut moves in a proximal direction to pull said anvil to said closed position and upon rotation of said drive shaft in a second direction, said closure threaded moves in a distal direction to open said anvil.

23. The surgical cuffing and fastening instrument of claim 22 further comprising a clutch assembly movably received on said drive shaft and having said drive gear attached thereto, said clutch assembly selectively engagable with said drive shaft for rotatable travel therewith upon contact by said closure nut when said closure nut is moved proximally to close said anvil and to rotatably disengage said drive shaft upon when said closure nut has moved distally to cause said anvil to open.

24. The surgical cuffing and fastening instrument of claim 23 wherein said clutch assembly comprises:

a tapered clutch member movably received on said drive shaft, said tapered clutch member having a series of male splines therein oriented to engage and disengage a series of female splines on said drive shaft, said tapered clutch member supporting said drive gear thereon;

a clutch plate received on said tapered clutch member and being movable between an engaged position wherein said clutch plate urges said male splines of said tapered clutch member into meshing engagement with said female splines on said drive shaft and a disengaged position wherein said male splines on said tapered clutch member are not engaged with said female splines on said drive shaft;

a spring between said tapered clutch member and said clutch plate to bias said clutch plate to said disengaged position; and

a thrust bearing on said drive shaft between said clutch plate and said closure nut.

25. A surgical cuffing and fastening instrument comprising:

a control handle;

an elongate channel coupled to said control handle and sized to support a cartridge therein, said elongate channel having a pair of oversized pivot holes defined therein;

an anvil pivotally coupled to said elongate channel within said oversized pivot holes such that said anvil is axially and laterally movable relative to said elongate channel and selectively pivotable between open and closed positions relative to said elongate channel; and

a closure wedge supported on a drive member that operably extends into a portion of said elongate channel and being configured to coact with said anvil, said drive member controlled by a control system in said control handle and being axially movable relative to said elongate channel such that upon application of a closing motion to said drive member, said drive member axially moves in a proximal direction to cause said closure wedge to apply a pulling force to said anvil to cause said anvil to move to a closed position wherein said anvil is aligned relative to said elongate channel and, upon application of an opening motion to said drive member, said closure wedge causes said anvil to move to an open position relative to said elongate channel;

a knife assembly movably supported on an elongated knife screw rotatably supported within said elongate channel;

a drive gear on said drive member oriented to transmit rotation to said knife screw upon application of said closure force to said drive member to cause said drive member to axially move to a closed position,

a knife screw gear on said knife screw; and

a transfer gear in meshing engagement with said knife screw gear and oriented for selective meshing engagement with said drive gear when said drive member has moved to said closed position.

26. A surgical cutting and fastening instrument comprising:

a control handle;

an elongate channel coupled to said control handle and sized to support a cartridge therein, said elongate channel defining a longitudinal axis;

an anvil having a pair of trunnions protruding therefrom, each said trunnion received in a corresponding elongate pivot hole formed in said elongate channel to pivotally couple said anvil to said elongate channel, said trunnions defining a pivot axis that is substantially transverse to said longitudinal axis, said elongate pivot holes sized relative to said trunnions to facilitate axial travel of said pivot axis within said elongate pivot holes and said anvil is selectively pivotable between open and closed positions relative to said elongate channel; and

a drive system operably supported in said elongate channel and configured to selectively apply separate opening and closing motions to said anvil such that, upon receiving a closing motion from said drive system, said anvil is caused to close and axially move to an aligned position relative to said elongate channel and upon application of said opening motion to anvil, said anvil is caused to move to an open position relative to said elongate channel.

27. A surgical cutting and fastening instrument comprising:

a control handle;

an elongate channel coupled to said control handle and sized to support a cartridge therein, said elongate channel having a pair of oversized pivot holes defined therein;

an anvil pivotally coupled to said elongate channel by a pair of trunnion tabs formed on a proximal end of said anvil and received within corresponding said oversized pivot holes in said elongate channel such that said trunnion tabs are axially and laterally movable therein and said anvil is axially and laterally movable relative to said elongate channel and selectively pivotable between open and closed positions relative to said elongate channel;

a drive system operably supported in said elongate channel; and

a closure nut movably supported in said channel and responsive to separate opening and closing motions from said drive system, said closure nut configured to coact with said anvil such that upon receiving a closing motion from said drive system, said closure nut pulls said anvil to cause said anvil to close and axially move to an aligned position relative to said elongate channel and upon application of an opening motion to said closure nut, said closure nut causes said anvil to move to an open position relative to said elongate channel.