Surgical instrument having an articulating end effector

• US 7,670,334 B2
• Filed: 01/10/2006
• Issued: 03/02/2010
• Est. Priority Date: 01/10/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Siebenaler, Douglas Jon, Hogue, Kenneth Edward, Hueil, Joseph Charles, Hueil, Geoffrey C.
• Primary Examiner(s): Manahan; Todd E
• Assistant Examiner(s): HORNBERGER, JENNIFER LEA
• Application Number:
  US11/329,020
• Publication Number:
  US 20070158385A1
• Time in Patent Office: 1,512 Days
• Field of Search: 606/51, 606/52, 606/205, 606/1, 606139-142, 600/104, 600/141, 600/142, 227/175.1, 227/176.1
• US Class Current: 606/1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2919 details of linkages or pivot points
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments

Abstract

An articulating surgical instrument is shown, which comprises a shaft and an end effector. The shaft has a longitudinal axis, and the end effector is operationally coupled, preferably mechanically coupled, to the shaft at an articulation pivot. The instrument also comprises a first band, and in some embodiments, a second band, each operationally connected to the end effector and extending through at least a portion of the shaft. An articulation control applies a force in a direction substantially transverse to the longitudinal axis, wherein the force, when applied in one direction, is translated through the first band to the end effector to effect rotation of the end effector relative to the shaft about the articulation pivot in a first rotational direction, and when the force is applied in the opposite direction, is translated through the second band to the end effector to effect rotation of the end effector relative to the shaft about the articulation pivot in a second rotational direction.

Claims

1. An articulating surgical instrument, the instrument comprising:

a shaft having a longitudinal axis;

an end effector operationally coupled to the shaft at an articulation pivot, wherein the end effector comprises a boss centered on the articulation pivot;

a first band operationally connected to the end effector and extending through at least a portion of the shaft, wherein the first band is mechanically coupled to the end effector at a first point of the boss that is offset from the articulation pivot such that force translated through the first band is translated to the boss to effect rotation of the boss about the articulation pivot; and

an articulation control, wherein the articulation control comprises an articulation slide that is movable substantially perpendicularly across the shaft for applying a force in a direction substantially perpendicular to the longitudinal axis, said articulation slide being operationally connected to the first band such that application of the force is translated through the first band to the end effector to effect rotation of the end effector relative to the shaft about the articulation pivot.

2. The instrument of claim 1, wherein the articulation control is structured for movement in a first direction for applying the force in a first direction to effect rotation of the end effector in a first rotational direction relative to the shaft.

3. The instrument of claim 2, wherein the articulation control is structured for movement in a second direction for applying the force in a second direction, opposite to the first direction, to effect rotation of the end effector in a second rotational direction relative to the shaft.

4. The instrument of claim 2, further comprising a second band operationally connected to and extending from the end effector through at least a portion of the shaft, the articulation control being operationally connected to the second band such that application of the force is translated through the second band to the end effector to effect rotation of the end effector in a second rotational direction relative to the shaft.

5. The instrument of claim 4, wherein the articulation slide is movable transversely across the shaft to first, second and neutral positions.

6. The instrument of claim 5, wherein the slide is movable transversely across the shaft to third and fourth positions.

7. The instrument of claim 5, wherein the first band and the second band are pre-bent toward the longitudinal axis when the articulation control is in the neutral position.

8. The instrument of claim 5, wherein the articulation slide defines a slot positioned at about the longitudinal axis when the articulation slide is in the neutral position and wherein the first band and the second band pass through the slot and the articulation slide is positioned offset from the longitudinal axis when the articulation slide is in one of the first and the second positions.

9. The instrument of claim 1, further comprising a first distal member, wherein the first band is routed from the end effector around the first distal member.

10. The instrument of claim 9, further comprising a second band operationally connected to and extending from the end effector through at least a portion of the shaft, and a second distal member, wherein the second band is routed from the end effector around the second distal member.

11. The instrument of claim 1, wherein the articulation slide contacts the first band during at least a portion of the range of motion of the articulation slide.

12. The instrument of claim 1, wherein the force is applied to the first band.

13. The instrument of claim 1, further comprising a second band operationally connected to and extending from the end effector through at least a portion of the shaft, wherein the articulation control is operationally connected to the second band, wherein the second band is mechanically coupled to the boss such that force applied to the second band is translated to the boss to effect rotation of the boss about the articulation pivot.

14. The instrument of claim 13, wherein the second band is mechanically coupled to the boss at a second point offset from the articulation pivot and spaced from the first point.

15. The instrument of claim 1, further comprising a handle mechanically connected to the shaft.

16. The instrument of claim 1, further comprising a second band operationally connected to and extending from the end effector through at least a portion of the shaft, and wherein the second band comprises a spring assembly allowing the second band to lengthen in response to tension.

17. The instrument of claim 16, wherein the first band further comprises a spring assembly allowing the first band to lengthen a fixed distance in response to tension.

18. The instrument of claim 16, wherein the first band and the second band are operationally connected to the articulation control at points offset from the longitudinal axis of the shaft.

19. The instrument of claim 16, wherein the second band is configured to receive a second force in a direction substantially transverse to the longitudinal axis, wherein the second force is translated through the second band to the end effector to effect rotation of the end effector relative to the shaft about the articulation pivot in a second direction.

20. An articulating surgical instrument, the instrument comprising:

a shaft having a proximal end and a distal end, and a longitudinal axis;

an end effector pivotally coupled to the shaft at an articulation pivot at the distal end of the shaft allowing the end effector to pivot relative to the shaft about an articulation axis, wherein the end effector comprises a boss centered on the articulation pivot;

a first band extending through at least a portion of the shaft, the first band comprising a first end mechanically coupled to the end effector at a point offset from the articulation axis, wherein the first band is mechanically coupled to the end effector at a first point of the boss that is offset from the articulation pivot such that force translated through the first band is translated to the boss to effect rotation of the boss about the articulation pivot;

an articulation control bar movable substantially perpendicularly across the shaft towards the first band for applying a force in a direction substantially perpendicular to the longitudinal axis.

21. The instrument of claim 20, further comprising a handle mechanically coupled to the shaft at the proximal end of the shaft.

22. The instrument of claim 20, further comprising a distal member positioned in the shaft, wherein the first band is routed to the end effector around the distal member.

23. The instrument of claim 20, further comprising a second band extending through at least a portion of the shaft, the second band comprising a first end mechanically coupled to the end effector at a second point offset from the articulation axis.

24. The instrument of claim 23, wherein the first band and the second band are pre-bent.

25. A method of operating a surgical instrument, wherein the surgical instrument comprises:

a shaft;

an end effector comprising a boss mechanically coupled to the shaft at an articulation pivot allowing the end effector to pivot relative to the shaft about an articulation axis;

a first band extending through at least a portion of the shaft, the first band comprising a first end mechanically coupled to the boss of the end effector at a point offset from the articulation axis; and

an articulation slide movable substantially perpendicularly to the shaft, the method for operating the instrument comprising;

applying a force to the articulation slide in a direction that is substantially perpendicular to the shaft, wherein the force causes the articulation slide to contact the first band, causing the first band to bend, and wherein the bending of the first band causes the end effector to pivot relative to the shaft about the articulation pivot in a first direction.

26. The method of claim 25, wherein the surgical instrument further comprises a second band comprising a first end mechanically coupled to the end effector at a second point offset from the articulation axis, the method further comprising applying a second force to the instrument in a second direction that is substantially transverse to the shaft, wherein the second force causes the second band to bend, and wherein the bending of the second band causes the end effector to pivot relative to the shaft about the articulation pivot in a second direction.