Articulatable drive shaft arrangements for surgical cutting and fastening instruments

• US 7,721,934 B2
• Filed: 05/30/2007
• Issued: 05/25/2010
• 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: Gillum, Christoph L., Shelton, Frederick E. IV
• Primary Examiner(s): Rada; Rinaldi I.
• Assistant Examiner(s): LOW, LINDSAY M
• Application Number:
  US11/807,693
• Publication Number:
  US 20070233053A1
• Time in Patent Office: 1,091 Days
• Field of Search: 2271751-1821, 227/19, 606/219
• US Class Current: 227/178.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• 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 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback

Abstract

A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising a moveable cutting instrument. The instrument also includes a main drive shaft assembly for actuating the cutting instrument in the end effector. The instrument also includes a handle comprising a gear drive train connected to the main drive shaft assembly, a motor for actuating the gear drive train, a closure trigger for causing the end effector to clamp an object positioned in the end effector when the closure trigger is retracted, and a firing trigger separate from the closure trigger for actuating the motor when the firing trigger is retracted. The instrument further comprises means for articulating the end effector.

Claims

1. A surgical instrument comprising:

a drive for generating a drive motion;

an end effector for performing at least one surgical procedure in response to said drive motion;

said end effector further comprising a clamping member configured to receive opening and closing motions thereto;

a proximate drive shaft operably communicating with said drive to transmit said drive motion therefrom;

a distal drive shaft operably communicating with said end effector to transmit said drive motion thereto;

an articulation joint interfacing with said proximate drive shaft and said distal drive shaft for transmitting said drive motion from said proximate drive shaft to said distal drive shaft while permitting said distal drive shaft to articulate relative to said proximate drive shaft; and

a closure member operably coupled to said clamping member, wherein said closure member is configured to move between first and second positions to provide at least one of said opening motion and said closing motion, and wherein said closure member traverses said articulation joint when moving between said first and second positions;

wherein said closure member comprises a proximate closure tube, a distal closure tube, and at least one link, wherein said proximate closure tube is pivotally connected to said distal closure tube by said at least one link, and wherein said at least one link is configured to traverse said articulation joint.

2. The surgical instrument of claim 1 wherein said articulation joint comprises a gear assembly.

3. The surgical instrument of claim 2 wherein said gear assembly comprises:

a first drive gear coupled to said proximal drive shaft;

a second drive gear in meshing engagement with said first drive gear; and

a third drive gear coupled to said distal drive shaft and in meshing engagement with said second drive gear.

4. The surgical instrument of claim 3 wherein said second drive gear is mounted to a vertical shaft that is substantially perpendicular to a longitudinal axis of said proximate drive shaft and another longitudinal axis of said distal drive shaft.

5. The surgical instrument of claim 4 wherein said proximate drive shaft extends through a proximate spine tube and wherein said distal drive shaft extends through a distal spine tube that is pivotally coupled to said proximate spine tube by said vertical shaft.

6. The surgical instrument of claim 1 wherein said articulation joint comprises a universal joint assembly.

7. The surgical instrument of claim 6 wherein said U-joint comprises:

a proximal yoke member coupled to said proximate drive shaft;

a distal yoke member coupled to said distal drive shaft; and

a central joint body pivotally coupled to said proximal yoke member and said distal yoke member.

8. The surgical instrument of claim 7 wherein said central joint body can pivot relative to said proximal yoke member about a first pivot axis and wherein said central joint body can pivot relative to said distal yoke member about a second pivot axis that is substantially transverse to said first pivot axis.

9. The surgical instrument of claim 1 wherein said articulation joint comprises a torsion cable coupled to said proximate drive shaft and said distal drive shaft and extending therebetween.

16. The surgical instrument of claim 1, wherein said proximate closure tube is pivotally connected to said at least one link at a first location on said at least one link, wherein said distal closure tube is pivotally connect to said at least one link at a second location on said at least one link, wherein said first location defines a first rotational axis and said second location defines a second rotational axis, and wherein said first rotational axis and said second rotational axis are not collinear.

17. The surgical instrument of claim 1, wherein said at least one link comprises a first link and a second link, wherein said articulation joint is positioned between said first link and said second link.

18. The surgical instrument of claim 17, further comprising an elongate shaft pivotally coupled to said end effector, wherein said elongate shaft comprises:

a proximate spine tube operably supporting said proximate drive shaft therein;

a distal spine tube operably supporting said distal drive shaft and being pivotally coupled to said proximate spine tube, wherein said proximal closure tube, said distal closure tube, and said first and second links are movable with respect to said proximate spine tube and said distal spine tube.

10. A surgical instrument, comprising:

a handle portion;

an end effector for performing at least one surgical procedure;

said end effector comprising a clamping member configured to receive opening and closing motions thereto;

a drive member operably supported by said handle portion for generating a drive motion;

a proximate drive shaft operably communicating with said drive member to transmit said drive motion therefrom;

a distal drive shaft operably communicating with said end effector to transmit said drive motion thereto;

a gear assembly pivotally coupling said proximate drive shaft to said distal drive shaft and transmitting said drive motion from said proximate drive shaft to said distal drive shaft; and

a closure member operably coupled to said clamping member, wherein said closure member is configured to move between first and second positions to provide at least one of said opening motion and said closing motion, and wherein said closure member traverses said gear assembly when moving between said first and second positions;

wherein said closure member comprises a proximate closure tube, a distal closure tube, and at least one link, wherein said proximate closure tube is pivotally connected to said distal closure tube by said at least one link, and wherein said at least one link is configured to traverse said gear assembly.

11. The surgical instrument of claim 10 wherein said end effector is pivotally coupled to an elongate shaft coupled to said handle portion.

12. The surgical instrument of claim 10 wherein said gear assembly comprises:

a first drive gear coupled to said proximal drive shaft;

a second drive gear in meshing engagement with said first drive gear; and

a third drive gear coupled to said distal drive shaft and in meshing engagement with said second drive gear.

13. The surgical instrument of claim 12 wherein said second drive gear is mounted to a vertical shaft that is substantially perpendicular to a longitudinal axis of said proximate drive shaft and another longitudinal axis of said distal drive shaft.

14. The surgical instrument of claim 13 wherein said proximate drive shaft extends through a proximate spine tube and wherein said distal drive shaft extends through a distal spine tube that is pivotally coupled to said proximate spine tube by said vertical shaft.

15. The surgical instrument of claim 10 wherein said end effector comprises a device for clamping, severing, and stapling tissue.

19. The surgical instrument of claim 10, wherein said proximate closure tube is pivotally connected to said at least one link at a first location on said at least one link, wherein said distal closure tube is pivotally connect to said at least one link at a second location on said at least one link, wherein said first location defines a first rotational axis and said second location defines a second rotational axis, and wherein said first rotational axis and said second rotational axis are not collinear.

20. The surgical instrument of claim 10, wherein said at least one link comprises a first link and a second link, wherein said gear assembly is positioned between said first link and said second link.

21. The surgical instrument of claim 20, further comprising an elongate shaft coupled to said handle portion, wherein said end effector is pivotally coupled to said elongate shaft, wherein said elongate shaft comprises:

a proximate spine tube operably supporting said proximate drive shaft therein;

a distal spine tube operably supporting said distal drive shaft and being pivotally coupled to said proximate spine tube, wherein said proximal closure tube, said distal closure tube, and said first and second links are movable with respect to said proximate spine tube and said distal spine tube.