Expanding parallel jaw device for use with an electromechanical driver device

• US 8,056,791 B2
• Filed: 12/06/2010
• Issued: 11/15/2011
• Est. Priority Date: 07/12/1999
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Whitman, Michael P.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US12/960,892
• Publication Number:
  US 20110108606A1
• Time in Patent Office: 344 Days
• Field of Search: 227/19, 227/176.1, 227/180.1, 227/178.1, 227/175.1, 606/139, 606/219
• US Class Current: 227/180.1
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/11 for performing anastomosis; Buttons for anastomosis
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00039 Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

A cutting and stapling device for use as an attachment to an electromechanical device driver comprises an upper jaw and a lower jaw which separate and close against one another in a continuously parallel alignment. The upper jaw includes a series of staple guides corresponding to one or more staples in a removable staple tray disposed within a lower jaw, whereby a blade and wedge having a threaded bore travel upon a matching threaded shaft in a channel disposed in the lower jaw below the staple tray, such that rotation of the threaded shaft causes movement of the wedge through the channel while a sloped surface of the wedge contacts the staples to push the staples against the staples guides, closing the staples.

Claims

1. A fastening and cutting attachment for use with an electromechanical driver device for cutting and fastening a section of tissue, comprising:

a first jaw having a longitudinal axis;

a second jaw disposed in parallel and opposed correspondence with the first jaw;

a first rotatable shaft rotatable about a longitudinal axis, the first rotatable shaft coupled to the first jaw and adapted to cause the first jaw to travel linearly in a direction perpendicular to the longitudinal axes while maintaining the parallel correspondence between the first and second jaws; and

a wedge pushing mechanism including a wedge and a wedge guide, the wedge having a sloped top surface, a horizontal threaded bore coaxial with the first rotatable shaft, and an upwardly extending blade member configured to cut tissue as the wedge moves through the wedge guide, the blade member supported directly on top of the wedge, wherein the sloped top surface is disposed between the longitudinal axis and a tissue contacting surface.

2. The fastening and cutting attachment according to claim 1, wherein the first rotatable shaft is coupled to the first jaw via a pair of threaded turning shafts and is adapted to rotate the turning shafts to cause the first jaw to travel linearly in a direction perpendicular to the longitudinal axes while maintaining the parallel correspondence between the first and second jaws.

3. The fastening and cutting attachment according to claim 2, further comprising a horizontal threaded gearing shaft disposed in turning and gearing relationship with the pair of threaded turning shafts, wherein rotation of the horizontal gearing shaft results in translation of the first jaw.

4. The fastening and cutting attachment according to claim 2, wherein the first jaw includes a corresponding pair of threaded bores for receiving therethrough the pair of threaded turning shafts, whereby rotation of the pair of turning shafts causes the first jaw to move axially along the pair of turning shafts away from, or toward the second jaw, in accordance with the rotational direction of the first rotatable shaft.

5. The fastening and cutting attachment according to claim 1, further comprising a cutter and stapler disposed within one of the first jaw and the second jaw, the cutter and stapler coupled to a second rotatable shaft, the cutter and stapler being adapted to cut and staple a section of tissue disposed between the first and second jaws once the first jaw has been closed toward the second jaw.

6. The fastening and cutting attachment according to claim 5, further comprising a second rotatable shaft rotatable about a longitudinal axis and being in turning and gearing relationship with the cutter and stapler.

7. The fastening and cutting attachment according to claim 6, further comprising an electromechanical driver adapted to drive each of the first rotatable shaft and the second rotatable shaft.

8. The fastening and cutting attachment according to claim 7, wherein the electromechanical driver includes at least one motor arrangement adapted to drive each of the first rotatable shaft and the second rotatable shaft.

9. The fastening and cutting attachment according to claim 8, wherein the electromechanical driver includes a first motor arrangement adapted to drive the first rotatable shaft and a second motor arrangement adapted to drive the second rotatable shaft.

10. The fastening and cutting attachment according to claim 6, wherein the second rotatable shaft is arranged in parallel to a longitudinal axis of the second jaw.

11. The fastening and cutting attachment according to claim 1, wherein the first rotatable shaft is arranged in parallel to the longitudinal axis of the first jaw.

12. The fastening and cutting attachment according to claim 1, further comprising an arrangement configured to sense a relative position between the first jaw and the second jaw.

13. The fastening and cutting attachment according to claim 12, wherein the arrangement includes a first sensor electrode disposed on the first jaw and a second sensor electrode arranged on the second jaw.

14. The fastening and cutting attachment according to claim 13, wherein the first sensor electrode and the second sensor electrode are arranged to contact when the first jaw and the second jaw are arranged in a predetermined relative position.

15. The fastening and cutting arrangement according to claim 1, further comprising an arrangement configured to alert an operator that the first jaw and the second jaw are arranged in a predetermined relative position.

16. A fastening and cutting attachment for use with an electromechanical driver device for cutting and fastening a section of tissue, comprising:

a first jaw having a longitudinal axis;

a second jaw disposed in parallel and opposed correspondence with the first jaw;

a first driver coupled to the first jaw, the first driver being actionably coupleable to the electromechanical driver device, the first driver including a first horizontal rotatable shaft that drives at least one threaded turning shaft and is adapted to cause the first jaw to linearly travel along an axis perpendicular to the axis of parallel correspondence of the first and second jaws, the first horizontal rotatable shaft being rotatable about a longitudinal axis, the first jaw separating from the second jaw when the first horizontal rotatable shaft is rotated in a first direction to open the jaws, the first jaw closing toward the second jaw when the first horizontal rotatable shaft is rotated in a second direction opposite to the first direction to close the jaws; and

a wedge pushing mechanism including a wedge and a wedge guide, the wedge having a sloped top surface, a horizontal threaded bore coaxial with the first rotatable shaft, and an upwardly extending blade member configured to cut tissue as the wedge moves through the wedge guide, the blade member supported directly on top of the wedge, wherein the sloped top surface is disposed between the longitudinal axis and a tissue contacting surface.

17. The fastening and cutting attachment according to claim 16, wherein the first rotatable shaft is coupled to the first jaw via a pair of threaded turning shafts and is adapted to rotate the turning shafts to cause the first jaw to travel linearly in a direction perpendicular to the longitudinal axes while maintaining the parallel correspondence between the first and second jaws.

18. The fastening and cutting attachment according to claim 17, further comprising a horizontal threaded gearing shaft disposed in turning and gearing relationship with the pair of threaded turning shafts, wherein rotation of the horizontal gearing shaft results in translation of the first jaw.

19. The fastening and cutting attachment according to claim 18, further comprising:

a cutter and stapler disposed within one of the first jaw and the second jaw, the cutter and stapler coupled to a second rotatable shaft, the cutter and stapler being adapted to cut and staple a section of tissue disposed between the first and second jaws once the first jaw has been closed toward the second jaw; and

a second rotatable shaft rotatable about a longitudinal axis and being in turning and gearing relationship with the cutter and stapler.

20. The fastening and cutting attachment according to claim 19, further comprising an electromechanical driver adapted to drive each of the first rotatable shaft and the second rotatable shaft.

21. The fastening and cutting attachment according to claim 20, wherein the electromechanical driver includes a first motor arrangement adapted to drive the first rotatable shaft and a second motor arrangement adapted to drive the second rotatable shaft.

22. The fastening and cutting attachment according to claim 19, wherein the second rotatable shaft is arranged in parallel to a longitudinal axis of the second jaw.

23. The fastening and cutting attachment according to claim 17, wherein the first jaw includes a corresponding pair of threaded bores for receiving therethrough the pair of threaded turning shafts, whereby rotation of the pair of turning shafts causes the first jaw to move axially along the pair of turning shafts away from, or toward the second jaw, in accordance with the rotational direction of the first rotatable shaft.

24. The fastening and cutting attachment according to claim 16, wherein the first rotatable shaft is arranged in parallel to the longitudinal axis of the first jaw.

25. The fastening and cutting attachment according to claim 16, further comprising an arrangement configured to sense a relative position between the first jaw and the second jaw.

26. The fastening and cutting attachment according to claim 25, wherein the arrangement includes a first sensor electrode disposed on the first jaw and a second sensor electrode arranged on the second jaw.

27. The fastening and cutting attachment according to claim 26, wherein the first sensor electrode and the second sensor electrode are arranged to contact when the first jaw and the second jaw are arranged in a predetermined relative position.