Surgical instrument

• US 8,074,859 B2
• Filed: 03/31/2010
• Issued: 12/13/2011
• Est. Priority Date: 03/31/2010
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Kostrzewski, Stanislaw
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US12/751,198
• Publication Number:
  US 20110240712A1
• Time in Patent Office: 622 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/175.2, 227/180.1, 606/139, 606/153, 606/219
• US Class Current: 227/176.1
• 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 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2034/305 Details of wrist mechanisms at distal ends of robotic arms

Abstract

A surgical instrument is provided. The surgical instrument includes a housing. The surgical instrument includes an elongated portion extending distally from the housing and defines a longitudinal axis. An end effector operably couples to the elongated portion. A first pivoting member pivotably couples to a distal end of the elongated portion. The first pivoting member defines a first pivot axis intersecting the longitudinal axis when the first pivoting member is rotated. A distal mounting assembly pivotably couples to the first pivoting member and operably couples to the end effector. The distal mounting assembly defines a second pivot axis intersecting the first pivot axis and the longitudinal axis when the proximal mounting assembly is rotated.

Claims

1. A surgical instrument comprising:

a housing;

an elongated portion extending distally from the housing and defining a longitudinal axis;

an end effector operably coupled to the elongated portion;

a proximal mounting assembly pivotably coupled to a distal end of the elongated portion, the proximal mounting assembly defining a first pivot axis intersecting the longitudinal axis;

a stationary gear coupled to the elongate portion, the proximal mounting assembly being pivotable with respect to the stationary gear;

a distal mounting assembly pivotably coupled to the proximal mounting assembly and coupled to the end effector, the distal mounting assembly defining a second pivot axis;

a movable gear coupled to the end effector, the distal mounting assembly being pivotable with respect to the proximal mounting assembly; and

an articulation member coupled to the proximal mounting assembly so that movement of the articulation member pivots the proximal mounting assembly and the distal mounting assembly with respect to the longitudinal axis.

2. A surgical instrument according to claim 1, wherein the movable gear is in operative engagement with the stationary gear.

3. A surgical instrument according to claim 1, wherein at least one link operably couples the proximal mounting assembly to the distal mounting assembly.

4. A surgical instrument according to claim 3, wherein the at least one link is pivotably connected to the elongated portion.

5. A surgical instrument according to claim 1, wherein the stationary gear is formed on a pivot plate coupled to the elongated portion.

6. A surgical instrument according to claim 5, wherein at least one link couples the proximal mounting assembly to the distal mounting assembly, a proximal end of the at least one link being movable within an arcuate recess formed in the pivot plate.

7. A surgical instrument according to claim 1, wherein rotation of the proximal mounting assembly in a clockwise direction, and the interaction between the movable gear and the stationary gear, causes rotation of the distal mounting assembly in the clockwise direction.

8. A surgical instrument according to claim 1, wherein the end effector includes a first jaw member and a second jaw member, the first jaw member and the second jaw member being movable from an open position wherein the jaw members are disposed in spaced relation relative to one another, to a clamping position wherein the jaw members are approximated relative to one another.

9. A surgical instrument according to claim 8, wherein the end effector includes a staple cartridge assembly and an anvil assembly.

10. A loading unit configured for use with a surgical instrument, the loading unit comprising:

a first pivoting member pivotably coupled to the loading unit, the first pivoting member defining a first pivot axis intersecting a longitudinal axis defined by the loading unit, the first pivot axis being aligned with the longitudinal axis;

a second pivoting member pivotably coupled to the first pivoting member and operably coupled to an end effector associated with the loading unit, the second pivoting member defining a second pivot axis that moves from a position aligned with the longitudinal axis to a position offset from the longitudinal axis when the first pivoting member is rotated; and

a movable interface between the first pivoting member and the second pivoting member.

11. A loading unit according to claim 10, further comprising a stationary gear coupled to a proximal end of the loading unit.

12. A loading unit according to claim 11, further comprising a movable gear coupling the second pivoting member to the end effector of the loading unit, wherein the movable gear is in operative engagement with the stationary gear and forms the movable interface.

13. A loading unit according to claim 12, wherein rotation of the first pivoting member in a clockwise direction, and the interaction between the stationary gear and the movable gear, causes rotation of the second pivoting member in the clockwise direction.

14. A loading unit according to claim 10, further comprising an articulation member coupled to the first pivoting member so that movement of the articulation member pivots the first pivoting member and the second pivoting member with respect to the longitudinal axis.

15. A loading unit according to claim 10, wherein the end effector includes a first jaw member and a second jaw member, the first jaw member and the second jaw member being movable from an open position wherein the jaw members are disposed in spaced relation relative to one another, to a clamping position wherein the jaw members are approximated relative to one another.

16. A loading unit according to claim 15, wherein the end effector includes a Staple cartridge assembly and an anvil assembly.

17. A surgical instrument comprising:

a housing;

an elongated portion extending distally from the housing and defining a longitudinal axis;

an end effector operably coupled to the elongated portion;

a first pivoting member pivotably coupled to a distal end of the elongated portion, the first pivoting member defining a first pivot axis intersecting the longitudinal axis;

a stationary gear coupled to the elongate portion, the first pivoting member being pivotable with respect to the stationary gear;

a second pivoting member pivotably coupled to the first pivoting member and coupled to the end effector, the second pivoting member defining a second pivot axis intersecting the longitudinal axis;

a movable gear coupled to the end effector and the second pivoting member; and

an articulation member coupled to the first pivoting member so that movement of the articulation member pivots the first pivoting member and the second pivoting member with respect to the longitudinal axis.

18. A surgical instrument according to claim 17, wherein the movable gear is in operative engagement with the stationary gear.

19. A surgical instrument according to claim 17, wherein at least one link operably couples the first pivoting member to the second pivoting member.

20. A surgical instrument according to claim 19, wherein the at least one link is pivotably connected to the elongated portion.

21. A surgical instrument according to claim 17, wherein the stationary gear is formed on a pivot plate coupled to the elongated portion.

22. A surgical instrument according to claim 21, wherein at least one link couples the first pivoting member to the second pivoting member, a proximal end of the at least one link being movable within an arcuate recess formed in the pivot plate.

23. A surgical instrument according to claim 17, wherein rotation of the proximal mounting assembly in a clockwise direction, and the interaction between the movable gear and the stationary gear, causes rotation of the second pivoting member in the clockwise direction.

24. A surgical instrument according to claim 17, wherein the end effector includes a first jaw member and a second jaw member, the first jaw member and the second jaw member being movable from an open position wherein the jaw members are disposed in spaced relation relative to one another, to a clamping position wherein the jaw members are approximated relative to one another.

25. A surgical instrument according to claim 24, wherein the end effector includes a staple cartridge assembly and an anvil assembly.