Articulation mechanisms for surgical instrument

• US 8,096,457 B1
• Filed: 06/02/2009
• Issued: 01/17/2012
• Est. Priority Date: 05/05/2009
• Status: Active Grant

• Current Assignee: Touchstone International Medical Science Co. Ltd
• Original Assignee: Cardica Incorporated
• Inventors: Manoux, Philipe R., Murillo, Michael, Rivera, John E.
• Primary Examiner(s): Rada, Rinaldi
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US12/477,065
• Time in Patent Office: 959 Days
• Field of Search: 227/175.1, 227/176.1, 227/180.1, 606/219
• US Class Current: 227/175.1
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2905 flexible

Abstract

An exemplary surgical apparatus may include a flexible articulation insert separated into segments, where at least one segment is longitudinally slidable relative to at least one other segment, and where at least one passage is defined longitudinally through the insert; and at least one feeder belt extending through a corresponding passage in the insert, where staples are frangibly connected to the feeder belt.

Claims

1. Surgical apparatus, comprising:

a flexible articulation insert comprising a plurality of independent segments, wherein at least one said segment is longitudinally slidable relative to at least one other said segment, and wherein a plurality of passages are defined longitudinally through said flexible articulation insert; and

at least one feeder belt extending through a corresponding said passage in said flexible articulation insert, wherein a plurality of staples are frangibly connected to said feeder belt.

2. The surgical apparatus of claim 1, incorporating by reference all of the elements of that claim;

wherein at least one said segment is solid and substantially continuous along the longitudinal direction.

3. The surgical apparatus of claim 1, incorporating by reference all of the elements of that claim;

wherein at least one said segment is independently slidable relative to at least one other said segment.

4. The surgical apparatus of claim 1, incorporating by reference all of the elements of that claim;

wherein at least one passage is bounded by at least two adjacent segments.

5. The surgical apparatus of claim 1, incorporating by reference all of the elements of that claim;

wherein at least one passage is defined through only a single segment.

6. The surgical apparatus of claim 1, incorporating by reference all of the elements of that claim;

wherein at least part of at least one segment is positioned radially outward from at least part of at least one other said segment.

7. The surgical apparatus of claim 1, incorporating by reference all of the elements of that claim;

wherein at least one said segment is located distal to at least one other said segment.

8. The surgical apparatus of claim 7, incorporating by reference all of the elements of that claim;

wherein all of said segments are positioned sequentially in the longitudinal direction.

9. The surgical apparatus of claim 1, incorporating by reference all of the elements of that claim;

wherein one segment is generally cross-shaped with four arms in the cross-section perpendicular to the longitudinal centerline of said insert, and wherein four other segments are positioned relative to said cross-shaped segment such that each segment is between two said arms.

10. The surgical apparatus of claim 1, incorporating by reference all of the elements of that claim;

wherein one segment is generally bar-shaped, and wherein two other segments are positioned such that each segment is located on a different side of said bar-shaped segment.

11. The surgical apparatus of claim 1, further comprising

an end effector into which at least part of each said feeder belt extends;

and

a flaccid shaft attached to said end effector;

wherein said articulation insert is located within said shaft.

12. The surgical apparatus of claim 1, wherein said staples are organized into groups on at least one said feeder belt, and wherein said feeder belt is positioned, during articulation of said shaft, at a location such that sequential said groups of said staples are located on opposite ends of the location of articulation of said shaft.

13. The surgical apparatus of claim 12, incorporating by reference all of the elements of that claim;

wherein said feeder belt includes a blank space between successive staple groups.

14. The surgical apparatus of claim 13, incorporating by reference all of the elements of that claim;

wherein at least one said blank space is laterally necked down.

15. The surgical apparatus of claim 13, incorporating by reference all of the elements of that claim;

wherein at least one said blank space is twisted.

16. The surgical apparatus of claim 13, incorporating by reference all of the elements of that claim;

wherein at least one said blank space is flexible.

17. The surgical apparatus of claim 12, incorporating by reference all of the elements of that claim;

wherein said shaft is movable between a straight configuration and an articulated configuration;

wherein said feeder belt is configured for advancement solely when said shaft is in said straight configuration.