Expanding parallel jaw device for use with an electromechanical driver device

• US 8,118,208 B2
• Filed: 10/03/2011
• Issued: 02/21/2012
• 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:
  US13/251,309
• Publication Number:
  US 20120018488A1
• Time in Patent Office: 141 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/180.1, 227/178.1, 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 tissue, comprising:

a first jaw defining a longitudinal axis;

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

a first motor configured to actuate a first flexible drive shaft coupled to the first jaw, the first flexible drive shaft adapted to engage a horizontal gear shaft for displacing a vertical shaft connecting the first and second jaws; and

a second motor configured to actuate a second flexible drive shaft coupled to the second jaw, the second flexible drive shaft coupled to a horizontal driver for enabling cutting and stapling of a section of tissue disposed between the first and second jaws;

wherein the horizontal gear shaft and the horizontal driver are parallel to one another at a fixed distance to one another, such that the first jaw moves in a direction transverse to a longitudinal axis of the horizontal gear shaft.

2. The fastening and cutting attachment according to claim 1, wherein the horizontal gear shaft is disposed in turning and gearing relationship with a pair of threaded turning shafts, the rotation of the horizontal gear shaft causing the first jaw to translate relative to the second jaw.

3. The fastening and cutting attachment according to claim 1, wherein the first flexible drive shaft is adapted to cause the first jaw to linearly travel along an axis perpendicular to the longitudinal axis of parallel correspondence of the first and second jaws.

4. The fastening and cutting attachment according to claim 1, wherein the second flexible drive shaft is adapted to axially move a cutting and stapling element disposed within the second jaw.

5. The fastening and cutting attachment according to claim 4, wherein the cutting and stapling element includes a blade and a wedge seated in a wedge guide channel formed in the second jaw.

6. The fastening and cutting attachment according to claim 1, wherein the first flexible drive shaft includes at least one threaded turning shaft, and wherein the first jaw includes a corresponding at least one threaded bore for receiving therethrough the at least one threaded turning shaft, whereby rotation of the at least one threaded turning shaft causes the first jaw to move axially along the turning shaft away from, or toward the second jaw, in accordance with a rotational direction of the at least one threaded turning shaft.

7. The fastening and cutting attachment according to claim 1, wherein the horizontal gear shaft extends a portion of the first jaw, whereas the horizontal driver extends an entire length of the second jaw.

8. The fastening and cutting attachment according to claim 1, further comprising a tray of fasteners disposed in one of the first and second jaws, such that the horizontal gear shaft coupled to the first jaw is parallel to the tray of fasteners.

9. The fastening and cutting attachment according to claim 8, wherein the horizontal gear shaft extends a portion of the first jaw in a non-overlapping manner with reference to the tray of fasteners.

10. The fastening and cutting attachment according to claim 1, further comprising a wedge pushing mechanism including a wedge and a wedge guide, the wedge pushing mechanism resting at a proximal end of the second jaw directly beneath a distal end of the horizontal gear shaft coupled to the first jaw.

11. A fastening and cutting attachment for use with an electromechanical driver device for cutting and fastening tissue, comprising:

a first jaw defining a longitudinal axis;

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

a first motor configured to actuate a first flexible drive shaft coupled to the first jaw, the first flexible drive shaft adapted to engage a horizontal gear shaft for displacing a vertical shaft connecting the first and second jaws;

a second motor configured to actuate a second flexible drive shaft coupled to the second jaw, the second flexible drive shaft coupled to a horizontal driver for enabling cutting and stapling of a section of tissue disposed between the first and second jaws; and

a first sensor disposed on the first jaw and a second sensor disposed on the second jaw, the first and second sensors configured to contact each other when the first and second jaw members are arranged in a predetermined position;

wherein the horizontal gear shaft and the horizontal driver are parallel to one another at a fixed distance to one another, such that the first jaw moves in a direction transverse to a longitudinal axis of the horizontal gear shaft.

12. The fastening and cutting attachment according to claim 11, wherein the horizontal gear shaft is disposed in turning and gearing relationship with a pair of threaded turning shafts, the rotation of the horizontal gear shaft causing the first jaw to translate relative to the second jaw.

13. The fastening and cutting attachment according to claim 11, wherein the first flexible drive shaft is adapted to cause the first jaw to linearly travel along an axis perpendicular to the longitudinal axis of parallel correspondence of the first and second jaws.

14. The fastening and cutting attachment according to claim 11, wherein the second flexible drive shaft is adapted to axially move a cutting and stapling element disposed within the second jaw.

15. The fastening and cutting attachment according to claim 14, wherein the cutting and stapling element includes a blade and a wedge seated in a wedge guide channel formed in the second jaw.

16. The fastening and cutting attachment according to claim 11, wherein the first flexible drive shaft includes at least one threaded turning shaft, and wherein the first jaw includes a corresponding at least one threaded bore for receiving therethrough the at least one threaded turning shaft, whereby rotation of the at least one threaded turning shaft causes the first jaw to move axially along the turning shaft away from, or toward the second jaw, in accordance with a rotational direction of the at least one threaded turning shaft.

17. The fastening and cutting attachment according to claim 11, wherein the horizontal gear shaft extends a portion of the first jaw, whereas the horizontal driver extends an entire length of the second jaw.

18. The fastening and cutting attachment according to claim 11, further comprising a tray of fasteners disposed in one of the first and second jaws, such that the horizontal gear shaft coupled to the first jaw is parallel to the tray of fasteners.

19. The fastening and cutting attachment according to claim 18, wherein the horizontal gear shaft extends a portion of the first jaw in a non-overlapping manner with reference to the tray of fasteners.

20. The fastening and cutting attachment according to claim 11, further comprising a wedge pushing mechanism including a wedge and a wedge guide, the wedge pushing mechanism resting at a proximal end of the second jaw directly beneath a distal end of the horizontal gear shaft coupled to the first jaw.