Surgical stapler having an articulation mechanism

• US 8,292,147 B2
• Filed: 03/15/2011
• Issued: 10/23/2012
• Est. Priority Date: 10/05/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Viola, Frank J.
• Primary Examiner(s): Low, Lindsay
• Assistant Examiner(s): Lopez, Michelle
• Application Number:
  US13/047,908
• Publication Number:
  US 20110163149A1
• Time in Patent Office: 588 Days
• Field of Search: 227/175.1, 227/19, 227/176.1, 227/179.1, 227/180.1, 74/63, 74/5.R, 746/40, 475/207, 475/164
• US Class Current: 227/175.1
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: Y10T 74/12 Gyroscopes
• CPC Class Codes: Y10T 74/1836 Rotary to rotary
• CPC Class Codes: Y10T 74/19 Gearing

Abstract

An articulation mechanism for use with a surgical instrument includes a shaft, a first member disposed in mechanical cooperation with the articulation shaft, a second member disposed in mechanical cooperation with the shaft, and a flexible shaft having proximal and distal portions. The flexible member is operatively coupled to the first and second members. Upon rotation of the articulation shaft, at least one of the first and the second members moves longitudinally with respect to the other of the first and second members between a first position where the first and second members are approximated to each other and a second position where the first and second members are spaced apart from each other. This longitudinal motion causes the distal portion of the flexible member to articulate relative to the proximal portion.

Claims

1. A surgical instrument comprising:

a flexible shaft;

a nutating gear drive operatively connected to the flexible shaft, the nutating gear drive configured to reduce a speed and increase a torque of the flexible shaft;

a drive shaft configured to be selectively attached to the nutating gear drive, the drive shaft translatable between an engaged state in which the drive shaft is engaged with the nutating gear drive and a disengaged state in which the drive shaft is disengaged with the nutating gear drive;

a tool assembly including an anvil and a cartridge, the anvil pivotally connected to the cartridge; and

a clamp cam operatively associated with the drive shaft, the clamp cam configured to translate upon rotation of the drive shaft, thereby causing motion of the anvil relative to the cartridge.

2. The surgical instrument according to claim 1, further comprising an actuation sled, the drive shaft adapted to selectively move the actuation sled.

3. The surgical instrument according to claim 2, further comprising a first long lead screw operatively connected to the drive shaft, the first long lead screw being adapted to rotate in response to a rotation of the drive shaft, wherein the actuation sled translates upon rotation of at least the first long lead screw.

4. The surgical instrument according to claim 3, further comprising a first pinion gear operatively connecting the first long lead screw to the drive shaft, wherein the first pinion gear is secured to a distal end of the drive shaft.

5. The surgical instrument according to claim 4, further comprising a second long lead screw operatively connected to the drive shaft, the second long lead screw being adapted to rotate in response to a rotation of the drive shaft, wherein the actuation sled translates upon rotation of the first and second long lead screws.

6. The surgical instrument according to claim 5, further comprising second and third pinion gears configured to rotate upon rotation of the first pinion gear, the second pinion gear attached to a proximal end of the first long lead screw and the third pinion gear attached to a proximal end of the second long lead screw.

7. The surgical instrument according to claim 6, further comprising first and second threaded holes formed in the actuation sled, wherein the first threaded hole is configured to receive the first long lead screw and the second threaded hole is configured to receive the second long lead screw.

8. The surgical instrument according to claim 1, wherein the clamp cam includes a contoured surface slidably receiving a proximal portion of the anvil, the contoured surfaces adapted to direct the motion of the anvil relative to the cartridge.

9. The surgical instrument according to claim 1, wherein the drive shaft includes an outwardly extending protrusion configured to engage the nutating gear drive when the drive shaft is in the engaged state.

10. The surgical instrument according to claim 9, wherein the nutating gear drive includes an engagement portion configured to engage the outwardly extending protrusion when the drive shaft is in the engaged state.

11. The surgical instrument according to claim 10, wherein the engagement portion is a cross-shaped recess.