Surgical method and device having a first jaw and a second jaw in opposed correspondence for clamping, cutting, and stapling tissue

• US 8,540,733 B2
• Filed: 10/03/2011
• Issued: 09/24/2013
• Est. Priority Date: 06/14/2002
• Status: Expired due to Term

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Whitman, Michael P., Burbank, John E.
• Primary Examiner(s): McDermott, Corrine M
• Assistant Examiner(s): LYNCH, ROBERT A
• Application Number:
  US13/251,369
• Publication Number:
  US 20120080476A1
• Time in Patent Office: 722 Days
• Field of Search: 606/139, 606/142, 606/143, 606/167, 606/170, 606/171, 606/213, 606/215, 606/219, 606/220, 227/19, 227/21, 227/79, 227/175.1, 227/176.1, 227/177.1, 227/178.1, 227/180.1, 813/47, 813/48, 813/79, 813/80, 813/88, 814/095, 128/898
• US Class Current: 606/139
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 2017/00039 Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
• CPC Class Codes: A61B 2017/00323 Cables or rods
• 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 2017/2905 flexible
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments

Abstract

A surgical device including a first jaw and a second jaw is presented. The surgical device also includes a biasing element that biases the distal end of the first jaw towards the distal end of the second jaw. The device also includes a first driver disposed in the second jaw and coupled to the first jaw. The first driver is configured to cause separation of the first jaw and the second jaw. The device further includes at least one of a cutting element and a stapling element disposed within the second jaw, preferably a blade rotatably mounted on a wedge. A second driver is configured to move the cutting element and/or the stapling element proximally from a distal end toward the proximal end of the second jaw to at least one of cut and staple a section of tissue disposed between the first and second jaws.

Claims

1. A method for operating a surgical device, the surgical device including a first jaw having a distal end and a second jaw having a distal end, wherein the second jaw is disposed in opposed correspondence with the first jaw, and wherein the first jaw is pivotably coupled to the second jaw, the method comprising the steps of:

opening the first jaw and the second jaw;

positioning a section of tissue between the first jaw and the second jaw;

biasing the distal end of the first jaw towards the distal end of the second jaw;

closing the first jaw and the second jaw so as to clamp the section of tissue between the first jaw and the second jaw;

providing at least one of a cutting element and a stapling element disposed within the second jaw;

moving the at least one of the cutting element and the stapling element, via a first driver having a gear cluster defining at least a first gear and a second gear configured to engage each other, proximally from the distal end toward a proximal end of the second jaw to at least one of cut and staple a section of tissue disposed between the first and second jaws; and

moving the at least one of the cutting element and the stapling element, via a second driver having a fire shaft assembly, the fire shaft assembly defining a first region extending into and rotatable within an orifice of a housing plate associated with the gear cluster via a gearbox.

2. The method according to claim 1, wherein the biasing step includes biasing the distal end of the first jaw towards the distal end of the second jaw via a spring.

3. The method according to claim 1, wherein the opening step includes actuating the first driver disposed in the second jaw and coupled to the first jaw so as to cause separation of the first jaw and the second jaw, and wherein the closing step includes actuating the first driver in reverse so as to cause the first jaw and the second jaw to close.

4. The method according to claim 1, wherein, when the first driver is actuated for closing the jaws, the biasing step causes the distal end of the first jaw to contact the distal end of the second jaw prior to the first driver completing the closing of the jaws.

5. The method according to claim 1, further including a step of moving a blade of the cutting and stapling elements from a first position to a second position when the cutting element moves proximally.

6. The method according to claim 1, further including a step of rotating a blade of the cutting and stapling elements from a first position, wherein a cutting edge of the blade is not exposed, to a second position, wherein the cutting edge of the blade is exposed, when the cutting and stapling elements moves proximally.

7. The method according to claim 1, wherein the opening and closing steps further include the substeps of:

providing an electro-mechanical driver having a motor arrangement;

coupling a first rotatable drive shaft to the motor arrangement;

coupling the first rotatable drive shaft to the first driver; and

driving the first driver.

8. The method according to claim 1, wherein the cutting and stapling step further includes the substeps of:

providing an electro-mechanical driver having a motor arrangement;

coupling a second rotatable drive shaft to the motor arrangement;

coupling the second rotatable drive shaft to the second driver; and

driving the second driver.

9. The method according to claim 1, wherein the first jaw has a first length and the second jaw has a second length, where the second length is greater than the first length.

10. The method according to claim 1, wherein the fire shaft assembly defines a second region having a third gear.

11. The method according to claim 10, wherein the fire shaft assembly defines a third region having a second drive socket including a slot for receiving a drive clip.

12. The method according to claim 11, wherein the drive clip is configured to be non-rotatably and non-releasably connected to the second driver.

13. The method according to claim 1, further including a step of limiting, via a stopping element, the distance that the proximal end of the first jaw may be separated from the proximal end of the second jaw by the biasing element.

14. The method according to claim 13, further including a step of pivoting the first jaw relative to the second jaw around the stopping element.

15. The method according to claim 14, wherein, when the first driver is actuated for closing the jaws, the closing step includes the substeps of:

initially pivoting the first jaw relative to the second jaw around the stopping element; and

eventually pivoting the first jaw relative to the second jaw around a point other than the stopping element.

16. The method according to claim 15, wherein the substep of pivoting the first jaw relative to the second jaw around a point other than the stopping element includes pivoting the first jaw relative to the second jaw around a point at which the distal end of the first jaw contacts the distal end of the second jaw.

17. The method according to claim 15, wherein the substep of pivoting the first jaw relative to the second jaw around a point other than the stopping element includes pivoting the first jaw relative to the second jaw around a section of tissue disposed between the first jaw and the second jaw.