Articulating surgical apparatus

• US 8,603,135 B2
• Filed: 07/20/2011
• Issued: 12/10/2013
• Est. Priority Date: 07/20/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Mueller, Peter M.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): EASTWOOD, DAVID C
• Application Number:
  US13/186,686
• Publication Number:
  US 20130023915A1
• Time in Patent Office: 874 Days
• Field of Search: 606/1, 606/108, 606/170, 606/174, 606205-209, 604/528, 138/120, 138/119, 138/112, 600139-153
• US Class Current: 606/205
• 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 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2018/1226 powered by a battery
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2034/306 Wrists with multiple vertebrae
• CPC Class Codes: A61B 2090/508 with releasable brake mechanisms

Abstract

An endoscopic instrument includes a housing having shaft. The shaft includes an articulating section disposed thereon. The articulating section includes a plurality of annular stationary and rotatable links arranged in an alternating configuration therealong. Each link of the plurality of rotatable links seated within a corresponding stationary link of the plurality of stationary links to collectively define a central annulus therethrough. An end effector assembly operatively connected to a distal end of the shaft includes a pair of first and second jaw members. An articulation catheter operably disposed through the central annulus is configured to rotate the rotatable links with respect to the stationary links to articulate the shaft about the articulating section.

Claims

1. An endoscopic instrument, comprising:

a housing having a shaft extending therefrom that defines a longitudinal axis therethrough, the shaft including an articulating section, the articulating section having a plurality of stationary and rotatable links arranged in an alternating configuration along the articulating section, each rotatable link of the plurality of rotatable links rotatably seated within a corresponding stationary link of the plurality of stationary links to collectively define a central annulus therethrough;

an end effector assembly operatively connected to a distal end of the shaft including a pair of first and second jaw members; and

an articulation catheter operably disposed through the central annulus and configured to rotate the rotatable links with respect to the stationary links to articulate the shaft about the articulating section,

wherein each stationary link of the plurality of stationary links includes a proximal face and a distal face, wherein the proximal face is perpendicular to the central annulus and the distal face is oriented at an angle that is different from the proximal face,

wherein each rotatable link of the plurality of rotatable links includes a proximal face and a distal face, the proximal face of each rotatable link rests at least partially along a corresponding distal face of each stationary link such that rotation of the plurality of rotatable links cams the plurality of rotatable links to articulate the shaft about the articulating section.

2. An endoscopic instrument according to claim 1, wherein each stationary link of the plurality stationary links includes a first plurality of bores configured to receive a corresponding plurality of tendons therethrough, the plurality of tendons configured to maintain the plurality of stationary links and rotatable links in a relatively fixed configuration with respect to one another.

3. An endoscopic instrument according to claim 1, wherein each proximal and distal face of each stationary link of the plurality of stationary links includes a counter bore defined therein that is concentric to the proximal and distal faces for interfacing with a respective rotatable link of the plurality of rotatable links.

4. An endoscopic instrument according to claim 3, wherein the counter bore on each proximal and distal face of each stationary link of the plurality of stationary links includes the same depth and diameter.

5. An endoscopic instrument according to claim 1, wherein each stationary link of the plurality of stationary links is configured such the distal faces thereof are parallel with respect to one another when the shaft is in a non-articulated configuration.

6. An endoscopic instrument according to claim 2, wherein each rotatable link of the plurality of rotatable links is cylindrical about an outer diameter thereof that is smaller than a diameter formed by the plurality of tendons such that the plurality of rotatable links are positionable within the plurality of tendons.

7. An endoscopic instrument according to claim 3, wherein the proximal face of each rotatable link of the plurality of rotatable links is perpendicular to the central annulus and the distal face of each rotatable link of the plurality of rotatable links is angled with respect to the proximal face of each rotatable link of the plurality of rotatable links.

8. An endoscopic instrument according to claim 7, wherein the angles of the distal faces of the stationary links and the rotatable links are equal to one another.

9. An endoscopic instrument according to claim 7, wherein the corresponding counter bores on each of the proximal and distal faces of each link of the plurality of stationary links is configured for interfacing with a corresponding cylindrical boss concentrically disposed on each of the proximal and distal faces of each rotatable link of the plurality of rotatable links.

10. An endoscopic instrument according to claim 1, wherein an interior surface of each rotatable link of the plurality of rotatable links defines at least one groove extending therein, the at least one groove is parallel to the longitudinal axis.

11. An endoscopic instrument according to claim 10, wherein the articulating catheter includes at least one spline extending along the length thereof, the at least one spline configured to couple to the at least one groove on the interior surface of each rotatable link of the plurality of rotatable links to facilitate rotating each rotatable link of the plurality of rotatable links simultaneously with respect to the plurality of stationary links.

12. An endoscopic instrument according to claim 10, wherein an interior surface of each rotatable link of the plurality of rotatable links defines a plurality of grooves extending therein, the plurality of grooves being parallel to the longitudinal axis.

13. An endoscopic instrument according to claim 12, wherein the articulating catheter includes a plurality of splines extending along the length thereof, each spline of the plurality of splines configured to couple a corresponding groove of the plurality grooves on the interior surface of each of the rotatable links of the plurality of rotatable links to facilitate rotating the plurality of rotatable links with respect to the plurality of stationary links.

14. An endoscopic instrument according to claim 1, wherein the articulating catheter includes a generally tubular configuration and is made from a relatively elastic material to facilitate articulating the shaft about the articulating section.

15. An endoscopic instrument according to claim 1, wherein the articulating catheter is configured to house a driving structure therethrough to actuate the end effector assembly.

16. An endoscopic instrument according to claim 1, wherein a rotating dial is supported on the housing and configured to rotate the articulation catheter.

17. An endoscopic instrument according to claim 1, wherein each stationary link of the plurality of stationary links includes a second plurality of bores defined therein and configured to receive a corresponding plurality of electrical leads therethrough to connect to the end effector assembly.

18. An endoscopic instrument according to claim 1, wherein each stationary link of the plurality of stationary links and each rotatable link of the plurality of rotatable links includes an annular configuration.

19. An endoscopic forceps, comprising:

a housing having a shaft extending therefrom that defines a longitudinal axis therethrough, the shaft including an articulating section disposed thereon, the articulating section having a plurality of stationary and rotatable links arranged in an alternating configuration along the articulating section, each rotatable link of the plurality of rotatable links rotatably seated within a corresponding stationary link of the plurality of stationary links to collectively define a central annulus therethrough,;

an end effector assembly operatively connected to a distal end of the shaft for treating tissue includes a pair of first and second jaw members, at least one of the first and second jaw members movable relative to other jaw member from an open position, wherein the first and second jaw members are disposed in spaced relation relative to one another, to a clamping, position, wherein the first and second jaw members cooperate to grasp tissue therebetween; and

an articulation catheter operably disposed through the central annulus and configured to rotate the rotatable links with respect to the stationary links to articulate the shaft about the articulating section,

wherein the articulating catheter is configured to house a drive wire that is operably coupled to a cutting element in operable communication with the first and second jaw members, the drive wire translatable within the articulating catheter to translate the cutting element longitudinally through at least one of first and second jaw members,

wherein each stationary link of the plurality of stationary links includes a proximal face and a distal face, wherein the proximal face is perpendicular to the central annulus and the distal face is oriented at an angle that is different from the proximal face,

wherein each rotatable link of the plurality of rotatable links includes a proximal face and a distal face, the proximal face of each rotatable link rests at least partially along a corresponding distal face of each stationary link such that rotation of the plurality of rotatable links cams the plurality of rotatable links to articulate the shaft about the articulating section.