Apparatus for endoscopic procedures

• US 8,851,355 B2
• Filed: 01/31/2014
• Issued: 10/07/2014
• Est. Priority Date: 10/25/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Aranyi, Ernest, Bronson, Dwight, Racenet, David
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US14/169,441
• Publication Number:
  US 20140144970A1
• Time in Patent Office: 249 Days
• Field of Search: 227/19, 227/175.1, 227/175.2, 227/176.1, 227/178.1, 227/180.1, 606/139, 606/153, 606/219
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/0483 Hand-held instruments for holding sutures A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 2017/00314 Separate linked members
• 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 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 90/94 coded with symbols, e.g. text

Abstract

A surgical system has a jaw assembly including a plurality of fasteners, an anvil and a drive beam for pushing an actuation sled. A drive screw imparts motion to the drive beam. An elongated body is configured to connect with the jaw assembly. A drive link connects a flexible drive shaft to the drive screw, the drive link being disposed off-axis. The jaw assembly and elongated body are separable from each other.

Claims

1. A surgical system, comprising:

a handle housing including a rotatable actuation shaft;

an elongated body including a flexible portion and a flexible drive shaft in the flexible portion, the elongated body couplable to the handle housing such that the flexible drive shaft couples to the actuation shaft; and

a jaw assembly couplable to the elongated body, the jaw assembly including;

first and second jaws, the second jaw defining a cam surface and pivotally movable relative to the first jaw from an open position to a closed position;

a drive beam including a cam member positioned to engage the cam surface of the second jaw member, the drive beam longitudinally movable through the first and second jaw members such that the cam member is translated along the cam surface of the second jaw to move the first and second jaws from the open position to the closed position; and

a drive screw supported within the first jaw, the drive screw including a threaded portion threadably coupled to the drive beam, the drive screw coupled to the flexible drive shaft configured to transfer rotational motion of the actuation shaft to the drive screw, such that rotation of the drive screw imparts longitudinal movement of the drive beam.

2. The surgical system according to claim 1, wherein the first jaw includes a removable cartridge assembly including a plurality of fasteners.

3. The surgical system according to claim 2, wherein the second jaw includes an anvil having a fastener forming surface thereon.

4. The surgical system according to claim 3, wherein the jaw assembly further includes an actuation sled supported within the cartridge assembly, the actuation sled being movable to urge the plurality of fasteners from the cartridge assembly.

5. The surgical system according to claim 4, wherein the drive beam abuts the actuation sled such that during longitudinal movement of the drive beam the actuation sled is pushed through the cartridge assembly to urge the plurality of fasteners from the cartridge assembly.

6. The surgical system according to claim 1, wherein the flexible portion includes a plurality of interlocking segments.

7. The surgical system according to claim 1, further comprising a drive link interconnecting the flexible drive shaft and the drive screw, wherein the drive screw defines a first longitudinal axis and the flexible drive shaft defines a second longitudinal axis, and wherein the drive link is disposed off-axis in relation to the first and second longitudinal axes.

8. The surgical system according to claim 7, wherein the drive link includes a proximal engagement portion mechanically coupled to the flexible drive shaft and a distal engagement portion mechanically coupled to the drive screw.

9. The surgical system according to claim 8, wherein the proximal engagement portion includes a socket configured and dimensioned to mechanically interface with a ball joint disposed at a distal end of the flexible drive shaft.

10. The surgical system according to claim 8, wherein the distal engagement portion includes a pin configured and dimensioned to mechanically interface with a clevis disposed at a proximal end of the drive screw.

11. The surgical system according to claim 1, further comprising:

a surgical buttress releasably secured to a tissue contacting surface of at least one of the first jaw or the second jaw; and

a release assembly disposed within at least one of the first jaw or the second jaw.

12. The surgical system according to claim 11, wherein the drive screw is configured to actuate the release assembly to thereby release the surgical buttress from the at least one of the first jaw or the second jaw.

13. The surgical system according to claim 1, wherein the handle housing further includes a control assembly configured to accept at least one user input.

14. The surgical system according to claim 13, wherein the handle housing further includes a first motor and a second motor configured to operate in response to the at least one user input.

15. The surgical system according to claim 14, wherein the handle housing further includes a power source configured to provide electrical energy to the first and second motors.

16. The surgical system according to claim 14, wherein the handle housing further includes a selector gearbox assembly comprising at least one gear element mechanically coupled to the flexible drive shaft, wherein the first motor is configured to selectively move the at least one gear element into engagement with the second motor to actuate the flexible drive shaft.

17. A surgical system, comprising:

an elongated body including a flexible portion and a flexible drive shaft in the flexible portion, the flexible drive shaft defining a first longitudinal axis; and

a jaw assembly couplable to the elongated body, the jaw assembly including;

first and second jaws, the second jaw defining a cam surface and pivotally movable relative to the first jaw from an open position to a closed position;

a drive beam including a cam member positioned to engage the cam surface of the second jaw member, the drive beam longitudinally movable through the first and second jaw members such that the cam member is translated along the cam surface of the second jaw to move the first and second jaws from the open position to the closed position;

a drive screw supported within the first jaw, the drive screw defining a second longitudinal axis and including a threaded portion threadably coupled to the drive beam; and

a drive link interconnecting the flexible drive shaft and the drive screw, wherein the drive link is disposed off-axis in relation to the first and second longitudinal axes, the drive link configured to transfer rotational motion of the flexible drive shaft to the drive screw, such that rotation of the drive screw imparts longitudinal movement of the drive beam.

18. The surgical system according to claim 17, wherein the first jaw includes a removable cartridge assembly having a plurality of fasteners and the second jaw includes an anvil having a fastener forming surface thereon.

19. The surgical system according to claim 18, wherein the jaw assembly further includes an actuation sled supported within the cartridge assembly, the actuation sled being movable to urge the plurality of fasteners from the cartridge assembly.

20. The surgical system according to claim 19, wherein the drive beam abuts the actuation sled such that during longitudinal movement of the drive beam the actuation sled is pushed through the cartridge assembly to urge the plurality of fasteners from the cartridge assembly.