Apparatus for endoscopic procedures

• US 8,899,462 B2
• Filed: 10/25/2011
• Issued: 12/02/2014
• Est. Priority Date: 10/25/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Kostrzewski, Stanislaw, Scirica, Paul A., Aranyi, Ernest, Racenet, David, Marini, Frank, Bronson, Dwight, Powers, William
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US13/280,898
• Publication Number:
  US 20130098966A1
• Time in Patent Office: 1,134 Days
• Field of Search: 227/175.1, 227/176.1, 227/180.1, 227/175.2
• US Class Current: 227/175.1
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/0814 Preventing re-use

Abstract

An electromechanical surgical system comprises a hand-held surgical instrument including an instrument housing defining a connecting portion for selectively connecting with a shaft assembly, the surgical instrument having at least one rotatable drive member, and an end effector configured to perform at least one function. The shaft assembly selectively interconnects the end effector and the surgical device. The shaft assembly includes a transmission housing and a force transmitting assembly for interconnecting the rotatable drive member and a rotation receiving member supported in the end effector.

Claims

1. An electromechanical surgical system, comprising:

a hand-held surgical instrument including an instrument housing defining a connecting portion for selectively connecting with a shaft assembly, the surgical instrument having at least one rotatable drive member;

an end effector configured to perform at least one function and including;

an upper jaw,

lower jaw;

a drive beam translatable through at least one of the upper jaw or the lower jaw to move the lower jaw relative to the upper jaw; and

a cartridge assembly selectively receivable in the lower iaw and including;

a cartridge body defining a longitudinally extending knife slot;

a plurality of staples disposed in individual staple retaining slots formed in the cartridge body, wherein the staple retaining slots are arranged in multiple longitudinally extending rows disposed on opposed lateral sides of the knife slot;

an actuation sled slidably supported in the cartridge body and being configured to expel at least a portion of the plurality of staples from the cartridge body upon a distal movement of the actuation sled from a proximal-most position., wherein the actuation sled of the cartridge assembly remains in a distally advanced position following any retraction of the drive beam; and

a knife sled slidably supported in the cartridge body at a location proximal of the actuation sled, wherein the knife sled includes a knife blade extending into the knife slot, wherein the drive beam engages the knife sled and the actuation sled when the cartridge assembly is disposed in the lower jaw and when the drive beam is advanced; and

the shaft assembly being arranged for selectively interconnecting the end effector and the surgical instrument, the shaft assembly including;

a transmission housing configured and adapted for selective connection to the connecting portion of the surgical instrument and to be in operative communication with each of the at least one rotatable drive member of the surgical instrument;

an outer tubular body having a proximal end supported by the transmission housing and a distal end configured and adapted for operative connection with the end effector; and

a force transmitting assembly for interconnecting a respective one of the at least one rotatable drive member of the surgical instrument and at least one rotation receiving member supported in the end effector, wherein the force transmitting assembly includes a first end that is connectable to the at least one rotatable drive member of the surgical instrument and a second end that is connectable to the at least one rotation receiving member of the end effector, wherein the force transmitting assembly transmits a rotation of the at least one rotatable drive member of the surgical instrument to the at least one rotation receiving member of the end effector.

2. The electromechanical surgical system according to claim 1, wherein the handheld surgical instrument further includes:

at least one drive motor supported in the instrument housing and being configured to rotate the at least one rotatable drive member;

a battery disposed within the instrument housing for powering the at least one drive motor; and

a circuit board disposed within the instrument housing for controlling power delivered from the battery to the at least one drive motor.

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

at least one surgical buttress releasably secured to a tissue contacting surface of at least one of the upper jaw or the lower jaw.

4. The electromechanical surgical system according to claim 1, wherein the

at least one surgical buttress is secured to the at least one of the upper jaw or the lower jaw by at least one suture, the at least one of the upper jaw or the lower jaw being configured to receive a portion of the at least one suture.

5. The electromechanical surgical system according to claim 1, wherein the knife sled of the cartridge assembly includes a lock-out spring extending therefrom, wherein the lockout spring of the knife sled engages a lock-out notch defined in the cartridge body to inhibit advancement of the knife sled.

6. The electromechanical surgical system according to claim 5, wherein, when the actuation sled and the knife sled are in a proximal-most position, the actuation sled blocks engagement of the lock-out spring of the knife sled with the lock-out notch of the cartridge body.

7. The electromechanical surgical system according to claim 6, wherein the knife sled of the cartridge assembly is retracted upon any retraction of the drive beam.

8. The electromechanical surgical system according to claim 7, wherein the drive beam includes a lock clip extending therefrom, wherein the lock clip of the drive beam engages the knife sled upon any distal advancement of the drive beam such that the knife sled retracts upon a retraction of the drive beam.

9. The electromechanical surgical system according to claim 8, wherein the at least one rotation receiving member of the end effector includes a drive screw rotatably supported in the lower jaw, wherein the drive beam is threadably supported on the drive screw, whereby rotation of the drive screw results in axial translation of the drive beam.

10. The electromechanical surgical system according to claim 1, wherein the at least one rotation receiving member of the end effector includes a drive screw rotatably supported in the lower jaw, wherein the drive beam is threadably supported on the drive screw, whereby rotation of the drive screw results in axial translation of the drive beam.

11. The electromechanical surgical system according to claim 1, wherein the at least one force transmitting assembly of the shaft assembly includes a first gear train system interconnecting the at least one rotatable drive member of the surgical instrument and the at least one rotation receiving member of the end effector, wherein the first gear train system varies at least one of:

a rate of rotation between the at least one rotatable drive member of the surgical instrument and the at least one rotation receiving member of the end effector;

or

an axis of rotation between the at least one rotatable drive member of the surgical instrument and the at least one rotation receiving member of the end effector.

12. The electromechanical surgical system according to claim 11, wherein the shaft assembly includes an articulating neck assembly, and wherein the first gear train system is disposed proximal of the articulating neck assembly.

13. The electromechanical surgical system according to claim 12, wherein the shaft assembly includes a neck housing disposed distal of the articulating neck assembly, wherein the neck housing supports a neck first gear train of the at least one force transmitting assembly, wherein the neck first gear train interconnects an output of the first gear train system with the at least one rotation receiving member of the end effector, wherein the neck first gear train varies at least one of:

a rate of rotation between the output of the first gear train system and the at least one rotation receiving member of the end effector;

or

an axis of rotation between the output of the first gear train system and the at least one rotation receiving member of the end effector.

14. The electromechanical surgical system according to claim 13, wherein the at least one rotation receiving member of the end effector includes a drive screw rotatably supported in the lower jaw, wherein the drive beam is threadably supported on the drive screw, whereby rotation of the drive screw results in axial translation of the drive beam.

15. The electromechanical surgical system according to claim 13, wherein the at least one force transmitting assembly of the shaft assembly includes a second gear train system interconnecting another of the at least one rotatable drive member of the surgical instrument and a rotation hub rotatably supported at a distal end of the neck housing, wherein the second gear train system varies at least one of:

a rate of rotation between the another at least one rotatable drive member of the surgical instrument and the rotation hub of the shaft assembly;

or

an axis of rotation between the another at least one rotatable drive member of the surgical instrument and the rotation hub of the shaft assembly.

16. The electromechanical surgical system according to claim 11, wherein the at least one rotation receiving member of the end effector includes a drive screw rotatably supported in the lower jaw, wherein the drive beam is threadably supported on the drive screw, whereby rotation of the drive screw results in axial translation of the drive beam.

17. The electromechanical surgical system according to claim 1, wherein the shaft assembly further includes:

an articulating neck assembly supported at the distal end of the outer tubular body;

a distal neck housing supported at a distal end of the articulating neck assembly, and first and second diametrically opposed articulation cables extending at least partially along the neck assembly, wherein each articulation cable includes a distal end anchored to the distal neck housing, and a proximal end extending into the outer tubular body, the proximal end of each articulation cable being secured to a respective first and second rack, each rack being operatively connected to one another by a spur gear, wherein axial displacement of the first rack in a first direction results in;

axial displacement of the respective first articulation cable in the first direction;

articulation of the neck assembly in a first off-axis direction; and

axial displacement of the second articulation cable in a direction opposite to the first direction.

18. The electromechanical surgical system according to claim 17, wherein the shaft assembly further includes:

a threaded rod extending proximally from the first rack; and

a threaded shaft threadably connected to the threaded rod extending from the first rack, the threaded shaft being connected to another at least one rotatable drive member of the surgical instrument, wherein rotation of the another at least one rotatable drive member of the surgical instrument imparts rotation to the threaded shaft and, in turn, axial displacement of the threaded rod and first rack.

19. The electromechanical surgical system according to claim 1, wherein the shaft assembly further includes:

an articulating neck assembly supported at the distal end of the outer tubular body, the neck assembly defining a central axis and being articulatable in a first plane;

a distal neck housing supported at a distal end of the articulating neck assembly,

first and second diametrically opposed articulation cables extending at least partially along the neck assembly;

a first drive cable extending at least partially along the neck assembly and defining a first drive axis spaced a radial distance from the central axis, the first drive axis being defined by a first drive plane extending orthogonal to the first plane; and

a second drive cable extending at least partially along the neck assembly and defining a second drive axis spaced a radial distance from the central axis, the second drive axis being defined by a second drive plane extending orthogonal to the first plane;

wherein the first drive cable and the second drive cable are diametrically opposed to one another.

20. An electromechanical surgical system, comprising:

a hand-held surgical instrument including an instrument housing defining a connecting portion for selectively connecting with a shaft assembly, the surgical instrument having at least one rotatable drive member;

an end effector configured to perform at least one function and including;

an upper jaw;

a lower jaw;

a drive beam translatable through at least one of the upper jaw or the lower jaw to move the lower jaw relative to the upper jaw; and

a cartridge assembly selectively receivable in the lower jaw and including;

a cartridge body defining a longitudinally extending knife slot;

a plurality of staples disposed in individual staple retaining slots formed in the cartridge body, wherein the staple retaining slots are arranged in multiple longitudinally extending rows disposed on opposed lateral sides of the knife slot;

an actuation sled slidably supported in the cartridge body and being configured to expel at least a portion of the plurality of staples from the cartridge body upon a distal movement of the actuation sled from a proximal-most position; and

a knife sled slidably supported in the cartridge body at a location proximal of the actuation sled, the knife sled including a knife blade extending into the knife slot, the drive beam engaging the knife sled and the actuation sled when the cartridge assembly is disposed in the lower jaw and when the drive beam is advanced, the knife sled of the cartridge assembly including a lock-out spring extending therefrom, wherein the lockout spring of the knife sled engages a lock-out notch defined in the cartridge body to inhibit advancement of the knife sled; and

the shaft assembly being arranged for selectively interconnecting the end effector and the surgical instrument, the shaft assembly including;

a transmission housing configured and adapted for selective connection to the connecting portion of the surgical instrument and to be in operative communication with each of the at least one rotatable drive member of the surgical instrument;

an outer tubular body having a proximal end supported by the transmission housing and a distal end configured and adapted for operative connection with the end effector; and

a force transmitting assembly for interconnecting a respective one of the at least one rotatable drive member of the surgical instrument and at least one rotation receiving member supported in the end effector, wherein the force transmitting assembly includes a first end that is connectable to the at least one rotatable drive member of the surgical instrument and a second end that is connectable to the at least one rotation receiving member of the end effector, wherein the force transmitting assembly transmits a rotation of the at least one rotatable drive member of the surgical instrument to the at least one rotation receiving member of the end effector.

21. An electromechanical surgical system, comprising:

a hand-held surgical instrument including an instrument housing defining a connecting portion for selectively connecting with a shaft assembly, the surgical instrument having at least one rotatable drive member;

an end effector configured to perform at least one function; and

the shaft assembly being arranged for selectively interconnecting the end effector and the surgical instrument, the shaft assembly including;

a transmission housing configured and adapted for selective connection to the connecting portion of the surgical instrument and to be in operative communication with each of the at least one rotatable drive member of the surgical instrument;

an outer tubular body having a proximal end supported by the transmission housing and a distal end configured and adapted for operative connection with the end effector;

a force transmitting assembly including a first gear train system interconnecting the at least one rotatable drive member of the surgical instrument and at least one rotation receiving member of the end effector, wherein the first gear train system varies at least one of;

a rate of rotation between the at least one rotatable drive member of the surgical instrument and the at least one rotation receiving member of the end effector;

or

an axis of rotation between the at least one rotatable drive member of the surgical instrument and the at least one rotation receiving member of the end effector;

an articulating neck assembly, the first gear train system being disposed proximal of the articulating neck assembly;

a neck housing disposed distal of the articulating neck assembly, the neck housing supporting a neck first gear train of the at least one force transmitting assembly, wherein the neck first gear train interconnects an output of the first gear train system with the at least one rotation receiving member of the end effector, wherein the neck first gear train varies at least one of;

a rate of rotation between the output of the first gear train system and the at least one rotation receiving member of the end effector;

or

an axis of rotation between the output of the first gear train system and the at least one rotation receiving member of the end effector.

22. An electromechanical surgical system, comprising:

a hand-held surgical instrument including an instrument housing defining a connecting portion for selectively connecting with a shaft assembly, the surgical instrument having at least one rotatable drive member;

an end effector configured to perform at least one function; and

the shaft assembly being arranged for selectively interconnecting the end effector and the surgical instrument, the shaft assembly including;

a transmission housing configured and adapted for selective connection to the connecting portion of the surgical instrument and to be in operative communication with each of the at least one rotatable drive member of the surgical instrument;

an outer tubular body having a proximal end supported by the transmission housing and a distal end configured and adapted for operative connection with the end effector;

a force transmitting assembly for interconnecting a respective one of the at least one rotatable drive member of the surgical instrument and at least one rotation receiving member supported in the end effector, wherein the force transmitting assembly includes a first end that is connectable to the at least one rotatable drive member of the surgical instrument and a second end that is connectable to the at least one rotation receiving member of the end effector, wherein the force transmitting assembly transmits a rotation of the at least one rotatable drive member of the surgical instrument to the at least one rotation receiving member of the end effector;

an articulating neck assembly supported at the distal end of the outer tubular body;

a distal neck housing supported at a distal end of the articulating neck assembly; and

first and second diametrically opposed articulation cables extending at least partially along the neck assembly, wherein each articulation cable includes a distal end anchored to the distal neck housing, and a proximal end extending into the outer tubular body, the proximal end of each articulation cable being secured to a respective first and second rack, each rack being operatively connected to one another by a spur gear, wherein axial displacement of the first rack in a first direction results in;

axial displacement of the respective first articulation cable in the first direction;

articulation of the neck assembly in a first off-axis direction; and

axial displacement of the second articulation cable in a direction opposite to the first direction.

23. An electromechanical surgical system, comprising:

a hand-held surgical instrument including an instrument housing defining a connecting portion for selectively connecting with a shaft assembly, the surgical instrument having at least one rotatable drive member;

an end effector configured to perform at least one function; and

the shaft assembly being arranged for selectively interconnecting the end effector and the surgical instrument, the shaft assembly including;

a transmission housing configured and adapted for selective connection to the connecting portion of the surgical instrument and to be in operative communication with each of the at least one rotatable drive member of the surgical instrument;

an outer tubular body having a proximal end supported by the transmission housing and a distal end configured and adapted for operative connection with the end effector;

a force transmitting assembly for interconnecting a respective one of the at least one rotatable drive member of the surgical instrument and at least one rotation receiving member supported in the end effector, wherein the force transmitting assembly includes a first end that is connectable to the at least one rotatable drive member of the surgical instrument and a second end that is connectable to the at least one rotation receiving member of the end effector, wherein the force transmitting assembly transmits a rotation of the at least one rotatable drive member of the surgical instrument to the at least one rotation receiving member of the end effector;

an articulating neck assembly supported at the distal end of the outer tubular body, the neck assembly defining a central axis and being articulatable in a first plane;

a distal neck housing supported at a distal end of the articulating neck assembly;

first and second diametrically opposed articulation cables extending at least partially along the neck assembly;

a first drive cable extending at least partially along the neck assembly and defining a first drive axis spaced a radial distance from the central axis, the first drive axis being defined by a first drive plane extending orthogonal to the first plane; and

a second drive cable extending at least partially along the neck assembly and defining a second drive axis spaced a radial distance from the central axis, the second drive axis being defined by a second drive plane extending orthogonal to the first plane;

wherein the first drive cable and the second drive cable are diametrically opposed to one another.