Motor driven surgical fastener device with cutting member reversing mechanism

• US 9,393,015 B2
• Filed: 05/10/2013
• Issued: 07/19/2016
• Est. Priority Date: 02/06/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Laurent, Ryan J., Swensgard, Brett E., Smith, Bret W., Schwemberger, Richard F., Abbott, Daniel J., Yates, David C., Smith, Craig S., Shelton, Frederick E. IV
• Primary Examiner(s): Chukwurah, Nathaniel
• Application Number:
  US13/891,665
• Publication Number:
  US 20130248576A1
• Time in Patent Office: 1,166 Days
• Field of Search: 227/19, 227/175.1, 227/176.1
• US Class Current: 1/1
• 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 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 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2090/304 using chemi-luminescent materials
• CPC Class Codes: A61B 2090/306 using optical fibres
• CPC Class Codes: A61B 2090/309 using white LEDs
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure

Abstract

A surgical fastener apparatus including a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector comprising a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position, and a cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners. An electrically activated reverse mechanism for moving the elongated member from a distal most position within the end effector to a proximal position, the electrically activated reverse mechanism moves the elongated member proximally after the elongated member has moved to the distal most position by moving the trigger to the open position, and wherein after activation of the reverse mechanism proximal movement of the elongated member can be stopped by returning the trigger to its closed position.

Claims

1. A surgical fastener apparatus, comprising:

an end effector comprising first and second jaws selectively movable between open and closed positions, said first jaw operably supporting a plurality of surgical fasteners therein;

an actuator member supported for selective advancement through said end effector when said first and second jaws are in said closed position such that as said actuator member is advanced therethrough in a first direction, said surgical fasteners are driven out of said first jaw into forming contact with said second jaw;

an electrically powered motor operably interfacing with said actuator member to apply deployment and retraction motions thereto;

a firing actuator operably interfacing with said electrically powered motor, said firing actuator including an activated position wherein said motor applies said deployment motion to said actuator member; and

an electrically activated reversing mechanism for moving said actuator member from a distal most position within said end effector to a proximal position, such that actuation of said electrically activated reversing mechanism causes said firing actuator to be deactivated, and wherein after actuation of said electrically activated reversing mechanism, proximal movement of said actuator member can be stopped by returning said firing actuator to its activated position.

2. The surgical fastener apparatus of claim 1 wherein said motor is controlled by a motor control circuit comprising a run motor control switch connected to a power source and operated by said firing actuator such that when said firing actuator is moved to said activated position, said run motor control switch permits current to flow to said motor in a first direction to cause said motor to distally deploy said actuator member into said end effector and wherein said electrically activated reversing mechanism comprises a reverse motor switch in said motor control circuit for causing said current to flow in a second direction to said motor to cause said motor to retract said actuator member in a proximal direction when said actuator member reaches said distal most position within said end effector.

3. The surgical fastener apparatus of claim 2 wherein said motor control circuit further comprises a stop motor switch that stops said flow of current in said second direction when said actuator member is moved to a proximal most position.

4. The surgical fastener apparatus of claim 2 wherein said reversing mechanism further comprises a retraction switch in said motor control circuit, said retraction switch operated by a retraction actuator such that upon activation of said retraction actuator, said retraction switch stops said flow of current in said second direction to said motor.

5. The surgical fastener apparatus of claim 4 wherein said retraction switch comprises a variable resistor.

6. The surgical fastener apparatus of claim 5 wherein said retraction switch further comprises a normally closed contact portion.

7. The surgical fastener apparatus of claim 4 wherein said retraction actuator is biased into an unactuated position by a biasing member.

8. A surgical fastener apparatus comprising:

an end effector;

an actuator supported relative to said end effector and being selectively movable between an unactuated position to actuated positions within said end effector;

an electric motor operably interfacing with said actuator to selectively apply a distal driving motion thereto to move said actuator from said unactuated position to said actuated positions and to selectively apply a proximal driving motion to said actuator to retract said actuator to said unactuated position from said actuated positions;

a firing actuator;

a motor control circuit for controlling said motor, said motor control circuit comprising;

a power source connected to said motor for electrically powering said motor; and

a current control circuit connected to said power source for controlling current supplied to said motor from said power source, said current control circuit comprising;

a run motor control switch connected to said power source and operated by said actuator such that upon application of an actuation motion to said firing actuator, said run motor control switch permits current to flow to said motor in a first direction to cause said motor to apply said distal driving motion to said actuator; and

a reverse motor switch connected to said power source such that when said actuator has moved to a distal most actuated position, said reverse motor switch permits current to flow to said motor in a second direction to cause said motor to apply said proximal driving motion to said actuator, said current control circuit further configured to alter said application of said proximal driving motion upon receipt of an application of a retraction motion thereto.

9. The surgical fastener apparatus of claim 8 further comprising a retraction actuator and wherein said current control circuit comprises a retraction switch connected to said power source and operated by said retraction actuator such that upon application of said retraction motion to said retraction actuator, said retraction switch alters said flow of current in said second direction to said motor.

10. The surgical fastener apparatus of claim 9 wherein said retraction switch comprises a variable resistor.

11. The surgical fastener apparatus of claim 10 wherein said retraction switch further comprises a normally closed contact portion.

12. The surgical fastener apparatus of claim 9 wherein said retraction actuator is biased into an unactuated position by a biasing member.

13. The surgical fastener apparatus of claim 9 wherein upon application of said retraction motion to said retraction actuator, said retraction switch stops said flow of current in said second direction to said motor.