Apparatus for endoscopic procedures

• US 9,421,003 B2
• Filed: 02/18/2013
• Issued: 08/23/2016
• Est. Priority Date: 02/18/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Williams, Justin, Scirica, Paul
• Primary Examiner(s): ANDERSON, GREGORY A
• Application Number:
  US13/769,419
• Publication Number:
  US 20140236174A1
• Time in Patent Office: 1,282 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/2903 transferring rotary motion
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion

Abstract

An electromechanical surgical device includes an end effector configured to perform at least one function, the end effector including an input drive axle projecting therefrom; and a shaft assembly. The shaft assembly includes a rotatable drive shaft; a proximal neck housing supported at a distal end of an outer tube; a distal neck housing pivotally connected to the proximal neck housing; a pivot pin interconnecting the proximal neck housing and the distal neck housing; and a gear train supported in the proximal neck housing, on the pivot pin, and in the distal neck housing. The gear train includes a proximal gear; an intermediate gear; a distal gear; and a pair of output gears, wherein each output gear defines a coupling socket each configured to selectively receive the drive axle of the end effector.

Claims

1. A shaft assembly for selectively interconnecting an end effector and an electromechanical power source, the shaft assembly comprising:

an outer tube;

a rotatable drive shaft supported therein;

a proximal neck housing supported at a distal end of the outer tube;

a distal neck housing pivotally connected to the proximal neck housing, wherein a distal end of the distal neck housing is configured and adapted for operative connection with the end effector;

a pivot pin interconnecting the proximal neck housing and the distal neck housing; and

a gear train supported in the proximal neck housing, on the pivot pin, and in the distal neck housing, wherein the gear train includes;

a proximal gear rotatably supported in the proximal neck housing and being coupled to a distal end of the rotatable drive shaft;

an intermediate gear rotatably supported on the pivot pin and being in operative engagement with the proximal gear;

a distal gear rotatably supported in the distal neck housing and being in operative engagement with the intermediate gear; and

a pair of output gears rotatably supported in the distal neck housing and each being in operative engagement with the distal gear, wherein each output gear defines a coupling socket each configured to selectively receive the drive axle of the end effector; and

a release assembly disposed at a distal end of the shaft assembly, the release assembly includes a pair of opposing cam blocks and is configured for selective engagement with the end effector, the release assembly being actuatable from a proximal end of the shaft assembly such that the pair of cam blocks rotate about a rotation axis defined by the pair of cam blocks, the rotation axis being transverse to a central longitudinal axis defined by the shaft assembly.

2. The shaft assembly according to claim 1, wherein a rotation of the drive shaft of the shaft assembly results in rotation of both output gears.

3. The shaft assembly according to claim 2, wherein the shaft assembly has a straight configuration, and an angled configuration, between about 0°

to about 90°

, wherein the distal neck housing is pivoted about the pivot pin to a desired angled configuration.

4. The shaft assembly according to claim 3, wherein the gear train transmits rotation from the drive shaft to both output gears when the shaft assembly is in either the straight configuration or the angled configuration.

5. The shaft assembly according to claim 1, wherein an axis of rotation of the proximal gear is co-axial with an axis of rotation of the drive shaft, wherein an axis of rotation of the distal gear is co-axial with the axis of rotation of the drive shaft when the shaft assembly is in a straight configuration, and wherein an axis of rotation of each of the output gears is parallel to the axis of rotation of the distal gear.

6. The shaft assembly according to claim 5, wherein the axis of rotation of the distal gear is oriented orthogonal to a pivot axis defined by the pivot pin.

7. The shaft assembly according to claim 1, wherein the release assembly further includes a pair of diametrically opposed connection pins supported in the distal neck housing, each connection pin of the pair of connection pins is coupled to a respective cam block of the pair of cam blocks.

8. The shaft assembly according to claim 7, wherein the release assembly further includes:

an actuated condition in which the connection pins are retracted radially inward; and

a non-actuated condition in which the connection pins project radially outward.

9. The shaft assembly according to claim 8, wherein the release assembly includes a release button supported near a proximal end of the outer tube, and a release cable interconnecting the release button and the connection pins.

10. The shaft assembly according to claim 9, wherein an actuation of the release button exerts a force on the release cable to actuate the connection pins from the non-actuated condition to the actuated condition.

11. The shaft assembly according to claim 1, further comprising:

an articulation rod at least partially slidably supported in the distal neck housing, the articulation rod including;

a distal end; and

a proximal end operatively connected to a rotatable drive shaft;

wherein the articulation rod is off set a radial distance from the central longitudinal axis of the shaft assembly; and

an articulation link having a proximal end pivotally connected to the distal end of the articulation rod, and a distal end pivotally connected to the distal neck housing;

wherein actuation of a rotatable drive shaft of the shaft assembly that is connected to the articulation rod causes the articulation rod to axially translate; and

wherein axial translation of the articulation rod causes the distal neck housing to pivot off axis relative to the proximal neck housing.

12. An electromechanical surgical device, comprising an end effector configured to perform at least one function, the end effector including an input drive axle projecting therefrom, and the shaft assembly according to claim 1.

13. The electromechanical surgical device according to claim 12, wherein the end effector includes an upper jaw and a lower jaw movable with respect to one another between open and closed positions, wherein tissue contacting surfaces of the upper jaw and the lower jaw define a plane therebetween, and wherein the end effector is selectively connectable to the distal neck housing of the shaft assembly in one of a first orientation and a second orientation.

14. The electromechanical surgical device according to claim 13, wherein in the first orientation the plane defined by the end effector is oriented substantially orthogonal to a pivot axis defined by the pivot pin.

15. The electromechanical surgical device according to claim 14, wherein in the second orientation the plane defined by the end effector is oriented substantially parallel to a pivot axis defined by the pivot pin.

16. The electromechanical surgical device according to claim 15, wherein when the end effector is connected to the distal neck housing of the shaft assembly in the first orientation, the drive axle of the end effector is coupled to the coupling socket of a first of the pair of output gears.

17. The electromechanical surgical device according to claim 16, wherein when the end effector is connected to the distal neck housing of the shaft assembly in the second orientation, the drive axle of the end effector is coupled to the coupling socket of a second of the pair of output gears.

18. The electromechanical surgical device according to claim 12, wherein the end effector includes a coupling member defined by an annular wall, and wherein the coupling member defines a first pair of diametrically opposed attachment holes and a second pair of diametrically opposed attachment holes, wherein the first pair and the second pair of attachment holes are offset approximately 90°

relative to one another.

19. The electromechanical surgical device according to claim 18, wherein each of the first pair and second pair of attachment holes are configured to receive a pair of connection pins of the release assembly when the end effector is connected to the shaft assembly in one of the first orientation and the second orientation.