Surgical instrument with modular motor

• US 9,504,520 B2
• Filed: 06/06/2013
• Issued: 11/29/2016
• Est. Priority Date: 06/06/2013
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Worrell, Barry C., Gagel, Jeffrey C., Miller, Matthew C.
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US13/911,387
• Publication Number:
  US 20140364852A1
• Time in Patent Office: 1,272 Days
• Field of Search: 606 50- 52, 606205-211
• US Class Current: 1/1
• 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 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00411 actuated by application of energy from an energy source outside the body
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/145 wherein the effectors remain parallel during closing and opening
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

An apparatus for operating on tissue comprises a handpiece, an elongate shaft, an end effector, a firing beam, and a modular motor. The end effector has a pair of jaws configured to open and close upon tissue. The firing beam comprises a blade insert with a sharp edge operable to sever tissue captured within the end effector. The modular motor is insertable into the handpiece. The modular motor comprises a drive gear that engages a plurality of components disposed within the handpiece. Rotation of the drive gear drives longitudinal translation of the firing beam within the elongate shaft. Longitudinal translation of the firing beam opens and closes the jaws of the end effector relative to tissue. Longitudinal translation of the firing beam also severs tissue captured between closed jaws of the end effector.

Claims

1. An apparatus for operating on tissue, the apparatus comprising:

(a) a handpiece, wherein the handpiece presents a hollow interior and an opening;

(b) an elongate shaft, wherein the elongate shaft extends distally from the handpiece, and wherein the elongate shaft comprises a distal end;

(c) an end effector, wherein the end effector is disposed at the distal end of the elongate shaft, wherein the end effector comprises a first jaw and a second jaw, and wherein the first jaw is selectively pivotable toward and away from the second jaw;

(d) a motor assembly, wherein the motor assembly comprises;

i. a motor, and

ii. a drive gear, wherein the drive gear presents a first plurality of teeth, and wherein the motor is operable to drive rotation of the drive gear; and

(e) a first member, wherein the first member comprises a first end and a second end, wherein the first member is rotatable about a first axis located between the first end and the second end, wherein the first axis extends transversely relative to the first member, wherein the first end of the first member is associated with the drive gear, wherein the drive gear is rotatable about an axis that is transverse to the first axis to cause rotation of the first member about the first axis;

(f) a firing beam, wherein the second end of the first member is associated with the firing beam; and

(g) a rack, wherein the rack is proximally movable to cause pivoting of the first member in a first direction, thereby causing distal translation of the firing beam relative to the elongate shaft, wherein the rack is distally movable to cause pivoting of the first member in a second direction, thereby causing proximal translation of the firing beam relative to the elongate shaft.

2. The apparatus of claim 1, wherein the firing beam is configured to drive the first jaw toward and away from the second jaw.

3. The apparatus of claim 1, wherein the firing beam comprises a distal end, and wherein the firing beam further comprises a blade positioned at the distal end of the firing beam.

4. The apparatus of claim 1, wherein the handpiece presents a channel, and

wherein the rack presents a second plurality of teeth, wherein the first plurality of teeth of the drive gear engages the second plurality of teeth of the rack, wherein the rack is movable within the channel presented by the handpiece, wherein the drive gear is rotatable to cause movement of the rack within the channel wherein the first member is associated with the rack, wherein the rack is movable to cause rotation of the first member about the first axis.

5. The apparatus of claim 4, wherein the rack has an arcuate shape.

6. The apparatus of claim 4, wherein the apparatus further comprises a second member, wherein the second member is rotatably coupled to the first member, wherein the second member is rotatable about a second axis, and wherein the rack is configured to cause rotation of the second member about the second axis.

7. The apparatus of claim 6, wherein the second member is operable to cause longitudinal translation of the firing beam relative to the elongate shaft upon rotation of the second member about the second axis.

8. The apparatus of claim 6, wherein the apparatus further comprises a drive block, wherein the drive block engages one or both of the first member or the second member, wherein the drive block is coupled to a firing tube, and wherein one or both of the first member or the second member is configured to cause longitudinal translation of the firing tube relative to the elongate shaft upon rotation of one or both of the first member or the second member about the respective first and second axes.

9. The apparatus of claim 8, wherein the firing tube is operable to drive the firing beam relative to the elongate shaft.

10. The apparatus of claim 1, further comprising a battery, wherein the battery is operable to deliver power to the motor.

11. The apparatus of claim 10, wherein the battery is rechargeable.

12. The apparatus of claim 1, wherein the first plurality of teeth of the drive gear are tapered.

13. The apparatus of claim 1, wherein the end effector comprises at least one electrode operable to apply radiofrequency (RF) energy to the tissue.

14. The apparatus of claim 1, wherein the motor assembly further comprises a pair of pogo pins, wherein the pair of pogo pins are operable to communicate power to the motor from an external power supply.

15. The apparatus of claim 1, wherein the handpiece comprises a pistol grip, and wherein the motor is disposed within the pistol grip.

16. An apparatus for operating on tissue, the apparatus comprising:

(a) a handpiece, wherein the handpiece presents a hollow interior;

(b) an elongate shaft, wherein the elongate shaft extends distally from the handpiece, and wherein the elongate shaft comprises a distal end;

(c) an end effector, wherein the end effector is disposed at the distal end of the elongate shaft, wherein the end effector comprises a first jaw and a second jaw, and wherein the first jaw is selectively pivotable toward and away from the second jaw;

(d) a rack, wherein the rack is movable within the channel presented by the handpiece;

(e) a first rotatable member, wherein the first rotatable member is rotatably coupled to the rack, wherein the first rotatable member is further rotatably coupled to a first pin, and wherein the rack is movable to cause rotation of the first rotatable member about the first pin;

(f) a reusable motor assembly, wherein the reusable motor assembly is configured to be inserted into the hollow interior of the handpiece, and wherein the reusable motor assembly comprises;

i. a body,

ii. a motor, wherein the motor is disposed within the body,

iii. a drive gear, wherein the drive gear is configured to engage the rack, wherein the motor is operable to drive rotation of the drive gear, wherein the drive gear is rotatable to cause movement of the first rotatable member, and

iv. an integral power supply; and

(g) a firing beam, wherein the drive gear is rotatable to cause longitudinal translation of the firing beam relative to the elongate shaft, wherein the firing beam is translatable relative to the elongate shaft to cause movement of the first jaw toward and away from the second jaw.

17. The apparatus of claim 16, wherein the power supply comprises a battery.

18. The apparatus of claim 17, wherein the battery is disposed within the body of the reusable motor assembly.

19. An apparatus for operating on tissue, the apparatus comprising:

(a) a handpiece, wherein the handpiece presents a hollow interior;

(b) an elongate shaft, wherein the elongate shaft extends distally from the handpiece, and wherein the elongate shaft comprises a distal end;

(c) an end effector, wherein the end effector is disposed at the distal end of the elongate shaft, wherein the end effector comprises a first jaw and a second jaw, wherein the first jaw is selectively pivotable toward and away from the second jaw, and wherein the end effector comprises at least one electrode operable to apply RF energy to the tissue;

(d) a motor assembly, wherein the motor assembly comprises;

i. a motor, and

ii. a drive gear, wherein the motor is operable to drive rotation of the drive gear, wherein the drive gear is rotatable to drive the first jaw toward and away from the second jaw;

(e) a rack, wherein the drive gear is configured to engage the rack, wherein the rack is movable within the handpiece, wherein the drive gear is rotatable to cause movement of the rack within the handpiece when the drive gear is engaged with the rack;

(f) a first member pivotable in response to movement of the rack;

(g) a firing beam, wherein the rack is proximally movable to cause pivoting of the first member in a first direction, thereby causing distal translation of the firing beam relative to the elongate shaft, wherein the rack is distally movable to cause pivoting of the first member in a second direction, thereby causing proximal translation of the firing beam relative to the elongate shaft.