Surgical instrument with stowing knife blade

• US 9,757,125 B2
• Filed: 02/24/2015
• Issued: 09/12/2017
• Est. Priority Date: 11/15/2011
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Inventors: Wellman, Ashley, Burbank, William A., Duque, Grant, Flanagan, Patrick
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US14/629,748
• Publication Number:
  US 20150230794A1
• Time in Patent Office: 931 Days
• Field of Search: 227 19, 2271751, 2271752, 2271761, 2271801, 606139, 606143, 606153, 606219, 606 45, 606167
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• 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 2034/252 indicating steps of a surgical procedure
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 50/13 Trolleys, e.g. carts

Abstract

A surgical instrument with a stowing knife blade includes an elongated shaft, an end effector coupled to the shaft and including two opposed jaws, a housing included in one of the jaws, a first member mounted in the housing and movable distally, a knife pivotally coupled with the first member, and a second member. The knife is configured to cut when advanced distally. The first and second members are moved distally at the same rate during a cutting motion of the knife and the second member blocks a rotation of the knife relative to the first member during the cutting motion of the knife. After moving through the first distance, relative movement between the first and second members occurs so as to permit or induce the previously blocked rotation of the knife so that the knife can be stowed.

Claims

1. A method of moving a knife of a surgical instrument end effector having a first end and a second end, the method comprising:

blocking a rotation of the knife relative to a first member with a second member, the knife being rotatably supported by the first member;

moving the first member and the second member at the same rate towards the second end; and

generating relative movement between the first member and the second member to accomplish at least one of permitting rotation of the knife and inducing rotation of the knife by moving one of the first member and the second member toward one of the first end and the second end while not moving the other of the first member and the second member.

2. The method of claim 1:

wherein moving the first member and the second member at the same rate towards the second end comprises rotating a lead screw, the first member and the second member both being coupled to a threaded portion of the lead screw; and

wherein generating relative movement between the first member and the second member comprises rotating the lead screw with one of the first member and the second member being coupled to the threaded portion of the lead screw, and the other of the first member and the second member interfacing with a non-threaded portion of the lead screw.

3. The method of claim 1, further comprising engaging the knife with a kick-down feature that rotates the knife relative to the first member after generating relative movement between the first member and the second member, stowing a cutting edge of the knife below an upper surface of a housing of the surgical instrument.

4. The method of claim 1, wherein the relative movement between the first member and the second member rotates the knife relative to the first member.

5. The method of claim 1, wherein generating relative movement between the first member and the second member comprises moving one of the first member and the second member toward the first end while not moving the other of the first member and the second member toward the first end.

6. The method of claim 1, wherein moving the first member and the second member at the same rate towards the second end comprises engaging the knife with a kick-up feature to rotate the knife from a non-cutting position into a cutting position.

7. The method of claim 1, wherein generating relative movement between the first member and the second member comprises engaging the knife with a kick-down feature coupled to the second member that rotates the knife relative to the first member, stowing a cutting edge of the knife below an upper surface of a housing of the surgical instrument.

8. The method of claim 1, wherein moving the first member and the second member at the same rate towards the second end comprises deploying staples.

9. The method of claim 1, wherein the second end of the end effector is located distal to the first end of the end effector.

10. The method of claim 1, wherein the relative movement between the first member and the second member occurs along a line extending between the first end of the end effector and the second end of the end effector.

11. A method comprising:

translating a knife in a cutting position and a first member supporting the knife in the cutting position at the same rate along a line toward one end of an end effector; and

after the translation of the knife and the first member at the same rate along the line, generating rotation of the knife from the cutting position to a non-cutting position by translating the first member relative to the knife along the line.

12. The method of claim 11, wherein the rotation of the knife is generated via a gearing interface between the first member and the knife.

13. The method of claim 11, wherein generating the rotation of the knife comprises:

translating the first member relative to position the first member to not block rotation of the knife from the cutting position to the non-cutting position; and

engaging the knife with a kick-down feature to generate the rotation of the knife from the cutting position to the non-cutting position.

14. The method of claim 13, wherein engaging the knife with the kick-down feature comprises translating the knife and the first member at the same rate along the line.

15. The method of claim 14, wherein rotating a lead screw translates the knife and the first member.

16. The method of claim 15, wherein translating the knife and the first member at the same rate along the line comprises rotating the lead screw in a first direction, and translating the first member relative to the knife along the line comprises rotating the lead screw in a second direction opposite the first direction.

17. The method of claim 15, wherein translating the first member relative to the knife along the line comprises rotating the lead screw with the first member operatively coupled to a threaded portion of the lead screw and with the knife operatively coupled to a non-threaded portion of the lead screw.

18. A method comprising:

blocking rotation of a knife supported by a first member with a second member as the first member and a second member move at the same rate towards a distal end of a surgical instrument end effector; and

after the first member and the second member move at the same rate towards the distal end of the surgical instrument end effector, translating the second member relative to the knife to a position that does not block rotation of the knife.