Articulating surgical device

• US 9,883,880 B2
• Filed: 03/02/2015
• Issued: 02/06/2018
• Est. Priority Date: 08/04/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Malkowski, Jaroslaw T., Cabrera, Ramiro, Fortier, Richard, Ziegler, Andrew, Cruz, Amos, Stellon, Gene A., Evans, Steve
• Primary Examiner(s): WEISBERG, AMY REGINA
• Application Number:
  US14/635,408
• Publication Number:
  US 20150164524A1
• Time in Patent Office: 1,072 Days
• Field of Search: 606205-207, 606 1, 606174, 600139-142, 600146, 600149, 604528
• CPC Class Codes: A61B 17/282 Jaws
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/2909 Handles
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions
• CPC Class Codes: A61B 2017/2837 with a locking ratchet
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2908 Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/291 the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2018/1422 Hook
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2034/715 : Cable tensioning mechanisms for removing slack
• CPC Class Codes: A61B 2090/0814 : Preventing re-use
• CPC Class Codes: A61B 34/70 : Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 34/71 : Manipulators operated by drive cable mechanisms

Abstract

An articulation mechanism for a surgical instrument includes an articulation assembly, a plurality of cables, and a trigger. The cables are coupled to the articulation assembly at a proximal end thereof and extend distally therefrom. The cables are configured to engage an end effector assembly of the surgical instrument at a distal end thereof. The trigger is coupled to the articulation assembly and is selectively moveable from a shipping position to a use position. In the shipping position, the cables are substantially un-tensioned. In the use position, the cables are disposed in an initial tensioned position. In the use position, the trigger is moveable between an unlocked position and a locked position. In the unlocked position, the cables are selectively tensionable to articulate the end effector assembly. In the locked position, the tensions on the cables are maintained to lock the end effector assembly in position.

Claims

1. A surgical device for performing surgery comprising:

an elongate member having a straight section and an articulating section movable relative to the straight section; and

an articulation mechanism including;

an articulation lock; and

an articulation cable plate coupled with the articulating section of the elongate member, the articulation cable plate irreversibly transitionable from a first state in which the articulation cable plate is in a distal-most position to a second state in which the articulation cable plate is selectively engageable with the articulation lock to transition the articulation lock between a locked position, in which articulation of the articulating section of the elongate member is inhibited and, an unlocked position, in which the articulating section of the elongate member is articulatable.

2. The surgical device according to claim 1, wherein the articulating section of the elongate member includes a plurality of articulation links, at least one articulation link of the plurality of articulation links configured to articulate relative to the straight section.

3. The surgical device according to claim 2, wherein the articulation mechanism further includes a plurality of articulation cables operatively connecting the articulation cable plate with the articulating section of the elongate member.

4. The surgical device according to claim 3, wherein the plurality of articulation cables is untensioned when the articulation cable plate is in the first state.

5. The surgical device according to claim 1, further including a handle assembly having a cup portion.

6. The surgical device according to claim 5, wherein the articulation cable plate and the articulation lock are disposed at least partially within the cup portion of the handle assembly.

7. The surgical device according to claim 5, wherein the articulation lock includes a plurality of fingers.

8. The surgical device according to claim 7, wherein when the articulation lock is in the locked position, the plurality of fingers engage an inner surface of the cup portion of the handle assembly, and when the articulation lock is in the unlocked position, the plurality of fingers are spaced from the inner surface of the cup portion.

9. The surgical device according to claim 8, wherein the articulation cable plate includes an annular portion selectively engageable with the plurality of fingers of the articulation lock to cause outward flexing of the plurality of fingers when the articulation lock is in the locked position.

10. A surgical device for performing surgery comprising:

an elongate member having a straight section and an articulating section configured to articulate with respect to the straight section;

an articulation mechanism including;

an articulation cable plate movable to effect articulation of the articulating section of the elongate member, the articulation cable plate irreversibly transitionable from a first state in which the articulation cable plate is in a distal-most position to a second state; and

an articulation lock selectively engageable with the articulation cable plate, the articulation cable plate in the second state transitionable between a first position, in which the articulation cable plate engages the articulation lock, which, in turn, locks a relative position of the articulating section relative to the straight section, and a second position in which the articulation cable plate is disengaged from the articulation lock to enable articulation of the articulating section relative to the straight section; and

an end effector coupled to the articulating section of the elongate member, the end effector having first and second jaw members movable relative to each other between an open position and an approximated position.

11. The surgical device according to claim 10, further including a locking mechanism configured to fix a relative position of the first and second jaw members.

12. The surgical device according to claim 11, wherein the locking mechanism further includes a first ratchet assembly and a second ratchet assembly, the first and second ratchet assemblies moveable relative to each other between an engaged position to lock a relative position of the first and second jaw members, and a disengaged position to unlock the relative position of the first and second jaw members.

13. The surgical device according to claim 12, wherein the locking mechanism includes a release assembly configured to disengage the first ratchet assembly from the second ratchet assembly.

14. The surgical device according to claim 10, wherein the articulation lock includes a plurality of fingers.

15. The surgical device according to claim 10, further including a handle assembly operatively associated with the articulation mechanism, wherein movement of the handle assembly in a first direction causes articulation of the articulating section towards the first direction.

16. The surgical device according to claim 15, wherein the articulation lock includes a plurality of fingers configured to frictionally engage the handle assembly.

17. The surgical device according to claim 16, wherein the articulation mechanism includes a plurality of articulation cables coupling the articulation section with the articulation cable plate.

18. The surgical device according to claim 15, wherein the handle assembly includes a thumb loop operatively coupled with the end effector such that actuation of the thumb loop causes an actuation of the end effector.