Apparatus for endoscopic procedures

• US 9,987,008 B2
• Filed: 12/16/2015
• Issued: 06/05/2018
• Est. Priority Date: 02/18/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Scirica, Paul, Williams, Justin
• Primary Examiner(s): Anderson, Gregory
• Application Number:
  US14/970,991
• Publication Number:
  US 20160095596A1
• Time in Patent Office: 902 Days
• 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 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
• 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 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: F16H 25/20 Screw mechanisms with automatic reversal F16H25/12

Abstract

A shaft assembly is provided for interconnecting at least one rotatable drive shaft of a hand-held electromechanical surgical device, and an end effector actuatable by an axial drive force. The shaft assembly includes a flexible drive cable rotatably supported in an outer tube, the flexible drive cable includes a proximal end operatively connected to a respective rotatable drive shaft of the hand-held surgical device. The flexible drive cable being off set a radial distance from a central longitudinal axis of the outer tube. The shaft assembly includes an articulation rod at least partially slidably supported in the outer tube, 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 a distal neck housing. The articulation rod being off set a radial distance from the central longitudinal axis of the outer tube.

Claims

1. A shaft assembly for interconnecting at least one rotatable drive shaft of a hand-held electromechanical surgical device and an end effector, the shaft assembly comprising:

a shaft coupling assembly including a drive member configured to connect to a rotatable drive shaft of a surgical device;

an outer tube having a proximal end portion supported by the shaft coupling assembly, the outer tube defining a central longitudinal axis;

a neck portion including;

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

a distal neck portion pivotally connected to the proximal neck portion, the distal neck portion configured to connect to an end effector;

a hub rotatably supported at the distal neck portion, the hub rotatable about an axis of rotation coaxial with the central longitudinal axis; and

a rotation nut rotatably supported in the hub and connected to a distal end portion of the drive member, the rotation nut radially offset from the central longitudinal axis and configured to selectively connect to a rotatable drive axle of an end effector.

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

an articulation rod at least partially slidably supported in the proximal neck portion; and

an articulation link having a proximal end portion pivotally connected to the articulation rod and a distal end portion pivotally connected to the distal neck portion, wherein axial movement of the articulation link pivots the distal neck portion relative to the proximal neck portion.

3. The shaft assembly according to claim 1, wherein the proximal neck portion is pivotable about a pivot axis that is transverse relative to the central longitudinal axis.

4. The shaft assembly according to claim 1, wherein the distal neck portion is pivotable only in a single direction relative to the proximal neck portion.

5. The shaft assembly according to claim 1, wherein the distal neck portion defines a proximal chamfered surface and the proximal neck portion defines a distal chamfered surface, the proximal chamfered surface and the distal chamfered surface define a maximum pivot angle of the distal neck portion relative to the proximal neck portion.

6. The shaft assembly according to claim 1, wherein the drive member is a flexible drive cable configured to operatively connect at its proximal end portion to a drive shaft of a hand-held surgical device and is offset radially from the central longitudinal axis of the outer tube.

7. The shaft assembly according to claim 6, wherein the flexible drive cable is sheathed in a coil spring.

8. An electromechanical surgical system, comprising:

a hand-held surgical device including a device housing defining a connecting portion and at least one rotatable drive shaft;

an end effector configured to perform at least one function, the end effector including a rotatable drive axle; and

a shaft assembly for selectively interconnecting the end effector and the surgical device, the shaft assembly including;

a shaft coupling assembly configured to connect to the connecting portion, the shaft assembly including a drive member configured to connect to the rotatable drive shaft;

an outer tube having a proximal end portion supported by the shaft coupling assembly, the outer tube defining a central longitudinal axis;

a neck portion including;

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

a distal neck portion pivotally connected to the proximal neck portion, the distal neck portion configured to connect to the end effector;

a hub rotatably supported at the distal neck portion, the hub rotatable about an axis of rotation coaxial with the central longitudinal axis; and

a rotation nut rotatably supported in the hub and connected to a distal end portion of the drive member, the rotation nut radially offset from the central longitudinal axis and configured to selectively connect to the rotatable drive axle.

9. The electromechanical surgical system according to claim 8, further comprising:

an articulation rod at least partially slidably supported in the proximal neck portion; and

an articulation link having a proximal end portion pivotally connected to the articulation rod and a distal end portion pivotally connected to the distal neck portion, wherein axial movement of the articulation link pivots the distal neck portion relative to the proximal neck portion.

10. The electromechanical surgical system according to claim 8, wherein the proximal neck portion is pivotable about a pivot axis that is transverse relative to the central longitudinal axis.

11. The electromechanical surgical system according to claim 8, wherein the distal neck portion is pivotable only in a single direction relative to the proximal neck portion.

12. The electromechanical surgical system according to claim 8, wherein the distal neck portion defines a proximal chamfered surface and the proximal neck portion defines a distal chamfered surface, the proximal chamfered surface and distal chamfered surface define a maximum pivot angle of the distal neck portion relative to the proximal neck portion.

13. The electromechanical surgical system according to claim 8, wherein the drive member is a flexible drive cable configured to operatively connect at its proximal end portion to a drive shaft of a hand-held surgical device and is offset radially from the central longitudinal axis of the outer tube.

14. The electromechanical surgical system according to claim 13, wherein the flexible drive cable is sheathed in a coil spring.

15. The electromechanical surgical system according to claim 8, wherein the end effector includes a pair of opposing jaw members configured to grasp tissue.

16. The electromechanical surgical system according to claim 15, wherein the rotatable drive axle is configured to move at least one of the opposing jaw members relative to the other opposing jaw member.

17. The electromechanical surgical system according to claim 16, wherein one of the opposing jaw member includes at least one fastener.

18. The electromechanical surgical system according to claim 17, wherein the rotatable drive axle is configured to eject the at least one fastener from one of the opposing jaw members.