Rotary powered surgical instrument with manually actuatable bailout system

• US 10,357,246 B2
• Filed: 04/01/2016
• Issued: 07/23/2019
• Est. Priority Date: 04/01/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Harris, Jason L.
• Primary Examiner(s): Valvis, Alexander M
• Assistant Examiner(s): Ahmed, Mobeen
• Application Number:
  US15/089,262
• Publication Number:
  US 20170281161A1
• Time in Patent Office: 1,208 Days
• 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/0042 with special provisions for gripping
• CPC Class Codes: A61B 2017/00424 ergonomic, e.g. fitting in fist
• 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 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• 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 2017/291 the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2912 : transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2922 : toggle linkages
• 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 2017/2927 : 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 2017/293 : with means preventing relative rotation between the shaft and the actuating rod
• CPC Class Codes: A61B 2017/2932 : Transmission of forces to jaw members
• CPC Class Codes: A61B 2090/034 : abutting on parts of the device itself

Abstract

A motor-driven surgical instrument is disclosed. The surgical instrument comprises a motor that is supported in a housing and includes at least one rotary drive system that is configured for selective operable engagement and disengagement with the motor assembly. A bailout drive train is supported by the housing assembly and is configured for selective operable engagement and disengagement with the at least one rotary drive system. A bailout handle assembly is selectively movable between a stored position within the housing assembly and an actuation position such that, when the bailout handle assembly is in the stored position, the at least one rotary drive system is retained in operable engagement with the motor assembly and when the bailout handle assembly is in the actuation position, the bailout drive train is in operable engagement with the at least one rotary drive system.

Claims

1. A surgical instrument, comprising:

a housing assembly;

a motor assembly operably supported in said housing assembly;

at least one rotary drive system comprising;

a system drive shaft rotatably supported by said housing assembly;

a driven bevel gear axially movable on said system drive shaft between a first position wherein said driven bevel gear is in meshing engagement with a driver bevel gear of said motor assembly and a second position wherein said driven bevel gear is out of meshing engagement with said driver bevel gear; and

a drive system biasing member for biasing said driven bevel gear into said second position; and

a bailout system comprising;

a bailout drive train supported by said housing assembly and configured for selective operable engagement and disengagement with said at least one rotary drive system; and

a bailout handle assembly selectively movable between a stored position within said housing assembly and an actuation position such that, when said bailout handle assembly is in said stored position, said at least one rotary drive system is retained in operable engagement with said motor assembly and when said bailout handle assembly is in said actuation position, said bailout drive train is in operable engagement with said at least one rotary drive system, and wherein said housing assembly further comprises a bailout access panel that is maneuverable between a closed position wherein said bailout handle assembly is completely enclosed within said housing assembly in said stored position and an open position wherein said bailout handle assembly is actuatable such that a portion of said bailout access panel is configured to bias said driven bevel gear into said first position when said bailout access panel is in said closed position.

2. The surgical instrument of claim 1, wherein when said bailout access panel is in said closed position, said bailout access panel positively retains said at least one rotary drive system in operable engagement with said motor assembly and prevents said bailout drive train from operable engagement with said motor assembly.

3. The surgical instrument of claim 1, wherein said bailout access panel is removably attachable to said housing assembly.

4. The surgical instrument of claim 1, wherein said bailout drive train comprises:

a bailout drive shaft operably interfacing with said bailout handle assembly such that manual actuation of said bailout handle assembly applies rotary motion to said bailout drive shaft;

a bailout driven gear on said system drive shaft;

a bailout drive gear axially movable on said bailout drive shaft between an unactuated position wherein said bailout drive gear is not in meshing engagement with said bailout driven gear and an actuated position wherein said bailout drive gear is in meshing engagement with said bailout driven gear; and

a bailout biasing member configured to bias said bailout drive gear into meshing engagement with said bailout driven gear when said bailout access panel is in said open position.

5. The surgical instrument of claim 4, wherein said bailout access panel is configured to bias said bailout drive gear out of meshing engagement with said bailout driven gear when said bailout access panel is in said open position.

6. The surgical instrument of claim 1, further comprising a bailout handle biasing member for biasing said bailout handle assembly to said actuation position when said bailout access panel is in said open position.

7. The surgical instrument of claim 6, wherein said bailout handle assembly is configured to apply rotary motions to a bailout drive shaft upon application of manually-generated ratcheting motions thereto.

8. A surgical instrument, comprising:

a housing assembly;

a motor assembly operably supported within a portion of said housing assembly;

at least one rotary drive system supported by said housing assembly and configured for selective operable engagement and disengagement with said motor assembly;

an access panel interfacing with said housing assembly and being maneuverable between an open position and a closed position, said access panel operably interfacing with said at least one rotary drive system to positively retain said at least one rotary drive system in operable engagement with said motor assembly when said access panel is in said closed position; and

means for disengaging said at least one rotary drive system from said motor assembly and manually applying a rotary motion to said at least one rotary drive system upon manipulation thereof when said access panel has been maneuvered to said open position.

9. A surgical instrument, comprising:

a handle assembly configured for operable attachment to a surgical tool assembly, a portion of said handle assembly being maneuverable between an open position and a closed position;

a motor assembly operably supported by said handle assembly;

at least one rotary drive system operably supported by said handle assembly and being configured for selective operable engagement and disengagement with said motor assembly; and

a bailout system, comprising;

a bailout drive train supported by said handle assembly and configured for selective operable engagement and disengagement with said at least one rotary drive system;

a bailout actuator assembly selectively movable between a stored position within said handle assembly and an actuation position such that, when said bailout actuator assembly is in said stored position, said at least one rotary drive system is retained in operable engagement with said motor assembly and when said bailout actuator assembly is in said actuation position, said bailout drive train is in operable engagement with said at least one rotary drive system; and

an actuator biaser configured to bias said bailout actuator assembly from said stored position to said actuation position when said portion of said handle assembly is maneuvered into said open position.

10. The surgical instrument of claim 9, wherein said portion of said handle assembly comprises a bailout access panel that is maneuverable between said closed position and said open position, wherein said bailout actuator assembly is completely enclosed within said handle assembly in said stored position when said bailout access panel is in said closed position, wherein said bailout actuator assembly is in said actuation position when said bailout access panel is in said open position, and wherein said bailout actuator assembly is manually actuatable when said bailout actuator assembly is in said actuation position.

11. The surgical instrument of claim 10, wherein said bailout access panel is removably attachable to said handle assembly.

12. The surgical instrument of claim 10, wherein when said bailout access panel is in said closed position, said bailout access panel positively retains said at least one rotary drive system in operable engagement with said motor assembly and prevents said bailout drive train from operably engaging said motor assembly.

13. The surgical instrument of claim 10, wherein said at least one rotary drive system comprises:

a system drive shaft rotatably supported by said handle assembly;

a driven bevel gear axially movable on said system drive shaft between a first position wherein said driven bevel gear is in meshing engagement with a driver bevel gear of said motor assembly and a second position wherein said driven bevel gear is out of meshing engagement with said driver bevel gear; and

a drive system biasing member for biasing said driven bevel gear into said second position and wherein a portion of said bailout access panel is configured to bias said driven bevel gear into said first position when said bailout access panel is in said closed position.

14. The surgical instrument of claim 13, wherein said bailout drive train comprises:

a bailout drive shaft operably interfacing with said bailout actuator assembly such that manual actuation of said bailout actuator assembly will apply rotary motion to said bailout drive shaft;

a bailout driven gear on said system drive shaft;

a bailout drive gear axially movable on said bailout drive shaft between an unactuated position wherein said bailout drive gear is not in meshing engagement with said bailout driven gear and an actuated position wherein said bailout drive gear is in meshing engagement with said bailout driven gear; and

a bailout biasing member configured to bias said bailout drive gear into meshing engagement with said bailout driven gear when said bailout access panel is in said open position.

15. The surgical instrument of claim 14, wherein said bailout access panel is configured to bias said bailout drive gear out of meshing engagement with said bailout driven gear when said bailout access panel is in said open position.

16. The surgical instrument of claim 10, wherein said bailout actuator assembly is configured to apply rotary motions to a bailout drive shaft upon application of manually-generated ratcheting motions thereto.

17. The surgical instrument of claim 10, wherein said at least one rotary drive system comprises:

a system drive shaft rotatably supported by said handle assembly;

a driven bevel gear axially movable on said system drive shaft between a first position wherein said driven bevel gear is in meshing engagement with a driver bevel gear of said motor assembly and a second position wherein said driven bevel gear is out of meshing engagement with said driver bevel gear;

a drive system biasing member for biasing said driven bevel gear into said second position, wherein a portion of said bailout access panel is configured to bias said driven bevel gear into said first position when said bailout access panel is in said closed position;

a first rotary drive system configured to apply first rotary drive motions to the surgical tool assembly coupled to said handle assembly;

a second rotary drive system configured to apply second rotary drive motions to the surgical tool assembly coupled to said handle assembly; and

a rotary drive selector system operably interfacing with said system drive shaft for selectively operably engaging said first and second rotary drive systems to said system drive shaft.

18. The surgical instrument of claim 10, wherein said bailout actuator assembly comprises a bailout lever pivotally supported by said handle assembly for pivotal travel between said stored position and said actuation position.