Surgical instrument having a multiple rate directional switching mechanism

• US 7,905,380 B2
• Filed: 06/04/2007
• Issued: 03/15/2011
• Est. Priority Date: 06/04/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Timm, Richard W., Shelton, Frederick E. IV
• Primary Examiner(s): Rada; Rinaldi I.
• Assistant Examiner(s): Lopez; Michelle
• Application Number:
  US11/810,015
• Publication Number:
  US 20080300613A1
• Time in Patent Office: 1,380 Days
• Field of Search: 227/176.1, 227/178.1, 227/180.1, 227/175.1, 128/898
• US Class Current: 227/178.1
• 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 2017/00367 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 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Abstract

A surgical instrument including a drive mechanism configured to advance a staple driver and/or cutting member at a first rate and retract the staple driver and/or cutting member at a different rate. In at least one embodiment, the rate at which the driver and cutting member is advanced and/or retracted is the distance that the driver and/or cutting member is translated per actuation of a trigger, for example. In various embodiments, the cutting member can be retracted at a faster rate as compared to the rate in which it is advanced. In such embodiments, the surgical instrument can, owing to the slower advancing rate, provide a greater torque or advancing force to the cutting member while, owing to the faster retracting rate, reduce the time required for the surgeon to retract the cutting member.

Claims

1. A surgical instrument, comprising:

a handle;

a firing drive, comprising;

a firing trigger operably coupled to said handle, wherein said firing drive is configured to generate a rotary firing motion upon a first actuation of said firing trigger and a rotary retraction motion upon an other actuation of said firing trigger;

a first drive member, wherein said firing trigger is selectively engageable with said first drive member; and

a second drive member, wherein said firing trigger is selectively engageable with said second drive member;

an elongate shaft assembly coupled to said handle, wherein said elongate shaft assembly is operably engaged with said first drive member and said second drive member; and

an end effector coupled to said elongate shaft assembly, said end effector comprising;

an elongate channel configured to operably support a staple cartridge therein;

an anvil movably coupled to said elongate channel; and

a cutting member operably supported within said elongate channel, wherein said cutting member is operably engaged with said elongate shaft assembly, wherein, when said firing trigger is engaged with said first drive member, said first actuation advances said cutting member a first distance, wherein, when said firing trigger is engaged with said second drive member, said other actuation retracts said cutting member a second distance, and wherein said second distance is greater than said first distance.

2. The surgical instrument of claim 1, wherein said firing trigger is movable between a first position in which said firing trigger is engaged with said first drive member and a second position in which said firing trigger is engaged with said second drive member.

3. The surgical instrument of claim 1, further comprising a closure drive configured to selectively generate a closing motion and an opening motion, wherein said anvil is operably engaged with said closure drive and is movably responsive to said opening motion and said closing motion.

4. The surgical instrument of claim 1, wherein said first drive member includes a plurality of first gear teeth, wherein said second drive member includes a plurality of second gear teeth, wherein said elongate shaft assembly includes a rotatable drive shaft operably engaged with said cutting member, and wherein said drive shaft includes a first gear operably engaged with said first gear teeth and a second gear operably engaged with said second gear teeth.

5. The surgical instrument of claim 4, wherein said drive shaft defines an axis, wherein said first drive member is positioned on a first side of said axis and is configured to rotate said drive shaft about said axis in a first direction, and wherein said second drive member is positioned on a second side of said axis to rotate said drive shaft about said axis in a second direction, wherein said second direction is opposite said first direction.

6. The surgical instrument of claim 1, further comprising a bistable compliant mechanism configured to bias said firing drive into one of a first condition and a second condition, wherein said firing trigger is biased into engagement with said first drive member in said first condition, and wherein said firing trigger is biased into engagement with said second drive member in said second condition.

7. The surgical instrument of claim 6, further comprising a frame, wherein said bistable compliant mechanism includes a spring operably engaged with said firing trigger and said frame, and wherein said spring is configured to slide said firing trigger such that said firing trigger is either engaged with said first drive member or said second drive member.

8. The surgical instrument of claim 1, wherein, when said firing trigger is engaged with said first drive member, said firing trigger is not engaged with said second drive member, and wherein, when said firing trigger is engaged with said second drive member, said firing trigger is not engaged with said first drive member.

9. The surgical instrument of claim 1, wherein said firing trigger can be engaged with said first drive member and said second drive member at the same time such that said firing drive is prevented from generating said rotary firing motion and said rotary retraction motion.

10. A surgical instrument, comprising:

a handle;

a firing drive, comprising;

a firing trigger operably coupled to said handle, wherein said firing drive is configured to generate a firing motion upon a first actuation of said firing trigger and a retraction motion upon an other actuation of said firing trigger;

a first ratchet assembly, comprising;

a first ratchet wheel having a plurality of ratchet teeth; and

a first pawl pivotably connected to said firing trigger, wherein said first pawl is selectively engageable with said ratchet teeth of said first ratchet wheel; and

a second ratchet assembly, comprising;

a second ratchet wheel having a plurality of ratchet teeth; and

a second pawl pivotably connected to said firing trigger, wherein said second pawl is selectively engageable with said ratchet teeth of said second ratchet wheel;

an elongate shaft assembly coupled to said handle, wherein said elongate shaft assembly is operably engaged with said first ratchet wheel and said second ratchet wheel; and

an end effector coupled to said elongate shaft assembly, said end effector comprising;

an elongate channel configured to operably support a staple cartridge therein;

an anvil movably coupled to said elongate channel; and

a cutting member operably supported within said elongate channel, wherein said cutting member is operably engaged with said elongate shaft assembly, wherein, when said firing trigger is engaged with said first ratchet wheel, said first actuation advances said cutting member a first distance, wherein, when said firing trigger is engaged with said second ratchet wheel, said other actuation retracts said cutting member a second distance, and wherein said second distance is greater than said first distance.

11. The surgical instrument of claim 10, further comprising a closure drive configured to selectively generate a closing motion and an opening motion, wherein said anvil is operably engaged with said closure drive and is movably responsive to said opening motion and said closing motion.

12. The surgical instrument of claim 10, further comprising:

a first spring configured to effect ratcheting engagement between said first pawl and said ratchet teeth of said first ratchet wheel; and

a second spring configured to effect ratcheting engagement between said second pawl and said ratchet teeth of said second ratchet wheel.

13. The surgical instrument of claim 10, wherein said first ratchet wheel further includes a plurality of first gear teeth positioned about a first diameter, wherein said second ratchet wheel includes a plurality of second gear teeth positioned about a second diameter, wherein said second diameter is greater than said first diameter, wherein said elongate shaft assembly includes a rotatable drive shaft operably engaged with said cutting member, and wherein said drive shaft includes a first gear operably engaged with said first gear teeth and a second gear operably engaged with said second gear teeth.

14. The surgical instrument of claim 13, wherein said drive shaft defines an axis, wherein said first ratchet wheel is positioned on a first side of said axis and is configured to rotate said drive shaft about said axis in a first direction, and wherein said second ratchet wheel is positioned on a second side of said axis to rotate said drive shaft about said axis in a second direction, wherein said second direction is opposite said first direction.

15. The surgical instrument of claim 10, further comprising a bistable compliant mechanism configured to bias said firing drive into one of a first condition and a second condition, wherein said first pawl is biased into engagement with said first ratchet wheel in said first condition, and wherein said second pawl is biased into engagement with said second ratchet wheel in said second condition.

16. The surgical instrument of claim 15, further comprising a frame, wherein said firing drive further comprises a slidable member, wherein said first pawl and said second pawl are mounted to said slidable member, wherein said bistable compliant mechanism includes a spring operably engaged with said slidable member and said frame, and wherein said spring is configured to motivate said slidable member such that either said first pawl is engaged with said first ratchet wheel or said second pawl is engaged with said second ratchet wheel.

17. The surgical instrument of claim 10, wherein, when said first pawl is engaged with said first ratchet wheel, said second pawl is not engaged with said second ratchet wheel, and wherein, when said second pawl is engaged with said second ratchet wheel, said first pawl is not engaged with said first ratchet wheel.

18. The surgical instrument of claim 10, wherein said first pawl can be engaged with said first ratchet wheel at the same time as said second pawl is engaged with said second ratchet wheel such that said firing drive is prevented from generating said rotary firing motion and said rotary retraction motion.

19. A surgical instrument, comprising:

a handle;

a firing drive, comprising;

a firing trigger operably coupled to said handle;

a drive shaft operably engaged with said firing trigger, wherein an actuation of said firing trigger rotates said drive shaft about an axis;

an elongate shaft assembly;

a transmission, wherein said transmission is configurable in a first configuration for rotating said elongate shaft assembly about an axis in a first direction and a second configuration for rotating said elongate shaft assembly about said axis in a direction opposite said first direction, said transmission comprising a pinion gear, wherein said drive shaft is mated with said elongate shaft assembly in said first configuration, and wherein said drive shaft and said elongate shaft assembly are mated with said pinion gear in said second configuration; and

an end effector coupled to said elongate shaft assembly, said end effector comprising;

an elongate channel configured to operably support a staple cartridge therein;

an anvil movably coupled to said elongate channel; and

a cutting member operably supported within said elongate channel, wherein said cutting member is operably engaged with said elongate shaft assembly, wherein, when said transmission is in said first configuration, said actuation advances said cutting member a first distance, wherein, when said transmission is in said second configuration, said actuation retracts said cutting member a second distance, and wherein said second distance is greater than said first distance.

20. A surgical instrument, comprising:

a handle;

a firing drive, comprising;

a firing trigger operably coupled to said handle, wherein said firing drive is configured to generate a rotary firing motion upon a first actuation of said firing trigger and a rotary retraction motion upon an other actuation of said firing trigger;

a first drive member, wherein said firing trigger is selectively engageable with said first drive member; and

a second drive member, wherein said firing trigger is selectively engageable with said second drive member;

an elongate shaft coupled to said handle; and

a firing member operably supported by said elongate shaft, wherein said firing member is operably engaged with said first drive member and said second drive member, wherein, when said firing trigger is engaged with said first drive member, said first actuation advances said firing member a first distance, wherein, when said firing trigger is engaged with said second drive member, said other actuation retracts said firing member a second distance, and wherein said second distance is larger than said first distance.

21. The surgical instrument of claim 20, wherein said firing trigger is movable between a first position in which said firing trigger is engaged with said first drive member and a second position in which said firing trigger is engaged with said second drive member.

22. The surgical instrument of claim 20, further comprising:

an anvil; and

a closure drive configured to selectively generate a closing motion and an opening motion, wherein said anvil is operably engaged with said closure drive and is movably responsive to said opening motion and said closing motion.

23. The surgical instrument of claim 20, wherein said first drive member comprises a plurality of first gear teeth, wherein said second drive member comprises a plurality of second gear teeth, wherein said elongate shaft further comprises a rotatable drive shaft operably engaged with said firing member, and wherein said rotatable drive shaft comprises a first gear operably engaged with said first gear teeth and a second gear operably engaged with said second gear teeth.

24. The surgical instrument of claim 23, wherein said rotatable drive shaft defines an axis, wherein said first drive member is positioned on a first side of said axis and is configured to rotate said rotatable drive shaft about said axis in a first direction, wherein said second drive member is positioned on a second side of said axis to rotate said rotatable drive shaft about said axis in a second direction, and wherein said second direction is opposite said first direction.

25. The surgical instrument of claim 20, further comprising a bistable compliant mechanism configured to bias said firing drive into one of a first condition and a second condition, wherein said firing trigger is biased into engagement with said first drive member in said first condition, and wherein said firing trigger is biased into engagement with said second drive member in said second condition.

26. The surgical instrument of claim 25, further comprising a frame, wherein said bistable compliant mechanism comprises a spring operably engaged with said firing trigger and said frame, and wherein said spring is configured to slide said firing trigger such that said firing trigger is either engaged with said first drive member or said second drive member.

27. The surgical instrument of claim 20, wherein, when said firing trigger is engaged with said first drive member, said firing trigger is not engaged with said second drive member, and wherein, when said firing trigger is engaged with said second drive member, said firing trigger is not engaged with said first drive member.

28. The surgical instrument of claim 20, wherein said firing trigger can be engaged with said first drive member and said second drive member at the same time such that said firing drive is prevented from generating said rotary firing motion and said rotary retraction motion.

29. A surgical instrument, comprising:

a handle;

a firing drive, comprising;

a firing trigger operably coupled to said handle, wherein said firing drive is configured to generate a firing motion upon a first actuation of said firing trigger and a retraction motion upon an other actuation of said firing trigger;

a first ratchet assembly, comprising;

a first ratchet wheel having a plurality of ratchet teeth; and

a first pawl pivotably connected to said firing trigger, wherein said first pawl is selectively engageable with said ratchet teeth of said first ratchet wheel; and

a second ratchet assembly, comprising;

a second ratchet wheel having a plurality of ratchet teeth; and

a second pawl pivotably connected to said firing trigger, wherein said second pawl is selectively engageable with said ratchet teeth of said second ratchet wheel;

an elongate shaft coupled to said handle; and

a firing member operably engaged with said first ratchet wheel and said second ratchet wheel, wherein, when said firing trigger is engaged with said first ratchet wheel, said first actuation advances said firing member a first distance, wherein, when said firing trigger is engaged with said second ratchet wheel, said other actuation retracts said firing member a second distance, and wherein said second distance is larger than said first distance.

30. The surgical instrument of claim 29, further comprising:

an anvil; and

a closure drive configured to selectively generate a closing motion and an opening motion, wherein said anvil is operably engaged with said closure drive and is movably responsive to said opening motion and said closing motion.

31. The surgical instrument of claim 29, further comprising:

a first spring configured to effect ratcheting engagement between said first pawl and said ratchet teeth of said first ratchet wheel; and

a second spring configured to effect ratcheting engagement between said second pawl and said ratchet teeth of said second ratchet wheel.

32. The surgical instrument of claim 29, wherein said first ratchet wheel further comprises a plurality of first gear teeth positioned about a first diameter, wherein said second ratchet wheel comprises a plurality of second gear teeth positioned about a second diameter, wherein said second diameter is larger than said first diameter, wherein said elongate shaft comprises a rotatable drive shaft operably engaged with said firing member, and wherein said rotatable drive shaft comprises a first gear operably engaged with said first gear teeth and a second gear operably engaged with said second gear teeth.

33. The surgical instrument of claim 32, wherein said rotatable drive shaft defines an axis, wherein said first ratchet wheel is positioned on a first side of said axis and is configured to rotate said rotatable drive shaft about said axis in a first direction, and wherein said second ratchet wheel is positioned on a second side of said axis to rotate said rotatable drive shaft about said axis in a second direction, wherein said second direction is opposite said first direction.

34. The surgical instrument of claim 29, further comprising a bistable compliant mechanism configured to bias said firing drive into one of a first condition and a second condition, wherein said first pawl is biased into engagement with said first ratchet wheel in said first condition, and wherein said second pawl is biased into engagement with said second ratchet wheel in said second condition.

35. The surgical instrument of claim 34, further comprising a frame, wherein said firing drive further comprises a slidable member, wherein said first pawl and said second pawl are mounted to said slidable member, wherein said bistable compliant mechanism comprises a spring operably engaged with said slidable member and said frame, and wherein said spring is configured to motivate said slidable member such that either said first pawl is engaged with said first ratchet wheel or said second pawl is engaged with said second ratchet wheel.

36. The surgical instrument of claim 29, wherein, when said first pawl is engaged with said first ratchet wheel, said second pawl is not engaged with said second ratchet wheel, and wherein, when said second pawl is engaged with said second ratchet wheel, said first pawl is not engaged with said first ratchet wheel.

37. The surgical instrument of claim 29, wherein said first pawl can be engaged with said first ratchet wheel at the same time as said second pawl is engaged with said second ratchet wheel such that said firing drive is prevented from generating said rotary firing motion and said rotary retraction motion.

38. A surgical instrument, comprising:

a handle;

a firing drive, comprising;

a firing trigger operably coupled to said handle;

a drive shaft operably engaged with said firing trigger, wherein an actuation of said firing trigger rotates said drive shaft about an axis;

an output shaft;

a transmission, wherein said transmission is configurable in a first configuration for rotating said output shaft about an axis in a first direction and a second configuration for rotating said output shaft about said axis in a direction opposite said first direction, wherein said transmission comprises a pinion gear, wherein said drive shaft is mated with said output shaft in said first configuration, and wherein said drive shaft and said output shaft are mated with said pinion gear in said second configuration; and

a firing member operably engaged with said output shaft, wherein, when said transmission is in said first configuration, said actuation advances said firing member a first distance, wherein, when said transmission is in said second configuration, said actuation retracts said firing member a second distance, and wherein said second distance is larger than said first distance.

39. A surgical instrument, comprising:

a handle;

a firing drive, comprising;

a firing trigger operably coupled to said handle;

a first drive member, wherein said firing trigger is selectively engageable with said first drive member to generate a rotary firing motion upon a first actuation of said firing trigger; and

a second drive member, wherein said firing trigger is selectively engageable with said second drive member to generate a rotary retraction motion upon an other actuation of said firing trigger;

an elongate shaft coupled to said handle; and

a firing member operably engaged with said first drive member and said second drive member, wherein, when said firing trigger is engaged with said first drive member, said first actuation advances said firing member a first distance, wherein, when said firing trigger is engaged with said second drive member, said other actuation retracts said firing member a second distance, and wherein said second distance is larger than said first distance.