Electrically self-powered surgical instrument with manual release

• US 7,959,050 B2
• Filed: 10/03/2008
• Issued: 06/14/2011
• Est. Priority Date: 07/26/2005
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Palmer, Matthew A., Smith, Kevin W., Deville, Derek Dee, Rivera, Carlos, Bales, Thomas
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US12/245,017
• Publication Number:
  US 20090057369A1
• Time in Patent Office: 984 Days
• Field of Search: 227/19, 227/176.1, 227/175.1, 227/175.2, 227/180.1, 227/179.1, 606/139, 606/219
• US Class Current: 227/175.2
• 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 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

An electrically operated surgical instrument includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self-contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.

Claims

1. An electrically operated surgical instrument, comprising:

a surgical end effector having an actuation assembly operable to effect a surgical procedure when actuated, a part of said actuation assembly operable to move between a start position and a fully actuated position; and

a handle connected to said end effector for actuating said actuation assembly, said handle having;

a self-contained power supply disposed entirely within said handle;

a drive assembly disposed entirely within said handle and having;

an electrically powered motor; and

a controller electrically connected to said power supply and to said motor and selectively operating said motor;

a transmission mechanically connecting said motor to said moving part and being operable to selectively displace said moving part anywhere between said start and fully extended positions when said motor is operated; and

a manual release mechanically coupled to said transmission to selectively interrupt said transmission and, during interruption, displace said moving part towards said start position independent of operation of said motor.

2. The instrument according to claim 1, wherein:

said surgical end effector is surgical linear stapling endocutter; and

said moving part includes at least a staple-actuating and tissue-cutting slide.

3. The instrument according to claim 2, wherein said drive assembly and said transmission are operable to actuate a stapling-cutting feature of said endocutter.

4. The instrument according to claim 1, wherein said power supply is a removable battery pack containing at least one battery.

5. The instrument according to claim 4, wherein said power supply is a series connection of between four and six CR123 or CR2 power cells.

6. The instrument according to claim 1, wherein said controller includes a multi-state switch operable to cause rotation of said motor in a forward direction when said switch is in a first state and to cause rotation of said motor in a reverse direction when said switch is in a second state.

7. The instrument according to claim 1, wherein said transmission has a motor drive side and an actuation drive side and said manual release is coupled therebetween.

8. The instrument according to claim 7, wherein:

said motor drive side has a series of rotation-reducing gears including a last gear;

said actuation drive side has;

at least one gear; and

a rack-and-pinion assembly coupled to said at least one gear and directly connected to at least a portion of said moving part; and

said manual release is mechanically coupled between said at least one gear and said last gear.

9. The instrument according to claim 8, wherein:

said motor has an output gear; and

said series of gears has a first stage coupled to said output gear.

10. The instrument according to claim 9, wherein:

said series of gears includes first, second, and third stages, and a cross-over gear with a shaft crossing from said motor drive side to said actuation drive side; and

said cross-over gear is coupled to said third stage.

11. The instrument according to claim 8, wherein:

said series of gears has a cross-over gear with a cross-over shaft crossing from said motor drive side to said actuation drive side;

said cross-over gear is coupled to said series of gears;

a castle gear is rotationally fixedly coupled about said cross-over shaft and longitudinally translatable thereon, said castle gear having castellations extending towards said actuation drive side;

said at least one gear of said actuation drive side includes a first pinion having castellation slots shaped to mate with said castellations;

a bias device is disposed between said cross-over gear and said castle gear and imparts a bias upon said castle gear towards said actuation drive side to permit selective engagement of said castle gear with said first pinion and, thereby, cause a corresponding rotation of said first pinion with rotation of said shaft when so engaged; and

said manual release has a release part shaped and positioned to provide an opposing force to overcome said bias on said castle gear and disengage said castle gear from said first pinion when said manual release is at least partially actuated.

12. The instrument according to claim 11, wherein said at least one gear of said actuation drive side includes a second pinion stage having:

a second pinion shaft;

a second pinion gear coupled to said first pinion and rotationally fixed to said second pinion shaft; and

a third pinion rotationally fixed to said second pinion shaft, said third pinion being a pinion of said rack-and-pinion assembly and longitudinally moving a rack thereof when rotated.

13. The instrument according to claim 11, wherein said manual release has:

a rest state in which said release part provides said opposing force at a magnitude less than said bias to said castle gear;

a first partially actuated state in which said release part provides said opposing force at a magnitude greater than said bias to said castle gear and move said castellations out from said castellation slots; and

a second partially actuated state in which said manual release rotates said pinion to move said rack longitudinally in a withdrawing direction.

14. The instrument according to claim 11, wherein:

said at least one gear of said actuation drive side includes at least one release gear; and

said first pinion is directly connected to said at least one release gear to rotate said at least one release gear when rotated.

15. The instrument according to claim 14, wherein:

said manual release includes a manual release lever;

rotatably connected to said handle; and

having a one-way ratchet assembly; and

said at least one release gear has an axle directly connected to said ratchet assembly to rotate in a corresponding manner with said lever when said lever is at least partially actuated and to rotate independent of said lever when said lever is not actuated.

16. The instrument according to claim 11, wherein:

said at least one gear of said actuation drive side includes first and second stage release gears; and

said first pinion is directly connected to said first stage release gear to rotate said first and second release gears when rotated.

17. The instrument according to claim 1, wherein said manual release is mechanically disposed in said transmission.