Surgical instruments with reconfigurable shaft segments

• US 8,763,877 B2
• Filed: 09/30/2010
• Issued: 07/01/2014
• Est. Priority Date: 09/30/2010
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Schall, Christopher J., Morgan, Jerome R., Shelton, Frederick E. IV
• Primary Examiner(s): Truong, Thanh
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US12/894,311
• Publication Number:
  US 20120080496A1
• Time in Patent Office: 1,370 Days
• Field of Search: 227/176.1, 227/178.1, 227/179.1, 227/180.1, 227/181.1, 600/141
• US Class Current: 227/178.1
• CPC Class Codes: A61B 1/00064 Constructional details of the endoscope body
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/008 Articulations
• 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 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/0643 with separate closing member, e.g. for interlocking with staple
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• 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 2017/00526 : Methods of manufacturing
• CPC Class Codes: A61B 2017/0053 : Loading magazines or sutures into applying tools
• CPC Class Codes: A61B 2017/00884 : enhancing wound closure
• CPC Class Codes: A61B 2017/00946 : malleable
• CPC Class Codes: A61B 2017/07214 : Stapler heads
• CPC Class Codes: A61B 2017/07221 : curved
• CPC Class Codes: A61B 2017/07228 : Arrangement of the staples
• CPC Class Codes: A61B 2017/07235 : containing different staples, e.g. staples of different shapes, sizes or materials
• CPC Class Codes: A61B 2017/07242 : achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• CPC Class Codes: A61B 2017/0725 : with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/07257 : characterised by its anvil
• CPC Class Codes: A61B 2017/07264 : characterised by its staple forming cavities, e.g. geometry or material
• 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 2017/2902 : characterized by features of the actuating rod
• 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 2017/2919 : details of linkages or pivot points
• CPC Class Codes: A61B 2017/292 : connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2923 : Toothed members, e.g. rack and pinion
• 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 2017/2933 : camming or guiding means
• CPC Class Codes: A61B 2017/2936 : Pins in guiding slots
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 90/92 : coded with colour
• CPC Class Codes: Y10T 29/49863 : with prestressing of part

Abstract

A surgical instrument having a handle assembly and an elongated shaft assembly protruding therefrom. Various embodiments of the elongated shaft assemblies include reconfigurable shaft segments that have portions that may be selectively arranged in coaxial alignment with each other and in other configurations wherein at least some portions thereof are not in coaxial alignment with each other. Various locking arrangements are disclosed for releasably locking the reconfigurable shaft segments in desired orientations. A movable closure tube is supported on the elongated shaft segment and is oriented to provide actuation motions to an end effector coupled to the distal end of the elongated shaft.

Claims

1. A surgical instrument comprising:

a handle assembly;

a flexible spine assembly operably coupled to said handle assembly and protruding therefrom;

an elongated shaft assembly received on said flexible spine assembly and having a reconfigurable shaft segment that is selectively reconfigurable between a linear configuration wherein all portions of said reconfigurable shaft segment are substantially coaxially aligned with each other and configurations wherein at least one said portion of said reconfigurable shaft segment is orientated in a non-linear orientation relative to at least one other said portion of said reconfigurable shaft segment, said elongated shaft assembly further having a closure tube segment that is axially movable relative to said reconfigurable shaft segment in response to firing motions applied thereto from a firing system operably supported in said handle assembly;

a locking system for selectively locking tubular links in a desired orientation relative to each other, said locking system comprising;

at least one selectively expandable locking bladder extending through said reconfigurable shaft segment of said elongated shaft assembly and being selectively expandable with a fluid material pumped therein by a fluid pumping system operably supported by said handle assembly, such that when each said selectively expandable locking bladder is in an expanded condition, said tubular links are substantially immovable relative to each other.

3. The surgical instrument of claim 1 wherein each said movably interconnected tubular link comprises a tubular body portion that has a ball-like coupler formed on one end thereof, said ball-like coupler having a passage therethrough that extends into a hollow socket formed on another end thereof that is sized to rotatably receive said ball-like coupler of another said tubular link therein.

4. The surgical instrument of claim 1 wherein each said tubular link has at least one latch portion formed on a distal end portion thereof and a locking portion formed on a proximal end portion thereof corresponding to each said latch portion on an adjacent said tubular link wherein each said latch portion on one said tubular link is configured for releasable retaining engagement with a said corresponding locking portion of said adjacent said tubular link coupled thereto.

5. The surgical instrument of claim 4 wherein each said latch portion comprises a flexible latch member and wherein each said locking portion comprises a coupler member having a latch-receiving notch therein.

2. A surgical instrument comprising:

a handle assembly;

a flexible spine assembly operably coupled to said handle assembly and protruding therefrom;

an elongated shaft assembly received on said flexible spine assembly and including a reconfigurable shaft segment defining a shaft axis and comprising a plurality of movably interconnected tubular links that cooperate to form a hollow passage therethrough to operably support said flexible spine assembly therein, each said tubular link configured to rotatably move relative to each adjacent said tubular link in any radial direction about said shaft axis to enable said reconfigurable shaft segment to be selectively reconfigurable between a linear configuration wherein all portions of said reconfigurable shaft segment are substantially coaxially aligned with each other and configurations wherein at least one said portion of said reconfigurable shaft segment is orientated in a non-linear orientation relative to at least one other said portion of said reconfigurable shaft segment, said elongated shaft assembly further having a closure tube segment that is axially movable relative to said reconfigurable shaft segment in response to firing motions applied thereto from a firing system operably supported in said handle assembly;

a locking means on each said tubular link for selectively preventing any relative movement between said adjacent said tubular links when said adjacent said tubular links are in a locked configuration; and

an end effector coupled to said flexible spine assembly and having first and second jaw members movable relative to each other from an open position to closed positions in response to axial movement of said closure tube segment.

6. A surgical instrument comprising:

a handle assembly;

a flexible spine assembly operably coupled to said handle assembly and protruding therefrom;

an elongated shaft assembly received on said flexible spine assembly and operably coupled to said handle assembly, said elongated shaft assembly comprising;

a reconfigurable shaft segment comprising;

a plurality of movably interconnected tubular links, each said tubular link having a tubular body portion having a spherically-shaped coupler formed on one end thereof and having a passage therethrough that extends into a hollow spherical socket formed on another end thereof that is sized to rotatably receive said spherically-shaped coupler of another said tubular link therein; and

a locking means on each said tubular link for locking adjacent said tubular links in a desired orientation relative to each other to prevent any relative motion therebetween and wherein said elongated shaft assembly further comprises a closure tube segment movably supported on a corresponding portion of said spine assembly for selective axial travel thereon in a distal direction away from said handle assembly and in a proximal direction towards said handle assembly and wherein said surgical instrument further comprises;

a firing system operably supported by said handle assembly and interfacing with said closure tube segment to selectively cause said closure tube segment to axially move in said distal and proximal directions on said corresponding portion of said spine assembly; and

an end effector coupled to said spine assembly and having first and second jaw members movable relative to each other from an open position to closed positions, said first jaw member configured to support a staple cartridge therein, said first and second jaw members configured to be moved between said open and closed positions in response to axial movement of said closure tube segment on said spine assembly.

7. The surgical instrument of claim 6 wherein said locking means comprises:

a latch portion formed on a distal end portion of each said tubular link; and

a lock portion formed on a proximal end portion of each said tubular link and configured for releasable engagement with a corresponding said latch portion on an adjacent said tubular link.

8. The surgical instrument of claim 7 wherein each said latch portion comprises a flexible latch and wherein each said lock portion comprises a latch-receiving notch portion.

9. A surgical instrument comprising:

a handle assembly;

a flexible spine assembly operably coupled to said handle assembly and protruding therefrom;

an elongated shaft assembly received on said flexible spine assembly and operably coupled to said handle assembly, said elongated shaft assembly comprising;

a reconfigurable shaft segment comprising;

a plurality of movably interconnected tubular links, each said tubular link having a tubular body portion having a spherically-shaped portion formed on one end thereof and having a passage therethrough that extends into a hollow spherical socket formed on another end thereof that is sized to rotatably receive said spherically-shaped portion of another said tubular link therein; and

at least one selectively expandable locking bladder extending through said plurality of movably interconnected tubular links and being coupled to a fluid pumping assembly operably supported in said handle assembly such that when each said locking bladder is in an expanded condition, said tubular links are immovable relative to each other and wherein said elongated shaft assembly further comprises a closure tube segment movably supported on a portion of said spine assembly for selective axial travel thereon in a distal direction away from said handle assembly and in a proximal direction towards said handle assembly and wherein said surgical instrument further comprises;

a firing system operably supported by said handle assembly and interfacing with said closure tube segment to selectively cause said closure tube segment to move on said corresponding portion of said flexible spine assembly; and

an end effector coupled to said spine assembly and having first and second jaw members movable relative to each other from an open position to closed positions, said first and second jaw members configured to be moved between said open and closed positions in response to axial movement of said closure tube segment.

10. The surgical instrument of claim 9 wherein said fluid pumping assembly comprises a pumping member for pumping air under pressure into each said expandable locking bladder and configured to selectively vent said pressurized air therefrom.

11. The surgical instrument of claim 9 further comprising:

a knife member having a tissue cutting edge formed on a distal end thereof, said knife member movably supported within said distal closure tube segment; and

a flexible knife advancement member movably supported within said reconfigurable portion of said closure tube assembly and interfacing with a tissue cutting control system operably supported by said handle assembly for selectively applying a knife advancement motion to said knife member such that the distal end thereof is moved axially within said end effector.

12. The surgical instrument of claim 9 wherein said first jaw member is configured to support a staple cartridge therein.

13. The surgical instrument of claim 9 wherein at least one said selectively expandable locking bladder comprises:

a first selectively expandable locking bladder extending through each said movably interconnected tubular links in a first location; and

a second selectively expandable locking bladder extending through each said movably interconnected tubular links in a second location that differs from said first location.

14. The surgical instrument of claim 13 wherein said second location is diametrically opposite from said first location.