Apparatus for endoscopic procedures

• US 9,492,189 B2
• Filed: 03/13/2013
• Issued: 11/15/2016
• Est. Priority Date: 03/13/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Williams, Justin, Scirica, Paul
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US13/799,379
• Publication Number:
  US 20140276932A1
• Time in Patent Office: 1,343 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/175.2, 227/180.1, 606/139, 606/143, 606/151, 606/213, 606/219
• US Class Current: 1/1
• CPC Class Codes: A61B 1/0057 Constructional details of force transmission elements, e.g. control wires
• 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 17/068 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 17/282 Jaws
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• 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 for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• 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

Abstract

An electromechanical surgical device is provided and includes an end effector configured to perform at least one function; and a shaft assembly. The end effector includes a rotatable drive screw having a coupling member at a proximal end thereof; and a flexible drive cable rotatably supported therein and extending therefrom, wherein the flexible drive cable receives rotational forces and transmits said rotational forces to the drive screw to actuate the end effector. The shaft assembly includes a proximal neck housing supported at a distal end of the outer tube; and a distal neck housing pivotally connected to the proximal neck housing, wherein a distal end of the distal neck housing is configured and adapted for operative connection with the end effector. In use, when the end effector is connected to the shaft assembly, the flexible drive cable extends through the proximal neck housing and the distal neck housing.

Claims

1. An electromechanical surgical device, comprising:

an end effector configured to perform at least one function, the end effector defining a central opening formed in a proximal surface thereof, the end effector including;

a rotatable drive screw having a coupling member at a proximal end thereof;

a flexible drive cable rotatably supported therein and extending therefrom, wherein the flexible drive cable receives rotational forces and transmits said rotational forces to the rotatable drive screw to actuate the end effector; and

a lock actuator having at least a first position and a second position; and

a shaft assembly having a tubular body, the shaft assembly defining at least a pair of distally oriented notches formed in a distal end thereof, wherein the pair of distally oriented notches are radially offset by about 90°

relative to one another, the shaft assembly including an articulation neck assembly having;

a proximal neck housing supported at a distal end of the tubular body; and

a distal neck housing pivotally connected to the proximal neck housing, the distal neck housing including a coupling lug extending distally therefrom, wherein the coupling lug is located substantially along a central longitudinal axis of the shaft assembly, wherein a distal end of the distal neck housing is configured and adapted for operative connection with the end effector,

wherein, when the end effector is connected to the shaft assembly, the flexible drive cable extends through the proximal neck housing and the distal neck housing,

wherein the central opening of the end effector is configured and dimensioned to receive the coupling lug of the shaft assembly when the end effector is connected to the shaft assembly,

wherein when the lock actuator of the end effector is in the first position the coupling lug of the shaft assembly is insertable into the central opening of the end effector upon a connection of the end effector to the shaft assembly, and

wherein the end effector is rotated relative to the shaft assembly to axially align the lock actuator with one of the pair of notches to fix a rotational orientation of the end effector relative to the shaft assembly when the lock actuator is in the second position.

2. The electromechanical surgical device according to claim 1, wherein when the lock actuator is in the second position the coupling lug of the shaft assembly is prevented from insertion into the central opening of the end effector.

3. The electromechanical surgical device according to claim 2, wherein when the end effector is coupled to the shaft assembly, a disposition of the lock actuator to the second position secures the end effector to the shaft assembly to inhibit disconnection of the end effector from the shaft assembly.

4. The electromechanical surgical device according to claim 3, wherein the end effector includes a lock bar operatively engageable by the lock actuator, wherein the lock bar includes:

a first position in which the lock bar does not extend across the central opening of the end effector; and

a second position in which the lock bar at least partially extends across the central opening of the end effector.

5. The electromechanical surgical device according to claim 4, wherein the lock actuator urges the lock bar to the second position when the lock actuator is in the second position.

6. The electromechanical surgical device according to claim 5, wherein the coupling lug defines an outer annular race therearound, and wherein, when the lock bar is in the second position, and when the end effector is coupled to the shaft assembly, the lock bar at least partially enters the outer annular race of the coupling lug.

7. The electromechanical surgical device according to claim 5, wherein at least one of the lock actuator is biased to the second position, and the lock bar is biased to the first position.

8. The electromechanical surgical device according to claim 4, wherein the lock actuator includes an intermediate position between the first position and the second position thereof,

wherein in the intermediate position, an angled camming surface of the lock actuator is in contact with the lock bar such that the lock bar is disposed at an intermediate position between the first position and the second position thereof.

9. The electromechanical surgical device according to claim 8, wherein in the intermediate position of the lock actuator, upon a separation of the end effector from the shaft assembly, the coupling lug of the shaft assembly exerts a force on the lock bar to urge the lock bar to the second position and the lock actuator to the first position.

10. The electromechanical surgical device according to claim 1, wherein the end effector is arranged to be manually rotated relative to the shaft assembly.

11. The electromechanical surgical device according to claim 1, wherein the shaft assembly further comprises:

an articulation bar at least partially slidably supported in the articulation neck assembly, the articulation bar including;

a distal end; and

a proximal end operatively connected to a rotatable drive connector;

wherein the articulation bar is off set a radial distance from the central longitudinal axis of the shaft assembly; and

an articulation link having a proximal end pivotally connected to the distal end of the articulation bar, and a distal end pivotally connected to the distal neck housing;

wherein actuation of the rotatable drive connector of the electromechanical surgical device that is connected to the articulation bar causes the articulation bar to axially translate; and

wherein axial translation of the articulation bar causes the distal neck housing to pivot off axis relative to the proximal neck housing.

12. The electromechanical surgical device according to claim 1, wherein the shaft assembly includes a coil spring extending between and across the distal neck housing and the proximal neck housing, and wherein, when the end effector is connected to the shaft assembly, the flexible drive cable is sheathed in the coil spring.

13. The electromechanical surgical device according to claim 1, wherein, when the end effector is connected to the shaft assembly, at least a distal end of the flexible drive cable is offset a radial distance from the central longitudinal axis of the shaft assembly.