Drive arrangements for articulatable surgical instruments

• US 9,844,375 B2
• Filed: 12/18/2014
• Issued: 12/19/2017
• Est. Priority Date: 12/18/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Overmyer, Mark D., Baxter, III, Chester O., Shelton, IV, Frederick E., Morgan, Jerome R.
• Primary Examiner(s): Chukwurah, Nathaniel
• Application Number:
  US14/575,139
• Publication Number:
  US 20160174978A1
• Time in Patent Office: 1,097 Days
• Field of Search: 2271761, 2271781, 2271801
• 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 2017/00367 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 2017/00371 Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2947 Pivots

Abstract

A shaft assembly for a surgical instrument that includes a movable drive member. In at least one form, the surgical instrument includes a spine assembly that is couplable to the surgical instrument and has a surgical end effector coupled thereto by an articulation joint. The shaft assembly in one form includes a proximal firing member and an intermediate firing member that is coupled to a distal firing member. The distal firing member is configured for selective travel through the surgical end effector. At least one articulation driver is coupled to the surgical end effector to apply articulation motions thereto. A clutch assembly interfaces with the primary and intermediate firing members and the articulation driver such that when in an articulation orientation, movement of the drive member results in movement of the articulation driver and when in a firing orientation, movement of the drive member results in movement of the intermediate and distal firing members. A separate articulation motor may be employed to actuate the articulation driver.

Claims

1. A shaft assembly for a surgical instrument comprising a movable drive member, said shaft assembly comprising:

a spine assembly operably couplable to the surgical instrument;

a surgical end effector coupled to said spine assembly by an articulation joint;

a proximal firing member interfacing with the movable drive member and supported for movable travel relative to said spine assembly;

an intermediate firing member supported for movable travel relative to said spine assembly;

a distal firing member interfacing with said intermediate firing member and supported for selective axial travel through at least a portion of said surgical end effector;

an articulation driver interfacing with said end effector to apply articulation motions thereto; and

a clutch system selectively movable between an articulation orientation and a firing orientation such that when said clutch system is in said articulation orientation, movement of said movable drive member is transmitted to said articulation driver through said proximal firing member and when said clutch system is in said firing orientation, movement of said movable drive member is transmitted to said distal firing member through said proximal firing member and said intermediate firing member.

2. The shaft assembly of claim 1 wherein said intermediate firing member is coupled to said proximal firing member such that when said clutch system is in said articulation orientation, said proximal firing member is movable relative to said intermediate firing member and when said clutch system is in said firing orientation, said intermediate firing member moves axially with said proximal firing member.

3. The shaft assembly of claim 2 wherein said intermediate firing member is coupled to said proximal firing member by a coupler comprising a proximal coupler end attached to a distal end of said proximal firing member and a distal coupler end spaced from said proximal coupler end to define an enclosed axial passage therebetween for movably receiving a proximal end of said intermediate firing member therein.

4. The shaft assembly of claim 3 wherein said clutch system comprises:

an engagement member supported for rotational travel around an outer perimeter of said coupler and wherein said articulation driver is coupled to said engagement member for axial travel therewith;

a first proximal detent on said engagement member;

a first distal detent on said engagement member spaced from said first proximal detent and in axial alignment therewith; and

a first axial groove in an outer surface of said coupler such that when said first proximal and distal detents are aligned with said first axial groove, said coupler is axially movable relative to said engagement member and when said first proximal and distal detents are misaligned from said first axial groove, axial movement of said coupler in a distal direction will move said articulation driver in said distal direction and movement of said coupler in a proximal direction will move said articulation driver in said proximal direction.

5. The shaft assembly of claim 4 further comprising:

a second proximal detent on said engagement member diametrically opposed from said first proximal detent;

a second distal detent on said engagement member diametrically opposed from said first distal detent and axially aligned with said second proximal detent; and

a second axial groove in said outer surface of said coupler and diametrically opposite from said first axial groove, such that when said first proximal and distal detents are misaligned with said first axial groove, said second proximal and distal detents are misaligned with said second axial groove and when said first proximal and distal detents are axially aligned with said first axial groove, said second proximal and distal detents are axially aligned with said second axial groove.

6. The shaft assembly of claim 5 further comprising means for rotating said engagement member on said coupler between said articulation orientation wherein said first proximal and distal detents are aligned with said first axial groove and said second proximal and distal detents are aligned with said second axial groove and said firing orientation wherein said first proximal and distal detents are not aligned with said first axial groove and said second proximal and distal detents are not aligned with said second axial groove.

7. The shaft assembly of claim 6 wherein said surgical end effector comprises:

a first jaw coupled to said articulation joint; and

a second jaw supported adjacent to said first jaw, said first and second jaws supported relative to each other such that one of said first and second jaws is selectively movable toward and away from the other of said first and second jaws between open and closed positions by axial travel of a closure member interfacing therewith.

8. The shaft assembly of claim 7 wherein said means for rotating comprises:

an actuation member supported on said engagement member such that rotation of said actuation member causes rotation of said engagement member; and

a cam pin on said actuation member and interfacing with a cam slot in said closure member such that when said closure member is in an unactuated position corresponding to said open position of said first and second jaws, said cam pin permits said engagement member to be biased into said articulation orientation and when said closure member is in an actuated position corresponding to said closed positions of said first and second jaws, said clam slot causes said cam pin to rotate said actuation member and said engagement member to said firing orientation.

9. The shaft assembly of claim 8 further comprising a switch drum interfacing with said actuation member to send a signal to a control circuit in the surgical instrument when said engagement member is in said firing orientation.

10. The shaft assembly of claim 4 wherein said articulation driver comprises a tab on a proximal end of said articulation driver that is received within an annular groove in a perimeter of said engagement member to facilitate rotation of said engagement member relative to said articulation driver.

11. A shaft assembly for a surgical instrument comprising a movable drive member, said shaft assembly comprising:

a spine assembly operably couplable to the surgical instrument;

a surgical end effector coupled to said spine assembly by an articulation joint;

a proximal firing member interfacing with the movable drive member and supported for movable travel relative to said spine assembly;

a distal firing member interfacing with said proximal firing member and supported for selective axial travel through at least a portion of said surgical end effector;

at least one articulation driver interfacing with said end effector to apply articulation motions thereto;

an articulation motor supported by said spine assembly and drivingly interfacing with said at least one articulation driver; and

means for preventing movement of the movable drive member when said articulation motor is being actuated.

12. The shaft assembly of claim 11 wherein said movable drive member is actuated by a firing motor and wherein said means for preventing movement comprises:

a switch assembly comprising;

a slip ring assembly communicating with a control circuit for said surgical instrument, said control circuit communicating with said firing motor and said articulation motor; and

a switch drum supported for movable travel on said spine assembly between a first position corresponding to an articulation position and a second position corresponding to a firing position such that when said switch drum is in said second position, said slip ring assembly communicates a firing status of said switch drum to said control circuit which enables said firing motor to be actuated and when said switch drum is in said first position, said control circuit prevents actuation of said firing motor and permits actuation of said articulation motor.

13. The shaft assembly of claim 12 further comprising means for moving the switch drum between said first and second positions.

14. The shaft assembly of claim 13 wherein said means for moving the switch drum comprises a spring member configured to bias the switch drum into the first position.

15. The shaft assembly of claim 14 wherein said surgical end effector comprises:

a first jaw coupled to said articulation joint; and

a second jaw supported adjacent to said first jaw, said first and second jaws supported relative to each other such that one of said first and second jaws is selectively movable toward and away from the other of said first and second jaws between open and closed positions by axial travel of a closure member interfacing therewith.

16. The shaft assembly of claim 15 wherein said means for moving the switch drum further comprises a cam pin on said switch drum interfacing with a cam slot in said closure member such that when said closure member is in an unactuated position corresponding to said open position of said first and second jaws, said cam pin permits said switch drum to be biased into said articulation position by said spring member and when said closure member is in an actuated position corresponding to said closed positions of said first and second jaws, said cam slot causes said cam pin to move said switch drum to said second position.

17. The shaft assembly of claim 11 wherein said at least one articulation driver comprises first and second articulation drivers interfacing with said articulation motor such that actuation of said articulation motor drives said first and second articulation drivers in opposite directions.

18. The shaft assembly of claim 17 further comprising means for supporting distal portions of said first and second articulation drivers during actuation thereof in opposite directions.

19. The shaft assembly of claim 18 wherein said means for supporting comprises a distal idler gear centrally disposed between said distal portions of said first and second articulation drivers and in meshing engagement therewith.

20. The shaft assembly of claim 15 wherein said at least one articulation driver comprises first and second articulation drivers interfacing with said articulation motor such that actuation of said articulation motor drives said first and second articulation drivers in opposite directions, the shaft assembly further comprising:

a first detent tooth protruding inwardly from said closure member into engagement with a first serrated portion of said first articulation driver;

a second detent tooth protruding inwardly from said closure member into engagement with a second serrated portion of said second articulation driver; and

means for supporting distal portions of said first and second articulation drivers during actuation thereof in opposite directions.