DRIVE SHAFT ASSEMBLY FOR USE WITH A SURGICAL INSTRUMENT

专利摘要:
drive shaft assembly for use with a surgical instrument. The present invention relates to a surgical stapling apparatus comprising a drive shaft, an end actuator and a swivel joint, wherein the butt actuator is rotatable with respect to the drive shaft about the swivel joint. the stapling apparatus further comprises a trigger drive in response to an input, a linkage drive and a switch assembly configured to selectively couple the linkage drive to the input. the switch assembly is configured to lock the linkage drive in position when the linkage drive is not coupled to the input.
公开号:BR112017012979B1
申请号:R112017012979-5
申请日:2015-12-10
公开日:2022-01-11
发明作者:Chester O. Baxter Iii；Adam R. Dunki-Jacobs；Jeffrey S. Swayze；Daniel L. Baber；Frederick E. Shelton Iv
申请人:Ethicon Llc；
IPC主号:

专利说明:

BACKGROUND
[001] The present invention relates to surgical instruments and, in various embodiments, to surgical stapling and cutting instruments and staple cartridges for use therewith.
[002] A stapling instrument may include a pair of cooperating elongated jaw members, each jaw member being adapted to be inserted into a patient and positioned in relation to the tissue to be stapled and/or cut. In various embodiments, one of the jaw members can support a staple cartridge with at least two laterally spaced rows of staples contained therein, and the other jaw member can support an anvil with staple-forming pockets aligned with the rows of staples. in the staple cartridge. In general, the stapling instrument may additionally include a pusher bar and a knife blade that are slidable relative to the gripper member to sequentially eject staples from the staple cartridge through cam surfaces on the pusher bar and/or cam surfaces. on a wedge rail which is pushed by the push rod. In at least one embodiment, the cam surfaces may be configured to activate a plurality of staple drivers loaded by the cartridge and associated with the staples to push the staples against the anvil and form laterally spaced rows of deformed staples in the tissue trapped between the staples. claw limbs. In at least one embodiment, the knife blade can follow the cam surfaces and cut the fabric along a line between the staple rows. Examples of such stapling instruments are disclosed in US Patent No. 7,794,475 entitled "SURGICAL STAPLES HAVING COMPRESSIBLE OR CRUSHABLE MEMBERS FOR SECURING TISSUE THEREIN AND STAPLING INSTRUMENTS FOR DEPLOYING THE SAME", the entire disclosure of which is incorporated herein by reference. .
[003] The aforementioned discussion is only intended to illustrate various aspects of the related art in the field of the invention at the time and should not be taken as a denial of the scope of the claims. BRIEF DESCRIPTION OF THE DRAWINGS
[004] Various elements of the modalities described in the present invention, together with their advantages, can be understood according to the description presented below, considered in conjunction with the attached drawings, as follows:
[005] Figure 1 is a perspective view of a surgical stapling instrument, according to at least one embodiment, comprising a handle, a drive shaft extending from the handle, an end actuator, and a swivel joint. connecting the end actuator to the drive shaft;
[006] Figure 2 is a detail view of the articulated joint of Figure 1;
[007] Figure 3 is a cross-sectional end view of the hinge joint of Figure 1 taken along line 3-3 in Figure 2;
[008] Figure 4 is a cross-sectional plan view of the articulated joint of Figure 1 in a disjointed configuration;
[009] Figure 5 is a cross-sectional plan view of the hinged joint of Figure 1 in a hinged configuration;
[0010] Figure 6 is a perspective view in partial cross-section of a drive shaft assembly that can be used with the handle of Figure 1;
[0011] Figure 7 is a perspective view of the drive shaft assembly of Figure 6, illustrated with components removed to illustrate a linkage actuation system;
[0012] Figure 8 is a perspective view of the drive shaft assembly of Figure 6 illustrated with additional components removed to illustrate the pivot actuation system of Figure 7;
[0013] Figure 9 is an exploded view of the drive shaft assembly of Figure 6;
[0014] Figure 10 is a cross-sectional plan view of the drive shaft assembly of Figure 6 illustrating the linkage actuation system in a disjointed configuration;
[0015] Figure 11 is a cross-sectional plan view of the drive shaft assembly of Figure 6 illustrating the hinge actuation system in a hinged configuration;
[0016] Figure 12 is a cross-sectional elevation view of the drive shaft assembly of Figure 6 illustrated in a articulation mode of operation;
[0017] Figure 13 is an elevational view in cross section of the drive shaft assembly of Figure 6 illustrated in a firing mode of operation;
[0018] Figure 14 is a perspective view in partial cross-section of a drive shaft assembly according to at least one embodiment, comprising a closing tube configured to close an end actuator and, in addition, a set of switch configured to switch the drive shaft assembly between a linkage mode of operation and a trigger mode of operation in response to movement of the closing tube;
[0019] Figure 15 is another perspective view in partial cross-section of the drive shaft assembly of Figure 14 illustrated with a portion of the key assembly removed for illustration purposes;
[0020] Figure 16 is a partial perspective view of the drive shaft assembly of Figure 14, illustrated with additional components removed for illustration purposes;
[0021] Figure 17 is another partial perspective view of the drive shaft assembly of Figure 14 illustrated in articulation mode of operation and further illustrated with the closure tube removed for the purpose of illustration;
[0022] Figure 18 is a partial exploded view of the drive shaft assembly of Figure 14, illustrated with components removed for illustration purposes;
[0023] Figure 19 is another partial exploded view of the drive shaft assembly of Figure 14, illustrated with components removed for illustration purposes;
[0024] Figure 20 is an end cross-sectional view of the drive shaft assembly of Figure 14 taken along line 20-20 in Figure 17 illustrated in articulation mode of operation;
[0025] Figure 21 is an end cross-sectional view of the drive shaft assembly of Figure 14 taken along line 20-20 in Figure 17 illustrated in the firing mode of operation;
[0026] Figure 22 is a schematic diagram illustrating a pivot system of the drive shaft assembly of Figure 14 in a non-hinged configuration; and
[0027] Figure 23 is a schematic diagram illustrating a pivot system of the drive shaft assembly of Figure 14 in a hinged configuration.
[0028] Corresponding reference characters indicate the corresponding parts across the various views. The exemplifications described herein illustrate various embodiments of the invention, in one form, and such exemplifications should not be considered as limiting the scope of the invention in any way. DETAILED DESCRIPTION
[0029] The applicant of the present application holds the following patent applications that were filed on the same date as the present application and which are each incorporated herein by reference in their respective entireties:
[0030] - U.S. patent application no., entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END EFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING MEMBER; attorney's document no. END7415USNP/140289;
[0031] - US patent application serial no., entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS; Attorney document no. END7416USNP/140291;
[0032] - U.S. Patent Application Serial No., entitled DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS, Attorney Document No. END7418USNP/140292;
[0033] - U.S. Patent Application Serial No., entitled LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITH ARTICULATABLE SURGICAL END EFFECTORS, Attorney Document No. END7417USNP/140293;
[0034] - U.S. Patent Application Serial No., entitled SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLE ABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE, Attorney Document No. END7485USNP/140295;
[0035] - US patent application serial no., entitled SURGICAL INSTRUMENTS WITH RECONFIGURABLE SHAFT SEGMENTS; attorney's document no. END7486/140296;
[0036] - U.S. Patent Application Serial No., entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS, Attorney Document No. END7489USNP/140299;
[0037] - U.S. Patent Application Serial No., entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND IMPROVED FIRING BEAM SUPPORT ARRANGEMENTS, Attorney Document No. END7491USNP/140301; and
[0038] - U.S. Patent Application Serial No., entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLE ARTICULATION SYSTEM; attorney's document no. END7492USNP/140302.
[0039] The applicant of the present application is the author of the following patent applications that were filed on March 1, 2013 and which are all incorporated herein by reference in their entirety:
[0040] - US Patent Application Serial No. 13/782,295, entitled Articulatable Surgical Instruments With Conductive Pathways For Signal Communication, now US Patent Application Publication No. 2014/0246471;
[0041] - Patent Application Serial No. US 13/782,323, entitled Rotary Powered Articulation Joints For Surgical Instruments, now US Patent Application Publication No. 2014/0246472;
[0042] - Patent Application Serial No. US 13/782,338, entitled Thumbwheel Switch Arrangements For Surgical Instruments, now US Patent Application Publication No. 2014/0249557;
[0043] - US Patent Application Serial No. 13/782,499, entitled Electromechanical Surgical Device with Signal Relay Arrangement, now US Patent Application Publication No. 2014/0246474;
[0044] - Patent Application Serial No. US 13/782,460, entitled Multiple Processor Motor Control for Modular Surgical Instruments, now US Patent Application Publication No. 2014/0246478;
[0045] - Patent Application Serial No. US 13/782,358, entitled Joystick Switch Assemblies For Surgical Instruments, now US Patent Application Publication No. 2014/0246477;
[0046] - Patent Application Serial No. US 13/782,481, entitled Sensor Straightened End Effector During Removal Through Trocar, now US Patent Application Publication No. 2014/0246479;
[0047] - US Patent Application Serial No. 13/782,518, entitled Control Methods for Surgical Instruments with Removable Implement Portions, now US Patent Application Publication No. 2014/0246475;
[0048] - Patent Application Serial No. US 13/782,375, entitled Rotary Powered Surgical Instruments With Multiple Degrees of Freedom, now US Patent Application Publication No. 2014/0246473; and
[0049] - US Patent Application Serial No. 13/782,536, entitled Surgical Instrument Soft Stop, now US Patent Application Publication No. 2014/0246476.
[0050] The applicant of the present application also holds the following patent applications which were filed on Thursday, March 14, 2013 and which are each incorporated herein by reference in their respective entireties:
[0051] - US Patent Application Serial No. 13/803,097, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, now US Patent Application Publication No. 2014/0263542;
[0052] - US Patent Application Serial No. 13/803,193, entitled CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT, now US Patent Application Publication No. 2014/0263537;
[0053] - US Patent Application Serial No. 13/803,053, entitled INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT, now US Patent Application Publication No. 2014/0263564;
[0054] - US Patent Application Serial No. 13/803,086, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, now US Patent Application Publication No. 2014/0263541;
[0055] - US patent application serial no. 13/803,210, entitled SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS, now US patent application publication no. 2014/0263538;
[0056] - US Patent Application Serial No. 13/803,148, entitled MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT, now US Patent Application Publication No. 2014/0263554;
[0057] - US Patent Application Serial No. 13/803,066, entitled DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, now US Patent Application Publication No. 2014/0263565;
[0058] - US Patent Application Serial No. 13/803,117, entitled ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS, now US Patent Application Publication No. 2014/0263553;
[0059] - US Patent Application Serial No. 13/803,130, entitled DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, now US Patent Application Publication No. 2014/0263543; and
[0060] - Patent Application Serial No. US 13/803,159, entitled METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT, now US Patent Publication No. 2014/0277017.
[0061] The applicant of the present application also holds the following patent application which was filed on March 7, 2014 and which is incorporated herein by reference in its entirety:
[0062] - Patent Application Serial No. US 14/200,111, entitled CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS, now US Patent Application Publication No. 2014/0263539.
[0063] The applicant of the present application also holds the following patent applications that were filed March 26, 2014 and which are each incorporated herein by reference in their respective entireties:
[0064] US Patent Application Serial No. 14/226,106 entitled POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS;
[0065] US Patent Application Serial No. 14/226,099 entitled STERILIZATION VERIFICATION CIRCUIT;
[0066] US Patent Application Serial No. 14/226,094 entitled VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT;
[0067] US Patent Application Serial No. 14/226,117 entitled POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL;
[0068] US Patent Application Serial No. 14/226,075 entitled MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES;
[0069] US Patent Application Serial No. 14/226,093 entitled FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS;
[0070] US Patent Application Serial No. 14/226,116 entitled SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION;
[0071] US Patent Application Serial No. 14/226,071 entitled SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR;
[0072] US Patent Application Serial No. 14/226,097 entitled SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS;
[0073] US Patent Application Serial No. 14/226,126 entitled INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS;
[0074] US Patent Application Serial No. 14/226,133 entitled MODULAR SURGICAL INSTRUMENT SYSTEM;
[0075] US Patent Application Serial No. 14/226,081 entitled SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT;
[0076] US Patent Application Serial No. 14/226,076 entitled POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION;
[0077] U.S. Patent Application Serial No. 14/226,111 entitled SURGICAL STAPLING INSTRUMENT SYSTEM; and
[0078] US Patent Application Serial No. 14/226,125 entitled SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT.
[0079] The applicant of the present application also holds the following patent applications which were filed on Friday, September 5, 2014 and which are each incorporated herein by reference in their respective entireties:
[0080] - US Patent Application Serial No. 14/479,103, entitled CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE;
[0081] - U.S. Patent Application Serial No. 14/479,119 entitled ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE COMPRESSION;
[0082] - U.S. Patent Application Serial No. 14/478,908, entitled MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION;
[0083] - U.S. Patent Application Serial No. 14/478,895 entitled MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'S OUTPUT OR INTERPRETATION;
[0084] - U.S. Patent Application Serial No. 14/479,110, entitled USE OF POLARITY OF HALL MAGNET DETECTION TO DETECT MISLOADED CARTRIDGE;
[0085] - US patent application serial no. 14/479,098, entitled SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION;
[0086] - US patent application serial no. 14/479,115, entitled MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE; and
[0087] - US patent application serial no. 14/479,108, entitled LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION.
[0088] The applicant of the present application also holds the following patent applications which were filed on Wednesday, April 9, 2014 and which are each incorporated herein by reference in their respective entireties:
[0089] - US Patent Application Serial No. 14/248,590, entitled MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS, now US Patent Application Publication No. 2014/0305987;
[0090] - US Patent Application Serial No. 14/248,581, entitled SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT, now US Patent Application Publication No. 2014/0305989;
[0091] - US Patent Application Serial No. 14/248,595, entitled SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLING THE OPERATION OF THE SURGICAL INSTRUMENT, now US Patent Application Publication No. 2014/0305988;
[0092] - Patent Application Serial No. US 14/248,588, entitled POWERED LINEAR SURGICAL STAPLER, now US Patent Application Publication No. 2014/0309666;
[0093] - US Patent Application Serial No. 14/248,591, entitled TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT, now US Patent Application Publication No. 2014/0305991;
[0094] - US patent application Serial No. 14/248,584, entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS, now US patent application publication No. 2014/0305994;
[0095] - Patent Application Serial No. US 14/248,587, entitled POWERED SURGICAL STAPLER, now US Patent Application Publication No. 2014/0309665;
[0096] - Patent Application Serial No. US 14/248,586, entitled DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICAL INSTRUMENT, now US Patent Publication No. 2014/0305990; and
[0097] - US Patent Application Serial No. 14/248,607, entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION ARRANGEMENTS, now US Patent Application Publication No. 2014/0305992.
[0098] The applicant of the present application also holds the following patent applications which were filed on Tuesday, April 16, 2013 and which are each incorporated herein by reference in their respective entireties:
[0099] - US patent application serial no. 61/812,365, entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR;
[00100] - Patent Application Serial No. U.S. 61/812,376, entitled LINEAR CUTTER WITH POWER;
[00101] - Patent Application Serial No. U.S. 61/812,382, entitled LINEAR CUTTER WITH MOTOR AND PISTOL GRIP;
[00102] - U.S. Provisional Patent Application Serial No. 61/812,385, entitled SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS AND MOTOR CONTROL; and
[00103] - U.S. Provisional Patent Application Serial No. 61/812,372, entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR.
[00104] Numerous specific details are presented to provide a complete understanding of the structure, function, fabrication and general use of the modalities as described in the specification and illustrated in the accompanying drawings. Well-known operations, components and elements have been described in detail so as not to obscure the modalities described in the specification. The reader will understand that the embodiments described and illustrated in the present invention are non-limiting examples, and therefore, it can be understood that the specific structural and functional details disclosed in the present invention may be representative and illustrative. Variations and changes may be made to this without deviating from the scope of the claims.
[00105] The terms "comprises" (and any form of comprises, such as "comprises" and "which comprises"), "has" (and any form of has, such as "has" and "which has"), "includes" (and any form of includes, such as "includes" and "which includes") and "contains" (and any form of contains, such as "contains" and "which contains") are unrestricted linking verbs. As a result, a system, device or surgical device that "comprises", "has", "includes" or "contains" one or more elements has those one or more elements, but is not limited to having only those one or more elements. . Likewise, an element of a system, device or surgical device that "comprises", "has", "includes" or "contains" one or more features has those one or more features, but is not limited to having only those one or more features. or more resources.
[00106] The terms "proximal" and "distal" are used in the present invention with reference to a physician who manipulates the handle portion of the surgical instrument. The term "proximal" refers to the portion closest to the physician, and the term "distal" refers to the portion located away from the physician. It will also be understood that, for the sake of convenience and clarity, spatial terms such as "vertical", "horizontal", "upwards" and "downwards" may be used in the present invention in connection with the drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and/or absolute.
[00107] Various exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, the reader will readily understand that the various methods and devices disclosed in the present invention can be used in numerous surgical procedures and applications, including, for example, in connection with open surgical procedures. As the present Detailed Description advances, the reader will further understand that the various instruments disclosed herein may be inserted into a body in any manner, such as through a natural orifice, through an incision or perforation formed in tissue, etc. Functional portions or end actuator portions of instruments may be inserted directly into a patient's body or may be inserted via an access device that has a working channel through which the end actuator and elongated drive shaft of a surgical instrument can be advanced.
[00108] The surgical stapling system may comprise a drive shaft and an end actuator extending from the drive shaft. The end actuator comprises a first jaw and a second jaw. The first jaw comprises a staple cartridge. The staple cartridge is insertable into and removable from the first jaw; however, other embodiments are envisaged in which a staple cartridge is not removable, or at least readily replaceable, from the first jaw. The second jaw comprises an anvil configured to deform staples ejected from the staple cartridge. The second jaw is pivotable with respect to the first jaw around a geometric axis of the lid; however, other embodiments are envisaged in which the first jaw is pivotable with respect to the second jaw. The surgical stapling system additionally comprises a pivot joint configured to allow the end actuator to be pivoted or pivoted with respect to the drive shaft. The end actuator is rotatable about a pivot axis that extends through the pivot joint. Other embodiments are envisaged which do not include an articulation joint.
[00109] The staple cartridge comprises a cartridge body. The cartridge body includes a proximal end, a distal end, and a platform that extends between the proximal end and the distal end. In use, the staple cartridge is positioned on a first side of the fabric to be stapled and the anvil is positioned on a second side of the fabric. The anvil is moved towards the staple cartridge to compress and hold the fabric against the platform. Thereafter, staples detachably stored in the cartridge body can be distributed to the fabric. The cartridge body includes staple cavities defined therein, the staples being removably stored in the staple cavities. The clamp cavities are arranged in six longitudinal rows. Three rows of staple cavities are positioned on a first side of a longitudinal slot and three rows of staple cavities are positioned on a second side of the longitudinal slot. Other arrangements of clamp cavities and clamps may be possible.
[00110] The staples are held by staple drivers in the cartridge body. The actuators are movable between a first position, or unfired position, and a second position, or fired position, for ejecting staples from staple cavities. The actuators are retained in the cartridge body by a retainer which extends around the bottom of the cartridge body and includes resilient members configured to secure the cartridge body and retain the retainer in the cartridge body. Triggers are movable between their non-triggered positions and their slider-triggered positions. The slider is movable between a proximal position adjacent the proximal end and a distal position adjacent the distal end. The slider comprises a plurality of inclined surfaces configured to slide under the actuators and lift the actuators, and the clamps supported thereon, towards the anvil.
[00111] In addition to the above, the slider is moved distally by a triggering member. The trigger member is configured to contact the slider and push the slider towards the distal end. The longitudinal slot defined in the cartridge body is configured to receive the firing member. The anvil also includes a slot configured to receive the firing member. The firing member further comprises a first cam that engages the first jaw and a second cam that engages the second jaw. As the firing member is advanced distally, the first cam and second cam can control the distance, or tissue gap, between the staple cartridge platform and the anvil. The firing member also comprises a knife configured to make an incision in the tissue captured between the anvil and the staple cartridge. It is desirable that the knife be positioned at least partially proximal to the inclined surfaces, so that the staples are ejected in front of the knife.
[00112] A surgical stapling assembly 100 is illustrated in Figures 1 to 5. The surgical instrument assembly 100 comprising a handle 110, a drive shaft assembly 120 attached to and extending from the handle 110, an end actuator 130 and a swivel joint 140 pivotally connecting end actuator 130 to drive shaft assembly 120. Cable 110 comprises a cable compartment 115 and a pistol grip 112 extending from cable compartment 115. Cable 110 further comprises a closing actuator 114 configured to generate a closing movement and an opening movement which are transferred to the end actuator 130 via the drive shaft assembly 120. The cable 110 also comprises a pivot actuator 116 configured to pivot end actuator 130 about pivot joint 140. In at least one example, pivot actuator 116 is operable in a a first direction to rotate end actuator 130 in a first direction and a second direction to rotate end actuator 130 in a second, or opposite, direction. Cable 110 further comprises a trigger actuator configured to generate a trigger motion which is also transferred to end actuator 130 via drive shaft assembly 120.
[00113] The drive shaft assembly 120 comprises a proximal housing, or mouthpiece, 125 that is attachable to the cable housing 115. The drive shaft assembly 120 additionally includes a removable latch 126 configured to releasably lock the housing of the driver. drive shaft 125 to cable housing 115. Drive shaft 120 also includes a closing tube 124 which is operatively connected to the closing actuator 114 of the cable 110. When the closing actuator 114 is pulled towards to the pistol grip 112, the closing actuator 114 is advanced distally towards the end actuator 130. The closing actuator 114 is coupled to the closing tube 124 through a system of gears and/or supports, for example, in such a way that that the movement of the closing actuator 114 is transferred to the closing tube 124. In certain cases, the closing actuator drive 114 can operate as an electric motor that The closure tube 124 can be moved. In either case, the handle 110 may include a latch configured to releasably secure the closure actuator 114 in its fully closed position. When closure actuator 114 is released and moves away from pistol grip 112, closure tube 124 is pulled proximally away from end actuator 130.
[00114] End actuator 130 comprises a first jaw 132 including a staple cartridge. The staple cartridge includes a cartridge body and a plurality of staples removably positioned in said cartridge body. The staple cartridge is insertable into is readily removable from the first jaw 132 and can be replaced with another staple cartridge. In other instances, the staple cartridge may not be readily replaceable. In either case, the staples are ejected from the staple cartridge when the firing member is advanced distally by a firing motion generated when the firing actuator is actuated. The end actuator further comprises a second jaw 134 movable between an open position and a closed position in response to the opening movement and closing movement generated when the closing actuator 114 is operated. Other embodiments are contemplated in which the first jaw 132 is movable relative to the second jaw 134. The second jaw 134 is configured to clamp the fabric against the staple cartridge when the second jaw 134 is moved to a closed position. The second jaw 134 comprises an anvil configured to deform the staples when the staples are ejected from the staple cartridge by the firing member. The firing member also includes a cutting portion, such as a knife, for example, which passes through the fabric being stapled.
[00115] Hinged joint 140 comprises a proximal assembly 141 mounted to a frame, or spine, 122 of drive shaft 120. Proximal assembly 141 is fixedly secured to drive shaft frame 122. Hinged joint 140 further comprises a distal assembly 143 mounted to the first jaw 132. Similarly, the distal assembly 143 is fixedly secured to the first jaw 132. The hinge joint 140 also comprises a plurality of elements, or discs 142, positioned between the proximal assembly 141 and distal assembly 143. Referring primarily to Figure 3, each disc 142 comprises a central opening 145 defined therein. A trigger member 150, which is responsive to trigger movements produced by the cable trigger actuator 110, extends through central openings 145. Each disc 142 further comprises a first side opening 146 and a second side opening 147 defined therein. First side opening 146 and second side opening 147 are positioned on opposite sides of disc 142 and on opposite sides of center openings 145. A first pivot actuator 170 extends through first side openings 146. First pivot actuator 170 comprises a distal end 179 fixedly mounted to the first jaw 132. Similarly, a second pivot actuator 180 extends through the second side openings 147. The second pivot actuator 180 also comprises a distal end 189 fixedly mounted to the first claw 132.
[00116] Pivot joints may comprise a single fixed pivot shaft around which the end actuator is rotated. Hinged joint 140 does not comprise a single fixed pivot shaft; instead, articulated joint 140 comprises an array of pivots defined by discs 142. Each disc 142 comprises a proximal face 148 and a distal face 149. Each proximal face 148 comprises a contoured surface, such as an angled surface and/or surface. curve, for example. Similarly, each distal face 149 comprises a contoured surface, such as an angled surface and/or curved surface, for example. The contoured surfaces 148, 149 extend laterally outward from a central portion of the disks 142. As a result of the contoured surfaces 148, 149, the central portions of the disks 142 are thicker than the edge portions of the disks 142. As a result of this configuration, each disk 142 is rotatable, at least to some degree, with respect to the adjacent disk 142. When the end actuator 130 is rotated in a first direction around the swivel joint 140, with reference to Figure 5, the surface 149 of the closest disc 142 may move toward the disc and, depending on the degree to which the end actuator 130 is pivoted, contact the proximal assembly 141. Similarly, the proximal surface 149 of the second disc closer 142 may move toward and, depending on the degree to which the end actuator 130 is pivoted, contact the distal surface 148 of the most proximal disk 142. proximal surface 149 of the third closest disk 142 may move toward and, depending on the degree to which the end actuator 130 is pivoted, contact the distal surface 148 of the second most proximal disk 142, and so on. .
[00117] End actuator 130 is rotated about pivot joint 140 by first pivot actuator 170 and/or second pivot actuator 180. In order to rotate end actuator 130 in a first direction, illustrated in Figure 5, linkage actuator 170 is pulled proximally. Pivot actuator 180 can also be pushed distally to rotate end actuator 130 in the first direction. In order to rotate end actuator 130 in a second, or opposite, direction, pivot actuator 180 is pulled proximally. The pivot actuator 170 can also be pushed distally to rotate the end actuator in the second direction. The linkage actuators 170, 180 can be made of any suitable materials, such as cables, for example.
[00118] The first pivot direction and the second pivot direction of the end actuator 130 are in the same plane. That plane is defined by closure tube 124. Closure tube 124 comprises a proximal portion and a distal portion, which are pivotally connected to each other by pivot links 126. A first pivot link 126 extends over the top of the swivel joint 140, while the second pivot link 126 extends under the bottom of the swivel joint 140. Each pivot link 126 comprises a proximal pivot pin 127 engaged with the proximal portion of the closure tube 124 and one of the distal pivot pin 127 engages with the distal portion of closure tube 124. Pivot connections 126 are parallel to each other and limit movement of end actuator 130 to the plane including the first direction and the second direction.
[00119] Once the clinician is satisfied with the orientation of the end actuator 130, the end actuator 130 can be locked in position. Surgical stapling assembly 100 comprises a first jaw configured to lock and retain first pivot actuator 170 in position. When the first jaw is in an unclamped configuration, the first pivot actuator 170 is able to slide relative to the first jaw, and when the first jaw is in a gripped configuration, the first pivot actuator 170 is prevented from moving relative to the first jaw. first claw. When the second jaw is in an unclamped configuration, the second pivot actuator 180 is able to slide relative to the second jaw, and when the second jaw is in a gripped configuration, the second pivot actuator 180 is prevented from moving relative to the second jaw. second claw. In use, the first jaw and second jaw are released to unlock the linkage system and to allow the end actuator 130 to be rotated. In various cases, the surgical stapling assembly 100 may comprise a common latch actuator to simultaneously open the first and second jaws. The common latch actuator can also simultaneously close the first and second jaws.
[00120] A drive shaft assembly 220 for use with a surgical instrument is shown in Figures 6 through 13. The drive shaft assembly 220 comprises a pivotable end actuator, such as an end actuator 230 (Figures 10 and 11) , for example. End actuator 230 is similar to end actuator 130 in many respects. The drive shaft assembly 220 also comprises a trigger member, such as a trigger element 251 (Figures 10 and 11), for example. Trigger member 251 is similar to trigger member 150 in many respects. The drive shaft assembly 220 additionally includes a drive shaft structure 222 and a movable closure actuator, or tube, 224. The closure tube 224 comprises a longitudinal opening extending therethrough and the drive shaft structure. 222 extends through the longitudinal opening. The drive shaft structure 222 is mounted on a pivot joint 290 and, as a result, the drive shaft structure 222 is rotatable about an axis of the longitudinal drive shaft. The drive shaft structure 222 is not proximally and distally translatable.
[00121] Closure tube 224 is proximally and distally translatable with respect to drive shaft structure 222, as described in more detail below. In addition, the closure tube 224 rotates synchronously with the drive shaft structure 222. The drive shaft assembly 220 further comprises a housing, or nozzle, 225. A portion of the nozzle 225 extends through an opening in a gap. defined in the closure tube 224 and is engaged with a notch 221 defined in the drive shaft structure 222. The nozzle 225 is rotatable about the axis of the longitudinal drive axis to rotate the drive shaft structure 222 and the drive tube. closure 224. Rotation of drive shaft structure 222 and closure tube 224 about the longitudinal axis of the drive shaft rotates end actuator 230 extending from drive shaft assembly 220 about the axis longitudinal drive.
[00122] Closure tube 224 is movable from a proximal position to a distal position to, one, transition the end actuator 230 from an open configuration to a closed configuration, and, two, change the assembly of pivot axis 200 between a pivot mode of operation and a trigger mode of operation. The drive shaft assembly 200 comprises an input actuator 250 which can operate a linkage driver 260 to pivot the end actuator 230 when the drive shaft assembly 200 is in its linkage mode of operation and, in addition, operate firing member 251 for firing a staple cartridge positioned in end actuator 230 when drive shaft assembly 200 is in its firing mode of operation.
[00123] Referring primarily to Figures 7 to 9, the articulation drive 260 comprises a cylinder drum 261, a first articulation actuator 270, and a second articulation actuator 280. The cylinder drum 261 comprises a first articulation groove 262 and a second hinge groove 263 defined therein. First pivot groove 262 comprises a first end positioned at a distal end of cylinder barrel 261 and a second end positioned at a proximal end of cylinder barrel 261. First pivot actuator 270 comprises a follower 272 extending from a proximal end 271 thereof which is positioned in the first hinge groove 262. When the cylinder barrel 261 is rotated about a longitudinal axis, a side wall of the first hinge groove 262 engages the follower 272 and pushes the first hinge driver 270 distally or pulls the first pivot driver 270 proximally, depending on the direction in which the cylinder barrel 261 is rotated. For example, if cylinder barrel 261 is rotated clockwise CW, first linkage actuator 270 is pushed distally, and if cylinder barrel 261 is rotated counterclockwise CCW, first linkage actuator 270 is pulled in. proximally.
[00124] Similar to the above, the second pivot groove 263 comprises a first end positioned at a distal end of the cylinder barrel 261 and a second end positioned at a proximal end of the cylinder barrel 261. The second pivot actuator 280 comprises a follower 282 extending from a proximal end 281 thereof, which is positioned in the second hinge groove 263. When the cylinder barrel 261 is rotated about a longitudinal axis, a side wall of the first hinge groove 263 engages the follower 282 and pushes second hinge driver 280 distally or pulls second hinge driver 280 proximally, depending on the direction in which cylinder barrel 261 is rotated. For example, if cylinder barrel 261 is rotated clockwise CW, second linkage actuator 280 is pulled proximally, and if cylinder barrel 261 is rotated counterclockwise CCW, second linkage actuator 280 is pushed in. distally.
[00125] The first pivot actuator 270 extends along a first side side of the drive shaft structure 222 and the second pivot actuator 280 extends along a second side side of the drive shaft structure 222. A drive shaft frame 222 comprises a first side window 223 defined on the first side of the drive shaft frame 222 and a second side window 223 defined on the second side side of the drive shaft frame 222. The first follower 272 of the first actuator hinge 270 extends through first side window 223 to engage first hinge groove 262 and second follower 282 of second hinge actuator 280 extends through second side window 223 to engage second hinge groove 263.
[00126] As a result of the foregoing, the first linkage actuator 270 is pushed distally and the second linkage actuator 280 is pulled proximally when the cylinder barrel 261 is rotated in a first, or clockwise direction, CW. Correspondingly, the first linkage actuator 270 is pulled proximally and the second linkage actuator 280 is pushed distally as the cylinder barrel 261 is rotated in a second, or counterclockwise, CCW direction.
[00127] Referring primarily to Figures 10 and 11, the first pivot actuator 270 comprises a distal end 278 operatively engaged with the end actuator 230. The end actuator 230 comprises a first pivot pin 277 extending therefrom. , which is positioned in an elongated slot 279 defined at the distal end 278 of the first pivot actuator 270. The first pivot pin 277 is received within and can slide with respect to the elongated slot 279. When the first pivot actuator 270 is pulled proximally , the first pivot actuator 270 pulls the first pivot pin 277 proximally and the end actuator 230 is rotated about a pivot joint 240 in the direction indicated in Figure 11. When the first pivot actuator 270 is pushed distally, the first pivot actuator 270 pivot actuator 270 pushes first pivot pin 277 distally and end actuator 230 is rotated about of the swivel joint 240 in an opposite direction.
[00128] Referring primarily to Figures 10 and 11, the second pivot actuator 280 comprises a distal end 288 operatively engaged with the end actuator 230. The end actuator 230 comprises a second pivot pin 287 extending therefrom. , which is positioned in an elongated slot 289 defined at the distal end 288 of the second pivot actuator 270. The second pivot pin 287 is received within and can slide with respect to the elongated slot 289. When the second pivot actuator 280 is pushed distally , the second pivot actuator 280 pushes the second pivot pin 287 distally and the end actuator 230 is rotated about the pivot joint 240 in the direction indicated in Figure 11. When the second pivot actuator 280 is pulled proximally, the second actuator The pivot pin 280 proximally pulls the second pivot pin 287 and the end actuator 230 is rotated about the pivot joint. 240 in an opposite direction.
[00129] Cylinder drum 261 is movable clockwise CW and counterclockwise CCW by a closure tube 264. Referring primarily to Figures 8 and 9, closure tube 264 is translatable within the locking shaft assembly. drive 220. Closure tube 264 comprises a cylindrical body which is positioned in an interior cavity defined in cylinder barrel 261. Closure tube 264 further comprises a drive pin 268 extending therefrom, which is positioned in a groove drive 267 defined on the surface of the inner cavity of cylinder barrel 261. When closure tube 264 is moved proximally, drive pin 268 engages a side wall of drive groove 267 and rotates cylinder barrel 261 toward it in the CW clockwise. When lock tube 264 is moved distally, drive pin 268 engages the opposite side wall of drive groove 267 and rotates cylinder barrel 261 counterclockwise CCW. As a result, the locking tube 264 can be moved proximally and distally to adjust the end actuator linkage 230.
[00130] Closure tube 264 is movable between a more proximal position and a more distal position. These positions define the entire course of the complete articulation of closure tube 264. More particularly, when closure tube 264 is in its most distal position, end actuator 230 is in its furthest hinged position in one direction, i.e., the direction shown in Figure 11, and when the closure tube 264 is in its most proximal position, the end actuator 230 is in its furthest pivot position in the other direction. Intermediate to the most proximal position and the most distal position of closure tube 264 is an intermediate position associated with the non-hinged position of end actuator 230, which is shown in Figure 10. Actuation pin 268 is positioned within actuation groove 267. along the course of the closing tube hinge 264; however, other embodiments are contemplated in which drive pin 268 may exit drive groove 267 to operatively decouple linkage system 260 from input actuator 250.
[00131] Referring primarily to Figures 8 and 9, the closing tube 264 further comprises a longitudinal opening 259 defined in the cylindrical body and stop arms 265 extending from the cylindrical body. The inlet actuator 250 extends through the longitudinal opening 259. The brake arms 265 are releasably engageable with the inlet actuator 250. When the brake arms 265 are engaged with the inlet actuator 250, the translational movement of the actuator input actuator 250 is transferred to lock tube 264. When brake arms 265 are not engaged with input actuator 250, translational motion of input actuator 250 is not transferred to lock tube 264. Each brake arm 265 includes at least one protrusion configured to engage input actuator 250. For example, each brake arm 265 includes a proximal drive surface 266p and a distal drive surface 266d. When the brake arms 265 are engaged with the input actuator 250, the input actuator 250 may contact the proximal drive surfaces 266p to push the lock tube 264 distally, and the distal drive surfaces 266d to pull the stopper. locking tube 264 proximally.
[00132] Referring primarily to Figure 12, the drive shaft assembly 220 further comprises detents 269 that are configured to operatively couple the lock tube 264 to the inlet actuator 250. Detents 269 comprise spherical balls; however, any suitable configuration of the 269 detents could be used. Each detent 269 is positioned on a detent seat 229 defined on the drive shaft frame 222. A first detent 269 is positioned on a first detent seat 229 on a first side of the drive shaft frame 222 and is oriented in engagement with a first brake arm 265 and a second detent 269 are positioned in a second detent seat 229 on a second, or opposite, side of the drive shaft frame 222 and are oriented in engagement with a second brake arm 265. The detents 269 are held against the brake arms 265 by the closing tube 264 when the closing tube 264 is in its open, or proximal, position, as illustrated in Figure 12. The brake arms 265 comprise resilient cantilever beams that are curved inwardly. towards the inlet actuator 250 via the closure tube 264 and detents 269. The closure tube 264 and detents 269 are designed to be more rigid than the brake arms. io 265 and, as a result, the brake arms 265 deform rather than, or at least sufficiently more than, the closure tube 264 and detents 269.
[00133] When the closure shaft 224 is moved to its distal position, or closed position, to close the end actuator 230, the detent reliefs 228 defined in the closure tube 224 are aligned with the detents 269. The closure tube 224 comprises a first detent relief 228 defined on the first side of the closure tube 224 that receives the first detent 269 and a second detent relief 228 defined on the second, or opposite, side of the closure tube 224 that receives the second detent 269. Although the detent reliefs 228 contain the detents 269 on the drive shaft assembly 220, the resiliently compressed brake arms 265 can push the detent 269 into the detent reliefs 228 and return, or at least partially return, to their undisclosed positions. deflected when detent reliefs 228 are aligned with detents 269. In such cases, brake arms 265 may move away from input actuator 250 and become operationally disengaged from input actuator 250. At this point, translation of input actuator 250 is not transferred to closure tube 264 and, as a result, linkage system 260 is decoupled from input actuator 250. Said another way , closing the closure tube 244 switches the drive shaft assembly 200 from a pivoting mode of operation to a firing mode of operation. Inlet actuator 250 can then be operated to advance firing member 251 distally to fire staples removably stored in a staple cartridge positioned in end actuator 230. When the staple cartridge has sufficiently fired , the firing member 251 can be retracted. Trigger member 251 is connected to input actuator 250 such that trigger member 251 is proximally retracted when input actuator 250 is moved proximally.
[00134] The reader will notice that the trigger member 251 is attached to the input actuator 250 and, as a result, the proximal and distal movements of the input actuator 250 during the linkage operating mode are also transmitted to the trigger member 251 during the joint operation mode; however, such movements of the firing member 251 during the pivot mode of operation are insufficient to fire the staple cartridge. The reader should also note that the linkage drive system and the trigger drive system are not operated simultaneously. For this purpose, the linkage system 260 cannot be activated while the firing system is being activated.
[00135] As described above, the linkage system 260 can apply a force, or forces, to the end actuator 230 and position the end actuator 230 during the linkage mode of operation. External forces applied to the end actuator 230, which tends to unintentionally pivot, or drive back, the end actuator 230, may be resisted by the pivot system 260, the inlet actuator 250, and the electric motor driving the inlet actuator 250 , for example. The linkage system 260 may also secure the end actuator 230 in position during the firing mode of operation. Stated another way, the linkage system 260 is not readily actuated back by the end actuator 230 even though the linkage system 260 is not operationally engaged with the input actuator 250. For example, the side walls of the first hinge groove 262 can be angled such that external forces applied to the first pivot actuator 270 through the end actuator 230 do not easily rotate the cylinder barrel 261. Also, for example, the side walls of the second pivot groove 263 can be angled accordingly. such that external forces applied to the second pivot actuator 280 through the end actuator 230 do not easily rotate the cylinder barrel 261. Such an angle may be called an angle of attack. In at least one example, the side walls of the first hinge groove 262 and/or the second hinge groove 263 may be disposed at an angle of approximately 45 degrees, and/or greater than 45 degrees, for example. In certain examples, the side walls of the first hinge groove 262 and/or the second hinge groove 263 may be disposed at an angle of approximately 30 degrees, approximately 60 degrees, and/or between 30 degrees and 60 degrees, for example. In at least one example, the side walls of the first hinge groove 262 and/or the second hinge groove 263 may be disposed at an angle of approximately 32 degrees, and/or approximately 36 degrees, for example. The side walls of the first hinge groove 262 may be arranged at a first angle of attack, and the side walls of the second hinge groove 263 may be arranged at a second angle. The first angle of attack can be the same as the second angle of attack or different from the second angle of attack. In at least one example, the first angle of attack may be approximately 48 degrees and the second angle of attack may be approximately 19 degrees, for example. Frictional forces between linkage actuators 270, 280 and cylinder drum 261 can inhibit movement of linkage system 260 and, as a result, end actuator 230 cannot pivot in response to external forces applied to it.
[00136] In addition to the above, the interaction between the drive pin 268 of the closing tube 264 and the drive groove 267 of the cylinder drum 261 can resist external backward drive forces acting to rotate the drum of the cylinder 261. cylinder 261. In other words, the drive pin 268 can prevent the cylinder drum 261 from turning accidentally. In such cases, cylinder barrel 261 may not be able to push closure tube 264 distally and/or pull closure tube 264 proximally. In certain cases, the closure tube 264 may resist such movement as the brake arms 265 may remain frictionally engaged or in sliding contact with the input actuator 250, although the brake arms 265 are no longer engaged in operationally with the inlet actuator 250 when the closing tube 244 is in its closed position. Brake arms 265 may also be frictionally engaged with detents 269. In addition, the side walls of pivot groove 267 may be angled such that external forces applied to cylinder drum 261 through end actuator 230 and linkage actuators 270, 280 do not readily rotate cylinder barrel 261. Frictional forces between drive pin 268 and drive groove 267 can inhibit movement of linkage system 260 and, as a result, end actuator 230 cannot articulate in response to external forces applied to it.
[00137] The drive shaft assembly 220 can be switched from its firing mode of operation to its hinge mode of operation when the closing tube 224 is moved proximally towards its open position. In such cases, the detent reliefs 228 will no longer be in line with the detents 269 and, as a result, the closing tube 224 may force the brake arms 265 into engagement with the inlet actuator 250 through the detents 269 again.
[00138] A drive shaft assembly 320, for use with a surgical instrument, is shown in Figures 14 to 23. The drive shaft assembly 320 comprises a pivotable end actuator, such as the end actuator 130 (Figure 1) or the end actuator 230 (Figures 10 and 11), for example. The drive shaft assembly 320 also comprises a triggering member, such as triggering member 150 or triggering member 251 (Figures 10 and 11), for example. The drive shaft assembly 320 additionally includes a drive shaft structure 322 and a movable closure actuator, or tube, 324. The closure tube 324 comprises a longitudinal opening extending therethrough and the drive shaft structure. 322 extends through the longitudinal opening. The drive shaft structure 322 is mounted on a pivot joint 290 and, as a result, the drive shaft structure 322 is rotatable about an axis of the longitudinal drive shaft. The drive shaft structure 322 is not proximally and distally translatable.
[00139] Closure tube 324 is proximally and distally translatable with respect to drive shaft structure 322, as described in more detail below. In addition, closure tube 324 rotates synchronously with drive shaft structure 322. Drive shaft assembly 320 further comprises a housing, or nozzle, 325. A portion of nozzle 325 extends through an opening in a gap. defined in the closure tube 324 and is engaged with a notch 321 defined in the drive shaft structure 322. The nozzle 325 is rotatable about the axis of the longitudinal drive axis to rotate the drive shaft structure 322 and the drive tube. closure 324. Rotation of drive shaft structure 322 and closure tube 324 about the longitudinal drive axis axis rotates end actuator 230, for example, about the longitudinal drive axis.
[00140] Closure tube 324 is movable from a proximal position to a distal position to, one, transition the end actuator 230 from an open configuration to a closed configuration, and, two, change the shaft assembly from hinge 320 between a hinge mode of operation and a trigger mode of operation. The drive shaft assembly 320 comprises an input actuator 350 which can operate a drive 360 to pivot the end actuator 230 when the drive shaft assembly 320 is in its pivot mode of operation and further operate the member. trigger 251 for triggering a staple cartridge positioned in end actuator 330 when drive shaft assembly 320 is in its triggering mode of operation.
[00141] Referring primarily to Figures 17 to 19, the articulation drive 360 comprises a articulation gear 361, a first articulation actuator 370 and a second articulation actuator 380. The articulation gear 361 is mounted on a drive shaft pivot gear drive shaft 362. The pivot gear drive shaft 362 comprises first and second ends, which are pivotally mounted to nozzle 325. First pivot actuator 370 comprises a first rack 371 at its proximal end which is interlocked with pivot gear 361. When pivot gear 361 and drive shaft 362 are rotated about a longitudinal axis of the gear drive shaft, the pivot gear 361 pushes the first pivot drive 370 distally or pulls the first joint driver 370 proximally, depending on the direction in which the engagement linkage gear 361 is rotated. Similarly, the second pivot actuator 380 comprises a second rack 381 at its proximal end that is meshed in mesh with the pivot gear 361. When the pivot gear 361 and drive shaft 362 are rotated about the pivot geometry of the longitudinal gear drive axis, the hinge gear 361 pushes the second hinge driver 380 distally or pulls the second hinge driver 380 proximally, depending on the direction in which the hinge gear 361 is rotated.
[00142] As a result of the above, the first linkage actuator 370 is pushed distally and the second linkage actuator 380 is pulled proximally when the linkage gear 361 is rotated in a first direction. Correspondingly, the first pivot actuator 370 is pulled proximally and the second pivot actuator 380 is pushed distally as the pivot gear 361 is rotated in a second direction. Figure 22 illustrates pivot drives 370, 380 in a non-hinged configuration. Figure 23 illustrates pivot drives 370, 380 in a pivoted configuration.
[00143] Similar to the first pivot actuator 270, the first pivot actuator 370 comprises a distal end operatively engaged with the end actuator 230, for example. When the first pivot actuator 370 is pulled proximally, the end actuator 230 is rotated about a pivot joint 240 in the direction indicated in Figure 11. When the first pivot actuator 370 is pushed distally, the end actuator 230 is rotated around swivel joint 240 in an opposite direction. Similar to second hinge actuator 280, second hinge actuator 380 comprises a distal end operatively engaged with end actuator 230. When second hinge actuator 380 is pushed distally, end actuator 230 is rotated about a hinge joint 240 in the direction indicated in Figure 11. When the second hinge actuator 380 is pulled proximally, the end actuator 230 is rotated about the hinge joint 240 in an opposite direction.
[00144] With continuous reference to Figures 17 to 19 and also with reference to Figures 20 and 21, the pivot gear 361 is selectively driveable by a coupling gear 363, depending on whether the drive shaft assembly 320 is in a articulating mode of operation, illustrated in Figure 20, or in a firing mode of operation, illustrated in Figure 21. When the drive shaft assembly 320 is in its articulating mode of operation, the coupling gear 363 is engaged in entangled form with the pivot gear 361 and further with a rack 353 defined in the input actuator 350. When the input actuator 350 is translated proximally, and the coupling gear 363 is operatively coupled with the input actuator 350 and rack 353, pivot gear 361 is rotated in its first direction. When input actuator 350 is translated distally, and coupling gear 363 is operatively coupled with input actuator 350 and rack 353, pivot gear 361 is rotated in its second direction.
[00145] Coupling gear 363 is rotatably mounted to a lock drum 364. The lock drum 364 includes an extending drive shaft, from which the mating gear 363 is rotatably positioned. Lock drum 364 is rotatable between a first, or engaged, position in which the coupling gear 363 is operatively engaged with the pivot gear 361 and rack 353 and a second, or disengaged, position in which the coupling gear 363 is operatively disengaged from pivot gear 361 and/or rack 353. Lock drum 364 includes a switch arm 368 which extends therefrom and, with reference to Figure 16, extends through a window defined in the tube. closure 324. A window edge of a closure tube includes a cam 326. Cam 326 is configured to contact switch arm 368 when closure tube 324 moves between a proximal, or open, position and a distal, or closed, position to move end actuator 230 between an open configuration and a closed configuration. In such cases, cam 326 moves latch drum 364 between its first position illustrated in Figure 20, which is associated with the articulation mode of operation, and its second position illustrated in Figure 21, which is associated with the mode of operation. trigger.
[00146] In addition to the above, referring primarily to Figures 14 and 15, the drive shaft assembly 320 comprises a switching drum 365 and a tilting element, such as a torsion spring 327, for example, positioned between the switch drum 365 and nozzle 325. Torque spring 327 is compressed between switch drum 365 and nozzle 325 and applies a tilting force to switch drum 365 in a first position associated with the articulation mode of operation of the switch. drive shaft assembly 320. Referring primarily to Figure 20, the switch arm 368 of the lock drum 364 extends into the switch drum 365 and, as a result, the torsion spring 327 pushes the lock drum 364 to your first position. When closing tube 324 is advanced distally, as described above, cam 326 defined in closing tube 324 contacts switch arm 368 and rotates switch drum 365 and lock drum 364 to their second positions. and, as a result, switches the drive shaft assembly 320 into a firing mode of operation, as illustrated in Figure 21. Movement of switch drum 365 from its first position to its second position compresses, or further compresses, the torsion spring 327.
[00147] In the 320 drive shaft assembly firing mode of operation, the articulation drive 360 does not respond to the translational movements of the input actuator 350 and also the input actuator 350 can be advanced distally to move the element trigger 251 distally and trigger the clamp cartridge positioned in the end actuator 230. In several cases, the inlet actuator 350 is operatively coupled with an electric motor, for example configured to move the inlet actuator 350 distally. Inlet actuator 350 is also proximally movable by the electric motor, for example, to retract firing member 251. Referring primarily to Figure 19, inlet actuator 350 includes a longitudinal slot 352 defined therein, which comprises a slot clearance for the pivot gear drive shaft 362. Referring primarily to Figure 15, the closure tube 324 comprises a similar longitudinal clearance slot 328 for the pivot gear drive shaft 362 defined therein. These longitudinal clearance slots are necessary because the inlet actuator 350 and the closing tube 324 are moved longitudinally. Referring to Figure 17, lock drum 364 is not longitudinally translatable; however, it can rotate about the axis of the longitudinal drive shaft, and therefore, the lock drum 364 includes a circumferential clearance slot 366 defined therein for the drive shaft of the pivot gear 362.
[00148] In addition to the above, referring primarily to Figures 18 to 21, the lock drum 364 includes a lock 369. When the lock drum 364 is in its first position and the drive shaft assembly 320 is in its articulation mode of operation, referring primarily to Figure 20, latch 369 is not engaged with articulation gear 361 and articulation gear 361 is free to rotate and drive articulation actuators 370, 380 as discussed above. When the locking drum 364 is in its second position and the drive shaft assembly 320 is in its firing mode of operation, referring primarily to Figure 21, the latch 369 is engaged with the pivot gear 361. latch 369 is engaged with pivot gear 361, pivot gear 361 is prevented from rotating. As a result, not only is the linkage drive 360 decoupled from the input actuator 350 when the drive shaft assembly 320 is in its firing mode of operation, the linkage drive 360 is locked in place. Such an arrangement can lock the end actuator 230 in a pivoted position or in a non-pivoted position. Such an arrangement may also prevent, or at least inhibit, unintentional movement of the end actuator 230 in response to external, or feedback, forces.
[00149] The drive shaft assembly 320 can be switched from its firing mode of operation to its hinge mode of operation when the closing tube 324 is moved proximally towards its open position. In such cases, cam 326 can be pulled proximally away from switch arm 368 and torsion spring 327 can force switch drum 365 and lock drum 364 back into their first positions. When lock drum 364 is returned to its first position, coupling gear 363 is re-engaged with pivot gear 361 and rack 353. Further, lock 369 is rotated out and disengaged from pivot gear 361.
[00150] As outlined above, the drive shaft assembly 320 is rotatable about a longitudinal axis to rotate the end actuator 230 about the longitudinal axis. Similar to the above, referring primarily to Figure 16, the drive shaft assembly 320 comprises a rotation joint 290 configured to accommodate this rotation. Drive shaft assembly 320 further comprises a slip joint configured to transmit electrical power and/or signals between drive shaft assembly 320 and a cable, such as cable 110, for example, which supports shaft assembly 320. The slip joint comprises a stationary or cable-side portion 291, and a drive-shaft-side or movable portion 292, which is movable with respect to the stationary portion 291. The stationary portion 291 comprises annular contact rings and the movable 292 comprises electrical contacts 293 slidably engaged with annular contact rings. The movable portion 292 also comprises a switch drum sensor 296 configured to detect the position of the switch drum 295, i.e. whether the switch drum 295 is in its first position, its second position and/or somewhere in the middle, for example. In at least one example, the switch drum 295 comprises a detectable element 297, such as an electromagnet, for example, mounted thereon, which is detected by the switch drum sensor 296, which may comprise, for example, an effect sensor. Hall. Switch drum sensor 296 may be in signal communication with the surgical instrument cable and may communicate the position of switch drum 295 and the operating mode of drive shaft assembly 230 to the cable. The cable can use this data to adapt the cable's operability. For example, if the switch drum sensor 296 detects that the switch drum 295 is in its first position associated with the articulation mode of operation, the cable could disable the trigger controls on the cable and/or make the electric motor that drives the 350 input actuator not responsive to cable trip controls, for example. Similarly, if the switch drum sensor 296 detects that the switch drum 295 is in its second position associated with the firing mode of operation, the cable may disable the articulation controls on the cable and/or render the electric motor that drives the 350 input actuator unresponsive to cable linkage controls, for example. Examples
[00151] Example 1 - A shaft assembly for use with a surgical instrument assembly comprising an end actuator, wherein the end actuator comprises a proximal end, a distal end and a lockable jaw. The drive shaft assembly further comprises a swivel joint, wherein the end actuator is rotatable around the swivel joint, an input actuator movable in a proximal direction and a distal direction, a closure system comprising a closure member movable between an open configuration and a closed configuration to close the jaw, a trigger system comprising a trigger member configured to drive the end actuator, and a linkage system comprising a linkage actuator configured to pivot the end actuator . The shaft assembly additionally comprises a switching system configured to operationally couple the linkage system to the input actuator when the closing system is in the open configuration, operationally decoupling the linkage system from the input actuator when the closing system is in the open configuration. closed and lock the hinge system in its hinged position when the latch system is in the closed configuration.
[00152] Example 2 - The drive shaft assembly of example 1, wherein the end actuator further comprises a staple cartridge including staples removably stored therein.
[00153] Example 3 - The drive shaft assembly of example 2, where the staple cartridge is readily removable from the end actuator.
[00154] Example 4 - The drive shaft assembly of examples 2 or 3, where the movable jaw comprises an anvil configured to deform the clamps.
[00155] Example 5 - The drive shaft assembly of examples 1, 2, 3 or 4, wherein the articulation actuator comprises a first articulation actuator, wherein the articulation system further comprises a second articulation actuator configured to turning the end actuator and a swivel actuator comprising a first actuator slot and a second actuator slot, wherein the first hinge actuator is operated with the first actuator slot, wherein the second hinge actuator is operatively coupled with the second slot of the actuator, wherein the linkage driver is rotatable in a first direction to push the first linkage actuator distally and pull the second linkage actuator proximally and wherein the linkage driver is rotatable in a second direction to pull the first linkage actuator proximally and push the second linkage actuator distally.
[00156] Example 6 - The drive shaft assembly of example 5, wherein the swivel actuator comprises a longitudinal opening, wherein the inlet actuator extends through the longitudinal opening, wherein the inlet actuator rotates the actuator in the first direction when the input actuator is moved in the proximal direction, and wherein the input actuator rotates the hinge driver in the second direction when the input actuator is moved in the distal direction.
[00157] Example 7 - The drive shaft assembly of examples 1, 2, 3, or 4, wherein the articulation actuator comprises a first articulation actuator, wherein the articulation system additionally comprises a second articulation actuator configured for turning the end actuator, wherein the input actuator comprises a tooth rack, wherein the switching system comprises a pinion gear rotating between a first position in which the pinion gear is operatively engaged with the first gear actuator. linkage, the second linkage actuator and the tooth rack and a second position in which the pinion gear is operationally deactivated from the first linkage actuator and the second linkage actuator.
[00158] Example 8 - The drive shaft assembly of example 7, wherein the pinion gear is pivotally mounted to a rotary switch, wherein the rotary switch comprises a latch configured to prevent movement of the first linkage actuator and the second linkage actuator when the rotating pinion gear is in the second position.
[00159] Example 9 - A drive shaft assembly for use with a surgical instrument, the shaft assembly comprising an end actuator that includes a proximal end, a distal end and a closable jaw. The drive shaft assembly further comprises a swivel joint, wherein the end actuator is rotatable around the swivel joint, an actuator movable in a proximal direction and a distal direction, a locking system comprising a movable locking member between an open configuration and a closed configuration for closing the jaw, a triggering system comprising a triggering member configured to move the end actuator, and a linkage system comprising a linkage actuator configured to pivot the end actuator. The drive shaft assembly additionally comprises a switching system configured to operationally couple the linkage system to the input actuator when the closing system is in the open configuration, operationally decoupling the linkage system from the input actuator when the closing system is in the open configuration. in the closed configuration and wherein the switching system comprises a brake configured to hold the linkage system in its articulated position when the closing system is in the closed configuration.
[00160] Example 10 - the drive shaft assembly of example 9, wherein the end actuator further comprises a staple cartridge including staples removably stored therein.
[00161] Example 11 - A drive shaft assembly for use with a surgical instrument, the drive shaft assembly comprising an end actuator that includes a proximal end, a distal end and a closable jaw. The drive shaft assembly further comprises a swivel joint, wherein the end actuator is rotatable around the swivel joint, a movable input actuator in a proximal direction and a distal direction, a closure system comprising a closure member movable between an open configuration and a closed configuration to close the jaw, a trigger system comprising a trigger member configured to drive the end actuator, and a linkage system. The pivot system comprising a first pivot member configured to pivot the end actuator in a first direction, and a second pivot member configured to pivot the end actuator in a second direction. The drive shaft assembly further comprising a switching system configured to operatively couple the linkage system to the input actuator when the closure system is in the open configuration, and operatively decouple the linkage system from the input actuator when the closure system is in the open configuration. is in closed configuration. The drive shaft assembly further comprising locking means for locking the hinge system in its hinged position when the locking system is in the closed configuration.
[00162] Example 12 - The drive shaft assembly of example 11, wherein the end actuator further comprises a staple cartridge including staples removably stored therein.
[00163] Example 13 - A drive shaft assembly for use with a surgical instrument, the drive shaft assembly comprising, an, an end actuator including a proximal end, a distal end and a gripper and which can be closed, two, a swivel joint, where the end actuator is rotatable around the swivel joint in a first direction and in a second direction. The articulated joint comprises a plurality of discs, each disc comprising a first side opening and a second side opening, a first cable actuator extending through the first side openings, the first cable actuator comprising a first distal end mounted to the end actuator and a first proximal end, and a second cable actuator extending through the second side openings, wherein the second cable actuator comprises a second distal end mounted on the end actuator and a second proximal end. The shaft assembly further comprises a locking system configured to hold the first proximal end and the second proximal end in position.
[00164] Example 14 - The drive shaft assembly of example 13, wherein the end actuator further comprises a staple cartridge including staples removably stored therein.
[00165] Example 15 - The drive shaft assembly of example 14, wherein the staple cartridge is readily removable from the end actuator.
[00166] Example 16 - The drive shaft assembly of examples 14 and 15, wherein the movable jaw comprises an anvil configured to deform the clamps.
[00167] Example 17 - The drive shaft assembly of examples 13, 14, 15 or 16, wherein the locking system comprises a jaw configured to engage the first cable actuator and the second cable actuator and hold the first actuator cable and the second cable actuator in position.
[00168] Example 18 - The drive shaft assembly of example 17, where the grip is configured to engage and release the first cable actuator and the second cable actuator simultaneously.
[00169] Example 19 - The drive shaft assembly of examples 13, 14, 15, 16, 17 or 18, where the first cable actuator is configured to push the end actuator to pivot the end actuator in the first direction and pulling the end actuator to pivot the end actuator in the second direction.
[00170] Example 20 - The drive shaft assembly of examples 13, 14, 15, 16, 17, 18 or 19, where the second cable actuator is configured to pull the end actuator to pivot the end actuator in the first direction and push the end actuator to pivot the end actuator in the second direction.
[00171] The totality of disclosures from:
[00172] US Patent No. 5,403,312 entitled ELECTROSURGICAL HEMOSTATIC DEVICE, which was issued April 4, 1995;
[00173] US Patent No. 7,000,818 entitled SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS, which was granted on February 21, 2006;
[00174] US Patent No. 7,422,139, entitled MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK, which was granted on September 9, 2008;
[00175] US Patent No. 7,464,849 entitled ELECTROMECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS, which was issued December 16, 2008;
[00176] US Patent No. 7,670,334, entitled SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR, which was granted on March 2, 2010;
[00177] US Patent No. 7,753,245 entitled SURGICAL STAPLING INSTRUMENTS, which was issued July 13, 2010;
[00178] US Patent No. 8,393,514 entitled SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE, which was granted on March 12, 2013;
[00179] US Patent Application Serial No. 11/343,803 entitled SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES; now US Patent No. 7,845,537;
[00180] US Patent Application Serial No. 12/031,573, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES, filed on February 14, 2008;
[00181] US Patent Application Serial No. 12/031,873 entitled END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT, filed February 15, 2008, now US Patent No. 7,980,443;
[00182] US Patent Application Serial No. 12/235,782, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT, currently US Patent 8,210,411;
[00183] US Patent Application Serial No. 12/249,117 entitled POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM, now US Patent No. 8,608,045;
[00184] US Patent Application Serial No. 12/647,100, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY, filed December 24, 2009; now US Patent No. 8,220,688;
[00185] US Patent Application Serial No. 12/893,461 entitled STAPLE CARTRIDGE, filed September 29, 2012, now US Patent No. 8,733,613;
[00186] US Patent Application Serial No. 13/036,647 entitled SURGICAL STAPLING INSTRUMENT, filed February 28, 2011, now US Patent No. 8,561,870;
[00187] US Patent Application Serial No. 13/118,241 entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now US Patent Application Publication No. 2012/0298719;
[00188] US Patent Application Serial No. 13/524,049, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, filed on June 15, 2012; now US Patent Application Publication No. 2013/0334278;
[00189] US Patent Application Serial No. 13/800,025 entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed March 13, 2013;
[00190] US Patent Application Serial No. 13/800,067 entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed March 13, 2013;
[00191] US Patent Application Publication No. 2007/0175955, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM, filed January 31, 2006; and
[00192] US Patent Application Publication No. 2010/0264194 entitled SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR, filed April 22, 2010, now US Patent No. 8,308,040, are incorporated herein by reference.
[00193] While various embodiments of the devices have been described herein in connection with certain disclosed embodiments, many modifications and variations of these embodiments can be implemented. In addition, where materials for certain components are disclosed, other materials may be used. Furthermore, according to various embodiments, a single component may be replaced by multiple components and multiple components may be replaced by a single component to perform one or more specified functions. The aforementioned description and the following claims are intended to encompass all such modifications and variations.
[00194] Devices disclosed herein may be designed to be discarded after a single use, or may be designed to be used multiple times. In either case, however, the device may be refurbished for reuse after at least one use. Overhaul can include any combination of the steps of disassembling the device, followed by cleaning or replacing specific parts and subsequent reassembly. In particular, the device can be disassembled and any number of specific parts or parts of the device can be selectively replaced or removed, in any combination. Upon cleaning and/or replacement of specific parts, the device can be reassembled for subsequent use in the refurbishment facility or by a surgical team, immediately prior to a surgical procedure. Those skilled in the art will understand that refurbishing a device can use a variety of techniques to disassemble, clean/replace, and reassemble. The use of such techniques and the resulting refurbished device are within the scope of this application.
[00195] Preferably, the invention described herein will be processed prior to surgery. First, a new or used instrument is obtained and, if necessary, cleaned. The instrument can then be sterilized. In a sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and instrument are then placed in a field of radiation that can penetrate the container, such as gamma radiation, X-rays, or high-energy electrons. Radiation kills bacteria on the instrument and container. The sterilized instrument can then be stored in a sterile container. The sealed container keeps the instrument sterile until it is opened in the medical facility.
[00196] While this invention has been described as having exemplary designs, the present invention may be further modified within the spirit and scope of the disclosure. This application is therefore intended to cover any variations, uses or adaptations of the invention using its general principles.
[00197] Any patent, publication or other disclosure material, in whole or in part, which is deemed to be incorporated by way of reference to the present invention, is incorporated into the present invention only to the extent that the materials incorporated do not conflict with definitions, statements, or other existing disclosure materials set forth in this disclosure. Accordingly, and to the extent necessary, the disclosure as explicitly presented herein supersedes any conflicting material incorporated into the present invention by reference. Any material, or portions thereof, which is incorporated herein by reference, but which conflicts with the definitions, statements, or other existing disclosure material presented herein, is incorporated herein only to the extent that there is no conflict between the material embedded and existing developing material.

权利要求:
Claims (6)
[0001]
1. Drive shaft assembly (220) for use with a surgical instrument, the drive shaft assembly (220) comprising: an end actuator (230), comprising: a proximal end; a distal end; and a lockable claw (134); a swivel joint (240), wherein the end actuator (230) is rotatable about the swivel joint (240); an input actuator (250) movable in a proximal direction and a distal direction; a closure system comprising a closure member (224) movable between an open configuration and a closed configuration to close the jaw (134); a trigger system comprising a trigger member (251) configured to drive the end actuator (230); a linkage system (260) comprising: a first linkage actuator (270) configured to rotate the end actuator (230); a second pivot actuator (280) configured to rotate the end actuator (230); and a switching system (264, 269) configured to: operatively couple the linkage system (260) to the input actuator (250) when the closing system is in the open configuration; operatively disengaging the linkage system (260) from the input actuator (250) when the closing system is in the closed configuration; and locking the hinge system in its hinged position when the locking system is in the closed configuration, characterized in that: the hinge system (260) further comprises: a swivel hinge driver (261) comprising a first hinge groove (262) and a second hinge groove (263) and an internal cavity with a drive groove (267) defined therein, wherein the first hinge actuator (270) is operatively engaged with the first hinge groove (267). 262), wherein the second pivot actuator (280) is operatively engaged with the second pivot groove (263), wherein the pivot actuator (261) is rotatable in a first direction to push the first pivot actuator (270) distally and pulling the second linkage actuator (280) proximally, and wherein the linkage driver (261) is rotatable in a second direction to pull the first linkage actuator (270) proximally. slowly and pushing the second linkage actuator (280) distally; and the closure system comprises: a closure tube (264) comprising a cylindrical body, the cylindrical body defining a longitudinal opening (259) and having stop arms (265) extending therefrom, the closure tube having a pin drive (268) extending therefrom; and detents (269) configured to releasably couple the closing tube (264) to the inlet actuator (250) wherein the cylindrical body of the closing tube (264) is positioned in the internal cavity of the swivel driver (261) , the drive pin (268) is positioned in the drive groove (267) and the detents deflect the brake arms (265) in releasable engagement with the input actuator (250).
[0002]
2. Drive shaft assembly (220) according to claim 1, characterized in that the swivel drive (261) comprises a longitudinal opening, in which the input actuator (250) extends through the opening longitudinal, wherein the inlet actuator (250) rotates the pivot actuator (261) in the first direction as the inlet actuator (250) moves in the proximal direction, and wherein the inlet actuator (250) rotates the pivot (261) in the second direction when the input actuator (250) moves in the distal direction.
[0003]
3. Drive shaft assembly (220), according to claim 1, characterized in that the first articulation actuator (270) is configured to articulate the end actuator in a first direction; and the second pivot actuator (280) is configured to pivot the end actuator in a second direction.
[0004]
A drive shaft assembly (220) as claimed in any preceding claim, characterized in that the end actuator (230) further comprises a staple cartridge including staples removably stored therein.
[0005]
5. Drive shaft assembly (220), according to claim 4, characterized in that the staple cartridge is readily removable from said end actuator.
[0006]
6. Drive shaft assembly (220), according to claim 4 or 5, characterized in that the lockable claw (134) comprises an anvil configured to deform the clamps.

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法律状态:
2020-03-10| B06U| Preliminary requirement: requests with searches performed by other patent offices: procedure suspended [chapter 6.21 patent gazette]|

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2021-10-13| B09A| Decision: intention to grant [chapter 9.1 patent gazette]|

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2022-01-11| B16A| Patent or certificate of addition of invention granted [chapter 16.1 patent gazette]|Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 10/12/2015, OBSERVADAS AS CONDICOES LEGAIS. |

优先权:

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申请号 | 申请日 | 专利标题

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US14/574,500|US10117649B2|2014-12-18|2014-12-18|Surgical instrument assembly comprising a lockable articulation system|

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US14/574,500|2014-12-18|

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PCT/US2015/064917|WO2016100070A2|2014-12-18|2015-12-10|Surgical instrument assembly comprising a lockable articulation system|

---