巴西专利BR112020008160A2 drive shaft positive rotation lock activated by claw closure

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专利摘要:
A surgical instrument includes a compartment, a drive shaft assembly and a rotation locking mechanism. The drive shaft assembly extends distally from the housing and includes a drive shaft portion that defines a longitudinal geometry axis, and an end actuator that extends distally from the drive shaft portion, the actuator being end and the drive shaft portion are axially rotatable with respect to the housing around the longitudinal geometry axis. The end actuator includes a first jaw and a second movable jaw relative to the first jaw to transition the end actuator between an open configuration and a closed configuration. The rotation locking mechanism is configured to prevent axial rotation of the end actuator and the drive shaft portion in relation to the housing in the closed configuration. The rotation locking mechanism is configured to allow axial rotation of the end actuator and the drive shaft portion in relation to the housing in the open configuration.
公开号:BR112020008160A2
申请号:R112020008160-4
申请日:2018-10-26
公开日:2020-10-06
发明作者:Austin E. Wise；James A. Vandewalle
申请人:Ethicon Llc；
IPC主号:

专利说明:

[0001] [0001] The present invention relates to surgical instruments and, in various provisions, surgical instruments for stapling and cutting, and staple cartridges for use with them, which are designed for stapling and cutting tissue. BRIEF DESCRIPTION OF THE DRAWINGS
[0002] [0002] Several characteristics of the modalities described here, together with their advantages, can be understood according to the description presented below, considered together with the attached drawings, as shown below:
[0003] [0003] Figure 1 is a perspective view of a surgical instrument, in accordance with at least one aspect of the present description;
[0004] [0004] Figure 2 illustrates a partial perspective view of an interchangeable drive shaft assembly and a perspective view of a cable from the surgical instrument of Figure 1 in a disassembled configuration;
[0005] [0005] Figure 3 illustrates a perspective view of an end actuator of the surgical instrument of Figure 1;
[0006] [0006] Figure 4 illustrates a partial exploded view of an interchangeable drive shaft assembly, in accordance with at least one aspect of the present description;
[0007] [0007] Figure 5 illustrates a partial longitudinal cross-sectional view of an interchangeable drive shaft assembly, according to at least one aspect of the present description;
[0008] [0008] Figure 6 illustrates a partial longitudinal cross-sectional view of an interchangeable drive shaft assembly, according to at least one aspect of the present description;
[0009] [0009] Figure 7 illustrates a partial cross-sectional view of the drive shaft assembly of Figure 6;
[0010] [0010] Figure 8 illustrates a partial cross-sectional view of an interchangeable drive shaft assembly, according to at least one aspect of the present description;
[0011] [0011] Figure 9 illustrates a partial longitudinal cross-sectional view of an interchangeable drive shaft assembly, according to at least one aspect of the present description;
[0012] [0012] Figure 10 illustrates a partial longitudinal cross-sectional view of an interchangeable drive shaft assembly, according to at least one aspect of the present description; and
[0013] [0013] Figure 11 illustrates a partial cross-sectional view of the drive shaft assembly of Figure 9. DETAILED DESCRIPTION
[0014] [0014] Numerous specific details are presented to provide a complete understanding of the structure, function, manufacture and general use of the modalities described in the specification and illustrated in the attached drawings. Well-known operations, components and elements have not been described in detail, so as not to obscure the modalities described in the specification. The reader will understand that the modalities 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 can be representative and illustrative. Variations and changes can be made to this, without departing from the scope of the claims.
[0015] [0015] The terms "understands" (and any form of understands, such as "understands" and "that understands"), "has" (and any form of has, such as "has" and "that 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 surgical system, device or apparatus 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 surgical system, device or apparatus that "comprises", "has", "includes" or "contains" one or more resources has those one or more resources, but is not limited to having only those one or more features.
[0016] [0016] The terms "proximal" and "distal" are used in the present invention with reference to a physician who handles the handle portion of the surgical instrument. The term "proximal" refers to the portion closest to the doctor, and the term "distal" refers to the portion located opposite the doctor. It will also be understood that, for the sake of convenience and clarity, spatial terms such as "vertical", "horizontal", "up" and "down" can be used in the present invention with respect to 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.
[0017] [0017] Various devices and exemplifying 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 a number of surgical procedures and applications, including, for example, in relation to open surgical procedures. With the advancement of this Detailed Description, the reader will also understand that the various instruments disclosed here can be inserted into a body in any way, such as through a natural orifice, through an incision or perforation formed in fabric, etc. Functional portions or portions of the instrument end actuator can be inserted directly into a patient's body or can be inserted via an access device that has a working channel through which the end actuator and the elongated drive shaft surgical instrument can be advanced.
[0018] [0018] Although several aspects of the present description have been described in the present invention in connection with linear staplers, these aspects can be implemented in a similar way in other surgical staplers, such as, for example, circular staplers and / or curved staplers. In addition, although several aspects of the present description are described in connection with a portable instrument, these aspects can be implemented in a similar way in robotic surgical systems. Several suitable robotic surgical systems are disclosed in US Patent No. 2012/0298719, entitled SURGICAL STAPLING
[0019] [0019] Referring mainly to Figures 1 to 3, a surgical stapling instrument 10 comprises an interchangeable drive shaft assembly 46 including a drive shaft portion 11 and an end actuator 12 that extends from the shaft portion drive 11. End actuator 12 comprises a first jaw 14 and a second jaw 15. The first jaw 14 comprises a staple cartridge
[0020] [0020] The articulation of at least one of the first jaw 14 and the second jaw 15 in relation to each other transitions the end actuator 12 between an open configuration and a closed configuration. In the open configuration, a jaw opening 9 is defined between the first jaw 14 and the second jaw 15. The jaw opening 9 is sized to receive fabric between the first jaw 14 and the second jaw 15. In the closed configuration, the first jaw 14 and the second jaw 15 are approached around the fabric.
[0021] [0021] With reference to Figure 2, in several examples, the surgical instrument 10 includes a compartment 8 that comprises a handle assembly 29 that is configured to be picked up, manipulated and acted on by the doctor. The compartment 8 is configured for operable fixation to the interchangeable drive shaft assembly 46, which includes the end actuator 12 and the drive shaft portion 11. According to the present description, various forms of interchangeable drive shaft assemblies can be used effectively in connection with robotically controlled surgical systems as well as portable instruments. The term "compartment" can encompass a compartment or similar portion of a robotic system that houses or otherwise operationally supports at least one drive system configured to generate and apply at least one control movement that can be used to drive the sets of drive shaft. The term
[0022] [0022] Referring mainly to Figure 3, the staple cartridge 16 comprises a cartridge body 21. The cartridge body 21 includes a proximal end 22, a distal end 23, and a platform 24 extending between the proximal end 22 and the distal end 23. In use, the staple cartridge 16 is positioned on a first side of the fabric to be stapled and the anvil 18 is positioned on a second side of the fabric. The anvil 18 is moved towards the staple cartridge 16 to compress and secure the fabric against the platform 24. Thereafter, the staples removably stored in the body of the cartridge 21 can be positioned on the fabric. The cartridge body 21 includes staple cavities 26 defined therein, the staples being removably stored in staple cavities 26. Staple cavities 26 are, in general, arranged in six longitudinal rows. Three rows of staple cavities 26 are positioned on a first side of a longitudinal slot 27 and three rows of staple cavities are positioned on a second side of longitudinal slot 27. Other arrangements of staple cavities 26 and staples may be possible.
[0023] [0023] As described in more detail below, surgical instrument 10 staples and cuts the tissue using a carefully designed firing mechanism to perform tissue stapling prior to tissue cutting. To ensure that the tissue is cut before or without being stapled, the surgical instrument 10 is equipped with various safety features.
[0024] [0024] The staples of the staple cartridge 16 are, in general, supported by staple actuators on the body of the cartridge 21. The actuators are movable between a first position, or an un triggered position, and a second position, or an triggered position, for eject the clamps from the clamp cavities 26. The drivers are retained on the cartridge body 21 by a retainer or tray that extends around the bottom of the cartridge body 21 and includes resilient members configured to secure the cartridge body 21 and retain the retainer in the cartridge body 21. The actuators are movable between their non-triggered positions and their positions triggered by a slide. The slider is movable between a proximal position adjacent to the proximal end 22 and a distal position adjacent to the distal end 23. The slider comprises a plurality of inclined surfaces configured to slide under the actuators and lift the actuators, and the clamps held therein, in towards the anvil 18.
[0025] [0025] In addition to the above, the slider is moved distally by a firing member. The firing member is configured to contact the slide and push the slide from a proximal position adjacent to the proximal end
[0026] [0026] The drive shaft portion 11 encompasses and guides a firing movement of the compartment 8 through a longitudinally reciprocating laminated firing bar that extends proximally from the firing member. In particular, the drive shaft portion 11 includes a longitudinal firing bar slot that receives the firing bar.
[0027] [0027] The compartment 8 shown in Figures 1 to 3 is shown in connection with the interchangeable drive shaft assembly 46 that includes the end actuator 12 which comprises a surgical cutting and fixing device that is configured to support operationally the cartridge staples 16 in it. Housing 12 can be configured for use in connection with drive shaft assemblies that include end actuators that are adapted to support different sizes and types of clamp cartridges, have different sizes and types of drive shafts, etc. In addition, compartment 12 can also be used effectively with a variety of other driveshaft assemblies including assemblies that are configured to apply other motions and forms of energy such as radio frequency (RF) energy, ultrasonic energy and / or movement to end actuator arrangements adapted for use in connection with various applications and surgical procedures. In addition, end actuators, drive shaft assemblies, cables, surgical instruments and / or surgical instrument systems can use any one or more suitable fasteners to secure tissues. For example, a fastener cartridge comprising a plurality of fasteners stored therein removably can be removably inserted into and / or attached to the end actuator of a drive shaft assembly.
[0028] [0028] With reference to Figures 1 to 3, the surgical instrument 10 additionally comprises an articulated joint 20 configured to allow the end actuator 12 to be rotated, or articulated, in relation to the drive shaft 11. The end actuator 12 is rotatable about a longitudinally articulated geometric axis 19, defined by the drive shaft portion 11, between a non-articulated or initial configuration and an articulated configuration. An articulation driver 34 is configured to drive the articulation of the end actuator 12 relative to the drive shaft portion 11.
[0029] [0029] With reference to the Figures | to 3, the handle assembly 29 may also include a structure that operationally supports a plurality of drive systems such as, for example, a closing drive system, generically designated as 30, which can be employed to apply closing and opening movements to the interchangeable drive shaft assembly 46 that is fixed or operationally coupled to it. In at least one way, the closing drive system 30 may include an actuator in the form of a closing trigger 32 that is pivotally supported by the handle assembly 29. In various forms, the closing drive system 30 includes additionally a closing connection assembly that is pivotally coupled to the closing trigger 32. As can be seen in Figure 2, the closing connection assembly can include a closing link 38 that is pivotally coupled to the closing trigger 32. The second locking link 38 can also be called a "fixing member" here and include a transverse fixing pin 37.
[0030] [0030] Referring mainly to Figures 3 and 4, the interchangeable drive shaft assembly 46 includes a reciprocating closing element 250 that is slidably supported within a chassis 240, so that it can be moved axially with respect to it . The reciprocating closing element 250 includes a pair of proximally projecting hooks 252 that are configured for fixing to the fixing pin 37 which is fixed to the closing link 38. A proximal end 261 of a closing tube 260 is coupled to the element reciprocating closing 250 for rotation in relation to it. For example, a U-shaped connector 263 is inserted into an annular slot 262 at the proximal end 261 of the closing tube 260 and is retained within vertical slots in the reciprocating closing element 250. This arrangement serves to secure the closing tube 260 to the reciprocating closing element 250 for axial displacement with it, while allowing the closing tube 260 to rotate in relation to the reciprocating closing element 250 about a longitudinal geometric axis 19. A closing spring 268 is seated on the closing tube 260 and serves to propose the closing tube 260 in the proximal direction
[0031] [0031] In use, the closing tube 260 is moved distally (direction "DD") to close the anvil 18, for example, in response to the action of the closing trigger 32. The anvil 18 is closed by moving the tube distally closure 260 and, thus, a set of drive shaft closing sleeve 272, which causes it to reach a proximal surface on the anvil 18, as described in the aforementioned reference to US Patent Application Serial No. 13 / 803,086, now US Patent Application Publication No. 2014/0263541. As also described in detail in this reference, anvil 18 is opened by proximally translating the closing tube 260 and the drive shaft closing sleeve assembly 272, which causes a flap 276 and a horseshoe-shaped opening 275 come into contact and apply force against the anvil flap to lift the anvil 18. In the open position of the anvil, the closing tube 260 of the drive shaft is moved to its proximal position. Various other components and operational characteristics of the closing drive system 30 are revealed in US Patent application No. 14 / 226,142, entitled SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM, and filed on March 26, 2014, now publication of US Patent application No. 2015/0272575, which is hereby incorporated by reference in its entirety.
[0032] [0032] Additionally, the drive shaft portion 11 of the interchangeable drive shaft assembly 46 may further include a proximal housing or nozzle 201 comprised of nozzle portions 202 and 203. The nozzle 201 is coupled to the closing tube 260 so that the rotation of the nozzle 201 about the longitudinal axis 19 causes a corresponding rotation in the drive shaft portion 11 and in the end actuator 12 around the longitudinal axis 19. US Patent Application No. 14 / 226,142, entitled SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM, and filed on March 26, 2014, now publication of US Patent Application No. 2015/0272575, which is hereby incorporated by reference in its entirety, includes additional details about the nozzle 201 and the rotation of the interchangeable drive shaft assembly 46.
[0033] [0033] The rotation of the end actuator 12 about the longitudinal geometric axis 19 allows a physician great flexibility in orienting the end actuator 12 in relation to the tissue. However, since the tissue is captured by the end actuator 12, further rotation of the end actuator 12 can lead to undesirable damage to the tissue. The present description presents several solutions that allow an axial rotation of the end actuator 12 while the end actuator 12 is in an open configuration, but which prevent, or at least resist, the axial rotation of the end actuator 12 while the end actuator end 12 is in a closed configuration.
[0034] [0034] With generic reference to Figures 4 to 7, the interchangeable drive shaft assembly 46 includes a rotation locking mechanism 50 configured to prevent axial rotation of the end actuator 12 and the drive shaft portion 11 with respect to compartment 8 and reciprocating closing element 250 while end actuator 12 is in the closed configuration. On the other hand, the rotation locking mechanism 50 is configured to allow axial rotation of the end actuator 12 and the drive shaft portion 11 with respect to housing 8 and the reciprocating closing element 250 while the end actuator 12 is in the closed configuration.
[0035] [0035] The end actuator 12 and the drive shaft portion 11 are axially rotatable together as a unit around the longitudinal geometry axis 19. The reciprocating closing element 250 and housing 8 are not rotated with the end actuator 12 and the drive shaft portion 11 about the longitudinal geometry axis 19.
[0036] [0036] Additionally, the rotation locking mechanism 50 can make the transition between the unlocked configuration (Figure 5) and a locked configuration (Figure 6). In the unlocked configuration, axial rotation of the drive shaft portion 11 and end actuator 12 with respect to housing 8 and reciprocating closing element 250 is permitted. In the locked configuration, the axial rotation of the drive shaft portion 11 and the end actuator 12 with respect to housing 8 and the reciprocating closing element 250 is prevented by the rotation locking mechanism 50.
[0037] [0037] The rotation locking mechanism 50 is synchronized with the closing drive system 30 so that the rotation locking mechanism 50 is in an unlocked configuration while the end actuator 12 is in an open configuration, and the mechanism rotation lockout 50 is in a locked configuration while end actuator 12 is in a closed configuration. In some examples, as shown in Figures 5 and 6, this is accomplished by the reciprocating closing element 250 and the nozzle 201. The nozzle 201 is prevented from axial rotation by the reciprocating closing element 250 in the closed configuration.
[0038] [0038] As described above, the reciprocating closing element 250 is translated distally in a closing movement of the closing drive system 30 which transitions the end actuator 12 to the closed configuration. In its distal position, as shown in Figure 6, the reciprocating closing element 250 locks the nozzle 201 in a locked manner preventing its axial rotation. To transition the end actuator back to its open configuration, the reciprocating closing element 250 is translated proximally in an opening motion of the closing drive system 30. In its proximal position, as shown in Figure 5, the element reciprocating closing 250 is disengaged from the nozzle 201 allowing the nozzle 201, the drive shaft portion and the end actuator 12 to axially rotate freely with respect to housing 8 and the reciprocating closing element 250.
[0039] [0039] The reciprocating closing element 250 comprises an engagement portion 251 configured for locking engagement with an engagement portion 204 of the nozzle 201, while the reciprocating closing element 250 is in its distal position and the end actuator 12 in the closed configuration. Hitch portions 204, 251 include a plurality of projections 205, 253 that are configured for locking engagement in the locked configuration.
[0040] [0040] In the example illustrated in Figures 6 and 7, the projections 205, 253 are in the form of teeth that are engaged in gear in the locked configuration and are disengaged in the unlocked configuration. Attempting to axially rotate the nozzle 201 while the end actuator 12 is in the closed configuration would require the projections 253 of the engagement portion 251 of the reciprocating closing element 250 to be rotated. However, since the reciprocating closing element 250 cannot rotate axially with respect to housing 8, the nozzle 201 and, consequently, the drive shaft portion 11 and end actuator 12 cannot also rotate axially with respect to housing 8 in the closed configuration.
[0041] [0041] As shown in Figure 5, in the open configuration, the reciprocating closing element 250 is in its proximal position. Consequently, the projections 253 are outside the engagement engaged with the projections 205 allowing the nozzle 201 and, consequently, the drive shaft portion 11 and the end actuator 12 to be rotated freely in relation to the housing 8. To re-establish a engaged engagement between projections 205 and projections 253, projections 253 need to be advanced distally. This is achieved by advancing the reciprocating closing element 250 distally, which causes the end actuator 12 to transition to the closed configuration.
[0042] [0042] In several examples, the rotation locking mechanism 50 can be implemented in other suitable portions of the interchangeable drive shaft assembly 46. The engagement portion 251 of the reciprocating closing element 250 can be implemented in other portions of the locking system closing drive 30 which, like the reciprocating closing element 250, is axially translatable to close the end actuator 12, but not rotated with the drive shaft portion 11 and the end actuator 12 in relation to the longitudinal geometric axis 19. Similarly, the engagement portion 204 of the nozzle 201 can be implemented in other portions of the interchangeable drive shaft assembly 46 that are axially rotated with the drive shaft portion 11 and the end actuator
[0043] [0043] In addition to the above, in the example illustrated in
[0044] [0044] Again with reference to Figure 7, the engagement portion 251 defines a curved body comprising a radius of curvature that corresponds, or at least substantially corresponds, to the radius of curvature of the annular body 207 of the engagement portion 251. This arrangement allows projections 253 to engage projections 205 in interlock as the reciprocating closing element 250 reaches its distal position. To prevent the reciprocating closing element 250 from retracting from its distal position prematurely, a closing locking mechanism can be employed. Suitable closing locking mechanisms are described in US Patent application No. 14 / 226,142, entitled SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM, and filed on March 26, 2014, now publication of US Patent application No. 2015/0272575, which is here incorporated as a reference in its entirety.
[0045] [0045] In several cases, a physician may wish to make additional subtle changes to an orientation of an end actuator after the rotation is locked in the closed configuration. Figure 8 illustrates an example of an interchangeable drive shaft assembly 146 that allows such changes. The drive shaft assembly 146 is similar in many respects to the interchangeable drive shaft assembly 46. For example, the interchangeable drive shaft assembly 146 includes end actuator 12, drive shaft portion 11 and nozzle 201.
[0046] [0046] The interchangeable drive shaft assembly 146,
[0047] [0047] The bias member 255 includes a first end 257 attached to the reciprocating closing member 250 and a second end 258 attached to the engagement portion 251. The bias member 255 defines a predetermined torque beyond which the nozzle 201 will be rotated axially. in relation to the compartment
[0048] [0048] Such application of torque, in the closed configuration, causes the projections 205 to leave the engagement engaged with the projections 253, thus moving the engagement portion 251 towards the reciprocating closing element 250 and, in the process, compressing the member of propensity 255. When the torque applied by the physician decreases below the predetermined torque, the projections 253 are returned to a gear engaged with the projections 205 in a different area of the annular body 207.
[0049] [0049] Figures 9 to 11 show an alternative modality in which a physician can make subtle changes in an orientation of an end actuator in the closed configuration. Figure 9 illustrates an example of an interchangeable drive shaft assembly 346 that allows for such changes. The interchangeable drive shaft assembly 346 is similar in many ways to the interchangeable drive shaft assembly 146. For example, the interchangeable drive shaft assembly 346 includes end actuator 12, the drive shaft portion 11 and the nozzle 201.
[0050] [0050] The interchangeable drive shaft assembly 346 additionally includes a reciprocating closing element 350, which is similar in many respects to the reciprocating closing element 250. The interchangeable drive shaft assembly 346 also includes one or more 360 brake sets The engagement portions 351 of the reciprocating closing element 350 are configured to motivate the brake assemblies 360 to apply a predetermined load against the nozzle 201 in the closed configuration.
[0051] [0051] The predetermined load causes a frictional force to be applied to the nozzle 201. As a result, as shown in Figure 10, a first predetermined torque is required to rotate the nozzle 201 in the closed configuration due to the predetermined load applied by the sets of 360 brake to nozzle 201. In addition, as shown in Figure 9, a second predetermined torque, less than the first predetermined torque, is required to rotate nozzle 201 in the open configuration, while 360 brake assemblies are not applied to nozzle 201 The increased torque in the closed configuration allows the clinician to adjust the orientation of the end actuator 12 by making additional subtle changes in the axial rotational position of the nozzle 201.
[0052] [0052] Brake sets 360 each include a cam wedge 361, a plurality of bias members 362, and a brake shoe 363 disposed laterally at nozzle 201. Brake shoe 363 is positioned closer to the surface inner 206 of the nozzle 201 and farthest from the longitudinal geometry axis 19. The cam wedge 361 is positioned furthest from the inner surface 206 and closest to the longitudinal geometry axis 19. The bias members 362 are nestled between the cam wedge 361 and the brake shoe 363.
[0053] [0053] In the example of Figures 9 to 11, two brake sets 360 are represented on opposite sides of the nozzle 201. In alternative embodiments, more or less than two brake sets 360 can be used to apply a predetermined load to the inner surface 206 in the closed configuration. The 360 brake assemblies are separate and are spatially arranged circumferentially.
[0054] [0054] In the example of Figures 9 to 11, each brake set 360 includes three members of propensity 362 that extend laterally between the brake shoe 363 and the cam wedge 361. In alternative embodiments, more or less than three members of propensity 362 can be used. Bias members 362 maintain a predetermined spacing between the cam wedge 361 and the brake shoe 363 in the open configuration, as shown in Figure 11. In the closed configuration, however, the engagement portions 351 press the cam wedges 361 against the brake shoes 363 by compressing the bias members 362 and causing a predetermined frictional force to be applied by the brake shoes 363 against the inner surface 206 of the nozzle 201.
[0055] [0055] Additionally, as shown in Figures 9 and 10, the hitch portions 351 include ramps 353 that are configured to lift the cam wedges 361, towards the inner surface 206 and in the opposite direction to the longitudinal geometric axis 19, as that the reciprocating closing element 350 is advanced distally to transition from end actuator 12 to the closed configuration.
[0056] [0056] Although several devices have been described here in connection with certain modalities, modifications and variations of these modalities can be implemented. The specific resources, structures or characteristics can be combined in any suitable way in one or more modalities. Therefore, the resources, structures or specific features illustrated or described in connection with a modality may be combined, in whole or in part, with the resources, structures or characteristics of one or more other modalities, without limitation. In addition, where materials are revealed for certain components, other materials can be used. In addition, according to various modalities, a single component can be replaced by multiple components and multiple components can be replaced by a single component, to perform one or more specific functions. The description mentioned above and the following claims are intended to cover all such modifications and variations.
[0057] [0057] The devices disclosed herein can be designed to be discarded after a single use, or can be designed to be used multiple times. In either case, however, a device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of steps including, but not limited to, disassembling the device followed by cleaning or replacing specific parts of the device and subsequent reassembly of the device. In particular, a reconditioning facility and / or surgical staff can disassemble a device and, after cleaning and / or replacing particular parts of the device, the device can be reassembled for subsequent use. Those skilled in the art will understand that reconditioning a device can use a variety of techniques to disassemble, clean / replace and reassemble. The use of these techniques, as well as the resulting refurbished device, are all within the scope of this application.
[0058] [0058] The devices revealed here can be processed before surgery. First, a new or used instrument can be 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 the instrument can then be placed in a radiation field that can penetrate the container, such as gamma radiation, X-rays and / or high-energy electrons. Radiation can kill bacteria on the instrument and the container. The sterile instrument can then be stored in a sterile container. The sealed container can keep the instrument sterile until it is opened at the medical facility. A device can also be sterilized using any other known technique, including, but not limited to, beta radiation, gamma radiation, ethylene oxide, plasma peroxide and / or water vapor.
[0059] [0059] Although this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of the description. It is intended, therefore, that this application covers any variations, uses or adaptations of the invention with the use of its general principles.
[0060] [0060] Any patent, publication or other description material, in whole or in part, that is said to be incorporated into the present invention for reference purposes, is incorporated into the present invention only to the extent that the incorporated materials do not conflict with existing definitions, statements or other description material presented in this description. Accordingly, and to the extent necessary, the description as explicitly presented herein replaces any conflicting material incorporated by reference to the present invention. Any material, or portion thereof, which is incorporated herein by reference, but which conflicts with the definitions, statements, or other description materials contained herein, will be incorporated here only to the extent that there is no conflict between the embedded material and the existing description material. Examples
[0061] [0061] Example 1 - A surgical instrument comprising a compartment, a set of drive axes that extend distally from the compartment and a rotation locking mechanism. The drive shaft assembly comprises a drive shaft portion that defines a longitudinal geometry axis and an end actuator that extends distally from the drive shaft portion. The end actuator and the drive shaft portion are axially rotatable with respect to the housing around the longitudinal geometry axis. The end actuator comprises a first jaw and a second movable jaw relative to the first jaw to transition the end actuator between an open configuration and a closed configuration. The rotation locking mechanism is configured to prevent axial rotation of the end actuator and the drive shaft portion in relation to the housing in the closed configuration. The rotation locking mechanism is configured to allow axial rotation of the end actuator and the drive shaft portion in relation to the housing in the open configuration.
[0062] [0062] Example 2 - The surgical instrument of Example 1, the rotation locking mechanism comprising a movable closing member from a first position to a second position to make the transition from the end actuator to the closed configuration and the mechanism rotation lock for a locked configuration.
[0063] [0063] Example 3 - The surgical instrument of Example 2, the closing member being movable from the second position to the first position to transition the end actuator to the open configuration and the rotation locking mechanism to a configuration unlocked.
[0064] [0064] Example 4 - The surgical instrument of Example 2 or 3, the drive shaft portion comprising a first plurality of teeth, the closing member comprising a second plurality of teeth configured to engage the first in a locked manner plurality of teeth in the locked configuration.
[0065] [0065] Example 5 - The surgical instrument of Example 4, the second plurality of teeth being configured to disengage from the first plurality of teeth as the closing member is moved from the second position to the first position.
[0066] [0066] Example 6 - The surgical instrument of Example 2, 3, 4 or 5, the second position being distal to the first position.
[0067] [0067] Example 7 - The surgical instrument of Example 1, 2, 3, 4, or 6, the first claw comprising a staple cartridge.
[0068] [0068] Example 8 - The surgical instrument of Example 7, the second claw comprising an anvil movable by the closing member to capture the tissue between the staple cartridge and the anvil in the closed configuration.
[0069] [0069] Example 9 - A surgical instrument comprising a compartment, a set of drive axes that extend distally from the compartment and a rotation locking mechanism. The drive shaft assembly comprises a drive shaft portion that defines a longitudinal geometry axis and an end actuator that extends distally from the drive shaft portion. The end actuator and the drive shaft portion are axially rotatable with respect to the housing around the longitudinal geometry axis. The end actuator comprises a first jaw and a second movable jaw relative to the first jaw to transition the end actuator between an open configuration and a closed configuration. The rotation locking mechanism is configured to resist axial rotation of the end actuator and the drive shaft portion in relation to the housing - in the closed configuration up to a predetermined torque. The rotation locking mechanism is configured to allow axial rotation of the end actuator and the drive shaft portion in relation to the housing in the open configuration.
[0070] [0070] Example 10 - The surgical instrument of Example 9, the rotation locking mechanism comprising a movable closing member from a first position to a second position to make the transition from the end actuator to the closed configuration and the mechanism rotation lock for a locked configuration.
[0071] [0071] Example 11 - The surgical instrument of Example 10, the closing member being movable from the second position to the first position to transition the end actuator to the open configuration and the rotation locking mechanism to a configuration unlocked.
[0072] [0072] Example 12 - The surgical instrument of Example 9 or 10, the second position being distal to the first position.
[0073] [0073] Example 13 - The surgical instrument of Example 10, 11 or 12, the drive shaft portion comprising a first plurality of teeth. The rotation locking mechanism comprises an engaging member comprising a second plurality of teeth and a biasing member. The bias member comprises a first end attached to the closing member and a second end attached to the engaging member. The bias member is configured to bias the second plurality of teeth in an engagement engaged with the first plurality of teeth.
[0074] [0074] Example 14 - The surgical instrument of Example 13, the second plurality of teeth being configured to disengage from the first plurality of teeth as the closing member is moved from the second position to the first position.
[0075] [0075] Example 15 - The surgical instrument of Example 9, 10, 11, 12, 13 or 14, the first jaw comprising a staple cartridge.
[0076] [0076] Example 16 - The surgical instrument of Example 15, the second claw comprising an anvil movable by the closing member to capture the tissue between the staple cartridge and the anvil in the closed configuration.
[0077] [0077] Example 17 - A surgical instrument comprising a compartment, a set of drive axes that extend distally from the compartment and a rotation braking system. The drive shaft assembly comprises a drive shaft portion that defines a longitudinal geometry axis and an end actuator that extends distally from the drive shaft portion. The drive shaft portion and the end actuator are axially rotatable with respect to the housing around the longitudinal geometry axis. The end actuator comprises a first jaw and a second movable jaw relative to the first jaw to transition the end actuator between an open configuration and a closed configuration. The rotation braking system is configured to selectively apply a rotation braking force against the drive shaft portion.
[0078] [0078] Example 18 - The surgical instrument of Example 17, the rotation braking system being configured to apply the rotation braking force against the drive shaft portion in the closed configuration.
[0079] [0079] Example 19 - The surgical instrument of Example 17 or 18, the rotation braking system comprising a brake shoe configured to selectively apply the rotation braking force against an internal surface of the drive shaft portion.
[0080] [0080] Example 20 - The surgical instrument of Example 19, the rotation braking system comprising a plurality of bias members configured to propose the brake shoe in contact with the internal surface of the drive shaft portion.

权利要求:
Claims (20)
[1]
1. Surgical instrument characterized by comprising: a compartment; a drive shaft assembly extending distally from the housing, the drive shaft assembly comprising: a portion of drive shaft that defines a longitudinal geometric axis; and an end actuator extending distally from the drive shaft portion, the end actuator and the driving shaft portion being axially rotatable with respect to the housing around the longitudinal geometry axis, and the actuator being edge comprises: a first claw; and a second movable jaw relative to the first jaw to transition the end actuator between an open and a closed configuration; and a rotation locking mechanism configured to prevent axial rotation of the end actuator and the drive shaft portion in relation to the housing in the closed configuration, the rotation locking mechanism being configured to allow axial rotation of the actuator. end and drive shaft portion relative to the housing in the open configuration.
[2]
Surgical instrument according to claim 1, characterized in that the rotation locking mechanism comprises a movable closing member from a first position to a second position to transition from the end actuator to the closed configuration and the locking mechanism rotation lock for a locked configuration.
[3]
Surgical instrument according to claim 2, characterized in that the closing member is movable from the second position to the first position to transition the end actuator to the open configuration and the rotation locking mechanism to an unlocked configuration .
[4]
Surgical instrument according to claim 3, characterized in that the drive shaft portion comprises a first plurality of teeth, the closing member comprising a second plurality of teeth configured to engage the first plurality of teeth in a locked manner in the locked configuration.
[5]
5. Surgical instrument according to claim 4, characterized in that the second plurality of teeth is configured to disengage from the first plurality of teeth as the closing member is moved from the second position to the first position.
[6]
6. Surgical instrument, according to claim 5, characterized in that the second position is distal to the first position.
[7]
Surgical instrument according to claim 6, characterized in that the first jaw comprises a staple cartridge.
[8]
Surgical instrument according to claim 7, characterized in that the second claw comprises a movable anvil by the closing member to capture the tissue between the staple cartridge and the anvil in the closed configuration.
[9]
9. Surgical instrument characterized by comprising: a compartment; a drive shaft assembly extending distally from the housing, the drive shaft assembly comprising:
a drive shaft portion defining a longitudinal geometric axis; and an end actuator extending distally from the drive shaft portion, the end actuator and the driving shaft portion being axially rotatable with respect to the housing around the longitudinal geometry axis, and the actuator being edge comprises: a first claw; and a second movable jaw relative to the first jaw to transition the end actuator between an open and a closed configuration; and a rotation locking mechanism configured to resist axial rotation of the end actuator and the drive shaft portion in relation to the housing in the closed configuration up to a predetermined torque, the rotation locking mechanism being configured to allow for axial rotation of the end actuator and the drive shaft portion in relation to the housing in the open configuration.
[10]
Surgical instrument according to claim 9, characterized in that the rotation locking mechanism comprises a movable closing member from a first position to a second position to transition from the end actuator to the closed configuration and the locking mechanism rotation lock for a locked configuration.
[11]
Surgical instrument according to claim 10, characterized in that the closing member is movable from the second position to the first position to transition the end actuator to the open configuration and the rotation locking mechanism to an unlocked configuration .
[12]
12. Surgical instrument, according to claim
11, characterized in that the second position is distal to the first position.
[13]
Surgical instrument according to claim 12, characterized in that the drive shaft portion comprises a first plurality of teeth, and the rotation locking mechanism comprises: an engaging member comprising a second plurality of teeth; and a bias member comprising: a first end attached to the closing member; and a second end attached to the coupling member, the bias member being configured to propose the second plurality of teeth in a coupling engaged with the first plurality of teeth.
[14]
Surgical instrument according to claim 13, characterized in that the second plurality of teeth is configured to disengage from the first plurality of teeth as the closing member is moved from the second position to the first position.
[15]
15. Surgical instrument according to claim 14, characterized in that the first jaw comprises a staple cartridge.
[16]
16. Surgical instrument according to claim 15, characterized in that the second claw comprises a movable anvil by the closing member to capture the tissue between the staple cartridge and the anvil in the closed configuration.
[17]
17. Surgical instrument characterized by comprising: a compartment; a drive shaft assembly extending distally from the housing, the drive shaft assembly comprising: a portion of drive shaft that defines a longitudinal geometric axis; and an end actuator extending distally from the drive shaft portion, the drive shaft portion and the end actuator being axially rotatable with respect to the housing around the longitudinal geometric axis, and the actuator being edge comprises: a first claw; and a second movable jaw relative to the first jaw to transition the end actuator between an open and a closed configuration; and a rotation braking system is configured to selectively apply a rotation braking force against the drive shaft portion.
[18]
18. Surgical instrument according to claim 17, characterized in that the rotation braking system is configured to apply the rotation braking force against the drive shaft portion in the closed configuration.
[19]
19. Surgical instrument according to claim 18, characterized in that the rotating braking system comprises a brake shoe configured to selectively apply the rotating braking force against an internal surface of the drive shaft portion.
[20]
20. Surgical instrument according to claim 19, characterized in that the rotation braking system comprises a plurality of members of bias configured to propose the brake shoe in contact with the inner surface of the drive shaft portion.

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同族专利:

公开号 | 公开日

WO2019089362A1|2019-05-09|

EP3476311A1|2019-05-01|

US20190125475A1|2019-05-02|

US10779903B2|2020-09-22|

JP2021501020A|2021-01-14|

CN111295142A|2020-06-16|

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