dynamic gripping sets with improved wear characteristics for use in connection with electromechanica

专利摘要:
The present invention relates to the dynamic gripping set for use with a surgical instrument that includes a first and a second jaw that are pivotally and movably coupled between the open and closed positions. The dynamic gripping set includes first grapple hitch features configured to slide the first grapple and second grapple hitch features configured to slide the second grapple slidingly to apply closing movements to the first and second grapples. The first claw hitch features and / or the second claw hitch features include a surface coating configured to increase their hardness.
公开号:BR112020011883A2
申请号:R112020011883-4
申请日:2018-12-12
公开日:2020-11-24
发明作者:Frederick E. Shelton Iv；Jason L. Harris；Jerome R. Morgan
申请人:Ethicon Llc；
IPC主号:

专利说明:

[001] [001] 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 to staple and cut fabric. BRIEF DESCRIPTION OF THE DRAWINGS
[002] [002] 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:
[003] [003] Figure 1 is a perspective view of an electromechanical surgical instrument;
[004] [004] Figure 2 is a perspective view of a distal end of a portion of the electromechanical surgical instrument in the surgical system of Figure 1;
[005] [005] Figure 3 is an exploded view of the set of a resource of the external wrap and the electromechanical surgical instrument of Figure 2;
[006] [006] Figure 4 is a rear perspective view of a portion of the electromechanical surgical instrument in Figure 2;
[007] [007] Figure 5 is a partial exploded view of the assembly of a portion of an adapter and the electromechanical surgical instrument of the surgical system of Figure 1;
[008] [008] Figure 6 is an exploded view of the assembly of a portion of the adapter of Figure 5;
[009] [009] Figure 7 is a perspective view in cross section of a portion of an adapter pivot assembly;
[0010] [0010] Figure 8 is a perspective view of the pivot assembly of Figure 7;
[0011] [0011] Figure 9 is another perspective view of the articulation assembly of Figure 8;
[0012] [0012] Figure 10 is an exploded view of the set of a load unit used in the electromechanical surgical instrument system of Figure 1;
[0013] [0013] Figure 11 is a perspective view of an alternative modality of the adapter;
[0014] [0014] Figure 12 is a side elevation view of a portion of a load unit for the Figure 11 adapter with its claws in an open position;
[0015] [0015] Figure 13 is another side elevation view of a portion of the load unit of Figure 11 with its portions shown in cross section and its claws in a closed position;
[0016] [0016] Figure 14 is a bottom view of a portion of the loading unit of Figure 13 with its portions shown in cross section;
[0017] [0017] Figure 15 is a perspective view of a portion of the loading unit of Figure 14 with a portion of the outer tube shown in imaginary lines;
[0018] [0018] Figure 16 is a cross-sectional view of a proximal portion of another adapter that employs several sealing arrangements within it;
[0019] [0019] Figure 17 is an end cross-sectional view of a portion of the adapter of Figure 16;
[0020] [0020] Figure 18 is a side elevation view of another adapter;
[0021] [0021] Figure 19 is a cross-sectional view of a portion of the adapter of Figure 18;
[0022] [0022] Figure 20 is a rear perspective view of portions of another adapter;
[0023] [0023] Figure 21 is a cross-sectional view of another adapter;
[0024] [0024] Figure 22 is a perspective view of a portion of another adapter charging unit with its claws in a closed position;
[0025] [0025] Figure 23 is a side elevation view of the loading unit of Figure 22;
[0026] [0026] Figure 24 is a perspective view of the loading unit of Figure 23 after the dynamic gripping assembly was initially brought into contact with positive channel opening features in a channel of the dynamic loading unit;
[0027] [0027] Figure 25 is a side elevation view of the loading unit of Figure 24;
[0028] [0028] Figure 26 is another side elevation view of the loading unit of Figures 22 to 25 with its claws in a completely open position;
[0029] [0029] Figure 27 is a side elevation view of a portion of another adapter loading unit with its claws in a completely closed position;
[0030] [0030] Figure 28 is another side elevation view of the loading unit of Figure 27 with its claws in a partially open position;
[0031] [0031] Figure 29 is another side elevation view of the loading unit of Figures 27 and 28 with its claws in a completely open position;
[0032] [0032] Figure 30 is a side elevation view of a portion of another adapter loading unit with its claws in a fully open position;
[0033] [0033] Figure 31 is another side elevation view of the loading unit of Figure 30 with its claws in a partially closed position;
[0034] [0034] Figure 32 is another side elevation view of the loading unit of Figures 30 and 31, with its claws in a closed position before the start of a firing stroke;
[0035] [0035] Figure 33 is a side elevation view of a portion of another adapter loading unit with its claws in a fully open position;
[0036] [0036] Figure 34 is a side elevation view of a portion of another adapter loading unit with its claws in a fully open position;
[0037] [0037] Figure 35 is a cross-sectional elevation view of a dynamic gripping mode;
[0038] [0038] Figure 36 is an elevation view of the end of a portion of the dynamic gripping assembly of Figure 35 interacting with an anvil assembly of an adapter loading unit shown in cross section;
[0039] [0039] Figure 37 is a cross-sectional view of a body portion of the dynamic gripping assembly of Figure 36 taken along line 37-37 in Figure 36;
[0040] [0040] Figure 38 is a side elevation view of another dynamic gripping assembly with a portion of it shown in cross section;
[0041] [0041] Figure 39 is a cross-sectional view of a portion of the dynamic gripping assembly of Figure 38 taken along line 39-39 in Figure 38;
[0042] [0042] Figure 40 is an exploded perspective view of portions of a modality of the adapter locking system;
[0043] [0043] Figure 41 is a partial cross-sectional perspective view of a portion of an adapter and the hinge locking system of Figure 40;
[0044] [0044] Figure 42 is a partial upper cross-sectional view of the joint locking system of Figures 40 and 41 in an unlocked position;
[0045] [0045] Figure 43 is another view in partial upper cross section of the articulation locking system of Figures 40 to 42 in a locked position;
[0046] [0046] Figure 44 is a partial cross-sectional view of a portion of an adapter drive assembly locking system in an unlocked position;
[0047] [0047] Figure 45 is a partial cross-sectional view of the locking system of the drive assembly of Figure 44 with an un-fired cartridge loaded on an end actuator and the locking system of the drive assembly in an unlocked position;
[0048] [0048] Figure 46 is another partial cross-sectional view of the locking system for the drive assembly of Figures 44 and 45 with an un-fired cartridge loaded on the end actuator and the locking system of the drive assembly in an unlocked position. and a set of dynamic grips of it beginning to move through a closing course;
[0049] [0049] Figure 47 is another partial cross-sectional view of the locking system for the drive assembly of Figures 44 to 46 with an untriggered cartridge loaded on the end actuator and the locking system of the drive assembly in a position of firing ready to start moving through a firing stroke;
[0050] [0050] Figure 48 is another partial cross-sectional view of the locking system of the drive assembly of Figures 44 to 47 after the dynamic gripping assembly has been advanced distally through the firing stroke;
[0051] [0051] Figure 49 is another partial cross-sectional view of the locking system of the drive assembly of Figures 44 to 48 as the dynamic gripping assembly is being retracted, but before resuming an initial position;
[0052] [0052] Figure 50 is another partial cross-sectional view of the locking system of the drive assembly of Figures 44 to 48 after the dynamic gripping assembly has been retracted back to the starting position, and the assembly locking system drive is in the locked position;
[0053] [0053] Figure 51 is a side view of the end actuator of Figures 44 to 50 with the dynamic gripping assembly shown in an initial position and its claws in a completely open position;
[0054] [0054] Figure 52 shows the position of a drive locking member of the locking system of the drive assembly of Figures 44 to 50 in a locked position around the dynamic gripping assembly when in the starting position;
[0055] [0055] Figure 53 is a side view of the end actuator of Figure 51 after the dynamic gripping assembly has completed a closing stroke and is in a firing position;
[0056] [0056] Figure 54 shows the position of a drive locking member of the locking system of the drive assembly of Figures 44 to 50 in a locked position around the dynamic gripping assembly in the firing position;
[0057] [0057] Figure 55 is a side view of a dynamic locking assembly and a pivoting locking member of another drive assembly locking system in a locked position prior to the installation of an uns worn cartridge on an end actuator. adapter;
[0058] [0058] Figure 56 is another side view of the locking system of the drive assembly of Figure 55 with an uns worn cartridge supported in position to move the pivoting lock member to an unlocked position;
[0059] [0059] Figure 57 is an exploded view of the pivoting lock member and cartridge shown in Figure 56; and
[0060] [0060] Figure 58 is a perspective view of another type of cartridge.
[0061] [0061] Corresponding reference characters indicate corresponding parts through the various views. The exemplifications described herein illustrate various embodiments of the invention, in one form, and such exemplifications should not be considered to limit the scope of the invention in any way. DETAILED DESCRIPTION
[0062] [0062] The applicant for this application holds the following US patent applications that were filed on December 15, 2017, and which are each incorporated herein by reference in their respective totalities:
[0063] [0063] - patent application serial number US 15 / 843,485, entitled SEALED ADAPTERS FOR USE WITH ELECTROMECHANICAL SURGICAL INSTRUMENTS;
[0064] [0064] - patent application serial number US 15 / 843,518, entitled END EFFECTORS WITH POSITIVE JAW OPENING FEATURES FOR USE WITH ADAPTERS FOR ELECTROMECHANICAL SURGICAL INSTRUMENTS;
[0065] [0065] - US patent application serial number 15 / 843,535, entitled SURGICAL END EFFECTORS WITH CLAMPING ASSEMBLIES CONFIGURED TO INCREASE JAW APERTURE RANGES;
[0066] [0066] patent application in serial numbers 15 / 843,558, entitled SURGICAL END EFFECTORS WITH PIVOTAL JAWS CONFIGURED TO TOUCH AT THEIR RESPECTIVE DISTAL ENDS WHEN FULLY CLOSED;
[0067] [0067] US patent application serial number 15 / 843,528, entitled SURGICAL END EFFECTORS WITH JAW STIFFENER ARRANGEMENTS CONFIGURED TO PERMIT MONITORING OF FIRING MEMBER;
[0068] [0068] US patent application serial number 15 / 843,567, entitled ADAPTERS WITH END EFFECTOR POSITION SENSING AND CONTROL ARRANGEMENTS FOR USE IN CONNECTION WITH ELECTROMECHANICAL SURGICAL INSTRUMENTS;
[0069] [0069] US patent application serial number 15 / 843,514, entitled ADAPTERS WITH FIRING STROKE SENSING ARRANGEMENTS FOR USE IN CONNECTION WITH ELECTROMECHANICAL SURGICAL INSTRUMENTS;
[0070] [0070] US patent application serial number 15 / 843,501, entitled ADAPTERS WITH CONTROL SYSTEMS FOR CONTROLLING MULTIPLE MOTORS OF AN ELECTROMECHANICAL SURGICAL INSTRUMENT;
[0071] [0071] US patent application serial number 15 / 843,508, entitled HANDHELD ELECTROMECHANICAL SURGICAL INSTRUMENTS WITH IMPROVED MOTOR CONTROL ARRANGEMENTS FOR POSITIONING. COMPONENTS OF AN ADAPTER COUPLED THERETO;
[0072] [0072] US patent application serial number 15 / 843,682, entitled SYSTEMS AND METHODS OF CONTROLLING A CLAMPING MEMBER FIRING RATE OF A SURGICAL INSTRUMENT;
[0073] [0073] US patent application serial number 15 / 843,689, entitled
[0074] [0074] US patent application serial number 15 / 843,704, entitled METHODS OF OPERATING SURGICAL END EFFECTORS.
[0075] [0075] 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.
[0076] [0076] 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.
[0077] [0077] The terms "proximal" and "distal" are used in the present invention with reference to a physician who handles the handle portion of a 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.
[0078] [0078] Several 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 tissue, 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.
[0079] [0079] The surgical stapling system can comprise a drive shaft and an end actuator that extends 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 modalities are provided for in which a staple cartridge is not removable, or at least readily replaceable, from the first gripper. The second claw comprises an anvil configured to deform the staples ejected from the staple cartridge. The second claw is pivoting relative to the first claw around a geometric axis of the lid; however, other modalities are foreseen in which the first claw is pivoting in relation to the second claw. The surgical stapling system additionally comprises an articulation joint configured to allow the end actuator to be rotated or articulated in relation to the drive shaft. The end actuator is rotatable about a geometric pivot axis that extends through the pivot joint. Other modalities are foreseen that do not include an articulation joint.
[0080] [0080] 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 secure the fabric against the platform. After that, the staples removably stored in the cartridge body can be implanted in the fabric. The cartridge body includes staple cavities defined therein, the staples being removably stored in the staple cavities. The staple 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 staple cavities and staples may be possible.
[0081] [0081] The clamps are supported by clamp actuators on the cartridge body. The actuators are movable between a first position, or non-triggered position, and a second position, or triggered position, to eject the clamps from the clamp cavities. The drivers are retained in the cartridge body by a retainer that 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. The actuators are mobile between their non-triggered positions and their positions triggered by a slider. The slider is movable between a proximal position adjacent to the proximal end and a distal position adjacent to the distal end. The slider comprises a plurality of inclined surfaces configured to slide under the actuators and lift the actuators, and the staples held therein, towards the anvil.
[0082] [0082] 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 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 claw and a second cam that engages the second claw. As the firing member is advanced distally, the first cam and the second cam can control the distance, or fabric span, 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 for the knife to be positioned at least partially proximal to the inclined surfaces, so that the clamps are ejected in front of the knife.
[0083] [0083] Figure 1 shows a motor-driven surgical system (electromechanical) 1 that can be used to perform a variety of different surgical procedures. As can be seen in that Figure, an example of surgical system 1 includes a hand-held electromechanical surgical instrument with a motor 100 that is configured for selective fixation to it of a plurality of different surgical instrument implements (here called "adapters") that they are each configured for operation and manipulation by the electromechanical hand-held surgical instrument equipped with a motor. As shown in Figure 1, the hand-held surgical instrument 100 is configured for selective connection with an adapter 200 and, in turn, adapter 200 is configured for selective connection with end actuators that comprise a single-use load unit (from "single use loading unit" ("SULU")) or a disposable loading unit ("DLU") or a multiple use load unit ("multiple use loading unit" " MULU "). In another embodiment of the surgical system, various forms of adapter 200 can also be effectively employed with a tool drive set from a robotically controlled or automated surgical system. For example, the surgical instrument sets disclosed herein can be employed with various robotic systems, instruments, components and methods such as those disclosed in US Patent No. 9,072,535, but not limited to them, entitled "SURGICAL STAPLING —INSTRUMENTS WITH ROTATA BLE STAPLE DEPLOYMENT ARRANGEMENTS "”, which is incorporated herein by reference, in its entirety.
[0084] [0084] As shown in Figures 1 and 2, the surgical instrument 100 includes a battery 101 and an external enclosure of the wrap 10 which is configured to selectively receive and substantially terminate the battery 101. The battery 101 can also be called here a set of handle 101. One form of surgical instrument 100, for example, is disclosed in international publication No. WO 2016/057225 Al, international application No. PCT / US2015 / 051837, entitled HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM, whose disclosure is hereby incorporated by reference. Various features of the surgical instrument 100 will not be disclosed here beyond what is necessary to understand the various characteristics of the inventions disclosed in the present invention, it being understood that additional details can be obtained by reference to WO 2016/057225 A1 and other references incorporated here as a reference.
[0085] [0085] As shown in Figure 3, an outer casing cabinet 10 includes a half distal section 10a and a half proximal section 10b which is pivotally connected to the half distal section 10a by a hinge 16 located along the top edge of the sock distal section 10a and the proximal half section 10b. When joined together, the distal and proximal half sections 10a, 10b define a wrap cavity 10c within which the battery 101 is selectively located. Each of the distal and proximal half sections 10a, 10b includes a respective upper wrap portion 12a, 12b and a respective lower wrap portion 14a, 14b. The lower wrap portions 14a, 14b define a snap fit closure feature 18 to selectively secure the lower wrap portions 14a, 14b to each other and to keep the wrap enclosure in a closed condition. The distal half section 10a of the enclosure enclosure 10 defines a detection portion 20 that is configured to receive a corresponding drive coupling assembly 210 from adapter 200 (see Figure 5). Specifically, the half distal section 10a of the enclosure cabinet 10 has a recess that receives a portion of the drive coupling assembly 210 from adapter 200 when adapter 200 is coupled to surgical instrument 100.
[0086] [0086] The connecting portion 20 of the half distal section 10a defines a pair of guide rails that extend axially 21a, 21b and project radially inward from their internal side surfaces, as shown in Figure 5. The rails guide 21a, 21b assist in rotating orientation of the adapter 200 relative to the surgical instrument 100 when the adapter 200 is coupled to the surgical instrument 100. The connecting portion 20 of the distal half section 10a defines three openings 22a, 22b, 22c that are formed on a surface of it facing the distal position and which are arranged on a plane or line common to each other. The connecting portion 20 of the distal half section 10a also defines an elongated slit 24 also formed on the surface thereof facing the distal position. The connecting portion 20 of the half distal section 10a additionally defines a female connection feature 26 (see Figure 2) formed on a surface of it. The female connection feature 26 selectively engages a male connection feature of adapter 200.
[0087] [0087] The half distal section 10a of the enclosure enclosure 10 supports a toggle control button facing the distal side 30. The toggle control button 30 is capable of being operated in a left, right, upward direction and downward by applying a corresponding force or a depressive force to it. The distal half section 10a of the enclosure cabinet 10 supports a right side pair of control buttons 32a, 32b (see Figure 3); and a right side pair of control buttons 34a, 34b (see Figure 2). The control buttons on the right side 32a, 32b and the control buttons on the left side 34a, 34b are capable of being activated by applying a corresponding force or a depressive force to them. The proximal half section 10b of the enclosure enclosure 10 supports a control button on the right side 36a (see Figure 3) and a control button on the left side 36b (see Figure 2). The control button on the right side 36a and the control button on the left side 36b are capable of being activated by applying a corresponding force or a depressive force to them.
[0088] [0088] The enclosure enclosure 10 includes a set of sterile barrier plate 60 selectively supported on the distal half section 10a. Specifically, the sterile barrier plate assembly 60 is disposed behind the connecting portion 20 of the distal half section 10a and within the envelope cavity 10c of the envelope cabinet 10. The plate assembly 60 includes a plate 62 that rotatably supports three axes coupling drive 64a, 64b, 64c (see Figures 3 and 5). Each coupling drive shaft 64a, 64b, 64c extends from opposite sides of the plate 62 and has a trilobed cross section profile. Each coupling drive shaft 64a, 64b, 64c extends through the respective openings 22a, 22b, 22c of the connecting portion 20 of the distal half section 10a when the sterile barrier plate assembly 60 is disposed within the housing cavity 10c of the enclosure cabinet 10. The plate assembly 60 additionally includes an electrical passage connector 66 supported on plate 62. The passage connector 66 extends from opposite sides of plate 62. The passage connector 66 defines a plurality of path paths. contact, each of which includes an electrical conduit for extending an electrical connection across plate 62. When plate assembly 60 is disposed within envelope cavity 10c of envelope enclosure 10, the distal ends of the coupling drive shaft 64a , 64b, 64c and a distal end of the through connector 66 are arranged or situated within the connecting portion of the distal half section 10a of the enclosure cabinet 10, and are configured to engage electrically and / or mechanically to the corresponding corresponding features of adapter 200.
[0089] [0089] With reference to Figures 3 and 4, the battery or handle assembly 101 includes an internal handle cabinet 110 that has a lower cabinet portion 104 and an upper cabinet portion 108 that extends from and / or which is supported on the lower cabinet portion 104. The lower cabinet portion 104 and the upper cabinet portion 108 are separated into a half distal section 110a and a half proximal section 110b connectable to the half distal section 110a by a plurality of fasteners. When joined together, the distal and proximal half sections 110a, 110b define the inner case of the handle 110 which has an inner case cavity 110c within which a battery core assembly 106 is located. The battery core assembly 106 is configured to control the various operations of the surgical instrument 100.
[0090] [0090] The half distal section 110a of the inner grip handle 110 supports a distal toggle control interface 130 that is in operational alignment with the distal toggle control button 30 of the wrapper case 10. In use, when battery 101 is arranged within the enclosure enclosure 10, the actuation of the toggle control button 30 exerts a force on the toggle control interface 130. The half distal section 110a of the inner handgrip cabinet 110 also supports a right side pair of control (not shown) and a left side pair of control interfaces 132a, 132b. In use, when battery 101 is disposed within the enclosure 10 enclosure, the actuation of one of the right side pair of control buttons or the left lateral pair of the control button of the distal half section 10a of the enclosure 10 exerts a force on a respective pair among the right side pair of control interfaces 132a, 132b or the left side pair of control interfaces 132a, 132b of the half distal section 110a of the internal grip handle 110.
[0091] [0091] With reference to Figures 1 to 5, the internal handle housing 110 provides a cabinet in which a battery core assembly 106 is located. The battery core assembly 106 includes a battery circuit 140, a circuit board of controller 142 and a rechargeable battery 144 configured to supply power to any electrical components of surgical instrument 100. Controller circuit board 142 includes a motor controller circuit board 142a, a main controller circuit board 142b and a first ribbon cable 142c interconnecting the motor controller circuit board 142a and the main controller circuit board 142b. The battery core assembly 106 additionally includes a display screen 146 supported on the main controller circuit board 142b. The display screen 146 is visible through a clear or transparent window 110d (see Figure 3) provided in the half proximal section 110b of the internal handle cabinet 110. It is envisaged that at least a portion of the internal handle cabinet 110 can be manufactured from from a transparent hard plastic or similar. It is further provided that the enclosure cabinet 10 may include a window formed therein (in visual alignment with the display screen 146 and with the window 110d of the proximal half section 110b of the inner cabinet of the handle 110 and / or the enclosure cabinet 10 may be manufactured from a transparent rigid plastic or similar.
[0092] [0092] The battery core assembly 106 additionally includes a first motor 152, a second motor 154 and a third motor 156 which are supported by a motor support 148 and are each electrically connected to the controller circuit board 142 and battery 144. Motors 152, 154, 156 are disposed between the motor controller circuit board 142a and the main controller circuit board 142b. Each motor 152, 154, 156 includes a respective motor drive shaft 152a, 154a, 156a extending therefrom. Each motor drive shaft 152a, 154a, 156a has a trilobed cross section profile to transmit rotating forces or torque. Each motor 152, 154, 156 is controlled by a respective motor controller. The rotation of the motor drive shafts 152a, 154a, 156a by the respective motors 152, 154, 156 works to drive the drive shafts and / or gear components of the adapter 200 to perform the various operations of the surgical instrument 100. In particular , the motors 152, 154, 156 of the battery core assembly 106 are configured to drive the drive shafts and / or gear components of the adapter 200.
[0093] [0093] As shown in Figures 1 and 5, surgical instrument 100 is configured to perform selective connection to adapter 200 and, in turn, adapter 200 is configured to perform selective connection to an end actuator 500. Adapter 200 includes an outer button 202 enclosure and an outer tube 206 extending from a distal end of the button 202 enclosure. The button 202 enclosure and outer tube 206 are configured and sized to accommodate adapter assembly components
[0094] [0094] Adapter 200 is configured to convert a rotation of the first or second coupling drive axes 64a, 64b of surgical instrument 100 into axial translation useful for operating a drive assembly 540 and a pivot link 560 of the end actuator 500, as shown in Figure 10, and as will be described in more detail below. As shown in Figure 6, adapter 200 includes the proximal inner cabinet assembly 204 that pivotally supports a first rotary proximal drive axis 212, a second rotary proximal drive axis 214 and a third rotary proximal drive axis 216 within it. Each proximal drive shaft 212, 214, 216 functions as a rotation receiving member to receive rotational forces from the respective coupling drive axes 64a, 64b and 64c of the surgical instrument 100. In addition, the drive coupling assembly 210 of the adapter 200 is also configured to rotatably support the first, second and third sleeves of connector 218, 220 and 222, respectively, arranged in a plane or common line with respect to each other. Each connector sleeve 218, 220, 222 is configured to pair with the respective first, second and third coupling drive axes 64a, 64b, 64c of the surgical instrument 100, as described above. Each sleeve of connector 218, 222, 220 is further configured to pair with a proximal end of the respective first, second and third proximal drive axes 212, 214, 216 of adapter 200.
[0095] [0095] The drive coupling assembly 210 of adapter 200 also includes a first, second and third bias members 224, 226, 228 disposed distally from the respective first, second and third sleeves of connector 218, 220 and
[0096] [0096] Also in the illustrated arrangement, adapter 200 includes the first, second and third drive conversion assemblies 240, 250, 260, respectively, which are each arranged in the internal cabinet assembly 204 and external pipe 206 Each drive conversion set 240, 250, 260 is configured and adapted to transmit or convert a rotation of a first, second and third coupling drive axes 64a, 64b and 64c of surgical instrument 100 into axial translation of a driver or pivot bar 258 of adapter 200 to pivot end actuator 500; rotating an annular gear 266 of adapter 200 to rotate adapter 200; or the axial translation of a distal drive member 248 of adapter 200 to effect the closing, opening and firing of end actuator 500.
[0097] [0097] Still with reference to Figure 6, the first transmission / force conversion / rotation set 240 includes the first rotary proximal drive shaft 212 which, as described above, is pivotally supported within the internal cabinet set 204. The first rotary proximal drive shaft 212 includes a non-circular or shaped end portion configured to connect to the first connector sleeve 218 that is connected to the respective first coupling drive shaft 64a of the surgical instrument 100. The first rotary proximal drive shaft 212 includes a threaded distal end portion 212b. The first transmission / force conversion / rotation assembly 240 additionally includes a drive coupling nut 244 that threadably engages the threaded distal end portion 212b of the first rotating proximal drive shaft 212 and that is slidably disposed within of the outer tube 206. The drive coupling nut 244 is slidably keyed within the proximal core tube portion of the outer tube 206 so as to be prevented from rotating as the first rotating proximal drive shaft 212 is rotated. Thus, as the first rotating proximal drive shaft 212 is rotated, the drive coupling nut 244 is moved along the threaded distal end portion 212b of the first rotating proximal drive shaft 212 and, in turn, through and / or along the outer tube 206.
[0098] [0098] The first transmission / power conversion / rotation set 240 additionally includes a distal drive member 248 which is mechanically engaged with the drive coupling nut 244, so that the axial movement of the drive coupling nut 244 results in a corresponding amount of axial movement of the distal drive member
[0099] [0099] Still referring to Figure 6, the second drive conversion set 250 of adapter 200 includes a second proximal drive shaft 214 that is pivotally supported within the inner cabinet assembly 204. The second rotary proximal drive shaft 214 includes a non-circular or shaped end portion configured to connect to the second coupling drive shaft 64c of the surgical instrument 100. The second rotating proximal drive shaft 214 additionally includes a threaded distal end portion 214a configured to threadably engage a hinge bearing housing 253 of a hinge bearing assembly
[00100] [00100] In operation, as the second proximal drive shaft 214 is rotated, the hinge bearing assembly 252 is axially translated along the threaded distal end portion 214a of the second proximal drive shaft 214, which in turn makes with the pivot bar 258 being axially translated in relation to the outer tube 206. As the pivot bar 258 is translated axially, the pivot bar 258 being coupled to the pivot link 560 of the end actuator 500, causes the translation concomitant axial axis of the link link 560 of the end actuator 500 makes a joint of the tool set 600. The link bar 258 is attached to the inner race
[00101] [00101] As shown in Figure 6, adapter 200 includes a third drive conversion set 260 that is supported on internal cabinet assembly 204. The third drive conversion set 260 includes a rotary ring gear 266 that is supported in fixed mode in the external cabinet of button 202 and connected to it. Annular gear 266 defines an internal set of gear teeth 266a and includes a pair of diametrically opposed protrusions extending radially 266b. The projections 266b are configured to be arranged within the recesses defined in the outer case of the button 202, so that the rotation of the annular gear 266 results in the rotation of the outer case of the button 202, and vice versa. The third drive conversion assembly 260 additionally includes a third rotary proximal drive axis 216 which, as described above, is pivotally supported within the inner cabinet assembly 204. The third rotary proximal drive axis 216 includes a non-circular end portion or formatted that is configured for connection to the third connector 220. The third rotary proximal drive shaft 216 includes a gear wheel 216 keyed to a distal end of it. A reversing sprocket 264 interengages the sprocket 216a of the third rotary proximal drive shaft 216 with the gear teeth 266a of the annular gear 266. In operation, as the third rotary proximal drive shaft 216 is rotated due to a rotation of the third coupling drive shaft 64b of surgical instrument 100, the sprocket 216a of the third rotary proximal drive shaft 216 engages the reversing gear 264 causing the reversing gear 264 to rotate.
[00102] [00102] Adapter 200 additionally includes a fixing / separating button 272 (Figure 5) which is supported on a stem 273 (Figure 6) that protrudes from the drive coupling assembly 210 of adapter 200. The fixing button / separation 272 is provided by a bias member (not shown), which is arranged in or around stem 273, for an unactivated condition. The button 272 includes a flange or protrusion that is configured to snap together behind a corresponding flange or protrusion 20 of surgical instrument 100. As also discussed in WO 2016/057225 A1, adapter 200 may additionally include a locking mechanism 280 to fix the axial position of the distal drive member 248. As can be seen in Figure 21, for example, the locking mechanism 280 includes a button 282 that is slidably supported on the outer housing of the button 202. The lock 282 is connected to an actuation bar (not shown) that extends longitudinally through the outer tube 206. The actuation bar moves with a movement of the lock button 282. In operation, to lock the position and / or orientation of the distal actuating member 248, a user moves lock button 282 from a distal position to a proximal position, thus causing the lock (not shown) to move to the proximal position, from so that a distal face of the lock comes out of contact with the cam actuation member 288, which causes the cam actuation member 288 to rotate into the recess 249 of the distal actuation member 248. Thus, the distal drive 248 is prevented from performing distal and / or proximal movement. When the lock button 282 is moved from the proximal position to the distal position, the distal end of the actuation bar moves distally into the lock (not shown), against the propensity of a bending member (not shown), to force the cam actuation member 288 out of the recess 249, thus enabling unimpeded axial translation and radial movement of the distal drive member 248.
[00103] [00103] “Again with reference to Figure 6, adapter 200 includes an electrical assembly 290 supported on and in the outer cabinet of button 202 and in the internal cabinet assembly 204. Electrical assembly 290 includes a plurality of electrical contact foils 292, supported on a circuit board 294, for electrical connection with the passage connector of the plate assembly of the enclosure 10 of the surgical instrument 100. The electrical assembly 290 allows the calibration and communication information (that is, information about the cycle life, system information, force information) are transmitted to the circuit board of the surgical instrument 100 through an electrical receptacle portion of the battery core assembly 106 of the surgical instrument 100. Electrical assembly 290 additionally includes a flow meter. effort 296 that is electrically connected to the circuit board 294. The effort meter 296 is mounted inside the internal cabinet assembly rno 204 to restrict the rotation of the effort meter 296 with respect to it. The rotary proximal drive shaft 212 extends through the effort meter 296 to enable the effort meter 296 to provide closed loop feedback for a triggering / gripping load shown by the first rotary proximal drive shaft 212. The electrical assembly 290 it also includes a slip ring 298 which is arranged in a sliding and non-rotating manner along the drive coupling nut 244 of the outer tube 206. The slip ring 298 is in electrical connection with the circuit board 294 and serves to enable the rotation of the the first rotating proximal drive shaft 212 and the axial translation of the drive coupling nut 244, while still maintaining the electrical contact of the slip ring 298 with at least one other electrical component inside the adapter 200, while enabling the others electrical components rotate around the first rotating proximal drive shaft 212 and the coupling nut drive device 244.
[00104] [00104] Still referring to Figure 6, the internal cabinet assembly 204 includes a central controller 205 that has a distally oriented annular wall 207 that substantially defines an external profile. The central controller 205 includes a substantially teardrop-shaped recess or orifice which is shaped and shaped to receive the hinge bearing assembly 252 slidingly therein. The inner cabinet assembly 204 additionally includes an annular plate 254 which is attached to a distal face of the distally oriented annular wall 207 of central controller 204a. The annular plate 254 defines an opening 254a along it which is dimensioned and formed therein so as to be aligned with the second proximal drive axis 214 and to rotatively receive a distal tip therefrom. In this way, the distal tip of the second proximal drive axis 214 is supported and prevented from moving radially away from a longitudinal rotating axis of the second proximal drive axis 214 as the second proximal drive axis 214 is rotated to axially translate the hinge bearing assembly 252.
[00105] [00105] Returning to Figure 10, in one example, the end actuator 500 can be configured for a single use ("disposable loading unit - DLU" "disposable loading unit") and to be similar to those DLUs disclosed in the order publication US Patent No. 2010/0301097, entitled LOADING UNIT HAVING DRIVE ASSEMBLY LOCKING MECHANISM, currently US patent No. 9,795,384, publication of US patent application No. 2012/0217284, entitled LOCKING MECHANISM FOR USE WITH LOADING UNITS, currently US patent No. 8,292 .158 and US patent application publication 2015/0374371, entitled ADAPTER ASSEMBLIES FOR
[00106] [00106] The surgical instrument 100 shown triggers staples, but can be adapted to trigger any other fastener such as clips and two-part fasteners. In the illustrated arrangement, end actuator 500 comprises a loading unit 510. The loading unit 510 comprises a proximal structural part 520 and a tool set 600. Tool set 600 includes a pair of claw members including a first member claw 610 comprising an anvil set 612 and a second claw member 700 comprising a cartridge set 701. One claw member is pivoting relative to the other to enable the fabric to be gripped between the claw members. The cartridge assembly 701 is movable in relation to the anvil assembly 612 and is movable between an open or non-secured position and a closed or approximate position. However, the anvil set 612, or both the cartridge set 701 and the anvil set 612, can be movable.
[00107] [00107] The cartridge assembly 701 has a cartridge body 702 and, in some cases, a backing plate 710 that are fixed to a channel 720 by a snap connection, a stop, a lock, or by another connection type. The cartridge assembly 701 includes fasteners or clamps 704 that are mobilely supported in a plurality of laterally spaced staple retaining slots 706, which are configured as openings in a fabric contact surface 708. Each slot 706 is configured to receive a fastener or clip inside. Cartridge body 702 also defines a plurality of cam wedge slots that accommodate clip pushers 709 and which open at the bottom (i.e., in the direction opposite to the fabric contact surface) to enable an actuating slide 712 pass lengthwise through them. The cartridge assembly 701 is removable from channel 720 after the clips have been released from cartridge body 702. Another removable cartridge assembly is capable of being loaded into channel 720, so that surgical instrument 100 can be actuated once more. to fire additional fasteners or clips. More details on the cartridge assembly can be found, for example, in US patent application publication No. 2017/0095250, as well as in several other references that have been incorporated into the present invention for reference.
[00108] [00108] The cartridge assembly 701 is pivoting relative to the anvil assembly 612 and is movable between an open or non-clamped position and a closed or clamped position for insertion through the trocar cannula. The proximal structural part 520 includes at least one drive assembly 540 and a pivot link 560. In one arrangement, the drive assembly 540 includes a flexible drive bar 542 having a distal end 544 and a proximal engagement section 546. A proximal end of the engaging section 546 includes diametrically opposing inwardly extending fingers 547 that engage a hollow drive member 548 to securely secure drive member 548 to the proximal end of bar 542. Drive member 548 defines a proximal orifice that receives a connecting member 247 of the drive tube 246 of the first drive conversion set 240 of the adapter 200 when the end actuator 500 is attached to the distal end of the adapter 200.
[00109] [00109] The end actuator 500 additionally includes an enclosure set 530 comprising an outer enclosure 532 and an inner enclosure 534 that is disposed within the outer enclosure
[00110] [00110] Referring to Figure 10, for example, anvil assembly 612 includes an anvil cover 630 and an anvil plate 620, which includes a plurality of staple-forming depressions. The anvil plate 620 is attached to the underside of the anvil cover
[00111] [00111] Tool kit 600 includes a mounting kit 800 comprising an upper mounting portion
[00112] [00112] Figures 11 to 15 illustrate an adapter 200 'which is substantially identical to the adapter 200 described above, except for the differences shown below.
[00113] [00113] In at least one arrangement, channel 720, which can be machined or made of sheet metal, includes a pair of proximal holes 722 (Figure 10) that are configured to align with a pair of corresponding holes 636 in the anvil cover 630 to receive corresponding pins or protuberances 638 (Figure 12) to facilitate a pivoting relationship between the anvil set 612 and the cartridge set 701. In the illustrated example, a dynamic gripping set 550 is fixed to or formed at the distal end 544 of the flexible actuating bar 542. The dynamic gripping assembly 550 includes a vertical structural part 552 that has a fabric cutting surface 554 formed on or attached to it. See Figure 10, for example. An anvil engaging feature 556 is formed on one end of structural part 552 and comprises an anvil engaging tab 557 projecting from each side of structural part 552. Similarly, a channel engaging feature 558 it is formed on the other end of the structural part 552 and comprises a channel engaging tab 559 that projects from each side of the structural part 552. See Figure 15.
[00114] [00114] As indicated above, the anvil set 612 includes an anvil plate 620. The anvil plate 620 includes an elongated slot 622 that is configured to accommodate structural part 552 of the dynamic grip set 550 as per the dynamic grip set 550 is axially advanced during the firing process. The elongated slot 622 is defined between two protrusions of the anvil plate 624 that extend along each side of the elongated slot 622. See Figure 10. As the dynamic gripping set 550 is advanced distally, the engagement tabs anvil 557 slidably engage the protrusions of the anvil plate 624 to keep the anvil assembly 612 attached to the target tissue. Similarly, during the firing operation, the structural part 552 of the dynamic gripping assembly 550 extends through a central slot in the channel 720 and the channel latches 559 engage in a sliding manner with the projections of the channel 725 extending run along each side of the central channel slot to keep the cartridge assembly 701 attached to the target fabric.
[00115] [00115] Returning to Figures 13 and 15, channel 720 defines a coupling area generically designated as 730 that is configured to accommodate the dynamic gripping set 550 when it is in its most proximal position, called here an un triggered position or initial. In particular, the coupling area 730 is partially defined by flat coupling surfaces 732 that provide a gap between the channel engagement flaps 559 in the dynamic gripping assembly 550 to enable the cartridge assembly 701 to rotate to a fully open position. An inclined or actuating surface of the cam 726 extends from a distal end of each of the coupling surfaces 732. The inclined surface 726 is engaged by the dynamic gripping assembly 550 to move the anvil assembly 612 and the cartridge assembly 701 in relation to each other. A similar actuation surface of the cam could be provided in the anvil assembly 612 in other embodiments. It is envisaged that the inclined surfaces 726 can also facilitate the alignment and / or engagement between the channel 720 and the support plate 620 and / or the cartridge body 702. As the drive assembly 540 is advanced distally (fired) , the channel latches 559 in the dynamic gripping assembly 550 engage with the corresponding inclined surfaces 726 to apply a closing movement to the cartridge assembly 701 thereby closing the cartridge assembly 701 and the anvil assembly 612. The additional distal translation of the dynamic gripper assembly 550 causes the actuation slide 712 to move distally through the cartridge body 702, which causes the cam wedges 713 of the actuation slide 712 to engage sequentially with the clamp pushers 709 to move the staple pusher 709 vertically into the staple retaining slots 706 and eject the staple 704 into the staple-forming depressions of the anvil plate 620. Subsequent to ejection of the staples 704 from the retaining slots 706 (and in the fabric), the cutting edge 554 of the dynamic gripping assembly 550 cuts the stapled fabric as the fabric cutting edge 554 in the vertical structural part 552 of the dynamic gripping assembly 550 moves distally through a central slot 703 of the cartridge body 702. After the clips 704 have been ejected from the cartridge body 702 and a user wishes to use the same instrument 10 to fire additional clips 704 (or another type of fastener or knife), the User can remove charge unit 510 from adapter 200 'and replace it with another new or unused charge unit. In an alternate arrangement, the user can simply remove the worn 702 cartridge body and replace it with a new unstruck or worn 702 cartridge body.
[00116] [00116] During the use of conventional adapters, debris and bodily fluids can migrate into the adapter's external tube and hinder the operation of the adapter's articulation and triggering systems. In flagrant cases, such debris and fluids seep into the adapter's internal cabinet assembly, which can cause a short circuit and failure of the electrical components supported inside it. Additionally, due to limited access to the interior of the adapter's external tube, such debris and fluids are difficult to remove, which can prevent or reduce the adapter's reusability.
[00117] [00117] Returning to Figures 16 and 17, in one arrangement, at least one first seal 230 is provided between the proximal inner cabinet assembly 204 and the first proximal rotating drive shaft 212 to prevent fluid and debris from infiltrating within and proximal to the proximal inner cabinet assembly 204. In addition, at least a second seal 232 is provided between the pivot bar 258 and the outer tube 206 to prevent fluids / debris from passing between them and entering the proximal inner cabinet assembly 204. When at least a third enclosure seal 233 can be provided around a central controller 205 of the proximal inner enclosure 204 to establish a seal between the central controller 205 and the outer enclosure of button 202. The first, second and third seals 230, 232, 233 can comprise, for example, seal rings made from rubber or other suitable material.
[00118] [00118] In other modalities, it may be desirable that the first and second seals 230, 232 are located on adapter 200 distally from the electronic components housed inside the outer housing of button 202. For example, to prevent fluids / debris from obstructing / cause a short circuit in the slip ring assembly 298, it is desirable to establish seals between the various mobile components of the adapter 200 that are operationally supported within the outer tube 206 at a location or locations that are each distal from the set of slip ring 298, for example. The seals 230, 232 can be supported on the wall of the external tube and / or on the mounting member 234 or on another mounting member / cushion / cabinet supported inside the external tube 206 and configured to facilitate the axial movement of the distal drive member 248 , as well as the pivot bar 258 while establishing a fluid-tight seal between the cushion and / or outer tube and the distal drive member 248 and the pivot bar
[00119] [00119] The ability to open an end cutter's claws to a large angle allows more tissue to be placed between them. In addition, having the ability to open the jaws to a greater angle also makes it easier for a user to remove the fabric from between the jaws after the stapling process is complete, which helps to simplify the cartridge refill process when refillable units are employed. Thus, it is desirable to optimize the speeds and forces necessary to open the claws of an end actuator such as an end cutter. In the past, a variety of methods have been employed to open the claws of an end cutter. In one arrangement, a spring was employed to apply a prong opening force to the claws. However, these spring opening arrangements can increase the amount of forces required to close the jaws. They can also have relatively limited movement and can be difficult to install inside the end actuator.
[00120] [00120] Figures 22 to 25 illustrate the use of an alternative channel 720 'of a second claw 700'. Channel 720 'can be identical to channel 720 described above, except for the differences noted below. In the illustrated arrangement, for example, channel 720 'includes a positive channel opening feature 740 comprising a ramp surface 742 which is located on each side of a central slot 724 in channel 720'. Each 742 ramp ends on a flat top surface
[00121] [00121] Figures 22 and 23 illustrate a position of the dynamic gripping assembly 550 as it is retracted in the proximal direction PD. As can be seen in these Figures, the channel hitch tabs 559 have not yet come into contact with the ramps 742 of the positive opening features of channel 740. Figures 24 and 25 illustrate the initial contact of the channel hitch tabs 559 with the ramp 742 portions of the corresponding positive opening features of channel 740. As can be seen in Figure 25, channel 720 'started to open (ie, move away from anvil set 612). Figure 26 illustrates the position of the dynamic gripping assembly 550 in its initial position, where channel 720 'is in its fully open position. As can be seen in that Figure, for example, the channel latches 559 are in engagement with the flat top surfaces 744 of the ramps 742. Such an arrangement can be used to open the claws (anvil set 612 and cartridge set 701) without using a spring or springs. However, other variations are contemplated in which an opening spring is also used in addition to the positive opening features of channel 740.
[00122] [00122] Figures 27 to 29 illustrate an alternative arrangement in which, in addition to the positive opening features of channel 740 in channel 720 ', positive opening features of anvil 627 are provided at a proximal end 621 of the anvil plate 620'. The anvil plate 620 'may be identical to the anvil plate 620 described above, except for the differences noted below. The positive opening features of anvil 627 each comprise an opening ramp for anvil 628 provided on each side of the elongated slot 622 (see Figure 10). As discussed above, the anvil plate has an elongated slot 622 that defines two elongated projections 624 over which the anvil engagement tabs 557 of the dynamic gripper assembly 550 move. The positive opening features of channel 740 in channel 720 ' they are displaced longitudinally from the positive opening features of anvil 627 on anvil plate 620 '. In the illustrated example, the positive opening features of channel 740 on channel 720 are distal to the positive opening features of anvil 627 on the anvil plate 620 ". Figure 27 illustrates the initial contact of the channel engagement tabs 559 with the surfaces of ramp 742 of the positive opening features of channel 740. For reference purposes, the distance between the distal edge of each channel engagement tab 559 and the geometric axis of the JA claw is identified as PDD distance. Figure 28 illustrates the position of the dynamic gripper assembly 550 after channel hitch tabs 559 have moved upward from ramps 742 to the flat top surfaces 744 of positive opening features of channel 740. When in this position, anvil hitch tabs 557 on the assembly dynamic gripper 550 came into contact with the anvil opening ramps 628 of the anvil opening features 627. Thus, comparing the proximal path distance of the dynamic gripping set unique between Figures 27 and 28: PDD; > PDD. Figure 29 illustrates the position of the dynamic grip set 550 after it has moved back to its initial position and the anvil engagement tabs 557 in the dynamic grip set 550 have moved completely beyond the anvil opening ramps 628 of the opening features of the anvil 627 and the claws 700 'and 610' are in their fully open positions. Thus, comparing the proximal path distance of the dynamic grip set between Figures 28 and 29: PDD3> PDD ». Such positive opening features of the jaw 740, 627 use one of / both longitudinal forces to trigger the opening of the jaws or the orthogonal forces to trigger the opening movements. In the example described above, the positive opening features of the gripper are displaced longitudinally. In other arrangements, however, the anvil engagement tabs 557 come into contact with the ramps 628 at approximately the same time as the flaps 559 come into contact with the ramps 742.
[00123] [00123] Another resource employed by a 720 channel "refers to closing ramps formed on channel 720". Channel 720 "can be identical to channel 720 'or 720 described above, except for the differences noted below. As can be seen in Figures 30 to 32, for example, a first segment of the closing ramp 726a is formed on each side of the slot stretched (not shown) on channel 720 ". Each first ramp segment 726a transitions to a horizontal plateau ramp segment 727 which in turn transitions to a second ramp segment
[00124] [00124] Another desirable attribute for surgical end actuators refers to "claw opening". The "claw opening" can refer to the angle between a staple forming surface on the anvil plate and a contact surface with the staple cartridge fabric. In existing versions of disposable loading units (DLU), single-use loading units (SULU) and multi-purpose loading units (MULU), the upper channel or flap hitch feature on the dynamic gripping unit when the unit dynamic grip is in its most proximal or initial position, it is usually positioned directly above or distal to a geometric axis of the claw pivot around which the cartridge assembly rotates in relation to the anvil assembly. Such arrangements commonly limit the opening of the claws in relation to each other by more than 18 to 23 mm, for example.
[00125] [00125] One aspect of the present disclosure involves the formation of a "coupling" or "parking" area for the dynamic grip member, when the dynamic grip member is in its most proximal or initial position. For example, Figure 33 illustrates an end actuator 1500 that includes a parking area or coupling 730 for dynamic grip set 550, when dynamic grip set 550 is in its most proximal or initial position. According to another aspect, as described above, the dynamic gripping assembly 550 includes a body portion 552 that extends vertically and has an anvil engagement feature 556 that comprises an anvil engagement flange or flange 557 that extends from each side side of the body portion 552. In addition, the dynamic gripping assembly 550 includes a channel engaging feature 558 comprising a channel engaging flange or flange 559 extending laterally from each side side of body portion 552. As used in this context, the term "flange" indicates a flat feature that extends transversely or perpendicularly from body portion 552. As such, when viewed from one end, the dynamic grip assembly 550 resembles a beam configuration with a profile | and it can be called, in the present invention, a dynamic beam gripping member with | profile. As can be seen in Figure 33, a portion of the channel engagement flanges 559 extends proximally to pin 638 that pivotably couples cartridge assembly 701 to anvil assembly 612 and that defines a claw pivot geometric axis JA around which the anvil and channel can move between open and closed positions. In addition, although not visible in Figure 33, in at least one arrangement, a portion of each of the anvil hitch flanges 557 also extends proximal to the JA jaw pivot geometry axis when the dynamic beam gripping set with profile in | 550 is in the parking or home position. This distance is identified as the "PDD« "distance in Figure 33, for example.
[00126] [00126] One lower end of the body portion 552 of the dynamic beam gripping assembly with | 550 extends through an elongated slot (not shown) in channel 1720. A first lower surface 1726 is formed at a proximal end 1725 of channel 1720 on each side of the elongated slot. Each first lower surface 1726 ends distally on a second closing cam surface or ramp 1727 that corresponds to each channel hitch flange 559 in the dynamic beam gripping assembly with | 550. When channel engagement flanges 559 engage their second corresponding closing cam surface 1727, the cartridge assembly and anvil assembly 612 begin to close or pivot towards each other due to the interaction of the engagement hitch flanges. anvil with the corresponding surfaces on the anvil plate, and the cam action of the channel hitch tabs with the corresponding second closing cam surfaces 1727 on channel 1720. Once the beam-shaped dynamic gripping assembly with profile in | 550 has moved distally to a point where the channel engagement flanges 559 disengage the second closing cam surfaces 1727, the channel engagement flanges 559 engage the corresponding third closing surfaces 1728 at the bottom of the channel 1720 anvil assembly and the cartridge assembly closed and to resist deflection during the entire firing process (that is, according to the beam-shaped dynamic gripping assembly with | profile, it is advanced distally through the 701 cartridge assembly).
[00127] [00127] In the illustrated arrangement, when the beam-gripping dynamic set with profile | 550 is in the most proximal or initial position, the channel 559 engagement flanges are proximal to the second closing cam surfaces 1727, however, are in contact with the first lower surface 1726 to limit or otherwise restrict the jaws (set of anvil 612, cartridge assembly 701) to that amount of claw opening represented as angle O, between a staple forming surface 625 on the anvil plate 620 and the fabric contact surface 708 of cartridge body 702. In the illustrated arrangement , for example, the dynamic gripping set in the form of a beam with a profile in | 550 may have to move distally X from the starting position until the channel engagement flanges 559 start to eccentrically engage the second closing cam surfaces 1727 to initiate the jaw closure process. In that arrangement, the actuating slide 1712 has an SL length and the cartridge body 702 has a tip portion 718 that has an NL length that extends beyond the distal end of the channel 1720.
[00128] [00128] According to another general aspect, Figure 34 illustrates another end actuator 1500 'that includes a parking area or coupling 730' for the dynamic gripping assembly 550 when the dynamic gripping assembly 550 is in position more proximal or initial. A first lower surface 1726 'is formed at a proximal end 1725 of channel 1720' on each side of the elongated slot. Each first bottom surface 1726 'ends distally on a second closing cam surface or ramp 1727' that corresponds to each channel hitch flange 559 on the beam-shaped dynamic gripping assembly with | 550. When channel hitch flanges 559 eccentrically engage their second closing cam surface 1727 '
[00129] [00129] In the illustrated arrangement, when the beam-gripping dynamic set with profile | 550 is in the most proximal or initial position, the channel engagement tabs 559 are located in contiguous engagement with the second closing cam surfaces 1727 'and are not spaced apart. Thus, when the beam-shaped dynamic gripping set with profile | is actuated to move distally, the channel engagement flanges 559 immediately begin to cam turn the cartridge assembly 701 'to close. This arrangement provides an opening angle of the claw O, which is greater than the O ;, for example. Thus, unlike the second claw 700 described above, the beam-shaped dynamic gripping set with | 550 does not move distally by distance before the second claw 700 'begins to cam rotate to close. In that arrangement, the actuating slide 1712 'has a length SL' and a tip portion 718 which has a length NL 'which extends beyond the distal end of the channel 1720. In comparison to the arrangement described above, SL' <SL e NL '<NL, which generally leads to improved maneuverability of the 1500' end actuator. In other provisions, there is at least a portion of the distal advance of the beam-shaped gripping set with a | where the beam gripping set with profile | it is not in contact with both claws before entering its closing charge portion in which it begins to oppose the claws towards each other.
[00130] [00130] During the firing process, a considerable amount of friction is generally experienced between the dynamic gripping assembly and the anvil and cartridge assembly. Typically, the dynamic gripping assembly is made from steel and employs steel pins or flanges to contact the corresponding protrusions on the anvil plate and groove, which are also made of steel. As the dynamic gripping member is distally advanced, the upper and lower steel pins are brought into contact by sliding friction with the corresponding protrusions on the anvil plate and the channel to secure the anvil and cartridge assembly over the target tissue and activate the actuation slider distally to fire the staples and cut the stapled fabric. Such frictional contact can often result in erosion of the steel pins and protrusions, which can significantly shorten the life of the end actuator. In addition, the increased friction between the pins or flanges of the dynamic gripping assembly, and the anvil assembly and the cartridge assembly, increases the amount of firing force that is required to drive the dynamic gripping assembly from its initial position to the final position through the trapped tissue. These large firing forces determine that the related components within the end actuator as well as within the adapter must be sufficiently capable of accommodating these high firing forces. This requires that the various components are made from a stronger and often thicker material in an operating environment where the operating space is limited (for example, inside the adapter's outer tube). In this way, greater firing forces lead to more complicated designs and material compositions, which leads to increased instrument costs.
[00131] [00131] Another aspect of the present disclosure comprises a dynamic gripping set 1550 as illustrated in Figure 35. In the illustrated example, the dynamic gripping set 1550 comprises a vertically extending body portion 1552, which has a cutting portion of 1554 fabric formed itself. The body portion 1552 is sized to be received slidingly into the elongated slot 622 of the anvil plate 620 (Figure 10) as well as into the central slot 724 of the channel 720 (Figure 15). The cartridge assembly 701 generally includes a proximal end 705 and a distal end 707 and defines a longitudinal geometric axis LA between them. See Figures 10 and 15. The dynamic gripping set 1550 additionally includes at least one channel engaging feature 1558. In the illustrated arrangement, a channel engaging feature 1558 extends from each side side 1553 of the body portion 1552. In one example, each channel engagement feature 1558 comprises a channel engagement flange 1580 having a distal end 1582, a proximal end 1584, and a channel protruding engagement surface 1586 extending therebetween. The projection engaging surface of channel 1586 is configured to engage or slide in a corresponding protrusion between channel projections 725 formed on each side of central slot 724 in channel 720. In the illustrated arrangement, a distal end 1587 of the channel projection engaging surface 1586 is rounded to reduce friction between channel projection engaging surface 1586 and channel projections 725. According to another aspect, in at least one arrangement, the projection engaging surface of channel 1586 slopes from the proximal end 1584 to the distal end 1584 in the direction opposite to the longitudinal geometric axis LA.
[00132] [00132] Still with reference to Figure 35, the dynamic gripping set 1550 additionally includes at least one anvil hitch feature 1556. In the illustrated arrangement, an anvil hitch feature 1556 extends from each side side 1553 of the portion body 1552. In one example, each anvil engagement feature 1556 comprises a flange 1590 having a distal end 1592, a proximal end 1594 and an anvil protruding engagement surface 1596 extending between them. The anvil protruding engagement surface 1596 is configured to engage or slide in a corresponding protrusion between the protrusions of the anvil plate 624, formed on each side of the elongated slot 622 of the anvil plate 620. In the illustrated arrangement, one end distal 1597 of the anvil protrusion engaging surface 1596 is rounded to reduce friction between the anvil protruding engaging surface 1596 and the anvil plate protrusions 624. According to another aspect, in at least one arrangement, the anvil protruding engagement surface 1596 slopes from the proximal end 1594 to the distal end 1592 in the opposite direction to the longitudinal geometric axis LA. For example, in Figure 35, the geometric axis ALA is parallel to the longitudinal geometric axis LA and can also be parallel to the lower surface 626 of each protrusion of the anvil plate 624 when the anvil assembly 612 is in the closed position. In at least one arrangement, for example, the anvil protruding engagement surface 1596 tilts in the opposite direction to the geometric axis ALA at an angle of the anvil Ona. In other words, the anvil protruding engagement surface 1596 is not parallel to the bottom surface of a corresponding protrusion within the protrusions of the anvil plate 624, when the anvil plate 620 is in the closed position. In one arrangement, On can be approximately 1st, for example. Other angles, however, are contemplated. Such an arrangement can decrease the point loads at the distal end 1592 of the flange
[00133] [00133] Turning to Figure 36, according to yet another aspect of the present disclosure, each of the anvil hitch flanges 1590 is coated with a ceramic material 1598. One form of ceramic coating that can be employed comprises ceramic coatings which may comprise, for example, diamond-type carbon (DLC), titanium nitride (TiN), zirconium nitride (ZrN), titanium-niobium nitride (TiNbN), calcium phosphates (Ca3 (PO4) 2), and a hydroxyapatite (Ca1o (PO21) 6º (OH) 2). Although not strictly considered as a coating (but as a layer of native oxide), another popular ceramic-metallic composite is the monoclinic zirconia grown locally on an alloy of niobium and zirconium (i.e., oxidized zirconia, OxZr). A similar coating can be applied to each of the 1580 channel engaging flanges. In addition, a similar ceramic coating can be applied to the lower surface 626 of each of the protrusions on the anvil plate 624 as well as the upper surface 729 of each channel protrusion 725. Alternatively, the totality of the protrusions on the anvil plate 624 and the totality of the protrusions in the channel 725 can be coated with the ceramic coating. This coating can be applied using 3D printing technology, and form a surface with significantly greater hardness than the material to which it is applied, and it can also be highly polished to result in significantly lower drag between these components. during shooting. Other methods of applying coatings that can be used effectively include, but are not limited to, indirect aerosol deposition of resin composite, as well as plasma and vapor deposition.
[00134] [00134] According to another general aspect of the present description, a shape of the dynamic gripping member 1550 includes at least one channel flange insertion element 1585 which is embedded in the corresponding channel engaging flange 1580. In the illustrated example, two channel flange inserts 1585 are embedded in each channel flange 1580. Still with reference to Figure 36, the dynamic gripping member 1550 additionally includes at least one anvil flange insertion element 1595 which is embedded in the flange of corresponding anvil hitch 1590. In the illustrated example, two anvil flange insert elements 1595 are flush with each anvil flange 1590. As shown, each insert element of the channel flange 1585 and each insert element of the anvil flange 1595 has a shape in rectangular cross section. However, other numbers, sizes and shapes of insert elements for channel flange and anvil flange are contemplated. In at least one example, each anvil flange insertion element 1595 extends from the outer sheath or cover 1598.
[00135] [00135] According to another general aspect, for those arrangements in which each channel protrusion 725 and each protrusion of the anvil plate 624 are manufactured from metal (or other material) which has, for example, a measured hardness in Rockwell C of approximately HRC 39 to 45, each of the 1585 channel flange inserts and each of the anvil flange inserts 1595 can be manufactured from a material with a hardness value greater than the hardness value channel protrusions 725 and anvil plate protrusions 624. For example, channel flange inserts 1585 and anvil flange inserts 1595 can be manufactured from ceramic materials that include, but are not limited to, limit, for example, alumina (Al2O;), zirconia (ZrO> 2), alumina tempered with zirconia (ZTA), alumina matrix composites (AMC), zirconia tempered with alumina (ATZ), silicon nitride (SizNa) , and hydroxyapatite (Hap) which has a va hardness value of approximately HRC 55 to 70. In such cases, the material comprising the channel flange insertion elements and the anvil flange insertion elements has a crystalline structure that differs from the crystalline structure (or structures) of the material ( or materials) from which the protrusions of the anvil plate and the protrusions of the channel are manufactured.
[00136] [00136] Figure 37 is a cross-sectional view of the central body portion 1552 of the dynamic gripping assembly 1550 taken along line 37-37 in Figure 36. In the illustrated example, the central body portion 1552 comprises a central region 1555 which can be manufactured from Rockwell C 400 - 420 or 440 SS series high hardness stainless steel. A 1559 ceramic side region is attached to each side of the central region. Each side region of ceramic can have a hardness that is greater than the hardness of the central region. Hardened insertion elements 1551 are also attached to the surfaces of the ceramic side regions. The hardened inserts can be manufactured from Rockwell C 400 - 420 or 440 SS series high hardness stainless steel.
[00137] [00137] Figures 38 and 39 illustrate another dynamic grip set 1550 'which is similar to the dynamic grip set 1550 except for the differences discussed below. As can be seen in Figure 38, a channel hitch surface 1586 'of a channel hitch flange 1580' and an anvil hitch surface 1596 'of an anvil hitch flange 1590' are each one, approximately parallel to the longitudinal geometric axis LA. Each of the channel hitch flanges 1580 'as well as a body portion 1552 of the dynamic gripping assembly 1550' are coated with a material 1560 which may comprise a coating material sold under the trademark MEDCOAT / 20007Y by the Electrolizing Corporation of Ohio . In an alternative embodiment, a nitride coating can be employed. These coatings can be applied after the fabric cutting portion 1554 has been formed and sharpened. Applying the material coating 1560 to the fabric cutting portion 1554 can improve and optimize its sharpening.
[00138] [00138] Figures 40 to 43 represent a 5900 hinge locking system for locking a 5560 hinge link of a 5500 surgical end actuator in the form of a 5510 loading unit (DLU or MLU). The charging unit 5510 is identical to the charging unit 510 except for the differences noted below. As can be seen in Figures 40 to 43, the illustrated articulation locking system 5900 comprises a laterally displaceable locking member 5910 that includes the locking teeth
[00139] [00139] Figures 44 to 54 illustrate a locking system for drive assembly 6900 to prevent axial advance of a dynamic gripping assembly 550 from a surgical end actuator 500 'unless an untriggered cartridge 702 has been properly loaded in channel 720 of end actuator 500 ', for example. As used in this context, the term "cartridge not fired" means that cartridge 702 has not been fired and contains all of its clips 704, with actuation slide 712 in its initial position and not fired or ready to fire inside it. As can be seen in Figure 44, in one example, the locking system of the drive assembly 6900 comprises a locking member 6902 which is supported by an internal housing 534 of the end actuator 500 'and is configured to retain an engagement body portion 552 of a dynamic gripping assembly 550. As can be seen in Figures 45 to 47, locking member 6902 comprises two side locking arms 6904, each having a locking feature 6906 on it. The side locking arms 6904 are normally tucked inwardly so that the locking features 6906 retain the body portion 552 of the dynamic gripping assembly 550 when the dynamic gripping assembly 550 is in its initial position / not fired. In this way, when the locking features 6906 are in locking engagement with the dynamic grip set 550, the dynamic grip set 550 is prevented from being driven distally (fired).
[00140] [00140] Figures 44 and 45 illustrate a portion of the end actuator 500 'in which a non-fired cartridge 702 has been properly loaded on the end actuator 500'. The non-triggered cartridge 702 holds an actuator slide 712 in an unactivated position, with portions of the cam wedges 713 of the actuator slide 712 locking the locking features 6906 and extending each of the side locking arms 6904 outwardly of the locking hitch (UL arrows in Figure 45) with the body portion 552 of the dynamic grip set 550. When in that unlocked position (Figures 45 and 46), the dynamic grip set 550 can be operated distally to fire the clamps in the cartridge 702 (Figure 47) and cut the fabric clamped in it. Once the dynamic gripping assembly 550 has been driven distally to its final position inside cartridge 702, it is then retracted in the proximal direction PD back to its initial position. The actuation slide 712 remains at the distal end of the cartridge 702.
[00141] [00141] Figure 48 illustrates the locking member 6902 after the dynamic gripping member has been activated distally out of its initial position. As can be seen in that Figure, the locking arms 6902 are extended inwards (arrows LD). During the retraction process, the dynamic grip set 550 will contact the locking members 6906 as it is retracted in the proximal direction PD as shown in Figure 49. As the dynamic grip set 550 comes in contact with the locking features 6906, locking arms 6904 are extended laterally (UL arrows) until dynamic gripper assembly 550 is fully retracted to the starting position at which point 6904 locking arms move back into the configuration locked in which the 6906 locking features engage the dynamic grip set 550 with retention once again. See Figure 50. This way, the dynamic grip set 550 is again prevented from being driven distally until a new, untracked cartridge is loaded into the channel.
[00142] [00142] Figures 55 to 57 illustrate another locking system of drive assembly 6920 to prevent axial advance of dynamic grip assembly 550 from an end actuator of an adapter of the type disclosed here unless a cartridge 702 'has been properly loaded into the end actuator channel. In this example, the cartridge 702 'is formed with a pair of unlocking features that extend proximally 6930 that are configured to unlock by engaging a pivoting lock member 6922. The pivoting lock member 6922 is configured to rotate between a locked position in the which a locking feature 6924 is received within a locking cavity 543 'which is formed in a flexible drive beam 542' (Figure 55) of the end actuator. When locking feature 6924 is received within locking cavity 543 ', drive beam 542' (and dynamic gripping assembly 550 attached thereto) cannot be advanced distally to fire clips that are stored in cartridge 702 '. Lock member 6922 also includes a release arm that extends 6926 distally, which corresponds to each unlocking feature 6930 in cartridge 702 '. When the cartridge 702 'is properly loaded in the end actuator, the unlocking features 6930 engage the corresponding unlocking arms 6926 to pivot the locking member 6922 to the unlocked position, with the locking feature 6924 being pivoted out of the locking 543 to allow drive beam 542 'to be advanced distally to trigger dynamic gripping assembly 550. In an alternative arrangement, the unlocking features that extend proximally 6930 are not formed on cartridge 702, but instead are formed on the actuation slide (not shown) that is supported on the cartridge. When the actuation slider is in the unactivated position (corresponding to a new or not fired cartridge), the unlocking features on it will engage the unlocking arms 6926 on the locking member 6922 to pivot the locking member to the unlocked position .
[00143] [00143] Figure 58 illustrates another cartridge arrangement 702 "employing a flexible circuit member 6940 that is attached to a platform surface 6952 of cartridge body 6950. In the illustrated arrangement, a raised platform portion 6954 extends across each side of an elongated slot 6951 in the cartridge body 6950 to detect the position of a dynamic gripping member of the end actuator The flexible circuit 6940 may include a microcircuit 6942 that communicates with the circuit board 294 on the adapter on the The flexible loop member 6940 includes 6944 contacts that electrically contact corresponding contacts (not shown) on a channel of the end actuator, which are finally connected to a 294 circuit board (Figure 6) an adapter or other control board arrangement in it. The flexible loop member 6940 can facilitate better control of the advance of the dynamic gripping assembly by monitoring its location and using this information to control a firing engine in the surgical instrument. For example, such an arrangement can be used to change the speed or energy capacity at the beginning or at the end of the firing stroke. This information can also be used to change the maximum acceptable torque limits at the very beginning of the firing stroke and at the end of the firing stroke. In other arrangements, a deformable member can be provided within the opening of the MULU towards the distal end of the firing rod which could allow a shock absorption stop at the end of the stroke, but also as an indicator of the forward force on the chain of the motor as the rod approaches the end of the path of its metallic slot. Placing a portion of the MULU or DLU that has a high moment of inertia, but also a greater elastic deformation capacity, would allow this part of the ground force return system to absorb any high force peaks that occur due to the inability of the engine to brake dynamically fast enough in case a series of metal components inadvertently collide. This stretchable and preferably elastic component can be in series with the ground and with DLU bayonet fixation. Such an arrangement may comprise folding plastic features that exist at the point of attachment of the | of the metallic articulation pivot. Such an arrangement may also comprise a separate part in cooperation with these fixings and the bayonet connection which has an extensible aspect with secondary features of maximum extension limitation that allow a limited extension length, but tolerates impact deflections. Examples
[00144] [00144] Example 1- A dynamic gripping set for use with a surgical instrument that includes a first and a second claw that are pivotally and movably coupled between the open and closed positions. In at least one example, the dynamic gripping assembly comprises a body portion that has at least one first claw engagement feature that protrudes from it and is configured to slidably engage a first projection of the corresponding claw that is formed in the first gripper to apply closing movements to it. The body portion additionally includes at least a second claw engagement feature that protrudes from it and is configured to slidably engage a second protrusion of the corresponding claw formed on the second claw to apply other closing movements to it. A coating surface is provided on at least a portion of each first claw engagement feature to increase its hardness.
[00145] [00145] “Example 2 -0The dynamic gripping set of Example 1, where the surface coating is on at least a portion of each second claw hitch feature to increase another hardness thereof.
[00146] [00146] Example3-The dynamic gripping set of Examples 1 or 2, wherein the body portion comprises a cutting edge of fabric and the surface coating is on the cutting edge of fabric to increase its sharpening.
[00147] [00147] Example4-The dynamic gripping set of Examples 1, 2 or 3, wherein the first claw hitch feature comprises a first flat flange that projects from a first lateral side of the body portion and a second flange plane that projects from a second lateral side of the body portion, and each first and second flat flanges is completely coated with the surface coating.
[00148] [00148] Example5-The dynamic gripping set of Examples 1,2, 3 or 4, in which the second claw hitch feature comprises a first lower flat flange that projects from the first lateral side of the body portion and a second lower plane flange projecting from the second lateral side of the body portion, and each first and second lower plane flanges is completely coated with the surface coating.
[00149] [00149] “Example6-0The dynamic gripping set of Examples 1, 2, 3, 4 or 5, in which the second claw defines a second longitudinal geometric axis that extends between a second proximal end and a second distal end, and being that each second claw engagement feature comprises a second feature closing surface that is configured to engage the corresponding second claw projection, and is arranged at a second engagement angle with respect to the longitudinal geometric axis.
[00150] [00150] Example 7 - The dynamic gripping set of Examples 1, 2, 3, 4, 5 or 6, in which the second claw engagement feature comprises a second feature closing surface that is not parallel to a second surface claw protrusion of a corresponding second claw protrusion.
[00151] [00151] Example 8-The dynamic gripping set of Examples 1, 2, 3, 4, 5, 6 or 7, wherein the coating surface comprises a titanium nitride coating material.
[00152] [00152] Example 9 - The dynamic gripping set of Examples 1,2, 3, 4, 5, 6, 7 or 8, in which the first claw defines a first longitudinal geometric axis that extends between a first proximal end and a second distal end, and wherein each first claw engagement feature comprises a first feature closing surface that is configured to engage the corresponding first jaw projection, and is arranged at a first engagement angle with respect to the first longitudinal geometric axis .
[00153] [00153] Example 10 - The dynamic gripping set of Examples 1, 2, 3,4, 5, 6,7, 8 or 9, in which the first claw hitch feature comprises a first feature closing surface that does not it is parallel to a first jaw projection surface of a corresponding first jaw projection.
[00154] [00154] Example 11 - A surgical end actuator comprising an anvil assembly that includes at least one anvil closure boss. A channel is configured to operationally support a fastener cartridge in it, and is movably coupled to the anvil assembly so that the anvil assembly and the channel can be oriented with respect to each other between the open and closed positions. The channel includes at least one channel closure boss. The end actuator further comprises a dynamic gripping assembly comprising a body portion that has at least one anvil engaging feature that protrudes therefrom. The anvil hitch feature is configured to slide a corresponding anvil closing protrusion slidingly to apply closing movements to it. The body portion additionally includes at least one channel engaging feature that protrudes from it, and is configured to slidably engage a corresponding channel closure projection to apply other closing movements to it. A surface coating is provided on at least a portion of each anvil engagement feature to increase its hardness.
[00155] [00155] Example 12 - The surgical end actuator of Example 11, wherein the surface coating is on at least a portion of each channel engagement feature to increase another hardness thereof.
[00156] [00156] Example 13 - The surgical end actuator of Examples 11 or 12, wherein the body portion comprises a cutting edge of fabric and where the surface coating is on the cutting edge of fabric to increase its sharpening.
[00157] [00157] Example 14 - The surgical end actuator of Examples 11, 12 or 13, wherein the anvil engaging feature comprises a first flat flange that projects from a first lateral side of the body portion and a second flange plane that projects from a second lateral side of the body portion, and each of the first and second flat flanges is completely coated with the surface coating.
[00158] [00158] Example 15 - The surgical end actuator of Examples 11, 12, 13 or 14, wherein the channel engagement feature comprises a primary flat flange that projects from the first side of the body portion, and a secondary flat flange projecting from the second side of the body portion, and each of the primary and secondary flat flanges is completely coated with the surface coating.
[00159] [00159] Example 16 - The surgical end actuator of Examples 11, 12, 13, 14 or 15, in which the anvil assembly defines a first longitudinal geometric axis that extends between a first proximal end and a second distal end, and wherein each anvil engagement feature comprises an anvil closure surface that is configured to engage the corresponding anvil closure boss and is arranged at a first engagement angle with respect to the first longitudinal geometric axis.
[00160] [00160] Example 17 - The surgical end actuator of Examples 11, 12, 13, 14, 15 or 16, in which the anvil engaging feature comprises an anvil closure surface that is not parallel to a protruding surface of anvil from a corresponding anvil protrusion.
[00161] [00161] Example 18 - The surgical end actuator of Examples 11, 12, 13, 14, 15, 16 or 17, wherein the channel defines a second longitudinal geometric axis that extends between a second proximal end and a second distal end , and wherein each channel engagement feature comprises a channel closure surface that is configured to engage the corresponding channel closure projection and is arranged at a second engagement angle with respect to the second longitudinal geometric axis.
[00162] [00162] Example 19 - The surgical end actuator of Examples 11, 12, 13, 14, 15, 16, 17 or 18, where each channel engagement feature comprises a channel closure surface that is not parallel to a channel protrusion surface of a corresponding channel closure protrusion.
[00163] [00163] Example 20 - The surgical end actuator of Examples 11, 12, 13, 14, 15, 16, 17, 18 or 19, wherein the surface coating comprises a titanium nitride coating material.
[00164] [00164] Many of the surgical instrument systems described here are driven by an electric motor; however, the surgical instrument systems described herein can be induced in any suitable manner. In several examples, the surgical instrument systems described herein can be induced, for example, by a manually operated trigger. In certain cases, the engines disclosed in this document may comprise a portion or portions of a robotically controlled system. In addition, any of the end actuators and / or tool sets shown in the present invention can be used with a robotic surgical instrument system. US patent application serial number 13 / 118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now US patent No.
[00165] [00165] The surgical instrument systems described here have been described in connection with the implantation and deformation of the clamps; however, the embodiments described in the present invention are not so limited. Several modalities are foreseen, which implant fasteners in addition to staples, such as claws or tacks, for example. In addition, several modalities are contemplated, which use any suitable means to seal the fabric. For example, an end actuator, according to various modalities, may comprise electrodes configured to heat and seal the tissue. Likewise, for example, an end actuator according to certain modalities, can apply vibrational energy to seal the tissue.
[00166] [00166] 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 specific resources, structures or characteristics 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 for certain components are disclosed, 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.
[00167] [00167] The 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, 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.
[00168] [00168] The devices disclosed 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.
[00169] [00169] Although this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of the disclosure. It is intended, therefore, that this application covers any variations, uses or adaptations of the invention with the use of its general principles.

权利要求:
Claims (20)
[1]
1. Dynamic gripping set for use with a surgical instrument including a first and a second claw pivotably and movable between the open and closed positions, characterized by comprising: a body portion; at least a first claw engagement feature projecting from said body portion and configured to slidably engage a corresponding first claw protrusion formed on the first claw to apply closing movements to it; at least a second claw engagement feature projecting from said body door and configured to slide a corresponding second claw projection slidably formed on the second claw to apply other closing movements to it; and a coating surface in at least a portion of each said at least one first claw engagement feature to increase its hardness.
[2]
Dynamic gripping assembly according to claim 1, characterized in that said surface coating is on at least a portion of each said at least one second claw engagement feature to increase another hardness thereof.
[3]
Dynamic gripping assembly according to claim 1, characterized in that said body portion comprises a cutting edge of fabric and said surface coating is on said cutting edge of fabric to increase its sharpening.
[4]
4. Dynamic gripping assembly according to claim 1, characterized in that said at least one first claw engagement feature comprises: a first flat flange projecting from a lateral side of said body portion; and a second flat flange projecting from a second lateral side of said body portion and each of said first and second flat flanges being completely coated with said surface coating.
[5]
Dynamic gripping assembly according to claim 4, characterized in that said at least one second claw engagement feature comprises: a first lower flat flange projecting from said first lateral side of said body portion; and a second lower flat flange projecting from said second side side of said body portion and each of said first and second lower flat flanges being completely coated with said surface coating.
[6]
Dynamic gripping assembly according to claim 1, characterized in that the second claw defines a second longitudinal geometric axis that extends between a second proximal end and a second distal end and each second claw hitch feature comprising a second feature closure surface configured to engage the corresponding second jaw projection and arranged at a second engagement angle with respect to the second longitudinal geometric axis.
[7]
Dynamic gripping assembly according to claim 1, characterized in that said second claw engagement feature comprises a second feature closing surface that is not parallel to a second claw projection surface of a second claw projection corresponding.
[8]
Dynamic gripping assembly according to claim 1, characterized in that said surface coating comprises a titanium nitride coating material.
[9]
Dynamic gripping assembly according to claim 1, characterized in that the first claw defines a first longitudinal geometric axis that extends between a first proximal end and a second distal end and each said first claw engaging feature comprising a first feature closure surface configured to engage the corresponding first jaw projection and arranged at a first engagement angle with respect to the first longitudinal geometric axis.
[10]
Dynamic gripping assembly according to claim 1, characterized in that said each first claw engagement feature comprises a first feature closing surface that is not parallel to a first claw protrusion surface of a first clamping projection corresponding claw.
[11]
11. Surgical end actuator, characterized by comprising: an anvil set comprising at least one anvil closing protrusion; a channel configured to operationally support a fastener cartridge therein and movably coupled to said anvil set so that said anvil set and said channel can be oriented with respect to each other between the open and closed positions, said channel comprising at least one channel closure boss; a dynamic gripping set, comprising: a body portion; at least one anvil engaging feature projecting from said body portion and configured to slidably engage a correspondent within said at least one anvil closing protrusion to apply closing movements to it; at least one channel engaging feature projecting from said body portion and configured to slidably engage a correspondent within said at least one channel closure projection to apply other closing movements to it; and a coating surface on at least a portion of each of said anvil engaging feature to increase its hardness.
[12]
Surgical end actuator according to claim 11, characterized in that said surface coating is on at least a portion of each said channel engaging feature to increase another hardness thereof.
[13]
13. Surgical end actuator according to claim 11, characterized in that said body portion comprises a cutting edge of fabric and said surface coating is on the cutting edge of fabric to increase its sharpening.
[14]
Surgical end actuator according to claim 11, characterized in that said at least one anvil engaging feature comprises: a first flat flange projecting from a lateral side of said body portion; and a second flat flange projecting from a second lateral side of said body portion and each of said first and second flat flanges being completely coated with said surface coating.
[15]
Surgical end actuator according to claim 14, characterized in that said at least one channel engaging feature comprises: a primary flat flange projecting from said first side side of said body portion; and a secondary flat flange projecting from said second side side of said body portion and each of said primary and secondary flat flanges being completely coated with said surface coating.
[16]
Surgical end actuator, according to claim 11, characterized in that said anvil set defines a first longitudinal geometric axis that extends between a first proximal end and a second distal end, and each said coupling feature of the anvil comprises an anvil closure surface configured to engage the corresponding anvil closure boss and arranged at a first engagement angle with respect to the first longitudinal geometric axis.
[17]
17. Surgical end actuator according to claim 11, characterized in that said anvil engaging feature comprises an anvil closure surface that is not parallel to an anvil protrusion surface of a corresponding anvil protrusion.
[18]
18. Surgical end actuator, according to claim 16, characterized in that said channel defines a second longitudinal geometric axis that extends between a second proximal end and a second distal end, and each said channel engaging feature comprises a channel closure surface configured to engage the corresponding channel closure boss and arranged at a second engagement angle with respect to the second longitudinal geometric axis.
[19]
19. Surgical end actuator according to claim 17, characterized in that said channel engaging feature comprises a channel closure surface that is not parallel to a channel protrusion surface of a corresponding channel closure protrusion.
[20]
20. Surgical end actuator according to claim 11, characterized in that said surface coating comprises a titanium nitride coating material.
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WO2019116272A1|2019-06-20|

引用文献:

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公开号 | 申请日 | 公开日 | 申请人 | 专利标题

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DE273689C|1913-08-07|1914-05-08|

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US66052A|1867-06-25|smith |

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US1306107A|1919-06-10|Assigotob to amebxcak |

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US1314601A|1919-09-02|Flexible shaft |

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US662587A|1900-05-18|1900-11-27|Charles Chandler Blake|Insulated support for electric conductors.|

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US670748A|1900-10-25|1901-03-26|Paul Weddeler|Flexible shafting.|

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US719487A|1901-09-16|1903-02-03|William E Minor|Dilator.|

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US804229A|1904-07-27|1905-11-14|Thomas C Hutchinson|Forceps and the like.|

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US951393A|1909-04-06|1910-03-08|John N Hahn|Staple.|

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FR459743A|1912-09-14|1913-11-12|Bariquant Et Marre Des Atel|Flexible transmission|

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US1188721A|1915-05-05|1916-06-27|Frank Bittner|Pipe-wrench.|

---

US1677337A|1924-09-27|1928-07-17|Thomas E Grove|Antrum drill|

---

US1849427A|1927-10-17|1932-03-15|Westminster Tool And Electric|Handle of tools driven by flexible shafts|

---

US1794907A|1929-07-19|1931-03-03|Joseph N Kelly|Worm and gear|

---

US1944116A|1930-05-26|1934-01-16|Edward A Stratman|Lever locking device|

---

US1954048A|1931-01-06|1934-04-10|Jeffrey Mfg Co|Tool holder|

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US2037727A|1934-12-27|1936-04-21|United Shoe Machinery Corp|Fastening|

---

US2132295A|1937-05-05|1938-10-04|Hawkins Earl|Stapling device|

---

US2211117A|1937-09-06|1940-08-13|Rieter Joh Jacob & Cie Ag|Device for drawing rovings in speeders and spinning machines|

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US2161632A|1937-12-20|1939-06-06|Martin L Nattenheimer|Fastening device|

---

US2214870A|1938-08-10|1940-09-17|William J West|Siding cutter|

---

US2224882A|1939-08-01|1940-12-17|Herbert G Peck|Umbrella|

---

US2329440A|1941-04-02|1943-09-14|Bocjl Corp|Fastener|

---

US2318379A|1941-04-17|1943-05-04|Walter S Davis|Suture package|

---

US2406389A|1942-11-30|1946-08-27|Lee Engineering Res Corp|Electric motor|

---

US2377581A|1944-03-09|1945-06-05|Matthew J Shaffrey|Divided nut construction|

---

US2441096A|1944-09-04|1948-05-04|Singer Mfg Co|Control means for portable electric tools|

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US2448741A|1945-04-25|1948-09-07|American Cystoscope Makers Inc|Endoscopic surgical instrument|

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US2578686A|1945-04-27|1951-12-18|Tubing Appliance Co Inc|Open-sided-socket ratchet wrench|

---

US2450527A|1945-10-27|1948-10-05|P & V Quicklocking Co|Semiautomatic coupling|

---

US2507872A|1946-01-18|1950-05-16|Unsinger Ap Corp|Implement or toolholder|

---

US2526902A|1947-07-31|1950-10-24|Norman C Rublee|Insulating staple|

---

US2527256A|1947-11-07|1950-10-24|Earle R Jackson|Connector for brushes, brooms, and the like|

---

FR999646A|1949-11-16|1952-02-04|Cable clamp device|

---

US2742955A|1951-01-13|1956-04-24|Richard A Dominguez|Collapsible seat structure|

---

US2638901A|1951-07-30|1953-05-19|Everett D Sugarbaker|Surgical clamp|

---

US2701489A|1951-09-12|1955-02-08|Leonard C Osborn|Cam-actuated slidable jaw wrench|

---

US2674149A|1952-03-01|1954-04-06|Jerry S Benson|Multiple pronged fastener device with spreading means|

---

US2711461A|1953-12-24|1955-06-21|Singer Mfg Co|Portable electric tool handle assemblies|

---

US2804848A|1954-09-30|1957-09-03|Chicago Pneumatic Tool Co|Drilling apparatus|

---

FR1112936A|1954-10-20|1956-03-20|Electric motor and three-speed control enclosed in a sheath|

---

US2887004A|1954-11-04|1959-05-19|William H Stewart|Staple having flat depressed head with reinforcing ridge|

---

US2808482A|1956-04-12|1957-10-01|Miniature Switch Corp|Toggle switch construction|

---

US2853074A|1956-06-15|1958-09-23|Edward A Olson|Stapling instrument for surgical purposes|

---

US2856192A|1956-10-29|1958-10-14|Hi Shear Rivet Tool Company|Collet with spring jaws|

---

US3060972A|1957-08-22|1962-10-30|Bausch & Lomb|Flexible tube structures|

---

US3972734A|1957-12-27|1976-08-03|Catalyst Research Corporation|Thermal deferred action battery|

---

US2959974A|1958-05-28|1960-11-15|Melvin H Emrick|Forward and reverse friction drive tapping attachment|

---

US2957353A|1958-08-26|1960-10-25|Teleflex Inc|Connector|

---

US3032769A|1959-08-18|1962-05-08|John R Palmer|Method of making a bracket|

---

US3078465A|1959-09-09|1963-02-26|Bobrov Boris Sergueevitch|Instrument for stitching gastric stump|

---

US3080564A|1959-09-10|1963-03-12|Strekopitov Alexey Alexeevich|Instrument for stitching hollow organs|

---

GB939929A|1959-10-30|1963-10-16|Vasilii Fedotovich Goodov|Instrument for stitching blood vessels, intestines, bronchi and other soft tissues|

---

US3079606A|1960-01-04|1963-03-05|Bobrov Boris Sergeevich|Instrument for placing lateral gastrointestinal anastomoses|

---

US3075062A|1960-02-02|1963-01-22|J B T Instr Inc|Toggle switch|

---

US4034143A|1960-02-24|1977-07-05|Catalyst Research Corporation|Thermal deferred action battery with interconnecting, foldable electrodes|

---

SU143738A1|1960-06-15|1960-11-30|А.А. Стрекопытов|Method of suturing lung tissue by double-sided immersion sutures|

---

US3204731A|1961-05-26|1965-09-07|Gardner Denver Co|Positive engaging jaw clutch or brake|

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US3196869A|1962-06-13|1965-07-27|William M Scholl|Buttress pad and method of making the same|

---

US3166072A|1962-10-22|1965-01-19|Jr John T Sullivan|Barbed clips|

---

US3180236A|1962-12-20|1965-04-27|Beckett Harcum Co|Fluid motor construction|

---

US3266494A|1963-08-26|1966-08-16|Possis Machine Corp|Powered forceps|

---

US3317105A|1964-03-25|1967-05-02|Niiex Khirurgicheskoi Apparatu|Instrument for placing lateral intestinal anastomoses|

---

US3269630A|1964-04-30|1966-08-30|Fleischer Harry|Stapling instrument|

---

US3269631A|1964-06-19|1966-08-30|Takaro Timothy|Surgical stapler|

---

US3359978A|1964-10-26|1967-12-26|Jr Raymond M Smith|Guide needle for flexible catheters|

---

US3317103A|1965-05-03|1967-05-02|Cullen|Apparatus for handling hose or similar elongate members|

---

US3275211A|1965-05-10|1966-09-27|United States Surgical Corp|Surgical stapler with replaceable cartridge|

---

US3357296A|1965-05-14|1967-12-12|Keuneth W Lefever|Staple fastener|

---

US3726755A|1966-09-29|1973-04-10|Owens Corning Fiberglass Corp|High-strength foam material|

---

US3509629A|1966-10-01|1970-05-05|Mitsubishi Electric Corp|Portable and adjustable contra-angle dental instrument|

---

GB1210522A|1966-10-10|1970-10-28|United States Surgical Corp|Instrument for placing lateral gastro-intestinal anastomoses|

---

US3494533A|1966-10-10|1970-02-10|United States Surgical Corp|Surgical stapler for stitching body organs|

---

US3490675A|1966-10-10|1970-01-20|United States Surgical Corp|Instrument for placing lateral gastrointestinal anastomoses|

---

US3377893A|1967-03-06|1968-04-16|John A. Shorb|Wrench having pivoted jaws adjustable by a lockable exterior camming sleeve|

---

US3499591B1|1967-06-23|1988-09-20|

---

US3480193A|1967-09-15|1969-11-25|Robert E Ralston|Power-operable fastener applying device|

---

DE1791114B1|1967-09-19|1971-12-02|Vnii Chirurgitscheskoj Apparat|Surgical device for stapling tissues|

---

US3503396A|1967-09-21|1970-03-31|American Hospital Supply Corp|Atraumatic surgical clamp|

---

GB1217159A|1967-12-05|1970-12-31|Coventry Gauge & Tool Co Ltd|Torque limiting device|

---

US3583393A|1967-12-26|1971-06-08|Olympus Optical Co|Bendable tube assembly|

---

JPS4711908Y1|1968-01-18|1972-05-02|

---

DE1775926A1|1968-08-28|1972-01-27|Ver Deutsche Metallwerke Ag|Verfaerkungen for plastic Bowden cable guide hoses without wire reinforcement|

---

US3568675A|1968-08-30|1971-03-09|Clyde B Harvey|Fistula and penetrating wound dressing|

---

US3551987A|1968-09-12|1971-01-05|Jack E Wilkinson|Stapling clamp for gastrointestinal surgery|

---

US4369013B1|1969-02-13|1988-06-14|Abildgaard Lab|

---

US3640317A|1969-03-21|1972-02-08|Jack Panfili|Clip for closing fragile stuffed casings|

---

US3572159A|1969-06-12|1971-03-23|Teleflex Inc|Motion transmitting remote control assembly|

---

US3902247A|1970-05-15|1975-09-02|Siemens Ag|Device for operating dental hand pieces|

---

US3815476A|1969-08-25|1974-06-11|United States Surgical Corp|Gas powered driving unit for surgical instrument|

---

US3643851A|1969-08-25|1972-02-22|United States Surgical Corp|Skin stapler|

---

US3688966A|1969-11-10|1972-09-05|Spotnails|Magazine and feed assembly for a fastener-driving tool|

---

US3709221A|1969-11-21|1973-01-09|Pall Corp|Microporous nonadherent surgical dressing|

---

US3598943A|1969-12-01|1971-08-10|Illinois Tool Works|Actuator assembly for toggle switch|

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US3744495A|1970-01-02|1973-07-10|M Johnson|Method of securing prolapsed vagina in cattle|

---

US3608549A|1970-01-15|1971-09-28|Merrill Edward Wilson|Method of administering drugs and capsule therefor|

---

US3662939A|1970-02-26|1972-05-16|United States Surgical Corp|Surgical stapler for skin and fascia|

---

FR2084475A5|1970-03-16|1971-12-17|Brumlik George|

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US3727904A|1971-03-12|1973-04-17|E Gabbey|Concentricity coil for screw threads|

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US3747692A|1971-08-30|1973-07-24|Parrott Bell Seltzer Park & Gi|Stonesetter{40 s hand tool|

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JPS5033988U|1973-07-21|1975-04-11|

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JPS552966Y2|1974-02-08|1980-01-24|

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JPS543B2|1974-02-28|1979-01-05|

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---

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---

FR2446509B1|1977-04-29|1981-07-03|Garret Roger|

---

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---

US4573468A|1977-05-26|1986-03-04|United States Surgical Corporation|Hollow body organ stapling instrument and disposable cartridge employing relief vents|

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USD261356S|1977-09-07|1981-10-20|Ofrex Group Limited|Strip of insulated cable clips|

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US6264617B1|1977-09-12|2001-07-24|Symbiosis Corporation|Radial jaw biopsy forceps|

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JPS6060024B2|1977-10-19|1985-12-27|Hitachi Ltd|

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---

SU886897A1|1978-12-25|1981-12-07|Всесоюзный Научно-Исследовательский Институт Медицинской Техники|Surgical apparatus for applying side gastroenterostomy|

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---

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法律状态:
2021-12-07| B350| Update of information on the portal [chapter 15.35 patent gazette]|

优先权:

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申请号 | 申请日 | 专利标题

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US15/843,556|US10966718B2|2017-12-15|2017-12-15|Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments|

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US15/843,556|2017-12-15|

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PCT/IB2018/059964|WO2019116272A1|2017-12-15|2018-12-12|Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments|

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