Circular stapling instrument with torque limiting feature

Patent metadata

Field	Value
Publication number	US-10758236-B2
Application number	US-201715717343-A
Country	US
Kind code	B2
Filing date	Sep 27, 2017
Priority date	Sep 27, 2017
Publication date	Sep 1, 2020
Grant date	Sep 1, 2020

Abstract

An apparatus includes a body, an anvil, a firing assembly, and a closure assembly. The firing assembly includes a staple driver, a deck member, and an annular array of staples. The closure assembly includes a trocar, a knob, and a limiting adjustment feature. The trocar is configured to actuate the anvil relative to the body to capture tissue between the anvil and the deck member. The knob is configured to rotate relative to the body to actuate the trocar relative to the body. The limiting adjustment feature is configured to selectively rotate the knob to actuate the trocar and the anvil proximally until tissue captured between the anvil and the deck member is compressed under a predetermined maximum clamping force. The limiting adjustment feature is configured to slip relative to the knob when tissue captured between then anvil and the deck member is compressed over the predetermined maximum clamping force.

First claim

We claim:

1. An apparatus, comprising:
(a) a body;
(b) an anvil defining an annular array of staple forming pockets;
(c) a firing assembly comprising:
(i) a staple driver,
(ii) a deck member, and
(iii) an annular array of staples, wherein the staple driver is operable to actuate between an unfired position and a fired position to drive the annular array of staples through the deck member and against the annular array of staple forming pockets; and

(d) a closure assembly comprising:
(i) a trocar configured to selectively couple with the anvil and actuate the anvil relative to the body to capture tissue between the anvil and the deck member,
(ii) a knob rotatably coupled with the body, wherein a portion of the knob is located outside of the body, where the knob is configured to rotate relative to the body to actuate the trocar relative to the body, and
(iii) a limiting adjustment feature associated with the knob, wherein the limiting adjustment feature is configured to selectively rotate the knob to actuate the trocar and the anvil proximally until tissue captured between the anvil and the deck member is compressed under a predetermined maximum clamping force, wherein the limiting adjustment feature is configured to slip relative to the knob when tissue captured between then anvil and the deck member is compressed over the predetermined maximum clamping force, wherein the knob is configured to rotate relative to the body and the limiting adjustment feature in order to actuate the trocar relative to body when tissue captured between the anvil and the deck member is compressed over the predetermined maximum clamping force.

2. The apparatus of claim 1 , wherein the limiting adjustment feature comprises a torque limiting adjustment knob.

3. The apparatus of claim 2 , wherein the torque limiting adjustment knob is associated with a proximal end of the knob.

4. The apparatus of claim 3 , wherein the torque limiting adjustment knob comprises a proximal grasping body and a distal narrowed body.

5. The apparatus of claim 4 , wherein the knob defines a proximal opening, wherein the distal narrowed body of the torque limiting adjustment knob is housed within the proximal opening of the knob.

6. The apparatus of claim 5 , wherein the proximal opening of the knob includes an interior surface defining an annular array of recesses.

7. The apparatus of claim 6 , wherein the distal narrowed body includes a contact tip configured to bias into a recess of the annular array of recesses.

8. The apparatus of claim 7 , wherein the distal narrowed body further includes a spring, wherein the spring biases the contact tip into the recess of the annular array of recesses.

9. The apparatus of claim 8 , wherein the spring is configured to deform such that the contact tip slips out of the annular array of recesses when tissue captured between then anvil and the deck member is compressed over the predetermined maximum clamping force.

10. The apparatus of claim 5 , wherein the proximal opening of the knob includes an annular array of projections.

11. The apparatus of claim 10 , wherein the torque limiting adjustment knob includes a resilient arm and an engagement tab, wherein the resilient arm is configured to bias the engagement tab between the annular array of projections.

12. The apparatus of claim 11 , where the resilient arm is configured to deform such that the contact tip may cam against the annular array of projections when tissue captured between then anvil and the deck member is compressed over the predetermined maximum clamping force.

13. The apparatus of claim 1 , wherein the knob comprises a resilient exterior portion comprising a tab, wherein the torque limiting adjustment feature comprises a projection.

14. The apparatus of claim 13 , wherein the projection is configured to flex the resilient exterior portion outward when tissue captured between then anvil and the deck member is compressed over the predetermined maximum clamping force via camming between the projection and the tab.

15. The apparatus of claim 14 , wherein the tab has a first sloped surface and the projection has a second sloped surface.

16. The apparatus of claim 15 , wherein the tab has a first flat surface and the projection has a second flat surface.

17. An apparatus, comprising:
(a) a body;
(b) an anvil defining an annular array of staple forming pockets;
(c) a firing assembly comprising:
(i) a staple driver,
(ii) a deck member,
(iii) an annular array of staples, wherein the staple driver is operable to actuate between an unfired position and a fired position to drive the annular array of staples through the deck member and against the annular array of staple forming pockets; and

(d) a closure assembly comprising:
(i) a trocar configured to selectively couple with the anvil and actuate the anvil relative to the body to capture tissue between the anvil and the deck member,
(ii) a knob configured to rotate relative to the body to actuate the trocar, wherein a portion of the knob is located outside of the body, and
(iii) a torque limiting adjustment feature configured to drive rotation of the knob up to a maximum torque value, wherein the torque limiting adjustment feature is further configured to move relative to the knob in response to the torque reaching the maximum torque value, wherein the knob is configured to rotate relative to the body to actuate the trocar when the torque is above the maximum torque value.

18. The apparatus of claim 17 , wherein the torque limiting adjustment feature comprises a slip clutch.

19. The apparatus of claim 18 , wherein the slip clutch comprises a biasing member.

20. An apparatus, comprising:
(a) a body;
(b) an anvil defining an annular array of staple forming pockets;
(c) a firing assembly comprising:
(i) a staple driver,
(ii) a deck member,
(iii) an annular array of staples, wherein the staple driver is operable to actuate between an unfired position and a fired position to drive the annular array of staples through the deck member and against the annular array of staple forming pockets; and

(d) a closure assembly comprising:
(i) a trocar configured to selectively couple with the anvil and actuate the anvil relative to the body to capture tissue between the anvil and the deck member,
(ii) a knob configured to rotate relative to the body to actuate the trocar, and
(iii) a slip clutch configured to rotate the knob in a first angular direction up to a maximum torqued value, wherein the slip clutch is configured to slip when rotating in the first angular direction in response to the torque reaching the maximum torque value, wherein the slip clutch is configured to rotate the knob in a second angular direction when the torque is above the maximum torque value.

Assignees

• Ethicon Llc

Inventors

• Fox William D
• Bakos Gregory J
• Uth Joshua

Classifications

• A61B2017/00407

  Ratchet means · CPC title

• A61B2017/00367

  Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like · CPC title

• A61B17/1114

  of the digestive tract, e.g. bowels or oesophagus · CPC title

• A61B2090/031

  torque limiting · CPC title

• A61B2090/0811

  for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument · CPC title