Articulating surgical instruments

Patent metadata

Field	Value
Publication number	US-12274435-B2
Application number	US-202217863905-A
Country	US
Kind code	B2
Filing date	Jul 13, 2022
Priority date	Jan 10, 2018
Publication date	Apr 15, 2025
Grant date	Apr 15, 2025

Abstract

Articulating surgical instruments are disclosed. In one embodiment, a surgical instrument may include an elongated shaft assembly including an articulable portion moveable between a non-articulated configuration and an articulated configuration. First and second articulating shafts of the elongated shaft assembly may be coaxially arranged and axially fixed at an attachment point located distally from the articulable portion. Proximal portions of the first and second articulating shafts may be displaceable in opposing directions to articulate the articulable portion from the non-articulated configuration to the articulated configuration. In another embodiment, an articulation control may be movable from a first position to a second position to move an articulation lock from a locked configuration to an unlocked configuration to selectively permit articulation of a surgical instrument. The articulation lock also may be movable from the second position to a third position to articulate the surgical instrument.

First claim

What is claimed is:

1. A surgical instrument comprising:
a handle;
an articulation cam that is movable relative to the handle between at least a first position and a second position, the articulation cam including a first cam profile and a second cam profile, wherein the articulation cam is rotationally movable relative about a rotation axis of the articulation cam to move the articulation cam from the first position to the second position, wherein the first cam profile and the second cam profile are arranged on opposing sides of the rotation axis of the articulation cam; and
an elongated shaft assembly extending distally from the handle, the elongated shaft assembly comprising:
a first shaft including a proximal portion coupled to the first cam profile; and
a second shaft including a proximal portion coupled to the second cam profile, the second shaft coaxially arranged relative to the first shaft,

wherein moving the articulation cam from the first position to the second position radially displaces the proximal portion of the first shaft and the proximal portion of the second shaft relative to the rotation axis of the articulation cam.

2. The surgical instrument of claim 1 , wherein movement of the articulation cam from the first position to the second position radially displaces the proximal portion of the first shaft away from the rotation axis of the articulation cam, and wherein movement of the articulation cam from the first position to the second position radially displaces the proximal portion of the second shaft away from the rotation axis of the articulation cam.

3. The surgical instrument of claim 2 , wherein movement of the articulation cam from the second position to the first position radially displaces the proximal portion of the first shaft toward the rotation axis of the articulation cam, and wherein movement of the articulation cam from the first position to the second position radially displaces the proximal portion of the second shaft toward the rotation axis of the articulation cam.

4. The surgical instrument of claim 1 , wherein the proximal portion of the first shaft is coupled to the first cam profile with a first pin and the proximal portion of the second shaft is coupled to the second cam profile with a second pin.

5. The surgical instrument of claim 4 , wherein:
the first cam profile includes a first profile portion and a second profile portion,
the second cam profile includes a third profile portion and a fourth profile portion, and wherein moving the articulation cam from the first position to the second position moves the first pin from the first profile portion to the second profile portion and the second pin from the third profile portion to the fourth profile portion.

6. The surgical instrument of claim 5 , wherein the first and third profile portions follow curved paths located at a first radial distance from the rotation axis, and the second and fourth profile portions follow paths with at least one portion located at a second radial distance from the rotation axis that is different from the first radial distance.

7. The surgical instrument of claim 6 , wherein the first radial distance is constant in the first and third profile portions.

8. The surgical instrument of claim 6 , wherein the second radial distance is constant in the second and fourth profile portions.

9. The surgical instrument of claim 6 , wherein the second radial distance is not constant in the second and fourth profile portions.

10. The surgical instrument of claim 6 , wherein the second radial distance is greater than the first radial distance.

11. The surgical instrument of claim 4 , wherein each of the first and second pins are constrained to move along a direction parallel to a longitudinal axis of the elongated shaft assembly.

12. The surgical instrument of claim 1 , further comprising an articulation lock coupled to the articulation cam, wherein moving the articulation cam from the first position to the second position moves the articulation lock from a locked configuration to an unlocked configuration to selectively permit articulation of the elongated shaft assembly.

13. The surgical instrument of claim 1 , wherein the second shaft is axially fixed relative to the first shaft at a location located distally from an articulable portion of the elongated shaft assembly.

14. A method of operating a surgical instrument, the method comprising:
rotating an articulation cam from a first position to a second position relative to a handle of the surgical instrument and about a rotation axis of the articulation cam, wherein the surgical instrument includes an elongated shaft assembly extending distally from the handle and including a first shaft and a second shaft coaxially arranged relative to the first shaft;
displacing a proximal portion of the first shaft in a first radial direction relative to the rotation axis of the articulation cam with a first cam profile of the articulation cam coupled to the proximal portion of the first shaft during movement of the articulation cam from the first position to the second position; and
displacing a proximal portion of the second shaft in a second radial direction relative to the rotation axis of the articulation cam with a second cam profile coupled to the proximal portion of the second shaft during movement of the articulation cam from the first position to the second position, wherein the first cam profile and the second cam profile are arranged on opposing sides of the rotation axis of the articulation cam.

15. The method of claim 14 , wherein rotating the articulation cam from the first position to the second position comprises:
displacing the proximal portion of the first shaft radially towards the rotation axis of the articulation cam; and
displacing the proximal portion of the second shaft radially towards from the rotation axis of the articulation cam.

16. The method of claim 15 , wherein rotating the articulation cam from the second position to the first position comprises:
displacing the proximal portion of the first shaft radially away from the rotation axis of the articulation cam; and
displacing the proximal portion of the second shaft radially away from the rotation axis of the articulation cam.

17. The method of claim 14 , wherein the first radial direction is a proximal direction and the second radial direction is a distal direction.

18. The method of claim 14 , wherein the proximal portion of the first shaft is coupled to the first cam profile with a first pin and the proximal portion of the second shaft is coupled to the second cam profile with a second pin.

19. The method of claim 18 , wherein the first cam profile includes a first profile portion and a second profile portion and the second cam profile includes a third profile portion and a fourth profile portion.

20. The method of claim 19 , further comprising moving the first pin from the first profile portion to the second profile portion and moving the second pin from the third profile portion to the fourth profile portion, at least in part, due to movement of the articulation cam from the first position to the second position.

21. The method of claim 19 , wherein the first and third profile portions are located a first radial distance from the rotation axis, and the second and fourth profile portions are located a second radial distance from the rotation axis.

22. The method of claim 21 , wherein the first radial distance is constant in the first and th

Assignees

• Bard Inc C R

Inventors

• Felix Augustus
• Leatzow Derek J
• Cauldwell Nathan Stewart
• Affonce Derek
• Ranucci Kevin J
• Matusaitis Tomas
• Bachman Alan

Classifications

• A61B2017/003

  Steerable · CPC title

• A61B17/29 Primary

  Forceps for use in minimally invasive surgery · CPC title

• A61B17/1285

  for minimally invasive surgery · CPC title

• A61B2017/2913

  cams or guiding means · CPC title

• A61B17/068

  Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) · CPC title