Rotary powered surgical instruments with multiple degrees of freedom

Patent metadata

Field	Value
Publication number	US-9398911-B2
Application number	US-201313782375-A
Country	US
Kind code	B2
Filing date	Mar 1, 2013
Priority date	Mar 1, 2013
Publication date	Jul 26, 2016
Grant date	Jul 26, 2016

Abstract

A surgical instrument may comprise a drive system that is configured to electrically generate a plurality of discrete rotary control motions. In at least one form, the surgical instrument may include an elongate shaft assembly that is operably couplable to the drive system for receiving a first rotary control motion therefrom for rotating the elongate shaft assembly about a shaft axis. The elongate shaft assembly may be further configured to receive and transmit a second rotary control motion from the drive system to a surgical end effector that is operably coupled to the elongate shaft assembly to cause the surgical end effector to rotate about the shaft axis relative to the elongate shaft assembly. The elongate shaft assembly may be further configured to receive and transmit a third rotary control motion from the drive system to an articulation joint that communicates with the elongate shaft assembly and the surgical end effector to articulate the surgical end effector about an articulation axis that is substantially transverse to the shaft axis.

First claim

What is claimed is:

1. A surgical instrument, comprising:
a handle assembly configured to simultaneously and independently electrically generate at least two discrete rotary control motions; and
an elongate shaft assembly operably interfacing with the handle assembly for independently and simultaneously receiving and transmitting the at least two discrete rotary control motions to an end effector operably coupled to the elongate shaft assembly.

2. The surgical instrument of claim 1 wherein the elongate shaft assembly defines a shaft axis and wherein the at least two discrete electrically-generated rotary control motions are selected from the group of rotary control motions consisting of:
a rotary articulation motion for articulating the end effector about an articulation axis that is substantially transverse to the shaft axis;
a rotary firing motion configured to cause the end effector to perform at least one surgical action;
a rotary roll motion configured to cause the end effector to rotate about the shaft axis relative to the elongate shaft; and
a rotary shaft motion for rotating the elongate shaft and end effector simultaneously about the shaft axis.

3. The surgical instrument of claim 1 wherein the end effector is configured to transect and staple tissue upon application of at least one of the at least two discrete rotary control motions thereto.

4. The surgical instrument of claim 1 wherein the elongate shaft assembly further comprises an articulation joint comprising:
a proximal clevis operably coupled to the elongate shaft assembly; and
a distal clevis pivotally coupled to the proximal clevis for selective pivotal travel relative to the proximal clevis upon application of a rotary articulation control motion thereto.

5. The surgical instrument of claim 4 wherein the articulation joint further comprises:
a first gear train operably interfacing with a proximal firing shaft that is operably coupled to the handle assembly and a distal firing shaft that operably interfaces with the end effector for transmitting a rotary firing motion from the proximal firing shaft to the end effector while facilitating articulation of the distal clevis relative to the proximal clevis; and
a second gear train operably interfacing with a proximal rotation shaft that is operably coupled to the handle assembly for transmitting a distal rotational control motion to the end effector to cause the end effector to rotate relative to the elongate shaft assembly while facilitating articulation of the distal clevis relative to the proximal clevis.

6. The surgical instrument of claim 5 further comprising an articulation shaft operably coupled to the handle assembly and interfacing with the distal clevis such that application of a rotary articulation motion to the articulation shaft causes the distal clevis to articulate relative to the proximal clevis.

7. The surgical instrument of claim 6 further comprising:
a firing motor operably supported by the handle assembly and operably interfacing with the proximal firing shaft for applying the rotary firing motion thereto;
a distal roll motor operably supported by the handle assembly and operably interfacing with the proximal rotation shaft for applying the distal rotational control motion thereto; and
an articulation motor operably supported by the handle assembly and operably interfacing with the articulation shaft for applying the rotary articulation motion thereto.

8. The surgical instrument of claim 7 further comprising a rotary shaft motor operably supported by the handle assembly and operably interfacing with the elongate shaft assembly to selective rotate the elongate shaft assembly relative to the handle assembly.

9. The surgical instrument of claim 7 further comprising a detachable drive mount that operably supports portions of the proximal firing shaft, the proximal rotation shaft, and the articulation shaft therein for releasable attachment to the handle assembly such that the proximal firing shaft is releasably coupled to the firing motor, the proximal rotation shaft is releasably coupled to the distal roll motor, and the articulation shaft is releasably coupled to the articulation motor when the detachable drive mount is coupled to the handle assembly.

10. The surgical instrument of claim 5 wherein the shaft assembly is selectively disconnectable from the handle assembly.

11. The surgical instrument of claim 1 , wherein the handle assembly comprises:
a control system for simultaneously and independently electrically generating the at least two discrete rotary control motions, the control system comprising:
a controller; and
at least two motor-controller pairs in electrical communication with the controller, wherein each motor-controller pair comprises a motor controller operatively coupled to a motor, and wherein the controller is configured to simultaneously and independently provide an electrical signal to each of the at least two motor-controller pairs such that each respective motor controller controls the discrete rotary control motion of its respective motor.

12. A surgical instrument, comprising:
a handle assembly configured to simultaneously and independently generate at least three discrete rotary control motions; and
an elongate shaft assembly operably interfacing with the handle assembly for independently and simultaneously receiving and transmitting the at least three discrete rotary control motions to an end effector operably coupled to the elongate shaft assembly.

13. The surgical instrument of claim 12 wherein the elongate shaft assembly defines a shaft axis and wherein the at least three discrete rotary control motions are selected from the group of rotary control motions consisting of:
a rotary articulation motion for articulating the end effector about an articulation axis that is substantially transverse to the shaft axis;
a rotary firing motion configured to cause the end effector to perform at least one surgical action;
a rotary roll motion configured to cause the end effector to rotate about the shaft axis relative to the elongate shaft; and
a rotary shaft motion for rotating the elongate shaft and end effector simultaneously about the shaft axis.

14. A surgical instrument comprising:
a drive system configured to simultaneously and independently electrically generate a plurality of discrete rotary control motions; and
an elongate shaft assembly operably coupled to the drive system, the elongate shaft assembly configured to receive and transmit a first rotary control motion from the drive system for rotating the elongate shaft assembly about a shaft axis, the elongate shaft assembly being further configured to receive and transmit a second rotary control motion from the drive system to a surgical end effector operably coupled to the elongate shaft assembly to cause the surgical end effector to rotate about the shaft axis relative to the elongate shaft assembly, the elongate shaft assembly being further configured to receive and transmit a third rotary control motion from the drive system to an articulation joint that communicates with the elongate shaft assembly and the surgical end effector to articulate the surgical end effector about an articulation axis that is substantially transverse to the shaft axis, wherein the elongate shaft assembly independently and simultaneously receives and transmits the first rotary control motion, the second rotary control motion, and the third rotary control motion.

15. The surgical instrument of claim 14 wherein the elongate shaft assembly is configured to receive a fourth rotary control motion

Assignees

• Ethicon Endo Surgery Inc
• Ethicon Endo Surgery Llc

Inventors

• Auld Michael D

Classifications

• A61B17/072

  for applying a row of staples in a single action, e.g. the staples being applied simultaneously · CPC title

• A61B17/068 Primary

  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

• A61B17/32002

  with continuously rotating, oscillating or reciprocating cutting instruments · CPC title

• A61B2017/2929

  with a head rotatable about the longitudinal axis of the shaft · CPC title

• A61B2017/2923

  Toothed members, e.g. rack and pinion · CPC title