Rotary powered articulation joints for surgical instruments

Patent metadata

Field	Value
Publication number	US-9782169-B2
Application number	US-201313782323-A
Country	US
Kind code	B2
Filing date	Mar 1, 2013
Priority date	Mar 1, 2013
Publication date	Oct 10, 2017
Grant date	Oct 10, 2017

Abstract

An articulation joint for a surgical instrument. In at least one form, the articulation joint includes a proximal joint portion that is coupled to an elongate shaft assembly of the surgical instrument. A distal joint portion is movably coupled to the proximal joint portion and is configured to interface with a surgical end effector. A first gear train operably interfaces with a proximal firing shaft segment within the elongate shaft assembly and a distal firing shaft segment that is configured to operably interface with the surgical end effector for transmitting a rotary firing motion thereto from the proximal firing shaft segment to the surgical end effector. A second gear train operably interfaces with a proximal rotation shaft portion of the elongate shaft assembly for transmitting a distal rotational control motion to the surgical end effector to cause the surgical end effector to rotate relative to the elongate shaft assembly while facilitating articulation of the distal joint portion relative to the proximal joint portion.

First claim

What is claimed is:

1. An articulation joint for a surgical instrument that includes an elongate shaft assembly and a drive system that is configured to generate and apply a plurality of rotary control motions to the elongate shaft assembly, the articulation joint comprising:
a proximal joint portion coupled to the elongate shaft assembly, wherein the elongate shaft assembly defines a shaft axis;
a distal joint portion movably coupled to the proximal joint portion and configured to interface with a surgical end effector;
a first gear train operably interfacing with a proximal firing shaft portion of the elongate shaft assembly and a distal firing shaft portion operably interfacing with the surgical end effector for transmitting a rotary firing motion from the proximal firing shaft portion to the surgical end effector while facilitating articulation of the distal joint portion relative to the proximal joint portion, the first gear train comprising:
a first input gear rotatable about the shaft axis;
a first idler gear operably meshed with the first input gear, wherein the first idler gear defines an intermediate axis, and wherein the first idler gear is rotatable about the intermediate axis; and
a first output gear operably meshed with the first idler gear, wherein the first output gear is rotatable about the shaft axis; and

a second gear train operably interfacing with a proximal rotation shaft portion of the elongate shaft assembly for transmitting a distal rotational control motion to the surgical end effector to cause the surgical end effector to rotate relative to the elongate shaft assembly while facilitating articulation of the distal joint portion relative to the proximal joint portion, the second gear train comprising:
a second input gear rotatable about the shaft axis;
a second idler gear operably meshed with the second input gear, wherein the second idler gear is rotatable about the intermediate axis; and
a second output gear operably meshed with the second idler gear, wherein the second output gear is rotatable about the shaft axis, and wherein the first output gear and the second output gear are concentric,

wherein the first gear train is nested within the second gear train such that no portion of the first gear train extends radially beyond a portion of the second gear train,
wherein the distal joint portion is configured to interface with an articulation shaft portion of the elongate shaft assembly to receive articulation motions therefrom,
wherein the distal joint portion is configured to pivot relative to the proximal joint portion upon application of rotary articulation motions to the articulation shaft portion of the elongate shaft assembly,
wherein the articulation joint further comprises an articulation drive link operably coupled to the distal joint portion, the articulation drive link interfacing with the articulation shaft portion and being constrained to move axially relative to the articulation joint in response to the application of the rotary articulation motions to the articulation shaft portion, and
wherein the articulation drive link threadably engages the articulation shaft portion.

2. The articulation joint of claim 1 wherein the distal joint portion rotatably interfaces with a coupler assembly that is configured to be removably coupled to the surgical end effector.

3. The articulation joint of claim 2 wherein a portion of the second gear train interfaces with the coupler assembly to cause the coupler assembly to rotate relative to the distal joint portion upon application of the distal rotational control motion to the proximal rotation shaft portion of the elongate shaft assembly.

4. The articulation joint claim 2 further comprising a locking assembly on the coupler assembly for releasably locking the surgical end effector to the coupler assembly.

5. An articulation joint for a surgical instrument that includes an elongate shaft assembly and a drive system that is configured to generate and apply a plurality of rotary control motions to the elongate shaft assembly, the articulation joint comprising:
a proximal clevis coupled to the elongate shaft assembly, wherein the elongate shaft assembly defines a shaft axis;
a distal clevis movably coupled to the proximal clevis and configured to interface with a surgical end effector;
a first gear train operably interfacing with a proximal firing shaft segment of the elongate shaft assembly and a distal firing shaft segment operably interfacing with the surgical end effector for transmitting a rotary firing motion from the proximal firing shaft segment to the surgical end effector while facilitating articulation of the distal clevis relative to the proximal clevis, the first gear train comprising:
a first input gear rotatable about the shaft axis;
a first idler gear operably meshed with the first input gear, wherein the first idler gear defines an intermediate axis, and wherein the first idler gear is rotatable about the intermediate axis; and
a first output gear operably meshed with the first idler gear, wherein the first output gear is rotatable about the shaft axis; and

a second gear train operably interfacing with a proximal rotation shaft segment of the elongate shaft assembly for transmitting a distal rotational control motion to the surgical end effector to cause the surgical end effector to rotate relative to the elongate shaft assembly while facilitating articulation of the distal clevis relative to the proximal clevis, the second gear train comprising:
a second input gear rotatable about the shaft axis;
a second idler gear operably meshed with the second input gear, wherein the second idler gear is rotatable about the intermediate axis; and
a second output gear operably meshed with the second idler gear, wherein the second output gear is rotatable about the shaft axis, and wherein the first output gear and the second output gear are concentric,

wherein the distal clevis is configured to pivot relative to the proximal clevis upon application of rotary articulation motions to an articulation shaft segment of the elongate shaft assembly,
wherein said articulation joint further comprises an articulation drive link operably coupled to the distal clevis and interfacing with the articulation shaft segment, wherein the articulation drive link is constrained to move axially relative to the articulation joint in response to the application of the rotary articulation motions to the articulation shaft segment to pivot the distal clevis relative to the proximal clevis, and
wherein the articulation drive link threadably engages the articulation shaft segment.

6. An articulation joint for a surgical instrument that includes an elongate shaft assembly and a drive system that is configured to generate and apply a plurality of rotary control motions to the elongate shaft assembly, the articulation joint comprising:
a proximal joint portion coupled to the elongate shaft assembly, wherein the elongate shaft assembly defines a shaft axis;
a distal joint portion movably coupled to the proximal joint portion and configured to interface with a surgical end effector;
a first gear train operably interfacing with a proximal firing shaft portion of the elongate shaft assembly and a distal firing shaft portion operably interfacing with the surgical end effector for transmitting a rotary firing motion from the proximal firing shaft portion to the surgical end effector while facilitating articulation of the distal joint portion relative to the proximal joint portion, the first gear train comprising:
a first input gear rotatable about the shaft axis;
a first idler gear operably meshed with the first input gear, wherein the first idler gear defines an intermediate axis, and wherein the first idler gear is rotatabl

Assignees

• Ethicon Endo Surgery Inc
• Ethicon Llc

Inventors

• Kimsey John S
• 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

• A61B17/32002

  with continuously rotating, oscillating or reciprocating cutting instruments · 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

• A61B2017/2903

  transferring rotary motion · CPC title

• A61B2017/00123

  and automatic shutdown · CPC title