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| 국가/구분 | United States(US) Patent 등록 |
|---|---|
| 국제특허분류(IPC7판) |
|
| 출원번호 | UP-0810016 (2007-06-04) |
| 등록번호 | US-7832408 (2011-01-16) |
| 발명자 / 주소 |
|
| 출원인 / 주소 |
|
| 인용정보 | 피인용 횟수 : 707 인용 특허 : 212 |
A surgical instrument including a switching mechanism which allows a surgeon to selectively advance or retract a staple driver and/or cutting member within a staple cartridge. In various embodiments, the surgical instrument can include a handle, a trigger operatively coupled to the handle, a firing
A surgical instrument including a switching mechanism which allows a surgeon to selectively advance or retract a staple driver and/or cutting member within a staple cartridge. In various embodiments, the surgical instrument can include a handle, a trigger operatively coupled to the handle, a firing drive, and an end effector. The firing drive can include a first ratchet assembly configured to advance a cutting member in the end effector and a second ratchet assembly configured to retract the cutting member. The trigger can include first and second pawls pivotably mounted thereon which are configured to be selectively engaged with the first and second ratchet assemblies, respectively. In at least one embodiment, the trigger can be configured to slide between a first position in which the first pawl is engaged with the first ratchet assembly and a second position in which the second pawl is engaged with the second ratchet assembly.
What is claimed is: 1. A surgical instrument, comprising: a handle; a firing drive configured to selectively generate a rotary firing motion and a rotary retraction motion, wherein said firing drive comprises: a firing trigger operably coupled to said handle; a first ratchet assembly, comprising: a
What is claimed is: 1. A surgical instrument, comprising: a handle; a firing drive configured to selectively generate a rotary firing motion and a rotary retraction motion, wherein said firing drive comprises: a firing trigger operably coupled to said handle; a first ratchet assembly, comprising: a first ratchet wheel having a plurality of ratchet teeth; and a first pawl pivotably connected to said firing trigger, wherein said first pawl is selectively engageable with said ratchet teeth of said first ratchet wheel; and a second ratchet assembly, comprising: a second ratchet wheel having a plurality of ratchet teeth; and a second pawl pivotably connected to said firing trigger, wherein said second pawl is selectively engageable with said ratchet teeth of said second ratchet wheel; an elongate shaft assembly coupled to said handle, said elongate shaft assembly comprising a rotatable drive shaft, wherein said drive shaft is operably engaged with said first ratchet wheel and said second ratchet wheel, wherein said first pawl is selectively engaged with said first ratchet wheel to transmit said rotary firing motion to said drive shaft and rotate said drive shaft, and wherein said second pawl is selectively engaged with said second ratchet wheel to transmit said rotary retraction motion to said drive shaft and rotate said drive shaft; and an end effector coupled to said elongate shaft assembly, said end effector comprising: an elongate channel configured to operably receive a staple cartridge therein; an anvil movably coupled to said elongate channel; and a cutting member operably supported within said elongate channel, wherein said cutting member is operably engaged with said elongate shaft assembly and is responsive to said rotary firing and said rotary retraction motions from said firing drive. 2. The surgical instrument of claim 1, further comprising a closure drive configured to selectively generate a closing motion and an opening motion, wherein said anvil is operably engaged with said closure drive and is movably responsive to said opening motion and said closing motion. 3. The surgical instrument of claim 1, further comprising: a first spring configured to effect ratcheting engagement between said first pawl and said ratchet teeth of said first ratchet wheel; and a second spring configured to effect ratcheting engagement between said second pawl and said ratchet teeth of said second ratchet wheel. 4. The surgical instrument of claim 1, wherein said first ratchet wheel further includes a plurality of first gear teeth, wherein said second ratchet wheel further includes a plurality of second gear teeth, and wherein said drive shaft includes a first gear operably engaged with said first gear teeth and a second gear operably engaged with said second gear teeth. 5. The surgical instrument of claim 4, wherein said drive shaft defines an axis, wherein said first ratchet wheel is positioned on a first side of said axis and is configured to rotate said drive shaft about said axis in a first direction, and wherein said second ratchet wheel is positioned on a second side of said axis to rotate said drive shaft about said axis in a second direction, wherein said second direction is opposite said first direction. 6. The surgical instrument of claim 1, further comprising a bistable compliant mechanism configured to bias said firing drive into one of a first condition and a second condition, wherein said first pawl is biased into engagement with said first ratchet wheel in said first condition, and wherein said second pawl is biased into engagement with said second ratchet wheel in said second condition. 7. The surgical instrument of claim 6, further comprising a frame, wherein said firing trigger further includes a slidable member, wherein said first pawl and said second pawl are mounted to said slidable member, wherein said bistable compliant mechanism includes a spring operably engaged with said slidable member and said frame, and wherein said spring is configured to motivate said slidable member such that either said first pawl is engaged with said first ratchet wheel or said second pawl is engaged with said second ratchet wheel. 8. The surgical instrument of claim 1, wherein, when said first pawl is engaged with said first ratchet wheel, said second pawl is not engaged with said second ratchet wheel, and wherein, when said second pawl is engaged with said second ratchet wheel, said first pawl is not engaged with said first ratchet wheel. 9. The surgical instrument of claim 1, wherein said first pawl can be engaged with said first ratchet wheel at the same time as said second pawl is engaged with said second ratchet wheel such that said firing drive is prevented from generating said rotary firing motion and said rotary retraction motion. 10. A method for processing an instrument for surgery, the method comprising: obtaining the surgical instrument of claim 1; sterilizing the surgical instrument; and storing the surgical instrument in a sterile container. 11. The surgical instrument of claim 1, wherein said firing trigger is slidable between a first position in which said first pawl is engaged with said first ratchet wheel and a second position in which said second pawl is engaged with said second ratchet wheel. 12. The surgical instrument of claim 1, wherein said firing trigger is rotatable about an axis of rotation, and wherein said firing trigger is slidable along said axis of rotation between a first position in which said first pawl is engaged with said first ratchet wheel and a second position in which said second pawl is engaged with said second ratchet wheel. 13. A surgical instrument, comprising: a handle; a firing drive configured to selectively generate a rotary firing motion and a rotary retraction motion, wherein said firing drive comprises: a firing trigger operably coupled to said handle; a first drive member; and a second drive member; an elongate shaft assembly coupled to said handle, said elongate shaft assembly comprising a rotatable drive shaft, wherein said drive shaft is operably engaged with said first drive member and said second drive member, wherein said firing trigger is movable between a first position in which said firing trigger is operably engaged with said first drive member to transmit said rotary firing motion to said drive shaft and rotate said drive shaft and a second position in which said firing trigger is operably engaged with said second drive member to transmit said rotary retraction motion to said drive shaft and rotate said drive shaft; and an end effector coupled to said elongate shaft assembly, said end effector comprising: an elongate channel configured to operably support a staple cartridge therein; an anvil movably coupled to said elongate channel; and a cutting member operably supported within said elongate channel, wherein said cutting member is operably engaged with said elongate shaft assembly and is responsive to said rotary firing and retraction motions from said firing drive, wherein said first drive member includes a plurality of first gear teeth, wherein said second drive member includes a plurality of second gear teeth, and wherein said drive shaft includes a first gear operably engaged with said first gear teeth and a second gear operably engaged with said second gear teeth. 14. The surgical instrument of claim 13, wherein said drive shaft defines an axis, wherein said first drive member is positioned on a first side of said axis and is configured to rotate said drive shaft about said axis in a first direction, and wherein said second drive member is positioned on a second side of said axis to rotate said drive shaft about said axis in a second direction, wherein said second direction is opposite said first direction. 15. The surgical instrument of claim 13, wherein said firing trigger is slidable between said first position and said second position. 16. The surgical instrument of claim 13, wherein said firing trigger is rotatable about an axis of rotation, and wherein said firing trigger is slidable along said axis of rotation between said first position and said second position. 17. A surgical instrument, comprising: a handle; a firing drive, comprising: a firing trigger operably coupled to said handle; a drive shaft operably engaged with said firing trigger, wherein an actuation of said firing trigger rotates said drive shaft about an axis; an elongate shaft assembly; a transmission, wherein said transmission is selectively configurable in a first configuration for rotating said elongate shaft assembly about an axis in a first direction and a second configuration for rotating said elongate shaft assembly about said axis in a direction opposite said first direction, said transmission comprising a pinion gear, wherein said drive shaft is mated with said elongate shaft assembly in said first configuration such that said drive shaft and said elongate shaft assembly rotate in a first ratio, and wherein said drive shaft and said elongate shaft assembly are mated with said pinion gear in said second configuration such that said drive shaft and said elongate shaft assembly rotate in a second ratio, wherein said first ratio is different than said second ratio; and an end effector coupled to said elongate shaft assembly, said end effector comprising: an elongate channel configured to operably support a staple cartridge therein; an anvil movably coupled to said elongate channel; and a cutting member operably supported within said elongate channel, wherein said cutting member is operably engaged with said elongate shaft assembly. 18. A method for processing an instrument for surgery, the method comprising: obtaining the surgical instrument of claim 17; sterilizing the surgical instrument; and storing the surgical instrument in a sterile container. 19. The surgical instrument of claim 17, wherein said first ratio is approximately 1:1. 20. The surgical instrument of claim 17, wherein said drive shaft is directly engaged with said elongate shaft assembly in said first configuration, and wherein said drive shaft is engaged with said elongate shaft assembly via said pinion gear in said second configuration. 21. A surgical instrument, comprising: a firing drive configured to selectively generate a firing motion and a retraction motion, wherein said firing drive comprises: a firing trigger; a first ratchet assembly, comprising: a first ratchet wheel having a plurality of ratchet teeth; and a first pawl pivotably connected to said firing trigger, wherein said first pawl is selectively engageable with said ratchet teeth of said first ratchet wheel; and a second ratchet assembly, comprising: a second ratchet wheel having a plurality of ratchet teeth; and a second pawl pivotably connected to said firing trigger, wherein said second pawl is selectively engageable with said ratchet teeth of said second ratchet wheel; and a rotatable drive shaft operably engageable with said first ratchet wheel and said second ratchet wheel, wherein said first pawl is selectively engageable with said first ratchet wheel to transmit said firing motion to said drive shaft and rotate said drive shaft, wherein said second pawl is selectively engageable with said second ratchet wheel to transmit said retraction motion to said drive shaft and rotate said drive shaft. 22. The surgical instrument of claim 21, wherein said firing trigger is slidable between a first position in which said first pawl is engaged with said first ratchet wheel and a second position in which said second pawl is engaged with said second ratchet wheel. 23. The surgical instrument of claim 21, wherein said firing trigger is rotatable about an axis of rotation, and wherein said firing trigger is slidable along said axis of rotation between a first position in which said first pawl is engaged with said first ratchet wheel and a second position in which said second pawl is engaged with said second ratchet wheel. 24. A surgical instrument, comprising: a firing drive configured to selectively generate a firing motion and a retraction motion, wherein said firing drive comprises: a firing trigger; a first ratchet assembly, comprising: a first ratchet wheel having a plurality of ratchet teeth; and a first pawl pivotably connected to said firing trigger, wherein said first pawl is selectively engageable with said ratchet teeth of said first ratchet wheel; and a second ratchet assembly, comprising: a second ratchet wheel having a plurality of ratchet teeth; and a second pawl pivotably connected to said firing trigger, wherein said second pawl is selectively engageable with said ratchet teeth of said second ratchet wheel; a shaft assembly comprising a rotatable drive shaft operably engaged with said first ratchet wheel and said second ratchet wheel, wherein said first pawl is selectively engageable with said first ratchet wheel to transmit said firing motion to said drive shaft and rotate said drive shaft, wherein said second pawl is selectively engageable with said second ratchet wheel to transmit said retraction motion to said drive shaft and rotate said drive shaft; and a staple cartridge attachment portion configured to attach a staple cartridge assembly to said shaft assembly. 25. The surgical instrument of claim 24, wherein said firing trigger is slidable between a first position in which said first pawl is engaged with said first ratchet wheel and a second position in which said second pawl is engaged with said second ratchet wheel. 26. The surgical instrument of claim 24, wherein said firing trigger is rotatable about an axis of rotation, and wherein said firing trigger is slidable along said axis of rotation between a first position in which said first pawl is engaged with said first ratchet wheel and a second position in which said second pawl is engaged with said second ratchet wheel. 27. A surgical instrument, comprising: a handle; a firing drive configured to selectively generate a rotary firing motion and a rotary retraction motion, wherein said firing drive comprises: a firing trigger operably coupled to said handle; a first ratchet assembly, comprising: a first ratchet wheel having a plurality of ratchet teeth; and a first pawl pivotably connected to said firing trigger, wherein said first pawl is selectively engageable with said ratchet teeth of said first ratchet wheel; and a second ratchet assembly, comprising: a second ratchet wheel having a plurality of ratchet teeth; and a second pawl pivotably connected to said firing trigger, wherein said second pawl is selectively engageable with said ratchet teeth of said second ratchet wheel; an elongate shaft assembly coupled to said handle, said elongate shaft assembly comprising a rotatable drive member, wherein said drive member is operably engageable with said first ratchet wheel and said second ratchet wheel, wherein said first pawl is selectively engageable with said first ratchet wheel to transmit said rotary firing motion to said drive member and rotate said drive member, and wherein said second pawl is selectively engageable with said second ratchet wheel to transmit said rotary retraction motion to said drive member and rotate said drive member; and a staple cartridge attachment portion configured to attach a staple cartridge assembly to said elongate shaft assembly. 28. A surgical instrument, comprising: a handle; a firing drive configured to selectively generate a rotary firing motion and a rotary retraction motion, wherein said firing drive comprises: a firing trigger operably coupled to said handle; a first drive member; and a second drive member; an elongate shaft assembly coupled to said handle, said elongate shaft assembly comprising a rotatable drive shaft, wherein said drive shaft is operably engageable with said first drive member and said second drive member, wherein said firing trigger is movable between a first position in which said firing trigger is operably engaged with said first drive member to transmit said rotary firing motion to said drive shaft and rotate said drive shaft and a second position in which said firing trigger is operably engaged with said second drive member to transmit said rotary retraction motion to said drive shaft and rotate said drive shaft; and a staple cartridge attachment portion configured to attach a staple cartridge assembly to said elongate shaft assembly, wherein said first drive member includes a plurality of first gear teeth, wherein said second drive member includes a plurality of second gear teeth, and wherein said drive shaft includes a first gear operably engageable with said first gear teeth and a second gear operably engageable with said second gear teeth. 29. A surgical instrument, comprising: a firing drive configured to selectively generate a firing motion and a retraction motion, wherein said firing drive comprises: a firing trigger; a first ratchet assembly, comprising: a first ratchet wheel having a plurality of ratchet teeth; and a first pawl pivotably connected to said firing trigger, wherein said first pawl is selectively engageable with said ratchet teeth of said first ratchet wheel; and a second ratchet assembly, comprising: a second ratchet wheel having a plurality of ratchet teeth; and a second pawl pivotably connected to said firing trigger, wherein said second pawl is selectively engageable with said ratchet teeth of said second ratchet wheel; a rotatable drive shaft operably engageable with said first ratchet wheel and said second ratchet wheel, wherein said first pawl is selectively engageable with said first ratchet wheel to transmit said firing motion to said drive shaft and rotate said drive shaft, wherein said second pawl is selectively engageable with said second ratchet wheel to transmit said retraction motion to said drive shaft and rotate said drive shaft; and a staple cartridge attachment portion configured to attach a staple cartridge assembly to said surgical instrument.
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