A surgical instrument comprises a first elongated member and a second elongated member, the first elongated member and the second elongated member being operatively connected and configured to rotate in opposite directions to substantially limit counter torque. The first and second elongated members
A surgical instrument comprises a first elongated member and a second elongated member, the first elongated member and the second elongated member being operatively connected and configured to rotate in opposite directions to substantially limit counter torque. The first and second elongated members are flexible shafts. The surgical instrument can be configured to apply fasteners to a tissue portion. This embodiment of the surgical instrument includes a cartridge having a plurality of fasteners, an anvil, said anvil and cartridge being relatively movable between spaced and approximated positions, and a sled disposed in the cartridge. The sled includes a cam member. The cam member is designed to drive the fasteners through tissue and toward the anvil.
대표청구항▼
1. A surgical instrument, comprising: an end effector; andfirst and second elongate shafts rotatably connected to each other at an end portion thereof such that rotation of one of the first and second elongate shafts causes rotation of the other elongate shaft to actuate the end effector, and wherei
1. A surgical instrument, comprising: an end effector; andfirst and second elongate shafts rotatably connected to each other at an end portion thereof such that rotation of one of the first and second elongate shafts causes rotation of the other elongate shaft to actuate the end effector, and wherein the first and second elongate shafts are movable axially relative to the end effector between a first position and a second position. 2. The surgical instrument according to claim 1, further comprising a gearshift lever configured to move the first and second elongate shafts longitudinally between the first and second positions. 3. The surgical instrument according to claim 2, wherein the first and second elongate shafts each include a gear at a respective proximal portion thereof, the gears being configured to mesh with each other such that rotation of one of the first and second elongate shafts causes rotation of the other elongate shaft. 4. The surgical instrument according to claim 3, further comprising first and second pinions, each pinion being operatively coupled to a distal portion of respective elongate shaft, wherein the pinions are configured to mesh with each other providing rotatable connection between the first and second elongate shafts. 5. The surgical instrument according to claim 2, wherein the end effector includes an anvil and a cartridge, the cartridge having a plurality of fasteners. 6. The surgical instrument according to claim 5, wherein when the elongate shafts are moved to the first position, rotation of the first and second elongate shafts moves the anvil and the cartridge between spaced and approximated positions. 7. The surgical instrument according to claim 5, wherein when the elongate shafts are in the second position, rotation of the first and second elongate shafts causes the plurality of fasteners to be ejected from the cartridge and toward the anvil. 8. The surgical instrument according to claim 5, further comprising a clamp cam, wherein movement of the clamp cam along a longitudinal axis of the surgical instrument causes relative motion between the anvil and the cartridge, the anvil and the cartridge being movable between spaced apart and approximated positions. 9. The surgical instrument according to claim 8, further comprising first and second members each including a clamp pinion rotatably connected to each other, the clamp pinions being configured to engage the pinions operatively coupled to the elongate shafts, wherein the clamp cam is translatably mounted on the first and second members such that rotation of the clamp pinions moves the clamp cam along the first and second members. 10. The surgical instrument according to claim 9, wherein when the elongate shafts are in the first position the pinions engage the clamp pinions, whereby the rotation of the first and second elongate shafts causes rotation of the clamp pinions which in turn moves the clamp cam along the first and second members. 11. The surgical instrument according to claim 9, wherein the first and second members are a lead screw. 12. The surgical instrument according to claim 5, wherein the end effector further includes at least one drive member adapted to axially move a sled disposed in the cartridge, the sled being adapted to drive the fasteners through tissue and toward the anvil. 13. The surgical instrument according to claim 12, wherein the at least one drive member is a lead screw. 14. The surgical instrument according to claim 12, wherein the at least one drive member includes at least one gear coupler configured to engage the pinions operatively coupled to the respective elongate shaft. 15. The surgical instrument according to claim 14, wherein when the elongate shafts are in the second position, the pinions engage the at least one gear coupler, whereby rotation of the first and second elongate shafts rotates the at least one gear coupler which in turn moves the sled. 16. The surgical instrument according to claim 2, further comprising a flexible neck attached to a proximal end of the end effector. 17. The surgical instrument according to claim 16, further comprising an articulation knob and at least one steering wire, the articulation knob being operatively coupled to the at least one steering wire, the at least one steering wire being coupled to the flexible neck such that rotation of the knob articulates the flexible neck. 18. The surgical instrument according to claim 1, wherein rotation of one of the first and second elongate shafts causes rotation of the other elongate shaft in an opposite direction to actuate the end effector. 19. The surgical instrument according to claim 1, wherein the first and second elongate shafts are flexible.
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Green David T. (Westport CT) Bolanos Henry (East Norwalk CT) Fontayne Diego (Norwalk CT) Sienkiewicz Henry (Stamford CT), Apparatus and method for subcuticular stapling of body tissue.
Green David T. (Westport CT) Ratcliff Keith (Sandy Hook CT) Milliman Keith L. (Norwalk CT) Sienkiewicz Henry R. (Stamford CT) Palmer Mitchell J. (New Milford CT), Articulating surgical cartridge assembly.
McKenna, Robert H.; Shelton, IV, Frederick E.; Byrum, Randal T.; Ortiz, Mark S.; Conrad, Paul J.; Timperman, Eugene L., Disposable cartridge with adhesive for use with a stapling device.
Hooven Michael D. (Cincinnati OH) Hueil Joseph C. (Loveland OH), Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue.
Hamblin Steven W. (Loveland OH) Witt David A. (Loveland OH) Sierocuk Thomas J. (West Chester OH) Nicola Kirk M. (West Chester OH) Otten Matthew R. (Cincinnati OH) Berky Craig B. (Milford OH), Handle actuator for surgical instrument having flexible cable.
Adams Ronald D. ; Sullivan ; III Roy H. ; Main Lauren O. ; Kratsch Peter K. ; Nunez George A. ; Kortenbach Jurgen A. ; Solar Matt ; Buess Gerhard F.,DEX ; Schurr Marc O.,DEX, Method and device for full thickness resectioning of an organ.
Bishop Gregory D. (Hamilton OH) Conlon Sean P. (Cincinnati OH) Gutierrez Jorge (Cincinnati OH) Hibner John A. (Mainville OH) Paul Michel A. (Cincinnati OH) Okorocha Livyn O. (Cincinnati OH) Sambi Nar, Method for operating a surgical instrument.
Bolanos Henry (9 Tonetta Cir. East Norwalk CT 06855) Blewett Jeffrey J. (86 Parkview Dr. Plantsville CT 06479) Van Leeuwen Timothy O. (36 Flax Hill Rd. Bloomfield CT 06804), Non-invasive treatment of gastroesophageal reflux disease.
Bilotti Federico (Madeira OH) Ortiz Mark (Milford OH) Sambi Narinderjit S. (Maineville OH) Van Overloop Ronald R. (West Chester OH), Pneumatically actuated linear stapling device.
Viola Frank J. ; Alesi Daniel E. ; Mastri Dominick L. ; Young Wayne P. ; Granger Richard N. ; Toso Kenneth E., Self-contained powered surgical apparatus for applying surgical fasteners.
Bilotti Federico (Hamburg OH DEX) Allen E. David (Okeana OH) Smith Richard (Miami Township ; Clermont County OH) Hughett J. David (Cincinnati OH), Surgical anastomosis stapling instrument.
Brinkerhoff Ronald J. (Amelia OH) Nobis Rudolph H. (Mason OH) Fox William (Ohio Township ; Clermont County OH) Zeiner Mark S. (Cincinnati OH) Allen E. David (Okeana OH) Smith Richard (Miami Township , Surgical anastomosis stapling instrument.
Brinkerhoff Ronald J. (Amelia OH) Nobis Rudolph H. (Mason OH) Wolf Helmut (Cincinnati OH) Bilotti Federico (Hamburg OH DEX) Fox William (Ohio Township ; Clermont County OH) Zeiner Mark S. (Cincinnati, Surgical anastomosis stapling instrument.
Fox William (Ohio Township ; Clermont County OH) Smith Richard (Miami Township ; Clermont County OH) Grant Richard (Union Township ; Clermont County OH), Surgical anastomosis stapling instrument.
Grant Richard L. (Cincinnati OH) Lang Michael (Cincinnati OH) Churchill Philip J. (North Potomac MD) Lawrence W. Thompson (Lexington MA), Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism.
Conlon Sean P. (Cincinnati OH) Oureshi Saleem U. (West Chester OH) Hibner John A. (Mainville OH) Okorocha Livyn O. (Cincinnati OH) Bishop Gregory D. (Hamilton OH), Surgical instrument.
Bishop Gregory D. (Hamilton OH) Paul Michel A. (Naperville IL) Sambi Narinderjit (Mason OH) Rhad Edward (Fairfield OH), Surgical instrument and method.
Clark George A. (East Windsor NJ) Burwell Malcolm C. (Princeton NJ) Gola John A. (Bordentown NJ) Robinson Christopher (Lawrenceville NJ) Snyder Fred E. (Princeton Junction NJ), Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft.
Clark George A. ; Burwell Malcolm C. ; Gola John A. ; Robinson Christopher ; Snyder Fred E., Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft.
Huitema Thomas W. (Cincinnati OH) Sierocuk Thomas J. (West Chester OH) Butterfield Eric J. (Morrisville NC) Hueil Joseph C. (Loveland OH) Nicola Kirk M. (West Chester OH) Koch ; Jr. Robert L. (Cincin, Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism.
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