[미국특허]
Surgical instrument with multi-diameter shaft
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-017/00
A61B-017/068
A61B-017/072
A61B-017/29
출원번호
US-0780402
(2013-02-28)
등록번호
US-9795379
(2017-10-24)
발명자
/ 주소
Leimbach, Richard L.
Laurent, Ryan J.
Gagel, Jeffrey C.
Fanelli, Nicholas
Zerkle, Jason E.
출원인 / 주소
Ethicon LLC
대리인 / 주소
Frost Brown Todd LLC
인용정보
피인용 횟수 :
47인용 특허 :
57
초록▼
An apparatus includes an end effector and a shaft having a longitudinal axis. The end effector includes a first jaw and second jaw. The first jaw is pivotable relative to the second jaw. The distal end of the shaft has an articulation joint that pivots the end effector from a first position aligned
An apparatus includes an end effector and a shaft having a longitudinal axis. The end effector includes a first jaw and second jaw. The first jaw is pivotable relative to the second jaw. The distal end of the shaft has an articulation joint that pivots the end effector from a first position aligned with the longitudinal axis of the shaft to a second position angled from the longitudinal axis of the shaft. The articulation joint includes at least one articulation band that bends outwardly within the shaft when the end effector is in the first position. The articulation band then bends inwardly when the end effector is pivoted from the first position to the second position. The shaft includes an outer closure tube having a neck-down region that promotes a greater range of pivotal movement within a surgical passageway.
대표청구항▼
1. An apparatus comprising: (a) an end effector, wherein the end effector comprises a first jaw and a second jaw, wherein the first jaw is movable relative to the second jaw; and(b) a shaft having a longitudinal axis, wherein a distal end of the shaft comprises: (i) an articulation joint coupled wit
1. An apparatus comprising: (a) an end effector, wherein the end effector comprises a first jaw and a second jaw, wherein the first jaw is movable relative to the second jaw; and(b) a shaft having a longitudinal axis, wherein a distal end of the shaft comprises: (i) an articulation joint coupled with the end effector, wherein the articulation joint is operable to pivot the end effector from a first position where the end effector is aligned with the longitudinal axis of the shaft to a second position where the end effector is angled relative to the longitudinal axis of the shaft, and(ii) at least one articulation band, wherein a distal end of the articulation band is configured to bend outwardly to a flared position within the shaft when the end effector is in the first position, wherein a portion of the distal end of the articulation band is connected to the articulation joint, wherein the distal end of the articulation band is configured to form an oblique angle with the longitudinal axis when the distal end of the articulation band is in the flared position, wherein the distal end of the articulation band is configured to bend inwardly from the flared position within the shaft during a transition of end effector between the first position and the second position. 2. The apparatus of claim 1, wherein the end effector is configured to pivot from the second position to the first position, wherein the distal end of the articulation band is configured to bend outwardly when the end effector is pivoted from the second position to the first position. 3. The apparatus of claim 1, wherein the articulation band is compliant. 4. The apparatus of claim 1, wherein the distal end of the articulation band is coupled with a rotational member, wherein the rotational member is operable to pivot the end effector when the rotational member is rotated. 5. The apparatus of claim 1, further comprising a body, wherein a proximal end of the shaft is coupled with the body, wherein the articulation band extends through the shaft such that a proximal end of the articulation band is coupled with the body. 6. The apparatus of claim 5, wherein the body comprises a first actuator, wherein the proximal end of the articulation band is coupled with the first actuator such that the first actuator is operable to pivot the end effector via the articulation band. 7. The apparatus of claim 6, wherein the body comprises a second actuator, wherein the second actuator is operable to rotate the shaft and the end effector about the longitudinal axis of the shaft relative to the body. 8. The apparatus of claim 1, wherein the end effector is pivotable at least about 50 degrees from the longitudinal axis of the shaft. 9. The apparatus of claim 1, wherein the articulation joint comprises two articulation bands. 10. The apparatus of claim 1, wherein the shaft comprises a first outer diameter, wherein the shaft comprises a second outer diameter proximal of the first outer diameter, wherein the second outer diameter is smaller than the first outer diameter. 11. The apparatus of claim 10, wherein the first outer diameter corresponds to an outer diameter of the articulation joint. 12. The apparatus of claim 10, wherein the second outer diameter is about 70% of the first outer diameter. 13. The apparatus of claim 10, wherein the shaft gradually slopes from the first outer diameter to the second outer diameter. 14. The apparatus of claim 10, wherein the shaft comprises a third outer diameter proximal of the second outer diameter, wherein the third outer diameter is larger than the second outer diameter. 15. The apparatus of claim 14, wherein the shaft gradually slopes from the second outer diameter to the third outer diameter. 16. The apparatus of claim 1, wherein the end effector is configured to staple tissue between the first and second jaws of the end effector. 17. An apparatus comprising: (a) a body;(b) an end effector, wherein the end effector comprises a first jaw and a second jaw, wherein the first jaw is pivotable relative to the second jaw; and(c) a shaft coupling the body with the end effector, wherein the shaft comprises an articulation joint, wherein the articulation joint is operable to pivot the end effector from a first position aligned with a longitudinal axis of the shaft to a second position angled from the longitudinal axis of the shaft, wherein the articulation joint comprises a pair of articulation bands, wherein the articulation bands are configured to translate in opposing directions to pivot the end effector from the first position to the second position, wherein the articulation bands are configured to both bend inwardly or both bend outwardly relative to the longitudinal axis of the shaft while translating in opposing directions, such that at least a portion of each articulation band is configured to move in a symmetrically opposing transverse motion relative to the longitudinal axis of the shaft while the articulation bands translate in opposing longitudinal directions. 18. An apparatus comprising: (a) a body;(b) an end effector, wherein the end effector comprises a first jaw and a second jaw, wherein the first jaw is movable relative to the second jaw; and(c) a shaft coupling the body with the end effector, wherein the shaft comprises a pair of articulation bands, wherein the articulation bands are operable to simultaneously translate in opposing longitudinal directions relative to the shaft, wherein the articulation bands are further configured to both flare inwardly or both flare outwardly relative to a longitudinal axis of the shaft while simultaneously translating in opposing longitudinal directions, such that at least a portion of each articulation band is configured to move in a symmetrically opposing transverse motion relative to the longitudinal axis of the shaft while the articulation bands translate in opposing longitudinal directions. 19. The apparatus of claim 18, wherein each articulation band is configured to translate within the shaft, wherein each articulation band is operable to pivot the end effector relative to the shaft. 20. The apparatus of claim 18, wherein the shaft further comprises a first outer diameter, a second outer diameter, wherein the second outer diameter is proximal to the first outer diameter, wherein the second outer diameter is smaller than the first outer diameter, wherein each articulation band extends through the first outer diameter and the second outer diameter, wherein the shaft comprises a third outer diameter proximal to the second outer diameter, wherein the third outer diameter is larger than the second outer diameter.
Kerr, Wendy A.; Lytle, IV, Thomas W.; Overmyer, Mark D.; Swensgard, Brett E.; Leimbach, Richard L.; Sackett, Kevin D., Articulatable surgical instrument comprising a firing drive.
Madhani Akhil J. ; Salisbury J. Kenneth, Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity.
Worrell, Barry C.; Conlon, Sean P.; Knight, Gary W.; Miller, Matthew C.; Scheib, Charles J.; Shelton, IV, Frederick E.; Strobl, Geoffrey S.; Swayze, Jeffrey S.; Voegele, Aaron C.; Black, Charles S.; Modi, Kreena R., Articulation joint features for articulating surgical device.
Racenet, David C.; Roy, Philip; Beardsley, John W.; Olson, Lee Ann; Stearns, Ralph; Emmons, Clifford L., Cartridge assembly for a surgical stapling device.
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.
Olson Todd (Loveland OH) Meiser Dan (Oxford OH) Steed Gary (Cleves OH) Huffman Eric (Loveland OH) Otten Matthew (Cincinnati OH) VanOverloop Ronald (West Chester OH) Powell Darrel (Cincinnati OH) Knod, Linear stapling mechanism with cutting means.
Tierney, Michael J.; Cooper, Thomas G.; Julian, Chris A.; Blumenkranz, Stephen J.; Guthart, Gary S.; Younge, Robert G., Mechanical actuator interface system for robotic surgical tools.
Nowlin, William C.; Guthart, Gary S.; Salisbury, Jr., J. Kenneth; Niemeyer, Gunter D., Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery.
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), Surgical apparatus having articulation mechanism.
Schulze Dale R. (Lebanon OH) Paraschac Joseph (Cincinnati OH) Fox William D. (New Richmond OH) Setser Michael E. (Burlington KY) Wales Kenneth S. (Mason OH) Zeiner Mark S. (Milford OH), Surgical instrument.
Schulze Dale R. (Lebanon OH) Paraschac Joseph (Cincinnati OH) Fox William D. (New Richmond OH) Setser Michael E. (Burlington KY) Wales Kenneth S. (Mason OH) Zeiner Mark S. (Milford OH), Surgical instrument.
Schulze Dale R. (Lebanon OH) Paraschac Joseph (Cincinnati OH) Fox William D. (New Richmond OH) Setser Michael E. (Burlington KY) Wales Kenneth S. (Mason OH) Zeiner Mark S. (Milford OH), Surgical instrument.
Schulze Dale R. (Lebanon OH) Paraschac Joseph (Cincinnati OH) Fox William D. (New Richmond OH) Setser Michael E. (Burlington KY) Wales Kenneth S. (Mason OH) Zeiner Mark S. (Milford OH), Surgical instrument.
Schulze Dale R. (Lebanon OH) Paraschac Joseph (Cincinnati OH) Fox William D. (New Richmond OH) Setser Michael E. (Burlington KY) Wales Kenneth S. (Mason OH) Zeiner Mark S. (Milford OH), Surgical instrument.
Schulze Dale R. (Lebanon OH) Paraschac Joseph (Cincinnati OH) Fox William D. (New Richmond OH) Setser Michael E. (Burlington KY) Wales Kenneth S. (Mason OH) Zeiner Mark S. (Milford OH), Surgical instrument.
Knodel Bryan D. (Cincinnati OH) Schulze Dale R. (Lebanon OH) Nuchols Richard P. (Loveland OH), Surgical stapler with improved operating lever mounting arrangement.
Shelton, IV,Frederick E.; Setser,Michael Earl; Weisenburgh, II,William Bruce, Surgical stapling instrument having a firing lockout for an unclosed anvil.
Doll,Kevin; Setser,Michael Earl; Shelton, IV,Frederick E.; Wales,Kenneth, Surgical stapling instrument having a single lockout mechanism for prevention of firing.
Shelton, IV, Frederick E.; Setser, Michael Earl; Weisenburgh, II, William Bruce, Surgical stapling instrument incorporating an E-beam firing mechanism.
Jaworek, Gary S.; Koch, Jr., Robert L.; Auld, Michael D.; Kimsey, John S.; Baber, Daniel L.; Leimbach, Richard L.; Ulrich, Daniel J., Articulatable surgical instruments with conductive pathways for signal communication.
Shelton, IV, Frederick E.; Morgan, Jerome R.; Yates, David C.; Baxter, III, Chester O.; Beckman, Andrew T., Charging system that enables emergency resolutions for charging a battery.
Leimbach, Richard L.; Shelton, IV, Frederick E.; Morgan, Jerome R.; Schellin, Emily A., End effector detection and firing rate modulation systems for surgical instruments.
Shelton, IV, Frederick E.; Schmid, Katherine J.; Scheib, Charles J.; Aronhalt, Taylor W.; Swayze, Jeffrey S.; Contiliano, Joseph H.; Yang, Chunlin; Henderson, Cortney E.; Aldridge, Jeffrey L., End effector including an implantable arrangement.
Shelton, IV, Frederick E.; Overmyer, Mark D.; Yates, David C.; Harris, Jason L., Mechanisms for compensating for drivetrain failure in powered surgical instruments.
Wise, Austin E.; Hensel, Adam D.; Jones, Daniel V.; Aronhalt, Taylor W.; Weaner, Lauren S.; Hunter, Morgan R.; Fischer, Austin M.; Baxter, III, Chester O.; Shelton, IV, Frederick E., Push/pull articulation drive systems for articulatable surgical instruments.
Shelton, IV, Frederick E.; Baxter, III, Chester O.; Swayze, Jeffrey S.; Harris, Jason L., Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom.
Swayze, Jeffrey S.; Shelton, IV, Frederick E.; Vendely, Michael J.; Baxter, III, Chester O.; Harris, Jason L.; Aronhalt, Taylor W., Staple cartridge assembly without a bottom cover.
Swayze, Jeffrey S.; Hueil, Joseph C.; Morgan, Jerome R.; Shelton, IV, Frederick E., Stapling assembly configured to produce different formed staple heights.
Beckman, Andrew T.; Nalagatla, Anil K.; Hibner, John A.; Shelton, IV, Frederick E., Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band.
Beckman, Andrew T.; Nalagatla, Anil K.; Koch, Jr., Robert L.; Hibner, John A.; Shelton, IV, Frederick E., Surgical apparatus configured to track an end-of-life parameter.
Hensel, Adam D.; Wise, Austin E.; Carper, Kenneth E.; Weaner, Lauren S.; Shelton, IV, Frederick E.; Baxter, III, Chester O.; Swayze, Jeffrey S.; Dunki-Jacobs, Adam R.; Brinkerhoff, Josiah J.; Jones, Daniel V., Surgical end effectors with positive jaw opening arrangements.
Shelton, IV, Frederick E.; Swayze, Jeffrey S.; Baxter, III, Chester O., Surgical fastening apparatus with a rotary end effector drive shaft for selective engagement with a motorized drive system.
Overmyer, Mark D.; Auld, Michael D.; Adams, Shane R.; Shelton, IV, Frederick E.; Harris, Jason L., Surgical instrument comprising a lockable battery housing.
Leimbach, Richard L.; Adams, Shane; Posey, Ryan P., Surgical instrument handle assembly with feature to clean electrical contacts at modular shaft interface.
Kerr, Wendy A.; Lytle, IV, Thomas W.; Overmyer, Mark D.; Swensgard, Brett E.; Sackett, Kevin D.; Leimbach, Richard L.; Houser, Kevin L.; Morgan, Jerome R.; Shelton, IV, Frederick E., Surgical instrument system comprising lockable systems.
Shelton, IV, Frederick E.; Baxter, III, Chester O., Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge.
Hunter, Morgan R.; Schultz, Darwin L.; Worthington, Sarah A.; Shelton, IV, Frederick E.; Weaner, Lauren S.; Vendely, Michael J., Surgical instrument with articulating and axially translatable end effector.
Shelton, IV, Frederick E.; Vendely, Michael J.; Harris, Jason L.; Swensgard, Brett E.; Auld, Michael D., Surgical instrument with integrated and independently powered displays.
Hunter, Morgan R.; Schultz, Darwin L.; Dunki-Jacobs, Adam R.; Baxter, III, Chester O.; Swayze, Jeffrey S., Surgical instruments with tensioning arrangements for cable driven articulation systems.
Harris, Jason L.; Shelton, IV, Frederick E.; Baxter, III, Chester O., Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns.
Overmyer, Mark D.; Yates, David C.; Shelton, IV, Frederick E.; Adams, Shane R.; Leimbach, Richard L., Surgical stapler having motor control based on an electrical parameter related to a motor current.
Shelton, IV, Frederick E.; Setser, Michael E.; Weisenburgh, II, William B., Surgical stapling instrument with lockout features to prevent advancement of a firing assembly unless an unfired surgical staple cartridge is operably mounted in an end effector portion of the instrument.
Weaner, Lauren S.; Hensel, Adam D.; Wise, Austin E.; Jones, Daniel V.; Brinkerhoff, Josiah J.; Goldenbogen, Michael W., Surgical stapling instruments with lockout arrangements for preventing firing system actuation when a cartridge is spent or missing.
Shelton, IV, Frederick E.; Harris, Jason L.; Swensgard, Brett E.; Leimbach, Richard L.; Adams, Shane R.; Overmyer, Mark D., Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.