WO2005081919A2 - Surgical cutting and stapling device - Google Patents
Surgical cutting and stapling device Download PDFInfo
- Publication number
- WO2005081919A2 WO2005081919A2 PCT/US2005/005530 US2005005530W WO2005081919A2 WO 2005081919 A2 WO2005081919 A2 WO 2005081919A2 US 2005005530 W US2005005530 W US 2005005530W WO 2005081919 A2 WO2005081919 A2 WO 2005081919A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- anvil
- housing
- surgical device
- staple
- relative
- Prior art date
Links
- 0 CC=C(CCN=O)C=CC1(CC*)CC(CC2C(*)C2)C1 Chemical compound CC=C(CCN=O)C=CC1(CC*)CC(CC2C(*)C2)C1 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/71—Manipulators operated by drive cable mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/74—Manipulators with manual electric input means
Definitions
- the present invention relates to an electromechanical surgical system
- tissue that is easily damaged when contacted e.g., the tissues of the oral cavity.
- a surgical device for at least one of cutting and stapling a section of tissue.
- the surgical device includes a housing including at least two drivers.
- the surgical device also.includes an anvil mechanically attachable to the housing and moveabie
- the second driver operates to move at least
- the anvil and the housing define first and second
- the device is configured to clamp a section of tissue between the first clamping face of the
- the housing may include a cutting
- the housing may also include a stapling element configured to be
- the stapling element includes a staple cartridge that is configured to move axially within
- a staple pusher configured to push staples that are stored within respective
- the surgical device also relates to a surgical device for stapling a section of tissue.
- the surgical device also relates to a surgical device for stapling a section of tissue.
- the housing includes a staple pusher and a housing configured to store staples.
- the housing is
- the surgical device also includes an
- anvil moveabie relative to the staple pusher and the housing. Movement of the anvil
- the anvil may be moveabie
- the anvil may be moveabie
- the staples stored in the housing are pushed out of the housing by the staple pusher to
- the housing is connected to the staple
- shear pin is configured to shear when, by the
- the surgical device also relates to a surgical device for cutting a section of tissue.
- the surgical device also relates to a surgical device for cutting a section of tissue.
- the housing includes a cutting element and a housing having a clamping surface.
- the housing is
- the surgical device also includes
- anvil causes the housing to move relative to the cutting element.
- the anvil may be
- the anvil contacts the clamping surface of the housing. Furthermore, the anvil may be
- the housing is connected to the cutting element by a shear pin, which is
- the anvil applies a predetermined amount of pressure on the clamping
- the surgical device also relates to a surgical device for at least one of cutting and stapling a section of tissue.
- the surgical device includes a housing forming a first clamping surface.
- surgical device also includes an anvil mechanically attachable and moveabie relative to
- the housing along an axis between an extended position and a retracted position.
- anvil forms a second clamping surface. At least a portion of the first and second
- clamping surfaces are non-perpendicular relative to the axis.
- the surgical device is configured to clamp a section of tissue
- clamping faces may be parallel relative to each other.
- a first driver may be employed
- a second driver may also be employed,
- the housing includes a cutting element configured to be driven between a
- housing may include a stapling element configured to be driven between a retracted
- a surgical device for at least one of cutting and stapling a section of
- the surgical device also includes a housing including a stapling element.
- stapling element includes a staple cartridge defining a plurality of slots and staples
- the stapling element also includes a staple pusher having
- a driver configured to move the staple cartridge and the staple pusher together
- the driver moves the staple pusher relative to the staple cartridge to an
- the surgical device may also include an interference element that is
- the intermediate position may be a
- interference element may be a frangible component.
- the interference may be a frangible component.
- element may be connected to the staple pusher and may include a radially extending
- the surgical device may also include a cutting element, e.g., a blade,
- a surgical device for at least one of cutting and stapling a section of
- the surgical device may include a housing.
- the surgical device may also
- a staple cartridge positioned at a distal end of the housing and defining a
- the surgical device may also
- a staple pusher positioned proximal to the staple cartridge and having a
- the surgical device has a plurality of staple pusher fingers aligned with the plurality of slots.
- the staple pusher may also include a pusher element positioned proximal to the staple pusher and
- the pusher element has a cam element extending
- the pusher element may be keyed to a rotatable
- the surgical device may also include a nut positioned
- the nut proximally relative to the pusher element, the nut having an internally threaded bore, wherein the- internally threaded bore of the nut is in threaded engagement with the
- a sleeve for facilitating the insertion of a surgical device into one of an
- the surgical device having a distal end defining a
- the surgical device may include a first portion configured to cover at
- the surgical device may also include at least one
- closure element selectively moveabie between an insertion position, in which the
- closure element(s) tapers to a cross-section that is smaller than the cross-section of the
- Figure 1 is a perspective view of an electro-mechanical surgical system
- Figure 2 is a perspective view of a remote power console, according to
- Figure 3 is a side elevational view, partially in section, of a flexible shaft
- Figure 4 is a cross-sectional view of the flexible shaft taken along the line
- FiguFe 5(a) is a rear end view of a first coupling of the flexible shaft
- Figure 5(b) is a front end view of a second coupling of the flexible shaft
- Figure 6(a) is a schematic view illustrating a motor arrangement of the
- Figure 6(b) is a schematic view of the electro-mechanical surgical system
- Figure 6(c) is a schematic view of an encoder of the flexible shaft
- Figure 6(d) is a schematic view of a memory device, according to one
- Figure 6(e) is a schematic view of a wireless
- FIG. 1 A perspective view of a wired RCU, according to one embodiment of the present invention.
- Figure 7(a) is a front perspective view of a handle portion, according to
- Figure 7(b) is a rear perspective view of the handle portion shown in
- Figure 7(c) is an exploded front perspective view of the handle portion
- Figure 7(d) is a top view of the handle portion illustrated in Figure 7(a).
- Figure 7(e) is a side cross-sectional view of the handle portion illustrated
- Figure 7(f) is a side cross-sectional view of the handle portion illustrated
- Figure 8 is a perspective view of a cutting and stapling component in an
- Figure 9 is a perspective view that illustrates a cutting and stapling
- Figure 10(a) is a perspective view that illustrates the components of an
- anvil assembly according to one embodiment of the present invention.
- Figure 10(b) is a perspective view that illustrates some of the
- Figure 10(c) is a perspective view that illustrates the remaining
- Figure 11 (a) is a top, cross-sectional view that illustrates the cutting
- stapling component according to one embodiment of the present invention.
- Figure 11 (b) is a side, cross-sectional view that illustrate the cutting
- stapling component according to one embodiment of the present invention.
- Figure 12(a) is a perspective view of a cutting and stapling component
- Figures 12(b) and 12(c) are side cross-sectional views that illustrate
- FIGS. 13(a) to 13(c) illustrate a handle portion, according to another
- Figure 14(a) is a front perspective view that illustrates a cutting
- Figure 14(b) is a rear perspective view that illustrates the cutting
- Figure 14(c) is a side view that illustrates the cutting and stapling
- Figure 14(d) is a rear view that illustrates the cutting and stapling
- Figure 15(a) is a front exploded view that illustrates the components of an
- anvil assembly according to another embodiment of the present invention.
- Figure 15(b) is an exploded, perspective view that illustrates some of the
- Figure 15(c) is an exploded, perspective view that illustrates the
- Figure 15(d) is an assembled, side cross-sectional view that illustrates
- Figure 16 is a side cross-sectional view that illustrates schematically
- Figure 17 is a side cross-sectional view that illustrates schematically
- Figure 18(a) is an exploded, perspective view that illustrates some of the
- Figure 18(b) is an assembled, side cross-sectional view that illustrates
- Figure 19(a) is an exploded, perspective view of a sleeve that is
- Figure 19(b) is a side cross-sectional view of a portion of the sleeve
- Figure 19(c) illustrates the closure elements of the sleeve shown in Figure
- Figure 19(d) is a perspective view of a sleeve that is configured to cover
- Figufe 19(e) is a perspective view of the sleeve shown in Figure 19(d) in
- the present invention is directed to an electro-mechanical surgical system.
- Figure 1 is a perspective view of an electro-mechanical surg ical system 10 according
- the electro-mechanical surgical system 10 includes a
- remote power console 12 having a flexible shaft 20 extending therefrom.
- shaft 20 includes at least a first rotatable drive shaft 30 and a second rotatable drive
- the surgical attachment 10O is configured to perform
- the surgical attachments are
- surgical attachments may be any suitable? type of surgical device.
- the surgical attachment 100 may include a handle portion 102. A proximal end
- the surgical attachment 100 may also include a flexible shaft
- a distal end 102b of the handle portion 102 is attachable to a proximal end
- the flexible shaft 104 may be formed of a tissue-
- the flexible shaft 104 may be any suitable, sterilizable elastomeric material.
- the flexible shaft 104 may be any suitable, sterilizable elastomeric material.
- the flexible shaft 104 may be any suitable, sterilizable elastomeric material.
- the flexible shaft 104 may be any suitable, sterilizable elastomeric material.
- the flexible shaft 104 may be any suitable, sterilizable elastomeric material.
- the flexible shaft 104 may be any suitable, sterilizable elastomeric material.
- the flexible shaft 104 may be
- the flexible portion formed of a material having a high or relatively high lubricity.
- the flexible portion formed of a material having a high or relatively high lubricity.
- shaft 104 may be formed of a material such as TeflonTM (i.e., a fluoropolymer, e.g.,
- PTFE polytetrafluoroethylene - "PTFE"), silicone, a TeflonTM/silicone combination, such as,
- SIL-KORETM made by W.L. Gore & Associates
- EPTFE e.g.,
- the surgical attachment 100 may also include cutting and stapling component
- a distal end 104b of the flexible shaft 104 is attached or attachable to a proximal
- Cutting and stapling component 103 is illustrated in Figures 8 to 12(c). As shown in
- the cutting and stapling component 103 includes an staple and blade portion
- trocar shaft 108 e.g., a cable that may be flexible.
- the trocar 110 Disposed at a distal end 108a of the trocar shaft 108 is a trocar 110.
- the trocar 110 is
- the surgical attachment 100 is configured such that the anvil assembly 112 may be selectively moved, e.g., extended
- console 12 may include a housing 14 having a front panel 15. Mounted on front panel
- the flexible shaft 20 may extend from the housing 14 and may be
- coupling 20 may include a second coupling, for instance coupling 26, adapted to detachably
- the flexible shaft 20 includes a tubular sheath
- the sheath 28 may
- tissue-compatible, sterilizable elastomeric material such as the
- sheath 28 may also be formed of a material that is autoclavable. Disposed within the
- first rotatable drive shaft 30 and the second rotatable drive shaft 32 are the first rotatable drive shaft 30 and the second rotatable drive shaft 32, as well as
- a first steering cable 34 a second steering cable 35, a third steering cable 36, a fourth
- FIG. 4 is a cross-sectional view of
- Each distal end of the steering cables 34, 35, 36, 37 is affixed to the distal end 24 of the flexible shaft 20.
- cables 30, 32, 34, 35, 36, 37, 38 may be contained within a respective sheath.
- the first rotatable drive shaft 30 and the second rotatable drive shaft 32 may be
- the first and second rotatable drive shafts 30, 32 are connected to The first and second rotatable drive shafts
- 30, 32 may thus be configured to transmit low torque but high speed, the high
- Such gearing arrangement(s) may include, for example, a spur gear arrangement, a
- the first coupling 22 includes a first connector 44, a second connector 48, a third
- Each of the connectors 44, 48, 52, 56 includes a respective recess 46, 50, 54, 58.
- each recess 46, 50, 54, 58 may be hexagonally shaped. It should
- the recesses 46, 50, 54, 58 may have any shape and configuration to r-ion-rotatably couple and rigidly attach the connectors 44, 48, 52, 56 to
- recesses may be provided on the drive shafts and complementary
- projections may be provided on the connectors 44, 48, 52, 56. Any other coupling
- One of the connectors 44, 48, 52, 56 is non-rotatably secured to the first
- connectors 44, 48, 52, 56 engage with transmission elements configured to apply
- the data transfer cable 38 is electrically and logically connected
- the data connector 60 includes, for example, electrical
- the first coupling 22 includes a key structure 42 to
- Such key structure 42 may be
- first coupling 22 may include a quick-connect type connector, which may use, for
- Seals may be provided in conjunction with any of the several connectors 44, 48, 52, 56, 60 to provide a fluid-tight seal between the interior of the first coupling 22 and the
- the second coupling 26 includes a first connector
- a quick-connect type fitting 64 is provided on the
- quick-connect type fitting 64 may be, for example, a rotary quick-connect type fitting, a
- a key structure 74 is provided on the second coupling 26 for
- the quick-connect type fitting may be
- a data connector 70 having electrical
- the data connector 70 of the second coupling 26 includes contacts
- Seals may be provided in conjunction
- each operating via a power source may be disposed in the remote power console
- the motors may operate via battery power, line current, a DC power
- the motors may be connected to a DC power supply, which is in turn connected to
- Figure 6(a) illustrates schematically one possible arrangement of motors.
- the motors may be arranged and
- first rotatable drive shaft 30 and the second rotatable drive shaft 32 may be
- second motor 80 may be configured as high-speed/low-torque motors.
- second motor 80 may be configured as high-speed/low-torque motors.
- first motor 76 and the second motor 80 may be configured as low-speed/high-
- reducing/speed-increasing gear arrangement may include, for example, a spur gear
- any such gear arrangement may be disposed within the remote power console 12 or in
- the proximal end of the flexible shaft 20 such as, for example, in the first coupling 22.
- gear arrangement(s) are provided at the distal and/or
- a controller 1122 is provided in the housing 14 of the
- remote power console 12 is configured to control all functions and operations of the
- a memory unit 1130 is provided and may include memory devices,
- ROM component 1132 such as, a ROM component 1132 and/or a RAM component 1134.
- RAM component 1134 such as, a ROM component 1132 and/or a RAM component 1134.
- component 1132 is in electrical and logical communication with the controller 1122 via
- the RAM component 1134 may include any type of
- random-access memory such as, for example, a magnetic memory device, an optical memory
- the ROM component 1132 may include any type of read-only memory, such as
- a removable memory device such as a PC-Card or PCMCIA-type
- component 1134 may be embodied as a single unit or may be separate units and that
- the ROM component 1132 and/or the RAM component 1134 may be provided in the
- the controller 1122 is further connected to
- the front panel 15 of the housing 14 and, more particularly, to the display device 16 via
- RCU control unit
- a wireless RCU 1148 is also provided and communicates via a wireless
- the transceiver 1140 is electrically and logically connected to the controller 1122 via line 1 T42.
- the wireless link 1160 may be, for example, an optical link, such
- a switch device 1186 which may be, for example, an array of DIP switches, may be
- the switch device 1186 may be any type of circuitry
- the messages and prompts may
- 1106 is provided within the second coupling 26 and is configured to output a signal in
- encoder 1108 is also provided within the second coupling 26 and is configured to
- the signal output by each of the encoders 1106, 1108 may represent the
- Such encoders 1106, 1108 may be, for example, Hall-effect devices, optical
- Figure 6(b) is a schematic view of an encoder 1106, 1108, which includes a
- Hall-effect device Mounted non-rotatably on drive shaft 30, 32 is a magnet 240 having
- the encoder 1106, 1108 further includes a first
- sensors 246, 248 is persistent and changes its state as a function of a change of
- the controller 1122 by tracking the angular position and rotational direction of
- the controller 1122 can determine the
- the surgical attachment 100 may further include, according to one embodiment
- a data connector 1272 adapted by size and configuration
- the data connector 1272 includes contacts (not shown) equal
- attachment 100 is a memory unit 1174 electrically and logically connected with the data
- the memory unit 1174 may be in the form of, for example, an EEPROIV ⁇ , EPROM, etc. and may be contained, for example, within the staple and
- FIG. 6(d) schematically illustrates the memory unit 1174. As seen in Figure
- the data connector 1272 includes contacts 1276, each electrically and logically
- the memory unit 1174 is connected to the memory unit 1174 via a respective line 1278.
- the memory unit 1174 is connected to the memory unit 1174 via a respective line 1278.
- a serial number data 1180 is configured to store, for example, a serial number data 1180, an attachment type
- the memory unit 1174 may
- serial number may be configured as read-only data.
- the serial number may be configured as read-only data.
- the serial number may be configured as read-only data.
- the serial number may be configured as read-only data.
- data 1180 is data uniquely identifying the particular surgical attachment, whereas the ID
- data 1182 is data identifying the type of the attachment (when, for instance, other types
- the usage data 1184 represents
- usage of the particular attachment such as, for example, the number of times the anvil
- end 24 of the flexible shaft 20 may be designed and configured to be used a single
- the surgical attachment 100 may also be designed and
- the usage data configured to be used a predetermined number of times. Accordingly, the usage data
- 1184 may be used to determine whether the surgical attachment 100 has been used
- the controller 1122 is configured to read the ID data 1182 from
- the memory unit 1174 is electrically and
- the controller 1122 is configured to read or select
- memory unit 1130 is configured to store the operating programs or algorithms for each
- the controller 1122 selecting and/or
- the memory unit 1130 may include a
- algorithms stored in the memory unit 1130 may be customizable based on, for
- a data entry device such as, for example, a
- keyboard a mouse, a pointing device, a touch screen, etc.
- a touch screen a touch screen
- serial number data 1180 and/or the usage data 1184 may also be
- the controller 1122 causes the operating program
- the wired RCU 1150 and/or the wireless RCU 1148 are connected to the wired RCU 1150 and/or the wireless RCU 1148. As indicated hereinabove, the
- controller 1 122 is electrically and logically connected with the first, second, third, fourth
- the wireless RCU 1148 includes a steering controller 1300 having a plurality of
- switches 1302, 1304, via the rocker 1310, controls the operation of the first
- rocker 1310 and the switches 1302, 1304, 1306, 1308 are arranged so that the
- a digital joystick, analog joystick, etc. may be
- the wireless RCU 1 148 further includes a steering engage/disengage switch
- the wireless RCU 1148 also serves to engage and disengage the steering mechanism.
- the wireless RCU 1148 also serves to engage and disengage the steering mechanism.
- the surgical instrument is the surgical attachment 100, such as that
- the wireless RCU 1148 is provided with yet another switch 1320, the
- operation of the switch 1320 may initiate the advancement, or firing
- the wireless RCU 1148 includes a controller 1322, which is electrically and
- the wireless RCU 1148 may include indicators 18a', 18b',
- the controller 1322 is electrically and
- transceiver 1338 logically connected to a transceiver 1338 via line 1340, and the transceiver 1338 is
- a receiver/transmitter 1342 electrically and logically connected to a receiver/transmitter 1342 via line 1344.
- the wireless RCU 1148 may be used to control the
- the wireless RCU 1148 may include a switch 1346 connected to the controller
- the data signal includes
- identification data uniquely identifying the wireless RCU 1148. This identification data is used by the controller 1122 to prevent unauthorized operation of the electro ⁇
- system 10 may include the identification data.
- the controller 1122 can be any combination of the identification data.
- wireless RCU 1148 to control the operation of the electro-mechanical surgical system
- the controller 1122 may selectively enable or disable the functions of the electro-mechanical surgical system 10 as defined by the operating
- portion 106 is determined to be within an acceptable range.
- controller 1122 does not effect the corresponding function unless the space or
- the wired RCU 1150 includes substantially the
- the wired RCU 1150 may be
- the front panel 15 of housing 14 includes display
- the display device 16 may include an alpha ⁇
- the display device 16 may be any suitable numeric display device, such as an LCD display device.
- the display device 16 may be any suitable numeric display device, such as an LCD display device.
- the display device 16 may be any suitable numeric display device, such as an LCD display device.
- the display device 16 is operated and controlled by controller 1122 in accordance with the
- program or algorithm may be read or selected by, or transmitted to, controller 1122 to
- Display device 16 may display, for example
- the indicators 18a, 18b are operated and controlled by the controller
- indicator 18b may include an audio output device, such as a speaker, a buzzer, etc.,
- a visual indicator device such as an LED, a lamp, a light, etc.
- attachment 100 illustrated in Figure 1 is attached to the flexible shaft 20, the indicator
- 18a may indicate, for example, that the electro-mechanical surgical system 10 is in a
- the indicator 18b may, for example, indicate whether the gap
- FIG. 1 in accordance with various embodiments of the present invention.
- Figures 7(a) to 7(f) are various views of the handle portion 102 of the surgical
- Figure 7(a) is a front perspective view
- Figure 7(b) is a rear perspective view, of
- the handle portion 102 including a housing 301.
- 301 is disposed a gear housing 302. At a distal end 301b of the housing 301 is
- the quick-connect coupling 304 is mounted onto the gear housing 302 and may
- the gear housing 302 includes a first drive socket
- Figure 7(c) is an exploded front perspective
- first input element 306a includes a first input element 306a, one end 3061 of which extends through an opening
- the second drive socket 304b includes a second input element 306b, one end
- the extension rod 308 extends through an extension rod opening 3025 in the
- the distal end 308b of the extension rod 308 has a flange 3081 that is larger than the extension rod opening 3025 such that the flange 3081 of the extension
- the spur gear 310 has arranged along
- the rod 312 is connected to a coupling element 314
- coupling 31 may provide a connection to the first drive shaft 104a of the flexible shaft
- a spur Also seated within an internal recess 3024 of the gear housing 302 is a spur
- the spur gear 318 has arranged along its outer circumference spur gear
- the spur gear 318 has a bore 3182 extending therethrough.
- a second end 3162 of the shaft drive element 316 is configured to non-
- Figure 7(d) is a top view of the handle portion 102 Illustrated in Figure 7(a).
- Figure 7(e) is a side cross-sectional view of the handle portion 102 illustrated in Figure
- Figure 7(d) taken along the lines A-A.
- Figure 7(f) is a side cross-sectional view of the handle
- Figure 8 is a perspective view of the cutting and stapling component 103 of the
- the cutting and stapling component 103 As shown in Figure 8' and as previously described, the cutting and stapling component 103
- centrally disposed opening of the staple and blade portion 106 is a trocar shaft 108.
- the trocar shaft 108 may be flexible. In one embodiment, the trocar shaft 108 is a
- trocar 110 Disposed at a distal end 108a of the trocar shaft 108 is a trocar 110.
- the trocar 110 is configured to engage an anvil assembly 112,
- the surgical attachment 100 is configured
- trocar shaft 108 such that the trocar shaft 108, and the anvil assembly 112 attached thereto, may be
- the trocar shaft 108 having the trocar
- Figure 9 is a perspective view that illustrates a cutting and stapling component
- Figure 9 shows the cutting
- Figure 9 illustrates the anvil assembly 112 in a partially retracted position relative to the
- Figure 10(a) is a perspective view that illustrates the components of the anvil
- anvil assembly 112 includes an anvil end cap 202.
- the anvil end cap 202 has a centrally-disposed opening 2021 arranged in the axial direction.
- clamping face 2023 has a recessed portion that forms a blade repository 2024.
- clamping face 2023 also defines sta pie guides 2026.
- the anvil assembly 112 also includes a pin 204 corresponding cross-sectionally
- the anvil assembly 112 also includes a
- anvil sleeve 208 A distal end 2081 of the anvil sleeve 208 corresponds cross-
- openings 2082 that correspond cross-sectionally
- a proximal end 2084 of the anvil sleeve 208 there is defined a
- recess 2086 that extends circumfere ntially around the anvil sleeve 208 and that has a
- the proximal end 2084 of the anvil sleeve 208 also serves as a proximal end 2084 of the anvil sleeve 208.
- the anvil sleeve 208 also includes one or more longitudinally-
- the anvil assembly 112 also includes an anvil extension rod 206.
- extension rod 206 has a distal end 2061 that may be flat and that defines an opening
- the anvil extension rod 206 also has a central region 2063 that is round and that
- the distal end 2061 of the anvil extension rod 206 is cross-sectionally
- the anvil extension rod 206 also has a proximal end 2063 that defines a trocar receiving slot
- Figure 10(b) is a perspective view that illustrates some of the components of the
- Figure 10(b) shows the components in an exploded condition. As shown in Figure
- the staple and blade portion 106 includes a hollow anvil sleeve guide 210.
- anvil sleeve guide 210 includes one or more keyways 2101.
- outer surface of the anvil sleeve guide 210 includes a lip 2102, such that a proximal end
- the staple and blade portion 106 also includes an outer housing sleeve 212.
- the outer housing sleeve 212 has one or more openings 2121 at its distal end 2122,
- the staple and blade portion 106 also includes a staple cartridge 214.
- the staple cartridge 214 defines a plurality of axially-disposed staple receiving slots
- staple receiving slots 2141 are disposed circumferentially around the staple cartridge
- 214 also includes a radially inwardly-extending lip 2145 located near the distal end
- the staple and blade portion 106 also includes a frangible blade protection ring
- the staple and blade portion 106 includes a blade 218.
- the blade 218 has a cutting edge 2183 that extends
- the blade 218 defines a radially,
- the staple and blade portion 106 also includes a staple pusher 220.
- pusher 220 has a plurality of axially-disposed pushing teeth 2201 , each of which
- the staple pusher 220 also includes a key 2202 on its outer surface.
- the staple and blade portion 106 also includes a staple pusher carriage
- neck portion 2221 includes threads 2223, while an exterior
- the radially outermost edge of the flange 2222 includes a key 2225.
- Figure 10(c) is a perspective view that illustrates the remaining components of
- portion 106 also includes a split ring 224.
- the split ring 224 includes a pair of semi ⁇
- the staple and blade portion 106 also includes a washer 226.
- the staple and blade portion 106 also includes a thrust
- the neck portion 2281 defines threads 2284 that correspond to the threads 2223
- the flange 2282 of the thrust element 228 includes one or more bores
- a proximally-extending pin 2286 having, e.g.,
- the staple and blade portion 106 also includes a first spur gear 230.
- spur gear 230 defines an internal bore 2301 that corresponds cross-sectionally to the
- the first spur gear 230 also includes
- the inner housing 232 also includes a washer 232, and an inner housing sleeve 234.
- the inner housing 232 also includes a washer 232, and an inner housing sleeve 234.
- sleeve 234 includes an internal bore 2341 that has a first interior radius at a distal end
- the internal bore 2341 extends proximally
- the internal bore 2342 is reduced.
- the internal bore 2342 extends still further proximally to
- a proximal end 2343 e.g., proximal relative to the gear teeth 2347, has a smooth
- the staple and blade portion 106 also includes a sun gear element 236 that has
- neck portion 2361 a neck portion 2361 and a flange portion 2362, the neck portion 2361 extending axially
- a bore 2363 is defined within
- the flange portion 2362 includes a proximally-extending pin
- the staple and blade portion 106 also serves as a staple and blade portion 106 to form a round cross section.
- the staple and blade portion 106 also serves as a round cross section.
- the staple and blade portion 106 includes a washer 238.
- the staple and blade portion 106 also includes a first planetary gear 240 having
- An exterior surface of the first planetary gear 240 has
- sun gear 242 having an internal bore 2421.
- gear 242 has circumferentially-disposed gear teeth 2422 that correspond to the gear
- the staple and blade portion 106 also serves as
- the staple and blade portion 106 also includes a washer 244 having a tab 2441.
- the staple and blade portion 106 also includes a washer 244 having a tab 2441.
- the staple and blade portion 106 also includes an input element 248.
- a distal end of the staple and blade portion 106 also includes an input element 248.
- end 2481 of the input element 248 has an internal bore 2483, which may have, e.g., a
- a proximal end 2484 of the input element 248 has a round outer
- the staple and blade portion 106 also includes a housing rear endcap 250
- housing rear endcap 250 also includes an outer radial lip 2505. Located distally
- the housing rear endcap 250 also includes at its
- the staple and blade portion 106 also includes a central rear endcap sleeve
- the bore 2521 defines a radially inwardly-extending rim 2523.
- proximal end 2524 of the central rear endcap sleeve 252 are oppositely-disposed
- the staple and blade portion 106 also includes a retainer sleeve 254 having a
- Figure 11(a) is a top, cross-sectional view and Figure 11(b) is a side, cross-
- Figures 11 (a) and 11 (b) show t he cutting
- the anvil pin 204 is inserted through the radially-d ⁇ sposed slot 2022
- the anvil sleeve 208 is axially and slidably retained within the interior of the anvil
- the anvil sleeve 208 is prevented from rotating relative to the anvil
- the proximal end 2103 of the anvil sleeve guide 210 is the central rear endcap sleeve
- the bore 2521 of the central rear endcap sleeve 252 is the retainer sleeve 254.
- the input element 248 is rotatably maintained within the second opening 2502
- the sun gear 242 is
- the circumferentially-disposed teeth 2422 of the sun gear 242 are also in
- the first planetary gear 240 is rotatably mounted on the pin 2361
- circumferentially-disposed teeth 2402 of the first planetary gear 240 are also in
- the inner housing sleeve 234 is
- fasteners 256 e.g., pins or screws
- the sun gear element 236 is rotatably mounted via its internal bore 2363 on the
- the first spur gear 230 is rotatably mounted on the thrust element 228 by the
- teeth 2302 of the first spur gear 230 are also in meshing engagement with the gear
- the thrust element 228 is rotatably mounted on the anvil sleeve guide 210 by the
- anvil sleeve guide 210 fitting within the internal bore 2283 of the thrust element 228.
- the washer 232 resides between the proximal surface of the flange 2282 of the thrust
- the staple pusher carriage element 222 is mounted on the thrust element 228
- the split ring is
- the element 228 is the staple pusher 220.
- the keys 2202 of the staple pusher 220 are the staple pusher 220.
- the staple cartridge 214 is positioned distally relative to the staple pusher 220
- cartridge 214 is axially moveabie in a distal direction within the outer housing sleeve
- distal end 2182 of the blade is engaged within the recess 2224 located on the outer
- edge 2183 of the blade 218 is sheathed within the slot 2161 of the frangible blade
- the frangible blade protection ring 216 axially abuts the radially
- the surgical attachment 100 is attached via the quick connect
- 100 may be in a retracted position, such as illustrated in Figure 9, so as to facilitate the
- the staple and blade portion 106 may be inserted into an oral passage of the
- the controller 1122 may initially be configured to operate in a clamping mode.
- gear 310 is caused to rotate in a second direction, e.g., counter-clockwise when
- trocar shaft 108 extending through the staple and blade portion 106 of the cutting and
- disposed at its end may be extended by movement in a first, e.g., distal, direction to a
- the trocar 110 is pushed
- the trocar shaft 108 is then retracted by operation of the first rotatable drive shaft 30 in the opposite direction so as to draw the anvil extension rod
- the trocar shaft 108 causes the anvil sleeve 108 to move proximally within the anvil
- the anvil assembly 112 is axially locked in
- the anvil end cap 202 is at a distance of approximately 5mm from the clamping face
- the controller 1122 may cease rotation of the first rotatable drive
- the controller 1122 may then change to a firing mode
- the second rotatable drive shaft 32 may
- spur gear 318 in the second direction causes the shaft drive element 316, and the second drive shaft 104b of the flexible shaft 104 which is non-rotatably connected to the
- the first planetary gear 240 is mounted on the pin 2361 extending proximally from the flange portion 2362 of the sun gear element 236, the
- gear element 236 to rotate around the anvil sleeve guide 210 in the second direction.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP05713904.0A EP1722690B1 (en) | 2004-02-23 | 2005-02-23 | Surgical cutting and stapling device |
CN2005800099196A CN1960679B (en) | 2004-02-23 | 2005-02-23 | Surgical cutting and stapling device |
CA2557206A CA2557206C (en) | 2004-02-23 | 2005-02-23 | Surgical cutting and stapling device |
JP2007500918A JP4782767B2 (en) | 2004-02-23 | 2005-02-23 | Surgical cutting and stapling equipment |
MXPA06009646A MXPA06009646A (en) | 2004-02-23 | 2005-02-23 | Surgical cutting and stapling device. |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/785,672 US8025199B2 (en) | 2004-02-23 | 2004-02-23 | Surgical cutting and stapling device |
US10/785,672 | 2004-02-23 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2005081919A2 true WO2005081919A2 (en) | 2005-09-09 |
WO2005081919A3 WO2005081919A3 (en) | 2006-06-01 |
Family
ID=34861664
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2005/005530 WO2005081919A2 (en) | 2004-02-23 | 2005-02-23 | Surgical cutting and stapling device |
Country Status (7)
Country | Link |
---|---|
US (5) | US8025199B2 (en) |
EP (1) | EP1722690B1 (en) |
JP (4) | JP4782767B2 (en) |
CN (2) | CN1960679B (en) |
CA (1) | CA2557206C (en) |
MX (1) | MXPA06009646A (en) |
WO (1) | WO2005081919A2 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE102008051044A1 (en) | 2008-10-09 | 2010-04-15 | Osram Opto Semiconductors Gmbh | Optoelectronic component |
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US20190314013A1 (en) | 2019-10-17 |
CN102151159A (en) | 2011-08-17 |
JP5775058B2 (en) | 2015-09-09 |
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CN102151159B (en) | 2012-12-05 |
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JP4782767B2 (en) | 2011-09-28 |
EP1722690A4 (en) | 2014-01-22 |
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US8025199B2 (en) | 2011-09-27 |
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JP2007522910A (en) | 2007-08-16 |
CN1960679A (en) | 2007-05-09 |
US20150297220A1 (en) | 2015-10-22 |
CN1960679B (en) | 2011-06-15 |
EP1722690B1 (en) | 2020-06-03 |
CA2557206C (en) | 2012-08-14 |
US9247940B2 (en) | 2016-02-02 |
US11219452B2 (en) | 2022-01-11 |
JP2011101812A (en) | 2011-05-26 |
CA2557206A1 (en) | 2005-09-09 |
WO2005081919A3 (en) | 2006-06-01 |
EP1722690A2 (en) | 2006-11-22 |
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