CN110114007A - Including respectively may be actuated and can retraction system shaft assembly - Google Patents

Including respectively may be actuated and can retraction system shaft assembly Download PDF

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Publication number
CN110114007A
CN110114007A CN201780079888.4A CN201780079888A CN110114007A CN 110114007 A CN110114007 A CN 110114007A CN 201780079888 A CN201780079888 A CN 201780079888A CN 110114007 A CN110114007 A CN 110114007A
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CN
China
Prior art keywords
shaft assembly
jaw
patent application
assembly according
end effector
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201780079888.4A
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Chinese (zh)
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CN110114007B (en
Inventor
J·S·斯韦兹
R·L·小科赫
M·D·奥尔梅亚
F·E·谢尔顿四世
J·L·哈里斯
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Ethicon LLC
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Ethicon LLC
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Filing date
Publication date
Priority claimed from US15/385,890 external-priority patent/US10675025B2/en
Application filed by Ethicon LLC filed Critical Ethicon LLC
Publication of CN110114007A publication Critical patent/CN110114007A/en
Application granted granted Critical
Publication of CN110114007B publication Critical patent/CN110114007B/en
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Anticipated expiration legal-status Critical

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Abstract

The invention discloses a kind of shaft assembly (2000), it includes the end effector (2300) that can be configured as open configuration and closed configuration, it is configured to the closed system for changing the end effector towards the closed configuration during closing stroke, the firing member (1500) and frame (2200) by firing schedule can be moved.In all cases, shaft assembly includes being configured to displacement frame to open the first emergency set (2800) of end effector and to be configured to the second independent emergency set (1700) of retraction firing member during and/or after firing schedule.In some cases, closed system is distensible to execute closing stroke.In at least one such situation, closed system includes the distal part (3630) that is installed to the portions of proximal (3610) of frame and can move relative to portions of proximal.In at least one situation, firing member engages enclosed member to expand closed system.

Description

Including respectively may be actuated and can retraction system shaft assembly
Background technique
The present invention relates to surgical instruments, and in various arrangements, are related to the surgery for being designed to suture and cut tissue Suture and cutting device and the nail bin being used therewith.
Detailed description of the invention
The various features of the embodiment described herein add in combination with following attached drawing according to being described below together with its advantage To understand:
The perspective view of the shaft assembly of at least one embodiment according to Fig. 1;
Fig. 2 is the perspective view for being shown to remove the shaft assembly of Fig. 1 of some components;
Fig. 3 is the perspective view of the ridge component of the shaft assembly of Fig. 1;
Fig. 4 is the partial sectional view of the shaft assembly of Fig. 1;
Fig. 5 is the exploded view for being shown to remove the shaft assembly of Fig. 1 of some components;
Fig. 6 is the exploded view of the ridge component of Fig. 3;
Fig. 7 is the exploded view of the distal end of the shaft assembly of Fig. 1;
Fig. 8 is the exploded view of the middle section of the shaft assembly of Fig. 1;
Fig. 9 is the exploded view for being shown to remove the proximal end of the shaft assembly of Fig. 1 of some components;
Figure 10 be Fig. 1 shaft assembly distal end partial sectional view, shown with open non-percussion configuration and Nail bin including being in non-dummy status;
Figure 11 is pushed into the distal end of the shaft assembly of previously shown Fig. 1 for the firing member in shaft assembly towards distal side Partial sectional view;
Figure 12 is logical to be pushed into after firing member is pushed through closing stroke towards distal side but in firing member Cross the partial sectional view of the distal end of the shaft assembly of the previously shown Fig. 1 of firing schedule;
Figure 13 is the office of the distal end of the shaft assembly of the Fig. 1 shown after the firing schedule of firing member has begun Portion's cross-sectional view;
Figure 14 is the partial sectional view of the distal end of the shaft assembly of Fig. 1, and it illustrates retraction is in after firing schedule The firing member of position;
Figure 15 is the partial sectional view of the distal end of the shaft assembly of Fig. 1, and it illustrates the nail bin for being in dummy status and places In the firing member of lock state;
Figure 16 is the partial sectional view for being shown at the shaft assembly of Fig. 1 of joint motions operation mode;
Figure 17 is the partial sectional view for being shown at the shaft assembly of Fig. 1 of percussion operation mode;
Figure 18 is the partial cutaway for being shown at the proximal end of the shaft assembly of Fig. 1 of joint motions operation mode of Figure 16 View;
Figure 19 is the broken section for being shown at the proximal end of the shaft assembly of Fig. 1 of percussion operation mode of Figure 17 Figure;
Figure 20 is the partial sectional view of the proximal end of the shaft assembly of Fig. 1 of the line 20-20 interception in Figure 18;
Figure 21 is the partial sectional view of the proximal end of the shaft assembly of Fig. 1 of the line 21-21 interception in Figure 18;
Figure 22 is the partial sectional view of the proximal end of the shaft assembly of Fig. 1 of the line 22-22 interception in Figure 19;
Figure 23 is the partial sectional view of the proximal end of the shaft assembly of Fig. 1 of the line 23-23 interception in Figure 19;
Figure 24 is the partial exploded view of the shaft assembly of Fig. 1, and it illustrates the displaceable clutches in the trigger system of shaft assembly Device;
Figure 25 is the cross-sectional view of the intermediate percussion connecting rod of the trigger system of Figure 24;
Figure 26 is the partial sectional view of the shaft assembly of Fig. 1, and it illustrates the displaceable clutches of Figure 24 in percussion configuration Device;
Figure 27 is the partial sectional view of the shaft assembly of Fig. 1, and it illustrates the displaceable clutches of Figure 24 will be from Figure 26's Percussion configuration is converted to joint motions configuration;
Figure 28 is the partial sectional view of the shaft assembly of Fig. 1, and it illustrates the displaceable clutches of Figure 24 from Figure 26's Percussion configuration is converted to joint motions configuration;
Figure 29 is the partial sectional view of the shaft assembly of Fig. 1, and it illustrates the displaceable of Figure 24 in joint motions configuration Clutch;
Figure 30 is the partial sectional view for being shown at the shaft assembly of Fig. 1 of non-joint motions configuration;
Figure 31 is the partial sectional view for being shown at the shaft assembly of Fig. 1 of joint motions configuration;
Figure 32 is the partial sectional view of the shaft assembly of Fig. 1, and it illustrates the joint motions of shaft assembly in the unlocked state System;
Figure 33 is the partial sectional view of the shaft assembly of Fig. 1, and it illustrates the joint motions for the shaft assembly being in the lock state System;
Figure 34 is the cross-sectional view of the proximal end of the shaft assembly of Fig. 1, and it illustrates the shaft assemblies in undeployed configuration Retraction system;
Figure 35 be shown Figure 34 retraction system be in unfolded state Fig. 1 shaft assembly proximal end section view Figure;
Figure 36 is the cross-sectional view of the proximal end of the shaft assembly of Fig. 1, and it illustrates the retractions of Figure 34 in actuating state System;
The perspective view of the shaft assembly of at least one embodiment according to Figure 37;
Figure 38 is the fragmentary perspective view for being shown to remove the shaft assembly of Figure 37 of some components;
Figure 39 is the fragmentary perspective view for being shown to remove the shaft assembly of Figure 37 of additional component;
Figure 40 is the partial sectional view of the shaft assembly of Figure 37;
Figure 41 is the partial sectional view of the shaft assembly of Figure 37;
Figure 42 is the exploded view for being shown to remove the shaft assembly of Figure 37 of some components;
Figure 43 is the exploded view of the distal end of the shaft assembly of Figure 37;
Figure 44 is the exploded view for being shown to remove the proximal end of the shaft assembly of Figure 37 of some components;
Figure 45 is the partial sectional view for being shown at the shaft assembly of Figure 37 of closure or clamping configuration;
Figure 46 is the partial sectional view for being shown at the shaft assembly of Figure 37 of open configuration;
Figure 47 is the perspective view for being shown to remove the shaft assembly according at least one embodiment of some components;
Figure 48 is the perspective view of the displaceable member of the shaft assembly of Figure 47;
Figure 49 is the exploded view for being shown to remove the shaft assembly of Figure 47 of some components;
Figure 50 is the partial sectional view for being shown at the shaft assembly of Figure 47 of joint motions operation mode;
Figure 51 is the partial sectional view for being shown at the shaft assembly of Figure 47 of percussion operation mode;
The perspective view of the shaft assembly including displaceable member of at least one alternative embodiment according to Figure 52;
Figure 53 is the partial sectional view for being shown at the shaft assembly of Figure 52 of joint motions operation mode;
Figure 54 is the partial sectional view for being shown at the shaft assembly of Figure 52 of percussion operation mode;
The perspective view of the attachment part of the shaft assembly of at least one embodiment according to Figure 55;
Figure 56 is the perspective view for being shown at the attachment part of Figure 55 of open configuration;
Figure 57 is the exploded view of the attachment part of Figure 55;
Figure 58 be shown at Figure 56 open configuration and be shown to remove the attachment of Figure 55 of some components The perspective view divided;
Figure 59 be shown at Figure 56 open configuration and be shown remove additional component Figure 55 attachment The perspective view divided;
Figure 60 is the plan view for being shown at the power train of the attachment part of Figure 55 of percussion operation mode;
Figure 60 of percussion operation mode that is that Figure 61 is the line 61-61 interception in Figure 60 and being shown at Figure 60 The cross-sectional view of power train;
Figure 60 of percussion operation mode that is that Figure 62 is the line 62-62 interception in Figure 60 and being shown at Figure 60 The cross-sectional view of power train;
Figure 60 of percussion operation mode that is that Figure 63 is the line 63-63 interception in Figure 60 and being shown at Figure 60 The cross-sectional view of power train;
The power train of Figure 60 that is that Figure 64 is the line 62-62 interception in Figure 60 and being shown at second operator scheme Cross-sectional view;
Figure 65 is the power train of Figure 60 that the is line 63-63 interception in Figure 60 and being shown at retraction operation mode Cross-sectional view;
Figure 66 is the partial sectional view for being shown at the attachment part of Figure 55 of retraction operation mode of Figure 65;
Figure 67 is the broken section for including the shaft assembly that end effector, the first joint motions lock and second joint movement are locked Figure is shown the first joint motions lock and is in the lock state, and second joint movement lock is in the unlocked state;
Figure 68 is the shaft assembly for being shown Figure 67 that the first joint motions lock and second joint movement lock are in the lock state Partial sectional view;
Figure 69 is the shaft assembly for being shown Figure 67 that the first joint motions lock and second joint movement lock are in the lock state Partial sectional view;
Figure 70 is the partial sectional view of the shaft assembly of Figure 67, is shown the first joint motions lock and is in the lock state, and And second joint movement lock is in the unlocked state;
Figure 71 is to be shown the first joint motions lock and the shaft assembly of Figure 67 in the unlocked state is locked in second joint movement Partial sectional view;
Figure 72 be include shank and interchangeable shaft assembly surgical instruments perspective view;And
Figure 73 is the perspective view for being operably supported the robotic surgical system of multiple surgical tools.
In several views, corresponding reference symbol indicates corresponding component.Exemplifications set out herein is with a kind of shape Formula shows various embodiments of the present invention, and this example is not necessarily to be construed as the model limiting the invention in any way It encloses.
Specific embodiment
Present applicant, which possesses to submit on December 21st, 2016 and be respectively incorporated by reference, to be incorporated herein Following U.S. Patent application:
Entitled " SURGICAL STAPLING INSTRUMENTS AND REPLACEABLE TOOL ASSEMBLIES The U.S. Patent Application Serial Number 15/386,185 of THEREOF ";
The U.S. Patent application sequence of entitled " ARTICULATABLE SURGICAL STAPLING INSTRUMENTS " Row number 15/386,230;
The United States Patent (USP) Shen of entitled " LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS " It please sequence number 15/386,221;
The United States Patent (USP) of entitled " SURGICAL END EFFECTORS AND FIRING MEMBERS THEREOF " Patent application serial numbers 15/386,209;
Entitled " LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS AND The U.S. Patent Application Serial Number 15/386,198 of REPLACEABLE TOOL ASSEMBLIES ";And
Entitled " SURGICAL END EFFECTORS AND ADAPTABLE FIRING MEMBERS THEREFOR " U.S. Patent Application Serial Number 15/386,240.
Present applicant, which possesses to submit on December 21st, 2016 and be respectively incorporated by reference, to be incorporated herein Following U.S. Patent application:
Entitled " STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE The U.S. Patent Application Serial Number 15/385,939 of CAVITIES THEREIN ";
Entitled " SURGICAL TOOL ASSEMBLIES WITH CLUTCHING ARRANGEMENTS FOR SHIFTING BETWEEN CLOSURE SYSTEMS WITH CLOSURE STROKE REDUCTION FEATURES AND The U.S. Patent Application Serial Number 15/385,941 of ARTICULATION AND FIRING SYSTEMS ";
The beauty of entitled " SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS " State's patent application serial number 15/385,943;
Entitled " SURGICAL TOOL ASSEMBLIES WITH CLOSURE STROKE REDUCTION The U.S. Patent Application Serial Number 15/385,950 of FEATURES ";
Entitled " STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE The U.S. Patent Application Serial Number 15/385,945 of CAVITIES THEREIN ";
The beauty of entitled " SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS " State's patent application serial number 15/385,946;
Entitled " SURGICAL INSTRUMENTS WITH JAW OPENING FEATURES FOR INCREASING The U.S. Patent Application Serial Number 15/385,951 of A JAW OPENING DISTANCE ";
The U.S. Patent Application Serial Number 15/385,953 of entitled " METHODS OF STAPLING TISSUE ";
Entitled " FIRING MEMBERS WITH NON-PARALLEL JAW ENGAGEMENT FEATURES FOR The U.S. Patent Application Serial Number 15/385,954 of SURGICAL END EFFECTORS ";
Entitled " SURGICAL END EFFECTORS WITH EXPANDABLE TISSUE STOP The U.S. Patent Application Serial Number 15/385,955 of ARRANGEMENTS ";
The beauty of entitled " SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS " State's patent application serial number 15/385,948;
The beauty of entitled " SURGICAL INSTRUMENTS WITH POSITIVE JAW OPENING FEATURES " State's patent application serial number 15/385,956;
Entitled " SURGICAL INSTRUMENTS WITH LOCKOUT ARRANGEMENTS FOR PREVENTING The U.S. of FIRING SYSTEM ACTUATION UNLESS AN UNSPENT STAPLE CARTRIDGE IS PRESENT " Patent application serial number 15/385,958;And
Entitled " STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE The U.S. Patent Application Serial Number 15/385,947 of CAVITIES THEREIN ";
Present applicant, which possesses to submit on December 21st, 2016 and be respectively incorporated by reference, to be incorporated herein Following U.S. Patent application:
Entitled " METHOD FOR RESETTING A FUSE OF A SURGICAL INSTRUMENT SHAFT's " U.S. Patent Application Serial Number 15/385,896;
Entitled " STAPLE FORMING POCKET ARRANGEMENT TO ACCOMMODATE DIFFERENT The U.S. Patent Application Serial Number 15/385,898 of TYPES OF STAPLES ";
The U.S. of entitled " SURGICAL INSTRUMENT COMPRISING IMPROVED JAW CONTROL " is special Sharp patent application serial numbers 15/385,899;
Entitled " STAPLE CARTRIDGE AND STAPLE CARTRIDGE CHANNEL COMPRISING The U.S. Patent Application Serial Number 15/385,901 of WINDOWS DEFINED THEREIN ";
The United States Patent (USP) Shen of entitled " SURGICAL INSTRUMENT COMPRISING A CUTTING MEMBER " It please sequence number 15/385,902;
Entitled " STAPLE FIRING MEMBER COMPRISING A MISSING CARTRIDGE AND/OR The U.S. Patent Application Serial Number 15/385,904 of SPENT CARTRIDGE LOCKOUT ";
The U.S. Patent Application Serial Number 15/ of entitled " FIRING ASSEMBLY COMPRISING A LOCKOUT " 385,905;
Entitled " SURGICAL INSTRUMENT SYSTEM COMPRISING AN END EFFECTOR LOCKOUT The U.S. Patent Application Serial Number 15/385,907 of AND A FIRING ASSEMBLY LOCKOUT ";
The U.S. Patent Application Serial Number 15/385 of entitled " FIRING ASSEMBLY COMPRISING A FUSE ", 908;And
The entitled U.S. " FIRING ASSEMBLY COMPRISING A MULTIPLE FAILED-STATE FUSE " Patent application serial number 15/385,909;
Present applicant, which possesses to submit on December 21st, 2016 and be respectively incorporated by reference, to be incorporated herein Following U.S. Patent application:
The U.S. Patent Application Serial Number 15/ of entitled " STAPLE FORMING POCKET ARRANGEMENTS " 385,920;
The U.S. Patent Application Serial Number of entitled " ANVIL ARRANGEMENTS FOR SURGICAL STAPLERS " 15/385,913;
Entitled " METHOD OF DEFORMING STAPLES FROM TWO DIFFERENT TYPES OF The U.S. Patent application sequence of STAPLE CARTRIDGES WITH THE SAME SURGICAL STAPLING INSTRUMENT " Row number 15/385,914;
The United States Patent (USP) of entitled " BILATERALLY ASYMMETRIC STAPLE FORMING POCKET PAIRS " Patent application serial numbers 15/385,893;
Entitled " CLOSURE MEMBERS WITH CAM SURFACE ARRANGEMENTS FOR SURGICAL The United States Patent (USP) of INSTRUMENTS WITH SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS " Patent application serial numbers 15/385,929;
Entitled " SURGICAL STAPLERS WITH INDEPENDENTLY ACTUATABLE CLOSING AND The U.S. Patent Application Serial Number 15/385,911 of FIRING SYSTEMS ";
Entitled " SURGICAL STAPLING INSTRUMENTS WITH SMART STAPLE CARTRIDGES's " U.S. Patent Application Serial Number 15/385,927;
Entitled " STAPLE CARTRIDGE COMPRISING STAPLES WITH DIFFERENT CLAMPING The U.S. Patent Application Serial Number 15/385,917 of BREADTHS ";
Entitled " STAPLE FORMING POCKET ARRANGEMENTS COMPRISING PRIMARY The U.S. Patent Application Serial Number 15/385,900 of SIDEWALLS AND POCKET SIDEWALLS ";
Entitled " NO-CARTRIDGE AND SPENT CARTRIDGE LOCKOUT ARRANGEMENTS FOR The U.S. Patent Application Serial Number 15/385,931 of SURGICAL STAPLERS ";
The U.S. Patent Application Serial Number 15/385,915 of entitled " FIRING MEMBER PIN ANGLE ";
Entitled " STAPLE FORMING POCKET ARRANGEMENTS COMPRISING ZONED FORMING The U.S. Patent Application Serial Number 15/385,897 of SURFACE GROOVES ";
The beauty of entitled " SURGICAL INSTRUMENT WITH MULTIPLE FAILURE RESPONSE MODES " State's patent application serial number 15/385,922;
The U.S. of entitled " SURGICAL INSTRUMENT WITH PRIMARY AND SAFETY PROCESSORS " Patent application serial number 15/385,924;
Entitled " SURGICAL INSTRUMENTS WITH JAWS THAT ARE PIVOTABLE ABOUT A The beauty of FIXED AXIS AND INCLUDE SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS " State's patent application serial number 15/385,912;
The U.S. Patent Application Serial Number 15/385 of entitled " ANVIL HAVING A KNIFE SLOT WIDTH ", 910;
The U.S. of entitled " CLOSURE MEMBER ARRANGEMENTS FOR SURGICAL INSTRUMENTS " is special Sharp patent application serial numbers 15/385,903;And
The U.S. Patent Application Serial Number 15/385 of entitled " FIRING MEMBER PIN CONFIGURATIONS ", 906;
Present applicant, which possesses to submit on December 21st, 2016 and be respectively incorporated by reference, to be incorporated herein Following U.S. Patent application:
The United States Patent (USP) of entitled " STEPPED STAPLE CARTRIDGE WITH ASYMMETRICAL STAPLES " Patent application serial numbers 15/386,188;
Entitled " STEPPED STAPLE CARTRIDGE WITH TISSUE RETENTION AND GAP The U.S. Patent Application Serial Number 15/386,192 of SETTING FEATURES ";
Entitled " STAPLE CARTRIDGE WITH DEFORMABLE DRIVER RETENTION FEATURES's " U.S. Patent Application Serial Number 15/386,206;
Entitled " DURABILITY FEATURES FOR END EFFECTORS AND FIRING ASSEMBLIES The U.S. Patent Application Serial Number 15/386,226 of OF SURGICAL STAPLING INSTRUMENTS ";
Entitled " SURGICAL STAPLING INSTRUMENTS HAVING END EFFECTORS WITH The U.S. Patent Application Serial Number 15/386,222 of POSITIVE OPENING FEATURES ";And
Entitled " CONNECTION PORTIONS FOR DISPOSABLE LOADING UNITS FOR SURGICAL The U.S. Patent Application Serial Number 15/386,236 of STAPLING INSTRUMENTS ";
Present applicant, which possesses to submit on December 21st, 2016 and be respectively incorporated by reference, to be incorporated herein Following U.S. Patent application:
Entitled " METHOD FOR ATTACHING A SHAFT ASSEMBLY TO A SURGICAL The U.S. Patent Application Serial Number 15/385 of INSTRUMENT AND, ALTERNATIVELY, TO A SURGICAL ROBOT ", 887;
Entitled " SHAFT ASSEMBLY COMPRISING A MANUALLY-OPERABLE RETRACTION The U.S. Patent Application Serial of SYSTEM FOR USE WITH A MOTORIZED SURGICAL INSTRUMENT SYSTEM " Number 15/385,889;
Entitled " SHAFT ASSEMBLY COMPRISING A CLUTCH CONFIGURED TO ADAPT THE The U.S. Patent Application Serial of OUTPUT OF A ROTARY FIRING MEMBER TO TWO DIFFERENT SYSTEMS " Number 15/385,891;
Entitled " SURGICAL SYSTEM COMPRISING A FIRING MEMBER ROTATABLE INTO AN The beauty of ARTICULATION STATE TO ARTICULATE AN END EFFECTOR OF THE SURGICAL SYSTEM " State's patent application serial number 15/385,892;
The U.S. Patent Application Serial Number 15/ of entitled " SHAFT ASSEMBLY COMPRISING A LOCKOUT " 385,894;And
Entitled " SHAFT ASSEMBLY COMPRISING FIRST AND SECOND ARTICULATION The U.S. Patent Application Serial Number 15/385,895 of LOCKOUTS ";
Present applicant, which possesses to submit on December 21st, 2016 and be respectively incorporated by reference, to be incorporated herein Following U.S. Patent application:
The U.S. Patent Application Serial Number 15/385,916 of entitled " SURGICAL STAPLING SYSTEMS ";
The U.S. Patent Application Serial Number 15/385,918 of entitled " SURGICAL STAPLING SYSTEMS ";
The U.S. Patent Application Serial Number 15/385,919 of entitled " SURGICAL STAPLING SYSTEMS ";
Entitled " SURGICAL STAPLE CARTRIDGE WITH MOVABLE CAMMING MEMBER The U.S. Patent Application Serial Number of CONFIGURED TO DISENGAGE FIRING MEMBER LOCKOUT FEATURES " 15/385,921;
The U.S. Patent Application Serial Number 15/385,923 of entitled " SURGICAL STAPLING SYSTEMS ";
Entitled " JAW ACTUATED LOCK ARRANGEMENTS FOR PREVENTING ADVANCEMENT OF A FIRING MEMBER IN A SURGICAL END EFFECTOR UNLESS AN UNFIRED CARTRIDGE IS The U.S. Patent Application Serial Number 15/385,925 of INSTALLED IN THE END EFFECTOR ";
Entitled " AXIALLY MOVABLE CLOSURE SYSTEM ARRANGEMENTS FOR APPLYING The U.S. Patent Application Serial Number 15/385 of CLOSURE MOTIONS TO JAWS OF SURGICAL INSTRUMENTS ", 926;
Entitled " PROTECTIVE COVER ARRANGEMENTS FOR A JOINT INTERFACE BETWEEN A The U.S. Patent Application Serial Number of MOVABLE JAW AND ACTUATOR SHAFT OF A SURGICAL INSTRUMENT " 15/385,928;
Entitled " SURGICAL END EFFECTOR WITH TWO SEPARATE COOPERATING OPENING The U.S. Patent Application Serial Number 15/ of FEATURES FOR OPENING AND CLOSING END EFFECTOR JAWS " 385,930;
Entitled " ARTICULATABLE SURGICAL END EFFECTOR WITH ASYMMETRIC SHAFT The U.S. Patent Application Serial Number 15/385,932 of ARRANGEMENT ";
Entitled " ARTICULATABLE SURGICAL INSTRUMENT WITH INDEPENDENT PIVOTABLE The U.S. Patent Application Serial Number 15/385,933 of LINKAGE DISTAL OF AN ARTICULATION LOCK ";
Entitled " ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR IN The beauty of AN ARTICULATED POSITION IN RESPONSE TO ACTUATION OF A JAW CLOSURE SYSTEM " State's patent application serial number 15/385,934;
Entitled " LATERALLY ACTUATABLE ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR OF A SURGICAL INSTRUMENT IN AN ARTICULATED The U.S. Patent Application Serial Number 15/385,935 of CONFIGURATION ";And
Entitled " ARTICULATABLE SURGICAL INSTRUMENTS WITH ARTICULATION STROKE The U.S. Patent Application Serial Number 15/385,936 of AMPLIFICATION FEATURES ".
Present applicant possess on June 24th, 2016 submit and respectively be incorporated by reference be incorporated herein with Lower U.S. Patent application:
Entitled " STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES " U.S. Patent Application Serial Number 15/191,775;
Entitled " STAPLING SYSTEM FOR USE WITH WIRE STAPLES AND STAMPED The U.S. Patent Application Serial Number 15/191,807 of STAPLES ";
The U.S. of entitled " STAMPED STAPLES AND STAPLE CARTRIDGES USING THE SAME " is special Sharp patent application serial numbers 15/191,834;
The U.S. Patent application of entitled " STAPLE CARTRIDGE COMPRISING OVERDRIVEN STAPLES " Sequence number 15/191,788;And
Entitled " STAPLE CARTRIDGE COMPRISING OFFSET LONGITUDINAL STAPLE ROWS " U.S. Patent Application Serial Number 15/191,818.
Present applicant possess on June 24th, 2016 submit and respectively be incorporated by reference be incorporated herein with Lower U.S. Patent application:
The U.S. Design Patent Application sequence number 29/569,218 of entitled " SURGICAL FASTENER ";
The U.S. Design Patent Application sequence number 29/569,227 of entitled " SURGICAL FASTENER ";
The U.S. Design Patent Application sequence number 29/569 of entitled " SURGICAL FASTENER CARTRIDGE ", 259;And
The U.S. Design Patent Application sequence number 29/569 of entitled " SURGICAL FASTENER CARTRIDGE ", 264。
Present applicant possess on April 1st, 2016 submit and respectively be incorporated by reference be incorporated herein with Lower patent application:
The United States Patent (USP) Shen of entitled " METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM " It please sequence number 15/089,325;
The U.S. of entitled " MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY " Patent application serial number 15/089,321;
Entitled " SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE- The U.S. Patent Application Serial Number 15/089,326 of ORIENTABLE DISPLAY FIELD ";
Entitled " SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIP The U.S. Patent Application Serial Number 15/089,263 of PORTION ";
Entitled " ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLE The U.S. Patent Application Serial Number 15/089,262 of BAILOUT SYSTEM ";
Entitled " SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVIL The U.S. Patent Application Serial Number 15/089,277 of CONCENTRIC DRIVE MEMBER ";
Entitled " INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL END The U.S. Patent Application Serial of EFFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS " Number 15/089,296;
Entitled " SURGICAL STAPLING SYSTEM COMPRISING A SHIFTABLE TRANSMISSION " U.S. Patent Application Serial Number 15/089,258;
Entitled " SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVE The U.S. Patent Application Serial Number 15/089,278 of CUTTING OF TISSUE ";
The beauty of entitled " SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE SHAFT " State's patent application serial number 15/089,284;
Entitled " SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSION The U.S. Patent Application Serial Number 15/089,295 of LOCKOUT ";
Entitled " SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT's " U.S. Patent Application Serial Number 15/089,300;
Entitled " SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT's " U.S. Patent Application Serial Number 15/089,196;
Entitled " SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT " U.S. Patent Application Serial Number 15/089,203;
Entitled " SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGE The U.S. Patent Application Serial Number 15/089,210 of LOCKOUT ";
The U.S. of entitled " SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM " is special Sharp patent application serial numbers 15/089,324;
Entitled " SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS's " U.S. Patent Application Serial Number 15/089,335;
The U.S. Patent Application Serial Number 15/089,339 of entitled " SURGICAL STAPLING INSTRUMENT ";
Entitled " SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OF The U.S. Patent Application Serial Number 15/089,253 of STAPLES HAVING DIFFERENT HEIGHTS ";
Entitled " SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET " U.S. Patent Application Serial Number 15/089,304;
The United States Patent (USP) Shen of entitled " ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLERS " It please sequence number 15/089,331;
The U.S. Patent Application Serial of entitled " STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES " Number 15/089,336;
Entitled " CIRCULAR STAPLING SYSTEM COMPRISING AN INCISABLE TISSUE The U.S. Patent Application Serial Number 15/089,312 of SUPPORT ";
The beauty of entitled " CIRCULAR STAPLING SYSTEM COMPRISING ROTARY FIRING SYSTEM " State's patent application serial number 15/089,309;And
The United States Patent (USP) Shen of entitled " CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL " It please sequence number 15/089,349.
Present applicant, which also possesses to submit on December 31st, 2015 and be respectively incorporated by reference, to be incorporated herein The U.S. Patent application identified as follows:
Entitled " MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE IN The U.S. Patent Application Serial Number 14/984,488 of POWERED SURGICAL INSTRUMENTS ";
Entitled " MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED The U.S. Patent Application Serial Number 14/984,525 of SURGICAL INSTRUMENTS ";And
Entitled " SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROL The U.S. Patent Application Serial Number 14/984,552 of CIRCUITS ".
Present applicant, which also possesses to submit on 2 9th, 2016 and be respectively incorporated by reference, to be incorporated herein The U.S. Patent application identified as follows:
Entitled " SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLY The U.S. Patent Application Serial Number 15/019,220 of TRANSLATABLE END EFFECTOR ";
Entitled " SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATION The U.S. Patent Application Serial Number 15/019,228 of ARRANGEMENTS ";
Entitled " SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTED The U.S. Patent Application Serial Number 15/019,196 of SECONDARY CONSTRAINT ";
Entitled " SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLY The U.S. Patent Application Serial Number 15/ of ARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY " 019,206;
Entitled " SURGICAL INSTRUMENTS WITH NON-SYMMETRICAL ARTICULATION The U.S. Patent Application Serial Number 15/019,215 of ARRANGEMENTS ";
Entitled " ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATION The U.S. Patent Application Serial Number 15/019,227 of LINK ARRANGEMENTS ";
Entitled " SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLE The U.S. Patent Application Serial Number 15/019,235 of DRIVEN ARTICULATION SYSTEMS ";
Entitled " ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF-AXIS FIRING BEAM The U.S. Patent Application Serial Number 15/019,230 of ARRANGEMENTS ";And
Entitled " SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTION The U.S. Patent Application Serial Number 15/019,245 of ARRANGEMENTS ".
Present applicant, which also possesses to submit on 2 12nd, 2016 and be respectively incorporated by reference, to be incorporated herein The U.S. Patent application identified as follows:
Entitled " MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED The U.S. Patent Application Serial Number 15/043,254 of SURGICAL INSTRUMENTS ";
Entitled " MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED The U.S. Patent Application Serial Number 15/043,259 of SURGICAL INSTRUMENTS ";
Entitled " MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED The U.S. Patent Application Serial Number 15/043,275 of SURGICAL INSTRUMENTS ";And
Entitled " MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED The U.S. Patent Application Serial Number 15/043,289 of SURGICAL INSTRUMENTS ".
Present applicant possess on June 18th, 2015 submit and respectively be incorporated by reference be incorporated herein with Lower patent application:
Entitled " SURGICAL END EFFECTORS WITH POSITIVE JAW OPENING The U.S. Patent Application Serial Number 14/742,925 of ARRANGEMENTS ";
Entitled " SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSING The U.S. Patent Application Serial Number 14/742,941 of FEATURES ";
Entitled " MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLE The U.S. Patent Application Serial Number 14/742,914 of SURGICAL INSTRUMENTS ";
Entitled " ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAM The U.S. of STRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT " Patent application serial number 14/742,900;
Entitled " DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLE The U.S. Patent Application Serial Number 14/742,885 of SURGICAL INSTRUMENTS ";And
Entitled " PUSH/PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLE The U.S. Patent Application Serial Number 14/742,876 of SURGICAL INSTRUMENTS ".
Present applicant possess on March 6th, 2015 submit and respectively be incorporated by reference be incorporated herein with Lower patent application:
The U.S. Patent Application Serial Number 14/640,746 of entitled " POWERED SURGICAL INSTRUMENT ", it is existing For U.S. Patent Application Publication 2016/0256184;
Entitled " MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWERED The U.S. Patent Application Serial Number 14/640,795 of SURGICAL INSTRUMENTS ";It is now U.S. Patent Application Publication 2016/ 02561185;
Entitled " ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURE The U.S. Patent Application Serial Number 14/640,832 of RATES FOR MULTIPLE TISSUE TYPES ";It is now United States Patent (USP) Shen It please announce 2016/0256154;
Entitled " OVERLAID MULTI SENSOR RADIO FREQUENCY (RF) ELECTRODE SYSTEM TO The U.S. Patent Application Serial Number 14/640,935 of MEASURE TISSUE COMPRESSION ";It is now public for U.S. Patent application Cloth 2016/0256071;
Entitled " MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTOR The U.S. Patent Application Serial Number 14/640,831 of FOR POWERED SURGICAL INSTRUMENTS ";It is now United States Patent (USP) Shen Qing Publication 2016/0256153;
Entitled " TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINE The U.S. Patent Application Serial Number 14/ of STABILITY, CREEP, AND VISCOELASTIC ELEMENTS OF MEASURES " 640,859;It is now U.S. Patent Application Publication 2016/0256187;
Entitled " INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS " U.S. Patent Application Serial Number 14/640,817, be now U.S. Patent Application Publication 2016/0256186;
Entitled " CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULAR The U.S. Patent Application Serial Number 14/640 of SHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE ", 844;It is now U.S. Patent Application Publication 2016/0256155;
The U.S. Patent Application Serial of entitled " SMART SENSORS WITH LOCAL SIGNAL PROCESSING " Number 14/640,837;It is now U.S. Patent Application Publication 2016/0256163;
Entitled " SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGE The U.S. Patent Application Serial Number 14/640,765 of INTO A SURGICAL STAPLER ", is now U.S. Patent Application Publication 2016/0256160;
Entitled " SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON A The U.S. Patent Application Serial Number 14/640,799 of ROTATABLE SHAFT ";It is now U.S. Patent Application Publication 2016/ 0256162;And
Entitled " SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING's " U.S. Patent Application Serial Number 14/640,780 is now U.S. Patent Application Publication 2016/0256161;
Present applicant possess on 2 27th, 2015 submit and respectively be incorporated by reference be incorporated herein with Lower patent application:
Entitled " SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION " U.S. Patent Application Serial Number 14/633,576, be now U.S. Patent Application Publication 2016/0249919;
Entitled " SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCE PARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND” U.S. Patent Application Serial Number 14/633,546, be now U.S. Patent Application Publication 2016/0249915;
Entitled " SURGICAL CHARGING SYSTEM THAT CHARGES AND/OR CONDITIONS ONE The U.S. Patent Application Serial Number 14/633,560 of OR MORE BATTERIES " is now U.S. Patent Application Publication 2016/ 0249910;
Entitled " CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FOR The U.S. Patent Application Serial Number 14/633,566 of CHARGING A BATTERY " is now U.S. Patent Application Publication 2016/ 0249918;
Entitled " SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TO The U.S. Patent Application Serial Number 14/633,555 of BE SERVICED " is now U.S. Patent Application Publication 2016/0249916;
The U.S. Patent application sequence of entitled " REINFORCED BATTERY FOR A SURGICAL INSTRUMENT " Column 14/633,542 are now U.S. Patent Application Publication 2016/0249908;
The U.S. Patent Application Serial 14/ of entitled " POWER ADAPTER FOR A SURGICAL INSTRUMENT " 633,548, it is now U.S. Patent Application Publication 2016/0249909;
The U.S. Patent Application Serial Number 14/ of entitled " ADAPTABLE SURGICAL INSTRUMENT HANDLE " 633,526, it is now U.S. Patent Application Publication 2016/0249945;
The U.S. Patent Application Serial Number 14/633,541 of entitled " MODULAR STAPLING ASSEMBLY ", now for U.S. Patent Application Publication 2016/0249927;And
Entitled " SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF-LIFE The U.S. Patent Application Serial Number 14/633,562 of PARAMETER ",
It is now U.S. Patent Application Publication 2016/0249917;
Present applicant, which possesses to submit on December 18th, 2014 and be respectively incorporated by reference, to be incorporated herein Following patent application:
Entitled " SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END The U.S. of EFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING MEMBER " Patent application serial number 14/574,478 is now U.S. Patent Application Publication 2016/0174977;
The beauty of entitled " SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS " State's patent application serial number 14/574,483 is now U.S. Patent Application Publication 2016/0174969;
Entitled " DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS's " U.S. Patent Application Serial Number 14/575,139 is now U.S. Patent Application Publication 2016/0174978;
Entitled " LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITH The U.S. Patent Application Serial Number 14/575,148 of ARTICULATABLE SURGICAL END EFFECTORS ", is now the U.S. Patent application publication 2016/0174976;
Entitled " SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLE The United States Patent (USP) Shen of ABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE Please sequence number 14/575,130, be now U.S. Patent Application Publication 2016/0174972;
The beauty of entitled " SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS " State's patent application serial number 14/575,143 is now U.S. Patent Application Publication 2016/0174983;
Entitled " SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND The U.S. Patent Application Serial Number 14/575,117 of MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS ", now for U.S. Patent Application Publication 2016/0174975;
Entitled " SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND The U.S. Patent Application Serial Number 14/575,154 of IMPROVED FIRING BEAM SUPPORT ARRANGEMENTS ", now for U.S. Patent Application Publication 2016/0174973;
Entitled " SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLE The U.S. Patent Application Serial Number 14/574,493 of ARTICULATION SYSTEM ";It is now U.S. Patent Application Publication 2016/ 0174970;And
Entitled " SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLE The U.S. Patent Application Serial Number 14/574,500 of ARTICULATION SYSTEM " is now U.S. Patent Application Publication 2016/ 0174971;
Present applicant possess on March 1st, 2013 submit and respectively be incorporated by reference be incorporated herein with Lower patent application:
Entitled " ARTICULATABLE SURGICAL INSTRUMENTS WITH CONDUCTIVE Pathways The U.S. Patent Application Serial Number 13/782,295 of FOR SIGNAL COMMUNICATION ", is now U.S. Patent Application Publication 2014/0246471;
Entitled " Rotary POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS " U.S. Patent Application Serial Number 13/782,323, be now U.S. Patent Application Publication 2014/0246472;
The beauty of entitled " THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL Instruments " State's patent application serial number 13/782,338 is now U.S. Patent Application Publication 2014/0249557;
Entitled " ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY The U.S. Patent Application Serial Number 13/782,499 of ARRANGEMENT " is now U.S. Patent Application Publication 9,358,003;
Entitled " MULTIPLE PROCESSOR MOTOR CONTROL FOR MODULAR Surgical The U.S. Patent Application Serial Number 13/782,460 of INSTRUMENTS " is now U.S. Patent Application Publication 2014/0246478;
The U.S. of entitled " Joystick SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS " is special Sharp patent application serial numbers 13/782,358 are now U.S. Patent Application Publication 9,326,767;
Entitled " SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH The U.S. Patent Application Serial Number 13/782,481 of Trocar " is now U.S. Patent Application Publication 9,468,438;
Entitled " CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH REMOVABLE The U.S. Patent Application Serial Number 13/782,518 of IMPLEMENT PORTIONS " is now U.S. Patent Application Publication 2014/ 0246475;
Entitled " ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF The U.S. Patent Application Serial Number 13/782,375 of FREEDOM " is now U.S. Patent Application Publication 9,398,911;And
The U.S. Patent Application Serial Number 13/782,536 of entitled " SURGICAL INSTRUMENT SOFT STOP ", It is now U.S. Patent Application Publication 9,307,986.
Present applicant, which also possesses to submit on March 14th, 2013 and be respectively incorporated by reference, to be incorporated herein Following patent application:
Entitled " ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE " U.S. Patent Application Serial Number 13/803,097, be now U.S. Patent Application Publication 2014/0263542;
Entitled " CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL The U.S. Patent Application Serial Number 13/803,193 of INSTRUMENT " is now U.S. Patent Application Publication 9,332,987;
Entitled " INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL The U.S. Patent Application Serial Number 13/803,053 of INSTRUMENT " is now U.S. Patent Application Publication 2014/0263564;
Entitled " ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION The U.S. Patent Application Serial Number 13/803,086 of LOCK " is now U.S. Patent Application Publication 2014/0263541;
Entitled " SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR The U.S. Patent Application Serial Number 13/803,210 of SURGICAL INSTRUMENTS " is now U.S. Patent Application Publication 2014/ 0263538;
The U.S. Patent application of entitled " MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT " Sequence number 13/803,148 is now U.S. Patent Application Publication 2014/0263554;
Entitled " DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL The U.S. Patent Application Serial Number 13/803,066 of INSTRUMENTS " is now U.S. Patent Application Publication 2014/0263565;
Entitled " ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL The U.S. Patent Application Serial Number 13/803,117 of INSTRUMENTS " is now U.S. Patent Application Publication 9,351,726;
Entitled " DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL The U.S. Patent Application Serial Number 13/803,130 of INSTRUMENTS " is now U.S. Patent Application Publication 9,351,727;And
The U.S. of entitled " METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT " Patent application serial number 13/803,159 is now U.S. Patent Application Publication 2014/0277017.
Present applicant also possess submitted on March 7th, 2014 and be incorporated by reference be incorporated herein it is following Patent application:
The U.S. Patent Application Serial Number of entitled " CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS " 14/200,111, it is now U.S. Patent Application Publication 2014/0263539.
Present applicant, which also possesses to submit on March 26th, 2014 and be respectively incorporated by reference, to be incorporated herein Following patent application:
Entitled " POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS's " U.S. Patent Application Serial Number 14/226,106 is now U.S. Patent Application Publication 2015/0272582;
The U.S. Patent Application Serial Number 14/ of entitled " STERILIZATION VERIFICATION CIRCUIT " 226,099, it is now U.S. Patent Application Publication 2015/0272581;
Entitled " VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT " U.S. Patent Application Serial Number 14/226,094, be now U.S. Patent Application Publication 2015/0272580;
Entitled " POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT The U.S. Patent Application Serial Number 14/226,117 of AND WAKE UP CONTROL " is now U.S. Patent Application Publication 2015/ 0272574;
Entitled " MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT The U.S. Patent Application Serial Number 14/226,075 of ASSEMBLIES " is now U.S. Patent Application Publication 2015/0272579;
Entitled " FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL The U.S. Patent Application Serial Number 14/226,093 of INSTRUMENTS " is now U.S. Patent Application Publication 2015/0272569;
The United States Patent (USP) Shen of entitled " SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION " Please sequence number 14/226,116, be now U.S. Patent Application Publication 2015/0272571;
Entitled " SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY The U.S. Patent Application Serial Number 14/226,071 of PROCESSOR " is now U.S. Patent Application Publication 2015/0272578;
The United States Patent (USP) of entitled " SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS " Patent application serial numbers 14/226,097 are now U.S. Patent Application Publication 2015/0272570;
The U.S. of entitled " INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS " is special Sharp patent application serial numbers 14/226,126 are now U.S. Patent Application Publication 2015/0272572;
The U.S. Patent Application Serial Number 14/ of entitled " MODULAR SURGICAL INSTRUMENT SYSTEM " 226,133, it is now U.S. Patent Application Publication 2015/0272557;
The beauty of entitled " SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT " State's patent application serial number 14/226,081 is now U.S. Patent Application Publication 2015/0277471;
Entitled " POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE The U.S. Patent Application Serial Number 14/226,076 of VOLTAGE PROTECTION " is now U.S. Patent Application Publication 2015/ 0280424;
The U.S. Patent Application Serial Number 14/ of entitled " SURGICAL STAPLING INSTRUMENT SYSTEM " 226,111, it is now U.S. Patent Application Publication 2015/0272583;And
The United States Patent (USP) Shen of entitled " SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT " Please sequence number 14/226,125, be now U.S. Patent Application Publication 2015/0280384.
Present applicant also possesses submission on September 5th, 2014 and it is respectively incorporated by reference and is incorporated herein Following patent application:
The United States Patent (USP) Shen of entitled " CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE " Please sequence number 14/479,103, be now U.S. Patent Application Publication 2016/0066912;
Entitled " ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE The U.S. Patent Application Serial Number 14/479,119 of COMPRESSION " is now U.S. Patent Application Publication 2016/0066914;
Entitled " MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION " U.S. Patent Application Serial Number 14/478,908, be now U.S. Patent Application Publication 2016/0066910;
Entitled " MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'S The U.S. Patent Application Serial Number 14/478,895 of OUTPUT OR INTERPRETATION ", is now U.S. Patent Application Publication 2016/0066909;
The U.S. of entitled " POLARITY OF HALL MAGNET TO DETECT MISLOADED CARTRIDGE " Patent application serial number 14/479,110 is now U.S. Patent Application Publication 2016/0066915;
The U.S. of entitled " SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION " is special Sharp patent application serial numbers 14/479,098 are now U.S. Patent Application Publication 2016/0066911;
The United States Patent (USP) of entitled " MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE " Patent application serial numbers 14/479,115 are now U.S. Patent Application Publication 2016/0066916;And
The United States Patent (USP) Shen of entitled " LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION " Please sequence number 14/479,108, be now U.S. Patent Application Publication 2016/0066913.
Present applicant, which also possesses to submit on April 9th, 2014 and be respectively incorporated by reference, to be incorporated herein Following patent application:
Entitled " MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE The U.S. Patent Application Serial Number 14/248,590 of SHAFTS " is now U.S. Patent Application Publication 2014/0305987;
Entitled " SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING The U.S. Patent Application Serial Number 14/248,581 of DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT ", It is now U.S. Patent Application Publication 2014/0305989;
Entitled " SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLING The U.S. Patent Application Serial Number 14/248,595 of THE OPERATION OF THE SURGICAL INSTRUMENT ", now for U.S. Patent Application Publication 2014/0305988;
The U.S. Patent Application Serial Number 14/248 of entitled " POWERED LINEAR SURGICAL STAPLER ", 588, it is now U.S. Patent Application Publication 2014/0309666;
The United States Patent (USP) of entitled " TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT " Apply for sequence 14/248,591, is now U.S. Patent Application Publication 2014/0305991;
Entitled " MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS” U.S. Patent Application Serial Number 14/248,584, be now U.S. Patent Application Publication 2014/0305994;
The U.S. Patent Application Serial Number 14/248,587 of entitled " POWERED SURGICAL STAPLER ", now for U.S. Patent Application Publication 2014/0309665;
Entitled " DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICAL The U.S. Patent Application Serial Number 14/248,586 of INSTRUMENT " is now U.S. Patent Application Publication 2014/0305990;And And
Entitled " MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS The U.S. Patent Application Serial Number 14/248,607 of INDICATION ARRANGEMENTS ", is now U.S. Patent Application Publication 2014/0305992。
Present applicant, which also possesses to submit on April 16th, 2013 and be respectively incorporated by reference, to be incorporated herein Following patent application:
Entitled " SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A The U.S. Provisional Patent Application Serial No. 61/812,365 of SINGLE MOTOR ";
The U.S. Provisional Patent Application Serial No. 61/812,376 of entitled " LINEAR CUTTER WITH POWER ";
The U.S. Provisional Patent Application sequence of entitled " LINEAR CUTTER WITH MOTOR AND PISTOL GRIP " Row number 61/812,382;
Entitled " SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS AND The U.S. Provisional Patent Application Serial No. 61/812,385 of MOTOR CONTROL ";And
Entitled " SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A The U.S. Provisional Patent Application Serial No. 61/812,372 of SINGLE MOTOR ".
Many details are listed, herein to provide to whole with embodiment shown in the drawings described in specification Body structure, function, the thorough understanding of manufacture and purposes.It is not described in well known operation, component and element, in order to avoid make to illustrate Embodiment described in book is smudgy.Reader will appreciate that embodiment described and illustrated herein is non-limiting shows Example, thus it can be appreciated that, specific structural and functional details disclosed herein can be representative and illustrative.Power is not being departed from In the case where the range that benefit requires, variations and modifications can be carried out to these embodiments.
Term " including (comprise) " (and any form of " including (comprise) ", such as " including (comprises) " and " including (comprising) "), " with (have) " (and any form of " with (have) ", it is all Such as " with (has) " and " with (having) "), " comprising (include) " (and any form of " comprising (include) ", Such as " include (includes) " and " including (including) ") and " containing (contain) " (and " contain (contain) " any form, such as " contain (contains) " and " containing (containing) ") for open link-verb. Therefore, the surgery system, device or equipment of " comprising ", " having ", "comprising" or " containing " one or more elements have these One or more elements, but it is not limited to that only there are these one or more elements.Equally, " comprising ", " having ", "comprising" or The element of the system in " containing " one or more features portion, device or equipment has those one or more features portions, but unlimited In only with those one or more features portions.
Term " nearside " and " distal side " are herein defined as coming relative to the clinician of the handle portions of manipulation surgical instruments It uses.Term " nearside " refers to that near the part of clinician, term " distal side " refers to the portion far from clinician's positioning Point.It is also understood that using such as "vertical", "horizontal", "up" and "down" in combination with attached drawing herein for the sake of succinct and is clear Etc. spatial terminologies.However, surgical instruments uses in many directions and position, and these terms and it is unrestricted and/or Absolute.
Various exemplary means and method are provided for executing laparoscopic type and minimally invasive surgical procedures.However, reading Person it will be readily understood that various method and apparatus disclosed herein can be used for a variety of surgical procedures and application in, including for example with Open surgical program combines.With continued reference to present embodiment, reader be will be further understood that, various devices disclosed herein Tool in any way in insertion body, by natural cavity, can pass through the notch formed in tissue or puncturing hole etc..Device The working portion or end effector portion of tool can be inserted directly into patient's body or can be filled by entering with service aisle Insertion is set, the end effector and elongated shaft of surgical instruments can be promoted by the service aisle.
Surgical stapling system may include axis and the end effector from axis extension.End effector includes the first jaw and the Two jaws.First jaw includes nail bin.Nail bin is inserted into the first jaw and can remove from the first jaw;However, Other embodiments replaced from the first jaw can not be removed from the first jaw or at least be readily able to by being susceptible to wherein nail bin. Second jaw includes the anvil block for being configured to the nail deformation for making to project from nail bin.Second jaw can be relative to the first jaw It is pivoted around closure axis;It is contemplated, however, that other embodiment party that can be pivoted to wherein the first jaw relative to the second jaw Case.Surgical stapling system further includes the pass for being configured to allow end effector that joint motions are rotated or carried out relative to axis Save kinematic joint.End effector can be around the joint motions axis rotation for extending through actuated articulation joints.It contemplates not Other embodiments including actuated articulation joints.
Nail bin includes warehouse.Warehouse includes proximal end, distal end and extends between proximal end and distal end Platform.In use, nail bin is located on the first side of tissue to be stapled, and anvil positioning is in second side of tissue On.Anvil block is towards cartridge movement by tissue compression and to grip against platform.Then, the nail being removedly stored in warehouse can It is deployed in tissue.Warehouse includes being defined in nail cavity therein, is removedly stored in nail cavity wherein following closely.Nail cavity is arranged At six longitudinal rows.Three nail chambers are located on the first side of longitudinal slit and three nail chambers are located in second side of longitudinal slit On.Other of nail cavity and nail arrangement are also possible.
Nail is supported by the nail driving device in warehouse.Driving device can first or non-firing position and second or percussion It moves between position, is followed closely with being projected from nail bin.Driving device is retained in warehouse by retainer, and the retainer surrounds warehouse Bottom extend and including being configured to grasping warehouse and keeping retainer to the elastic component of warehouse.Driving dress Setting can be moved between its non-firing position and its firing position by sliding part.Sliding part can be adjacent with proximal end Proximal position and the distal position adjacent with distal end between move.Sliding part includes multiple ramped surfaces, the slope table Face is configured to slide below driving device towards anvil block and lifting driving device, and follow closely on the drive means by To support.
Than that described above, sliding part can also be moved toward the far side by firing member.Firing member is configured to contact Sliding part simultaneously pushes sliding part towards distal end.The longitudinal slit being defined in warehouse is configured to receive percussion structure Part.Anvil block further includes the slit for being configured to receive firing member.Firing member further includes engage the first jaw first Second cam of the second jaw of cam and engagement.When firing member is promoted towards distal side, first cam and the second cam is controllable The distance between platform and anvil block of nail bin or tissue space.Firing member further includes being configured to incision in nail bin and anvil The knife of the intermediate tissue trapped of seat.Wish that knife is positioned at least partly close to ramped surfaces, so that nail is emitted prior to knife.
Shaft assembly 1000 is shown in Figure 1.Shaft assembly 1000 prolongs including attachment part 1100, from attachment part 1100 towards distal side The axis 1200 stretched and the end effector 1300 for being attached to axis 1200.Referring to Fig. 1 and Fig. 2, attachment part 1100 includes frame 1110, shell 1120 and latch 1130.Frame 1110 is configured to the frame of engagement surgery system, such as such as surgery device The shank of tool and/or the arm of robotic surgical device.In at least one example, for example, the frame packet of frame 1110 and surgery system Include interlocking swallow-tail form device.Latch 1130 includes being configured to shaft assembly 1000 releasably holding surgery system Lock.Shaft assembly 1000 is optionally used together with hand-held surgical instrument due to the above reasons, alternatively, with long-range control The robotic surgical system of system is used together.
Referring to Fig. 3-6, axis 1200 includes the frame or ridge for being attached to the frame 1100 of attachment part 1110.Ridge includes nearside Ridge part 1210, the proximal spine segment can rotatably connect around the longitudinal axis axis 1001 for extending through ridge with frame 1110 It closes.Referring primarily to Fig. 6, proximal spine segment 1210 includes being defined in hole 1211 therein, which is configured to receive driving The proximal end 1221 of device lid 1220.Drive covers 1220 further include distal end 1222, which is configured to It is centrally positioned in the proximal end 1232 of ridge part 1230.Ridge further includes upper distal part 1250 and remote with ridge part 1230 The lower distal part 1260 that side end 1231 engages.More specifically, distal part 1250 and 1260 respectively includes proximal end 1251 and 1261, they are laterally inserted or to slide into the swallow-tail form being limited in the distal end 1231 of intermediate ridge part 1230 narrow In slot.Ridge further includes covering 1240, the covering be configured to the opening that closing is limited in ridge part 1230 and/ Or distal part 1250 and 1260 is locked in place.
Referring primarily to Fig. 7, end effector 1300 includes channel jaw 1310 and is rotatably mounted to channel jaw 1310 anvil jaw 1330.Channel jaw 1310 is configured to receive nail bin 1320 or any other suitable nail bin Wherein.Channel jaw 1310 and nail bin 1320 include the alignment feature structure co-operated, are configured to allow to follow closely Storehouse 1320 only an appropriate location in channel jaw 1310 and orientation on dispose.Once empty nail bin 1320 is not pacified correctly It sets in channel jaw 1310, nail firing member can be advanced through nail bin 1320 and be followed closely with projecting from nail bin 1320, and cut The tissue for the patient being located among nail bin 1320 and anvil jaw 1330 is cut, as described in greater detail below.Than that described above, Anvil jaw 1330 includes being defined in forming pit therein, which is configured to project in nail from nail bin 1320 When make nail deform.
Referring primarily to Fig. 7, the channel jaw 1310 of end effector 1300 surrounds actuated articulation joints 1660 rotatably It is connected to the ridge of axis 1200.Channel jaw 1310 includes the articulation frame 1270 being attached to thereon, the articulation frame Including the pin 1271 extended laterally therefrom, the finger setting is in the hole 1311 being defined in warehouse channel 1310.Pin 1271 and hole Articulation frame 1270 is fixedly secured to warehouse channel 1310 by 1311 be sized and configured to.Articulation frame 1270 include joint motions hole defined therein, and the distal end of ridge includes the joint fortune being located in joint motions hole Dynamic column 1262.Joint motions column 1262 is sized and configured to so that it is closely received in joint motions hole, And the relative motion between articulation frame 1270 and the ridge of axis 1200 is limited to around orthogonal with axis axis 1001 The rotary motion of axis.
Than that described above, referring again to Fig. 1, shaft assembly 1000 further includes outer framework 1600.Referring now to Fig. 2, outer framework 1600 can rotate around slip joint relative to the frame 1110 of attachment part 1100.Slip joint includes proximal flange 1610, which is parallel to or at least substantially parallel to the corresponding flange 1111 being limited on frame 1110.In addition to mentioning Except rotatable mechanical interface, slip joint also provides rotatable electrical interface.More specifically, slip joint includes limiting Electric trace 1190 on flange 1111, and the other electric connector 1690 for being attached to flange 1610 comprising with trace The electrical contact of 1190 engagements.In various examples, electric trace 1190 include it is electrically isolated from one and respectively discrete circuit one Partial conductive annular ring.When outer framework 1600 is rotated relative to frame 1110, the contact of electric connector 1690 is kept and mark Line 1190 is in electrical contact.Referring to Fig. 5, the latch 1130 of attachment part 1100 further includes the electric connector being electrically connected with trace 1190 1192, when shaft assembly 1000 is connected to surgery system by latch 1130, trace 1190 can be placed with and be electrically connected with surgery system It is logical.The sensor in shaft assembly 1000 can pass through the controller in the shank of slip joint and surgical instruments due to the above reasons, And/or microprocessor communication, and alternatively communicated with robotic surgical device.
Outer framework 1600 further includes the pipe 1620 that proximally flange 1610 extends towards distal side, and than that described above, attachment The shell 1120 of part 1100 is installed to pipe 1620.Shell 1120 includes being defined in finger-shaped material clamping piece 1128 therein, this refers to Shape object clamping piece is configured to that clinician is helped to rotate shell 1120 and pipe 1620 around longitudinal axis axis 1001.Outline border Frame 1600 further includes the distal tube segment 1630 for being rotatably mounted to pipe 1620.More specifically, referring primarily to Fig. 7, outer framework 1600 further include that distal tube segment 1630 is connected to pipe 1620 and provides one between distal tube segment 1630 and pipe 1620 The connector 1640 of a or multiple freedom degrees.This one or more freedom degrees between distal tube segment 1630 and pipe 1620 permit Perhaps end effector 1300 carries out joint motions relative to axis 1200 around actuated articulation joints 1660.It is outer due to the above reasons, Frame 1600 can be rotated around longitudinal axis axis and can be rotated around actuated articulation joints 1660.That is, outline border Frame 1600 cannot be relative to 1110 longitudinal translation of frame of attachment part 1100.
Referring primarily to Fig. 5, shaft assembly 1000 further includes being configured to make end effector 1300 relative to axis 1200 Carry out the articulation system 1400 of joint motions.In addition, shaft assembly 1000 further includes trigger system 1500, the trigger system quilt It is constructed to be permeable to be closed the anvil jaw 1300 of end effector 1330 first, then fires the nail being stored in nail bin 1320, As described above.As discussed in more detail below, articulation system 1400 can be engaged selectively with trigger system 1500, be made Obtaining articulation system 1400 can be driven by trigger system 1500 so that end effector 1300 carries out joint motions.Once end Actuator 1300 sufficiently carries out joint motions, and articulation system 1400 can be operatively disengaged from trigger system 1500 Engagement.At this point, trigger system 1500 can be operated independently of articulation system 1400.It is as follows also to discuss in more detail, axis group Part 1000 further includes joint motion locking system, which first locks end effector 1300 in place, Switch shaft assembly 1000 between joint motions operation mode and percussion operation mode.
Referring primarily to Fig. 9, trigger system 1500 includes percussion connecting rod 1510, which can be in shaft assembly 1000 It is proximally and distally translated during joint motions operation mode and/or percussion operation mode.For example, percussion connecting rod 1510 includes close Side end 1511, the proximal end can be with the shanks and/or surgical machine of the drive system such as surgical instruments of surgery system The arm of people is operatively engaged.Trigger system 1500 further includes rack gear 1520, and rack gear 1520 is fixedly secured to percussion connecting rod 1510, rack gear 1520 is translated together with percussion connecting rod 1510.Percussion connecting rod 1510, which extends through, is limited to rack gear Longitudinal hole 1521 in 1520.In addition, rack gear 1520 is fixedly secured to percussion connecting rod 1510, so that rack gear 1520 and percussion connect Bar 1510 can rotate together around longitudinal axis axis.Articulation system 1400 further includes articulation drive 1420, is closed Section motion drive 1420 be installed to rack gear 1520, enable rack gear 1520 relative to articulation drive 1420 translation or Longitudinal sliding motion.This is to say, articulation drive 1420 is installed to rack gear 1520, so that articulation drive 1420, tooth Item 1520 and percussion connecting rod 1510 rotate together around longitudinal axis axis 1001.
Than that described above, referring primarily to Fig. 9, Figure 21 and Figure 23, rack gear 1520 includes being limited to its longitudinal direction on opposite sides Slit 1522, and articulation drive 1420 includes the protrusion 1422 being located in longitudinal slit 1522.Slit 1522 With protrusion 1422 be configured to allow rack gear 1520 relative to articulation drive 1420 proximally and towards distal side transport It is dynamic.More specifically, articulation drive 1420 is mounted in the attachment part 1100 of shaft assembly 1000, so that preventing joint from transporting Driver 1420 is moved relative to 1110 longitudinal translation of frame of attachment part 1100 or is at least substantially translated, and works as rack gear When 1520 longitudinal movements are with the articulation system 1400 and/or trigger system 1500 of drive shaft assembly 1000, rack gear 1520 can Relative to 1420 longitudinal movement of articulation drive.That is, as described in more detail below, slit 1522 and protrusion 1422 are configured to rotary motion being transmitted to rack gear 1520 from articulation drive 1420.
Referring primarily to Fig. 8, articulation system 1400 further include be installed to percussion connecting rod 1510 shift unit 1430 and Articulation drive 1440.Shift unit 1430 is fixedly secured to percussion connecting rod 1510, so that shift unit 1430 and percussion connect Bar 1510 longitudinally translates.In addition, shift unit 1430 is fixedly secured to percussion connecting rod 1510, enable shift unit 1430 with Percussion connecting rod 1510 rotates together.Shift unit 1430 includes longitudinal rack tooth (rack of teeth) 1431, and similarly, Articulation drive 1440 includes longitudinal rack tooth 1441.When shaft assembly 1000 is in its joint motions operation mode, ginseng See that Figure 16, Figure 18, Figure 20 and Figure 21, the tooth 1441 of articulation drive 1440 are engaged with the tooth 1431 of shift unit 1430 and connect It closes.In this configuration, the longitudinal movement of percussion connecting rod 1510 can be passed to articulation drive 1440.
Referring primarily to Figure 30, articulation drive 1440 further includes distal end 1443, and distal end 1443 has limit Due to elongated hole therein.The articulation frame 1270 for being installed to the end effector 1300 of channel jaw 1310 includes from it The joint motions pin 1444 of extension, joint motions pin 1444 are located in the hole being defined in distal end 1443.Work as shaft assembly 1000 in its joint motions operation mode and when percussion connecting rod 1510 is pushed into towards distal side, and percussion connecting rod 1510 is pushed away towards distal side Movable joint motion drive 1440 and joint motions pin 1444, so that end effector 1300 carries out joint fortune in a first direction It is dynamic, as shown in figure 31.When percussion connecting rod 1510 is proximally pulled, percussion connecting rod proximally pulls articulation drive 1440 and joint motions pin 1444, so that end effector 1300 carries out joint fortune in a second direction that is opposite the first direction It is dynamic.In use, clinician can operate surgery system to push and/or pull articulation drive 1440, by end Actuator 1300 is rotated into desired orientation.
Referring again to Figure 30, articulation system 1400 further includes second joint motion drive 1450 and transmission gear 1470.Transmission gear 1470 is installed to the ridge of axis 1200 and can rotate around fixed axis.In addition, transmission gear 1470 and limit The longitudinal rack tooth 1442 being scheduled in articulation drive 1440 is engaged.Similarly, second joint motion drive 1450 include the longitudinal rack tooth 1452 being engaged with transmission gear 1470.Second joint motion drive 1450 further includes remote Side end 1453, which, which has, is defined in elongated hole therein.The articulation frame 1270 of end effector 1300 It further include joint motions pin 1454 extending therefrom, the joint motions finger setting is in the hole being defined in distal end 1453. When articulation drive 1440 is promoted by percussion connecting rod 1510 towards distal side, as shown in figure 31, articulation drive 1440 Rotary transmission gear 1470, transmission gear 1470 then proximally drive articulation drive 1450 and joint motions pin 1454.Therefore, the cooperating of articulation drive 1440 and 1450 is with rotary end effector 1300 in the same direction.When When articulation drive 1440 is proximally pulled by percussion connecting rod 1510, articulation drive 1440 is revolved in the opposite direction Turn transmission gear 1470, this correspondingly pushes articulation drive 1450 and joint motions pin 1454 towards distal side.
When end effector 1300 is in desired orientation, 1300 lockable of end effector is in place.Referring primarily to Fig. 5 and Fig. 7-9, shaft assembly 1000 further include joint motions locking bar 1480 and joint motions lock actuator 1410.Joint motions lock Bar 1480 includes the proximal end 1481 for being installed to joint motions lock actuator 1410.When joint motions lock actuator 1410 from close When side position (Figure 32) moves to distal position (Figure 33), joint motions lock actuator 1410 and push locking bar 1480 towards distal side.When When joint motions lock actuator 1410 moves to proximal position (Figure 32) from distal position (Figure 33), actuator is locked in joint motions 1410 proximally pull locking bar 1480.Referring primarily to Fig. 9, it includes that nearside drives hook 1411 that actuator 1410 is locked in joint motions, should Nearside driving hook 1411 can be operatively engaged with the actuator of surgery system, which can as described above proximally and far Sidesway movable joint movement lock actuator 1410.
Referring to Figure 32 and Figure 33, shaft assembly 1000 further includes the joint motions lock 1494 for being installed to the ridge of axis 1200.Joint Movement lock 1494 includes the first hammerlock extending therefrom and the second hammerlock 1495.Referring to Figure 32, when actuator is locked in joint motions 1410 be in its proximal position when, the distal end 1482 of joint motions locking bar 1480 is not engaged with hammerlock 1495.In the reality In example, end effector 1300 is in unlocked configuration and can rotate relative to the ridge of axis 1200.When joint motions locking bar 1480 by joint motions lock actuator 1410 towards distal side promote when, referring to Figure 33, the distal end of joint motions locking bar 1480 1482 engage hammerlocks 1495 and engage the displacement of hammerlock 1495 at articulation drive 1440 and 1450.Referring primarily to figure 7, articulation drive 1440 includes longitudinal rack tooth 1445, when hammerlock 1495 is shifted outward by joint motions locking bar 1480 When, longitudinal rack 1445 is engaged by hammerlock 1495.Similarly, articulation drive 1450 includes longitudinal rack tooth 1455, when When hammerlock 1495 is shifted outward by joint motions locking bar 1480, longitudinal rack tooth 1445 is engaged by another hammerlock 1495.Institute It states in example, end effector 1300 is in locked configuration and can not rotate relative to the ridge of axis 1200.
Movement of the joint motions lock actuator 1410 from its proximal position (Figure 32) to its distal position (Figure 33) not only will End effector 1300 lock it is in place-it is also by shaft assembly 1000 from its joint motions operation mode (Figure 16, Figure 18, Tu20He It Figure 21) is displaced to it and fires operation mode (Figure 17, Figure 19, Figure 22 and Figure 23).Referring primarily to Fig. 9, actuator is locked in joint motions 1410 include one or more driving protrusions 1415, and one or more driving protrusion 1415, which extends inwardly into, is defined in joint In longitudinal hole 1414 in movement lock actuator 1410.Longitudinal hole 1414 surrounds or at least substantially about articulation drive 1420, and protrusion 1415 is driven to be located in the cam groove 1425 being defined in the outer surface of articulation drive 1420 It is interior.Than that described above, when joint motions lock actuator 1410 is pushed into towards distal side, driving protrusion 1415 drives joint motions Dynamic device 1420, rack gear 1520 and percussion connecting rod 1510 are orientated shown in Figure 16 from them and rotate to them shown in Figure 17 Orientation.In the illustration being described, the tooth 1431 of shift unit 1430 is rotated away from the tooth 1441 with articulation drive 1440 Operate engagement, and therefore, articulation system 1400 is operatively disengaged from trigger system 1500 to be coupled.Therefore, it closes The distal movement of section movement lock actuator 1410 locks end effector 1300 in place, and shaft assembly 1000 is converted to it It fires in operation mode.In various examples, joint motions lock actuator 1410 can be proximally pulled, by shaft assembly 1000 Displacement returns to its joint motions operation mode.
Couple once articulation system 1400 is operatively disengaged from trigger system 1500, as described above, percussion system System 1500 can be pushed into execute closing stroke with closed anvil jaw 1330 towards distal side, in addition, executing firing schedule, this is hit Distribution journey, which will be followed closely, to be projected from nail bin 1320 and cuts the tissue captured between nail bin 1320 and anvil jaw 1330.Referring to Fig. 7- 9, trigger system 1500 further includes intermediate percussion connecting rod 1530 and trigger shaft 1550.As described in more detail below, percussion connecting rod 1510 can be operatively engaged with intermediate percussion connecting rod 1530, enable during the longitudinal movement of percussion connecting rod 1510 is transferred to Between percussion connecting rod 1530.Trigger shaft 1550 includes proximal end 1552, and proximal end 1552, which is located in, is defined in distal side percussion company In longitudinal hole 1532 in the distal end of bar 1510.
When intermediate percussion connecting rod 1530 is pushed by percussion connecting rod 1510 towards distal side, referring to Figure 11, intermediate percussion connecting rod 1530 push trigger shaft 1550 towards distal side to engage anvil jaw 1330 and make anvil jaw 1330 towards its closure or clamping position Movement is set, as shown in figure 12.This distal movement of trigger shaft 1550 indicates closing stroke.If clinician is woven in nail to group Positioning between storehouse 1320 and the anvil jaw 1330 clamped is dissatisfied, then clinician can operate surgery system with the percussion that bounces back Bar 1550.In the illustration being described, the spring being compressed between nail bin 1320 and the anvil jaw 1330 clamped can be used for opening pincers Mouth 1330.
If the positioning that clinician is woven between nail bin 1320 and the anvil jaw 1330 clamped group pleases oneself, remove Other than above-mentioned, clinician can operate surgery system to promote trigger shaft 1550 to pass through nail bin 1320, to project nail and cross from it Cut tissue.This distal movement of trigger shaft 1550 indicates firing schedule, and the beginning of firing schedule is in figure 13 illustrates.? In this example, closing stroke and firing schedule are separated and different.Surgery system for operating trigger system 1500 exists Suspending between closing stroke and firing schedule or is suspended, this makes clinician have an opportunity the trigger shaft 1550 that bounces back, and if They just reopen anvil jaw 1330 if so selecting.In other instances, closing stroke and firing schedule are not point It is opening and different.On the contrary, surgery system is converted to firing schedule from closing stroke immediately.In either case, referring to figure 14, surgery system can be operated so that trigger shaft 1550 is bounced back to its non-firing position and spring is made to reopen anvil jaw 1330。
As described above, percussion connecting rod 1510 is for driving articulation system 1400 and trigger system 1500.In addition, seeing Percussion connecting rod of getting up 1510 is in percussion connecting rod 1510 for trigger shaft 1550 mobile while operating articulation system 1400;So And 4-29, shaft assembly 1000 further include clutch 1540 referring to fig. 2, clutch 1540 is configured to when clutch 1540 Percussion connecting rod 1510 and intermediate percussion connecting rod 1530 are operatively coupled when in percussion configuration (Figure 26), and in clutch Percussion connecting rod 1510 is operatively disengaged from and is coupled with centre percussion connecting rod 1530 when being in joint motions configuration (Figure 29) by 1540. Clutch 1540 is constructed such that it is in its joint motions structure when shaft assembly 1000 is in its joint motions operation mode Type (Figure 29), and correspondingly, when shaft assembly 1000 is in its percussion operation mode, it is in its percussion configuration (Figure 26).
Referring primarily to Figure 24, percussion connecting rod 1510 includes being slidably located in be defined in intermediate percussion connecting rod 1530 Distal piston 1515 in cylindrical body 1535.Clutch 1540 includes the cantilever beam for being fixedly secured to intermediate percussion connecting rod 1530 1543, and it is additionally convex in the lateral slit 1534 being defined in intermediate percussion connecting rod 1530 including being slidably located in Take turns head 1544.Cam head 1544 includes being defined in hole 1545 therein, and hole 1545 is configured to percussion connecting rod 1510 distal piston 1515 receives wherein.
When shaft assembly 1000 is in its joint motions operation mode and clutch 1540 is in its joint motions configuration, Referring to fig. 29, at least part of distal piston 1515 is located in the cylindrical body 1535 being defined in intermediate percussion connecting rod 1530 In portions of proximal 1531.In the illustration being described, another part of distal piston 1515, which is located in, is defined in the convex of clutch 1540 It takes turns in the hole 1545 in head 1544.Although the side wall in hole 1545 can contact the side of distal piston 1515, in the example In, piston 1515 can be moved relative to clutch 1540 and intermediate percussion connecting rod 1530, without by the fortune of percussion connecting rod 1510 Dynamic transmitting is at least substantially transmitted to intermediate percussion connecting rod 1530.Therefore, when percussion connecting rod 1510 is for driving joint motions When system 1400, percussion connecting rod 1510 shifts trigger shaft 1550 towards distal side.In some instances, gap may be present in percussion Between the proximal end 1552 of bar 1550 and longitudinal end wall in hole 1532, to adapt to intermediate percussion connecting rod 1530 in shaft assembly 1000 A certain amount of movement that can be undergone when in its joint motions operation mode.
Than that described above, referring again to Figure 29, when clutch 1540 is in its joint motions configuration, clutch 1540 1543 lateral deflection of cantilever beam or elastic bending.This is because the hole 1545 being limited in cam head 1544 is artificially and far Side piston 1515 is aligned, and when distal piston 1515 is located in hole 1545,1544 lateral displacement of cam head, and beam 1543 lateral deflections, to adapt to this pressure alignment.Operation mode and the company of percussion are fired when shaft assembly 1000 is placed in it When bar 1510 is pushed into towards distal side, distal piston 1515 is moved toward the far side relative to cam head 1544, until distal piston 1515 pass completely through hole 1545.At this point, referring to fig. 26, clutch 1540 returns resiliently to non-deflected, and by clutch Device 1540 is placed in its percussion configuration.It is worth noting that, in the illustration being described, 1544 lateral displacement of cam head and lock It is scheduled on behind the proximal shoulder of distal piston 1515, distal piston 1515 is maintained in cylindrical body 1535.Therefore, it is firing During the whole operation of component 1500, percussion connecting rod 1510 is locked to intermediate percussion connecting rod 1530 by clutch 1540, so that hitting The longitudinal movement of hair connecting rod 1510 is passed to intermediate percussion connecting rod 1530 during firing schedule.
Than that described above, after firing schedule is completed or at least partially completes, clutch 1540 continues will the company of percussion Bar 1510 and intermediate percussion connecting rod 1530 keep together.Therefore, percussion connecting rod 1510 can be moved proximally proximally to bounce back Intermediate percussion connecting rod 1530 and trigger shaft 1550.In various examples, empty nail bin 1320 can be moved from end effector 1300 It removes, and not empty nail bin 1320 can be for example placed in channel jaw 1310.If clinician still executes end The orientation of device 1300 pleases oneself, then clinician can operate percussion component 1500 again.However, if clinician wants to change Become the orientation of end effector 1300, then clinician can operate surgery system with the percussion connecting rod that further proximally bounces back 1510, and disengage percussion connecting rod 1510 with intermediate percussion connecting rod 1530, to reenter the joint of shaft assembly 1000 Motor performance mode.This transformation is described in more detail below.
7 and Figure 28 referring to fig. 2, the ridge of shaft assembly 1000 include cam 1234, and cam 1234 is configured in Between percussion connecting rod 1530 proximally bounce back, the cam of lateral deflection clutch 1540 when cam head 1544 contacts cam 1234 Head 1544.Once cam head 1544 is laterally deflected, then hole 1545 and the distal piston being limited in cam head 1544 1515 realign, thus distal piston 1515 from clutch 1540 discharge and can proximally be moved relative to cam 1540 into Enter its joint motions configuration (Figure 29).At this point, percussion connecting rod 1510 can be used for operating articulation system 1400 with reorientation End effector 1300.Once clinician pleases oneself to the orientation of end effector 1300, clinician just can be used outer Section's system promotes distal piston 1515 towards distal side, and clutch 1540 is displaced into its percussion configuration again.In addition, should Understand, when clinician wants to switch between the percussion operation mode and joint motions operation mode of shaft assembly 1000, Clutch 1540 can be shifted from its percussion configuration and its joint motions configuration.
As described above, trigger shaft 1550 can be moved toward the far side with closing in percussion component 1500 referring now to Figure 10-12 Close stroke during by anvil jaw 1330 from open position (Figure 11) move to closed position (Figure 12) or at least towards closure position Set (Figure 12) movement.Trigger shaft 1550 includes the anvil block cam 1564, Yi Jiling for being configured to engagement anvil jaw 1330 The outer storehouse cam 1563 for being configured to engagement channel jaw 1310.Anvil jaw 1330 includes being defined in therein to include The longitudinal slit 1334 of bottom cam surface.Similarly, channel jaw 1310 includes convex wheel surface including being defined in therein Longitudinal slit 1313.When trigger shaft 1550 is pushed into towards distal side, the bottom of the engageable longitudinal slit 1334 of anvil block cam 1564 Portion's cam face, and the convex wheel surface of the engageable longitudinal slit 1313 of storehouse cam 1563 is collaboratively to control anvil jaw 1330 position relative to nail bin 1320.
As described above, anvil jaw 1330 is rotationally coupled to channel jaw 1310.In at least one example, anvil block Jaw 1330 is installed to channel jaw 1310 by one or more pins and can pivot around fixed axis.In other examples In, anvil jaw 1330 is not installed to channel jaw 1310 around fixed axis.In at least one described example, when anvil block clamps When mouth 1330 is rotated relative to channel jaw 1310, anvil jaw 1330 can be translated relative to channel jaw 1310.Any In the case of kind, even if storehouse jaw 1310 can rotate around actuated articulation joints 1660 or carry out joint motions, storehouse can also be clamped Mouth 1310 is known as regular jaw.In this case, term " fixed " mean surgery system 1000 not open position with close Coincidence set between rotating channel jaw 1310.Being susceptible to wherein storehouse jaw 1310 can be relative to the another of the rotation of anvil jaw 1330 The embodiment of choosing.In the illustration being described, anvil jaw 1330 can be regular jaw.
Referring to Fig. 7, if anvil jaw 1330 is made of the dry part fitted together.More specifically, anvil jaw 1330 include the lateral side plate 1333 of one or more being attached to thereon.In at least one example, for example, anvil jaw 1330 and side plate 1333 be made of and welded together steel.Among other things, such arrangement can simplify for generating restriction The manufacturing process of longitudinal slit 1334 in anvil jaw 1330.In at least one example, one of longitudinal slit 1334 Side plate 1333 can be formed as before side plate 1333 is attached to anvil jaw 1330 by dividing.In various examples, longitudinal slit 1334 Bottom cam surface include crooked outline, which can be for example formed in side plate 1333 using grinding process.In addition, In some instances, side plate 1333 can be subjected to the heat treatment process different from the rest part of anvil jaw 1330.As described above, Any suitable manufacturing method can be used to be formed for anvil jaw 1330.
Than that described above, nail bin 1320 includes warehouse 1322 and the sliding part being movably positioned in warehouse 1322 1360.Sliding part 1360 can be fired by trigger shaft 1550 in the non-firing position of nearside (Figure 10, Figure 11 and Figure 12) and distal side It is moved between position.More specifically, trigger shaft 1550 includes the coupling member 1560 for being installed to its distal end, coupling member 1560 are configured to adjacent sliding part 1360 and are moved distally sliding part 1360 during firing schedule.However, value It obtains it is noted that coupling member 1560 does not abut sliding part 1360 during the closing stroke of firing member 1550.Therefore, it hits Hair component 1550 can be moved proximally and distally to open and close anvil jaw 1330, without moving sliding part 1360 towards distal side Position.Therefore, regardless of the number that anvil jaw 1330 opens and closes before executing firing schedule, nail bin 1320 is all kept Non- dummy status.
Than that described above, nail bin 1320 is interchangeable.It therefore, can when nail bin no-fix is in channel jaw 1310 There are various examples.In addition, may occur in which various examples when empty nail bin is located in channel jaw 1310.Referring now to figure 10-15, shaft assembly 1000 include latching member, which is configured to prevent firing schedule from opening in the presence of either condition Begin.Latching member includes lock 1570, and lock 1570 is rotatably mounted to trigger shaft 1550 and can be at unlocked position (Figure 10-14) It is moved between latched position (Figure 15).Lock 1570 includes the opposite lateral side for being pivotally mounted to coupling member 1560 Lateral lip 1572, lateral lip 1572 provide rotation axis, and lock 1570 is rotated around the rotation axis.When trigger shaft 1550 is vertical When to movement to open and close anvil jaw 1330, referring to Figure 10-12, lock 1570 is maintained at solution lock-bit by channel jaw 1310 It sets.
When the firing schedule of trigger shaft 1550 starts, referring to Figure 13, sliding part 1360 is configured to work as sliding part Lock 1570 is supported on its unlocked position when 1360 firing position non-in its nearside.More specifically, sliding part 1360 includes close Side flange 1365, proximal flange 1365 are configured in the close latch recess being limited in channel jaw 1310 of lock 1570 The distal shoulder 1575 of support lock 1570 when 1315.In other words, sliding part 1360 can prevent lock 1570 from entering latch recess 1315, but only when sliding part 1360 is in the non-firing position of its nearside.Once distal shoulder 1575 starts in firing schedule When supported by the proximal flange 1365 of sliding part 1360, it is remote that proximal flange 1365 can continue support during entire firing schedule Side shoulder 1575.That is, once lock 1570 is moved toward the far side relative to latch recess 1315, then locking 1570 cannot Flange 1365 is not needed into latch recess 1315, and in the remainder of firing schedule to support shoulder 1575.
Referring again to Figure 10-13, latching member further includes Lock spring 1370, and Lock spring 1370 is configured to lock 1570 are biased into latch recess 1315.Lock spring 1370 includes being fixedly secured to the proximal end of articulation frame 1270 Portion 1371, and the other distal end 1375 with 1371 relative positioning of proximal end.When trigger shaft 1550 is for being closed When opening and closing anvil jaw 1330 during stroke, referring to Figure 10-12, flange 1572 can be sliding relative to Lock spring 1370 It is dynamic.When trigger shaft 1550 is pushed into towards distal side to execute firing schedule and sliding part 1360 is in the non-firing position of its nearside When, as shown in figure 13, flange 1572 can upward Lock spring 1370 distal end 1375 to allow flange 1572 at it Lower section sliding.When trigger shaft 1550 is pushed into and flange 1572 moves across the distal end of Lock spring 1370 towards distal side When 1375, Lock spring 1370 can return resiliently to its non-deflected.
After having completed in firing schedule or at least sufficiently having completed, trigger shaft 1550, which can bounce back, to be returned to its nearside and does not fire Position, as shown in figure 14.It is worth noting that, sliding part 1360 does not bounce back proximally together with trigger shaft 1550.On the contrary, sliding Part 1360 is maintained at distal side firing position.Therefore, if trigger shaft 1550 will be pushed into execute the second firing schedule towards distal side, Then lock 1570 cannot be maintained at its unlocked position by the sliding part 1360 of hole capital after selling all securities 1320.On the contrary, referring to Figure 15, Lock spring 1370 are biased into the lateral lip 1572 for locking 1570 in latch recess 1315, this will prevent trigger shaft 1550 from executing the second percussion Stroke, that is, there is the firing schedule of empty nail bin in channel jaw 1310.As shown in figure 15, the distal side of Lock spring 1370 End 1375 engages at the position in the distal side of rotary joint with the flange 1572 of lock 1570, which will lock 1570 connections To coupling member 1560.Therefore, Lock spring 1370 is configured to apply downward bias torque to lock 1570, this is downwards Bias torque by lock 1570 be rotated downwardly to its latched position and enter latch recess 1315 in.It is reset in order to which 1570 will be locked Its unlocked position, trigger shaft 1550 can be proximally pulled will lock 1570 and pull out from latch recess 1315, until locking 1570 again It is secondary to be supported by channel jaw 1310.
Although firing schedule cannot be executed when by empty nail bin is located in channel jaw 1310, even if empty nail Storehouse is located in channel jaw 1310, and trigger system 1500 can also be used for opening and closing anvil jaw 1330.In addition, even if Empty nail bin is located in channel jaw 1310, and trigger system 1500 can also be used for operation articulation system 1400.Similarly, when When nail bin is lacked from channel jaw 1310, trigger system 1500 can be used for opening and closing anvil jaw 1330 and/or operation Articulation system 1400.However, fire another nail bin to reuse shaft assembly 1000, for example, must will be empty Nail bin 1320 is removed from channel jaw 1310 and is replaced with not empty nail bin such as another nail bin 1320.Such not empty nail bin It will must include the sliding part 1360 in the non-firing position of its nearside, which will allow trigger shaft 1550 to be pushed into Pass through another firing schedule.
Referring again to Figure 10-15, the coupling member 1560 of trigger shaft 1550 includes cutting edge 1565,1565 quilt of cutting edge It is constructed to be permeable to the crosscutting tissue captured between nail bin 1320 and anvil jaw 1330.It is worth noting that, coupling member 1560 not locked springs 1370 are shifted down into the latch recess 1315 being limited in channel jaw 1310.On the contrary, only locking The 1570 locked displacements downwards of spring 1370.Therefore, during the firing schedule of trigger shaft 1550, cutting edge 1565 not relative to The tissue displacement and holding captured between nail bin 1320 and anvil jaw 1330 aligns.
As described above, trigger system 1500 is configured to execute closing stroke to be closed end effector 1300 simultaneously And firing schedule is executed to suture and cut the tissue captured in end effector 1300.As also described above, trigger system 1500 are operably linked to the drive system of surgery system and are driven by it.In various examples, once perform closure The drive system of stroke and/or firing schedule, surgery system can fail and the trigger system that can not promote and/or bounce back 1500.Such example can be quite problematic, because end effector 1300 will be locked and closed by trigger shaft 1550.More specifically Ground, as described above, trigger shaft 1550 includes cam 1563 and 1564 (Figure 10-15), cam 1563 and 1564 is configured to Anvil jaw 1330 and channel jaw 1310 are held in place relative to each other during closing stroke and firing schedule, and such as Fruit trigger shaft 1550 is non-retractable, then cam 1563 and 1564 will no longer operatively lock together jaw 1310 and 1330. Retraction system is described below, which is configured to proximally pull trigger shaft 1550, so that anvil jaw 1330 can be switched on again.
Turning now to Figure 34-36, shaft assembly 1000 includes retraction or emergency system 1700, is configured to selectivity Ground expansion is to engage trigger system 1500 and proximally retraction trigger shaft 1500.Referring primarily to Figure 34, retraction system 1700 is wrapped Shank or actuator 1702 are included, the shank or actuator 1702 surround pivot pin 1704 and be rotatably mounted to attachment part 1100 Shell 1120.Pivot pin 1704 limits fixed rotation axis, and shank 1702 can be rotated around the rotation axis.Retraction system 1700 further include pawl 1706, and pawl 1706 is rotatably mounted to shank 1702 around pivot pin 1708, and pivot pin 1708 limits Determining pawl 1706 can be around the fixation rotation axis that it is rotated relative to shank 1702.Pawl 1706 includes limiting thereon Tooth, the tooth are configured to the longitudinal rack tooth 1526 that engagement is limited on rack gear 1520.When shank 1702 is in storage Or when undeployed position, as shown in figure 34, the tooth of pawl 1706 is not engaged with rack tooth 1526.
Referring again to Figure 34, shell 1120 is therein into window 1129 including being defined in, into the size of window 1129 With construction be configured to allow clinician catch shank 1702 and by shank 1702 rotate to expanded position-its in Figure 35 It shows.Than that described above, the pipe 1620 of outer framework 1600 includes window 1629, and similarly, and the ridge of axis 1200 includes limiting In window 1229 wherein, these windows are aligned with the window 1129 being defined in shell 1120 or are at least substantially aligned.Window Mouth 1629 and 1229 is configured to that pawl 1706 is allowed to enter the rack tooth 1526 being limited on rack gear 1520.Work as shank 1702 when being increased to its expanded position, as shown in Figure 35, the indented joint rack tooth 1526 of pawl 1706.At this point, shank 1702 It can be rotated to proximally drive rack 1520, percussion connecting rod 1510, intermediate percussion connecting rod 1530 and trigger shaft 1550.
Than that described above, shank 1702 and pawl 1706 include ratchet assembly, if it is desired, the ratchet assembly can be activated It is engaged several times with proximally driving trigger system 1500 to be sufficiently disengaged from anvil jaw 1330 to trigger shaft 1550 to allow Open the position of anvil jaw 1330.When shank 1702 is in its expanded position in Figure 35, shank 1702 can be revolved towards distal side Turn about 45 degree, such as rotates to position shown in Figure 36, proximally to pull trigger system 1500.Shank 1702 this 45 degree of rotations of kind may or may not be enough to be disengaged trigger shaft 1550 with anvil jaw 1330.If insufficient, shank 1702 It can be proximally rotated and returned to position shown in Figure 35, so that shank 1702 can be activated again with the percussion of further retraction Bar 1550.The process can be repeated as many times as desired, until anvil jaw 1330 can be opened with by end effector 1300 from Tissue unclamps and removes shaft assembly 1000 from operative site.
Than that described above, it may occur in which that such situation needs that is, before trigger shaft 1550 bounces back or is at least fully retracted Shaft assembly 1000 is removed from surgery system.In the illustration being described, similarly as described above, shaft assembly 1000 will not be by surgery System provides power-however, even if shaft assembly 1000 is not attached to surgery system, it is possible to use retraction system 1700 comes rapidly End effector 1300 is discharged from tissue.Such arrangement is with a part that wherein retraction system is surgery system rather than attaches axis It is a kind of improvement that other arrangements of component, which are compared,.In other such arrangements, shaft assembly can must remain attached to surgery system, To make retraction system for reopening end effector.
After having been carried out a part of closing stroke, after having been carried out entire closing stroke, After a part for performing firing schedule, and/or after having executed entire closing stroke, retraction system 1700 can be used for Retraction percussion component 1500.When, execution firing schedule and retraction system 1700 are used for retraction percussion component 1500 completely When, clinician can must make the starting of retraction system 1700 several times, to make the retraction of trigger shaft 1550 pass through entirely percussion row Journey and other entire closing stroke are to open end effector 1300.Such case is entirely appropriate, but be can be used The next trigger shaft 1550 that sufficiently bounces back of many actuatings of retraction system 1700.Discussed below is the axis for including alternative emergency system Component.
Shaft assembly 2000 shows in Figure 37-46 and is similar to shaft assembly 1000- for brevity in many aspects, this Text does not discuss several aspects therein.Referring primarily to Figure 37, shaft assembly 2000 includes attachment part 2100,2100 quilt of attachment part It is constructed to be permeable to for shaft assembly 2000 to be releasably attached to surgery system, such as the shank of surgical instruments and alternative The arm of robotic surgical device.Shaft assembly 2000 further includes end effector 2300, is configured to enclose end effector 2300 The articulation system 1400 of joint motions is carried out around actuated articulation joints 1660, and is configured to from being located in end The trigger system 1500 of nail bin percussion nail in actuator 2300.Referring primarily to Figure 38 and Figure 39, shaft assembly 2000 further includes outer Frame 1600, outer framework 1600 are installed to the frame 2110 of attachment part 2100 and can be opposite around longitudinal axis axis 2001 It is rotated in frame 2110.Such arrange allows end effector 2300 relative to patient tissue reorientation.For example, by anvil Seat jaw 1330 is clamped to before tissue, and the anvil jaw 1330 of end effector 2300 can be rotated from the side of patient tissue To the other side.As described above, outer framework 1600 is installed to the frame 2110 of attachment part 2100 so that outer framework 1660 relative to Frame 2110 can not be translated or can at least substantially be translated.
Similar to shaft assembly 1000, shaft assembly 2000 includes retraction system 1700, and retraction system 1700 is configured to Bounce back trigger system 1500.Than that described above, retraction system 1700 can be operated trigger shaft 1550 and is permitted with proximally bouncing back Perhaps end effector 2300 is reopened from closure or clamping configuration (Figure 45) to open configuration (Figure 46).Referring primarily to Figure 42- 44, shaft assembly 2000 further includes translatable ridge 2200 and emergency system 2800, is configured to end effector 2300 From its closure or clamping configuration (Figure 45) driving to its open configuration (Figure 46) to reopen end effector 2300.It is such as following In greater detail, emergency system 2800 is configured to proximally unactuated position (Figure 45) move toward the far side ridge 2200 To distal side actuated position (Figure 46), to be moved distally the channel jaw of end effector 2300 relative to trigger shaft 1550 2310。
Translatable ridge 2200 is similar to ridge 1200 in many aspects.Referring primarily to Figure 42-44, ridge 2200 includes nearside spine Divide 2210, can be rotated relative to frame 2110 around longitudinal axis axis 2001.Proximal spine segment 2210 includes being limited to it In hole, the hole be configured to receive drive covers 2220 proximal end.Drive covers 2220 further include distal end, The distal end is configured in the proximal end for being located in the intermediate ridge part 2230 of ridge 2200.On ridge 2200 further includes Distal part 2250 and the lower distal part 2260 engaged with the distal end of ridge part 2230.Distal part 2250 and 2260 is wrapped Proximal end is included, these proximal ends are laterally inserted into or slide into the dovetail being limited in the distal end of intermediate ridge part 2230 In shape slit.Ridge 2200 further includes covering 2240, which is configured to closing and is limited in ridge part 2230 It is open and/or locks distal part 2250 and 2260 in place.Lower distal part 2260 includes extending therefrom Joint motions protrusion 1262, the joint motions protrusion are closely located in the pass for being limited to and being mounted in channel jaw 2210 It saves in the joint motions hole in moving frame 2270.
Different with the ridge 1200 for preventing ridge 1200 from translating relative to frame 1110 from frame 1110 is installed to, ridge 2200 can be slided It is located in frame 2110 and can proximally and distally be moved by emergency system 2800 relative to frame 2110 dynamicly.It is main It to include emergency lever 2802 referring to Figure 38 and Figure 39, emergency system 2800, emergency lever 2802 surrounds fixed axis pivot 2804 are rotatably mounted to frame 2110.In fact, referring to fig. 41, emergency system 2800 includes rotatable on opposite sides thereof Ground is installed to two emergency levers 2802 of frame 2110, they are connected to each other by cross bar 2807, as shown in figure 42, so that answering Anxious lever 2802 rotates together.Emergency system 2800 further includes being rotatably mounted to the driving of each in emergency lever 2802 Connector 2806.Referring to fig. 41, each emergency lever 2802 includes drive pin 2803, and drive pin 2803, which extends to, is limited to driving Emergency lever 2802 is operably linked in drive hole in connector 2806 and by driving connector 2806.
Than that described above, 0 and Figure 41, each driving connector 2806 include drive pin 2808 extending therefrom referring to fig. 4, Drive pin 2808 is located in the narrow annular slot 2218 being defined in proximal spine segment 2210.When emergency lever 2802 is revolved towards distal side When going to its actuated position, as shown in figure 46, emergency lever 2802 pulls driving connector 2806 and ridge 2200 towards distal side, so that Channel jaw 2310 is translated to the far side relative to trigger shaft 1550.Further, since anvil jaw 1330 is rotatably mounted to lead to The fact that road jaw 2310, the distal movement of channel jaw 2310 are also translated to the far side anvil jaw 1330.2310 He of jaw 1330 this distal movement includes answering emergency opening stroke, can make the anvil block cam of anvil jaw 1330 Yu trigger shaft 1550 1564 are disengaged and anvil jaw 1330 are allowed to move to open position.Than that described above, end effector 2300 includes The biasing member of compression such as spring, engages once anvil jaw 1330 is sufficiently disengaged from anvil block cam 1564, should Anvil jaw 1330 can be biased into its open position by the biasing member of compression.
As reader should understand that, emergency system 2800 is independent and different from retraction system 1700.Therefore, it meets an urgent need System 2800 and retraction system 1700 can operate independently of one another.In at least one example, if it is desired, emergency system 2800 It can be used for opening end effector 2300 during closing stroke, and if desired, retraction system 1700 can be used for firing End effector 2300 is opened during stroke.In various examples, retraction system 1700 can be used for during closing stroke and/or End effector 2300 is opened at any point during firing schedule.In some instances, emergency system 2800 can be used for closing End effector 2300 is opened during closing stroke and/or firing schedule.In at least one described example, by emergency system 2800 What is generated answers emergency opening stroke to be enough to beat at any point during closing stroke and/or at any point during firing schedule Open end actuator 2300.However, in some instances, answering emergency opening stroke that can be not enough to by what emergency system 2800 generated End effector 2300 is opened during firing schedule.In the illustration being described, other than emergency system 2800 or instead of emergency system System 2800, retraction system 1700 can be used to open end effector 2300 in clinician.
Than that described above, emergency system 2800 can be activated quickly to open end effector 2300.In contrast, it bounces back System 1700 can must be activated several times to open end effector 2300, and emergency system 2800 can be opened with a stroke End effector 2300.In the example that emergency system 2800 oneself cannot open end effector 2300, emergency system may be actuated System 2800 must start up with reducing retraction system 1700 to open the number of end effector 2300.In addition, in the illustration being described, Channel jaw 2310 pushed towards distal side and far from trigger shaft 1550 and trigger shaft 1550 is proximally pulled and far from anvil block Jaw 1330.In the example that emergency system 2800 oneself can open end effector 2300, the trigger shaft of trigger system 1500 1550 do not need retraction to open end effector 2300.
In various examples, than that described above, the emergency lever 2802 of emergency system 2800 can not activate position from its nearside Set (Figure 45) rotation to its distal side actuated position (Figure 46) with open end effector 2300 and by end effector 2300 from Patient tissue release.Then end effector 2300 can be made to move away from patient tissue.Then, emergency lever 2802 can be remote from it Side actuated position (Figure 46) rotates to its nearside unactuated position (Figure 45), proximally to pull ridge 2200 and channel jaw 2310 And it is closed end effector 2300.When removing end effector 2300 from operative site, this feature is particularly useful, because When end effector 2300 is in its closed configuration, to remove end effector 2300 from operative site in various examples It can be easier.Under any circumstance, emergency system 2800 can be activated and be moved back repeatedly to open and close end as needed Actuator 2300.
As described above, shaft assembly 1000 includes joint motions locking bar 1480, joint motions lock referring again to Figure 32 and Figure 33 Bar 1480 is configured to the joint motions lock 1494 of engagement shaft assembly 1000 and makes the arm 1495 of joint motions lock 1494 It shifts into and is engaged with the articulation drive 1440 and 1450 of articulation system 1400, to lock end effector 1300 Determine in place and prevents end effector 1300 from carrying out joint motions by articulation system 1400.Such arrangement includes single-stage Joint motion locking system because two arms 1495 simultaneously or at least substantially simultaneously with articulation drive 1440 and 1450 Engagement.In an alternative embodiment, shaft assembly 6000 shown in Figure 67-71 includes two-stage joint motion locking system 6490, it is configured to lock end effector such as end effector 1300 in place.
Shaft assembly 6000 is similar to shaft assembly 1000 and 2000- for brevity in many aspects, it is not described herein wherein Several aspects.Although may not be as shown in Figure 67-71, shaft assembly 6000 includes axis 1200, end effector 1300, joint motions System 1400, trigger system 1500 and outer framework 1600.Shaft assembly 6000 further includes joint motions lock actuator, is configured to Locking bar 6480 can be made to move relative to end effector 1300 and connect locking bar 6480 with joint motion locking system 6490 It closes.As described in more detail below, locking system 6490 is configured to directly engage the first lock and end effector first 1300, then engage the articulation drive 1440 and 1450 of the second lock and articulation system 1400.In the illustration being described, End effector 1300 can be collaboratively held in place by the first lock and the second lock of joint motion locking system 6490.
Referring primarily to Figure 67, two-stage joint motion locking system 6490 includes frame 6491, and frame 6491 is located in outline border In the outer tube 1620 of frame 1600 and it is fixedly secured to the ridge of axis 1200.Joint motion locking system 6490 further include: the first lock 6496, it is slidably located in the chamber 6492 being defined in frame 6491;And biasing spring 6499, it is adapted to Enough be biased into the first lock 6496 engages with the articulation frame 1270 being mounted in end effector 1300.First lock 6496 Including flange 6498 extending therefrom, and biasing spring 6499 is in flange 6498 and the chamber 6492 being limited in frame 6491 It is compressed between proximal end wall.Therefore, biasing spring 6499 is configured to make the first lock 6496 proximally unlocked position (figure 66) (in the position first lock 6496 do not engaged with articulation frame 1270) move to distal side latched position (Figure 67-70) ( The position first lock 6496 is engaged with articulation frame 1270).
Than that described above, articulation frame 1270 includes circumferential tooth array 1277, is respectively configured to when the One lock 6496 is limited at the mark of mouth concave portion in the distal end of the first lock 6496 when being advanced to its latched position towards distal side 6497 engagements.Tooth array 1277 extends around the proximal, perimeter of articulation frame 1270, so that tooth 1277 and the first lock 6496 Alignment or be at least substantially aligned, but regardless of end effector 1300 orientation how.Therefore, tooth 1277 always occurs from first Before the distal end of lock 6496, so that when the first lock 6496 is biased spring 6499 and is biased into its latched position, first Lock 6496 can lock end effector 1300 in place.
Joint motion locking system 6490 further include second joint movement lock 6494, be configured to selectively with The articulation drive 1440 and 1450 of articulation system 1400 engages.Joint motions lock 6494 is fixedly secured to axis group The ridge of part 6490, and including hammerlock 6495 extending therefrom.Hammerlock 6495 can be in non-flexure configuration (Figure 67) and flexure structure It is moved between type (Figure 68), in the non-flexure configuration, they are not engaged with articulation drive 1440 and 1450, are scratched at this In bent configuration, they are engaged with articulation drive 1440 and 1450.In other words, hammerlock 6495 from unlocked configuration side to or Locked configuration is deflected into outward, with connecting joints motion drive 1440 and 1450.
Each hammerlock 6495 includes the tooth limited on it, and the tooth is configured to be deflected outward into when hammerlock 6495 Connecting joints motion drive 1440 and 1450 when being engaged with articulation drive 1440 and 1450.More specifically, the first lock The tooth of arm 6495 is configured to the tooth 1445 that engagement is limited in articulation drive 1440, and the second hammerlock 6495 Tooth be configured to the tooth 1455 that is limited in articulation drive 1450 of engagement.Hammerlock 6495 and joint motions driving This interaction and 1450 between device 1440 prevent articulation drive 1440 and 1450 from proximally and distally moving with So that end effector 1330 is carried out joint motions, and therefore locks end effector 1330 in place.Hammerlock 6495 is also by structure It causes to prevent articulation drive 1440 and 1450 by end effector when torque is applied to end effector 1330 1330 are driven in the reverse direction.
Figure 67 and Figure 68 shows the lock sequence of two-stage joint motion locking system 6490.As shown in Figure 67, it first closes Section movement lock 6496 is biased into its lock state by biasing spring 6499, as described above.Therefore, the first joint motions are locked 6496 do not need to be activated so that joint motion locking system 6490 is placed in the first lock state.It should be noted, however, that working as When joint motion locking system 6490 is in its first lock state, second joint movement lock 6494 not with articulation drive 1640 and 1650 engagement because joint motions lock 6494 hammerlock 6495 be not yet biased into articulation drive 1640 and 1650 engagements.On the contrary, locking bar 6480 must be pushed into engage hammerlock 6495 and move hammerlock 6495 towards distal side referring to Figure 68 Position is engaged at articulation drive 1640 and 1650.Therefore, second joint movement lock 6494 must be activated with by joint Motion locking system 6490 is placed in the second lock state.
Referring again to Figure 67, locking bar 6480 includes shaft portion 6481, and shaft portion 6481 is configured in hammerlock 6495 Between sliding without making hammerlock 6495 be shifted laterally to engage with articulation drive 1440 and 1450.This is to say, existing Referring to Figure 68, locking bar 6480 includes the expansion section 6485 being limited on shaft portion 6481, which is configured to work as Hammerlock 6495 is engaged when locking bar 6480 is pushed into towards distal side and hammerlock 6495 is deflected into its locked configuration.At this point, joint is transported Dynamic locking system 6490 is in its second lock state.It is worth noting that, when joint motion locking system 6490 be in its When two lock states, the first joint motions lock 6496 engage with end effector 1300, and second joint movement lock 6494 and Articulation drive 1440 and 1450 engages.Furthermore, it should be noted that in the two stages of joint motion locking system 6490 During lock sequence, the first joint motions lock 6496 moves lock 6494 connecting joints motion drive, 1440 He in second joint Engagement end portion actuator 1300 before 1450.
Figure 69-71 shows the unlock sequence of two-stage joint motion locking system 6490.Figure 69 show in its second The joint motion locking system 6490 of lock state, and in order to unlock end effector 1300 it can be carried out as described above Joint motions, joint motion locking system 6490 are sequentially placed in its first lock state and are subsequently placed in it as shown in Figure 70 Unlocked state, as shown in Figure 71.Referring to Figure 70, locking bar 6480 proximally bounces back so that expansion section 6485 connects with the disengaging of hammerlock 6495 It closes, so that hammerlock 6495 flexibly can inwardly bend and be disengaged with articulation drive 1440 and 1450.At this point, joint Motion locking system 6490 has been returned to its first lock state.It is worth noting that, locking bar 6480 includes distal end 6482, it is slidably located in the elongated hole 6493 being limited in the first joint motions lock 6496, and work as locking bar 6480 It proximally moves so that joint motion locking system is converted to its first lock state from its second lock state, as described above, Distal end 6482 can be slided in elongated hole 6493, without making the first joint motions lock 6496 remove its lock state.
Once joint motion locking system 6490 has been returned to its first lock state, as described above, locking bar 6480 can It further proximally bounces back so that the first joint motions lock 6496 to be pulled out to the engagement with articulation frame 1270.More specifically, When locking bar 6480 proximally bounces back to apply retraction force to the first joint motions lock 6494, the distal end of locking bar 6480 6482 can abutting aperture 6483 proximal end wall.This proximal retraction power allows for that spring 6499 is overcome to be applied to the first joint fortune The distal side biasing force of dynamic lock 6496, proximally to move the first joint motions lock 6496.Under any circumstance, once first closes Section movement lock 6496 is disengaged with articulation frame 1270, and joint motion locking system 6490 is at unlock shape State.At this point, end effector 1300 can be joint motions.In order to relock in place end effector 1300, can release Locking bar 6480 is put to allow biasing spring 6499 that the first joint motions lock 6496 is placed in its lock state again.Alternatively, may be used Towards distal side driving locking bar 6480 to relock in place end effector 1300.
As described above, two-stage joint motion locking system 6490 is configured to sequentially lock the first joint motions lock 6496 and then locking second joint movement lock 6494.It is susceptible to alternative embodiment, wherein joint motion locking system It is configured to sequentially locking second joint movement lock 6494 and then locks the first joint motions lock 6496.In addition, It is susceptible to alternative embodiment, is configured to lock the first joint motions lock 6494 and second joint movement lock simultaneously 6494。
As also described above, two-stage joint motion locking system 6490 is configured to sequentially unlock second joint movement It locks 6494 and then unlocks the first joint motions lock 6496.It is susceptible to alternative embodiment, wherein joint motions locking system System is configured to sequentially unlock the first joint motions lock 6496 and then unlock second joint movement lock 6494.This Outside, it is envisioned that alternative embodiment is configured to unlock the first joint motions lock 6494 and second joint fortune simultaneously Dynamic lock 6494.
Shaft assembly 3000 is shown in Figure 47-51.It is succinct rise that shaft assembly 3000 is similar to shaft assembly 1000- in many aspects See, several aspects therein not described herein.Although may not be as shown in Figure 47-51, shaft assembly 3000 includes attachment part 3100 and it is installed to the ridge of attachment part 3100, can rotate but can not put down relative to the frame 3110 of attachment part 3100 It moves.Shaft assembly 3000 further includes end effector 1300, is configured to that end effector 1300 is made to carry out joint motions Articulation system 1400 and trigger system 1500.As described above, end effector 1300 includes anvil jaw 1330, anvil Seat jaw 1330 can rotate between the open position and the closed position relative to channel jaw 1310.Shaft assembly 3000 further includes Outer axial portion 3600, outer axial portion 3600 are configured to engagement anvil jaw 1330 and make anvil jaw 1330 towards its Closed position movement, as described in more detail below.
Referring primarily to Figure 47 and Figure 49, outer shaft assembly 3600 includes portions of proximal 3610, is connected to portions of proximal 3610 Middle section 3620, and it is connected to the distal part 3630 of middle section 3620.Portions of proximal 3610 is installed to attachment part 3100 frame 3110 enables portions of proximal 3610 to rotate but can not translate relative to frame 3110.Portions of proximal 3610 include extending through longitudinal passage 3615 therein, and similarly, middle section 3620 is therein including extending through Longitudinal passage 3625.Longitudinal passage 3615 and 3625 is in alignment with each other or is at least substantially aligned, and surrounds ridge, joint motions system The trigger system 1500 of system 1400 and shaft assembly 3600.Than that described above, distal part 3630 includes extending through therein indulge To access 3635, longitudinal passage 3635 is aligned with the longitudinal passage 3625 being limited in middle section 3620.Distal part 3630 Proximal end be located in longitudinal passage 3625 and engaged with press-fit manner with middle section 3620 so that in middle part Divide between 3620 and distal part 3630 almost without (if any) relative motion.
Referring again to Figure 49, the portions of proximal 3610 of outer shaft assembly 3600 includes distal lip 3611.In addition, outer shaft assembly 3600 middle section 3620 includes the proximal flange 3621 that neighbouring distal lip 3611 positions.Distal lip 3611 and nearside are convex Edge 3621 is parallel to each other or at least substantially parallel.Referring primarily to Figure 48 and Figure 49, outer shaft assembly 3600 further includes extension assembly 3700, the distal lip 3611 of portions of proximal 3610 is connected to the proximal flange of middle section 3620 by extension assembly 3700 3621.Extension assembly 3700 is configured to allow outer shaft assembly 3600 in contracted configuration (Figure 50) and expanded configuration (Figure 51) Between shift, discuss in greater detail below.
8 and Figure 49 referring to fig. 4, extension assembly 3700 include first connecting rod and other second connecting rod, the first connecting rod packet Nearside connector 3710 and distal side connector 3720 are included, which includes nearside connector 3730 and distal side connector 3740.Nearside connector 3710 is rotatably mounted to the portions of proximal 3610 of outer shaft assembly 3600.Portions of proximal 3610 includes Mounting post 3612 extending therefrom, mounting post 3612 are located in the post holes 3712 being limited in nearside connector 3710.It is similar Ground, distal side connector 3720 are rotatably mounted to the middle section 3620 of outer shaft assembly 3600.Middle section 3620 includes limit It is scheduled on mounting hole 3622 therein, mounting hole 3622 is configured to receive the column 3722 extended from distal side connector 3720. In addition, nearside connector 3710 is rotationally coupled to distal side connector 3720.More specifically, nearside connector 3710 include from Its connector post 3724 extended, connector post 3724 are rotatably located at the connector being defined in distal side connector 3720 In hole 3724.
Than that described above, the nearside connector 3730 of extension assembly 3700 is rotatably mounted to the close of outer shaft assembly 3600 Side section 3610.Portions of proximal 3610 includes mounting post 3616 extending therefrom, which, which is located in, is limited to nearside connection In post holes 3736 in part 3730.Similarly, the distal side connector 3740 of extension assembly 3700 is rotatably mounted to outer shaft group The middle section 3620 of part 3600.Middle section 3620 includes mounting hole defined therein, which is configured to Receive the column 3746 extended from distal side connector 3740.In addition, nearside connector 3730 is rotationally coupled to distal side connector 3740.More specifically, each nearside connector 3730 includes connector post 3734 extending therefrom, it is rotatably located at limit Due in the connecter hole 3744 in distal side connector 3740.
Referring now to Figure 50, closing stroke is executed towards distal side propulsion by percussion connecting rod 1510 in rack gear 1520 and/or is hit Before issuing journey, the extension assembly 3700 of outer shaft assembly 3600 is located in distal side relative to the rack gear 1520 of trigger system 1500. When rack gear 1520 is pushed into towards distal side, referring to Figure 51, rack gear 1520 engage extension assembly 3700 and by outer shaft assembly 3600 from Its contracted configuration (Figure 50) is displaced to its expanded configuration (Figure 51).More specifically, the connection of the adjacent extension assembly 3700 of rack gear 1520 Fitting 3710 and 3720 and them laterally or are outwards rotated, therefore, towards 3730 He of distal side or propelled longitudinally connector 3740.Referring primarily to Figure 49, connector 3710 and 3720 may include cam face 3715 defined therein, cam face 3715 It is engaged and is driven by rack gear 1520.Due to the above reasons, when outer shaft assembly 3600 is switched to its expansion from its contracted configuration (Figure 50) When configuration (Figure 51), the middle section 3620 of outer shaft assembly 3600 and distal part 3630 are relative to portions of proximal 3610 towards remote Side is pushed.
Than that described above, referring primarily to Figure 51, when distal part 3630 is pushed into towards distal side and therefore makes anvil jaw 1330 when rotating to its closed position, and the distal part 3630 of outer shaft assembly 3600 engages anvil jaw 1330.In other words, it hits The distal movement of the rack gear 1520 of hair system 1500 generates closing stroke, which is closed end effector 1300.Then, Trigger system 1500 can be used for that percussion connecting rod 1510, rack gear 1520, intermediate percussion connecting rod 1530 and trigger shaft 1550 is driven to pass through Firing schedule-this discuss in more detail above.Therefore, trigger system 1500 is respectively via outer shaft assembly 1600 and trigger shaft 1550 by separation and different closing stroke and firing schedule are transmitted to end effector 1300.It is worth noting that, working as joint When movement lock actuator 1410 is pushed into towards distal side end effector 1300 is locked in place, trigger system 1500 can be in axis Component 3000 from its joint motions operation mode be switched to its fire operation mode after generate closing stroke-its exist again It discusses in greater detail above.
As described above, the rack gear 1520 of trigger system 1500 engages extension assembly 3700 during closing stroke, it will be outer Shaft assembly 3600 is placed in its expanded configuration.In entire closing stroke and firing schedule, rack gear 1520 is kept and extension assembly 3700 engagements, and outer shaft assembly 3600 is therefore maintained at its expanded configuration in entire closing stroke and firing schedule.? After closing stroke and/or firing schedule have been completed or at least sufficiently completed, trigger system 1500 is operable such that percussion connects Bar 1510 and rack gear 1520 proximally bounce back.When rack gear 1520 proximally bounces back, rack gear 1520 and extension assembly 3700 are detached from Engagement, therefore, outer shaft assembly 3600 no longer will be maintained at it by rack gear 1520 and extend configuration.
Referring again to Figure 49, outer shaft assembly 3600 further includes spring 3750, and spring 3750 is configured to proximally facing 3610 bias of part or drawing middle section 3620 simultaneously make outer shaft assembly 3600 back to its contracted configuration.Portions of proximal 3610 Distal lip 3611 includes hole 3619 defined therein, and hole 3619 is configured to spring 3750 being installed to portions of proximal 3610, and similarly, the proximal flange 3621 of middle section 3620 includes hole 3629 defined therein, and hole 3629 is constructed At spring 3750 capable of being installed to middle section 3620.When the middle section 3620 of outer shaft assembly 3600 by rack gear 1520 towards remote When side shifts, rack gear 1520 must apply distal side stretching force to extension assembly 3700, and which overcome the nearside biass of spring 3750 Power.
Alternative shaft assembly 4000 is shown in Figure 52-54.Shaft assembly 4000 is similar to shaft assembly in many aspects 3000- for brevity, most of aspect therein not described herein.Shaft assembly 4000 includes outer shaft assembly, the outer shaft assembly Including portions of proximal 4610 and middle section 4620, connected by the extension spring 4750 extended around extension assembly 3700. Similar to above-mentioned, when middle section 4620 is displaced away from portions of proximal 4610 towards distal side by rack gear 1520, extension spring 4750 nearly lateral deviation pressure are applied to middle section 4620.Be also similarly to it is above-mentioned, extension spring 4750 rack gear 1520 The proximally facing retraction of part 4610 middle section 4620 after being disengaged with extension assembly 3700.
As described above, shaft assembly 1000 includes retraction system 1700 referring again to Figure 34-36, it is configured to hand Dynamic retraction trigger system 1500.Turning now to Figure 55-66, shaft assembly 5000 further includes the retraction system activated manually, this will be It discusses in more detail further below.Shaft assembly 5000 is similar to shaft assembly 1000- for brevity in many aspects, herein not Most of aspect therein is discussed.
Referring to Figure 55, shaft assembly 5000 includes attachment part 5100, and attachment part 5100 includes external shell 5120.Mainly Referring to Figure 57, external shell 5120 includes first shell part and second shell part 5121, they are attached to each other to constitute shell Body frame.For example, housing parts 5121 can pass through one or more snap fit features, one or more press-fit features And/or one or more fasteners are linked together.External shell 5120 further includes one or more features portion, is configured to Attachment part 5100 can be releasably connected to the frame of surgery system, such as the shank and optionally of such as surgical instruments Robotic surgical device arm.For example, housing parts 5121 further include one or more supporting surfaces, these supporting surfaces are constructed At the translatable component of driving assembly 5500 can be slidingly supported, and one or more support holes are also comprised, these Support holes are configured to be pivotably supported the rotatable part of driving assembly 5500.
Referring primarily to Figure 57-59, driving assembly 5500 include translatable percussion connecting rod 5510, be configured to The drive system of surgery system is operatively coupled.Driving assembly 5500 further includes input rack gear 5520, and input rack gear 5520 is solid Surely it is installed to percussion connecting rod 5510, input rack gear 5520 is translated together with percussion connecting rod 5510.Driving assembly 5500 translations for being configured to input rack gear 5520 are transmitted to the first rack gear 5560 of the first drive system and select else The second drive system the second rack gear 5580.It, can be in order to achieve this, driving assembly 5500 includes displaceable axis 5540 First position (Figure 64) (inputs rack gear 5520 in the position and is operably linked to the first rack gear during first operator scheme 5560) it (inputs rack gear 5520 in the position to be operably linked to during second operator scheme with the second position (Figure 60-62) Second rack gear 5580) between shift.Axis 5540 includes the first end 5542 extended from first shell part 5121 and from second The second end 5542 that housing parts 5121 extend.The first end and the second end 5542 of axis 5540 respectively include that can push table Face can be shifted so that axis 5540 slides or switches between its first position (Figure 64) and its second position (Figure 60-62).
Referring again to Figure 57-59, driving assembly 5500 further includes the gear 5530 for being slideably mounted to axis 5540, with axis 5540 the first output gears 5550 being operatively engaged, and the second output gear being operatively engaged with axis 5540 5570.Referring to Figure 62, gear 5530 includes the tooth array 5536 extended around its periphery, and it is other extend through it is therein Splined hole 5534.Tooth 5536 is operationally intermeshed with the longitudinal tooth array 5526 being limited on input rack gear 5520.When defeated Enter rack gear 5520 towards when the displacement of distal side, input rack gear 5520 rotates gear 5530 in a first direction, and when input rack gear 5520 when proximally shifting, and input rack gear 5520 rotates gear 5530 on second or opposite direction.The spline of gear 5530 Hole 5534 is operationally intermeshed with the splined section 5544 being limited on axis 5540.Therefore, when gear 5530 is in first party Upwards when rotation, gear 5530 rotates axis 5540 in a first direction.Equally, when gear 5530 rotates in a second direction When, gear 5530 rotates axis 5540 in a second direction.
Than that described above, gear 5530 is constrained in shell 5120, so that gear 5530 will not be relative to the first output Gear 5550 and the second output gear 5570 are laterally moved or are at least substantially moved.However, when axis 5540 is at its first (Figure 64) (shaft assembly 5000 is placed in its first operator scheme) is set with its second position (Figure 62) (to set shaft assembly 5000 In its second operator scheme) between when moving, axis 5540 can be relative to gear 5530, the first output gear 5550 and the second output 5570 lateral movement of gear.It is enough gear 5530 operationally it is worth noting that, the splined section 5544 of axis 5540 has It is connected to the length of axis 5540, is in its first position (Figure 64) or its second position (Figure 62) but regardless of axis 5540.By In above-mentioned reason, gear 5530 keeps being operatively engaged with input rack gear 5520 and axis 5540, but regardless of the position of axis 5540 How, and the operation mode placed regardless of shaft assembly 5000.
When axis 5540 is in its first position, referring to Figure 64, the splined section 5544 and the first output gear of axis 5540 5550 are operatively engaged.More specifically, the splined section 5544 of axis 5540 is located in when axis 5540 is in its first position It is limited in the splined hole 5554 in the first output gear 5550, so that the rotation of axis 5540 is passed to the first output gear 5550.Therefore, when axis 5540 when rotating in the first direction, axis 5540 revolves the first output gear 5550 in a first direction Turn, and correspondingly, when axis 5540 rotates in a second direction, axis 5540 makes the first output gear 5550 in a second direction Rotation.First output gear 5550 includes the tooth array 5556 extended around its periphery, and is limited on the first rack gear 5560 Longitudinal tooth array 5566 be operationally intermeshed.Therefore, when input rack gear 5520 is shifted towards distal side, the first rack gear 5560 It is shifted towards distal side, and correspondingly, when input rack gear 5520 proximally shifts, the first rack gear 5560 is proximally shifted.It is similar In gear 5530, the first output gear 5550 is constrained in shell 5520, so that the first output gear 5550 will not be relative to First rack gear, 5560 lateral movement at least substantially moves.Therefore, the operation mode regardless of shaft assembly 5000, first is defeated Gear 5550 all keeps being operatively engaged with the first rack gear 5560 out.
When axis 5540 is in its second position, referring to Figure 62, the splined section 5544 and the second output gear of axis 5540 5570 are operatively engaged.More specifically, the splined section 5544 of axis 5540 is located in when axis 5540 is in its second position It is limited in the splined hole 5574 in the second output gear 5570, so that the rotation of axis 5540 is passed to the second output gear 5570.Therefore, when axis 5540 when rotating in the first direction, axis 5540 revolves the second output gear 5570 in a first direction Turn, and correspondingly, when axis 5540 rotates in a second direction, axis 5540 makes the second output gear 5570 in a second direction Rotation.Second output gear 5570 includes the tooth array 5576 extended around its periphery, and is limited on the second rack gear 5580 Longitudinal tooth array 5586 be operationally intermeshed.Therefore, when input rack gear 5520 is shifted towards distal side, the second rack gear 5580 It is shifted towards distal side, and correspondingly, when input rack gear 5520 proximally shifts, the second rack gear 5580 is proximally shifted.It is similar In gear 5530 and the first output gear 5550, the second output gear 5570 is constrained in shell 5520, so that the second output Gear 5570 will not be moved relative to 5580 lateral movement of the second rack gear or at least substantially.Therefore, no matter shaft assembly 5000 How is operation mode, and the second output gear 5570 all keeps being operatively engaged with the second rack gear 5580.
In addition, than that described above, the splined section 5544 of axis 5540, which has, prevents axis 5540 while the first driving of driving is The length of system and the second drive system.More specifically, when splined section 5544 is operatively engaged with the first output gear 5550 When, splined section 5544 is not operatively engaged with the second output gear 5570.Correspondingly, when splined section 5544 and second defeated When gear 5570 is operatively engaged out, splined section 5544 is not operatively engaged with the first output gear 5550.Therefore, it hits Hair connecting rod 1510 can be engaged with the first rack gear 5560 and the second rack gear 5580, but can not be engaged simultaneously with the two.It is susceptible to Alternative embodiment, wherein splined section 5544 is selectively positioned in middle position, in the middle position, splined section 5544 are operatively engaged with the first output gear 5550 and the second output gear 5570 simultaneously.In the illustration being described, percussion connects Bar 1510 can drive the first rack gear 5560 and the second rack gear 5580 simultaneously.
Drive system 5500 can be used for selectively driving the first drive system including the first rack gear 5560 or including Second drive system of two rack gears 5580.First drive system and the second drive system are configured to execute shaft assembly 5000 any suitable function.For example, the first drive system can be used for generating closing stroke, which is closed shaft assembly 5000 end effector, and the second drive system can be used for generating firing schedule, the firing schedule is from being for example located in end Nail bin in portion's actuator projects nail.In the illustration being described, shaft assembly 5000 be able to carry out independent and different closing stroke and Firing schedule.Alternatively, the first drive system can be used for making the end effector of shaft assembly 5000 to carry out joint motions, and the Two drive systems can be used for generating one or more strokes, these strokes are closed end effector and for example project from nail bin Nail.In either case, drive system 5500 is configured to selectively be applied to the linear of percussion connecting rod 5510 Input motion is transmitted to two individual drive systems.
Referring primarily to Figure 60, drive system 5500 further includes output shaft assembly 5590.Output shaft assembly 5590 includes spline Part 5594, is slideably mounted to the gear 5596 of splined section 5594, and is fixedly secured to bevel gear thereon 5598.Gear 5596 can slide between activation point (Figure 60, Figure 61 and Figure 63) and retraction position (Figure 65).Work as gear 5596 when being in its activation point, referring to Figure 60, Figure 61 and Figure 63, gear 5596 and the longitudinal direction being limited on the second rack gear 5580 Tooth array 5586 is operationally intermeshed.In the illustration being described, when the second rack gear 5580 by percussion connecting rod 1510 proximally and When distal side drives, the second rack gear 5580 can be by 5596 rotating shaft assembly 5590 of gear, as described above.When gear 5596 is in it When retraction position, referring to Figure 65, gear 5596 is operatively disengaged from the second rack gear 5580 to be coupled.On the contrary, in the illustration being described, Gear 5596 is operatively coupled with retraction system 5700, as described in more detail below.
Referring to Figure 56, retraction system 5700 is stored or is stored in the shell 5120 of attachment part 5100.Shell 5120 Including one covering being rotatably mounted in housing parts 5121 or hatch 5125, housing parts 5121 it is openable with Into retraction system 5700.Referring to Figure 57, covering 5125 include pin hole 5128 defined therein, pin hole 5128 be limited to Pin hole 5123 in housing parts 5121 is aligned.Every group of pin hole 5123,5128 is configured to receive pin 5127 wherein, Covering 5125 can be rotationally coupled to housing parts 5121 by pin 5127.It can be used for covering 5125 to be connected to shell Other devices of body portion 5121.Shell 5120 further include it is defined therein opening 5122, when covering 5125 from closure position When setting (Figure 55) and rotating to open position (Figure 56), retraction system 5700 can be entered by opening 5122.It is worth noting that, covering Cover piece 5125 includes arm 5126 extending therefrom, is configured to rotate in covering 5125 from its closed position (Figure 55) The gear 5596 of shaft assembly 5590 is engaged when to its open position (Figure 56), as described in more detail below.
Than that described above, covering 5125 is configured to drive gear 5596 from it when covering 5125 is opened Position (Figure 63) is pushed into its retraction position (Figure 65).Referring to Figure 63, when gear 5596 is in its activation point, gear 5596 with Rack gear 5580 is operatively engaged and is operatively disengaged from retraction system 5700 and engages.Referring to Figure 65, at gear 5596 When its retraction position, gear 5596 is operatively disengaged from the second rack gear 5580 to be engaged and can operate with retraction system 5700 Ground engagement.Therefore, when covering 5125 is opened to enter retraction system 5700, covering 5125 is automatically by shaft assembly 5000 Retraction operation mode (Figure 65 and Figure 66) is displaced to from its second operator scheme.Therefore, retraction can even be caught in clinician Before the crank 5702 of system 5700, retraction system 5700 is operatively coupled with shaft assembly 5590, and the second rack gear 5580 It is operatively disengaged from and couples with shaft assembly 5590.As long as covering 5125 will in addition, covering 5125 is in its open position Gear 5596 is maintained at its retraction position.
In view of the foregoing, shaft assembly 5590 can be driven by the second rack gear 5580 or retraction system 5700, this depends on axis Which kind of operation mode component 5000 is in.In second operator scheme or retraction operation mode, referring primarily to Figure 60, shaft assembly 5590 bevel gear 5598 is operatively engaged with output system 5600.Output system 5600 includes that can operate with bevel gear 5598 The intermeshing bevel gear 5608 in ground.Output system 5600 further includes rotatable output gear 5606.Bevel gear 5608 is fixed Ground is installed to output shaft 5606, so that output shaft 5606 rotates when shaft assembly 5590 rotates.Output system 5600 further includes can The beating shaft 5602 and gear reduction box 5604 of rotation, gear reduction box 5604 are operatively coupled rotatable beating shaft 5602 With rotatable output shaft 5606.Than that described above, when shaft assembly 5000 be in its second operator scheme and gear 5596 with When second rack gear 5580 is operatively coupled, according to the direction that the second rack gear 5580 shifts, beating shaft 5602 can pass through the second tooth Item 5580 rotates in a first direction or in opposite direction.When shaft assembly 5000 is in its retraction operation mode, retraction system 5700 only can be such that beating shaft 5602 rotates in its opposite direction, as described in more detail below.
Referring to Figure 58, Figure 59 and Figure 66, the crank 5702 of retraction system 5700 can be rotated relative to axis 5710, axis 5710 It is pivotably supported by shell 5120.It is worth noting that, crank 5702 will not directly drive axis when crank 5702 rotates 5710.On the contrary, crank 5702 includes the pawl 5706 being rotatably mounted to thereon, the driving of pawl 5706 is fixedly secured to axis 5710 ratchet gear 5716.Referring primarily to Figure 59, pawl 5706 rotatably joins around the pin 5704 for being installed to crank 5702 It is connected to crank 5702.In use, pawl 5706 is configured to drive spine when rotating in the first direction when crank 5702 Wheel gear 5716 simultaneously rotates beating shaft 5602 in its opposite direction.On the other hand, pawl 5706 is configured to when song Handle 5702 is slided when rotating on second or opposite direction relative to ratchet gear 5716.Retraction system 5700 further includes fixedly It is installed to the gear 5712 of axis 5710, when axis 5710 is rotated by pawl 5706, gear 5712 rotates together with axis 5710.Mainly Referring to Figure 66, gear 5712 is operationally intermeshed with the gear 5722 for being rotatably mounted to axis 5724, so that gear 5712 rotation is passed to gear 5722.When gear 5596 is in its retraction position, than that described above, gear 5596 and tooth Wheel 5722 is operationally intermeshed.Therefore, rotation (its shown in Figure 66) of the crank 5702 on its first direction is passed It is delivered to shaft assembly 5690, so that beating shaft 5602 rotates in its opposite direction.In various examples, for example, beating shaft 5602 Rotation in its opposite direction makes firing member proximally bounce back the end effector far from shaft assembly 5000.
The opening of covering 5125 for good and all disengages gear 5596 and the second rack gear 5580, and correspondingly, makes Beating shaft 5602 is for good and all disengaged with input shaft 5510.More specifically, moving to its retraction position (figure in gear 5596 65) after, gear 5596 can not reset or at least can not easily reset to its activation point (Figure 63).Therefore, shaft assembly 5000 cannot return to its second operator scheme after it is placed in its retraction operation mode.For example, in 5125 quilt of covering In the case where opening and then re-closing, the arm 5126 of covering 5125 will be disengaged with gear 5596, but gear 5596 will It will not be moved back to and the engagement with the second rack gear 5580.However, in the illustration being described, retraction system 5700 still can be used for making trigger shaft 5602 rotate in its opposite direction.In addition, in the illustration being described, drive system 5500 still can be used for making the first rack gear 5560 with Percussion connecting rod 5510 connects the first drive system of union operation.Such arrangement will prevent clinician from reusing can defective axis Component 5000- is because the movement for opening covering 5125 can be shown that shaft assembly 5000 may be problematic.
Various alternative embodiments are susceptible to, Middle shaft assembly 5000 can answer after being placed in its retraction operation mode Position is its second operator scheme.For example, shaft assembly 5000 may include the spring being located among gear 5596 and bevel gear 5598, It, should when covering 5125 is opened and gear 5596 slides into its retraction position along the splined section 5594 of shaft assembly 5590 Spring is compressed by gear 5596.In the illustration being described, when covering 5125 is closed, gear 5596 can be biased to return to it by spring Activation point and gear 5596 and the second rack gear 5580 are operationally re-engaged.Such arrangement will allow shaft assembly 5000 It is repaired during use and is then used to complete surgical technic.
Figure 72 shows exemplary surgical instrument 100 comprising shank 110 and the interchangeable axis for being operably linked to it Component 200.Shank 110 includes shell 140, and shell 140 is configured to be grasped, manipulated and/or activated by clinician.Axis Component 200 includes axis 210 and end effector 300.Axis 210 includes that axis frame (being not shown in Figure 78) and axis frame extend Across its hollow outer casing or closed tube 250.Shaft assembly 200 further includes nozzle assembly 290, and nozzle assembly 290 is constructed At can be engaged with outer sleeve 250 and enable the clinician to selectively be rotated about longitudinal axes axis 210.Shaft assembly 200 further include the latch 230 of a part as locking system, and shaft assembly 200 is releasably locked to shank 110.? In various situations, such as when latch 230 is engaged with shank 110, latch 230 can be closed the circuit in shank 110.2013 3 Entitled " the ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN that the moon is submitted on the 14th The entire disclosure of the U.S. Patent Application No. 13/803,086 of ARTICULATION LOCK " is herein incorporated by reference. All embodiments disclosed herein can be used together with shank 110.
Figure 73 shows exemplary surgical robot 500, is configured to activate multiple surgical tools (such as usually Labeled as 600).Robotic surgical device 500 can be used in combination with unshowned master controller, which is configured to permit Perhaps the surgical protocols that surgeon's control and observation are executed by robotic surgical device 500.In various forms, robotic surgical device 500 Including base portion 510, in the illustrated embodiment, such as from base portion 510 support three surgical tools 600.In various forms, outside A series of link supports (commonly referred to as arm 520) of 600 articulatings of each freedom of section's tool, and driven with one or more System 530 is operatively coupled.These structures are shown with protecting cover, which keeps its most of movable part fuzzy.This A little protecting covers can be optional, and arrowhead or can completely eliminate in some embodiments, to minimize for manipulating The inertia that the servo mechanism of arm 520 is encountered.In various forms, robotic surgical device 500 has wheel, which allows surgery Robot 500 is located near operating table by single server.Figure 73 further illustrates the working region of robotic surgical device 500 (work envelope)700.Working region 700 refers to the motion range of the surgical tool 600 of robotic surgical device 500.Figure 73 Shown in the shape and size of working region 700 be merely illustrative.Therefore, working region is not limited to shown in Figure 73 The specific dimensions and shape of sample working region.Entitled " the ROBOTICALLY-DRIVEN that on June 23rd, 2015 announces The complete disclosure of the United States Patent (USP) 9,060,770 of SURGICAL INSTRUMENT WITH E-BEAM DRIVER " is to draw It is incorporated herein with mode.All embodiments disclosed herein can be used together with robotic surgical device 500.
Embodiment
A kind of method of embodiment 1-, comprising the following steps: obtain the shaft assembly including end effector, shaft assembly is attached It is removed to the shank of surgical instruments, and by the shaft assembly from the shank.This method further includes being attached the shaft assembly To the arm of robotic surgical device, and the step of removing the shaft assembly from the arm.
Embodiment 2- is according to method described in embodiment 1, wherein removing the shaft assembly from the surgical instruments shank Step occurs before the step of shaft assembly is attached to the surgical machine robot arm, and wherein the method also includes The step of sterilizing after removing the shaft assembly from the surgical instruments shank to the shaft assembly.
Embodiment 3- is according to method described in embodiment 1, wherein removing the shaft assembly from the surgical machine robot arm Step occurs before the step of shaft assembly is attached to the surgical instruments shank, and wherein the method also includes The step of sterilizing after removing the shaft assembly from the surgical machine robot arm to the shaft assembly.
Embodiment 4- method according to embodiment 1,2 or 3, wherein the shaft assembly includes firing member, wherein institute Stating surgical instruments shank includes electric motor, and the shaft assembly is being attached to the surgical instruments shank by the electric motor It can be operatively coupled with the firing member during step, and wherein robotic surgical device's arm includes electric motor, The electric motor can be with the firing member during the step of shaft assembly is attached to the surgical machine robot arm It is operatively coupled.
Embodiment 5- method according to embodiment 1,2,3 or 4, wherein the shaft assembly includes latch, the latch It is configured to engage the arm of the shank of the surgical instruments and the alternative robotic surgical device.
Embodiment 6- method according to embodiment 1,2,3,4 or 5, wherein the shaft assembly include axis microprocessor and Axis electric connector, wherein the shank includes shank microprocessor and shank electric connector, and the wherein robotic surgical device Including robot microprocessor and robot connector.
Embodiment 7- method according to embodiment 6, wherein the shaft assembly to be attached to the institute of the surgical instruments The step of stating shank includes electrically connecting the axis electric connector and the shank electric connector.
Embodiment 8- method according to embodiment 6, wherein the shaft assembly to be attached to the institute of the surgical instruments The step of stating shank includes being positioned to the axis microprocessor to carry out signal communication with the shank microprocessor.
Embodiment 9- method according to embodiment 6, wherein the shaft assembly is attached to the robotic surgical device's The step of arm includes electrically connecting the axis electric connector and the robot electric connector.
Embodiment 10- method according to embodiment 6, wherein the shaft assembly is attached to the robotic surgical device's The step of arm includes being positioned to the axis microprocessor to carry out signal communication with the robot microprocessor.
Embodiment 11- method according to embodiment 1,2,3,4,5,6,7,8,9 or 10 further includes by the axis group The step of nail bin is attached to the shaft assembly before being attached to the step of surgical instruments shank by part.
Embodiment 12- method according to embodiment 1,2,3,4,5,6,7,8,9 or 10 further includes by the axis group Part is attached to after the step of surgical instruments shank the step of nail bin is attached to the shaft assembly.
Embodiment 13- method according to embodiment 1,2,3,4,5,6,7,8,9 or 10 further includes by the axis group The step of nail bin is attached to the shaft assembly before being attached to the step of surgical machine robot arm by part.
Embodiment 14- method according to embodiment 1,2,3,4,5,6,7,8,9 or 10 further includes by the axis group Part is attached to after the step of surgical machine robot arm the step of nail bin is attached to the shaft assembly.
Embodiment 15- method according to embodiment 1,2,3,4,5,6,7,8,9,10,11,12,13 or 14 further includes The step of end effector is assembled into the shaft assembly.
A kind of method of embodiment 16-, comprising the following steps: obtain shaft assembly, the shaft assembly is attached to surgical instruments Shank, and the shaft assembly is attached to in alternative form the arm of robotic surgical device.
Embodiment 17- method according to embodiment 16 further includes that end effector is attached to the shaft assembly Step.
Embodiment 18- method according to embodiment 17 further includes the step that nail bin is attached to the end effector Suddenly.
A kind of method of embodiment 19-, comprising the following steps: obtain shaft assembly, and selectively that the shaft assembly is attached It is connected to the shank of surgical instruments or the arm of robotic surgical device.
A kind of shaft assembly being used together with motorization surgery system of embodiment 20-, wherein the shaft assembly includes optional It is installed to selecting property the frame of the motorization surgery system, the axis extended from the frame, and it is connected to the end of the axis Portion's actuator.
The shaft assembly further includes the firing member that can be operatively engaged with the motorization surgery system, wherein institute Stating firing member can move during firing schedule towards the end effector.The shaft assembly further includes rotatably pacifying It is attached to the retraction crank of the frame, wherein the retraction crank can be engaged selectively with the firing member, and its In in the case where the shaft assembly is not mounted to the motorization surgery system, the retraction crank is selectively operable to The firing member is set to bounce back far from the end effector.
Embodiment 21- shaft assembly according to embodiment 20, wherein the end effector includes can be in open position The jaw moved between closed position is set, and wherein the firing member is configured to during the firing schedule Move the jaw from the open position towards the closed position.
Embodiment 22- shaft assembly according to embodiment 20 or 21, wherein the end effector includes the first jaw With the second jaw, wherein first jaw can move between the open position and the closed position, and the wherein axis group Part further includes enclosed member, and the enclosed member is configured to move first jaw towards the closed position.
Embodiment 23- shaft assembly according to embodiment 20,21 or 22, wherein the axis includes can be relative to described The axis frame of frame sliding, wherein second jaw is installed to the axis frame, and wherein second jaw can be by The axis frame movement is so that first jaw is moved towards the open position.
Embodiment 24- shaft assembly according to embodiment 20,21,22 or 23, further include be pivotally mounted to it is described The retraction pawl of retraction crank, and wherein the retraction pawl is configured to when the retraction crank is relative to the frame Frame engages the firing member when rotating.
Embodiment 25- shaft assembly according to embodiment 20,21,22,23 or 24, wherein the motorization surgery system Including the first motorization surgery system, wherein the frame is configured to be installed to the second motorization surgery system, and Wherein the firing member is configured to be operably linked to the second motorization surgery system.
Embodiment 26- shaft assembly according to embodiment 25, wherein the first motorization surgery system includes surgery The shank of instrument, and wherein the second motorization surgery system includes robotic surgical device.
Embodiment 27- shaft assembly according to embodiment 20,21,22,23,24,25 or 26, wherein the end executes Device includes nail bin.
Embodiment 28- shaft assembly according to embodiment 27, wherein the nail bin is interchangeable.
A kind of surgery system of embodiment 29- includes the first motorization surgery system of the first electric motor, including the The the second motorization surgery system and shaft assembly of two electric motors.The shaft assembly includes frame, and the frame is alternative Ground is installed to the first motorization surgery system and the second motorization surgery system.The shaft assembly further includes from described The axis that frame extends is connected to the end effector of the axis, and can be with first electric motor and second electricity The firing member that dynamic motor is operatively engaged, wherein the firing member can be held during firing schedule towards the end The movement of row device.The shaft assembly further includes the retraction crank for being rotatably mounted to the frame, wherein the retraction crank energy It is enough selectively to be engaged with the firing member, and wherein department outside first motorization is installed in the shaft assembly System, is installed to the second motorization surgery system, and be not mounted to the first motorization surgery system or described second In the case where motorization surgery system, the retraction crank can be operated selectively so that the firing member bounces back far from institute State end effector.
Embodiment 30- surgery system according to embodiment 29, wherein the end effector includes that can open The jaw moved between position and closed position, and wherein the firing member was configured in the firing schedule phase Between move the jaw from the open position towards the closed position.
Embodiment 31- surgery system according to embodiment 29 or 30, wherein the end effector includes the first pincers Mouth and the second jaw, wherein first jaw can move between the open position and the closed position, and the wherein axis Component further includes enclosed member, and the enclosed member is configured to transport first jaw towards the closed position It is dynamic.
Embodiment 32- surgery system according to embodiment 29,30 or 31, wherein the axis includes can be relative to institute The axis frame of frame sliding is stated, wherein second jaw is installed to the axis frame, and wherein second jaw can By the axis frame movement so that first jaw is moved towards the open position.
Embodiment 33- surgery system according to embodiment 29,30,31 or 32, further includes being pivotally mounted to institute The retraction pawl of retraction crank is stated, and wherein the retraction pawl is configured to when the retraction crank is relative to described Frame engages the firing member when rotating.
Embodiment 34- surgery system according to embodiment 29,30,31,32 or 33, wherein outside first motorization Section's system includes the shank of surgical instruments, and wherein the second motorization surgery system includes robotic surgical device.
Embodiment 35- shaft assembly according to embodiment 29,30,31,32,33 or 34, wherein the end effector Including nail bin.
Embodiment 36- shaft assembly according to embodiment 35, wherein the nail bin is interchangeable.
A kind of shaft assembly being used together with the first surgical instrument system with the second surgical instrument system of embodiment 37-, Described in shaft assembly include being selectively mountable to first surgical instrument system and second surgical instrument system Frame.The shaft assembly further includes the axis extended from the frame, is connected to the end effector of the axis, and can be with institute The firing member that the first surgical instrument system and second surgical instrument system are operatively engaged is stated, wherein the percussion structure Part can move during firing schedule towards the end effector.The shaft assembly further includes manually operable retraction dress It sets, for being selectively engaged the firing member and the firing member bouncing back far from the end effector.
Embodiment 38- shaft assembly according to embodiment 37, wherein the end effector includes nail bin.
Embodiment 39- shaft assembly according to embodiment 38, wherein the nail bin is interchangeable.
A kind of shaft assembly being used together with surgery system of embodiment 40-, wherein the shaft assembly includes frame, wherein institute Stating frame includes the portions of proximal for being configured to be installed to the surgery system, and is prolonged from the portions of proximal towards distal side The pipe stretched.The shaft assembly further includes ridge, wherein the ridge extends through the pipe, and wherein the ridge is slidably mounted To the portions of proximal.The shaft assembly further includes end effector, wherein the end effector includes from the ridge towards remote The first jaw that side extends, and it is rotatably mounted to the second jaw of first jaw, wherein the second jaw energy It is enough to rotate between the open position and the closed position.The shaft assembly further includes can with the drive system of the surgery system The firing member operatively engaged, wherein the firing member can be transported relative to the ridge towards distal side during firing schedule It is dynamic.The shaft assembly further include be configured to proximally pull the firing member retraction system of the firing member, and It is configured to slide the ridge towards distal side and the end for allowing second jaw to rotate to the open position is held Row device opens system.
Embodiment 41- shaft assembly according to embodiment 40, wherein the firing member retraction system includes can be manual The lever of actuating.
Embodiment 42- shaft assembly according to embodiment 40 or 41, wherein end effector opening system includes Manually actuable lever.
Embodiment 43- shaft assembly according to embodiment 40,41 or 42, wherein the end effector further includes nail Storehouse.
Embodiment 44- shaft assembly according to embodiment 43, wherein the nail bin can alternatively be placed in it is described In first jaw.
Embodiment 45- shaft assembly according to embodiment 43, wherein the nail bin can alternatively be placed in it is described In second jaw.
Embodiment 46- shaft assembly according to embodiment 40,41,42,43,44 or 45, further includes being configured to Second jaw is biased into the spring of the open position.
Embodiment 47- shaft assembly according to embodiment 40,41,42,43,44,45 or 46, wherein the end executes Device is opened system and the firing member and can be operated independently of one another.
Embodiment 48- shaft assembly according to embodiment 40,41,42,43,44,45,46 or 47, wherein the percussion Component includes being configured to engage the first cam of first jaw during the firing schedule and being configured to The second cam member of second jaw can be engaged during the firing schedule.
Embodiment 49- shaft assembly according to embodiment 43,44,45,46,47 or 48, wherein the nail bin includes can The nail being stored therein in removing, and wherein the firing member is configured to project the nail from the nail bin.
Embodiment 50- shaft assembly according to embodiment 40,41,42,43,44,45,46,47,48 or 49, wherein institute End effector is stated also and includes the nail bin for the nail being removedly stored therein in, and wherein the firing member is constructed At the nail can be projected from the nail bin.
Embodiment 51- shaft assembly according to embodiment 40,41,42,43,44,45,46,47,48,49 or 50, is also wrapped Enclosed member is included, the enclosed member is configured to make second jaw from the open position during closing stroke It is moved towards the closed position.
Embodiment 52- shaft assembly according to embodiment 51, wherein the firing member is configured to engagement institute It states enclosed member and the enclosed member movement is made to pass through closing stroke.
Embodiment 53- shaft assembly according to embodiment 51 or 52, wherein the enclosed member can be configured as shrinking Configuration and expanded configuration, and wherein the enclosed member be configured to when the enclosed member the contracted configuration with The closing stroke is executed when changing between the expanded configuration.
Embodiment 54- shaft assembly according to embodiment 51,52 or 53, wherein the enclosed member includes latch, institute Latch is stated to be configured to for the enclosed member being releasably held in the contracted configuration.
Embodiment 55- shaft assembly according to embodiment 51,52,53 or 54, wherein the firing member is configured to The enclosed member can be engaged before executing firing schedule and discharges the latch.
Embodiment 56- shaft assembly according to embodiment 51,52,53,54 or 55, wherein the enclosed member includes close Side section and distal part, wherein the portions of proximal of the enclosed member is installed to the portions of proximal of the frame, And wherein the distal part can move away from the portions of proximal of the enclosed member during closing stroke.
Embodiment 57- shaft assembly according to embodiment 51,52,53,54,55 or 56, wherein the enclosed member is also Including be configured to by the distal part towards the enclosed member the portions of proximal bias spring.
Embodiment 58- shaft assembly according to embodiment 53, further include be configured to the enclosed member is inclined It is pressed onto the spring of the contracted configuration.
A kind of shaft assembly being used together with surgery system of embodiment 59-, wherein the shaft assembly includes that may be mounted to institute The frame and end effector of surgery system are stated, wherein the end effector includes the first jaw;And it is rotatably mounted To the second jaw of first jaw, wherein second jaw can rotate between the open position and the closed position.Institute Stating shaft assembly further includes the enclosed member that can be configured as contracted configuration and expanded configuration, wherein the enclosed member is configured to It can make described second when the enclosed member is converted to the expanded configuration from the contracted configuration during closing stroke Jaw is moved towards the closed position.
Embodiment 60- shaft assembly according to embodiment 59, further including can be with the drive system of the surgery system The firing member being operatively engaged, wherein the firing member can be moved by the drive system passes through firing schedule.
Embodiment 61- shaft assembly according to embodiment 60, wherein the firing member is configured to engagement institute It states enclosed member and the enclosed member is made to be converted to the expanded configuration from the contracted configuration.
Embodiment 62- shaft assembly according to embodiment 60 or 61, wherein the enclosed member includes latch, the door bolt Lock is configured to for the enclosed member being releasably held in the contracted configuration.
Embodiment 63- shaft assembly according to embodiment 60,61 or 62, wherein the firing member is configured to The latch is discharged before executing the firing schedule.
Embodiment 64- shaft assembly according to embodiment 59,60,61,62 or 63, wherein the enclosed member includes close Side section and distal part, wherein the portions of proximal of the enclosed member is installed to the frame, and wherein described remote Side section can move away from the portions of proximal during closing stroke.
Embodiment 65- shaft assembly according to embodiment 64, wherein the enclosed member further includes being configured to Make the distal part of the enclosed member towards the spring of the portions of proximal bias.
Embodiment 66- shaft assembly according to embodiment 59,60,61,62,63,64 or 65, further includes being adapted to Enough springs that the enclosed member is biased into the contracted configuration.
Embodiment 67- shaft assembly according to embodiment 59,60,61,62,63,64,65 or 66, wherein the end Actuator further includes nail bin.
Embodiment 68- shaft assembly according to embodiment 67, wherein the nail bin is interchangeable.
Embodiment 69- shaft assembly according to embodiment 67 or 68, wherein the nail bin can be placed in first pincers In mouthful.
Embodiment 70- shaft assembly according to embodiment 67 or 68, wherein the nail bin can be placed in second pincers In mouthful.
A kind of shaft assembly being used together with surgery system of embodiment 71-, including end effector and attachment part.It is described End effector includes the first jaw, and the second jaw is configured to make first jaw relative to second jaw The enclosed member moved between the open position and the closed position, and the firing member by firing schedule can be moved.Institute Stating attachment part includes the axis frame for being configured to engage the frame of the surgery system, is configured to reception and comes from The rotatable input of the rotary motion of the surgery system, and the closed system being operatively coupled with enclosed member.It is described Attachment part further includes the trigger system being operatively coupled with the firing member and clutch, wherein the clutch can It is configured as closed mode and percussion mode.When the clutch is in the closed mode, the clutch can by described in Rotation input is operatively coupled with the closed system, and when clutch is placed in the closed mode, the clutch The trigger system is operatively disengaged from by device with the rotatable input to be coupled.When the clutch is in percussion mode, The rotatable input is operatively coupled by the clutch with the trigger system, and wherein when the clutch is set to When the percussion mode, the closed system is operatively disengaged from by the clutch with the rotatable input to be coupled.
Embodiment 72- shaft assembly according to embodiment 71, wherein the clutch pack includes shifting part, the shifting part Closed position be can be positioned on so that the clutch is placed in the closed mode, and can be positioned on firing position with will it is described from Clutch is placed in percussion mode.
Embodiment 73- shaft assembly according to embodiment 71 or 72, wherein the shifting part can promote-side including first Portion and second can push end.
Embodiment 74- shaft assembly according to embodiment 71,72 or 73 further includes being configured to hit described in retraction Send out the manually operable retraction system of component.
Embodiment 75- shaft assembly according to embodiment 74, wherein the retraction system can be configured as deactivating configuration With enable configuration, and wherein the retraction system is configured to when the retraction system is placed in the enabling configuration Disengage the rotation input with the trigger system.
Embodiment 76- shaft assembly according to embodiment 74 or 75, wherein when the retraction system is in the enabling When configuration, the closed system can be inputted with the rotation and is operatively engaged.
Embodiment 77- shaft assembly according to embodiment 74,75 or 76, wherein described in being placed in when the retraction system When enabling configuration, the trigger system is for good and all disengaged with rotation input.
Embodiment 78- shaft assembly according to embodiment 75, wherein having returned to described deactivate in the retraction system After configuration, the trigger system can be inputted with the rotation and is operatively coupled.
Embodiment 79- shaft assembly according to embodiment 74,75,76,77 or 78, wherein the attachment portion includes shell Body, and wherein the shell includes that can move between closed position and open position with the thick stick of the exposure retraction system The covering of bar.
Embodiment 80- shaft assembly according to embodiment 79, wherein when the covering is moved from the closed position When to the open position, the covering is configured to the trigger system and the rotatable input operationally It is disengaged.
Embodiment 81- shaft assembly according to embodiment 79 or 80, wherein when the covering is from the closed position When moving to the open position, the closed system is not operatively disengaged from the rotatable input and connects by the covering It closes.
Embodiment 82- shaft assembly according to embodiment 80, wherein when the covering moves back into the closure position When setting, the trigger system can be operationally re-engaged with the rotatable input.
Embodiment 83- shaft assembly according to embodiment 71,72,73,74,75,76,77,78,79,80,81 or 82, Wherein the firing member includes rotatable output shaft.
Embodiment 84- shaft assembly according to embodiment 80,81,82 or 83, wherein the trigger system includes first Gear and second gear, wherein when the covering is in the closed position, the first gear and the second gear It is operationally intermeshed, and wherein when the covering is in the open position, the first gear and described the Two gears are disengaged from.
Embodiment 85- shaft assembly according to embodiment 84, further include be configured to the first gear is inclined It is pressed into and the second gear operatively intermeshing spring.
Embodiment 86- shaft assembly according to embodiment 71,72,73,74,75,76,77,78,79,80, wherein described End effector further includes nail bin.
Embodiment 87- shaft assembly according to embodiment 86, wherein the nail bin is interchangeable.
Embodiment 88- according to embodiment 71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86 or Shaft assembly described in 87, wherein the firing member can rotate and the enclosed member can translate.
A kind of shaft assembly being used together with surgery system of embodiment 89-, including end effector, the first drive system and Second drive system.Shaft assembly further includes attachment part, is configured to engage outside described wherein the attachment portion includes The axis frame of the frame of section's system, and be configured to receive the rotatable defeated of the rotary motion from the surgery system Enter axis.The attachment part further includes the clutch that can be configured as first operator scheme and second operator scheme.When it is described from When clutch is in the first operator scheme, the clutch can grasp the rotatable input shaft and first drive system Make ground connection, and when the clutch is in the first operator scheme, the clutch is by second drive system It is operatively disengaged from and couples with the rotatable input shaft.When the clutch is in the second operator scheme, it is described from The rotatable input shaft and second drive system are operatively coupled by clutch, and wherein when the clutch is set to When the second operator scheme, the clutch operationally takes off first drive system with the rotatable input shaft From connection.
A kind of shaft assembly being used together with surgery system of embodiment 90-, including the first drive system, the second drive system And it is configured to engage the axis frame of the frame of the surgery system.The shaft assembly further includes being configured to connect The rotatable input shaft of the rotary motion from the surgery system is received, and first operator scheme and the second behaviour can be configured as The transmitting device of operation mode.When the transmitting device is in the first operator scheme, the transmitting device can be revolved by described in Turn input shaft to be operatively coupled with first drive system, and when the transmitting device is in the first operator scheme When, second drive system is operatively disengaged from by the transmitting device with the rotatable input shaft to be coupled.When the biography When defeated device is in the second operator scheme, the transmitting device is by the rotatable input shaft and second drive system It is operatively coupled, and when the transmitting device is placed in the second operator scheme, the transmitting device is by described One drive system is operatively disengaged from the rotatable input shaft to be coupled, and manually operable retraction system is configured to The first operator scheme can be operationally deactivated at the time of activation and second drive system that bounces back.
A kind of shaft assembly being used together with surgery system of embodiment 91-, wherein the shaft assembly includes that could attach to institute The frame of surgery system is stated, and the end effector including the first jaw, the second jaw, wherein first jaw being capable of phase Second jaw is rotated, and the nail bin of the nail including being removedly stored therein in.The shaft assembly further includes closing Kinematic joint is saved, wherein the end effector is rotatably connected to the frame around the actuated articulation joints.It is described Shaft assembly further includes firing member, and the firing member can be between non-firing position and firing position during firing schedule Translation is followed closely with projecting from the nail bin, wherein the firing member can rotate between first orientation and second orientation.It is described Shaft assembly further includes articulation drive, and the articulation drive is configured to surround the end effector Actuated articulation joints rotation, wherein when the firing member is in the first orientation, the firing member with it is described Articulation drive is operatively coupled, wherein when the firing member is in the first orientation, the firing member The translational motion be passed to the articulation drive, and wherein described second taken when the firing member is in Xiang Shi, the firing member is operatively disengaged from the articulation drive to be coupled.
Embodiment 92- shaft assembly according to embodiment 91, further including can be between unlocked configuration and locked configuration The joint motions of movement are locked, wherein the end effector being capable of phase when joint motions lock is in the unlocked configuration The frame is rotated, and wherein when joint motions lock is in the locked configuration, quilt is locked in the joint motions It is constructed to be permeable to prevent the end effector from rotating relative to the frame.
Embodiment 93- shaft assembly according to embodiment 92, wherein joint motions lock is configured to engage The articulation drive and when joint motions lock is in the locked configuration by the articulation drive It is held in place.
Embodiment 94- shaft assembly according to embodiment 92 or 93, wherein joint motions lock is configured to It engages the end effector and keeps the end effector when joint motions lock is in the locked configuration It is in place.
Embodiment 95- shaft assembly according to embodiment 92,93 or 94 further includes joint motions lock actuator, described Joint motions lock actuator is configured to make the joint motions lock between the unlocked configuration and the locked configuration Movement.
Embodiment 96- shaft assembly according to embodiment 95, wherein joint motions lock actuator is configured to work as When the joint motions lock actuator makes the joint motions lock move to the unlocked configuration, the firing member can be revolved It goes to the first orientation and is operatively coupled the firing member and the articulation drive.
Embodiment 97- shaft assembly according to embodiment 95 or 96, wherein joint motions lock actuator is constructed It, can be by the percussion structure at when joint motions lock actuator makes joint motions lock move to the locked configuration Part rotates to the second orientation, and the firing member is operatively disengaged from the articulation drive and is coupled.
Embodiment 98- shaft assembly according to embodiment 91,92,93,94,95,96 or 97, wherein the firing member It is configured to engage first jaw and makes first jaw towards second jaw during closing stroke Movement, and wherein the firing member is configured to execute the closing stroke before the firing schedule.
Embodiment 99- shaft assembly according to embodiment 91,92,93,94,95,96,97 or 98 further includes that retraction causes Dynamic device, wherein the retraction actuator can selectively be engaged with the firing member and manually actuable by described to hit Hair component retracts to the non-firing position.
Embodiment 100- shaft assembly according to embodiment 91,92,93,94,95,96,97,98 or 99, further includes closing Component is closed, the enclosed member is configured to engage first jaw and makes first pincers during closing stroke Mouth is moved towards second jaw.
Embodiment 101- shaft assembly according to embodiment 91,92,93,94,95,96,97,98,99 or 100, wherein The firing member includes first part, second part and clutch, wherein the clutch is configured to make described hit Hair component switches between joint motions mode configuration and percussion mode configuration, wherein when the firing member is in the joint When motor pattern configuration, the first part can move relative to the second part, and wherein when the firing member When in the percussion mode configuration, the first part is engaged with the second part to drive described second towards distal side Point.
Embodiment 102- shaft assembly according to embodiment 101, wherein the clutch pack includes lock, the lock is constructed At the firing member can be releasably held in the percussion mode configuration.
Embodiment 103- shaft assembly according to embodiment 101 or 102, wherein the lock is installed to the firing member The second part.
Embodiment 104- shaft assembly according to embodiment 101,102 or 103, wherein when the clutch makes described hit Hair component is between the joint motions mode configuration and the percussion mode configuration when changing, and described the of the firing member A part can be moved towards the firing position, with allow it is described lock by the first part be releasedly captured as with it is described Second part is operably engaged.
Embodiment 105- shaft assembly according to embodiment 101,102,103 or 104, wherein the frame further includes Key, wherein the lock is configured to that the key can be engaged when the firing member bounces back towards the non-firing position, and And wherein the key is configured to unlock the lock and the firing member is allowed to change from the percussion mode configuration To the joint motions mode configuration.
Embodiment 106- shaft assembly according to embodiment 91, wherein the frame includes the first rotational stopper and the Two rotational stoppers, wherein first rotational stopper is configured to the firing member is made to stop at described first to take To, and wherein second rotational stopper is configured to that the firing member is made to stop at the second orientation.
Embodiment 107- according to embodiment 91,92,93,94,95,96,97,98,99,100,101,102,103,104, Shaft assembly described in 105 or 106, wherein the nail bin is interchangeable.
A kind of shaft assembly being used together with surgery system of embodiment 108-, wherein the shaft assembly includes that could attach to institute The frame of surgery system is stated, and the end effector including the first jaw and the second jaw, wherein first jaw can It is rotated relative to second jaw.The shaft assembly further includes actuated articulation joints, wherein the end effector surrounds institute It states actuated articulation joints and is rotatably connected to the frame, and be configured to make the end effector around described The articulation drive of actuated articulation joints rotation.The shaft assembly further includes percussion component, and the percussion component is firing It can be translated between non-firing position and firing position during stroke, wherein the percussion component includes first part and second Part.The first part, which can be orientated and fire between mode orientation relative to the second part in joint motions mode, revolves Turn, wherein the first part and the joint motions are driven when the first part is in joint motions mode orientation Dynamic device is operatively coupled.When the first part is in joint motions mode orientation, the translation of the percussion component Movement is passed to the articulation drive, and wherein when the first part is in percussion mode orientation, The percussion component is operatively disengaged from the articulation drive to be coupled.
Embodiment 109- shaft assembly according to embodiment 108, wherein the end effector further includes nail bin.
A kind of shaft assembly being used together with surgery system of embodiment 110-, the frame including could attach to the surgery system Frame and end effector, wherein the end effector includes the first jaw and the second jaw, wherein the first jaw energy It is enough to be rotated relative to second jaw.The shaft assembly further includes actuated articulation joints, wherein the end effector surrounds The actuated articulation joints are rotatably connected to the frame, and are configured to make the end effector around institute State the articulation drive of actuated articulation joints rotation.The shaft assembly further includes percussion component, and the percussion component is being hit It can be translated between non-firing position and firing position during distribution journey, wherein the percussion component includes first part and the Two parts.The shaft assembly further includes making itself and the pass for selectively rotating the first part of the percussion component The device that section motion drive is operatively engaged and is disengaged, and in the first part and the joint motions The second part of the percussion component and the first part are operatively disengaged from connection when driver is operatively engaged The device connect.
A kind of shaft assembly being used together with surgery system of embodiment 111-, the shaft assembly include nail bin, end execution Device and firing member.The nail bin includes the warehouse comprising multiple nail cavities, the nail being removedly stored in the nail cavity, and It can be moved between non-firing position and firing position during firing schedule to project the sliding part of nail from the nail cavity.Institute Stating end effector includes the warehouse channel for being configured to receive the nail bin, wherein the warehouse channel includes latch recess. The end effector further includes the anvil block and Lock spring for being configured to make the nail deformation.The firing member Including trigger shaft, the trigger shaft includes the cutting edge for being configured to cut the tissue of patient during firing schedule.Institute Stating firing member further includes the lock for being rotatably mounted to the trigger shaft, wherein the lock can be in unlocked position and locking bit It is rotated between setting, wherein the sliding part is configured to, when the nail bin is placed in the warehouse channel and the sliding part When in the non-firing position, the lock can be maintained at the unlocked position by the sliding part, and wherein when described For nail bin not in the warehouse channel or when the sliding part is not at the non-firing position, the lock can pass through the locking Spring rotates to the latched position from the unlocked position.
Embodiment 112- shaft assembly according to embodiment 111, further includes staple drivers, wherein the sliding part is by structure The staple drivers can be engaged by causing is followed closely with projecting during firing schedule from the nail cavity.
Embodiment 113- shaft assembly according to embodiment 112, wherein the staple drivers and the nail are integrally formed.
Embodiment 114- shaft assembly according to embodiment 111,112 or 113, wherein the trigger shaft further includes connection Component, wherein the coupling member includes the cutting edge, and wherein the coupling member includes being configured to hitting The storehouse cam of the warehouse channel is engaged during distribution journey and is configured to engage the anvil block cam of the anvil block.
Embodiment 115- shaft assembly according to embodiment 114, wherein the anvil block can be relative to the warehouse channel Rotate between the open position and the closed position, and wherein the coupling member be configured to control the anvil block it is opposite In the position of the nail bin.
Embodiment 116- shaft assembly according to embodiment 114, wherein the warehouse channel can be relative to the anvil block Rotate between the open position and the closed position, and wherein the coupling member be configured to control the nail bin it is opposite In the position of the anvil block.
Embodiment 117- shaft assembly according to embodiment 111,112,113,114,115 or 116, wherein the anvil block It can be rotated between the open position and the closed position relative to the warehouse channel, and wherein the shaft assembly further includes by structure Cause the enclosed member that the anvil block can be made towards the closed position.
Embodiment 118- shaft assembly according to embodiment 111,112,113,114,115,116 or 117, wherein described Warehouse channel can rotate between the open position and the closed position relative to the anvil block, and wherein the shaft assembly further includes It is configured to the enclosed member for moving the warehouse channel towards the closed position.
Embodiment 119- shaft assembly according to embodiment 111,112,113,114,115,116,117 or 118, wherein The end effector includes proximal end and distal end, and wherein the locking phase prolongs the cutting edge towards distal side It stretches.
Embodiment 120- shaft assembly according to embodiment 111,112,113,114,115,116,117,118 or 119, Wherein when the firing schedule starts and the nail bin is not in the warehouse channel or the sliding part is not at and described does not hit When sending out position, the lock is biased into the latch recess by the Lock spring, and is wherein followed closely described from the nail cavity Before injection, the firing schedule is stopped by the lock and the latch recess.
Embodiment 121- axis according to embodiment 111,112,113,114,115,116,117,118,119 or 120 Component, wherein the trigger shaft is not by the Lock spring towards the latch recess bias.
Embodiment 122- is according to embodiment 111,112,113,114,115,116,117,118,119,120 or 121 Shaft assembly, wherein it is described lock be configured to, if the nail bin is placed in the warehouse channel simultaneously when firing schedule starts And the sliding part is in the non-firing position, then the lock can push the sliding part to pass through the firing schedule.
Embodiment 123- shaft assembly according to embodiment 122, wherein the firing member is in the firing schedule At least part can bounce back after having completed, and wherein the sliding part can not bounce back together with the firing member.
Embodiment 124- shaft assembly according to embodiment 122 or 123, wherein the firing member is gone in the percussion At least part of journey can bounce back after having completed, and wherein the lock is configured to bounce back in the lock by institute The unlocked position is maintained at when stating Lock spring.
Embodiment 125- according to embodiment 111,112,113,114,115,116,117,118,119,120,121,122, Shaft assembly described in 123 or 124, wherein the lock includes cantilever beam, the cantilever beam includes being fixedly secured to the storehouse to lead to The proximal end in road and the distal end that can be moved relative to the proximal end.
Embodiment 126- according to embodiment 111,112,113,114,115,116,117,118,119,120,121,122, 123, shaft assembly described in 124 or 125, wherein the warehouse channel can be removably attached to the end effector.
Embodiment 127- according to embodiment 111,112,113,114,115,116,117,118,119,120,121,122, 123, shaft assembly described in 124 or 125, wherein the warehouse channel can not be removably attached to the end effector.
A kind of shaft assembly being used together with surgery system of embodiment 128-, wherein the shaft assembly includes nail bin, end Actuator and percussion component.The nail bin includes warehouse and nail, wherein each nail is stored at least partially in the warehouse.Institute Stating nail bin further includes sliding part, and the sliding part can move during firing schedule between non-firing position and firing position It is followed closely with being projected from the warehouse.The end effector includes the warehouse channel for being configured to receive the nail bin, wherein institute Stating warehouse channel includes latching member.The end effector further includes the anvil block and partially for being configured to make the nail deformation Press component.The percussion component includes firing member and the lock for being rotatably mounted to the firing member, wherein the lock energy It is enough to rotate between unlocked position and latched position, wherein the sliding part is configured to, when the nail bin is placed in the storehouse In channel and when the sliding part is in the non-firing position, the lock can be maintained at the unlock by the sliding part Position, and wherein when the nail bin not in the warehouse channel or when the sliding part is not at the non-firing position, institute The latched position can be rotated to from the unlocked position by the biasing member by stating lock.
A kind of end effector being used together with surgery system of embodiment 129-, the end effector includes nail bin, Wherein the nail bin includes warehouse and nail, wherein each nail is stored at least partially in the warehouse.The nail bin further includes Sliding part, the sliding part can move during firing schedule between non-firing position and firing position with from the warehouse Project nail.The end effector further includes the warehouse channel for being configured to receive the nail bin, wherein the warehouse channel packet Latching member is included, is configured to make the anvil block and biasing member of the nail deformation.The end effector further includes percussion Component, wherein the percussion component includes firing member and the lock for being rotatably mounted to the firing member, wherein the lock Can rotate between unlocked position and latched position, wherein the sliding part is configured to, when the nail bin be placed in it is described In warehouse channel and when the sliding part is in the non-firing position, the lock can be maintained at the solution by the sliding part Lock position, and wherein when the nail bin not in the warehouse channel or when the sliding part is not at the non-firing position, The lock can rotate to the latched position from the unlocked position by the biasing member.
A kind of shaft assembly of embodiment 130-, including axis frame, the end effector including end effector frame, Yi Jiguan Kinematic joint is saved, wherein the end effector frame is rotatably connected to the axis frame by the actuated articulation joints. The shaft assembly further includes articulation drive, and the articulation drive is configured to make the end effector It is rotated around the actuated articulation joints.The shaft assembly further includes that can selectively activate to engage the end effector Frame and the first joint motions lock for preventing the end effector frame from rotating relative to the axis frame, and can select It activates to selecting property to engage the articulation drive and prevent the end effector frame relative to the axis frame The second joint of rotation moves lock.
Embodiment 131- shaft assembly according to embodiment 130, wherein first joint motions lock and described second Joint motions lock is during lock motion by lock actuator activation to lock state.
Embodiment 132- shaft assembly according to embodiment 130 or 131, wherein first joint motions lock is constructed Institute is engaged at that can move before interlocking closes the articulation drive during the lock motion in the second joint State end effector frame.
Embodiment 133- shaft assembly according to embodiment 130 or 131, wherein second joint movement lock is constructed It is de- with the end effector frame at that can be locked during the unlocking movement of the lock actuator in first joint motions It is disengaged from before engagement with the articulation drive.
Embodiment 134- shaft assembly according to embodiment 130 or 131, wherein first joint motions lock is constructed Institute is engaged at that can move after interlocking closes the articulation drive during the locking stroke in the second joint State end effector frame.
Embodiment 135- shaft assembly according to embodiment 130 or 131, wherein second joint movement lock is constructed It is de- with the end effector frame at that can be locked during the unlocking movement of the lock actuator in first joint motions It is disengaged from after engagement with the articulation drive.
Embodiment 136- shaft assembly according to embodiment 130 or 131, wherein first joint motions lock is constructed It is engaged at that can be moved while interlocking closes the articulation drive during the locking stroke in the second joint The end effector frame.
Embodiment 137- shaft assembly according to embodiment 130 or 131, wherein second joint movement lock is constructed It is de- with the end effector frame at that can be locked during the unlocking movement of the lock actuator in first joint motions It is disengaged while from engagement with the articulation drive.
Embodiment 138- shaft assembly according to embodiment 130, wherein first joint motions lock and described second Joint motions lock can be activated respectively.
Embodiment 139- shaft assembly according to embodiment 130,131,132,133,134,135,136,137 or 138, Wherein the articulation drive includes be configured to rotate the end effector in a first direction first Articulation drive, wherein the shaft assembly further includes being configured to enclose the end effector in a second direction Around the second joint motion drive of actuated articulation joints rotation, and the wherein second direction and the first direction On the contrary.
Embodiment 140- shaft assembly according to embodiment 139, wherein joint motions lock is configured to work as The second joint movement lock engages the second joint motion drive and prevents the end effector frame when being activated Frame is rotated relative to the axis frame.
Embodiment 141- shaft assembly according to embodiment 139, wherein second joint movement lock is adapted to It is enough that first articulation drive and second joint movement are engaged while activating the second joint movement lock Driver.
Embodiment 142- shaft assembly according to embodiment 139, wherein second joint movement lock is adapted to It is enough to engage first articulation drive and second pass with the different time for activating the second joint movement lock Save motion drive.
Embodiment 143- shaft assembly according to embodiment 139,140,141 or 142, wherein the second joint moves Lock includes being configured to engage the first arm of first articulation drive and being configured to engage described the Second arm of two articulation drives, and wherein the first joint motions lock is configured in first joint First arm is engaged with first articulation drive during the lock motion for moving lock and makes second arm It is engaged with the second joint motion drive.
Embodiment 144- according to embodiment 130,131,132,133,134,135,136,137,138,139,140,141, Shaft assembly described in 142 or 143, wherein the end effector further includes nail bin.
Embodiment 145- shaft assembly according to embodiment 144, wherein the nail bin is interchangeable.
A kind of shaft assembly of embodiment 146-, including axis frame, and the end effector including end effector frame.Institute Stating shaft assembly further includes actuated articulation joints, wherein the actuated articulation joints rotatably connect the end effector frame It is connected to the axis frame, and is configured to the joint for making the end effector surround actuated articulation joints rotation Motion drive.The shaft assembly further includes locking system, and the locking system is configured to engage the end execution It device frame and prevents the end effector frame from rotating relative to the axis frame, and engages the joint motions driving Device simultaneously prevents the end effector frame from rotating relative to the axis frame.
Embodiment 147- shaft assembly according to embodiment 146, wherein the end effector further includes nail bin.
A kind of shaft assembly of embodiment 148-, including axis frame, and the end effector including end effector frame.Institute Stating shaft assembly further includes actuated articulation joints, wherein the actuated articulation joints rotatably connect the end effector frame It is connected to the axis frame, and the displaceable joint motions for rotating the end effector around the actuated articulation joints are driven Dynamic device.The shaft assembly further includes for selectively preventing the rotary end effector from revolving around the actuated articulation joints The first locking device turned, and the second locking device for selectively preventing the displacement of the articulation drive.
Embodiment 149- shaft assembly according to embodiment 148, wherein the end effector further includes nail bin.
Many surgical instrument systems as described herein are actuated by electric motor;But surgical instrument system as described herein can It actuates in any suitable manner.In various examples, for example, surgical instrument system as described herein can be by the touching that is manually operated Hair device actuates.In some instances, motor disclosed herein may include a part or multiple portions of robot control system.This Outside, any end effector and/or tool assembly disclosed herein can be used together with robotic surgical Instrument system.For example, Entitled " SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT The U.S. Patent Application Serial Number 13/118,241 (being now United States Patent (USP) 9,072,535) of ARRANGEMENTS " is public in more detail Several examples of robotic surgical Instrument system are opened.
The deployment and deformation for having combined nail describe surgical instrument system as described herein;However, implementation as described herein Scheme is without being limited thereto.For example, it is contemplated to dispose the various embodiments of the fastener such as fixture or tack in addition to nail.This Outside, it is also contemplated that utilize the various embodiments of any appropriate device for seal tissue.For example, according to various embodiments End effector may include be configured to heating and seal tissue electrode.In addition, for example, according to certain embodiment End effector can apply vibrational energy and carry out seal tissue.
The complete disclosure of following patents is hereby incorporated by reference:
It is published in the U.S. of entitled " the ELECTROSURGICAL HEMOSTATIC DEVICE " on April nineteen ninety-five 4 Patent 5,403,312;
It is published on 2 21st, 2006 entitled " SURGICAL STAPLING INSTRUMENT HAVING The United States Patent (USP) 7,000,818 of SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS ";
It is published on September 9th, 2008 entitled " MOTOR-DRIVEN SURGICAL CUTTING AND The United States Patent (USP) 7,422,139 of FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK ";
It is published in entitled " the ELECTRO-MECHANICAL SURGICAL INSTRUMENT on December 16th, 2008 The United States Patent (USP) 7,464,849 of WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS ";
It is published in entitled " the SURGICAL INSTRUMENT HAVING AN on March 2nd, 2010 The United States Patent (USP) 7,670,334 of ARTICULATING END EFFECTOR ";
It is published in the United States Patent (USP) of entitled " the SURGICAL STAPLING INSTRUMENTS " on July 13rd, 2010 7,753,245;
It is published in entitled " the SELECTIVELY ORIENTABLE IMPLANTABLE on March 12nd, 2013 The United States Patent (USP) 8,393,514 of FASTENER CARTRIDGE ";
The United States Patent (USP) of entitled " SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES " Patent application serial numbers 11/343,803;It is now United States Patent (USP) 7,845,537;
It is filed on 2 14th, 2008 entitled " SURGICAL CUTTING AND FASTENING The U.S. Patent Application Serial Number 12/031,573 of INSTRUMENT HAVING RF ELECTRODES ";
It is filed on 2 15th, 2008 entitled " END EFFECTORS FOR A SURGICAL CUTTING AND The U.S. Patent Application Serial Number 12/031,873 (being now United States Patent (USP) 7,980,443) of STAPLING INSTRUMENT ";
The U.S. Patent Application Serial Number of entitled " MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT " 12/235,782, it is now United States Patent (USP) 8,210,411;
Entitled " POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY The U.S. Patent Application Serial Number 12/249,117 of RETRACTABLE FIRING SYSTEM " is now United States Patent (USP) 8,608, 045;
It is filed in entitled " the MOTOR-DRIVEN SURGICAL CUTTING on December 24th, 2009 The U.S. Patent application of INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY " Sequence number 12/647,100;It is now United States Patent (USP) 8,220,688;
It is filed in the U.S. Patent Application Serial Number 12/ of on September 29th, 2012 entitled " STAPLE CARTRIDGE " 893,461, it is now U.S. Patent number 8,733,613;
It is filed in the United States Patent (USP) of on 2 28th, 2011 entitled " SURGICAL STAPLING INSTRUMENT " Patent application serial numbers 13/036,647 are now U.S. Patent number 8,561,870;
Entitled " SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE The U.S. Patent Application Serial Number 13/118,241 of DEPLOYMENT ARRANGEMENTS " is now United States Patent (USP) 9,072,535;
It is filed in entitled " the ARTICULATABLE SURGICAL INSTRUMENT on June 15th, 2012 The U.S. Patent Application Serial Number 13/524,049 of COMPRISING A FIRING DRIVE ";It is now United States Patent (USP) 9,101, 358;
It is filed in entitled " the STAPLE CARTRIDGE TISSUE THICKNESS SENSOR on March 13rd, 2013 The U.S. Patent Application Serial Number 13/800,025 of SYSTEM " is now United States Patent (USP) 9,345,481;
It is filed in entitled " the STAPLE CARTRIDGE TISSUE THICKNESS SENSOR on March 13rd, 2013 The U.S. Patent Application Serial Number 13/800,067 of SYSTEM " is now U.S. Patent Application Publication 2014/0263552;
It is filed in entitled " the SURGICAL CUTTING AND FASTENING on January 31st, 2006 The U.S. Patent Application Publication 2007/ of INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM " 0175955;And
It is filed in entitled " the SURGICAL STAPLING INSTRUMENT WITH AN on April 22nd, 2010 The U.S. Patent Application Publication 2010/0264194 of ARTICULATABLE END EFFECTOR " is now United States Patent (USP) 8,308, 040。
It is also implementable that these embodiments are permitted although certain embodiments has been combined to describe various devices herein More modifications and variations.In one or more embodiments, specific features, structure or characteristic can any suitable way carry out group It closes.Therefore, without limitation, the specific features that show or describe in conjunction with an embodiment, structure or characteristic can be complete Portion is partly combined with feature, the structure or characteristic of other one or more embodiments.In addition, disclosing for certain In the case where the material of component, it is possible to use other materials.In addition, single component can be replaced by according to multiple embodiments Multiple components, and multiple components can also be replaced by single component, to execute given one or more functions.It is above-mentioned specific Embodiment and following the claims are intended to cover all such modifications and variations.
Apparatus as disclosed herein is designed to discard after a single use or it is designed to be used for multiple times. However no matter what kind of situation it is, which all can be at least using exercising use by finishing after primary again.Reparation may include following Any combination of step, these steps include but is not limited to provision for disengagement, later carry out the specific component of device cleaning or replacement, And then re-assembly device.Specifically, restoration facilities and/or surgical team's detachable apparatus, and in cleaning and/or more After the particular elements of changing device, device can be reassembled for subsequent use.It will be appreciated by those skilled in the art that finishing Device can be dismantled using multiple technologies, clean/replace and re-assembly.The use of such technology and resulting reparation Device is within the scope of application.
Apparatus as disclosed herein can be handled before the surgery.Firstly, can get new or used instrument, and It is cleaned as needed.Then, it can carry out disinfection to instrument.In a kind of sterilization technology, the instrument is placed on closed And in the container (such as, plastics or TYVEK bag) of sealing.Then container and instrument can be placed in the radiation field that can penetrate container, Such as γ radiation, X-ray and/or high energy electron.Radiation can kill the bacterium on instrument and in container.Sterilized instrument is subsequent It can be stored in sterile chamber.Sealing container instrument can be remained it is sterile, until the container is beaten in medical facilities It opens.Also any other technology known in the art can be used to carry out disinfection device, the technology include but is not limited to β radiation, γ radiation, ethylene oxide, plasma peroxide and/or steam.
Although the present invention has been described as having exemplary design, can further be repaired in the spirit and scope of the disclosure Change the present invention.Therefore, this application is intended to cover use any modification of the invention of General Principle of the invention, purposes or change Type.
Any patent, announcement or other public materials incorporated in this article in full or in part by reference only simultaneously The material entered is not incorporated herein in existing definition of the present invention, statement or the conflicting range of other public materials.Cause This, and at the necessary level, disclosure specifically listed herein replaces any conflict being herein incorporated by reference Material.It is said that being herein incorporated by reference but conflicting with the existing definitions, statements, or other disclosure materials listed herein Any material or part thereof will not generated only between incorporated material and existing public material under the degree that conflicts simultaneously Enter.

Claims (31)

1. a kind of shaft assembly being used together with surgery system, wherein the shaft assembly includes:
Frame, the frame include:
Portions of proximal, the portions of proximal are configured to be installed to the surgery system;And
Pipe, the pipe extend from the portions of proximal towards distal side;
Ridge, wherein the ridge extends through the pipe, and wherein the ridge is slideably mounted to the portions of proximal;
End effector, the end effector include:
First jaw, first jaw extend from the ridge towards distal side;And
Second jaw, second jaw are rotatably mounted to first jaw, wherein second jaw can beaten It is rotated between open position and closed position;
Firing member, the firing member can be operatively engaged with the drive system of the surgery system, wherein described hit Hair component can move toward the far side during firing schedule relative to the ridge;
Firing member retraction system, the firing member retraction system are configured to proximally pull the firing member; And
End effector opens system, the end effector open system be configured to slide towards distal side the ridge and Second jaw is allowed to rotate to the open position.
2. shaft assembly according to claim 1, wherein the firing member retraction system includes manually actuable lever.
3. shaft assembly according to claim 1, wherein it includes manually actuable thick stick that the end effector, which opens system, Bar.
4. shaft assembly according to claim 1, wherein the end effector further includes nail bin.
5. shaft assembly according to claim 4, wherein the nail bin can be alternatively placed in first jaw.
6. shaft assembly according to claim 4, wherein the nail bin can be alternatively placed in second jaw.
7. shaft assembly according to claim 1 further includes being configured to for second jaw to be biased into described beat The spring of open position.
8. shaft assembly according to claim 1, wherein the end effector opens system and the firing member can It operates independently of one another.
9. shaft assembly according to claim 1, wherein the firing member includes being configured to go in the percussion The first cam of first jaw is engaged during journey and is configured to engage described during the firing schedule Second cam member of two jaws.
10. shaft assembly according to claim 9, wherein the nail bin includes the nail being removedly stored therein in, and Wherein the firing member is configured to project the nail from the nail bin.
11. shaft assembly according to claim 1, wherein the end effector further includes nail bin, the nail bin includes can The nail being stored therein in removing, and wherein the firing member is configured to project the nail from the nail bin.
12. shaft assembly according to claim 11 further includes enclosed member, the enclosed member is configured to closing Second jaw is moved from the open position towards the closed position during closing stroke.
13. shaft assembly according to claim 12, wherein the firing member is configured to engage the closure structure Part and make enclosed member movement by the closing stroke.
14. shaft assembly according to claim 12, wherein the enclosed member can be configured as contracted configuration and expansion Configuration, and wherein the enclosed member is configured to when the enclosed member is in the contracted configuration and the expansion structure The closing stroke is executed when changing between type.
15. shaft assembly according to claim 14, wherein the enclosed member includes latch, the latch is adapted to It is enough that the enclosed member is releasably held in the contracted configuration.
16. shaft assembly according to claim 15, wherein the firing member is configured to executing the percussion It engages the enclosed member before stroke and discharges the latch.
17. shaft assembly according to claim 14, wherein the enclosed member includes portions of proximal and distal part, wherein The portions of proximal of the enclosed member is mounted to the portions of proximal of the frame, and the wherein distal part The portions of proximal of the enclosed member can be moved away from during the closing stroke.
18. shaft assembly according to claim 17, wherein the enclosed member further includes that be configured to will be described remote Side section towards the enclosed member the portions of proximal bias spring.
19. shaft assembly according to claim 14, further include be configured to for the enclosed member being biased into it is described The spring of contracted configuration.
20. a kind of shaft assembly being used together with surgery system, wherein the shaft assembly includes:
Frame, the frame are mountable to the surgery system;
End effector, the end effector include:
First jaw;And
Second jaw, second jaw are rotatably mounted to first jaw, wherein second jaw can beaten It is rotated between open position and closed position;And
Enclosed member, the enclosed member can be configured as contracted configuration and expanded configuration, wherein the enclosed member is by structure It causes to make when the enclosed member is converted to the expanded configuration from the contracted configuration during closing stroke described Second jaw is moved towards the closed position.
21. shaft assembly according to claim 20, further including can be with the drive system of the surgery system operationally The firing member of engagement, wherein the firing member can be moved by the drive system passes through firing schedule.
22. shaft assembly according to claim 21, wherein the firing member is configured to engage the closure structure Part and the enclosed member is converted to the expanded configuration from the contracted configuration.
23. shaft assembly according to claim 21, wherein the enclosed member includes latch, the latch is adapted to It is enough that the enclosed member is releasably held in the contracted configuration.
24. shaft assembly according to claim 23, wherein the firing member is configured to executing the percussion The latch is discharged before stroke.
25. shaft assembly according to claim 20, wherein the enclosed member includes portions of proximal and distal part, wherein The portions of proximal of the enclosed member is mounted to the frame, and wherein the distal part in the closing stroke Period can move away from the portions of proximal.
26. shaft assembly according to claim 25, wherein the enclosed member further includes being configured to make described close The distal part of component is closed towards the spring of the portions of proximal bias.
27. shaft assembly according to claim 20, further include be configured to for the enclosed member being biased into it is described The spring of contracted configuration.
28. shaft assembly according to claim 20, wherein the end effector further includes nail bin.
29. shaft assembly according to claim 28, wherein the nail bin can be replaced.
30. shaft assembly according to claim 28, wherein the nail bin can be placed in first jaw.
31. shaft assembly according to claim 28, wherein the nail bin can be placed in second jaw.
CN201780079888.4A 2016-12-21 2017-12-04 Shaft assembly including separately actuatable and retractable systems Active CN110114007B (en)

Applications Claiming Priority (3)

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US15/385,890 2016-12-21
US15/385,890 US10675025B2 (en) 2016-12-21 2016-12-21 Shaft assembly comprising separately actuatable and retractable systems
PCT/US2017/064489 WO2018118402A1 (en) 2016-12-21 2017-12-04 Shaft assembly comprising separately actuatable and retractable systems

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1827051A (en) * 2005-02-07 2006-09-06 伊西康内外科公司 Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US20080237298A1 (en) * 2007-03-28 2008-10-02 Schall Christopher J Surgical stapling and cutting instrument with manually retractable firing member
US20100089970A1 (en) * 2008-10-10 2010-04-15 Ethicon Endo-Surgery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
EP2839787A1 (en) * 2013-08-23 2015-02-25 Ethicon Endo-Surgery, Inc. Error detection arrangements for surgical instrument assemblies
JP2015521524A (en) * 2012-03-28 2015-07-30 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. Tissue stapler having a thickness compensator incorporating a hydrophobic material
CN105120770A (en) * 2013-02-28 2015-12-02 伊西康内外科公司 Lockout feature for movable cutting member of surgical instrument

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1827051A (en) * 2005-02-07 2006-09-06 伊西康内外科公司 Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US20080237298A1 (en) * 2007-03-28 2008-10-02 Schall Christopher J Surgical stapling and cutting instrument with manually retractable firing member
US20100089970A1 (en) * 2008-10-10 2010-04-15 Ethicon Endo-Surgery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
JP2015521524A (en) * 2012-03-28 2015-07-30 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. Tissue stapler having a thickness compensator incorporating a hydrophobic material
CN105120770A (en) * 2013-02-28 2015-12-02 伊西康内外科公司 Lockout feature for movable cutting member of surgical instrument
EP2839787A1 (en) * 2013-08-23 2015-02-25 Ethicon Endo-Surgery, Inc. Error detection arrangements for surgical instrument assemblies

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JP2020501751A (en) 2020-01-23
MX2022016184A (en) 2023-02-22
CN110114007B (en) 2022-08-09
MX2019007309A (en) 2019-11-18
JP7071369B2 (en) 2022-05-18
BR112019012586A2 (en) 2019-11-19

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