摘要:
An improved surgical stapler includes a stapler body having a driver and a magazine connected to the stapler body. The magazine includes a staple track for carrying a plurality of staples and an anvil associated with the staple track. The anvil has a staple forming surface for forming each of the staples thereon. A trigger is operatively connected to the driver for advancing the driver against the anvil so as to form the staple against the staple forming surface of the anvil. A feeder for feeding each of the staples from the staple track to the anvil is movably mounted in the magazine. A pinion is operatively connected to the trigger and is movably engaged with the feeder. An indexing member is movably engaged with the pinion such that the indexing member and the pinion advance the feeder and the staples toward the anvil upon an actuation of the trigger.
摘要:
A surgical instrument that includes a distal member configured to receive a pneumatically operated tool assembly therein. The instrument may also include pneumatically powered drive member configured to generate at least one actuation motion upon receipt of at least one pneumatic signal from a source of pneumatic power fluidically coupled thereto. A drive shaft assembly communicates with the pneumatically powered drive member for transmitting the actuation motions to the distally mounted pneumatically operated tool. The device further includes a power assist member that communicates with the drive shaft assembly for transmitting additional manually generated actuation motions to the drive shaft assembly.
摘要:
Closure systems for applying a closure motion to an anvil assembly of a surgical instrument. In various embodiments, the surgical instrument includes a cable drive knife assembly and the anvil assembly thereof is moved to a closed position when contacted by a closure tube assembly that has a pushing force applied thereto. Other embodiments include closure systems that may be actuated by rotary motion. Various lockable articulation joints are also disclosed.
摘要:
A surgical instrument comprising an elongate channel assembly that has a distal end and a proximal end and is constructed to operably support a staple cartridge assembly therein. The instrument may further include a knife assembly that is oriented for travel within the elongate channel assembly. At least one first cable transition support is operably mounted to the distal end of the elongate channel and at least one second cable transition support is operably attached to the knife assembly. A first cable is affixed to the distal end of the elongate channel assembly and extends around the first and second cable transition supports to interface with a cable drive system. In various embodiments, the cable drive system may comprise a winch assembly or a pinion driven rack.
摘要:
A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. In various embodiments, a drive system is supported by at least one of a handle assembly and an elongate shaft assembly and is configured to selectively apply a firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to the drive system. A travel monitoring member is operably supported by the handle assembly and is linked to the drive system to provide an indication of progress of the firing mechanism of the pneumatically powered tool as the firing mechanism moves from the unactuated position to the actuated position.
摘要:
A surgical cutting and fastening instrument that includes an elongate channel that is attached to a handle assembly by an elongate shaft assembly. The elongate channel is configured to receive a cartridge and has a pivotally translatable anvil attached thereto and a knife bar supported therein. The anvil may be selectively opened and closed by manipulating a closure trigger supported by the handle assembly. The knife bar may be distally advanced through the elongate channel by actuating a firing trigger that cooperates with a reversible rotary drive supported by the handle assembly. The knife bar may also be retracted to its starting position by actuating the firing trigger after the reversible rotary drive has been shifted to a retraction orientation.
摘要:
A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. A pneumatically powered drive system operably communicates with the pneumatically powered tool and is configured to selectively apply at least a firing force to the firing mechanism of the pneumatically powered tool of sufficient magnitude to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas that is fluidically coupled to the pneumatically powered drive system. At least one feedback device communicates with the pneumatically powered drive system for providing feedback concerning at least one of:(a) the magnitude of the firing force as the pneumatically powered drive system moves the firing mechanism from the unactuated to actuated position; and(b) a relative position of the firing mechanism as the firing mechanism is moved between the unactuated and actuated positions.
摘要:
A surgical instrument that includes a distal member configured to receive a pneumatically operated tool assembly therein. The instrument may also include an elongate shaft assembly that has a distal end portion that is coupled to the distal member and a proximal end portion. A drive member may be supported by the distal end portion of the elongate shaft assembly and may be configured to apply at least two actuation motions to the pneumatically operated tool assembly upon receipt of at least one pneumatic drive signal from a source of pneumatic power. The drive member may comprise a dual-acting cylinder, a single-acting cylinder, a bellows assembly, etc. The distal end portion of the elongate shaft member may articulate relative to the proximal end portion thereof and/or the distal end portion of the elongate shaft assembly may be detachable from the proximal end portion.
摘要:
Closure systems for applying a closure motion to an anvil assembly of a surgical instrument. In various embodiments, the surgical instrument includes a cable drive knife assembly and the anvil assembly thereof is moved to a closed position when contacted by a closure tube assembly that has a pushing force applied thereto. Other embodiments include closure systems that may be actuated by rotary motion. Various lockable articulation joints are also disclosed.
摘要:
A surgical instrument comprising an elongate channel assembly that has a distal end and a proximal end and is constructed to operably support a staple cartridge assembly therein. The instrument may further include a knife assembly that is oriented for travel within the elongate channel assembly. At least one first cable transition support is operably mounted to the distal end of the elongate channel and at least one second cable transition support is operably attached to the knife assembly. A first cable is affixed to the distal end of the elongate channel assembly and extends around the first and second cable transition supports to interface with a cable drive system. In various embodiments, the cable drive system may comprise a winch assembly or a pinion driven rack.