APPARATUS FOR ENDOSCOPIC PROCEDURES

Abstract

An electromechanical surgical device includes an end effector configured to perform at least one function, the end effector including an input drive axle projecting therefrom; and a shaft assembly. The shaft assembly includes a rotatable drive shaft; a proximal neck housing supported at a distal end of an outer tube; a distal neck housing pivotally connected to the proximal neck housing; a pivot pin interconnecting the proximal neck housing and the distal neck housing; and a gear train supported in the proximal neck housing, on the pivot pin, and in the distal neck housing. The gear train includes a proximal gear; an intermediate gear; a distal gear; and a pair of output gears, wherein each output gear defines a coupling socket each configured to selectively receive the drive axle of the end effector.

Claims

1. (canceled)

2. A release assembly for selectively interconnecting an end effector and a shaft assembly of a surgical instrument, the release assembly comprising: a lever including a first pin and a second pin, the first pin defining a rotational axis transverse to a longitudinal axis of the shaft assembly, a portion of the lever being rotatable about the rotational axis.

3. The release assembly according to claim 2, wherein the lever includes a first arm and a second arm.

4. The release assembly according to claim 3, wherein the first arm and the second arm of the lever are rotatable about the rotational axis.

5. The release assembly according to claim 3, wherein the first arm and the second arm of the lever are arranged in a substantial V-shape.

6. The release assembly according to claim 3, wherein the first pin extends from the first arm, and the second pin extends from the second arm.

7. The release assembly according to claim 2, wherein the second pin is disposed along the rotational axis.

8. The release assembly according to claim 2, further comprising a connection hub disposed in mechanical cooperation with the lever.

9. The release assembly according to claim 8, wherein the first pin of the lever extends through an opening defined in the connection hub.

10. The release assembly according to claim 8, wherein the lever includes a first arm and a second arm, and wherein the connection hub includes a first camming surface configured for selective engagement with the first arm of the lever.

11. The release assembly according to claim 10, wherein the connection hub includes a second camming surface configured for selective engagement with the second arm of the lever.

12. The release assembly according to claim 2, further comprising a release button and a release cable, the release cable interconnecting the release button and the first pin of the lever.

13. A shaft assembly for selectively coupling to an end effector of a surgical device, the shaft assembly comprising: a body defining a longitudinal axis; and a release assembly disposed adjacent a distal portion of the body and configured to selectively couple to an end effector, the release assembly including a lever having a first pin defining a rotational axis, the rotational axis being transverse to the longitudinal axis, a portion of the lever being rotatable about the rotational axis.

14. The shaft assembly according to claim 13, wherein the body is tubular.

15. The shaft assembly according to claim 13, wherein the lever includes a first arm and a second arm arranged in a substantial V-shape.

16. The shaft assembly according to claim 15, wherein the first pin of the lever extends from the first arm of the lever, and wherein the lever includes a second pin extending from the second arm.

17. The shaft assembly according to claim 15, wherein the release assembly includes a connection hub having a first camming surface configured for selective engagement with the first arm of the lever.

18. The shaft assembly according to claim 13, further comprising: a release button disposed adjacent a proximal portion of the body; and a release cable interconnecting the release button and the first pin of the lever.

19. A surgical device comprising: a handle assembly; and a shaft assembly including: a body having a proximal portion and a distal portion, and defining a longitudinal axis, the proximal portion configured to engage the handle assembly; and a release assembly disposed adjacent the distal portion of the body and configured to couple to an end effector, the release assembly including a lever having a first leg, a second leg, first pin extending from the first leg and defining a rotational axis, and a second pin extending from the second leg and disposed along the rotational axis, the rotational axis being transverse to the longitudinal axis, the first leg and the second leg of the lever being rotatable about the rotational axis.

20. The surgical device according to claim 19, wherein the shaft assembly further includes a rotatable drive shaft disposed within the body.

21. The surgical device according to claim 20, further comprising an articulating neck assembly coupled to the distal portion of the body.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0051] Embodiments of the present disclosure are described herein with reference to the accompanying drawings, wherein:

[0052] FIG. 1 is a perspective view, with parts separated, of an electromechanical surgical system according to an embodiment of the present disclosure;

[0053] FIG. 2 is a perspective view of a powered surgical device of the electromechanical surgical system of FIG. 1;

[0054] FIG. 3 is a rear, perspective view of a shaft assembly and a powered surgical device, of the electromechanical surgical system of FIG. 1, illustrating a connection therebetween;

[0055] FIG. 4 is a side, elevational view of the shaft assembly of FIGS. 1 and 3;

[0056] FIG. 5 is a rear, perspective view of the shaft assembly of FIGS. 1, 3 and 4, with outer covers or housing removed therefrom;

[0057] FIG. 6 is a rear, perspective view of the shaft assembly illustrated in FIG. 5, with an outer cover or housing of a proximal coupling member removed therefrom;

[0058] FIG. 7 is an enlarged, left-side, perspective view of a proximal end portion of the shaft assembly illustrated in FIG. 6;

[0059] FIG. 8 is an enlarged, right-side, perspective view of a proximal end portion of the shaft assembly illustrated in FIG. 6;

[0060] FIG. 9 is an enlarged, perspective view of a distal end portion of the shaft assembly illustrated in FIG. 6;

[0061] FIG. 10A is an enlarged, front, perspective view of the shaft assembly of FIGS. 1 and 3-9, illustrating a release assembly thereof;

[0062] FIG. 10 B is a perspective view of a release assembly according to another embodiment of the present disclosure;

[0063] FIG. 10C is another perspective view of the release assembly of FIG. 10A;

[0064] FIG. 10D is a perspective view of a release assembly according to yet another embodiment of the present disclosure;

[0065] FIG. 11 is a side, elevational view of an articulating neck assembly of the shaft assembly of FIGS. 1 and 3-9;

[0066] FIG. 12 is a rear, perspective view of the articulating neck assembly of FIG. 11 with housing portions removed therefrom;

[0067] FIG. 13 is a front, perspective view of the articulating neck assembly of FIG. 11 with housing portions removed therefrom;

[0068] FIG. 14 is a rear, perspective view, partially broken away, of the shaft assembly of FIGS. 1, 3 and 4, with outer covers or housing removed therefrom;

[0069] FIG. 15 is a cross-sectional view as taken and viewed along 15-15 of FIG. 14;

[0070] FIG. 15A is an enlarged, perspective view, with parts separated, of a release button of the release assembly;

[0071] FIG. 16 is an enlarged, rear perspective view of a distal end portion of the shaft assembly of FIG. 4;

[0072] FIG. 16A is a cross-sectional view as taken and viewed along 16A-16A of FIG. 16;

[0073] FIG. 17 is an enlarged, rear perspective view of a distal-most end portion of the shaft assembly of FIG. 4;

[0074] FIGS. 17A-17C are perspective views (with FIG. 17B being a cross-sectional perspective view taken along 17B-17B of FIG. 17A), illustrating an actuation of the release assembly from a locking position to a release position;

[0075] FIG. 18 is a side, elevational view of an end effector according to an embodiment of the present disclosure;

[0076] FIG. 19 is a longitudinal, cross-sectional view of the end effector of FIG. 18;

[0077] FIG. 20 is a rear, perspective view of the end effector of FIG. 18;

[0078] FIG. 21 is an enlarged, rear, perspective view of a proximal end of the end effector of FIGS. 18-20;

[0079] FIG. 22 is a perspective view illustrating the end effector and shaft assembly connected to one another;

[0080] FIG. 23 is a perspective view, illustrating the distal end of the shaft assembly in an articulated condition and the end effector being connected thereto while in a first angular orientation; and

[0081] FIG. 24 is a perspective view, illustrating the distal end of the shaft assembly in an articulated condition and the end effector being connected thereto while in a second angular orientation.

DETAILED DESCRIPTION

[0082] Embodiments of the presently disclosed electromechanical surgical system, apparatus and/or device are described in detail with reference to the drawings, in which like reference numerals designate identical or corresponding elements in each of the several views. As used herein the term “distal” refers to that portion of the electromechanical surgical system, apparatus and/or device, or component thereof, that are farther from the user, while the term “proximal” refers to that portion of the electromechanical surgical system, apparatus and/or device, or component thereof, that are closer to the user.

[0083] Referring initially to FIGS. 1-3, an electromechanical, hand-held, powered surgical system, in accordance with an embodiment of the present disclosure is shown and generally designated 10. Electromechanical surgical system 10 includes a surgical apparatus or device in the form of an electromechanical, hand-held, powered surgical device 100 that is configured for selective attachment thereto of a plurality of different end effectors 400, via an adapter or shaft assembly 200, that are each configured for actuation and manipulation by the electromechanical, hand-held, powered surgical device 100. In particular, surgical device 100 is configured for selective connection with shaft assembly 200, and, in turn, shaft assembly 200 is configured for selective connection with any one of a plurality of different end effectors 400.

[0084] Reference may be made to International Application No. PCT/US2008/077249, filed Sep. 22, 2008 (Inter. Pub. No. WO 2009/039506) and U.S. patent application Ser. No. 12/622,827, filed on Nov. 20, 2009, now U.S. Pat. No. 10,588,629, the entire content of each of which being incorporated herein by reference, for a detailed description of the construction and operation of exemplary electromechanical, hand-held, powered surgical device 100.

[0085] Generally, as illustrated in FIGS. 1-3, surgical device 100 includes a handle housing 102 having a lower housing portion 104, an intermediate housing portion 106 extending from and/or supported on lower housing portion 104, and an upper housing portion 108 extending from and/or supported on intermediate housing portion 106. Handle housing 102 defines a cavity therein in which a circuit board (not shown) and a drive mechanism (not shown) are situated.

[0086] The circuit board is configured to control the various operations of surgical device 100, as will be set forth in additional detail below. In accordance with the present disclosure, handle housing 102 provides a housing in which a rechargeable battery (not shown), is removably situated. The battery is configured to supply power to any of the electrical components of surgical device 100.

[0087] Upper housing portion 108 of handle housing 102 defines a nose or connecting portion 108a configured to accept a corresponding shaft coupling assembly 208a of transmission housing 208 of shaft assembly 200. As seen in FIGS. 2 and 3, connecting portion 108a of upper housing portion 108 of surgical device 100 has a cylindrical recess 108b that receives shaft coupling assembly 208a of transmission housing 208 of shaft assembly 200 when shaft assembly 200 is mated to surgical device 100. Connecting portion 108a houses three rotatable drive connectors 118, 120, 122, each independently actuatable and rotatable by the drive mechanism (not shown) housed within handle housing 102.

[0088] Upper housing portion 108 of handle housing 102 provides a housing in which the drive mechanism (not shown) is situated. The drive mechanism is configured to drive shafts and/or gear components in order to perform the various operations of surgical device 100. In particular, the drive mechanism is configured to drive shafts and/or gear components in order to selectively move end effector 400 relative to shaft assembly 200; to rotate shaft assembly 200 and/or end effector 400, about a longitudinal axis “X” (see FIG. 4), relative to handle housing 102; to move an upper jaw or anvil assembly 442 of end effector 400 relative to a lower jaw or cartridge assembly 410 of end effector 400, and/or to fire a stapling and cutting cartridge within cartridge assembly 410 of end effector 400.

[0089] In use, when shaft assembly 200 is mated to surgical device 100, each of rotatable drive connectors 118, 120, 122 of surgical device 100 couples with a corresponding rotatable connector sleeve 218, 220, 222 of shaft assembly 200 (see FIGS. 3, 7 and 8). In this regard, the interface between corresponding first drive connector 118 and first connector sleeve 218, the interface between corresponding second drive connector 120 and second connector sleeve 220, and the interface between corresponding third drive connector 122 and third connector sleeve 222 are keyed such that rotation of each of drive connectors 118, 120, 122 of surgical device 100 causes a corresponding rotation of the corresponding connector sleeve 218, 220, 222 of shaft assembly 200.

[0090] The mating of drive connectors 118, 120, 122 of surgical device 100 with connector sleeves 218, 220, 222 of shaft assembly 200 allows rotational forces to be independently transmitted via each of the three respective connector interfaces. The drive connectors 118, 120, 122 of surgical device 100 are configured to be independently rotated by the drive mechanism. In this regard, a function selection module (not shown) of the drive mechanism selects which drive connector or connectors 118, 120, 122 of surgical device 100 is to be driven by an input drive component (not shown) of the drive mechanism.

[0091] Since each of drive connectors 118, 120, 122 of surgical device 100 has a keyed and/or substantially non-rotatable interface with respective connector sleeves 218, 220, 222 of shaft assembly 200, when shaft assembly 200 is coupled to surgical device 100, rotational force(s) are selectively transferred from the drive mechanism of surgical device 100 to shaft assembly 200, and on to end effector 400, as will be discussed in greater detail below.

[0092] The selective rotation of drive connector(s) 118, 120 and/or 122 of surgical device 100 allows surgical device 100 to selectively actuate different functions of end effector 400. As will be discussed in greater detail below, selective and independent rotation of first drive connector 118 of surgical device 100 corresponds to the selective and independent rotation of end effector 400 about longitudinal axis “X” (see FIG. 4) relative to handle housing 102 of surgical device 100. Also, the selective and independent rotation of second drive connector 120 of surgical device 100 corresponds to the selective and independent opening and closing of end effector 400, and driving of a stapling/cutting component of end effector 400. Additionally, the selective and independent rotation of third drive connector 122 of surgical device 100 corresponds to the selective and independent articulation of end effector 400 transverse to longitudinal axis “X” (see FIG. 4).

[0093] In accordance with the present disclosure, the drive mechanism may include a selector gearbox assembly (not shown); a function selection module (not shown), located proximal to the selector gearbox assembly, that functions to selectively move gear elements within the selector gearbox assembly into engagement with a second motor (not shown). The drive mechanism may be configured to selectively drive one of drive connectors 118, 120, 122 of surgical device 100, at a given time. Alternatively, the drive mechanism may be configured and capable of simultaneously driving all drive connectors 118, 120, 122, or any selected two of the drive connectors 118, 120, 122.

[0094] As illustrated in FIGS. 1 and 2, handle housing 102 supports a pair of finger-actuated control buttons 124, 126 and/or rocker device(s) 130 (only one rocker device being shown). Each one of the control buttons 124, 126 and rocker device(s) 130 includes a respective magnet (not shown) that is moved by the actuation of an operator.

[0095] As illustrated in FIGS. 1-3, surgical device 100 is configured for selective connection with shaft assembly 200, and, in turn, shaft assembly 200 is configured for selective connection with end effector 400. Turning now to FIGS. 1 and 3-17C, shaft assembly 200 will be shown in detail and described. Shaft assembly 200 is configured to communicate the rotational forces of first, second and third rotatable drive connectors 118, 120, and 122 of surgical device 100 to end effector 400. As mentioned above, shaft assembly 200 is configured for selective connection to surgical device 100.

[0096] As seen in FIGS. 1 and 3-9, shaft assembly 200 includes an elongate, substantially rigid, tubular body 210 having a proximal end 210a and a distal end 210b; a transmission housing 208 connected to proximal end 210a of tubular body 210 and being configured for selective connection to surgical device 100; and an articulating neck assembly 230 connected to distal end 210b of elongate body portion 210.

[0097] Transmission housing 208 and tubular body 210 are configured and dimensioned to house the components of shaft assembly 200. Tubular body 210 is dimensioned for endoscopic insertion, in particular, that outer tube is passable through a typical trocar port, cannula or the like. Transmission housing 208 is dimensioned to not enter the trocar port, cannula or the like.

[0098] Transmission housing 208 of shaft assembly 200 is configured and adapted to connect to connecting portion 108a of upper housing portion 108 of surgical device 100. As seen in FIGS. 1, 3-5, 14 and 22, transmission housing 208 of shaft assembly 200 includes a shaft coupling assembly 208a supported at a proximal end thereof. Shaft coupling assembly 208a is configured and adapted to connect to connecting portion 108a of upper housing portion 108 of distal half-section 110a of surgical device 100.

[0099] Transmission housing 208, and particularly shaft coupling assembly 208a, rotatably supports a first rotatable proximal drive shaft 212, a second rotatable proximal drive shaft 214, and a third rotatable proximal drive shaft 216 therein.

[0100] Shaft coupling assembly 208a is also configured to rotatably support first, second and third connector sleeves 218, 220 and 222, respectively. Each of connector sleeves 218, 220, 222 is configured to mate with respective first, second and third drive connectors 118, 120, 122 of surgical device 100, as described above. Each of connector sleeves 218, 220, 222 is further configured to mate with a proximal end of respective first, second and third proximal drive shafts 212, 214, 216.

[0101] Shaft coupling assembly 208a of transmission housing 208 also includes a first, a second and a third biasing member 224, 226 and 228 disposed distally of respective first, second and third connector sleeves 218, 220, 222. Each of biasing members 224, 226 and 228 is disposed about respective first, second and third rotatable proximal drive shaft 212, 214 and 216. Biasing members 224, 226 and 228 act on respective connector sleeves 218, 220 and 222 to help maintain connector sleeves 218, 220 and 222 engaged with the distal end of respective rotatable drive connectors 118, 120, 122 of surgical device 100 when shaft assembly 200 is connected to surgical device 100.

[0102] In particular, first, second and third biasing members 224, 226 and 228 function to bias respective connector sleeves 218, 220 and 222 in a proximal direction. In this manner, during assembly of shaft assembly 200 to surgical device 100, if first, second and/or third connector sleeves 218, 220 and/or 222 is/are misaligned with the drive connectors 118, 120, 122 of surgical device 100, first, second and/or third biasing member(s) 224, 226 and/or 228 are compressed. Thus, when surgical device 100 is operated, drive connectors 118, 120, 122 of surgical device 100 will rotate and first, second and/or third biasing member(s) 224, 226 and/or 228 will cause respective first, second and/or third connector sleeve(s) 218, 220 and/or 222 to slide back proximally, effectively coupling drive connectors 118, 120, 122 of surgical device 100 to first, second and/or third proximal drive shaft(s) 212, 214 and 216 of shaft coupling assembly 208a of transmission housing 208.

[0103] Shaft assembly 200 includes a plurality of force/rotation transmitting/converting assemblies, each disposed within transmission housing 208 and tubular body 210. Each force/rotation transmitting/converting assembly is configured and adapted to transmit/convert a speed/force of rotation (e.g., increase or decrease) of first, second and third rotatable drive connectors 118, 120 and 122 of surgical device 100 before transmission of such rotational speed/force to end effector 400.

[0104] Specifically, shaft assembly 200 includes a first, a second and a third force/rotation transmitting/converting assembly 240, 250, 260, respectively, disposed within transmission housing 208 and tubular body 210. Each force/rotation transmitting/converting assembly 240, 250, 260 is configured and adapted to transmit or convert a rotation of a first, second and third drive connector 118, 120, 122 of surgical device 100 into axial translation of articulation bar 248 of shaft assembly 200, to effectuate articulating of end effector 400; a rotation of a ring gear 266 of shaft assembly 200, to effectuate rotation of shaft assembly 200; or a second proximal drive shaft 214 of shaft assembly 200 to effectuate closing, opening and firing of end effector 400.

[0105] As seen in FIGS. 5-8, first force/rotation transmitting/converting assembly 240 includes first rotatable proximal drive shaft 212, which, as described above, is rotatably supported within transmission housing 208. First rotatable proximal drive shaft 212 includes a non-circular or shaped proximal end portion configured for connection with first connector sleeve 218 which is connected to respective first connector 118 of surgical device 100. First rotatable proximal drive shaft 212 includes a distal end portion 212b having a threaded outer profile or surface.

[0106] First force/rotation transmitting/converting assembly 240 further includes a drive coupling nut 244 rotatably coupled to threaded distal end portion 212b of first rotatable proximal drive shaft 212, and which is slidably disposed within transmission housing 208. Drive coupling nut 244 is slidably keyed within transmission housing 208 so as to be prevented from rotation as first rotatable proximal drive shaft 212 is rotated. In this manner, as first rotatable proximal drive shaft 212 is rotated, drive coupling nut 244 is translated along threaded distal end portion 212b of first rotatable proximal drive shaft 212 and, in turn, through and/or along transmission housing 208.

[0107] First force/rotation transmitting/converting assembly 240 further includes a thrust bearing assembly 246 having a first bearing 246a secured to drive coupling nut 244, and a second bearing 246b rotatably connected to first bearing 246a. First force/rotation transmitting/converting assembly 240 also includes an articulation bar 248 having a proximal end 248a secured or connected to second bearing 246b. A distal end 248b of articulation bar 248 extends through tubular body 210.

[0108] In operation, as first rotatable proximal drive shaft 212 is rotated, due to a rotation of first connector sleeve 218, as a result of the rotation of the first respective drive connector 118 of surgical device 100, threaded distal end portion 212b of first rotatable proximal drive shaft 212 is rotated. Thus, as first rotatable proximal drive shaft 212 is rotated, drive coupling nut 244 is caused to be translated axially along threaded distal portion 212b of first rotatable proximal drive shaft 212.

[0109] As drive coupling nut 244 is caused to be translated axially along first rotatable proximal drive shaft 212, thrust bearing 246 and, in turn, articulation bar 248, are caused to be translated axially relative to tubular body 210. As will be described in greater detail below, as articulation bar 248 is axially translated, articulation bar 248 causes articulating neck assembly 230 of shaft assembly 200 to articulate and, in turn, causes end effector 400 to articulate when end effector 400 is connected to shaft assembly 200.

[0110] With reference to FIGS. 5-8, second force/rotation transmitting/converting assembly 250 of shaft assembly 200 includes second rotatable proximal drive shaft 214 rotatably supported within transmission housing 208 and tubular body 210. Second rotatable proximal drive shaft 214 includes a non-circular or shaped proximal end portion configured for connection with second connector sleeve 220 which is connected to respective second connector 120 of surgical device 100. Second rotatable proximal drive shaft 214 further includes a distal end portion 214b (see FIGS. 11-13) having a non-circular or shaped transverse cross-sectional profile. Distal end portion 214b of second rotatable proximal drive shaft 214 extends to proximal neck housing 232 of articulating neck assembly 230. In accordance with the present disclosure, second rotatable proximal drive shaft 214 defines an axis of rotation that is substantially co-incident or co-axial with a central longitudinal axis of tubular body 210.

[0111] In operation, as illustrated in FIGS. 5-8, as second rotatable proximal drive shaft 214 is rotated due to a rotation of second connector sleeve 220, as a result of the rotation of the second drive connector 120 of surgical device 100, said rotation is transmitted directly to first or proximal bevel gear 238a of articulating neck assembly 230 of shaft assembly 200, to effectuate a closure and a firing of end effector 400, as will be discussed in greater detail below.

[0112] As also seen in FIGS. 5-8 and as mentioned above, shaft assembly 200 includes a third force/rotation transmitting/converting assembly 260 supported in transmission housing 208. Third force/rotation transmitting/converting assembly 260 includes a rotation ring gear 266 fixedly supported in transmission housing 208. Ring gear 266 defines an internal array of gear teeth 266a. Ring gear 266 includes a pair of diametrically opposed, radially extending protrusions 266b projecting from an outer edge thereof. Protrusions 266b are disposed within recesses (not shown) defined in an inner surface of transmission housing 208, such that rotation of ring gear 266 results in rotation of transmission housing 208.

[0113] Third force/rotation transmitting/converting assembly 260 further includes third rotatable proximal drive shaft 216 which, as described above, is rotatably supported within transmission housing 208. Third rotatable proximal drive shaft 216 includes a non-circular or shaped proximal end portion configured for connection with third connector sleeve 222 which is connected to respective third connector 122 of surgical device 100. Third rotatable proximal drive shaft 216 includes a spur gear 216a keyed to a distal end thereof. A reversing spur gear 264 inter-engages spur gear 216a of third rotatable proximal drive shaft 216 to gear teeth 266a of ring gear 266.

[0114] In operation, as illustrated in FIGS. 5-8, as third rotatable proximal drive shaft 216 is rotated, due to a rotation of third connector sleeve 222, as a result of the rotation of the third drive connector 122 of surgical device 100, spur gear 216a of third rotatable proximal drive shaft 216 engages reversing gear 264 causing reversing gear 264 to rotate. As reversing gear 264 rotates, ring gear 266 also rotates thereby causing transmission housing 208 to rotate. As transmission housing 208 is rotated, tubular body 210 is caused to be rotated about longitudinal axis “X” of shaft assembly 200. As tubular body 210 is rotated, end effector 400, that is connected to distal neck housing 236 of articulating neck assembly 230 of shaft assembly 200, is also caused to be rotated about a longitudinal axis of shaft assembly 200.

[0115] Turning now to FIGS. 5, 6, 9 and 10A-13, articulating neck assembly 230 is shown and described. Articulating neck assembly 230 includes a proximal neck housing 232; and a distal neck housing 236 pivotally connected to and extending distally from proximal neck housing 232 by a pivot pin 234. Pivot pin 234 defines a pivot axis “P” (see FIGS. 9 and 11-13) that is oriented orthogonal to the longitudinal axis “X” and extends through the longitudinal axis “X”.

[0116] Articulating neck assembly 230 includes a gear train 238 having a first or proximal bevel gear 238a rotatably supported in proximal neck housing 232, a second or intermediate bevel gear 238b supported on pivot pin 234 and enmeshed with first bevel gear 238a, and a third or distal bevel gear 238c rotatably supported in distal neck housing 236 and enmeshed with second or intermediate bevel gear 238b. It is contemplated that each of first or proximal bevel gear 238a and third or distal bevel gear 238c share a common axis of rotation which is co-incident or co-axial with the central longitudinal axis “X” of shaft assembly 200, when articulating neck assembly 230 is in a non-articulated condition.

[0117] First or proximal bevel gear 238a is non-rotatably coupled to distal end portion 214b of second rotatable proximal drive shaft 214. In this manner, as second rotatable proximal drive shaft 214 is rotated, as described above, said rotation is transmitted to first or proximal bevel gear 238a.

[0118] Third or distal bevel gear 238c includes a spur gear 238d non-rotatably connected thereto via a rotation shaft or pin 238e. In this manner, as first or proximal bevel gear 238a is rotated, as described above, said rotation is transmitted to second or intermediate bevel gear 238b and, in turn, on to third or distal bevel gear 238c. As third or distal bevel gear 238c is rotated, said rotation is transmitted to spur gear 238d due to the non-rotatably inter-connection by shaft or pin 238e.

[0119] While gear train 238 has been shown and described using bevel gears, it is contemplated that gear train 238 may include at least one face gear or the like to achieve the intended purpose of transferring rotation across a pivot point.

[0120] As seen in FIGS. 5, 6, 9 and 10A-13, distal neck portion 236 of articulating neck assembly 230 rotatably supports a pair of output gears 239a, 239b, each enmeshed with spur gear 238d. Each output gear 239a, 239b defines a respective coupling socket 239a.sub.1, 239b.sub.1. In this manner, as spur gear 238d is rotated, as described above, said rotation is transmitted to both output gears 239a, 239b. Each coupling socket 239a.sub.1, 239b.sub.1 is configured and dimensioned to selectively receive a proximal head 426a of a drive axle 426 of end effector 400, as will be discussed in greater detail below. Moreover, output gears 239a, 239b are arranged to have axes of rotation which are parallel to the longitudinal axis “X” and which are disposed substantially at 90° relative to one another, or any other appropriate or desired angular separation from one another.

[0121] Articulating neck assembly 230 includes an articulation link 241 having a proximal end 241a pivotally connected to distal end 248b of articulation bar 248. A distal end 241b of articulation link 241 is pivotally connected to distal neck housing 236, at a location offset a transverse distance from the longitudinal axis “X”.

[0122] Proximal neck housing 232 defines a chamfered distal surface 232a, and distal neck housing 236 defines a chamfered proximal surface 236a. In an embodiment, chamfered surfaces 232a, 236a are in juxtaposed relation to one another. In use, when end effector 400 is actuated to an off-axis orientation, as will be discussed in greater detail below, chamfered surfaces 232a, 236a of proximal neck housing 232 and distal neck housing 236 are approximated toward one another. Desirably, each chamfered surface 232a, 236a is angled at about 45° relative to the longitudinal axis “X”. Specifically, chamfered surface 232a of proximal neck housing 232 is angled at about (−)45°) relative to the longitudinal axis “X”, while chamfered surface 236a of distal neck housing 236 is angled at about (+)45°) relative to the longitudinal axis “X”. In this manner, when end effector 400 is actuated to a maximum off-axis orientation, as seen in FIGS. 17, 23 and 24, end effector 400 is oriented at about 90° relative to the longitudinal axis “X”. In use, end effector 400 may be oriented at any angular orientation from about 0° to about 90° relative to the longitudinal axis “X”, as needed or desired, such as, for example, about 45°.

[0123] In accordance with the present disclosure, distal neck housing 236 is pivotable in a single direction relative to proximal neck housing 232.

[0124] As seen in FIGS. 4-6 and 9, articulating neck assembly 230 includes a shield 243 secured to articulation link 240. Shield 243 functions to protect the user and patient from gear train 238.

[0125] Articulating neck assembly 230 further includes, as seen in FIGS. 5, 6, 9, 10A and 17A-17C, a distal connection hub 250 supported and/or coupled in a distal end of distal neck housing 236. Connection hub 250 rotatably supports both output gears 239a, 239b. In an embodiment, as seen in FIGS. 17A-17C, connection hub 250 defines a pair of diametrically opposed angled surfaces 252a, 252b. Each angled surface 252a, 252b extends in a radially outward direction and in a transverse distal direction relative to a central axis of shaft assembly 200.

[0126] Shaft assembly 200, as seen in FIGS. 4-8, 10A-10D and 14-17C, includes a release assembly 280 at least partially supported in/on connection hub 250. Release assembly 280 includes a pair of cam blocks 281a, 281b, each operatively associated with a respective angled surface 252a, 252b of connection hub 250. Release assembly 280 further includes a pair of connection pins 282a, 282b, each connected to and secured to respective cam blocks 281a, 281b. Each connection pin 282a, 282b is dimensioned to extend from respective cam block 281a, 281b and radially through connection hub 250. Specifically, each connection pin 282a, 282b includes a tip which projects radially outward from connection hub 250, when release assembly 280 is in a non-actuated condition.

[0127] Release assembly 280 further includes a release lever 285 in the form of a leaf spring defining a biasing member interposed between cam blocks 281a, 281b and functioning to maintain or urge cam blocks 281a, 281b into engagement or contact with respective angled surface 252a, 252b of connection hub 250. Release lever 285 includes a pair of ends 285a, 285b secured to a respective cam block 281a, 281b, and a free end 285c projecting radially from the axis defined by connection pins 282a, 282b.

[0128] Release assembly 280 includes a first or connecting configuration wherein a tip of each connection pin 282a, 282b projects radially outward from connection hub 250, and a second or release configuration wherein the tip of each connection pin 282a, 282b is at least partially withdrawn or retracted into connection hub 250.

[0129] In use, as seen in FIGS. 17A-17C, in order to actuate release assembly 280 from the first configuration to the second configuration, release lever 285 is actuated to rotate release lever 285 about the axis defined by connection pins 282a, 282b. As release lever 285 is actuated, cam blocks 281a, 281b are rotated relative to respective angled surface 252a, 252b of connection hub 250 thereby urging respective connection pins 282a, 282b radially inward, and biasing or compressing the leaf spring portion of release lever 285. Following actuation of release lever 285, upon a release thereof, the leafspring un-compresses and urges cam blocks 281a, 281b against respective angled surface 252a, 252b of connection hub 250 causing cam blocks 281a, 281b to return to an un-rotated position and resulting in connection pins 282a, 282b re-extending radially outward from connection hub 250.

[0130] In an alternate embodiment of a release assembly 280a, as seen in FIG. 10B, leaf spring release lever 285 of release assembly 280 may be replaced with a separate biasing member 284a and release lever 284b.

[0131] Release assembly 280 also includes a release lever 285 connected to at least one cam block 281a, 281b. In the present embodiment, release lever 285 extends in a direction transverse to an axis defined by connection pins 282a, 282b.

[0132] In yet another alternate embodiment, as seen in FIG. 10D, another alternate release assembly 280b may include a resilient wire-like release lever 284c including a pair of arms 284c.sub.1, 284c.sub.2 arranged in a substantial V-shape or a-shape, and a pair of connection pins 282a.sub.1, 282b.sub.1 extending from a respective arm 284c.sub.1, 284c.sub.2. Release lever 284c of release assembly 280b cooperates with particularly shaped camming surfaces 252a.sub.1, 252b.sub.1 of connection hub 250.

[0133] In use, in order to actuate release assembly 280b from a first configuration to a second configuration, release lever 284c is actuated to rotate arms 284c.sub.1, 284c.sub.2 about an axis defined by connection pins 282a.sub.1, 282b.sub.1. As release lever 284c is actuated, arms 284c.sub.1, 284c.sub.2 engage respective angled surfaces 252a.sub.1, 252b.sub.1 of connection hub 250 thereby urging respective arms 284c.sub.1, 284c.sub.2 and thus connection pins 282a.sub.1, 282b.sub.1 radially inward, and biasing or compressing arms 284c.sub.1, 284c.sub.2 toward one another. Following actuation of release lever 284c, upon a release thereof, arms 284c.sub.1, 284c.sub.2 un-compress and urge connection pins 282a.sub.1, 282b.sub.1 radially outward from connection hub 250.

[0134] Turning now to FIGS. 14-17, release assembly 280 includes a release cable 286 extending through articulation neck assembly 230 and tubular body 210 of shaft assembly 200. Specifically, release cable 286 includes a distal end connected to a free end 285c of release lever 285. Release cable 286 also includes a proximal end connected to a release button 287 which is slidably supported on transmission housing 208. Release button 287 includes a first position wherein release assembly 280 is un-actuated, as described above, and at least a second position wherein release button 287 pulls release cable 286 in a proximal direction to actuate release assembly 280.

[0135] Release assembly 280 further includes a slack removal assembly 288 including a spring 288a, or the like, associated with release cable 286. Slack removal spring 288a functions to compensate for any slack or stretching that may occur in release cable 286 over time and after any number of uses, or when articulation neck assembly 230 is in an articulate configuration. In particular, slack removal assembly 288 further includes a cylinder 288b into which a proximal end of release cable 286 extends. Release button 287 is connected to cylinder 288b such that axial movement of release button 287 results in concomitant axial movement of cylinder 288b. Slack removal spring 288a is supported in cylinder 288b. The proximal end of release cable 286 extends through slack removal spring 288a and is capped by a plug 288c fixedly connected thereto. Desirably, slack removal spring 288a is a coil spring or the like.

[0136] As seen in FIGS. 3 and 8, shaft assembly 200 includes a pair of electrical contact pins 290a, 290b for electrical connection to a corresponding electrical plug 190a, 190b disposed in connecting portion 108a of surgical device 100. Electrical contacts 290a, 290b serve to allow for calibration and communication of necessary life-cycle information to circuit board of surgical device 100 via electrical plugs 190a, 190b that are electrically connected to circuit board. Shaft assembly 200 further includes a circuit board 292 supported in transmission housing 208 and which is in electrical communication with electrical contact pins 290a, 290b. In accordance with the present disclosure, shaft assembly 200 or circuit board 292 include a button 294 (see FIGS. 7 and 8), which functions in the manner of a gyroscope, Hall-Effect sensors or the like, to communicate with surgical device 100 and provide surgical device 100 with an indication of when shaft assembly is not rotated (i.e., in a home or straight position or configuration). In this manner, button 294 functions to inhibit instances of excessive rotation of shaft assembly 200.

[0137] Turning now to FIGS. 18-24, a detailed discussion of the construction and operation of end effector 400 is provided. End effector 400 is constructed substantially in accordance with end effector 400 disclosed in U.S. patent application Ser. No. 13/891,288, filed on May 10, 2013, now U.S. Pat. No. 9,492,146, the entire content of which being incorporated herein by reference, and thus will only be discussed in detail herein to the extent necessary to describe differences in construction and operation thereof. End effector 400 may be configured and adapted to apply a plurality of linear rows of fasteners, which in embodiments may be of various sizes, and which, in certain embodiments may have various lengths or rows, e.g., about 30, 45 and 60 mm in length.

[0138] As seen in FIGS. 1 and 18-24, end effector 400 includes a mounting portion 420 having a coupling member 422 configured for selective connection to distal neck housing 236 of shaft assembly 200. End effector 400 further includes a jaw assembly 430 connected to and extending distally from mounting portion 420. Jaw assembly 430 includes a lower jaw 432 pivotally connected to mounting portion 420 and being configured to selectively support a cartridge assembly therein, and an upper jaw 442 secured to mounting portion 420 and being movable, relative to lower jaw 432, between approximated and spaced apart positions.

[0139] As seen in FIGS. 20 and 21, coupling member 422 is substantially cylindrical and includes a rear or proximal annular wall 422a defining a central opening 422b therein. Annular wall 422a defines an angled inner surface 422c extending radially inwardly and distally from a proximal-most edge. Annular wall 422a further defines two pair of diametrically opposed attachment holes 422d1, 422d.sub.2 oriented orthogonally to one another. Central opening 422b is configured and dimensioned to receive connection hub 250 of shaft assembly 200 therein.

[0140] In use, when end effector 400 is connected to attached to shaft assembly 200, end effector 400 is oriented in either a first orientation, or a second orientation rotated approximately 90°, along a longitudinal axis thereof, relative to the first orientation.

[0141] As seen in FIG. 21 and FIG. 23, in the first orientation, attachment holes 422d1 are aligned with connection pins 282a, 282b of release assembly 280 of shaft assembly, and a proximal head 426a of a drive axle 426 of end effector 400 is aligned with coupling socket 239a.sub.1. As so oriented, end effector 400 is approximated toward shaft assembly 200 wherein connection pins 282a, 282b of release assembly 280 are cammed radially inwardly as connection pins 282a, 282b engage angled inner surface 422c of coupling member until connection pins 282a, 282b align with attachment holes 422d1 whereby connection pins 282a, 282b are free to spring radially outward into attachment holes 422d1 to secure end effector 400 to shaft assembly 200. Also, as so oriented, when end effector 400 is connected to shaft assembly 200, proximal head 426a of drive axle 426 of end effector 400 operatively couples with coupling socket 239a.sub.1.

[0142] In this first orientation, as seen in FIG. 23, a plane defined between tissue contacting surfaces of upper jaw 442 and lower jaw 432 of jaw assembly 430 is substantially parallel to the pivot axis “P” defined by pivot pin 234.

[0143] As seen in FIGS. 21 and 24, in the second orientation, attachment holes 422d.sub.2 are aligned with connection pins 282a, 282b of release assembly 280 of shaft assembly, and proximal head 426a of drive axle 426 of end effector 400 is aligned with coupling socket 239b.sub.1. As so oriented, end effector 400 is approximated toward shaft assembly 200 wherein connection pins 282a, 282b of release assembly 280 are cammed radially inwardly as connection pins 282a, 282b engage angled inner surface 422c of coupling member until connection pins 282a, 282b align with attachment holes 422d.sub.2 whereby connection pins 282a, 282b are free to spring radially outward into attachment holes 422d.sub.2 to secure end effector 400 to shaft assembly 200. Also, as so oriented, when end effector 400 is connected to shaft assembly 200, proximal head 426a of drive axle 426 of end effector 400 operatively couples with coupling socket 239b.sub.1.

[0144] In this second orientation, as seen in FIG. 24, a plane defined between tissue contacting surfaces of upper jaw 442 and lower jaw 432 of jaw assembly 430 is substantially orthogonal to the pivot axis “P” defined by pivot pin 234.

[0145] As seen in FIG. 19, lower jaw 432 of jaw assembly 430 includes a drive screw 464 rotatably supported therein and extending substantially an entire length thereof. Drive screw 464 includes a female coupling member 464a supported on a proximal end thereof and being configured for receipt of multi-faceted, distal head 426b of drive axle 426. Drive screw 464 is axially and laterally fixed within lower jaw 432 of jaw assembly 430. In operation, rotation of drive axle 426 results in concomitant rotation of drive screw 464.

[0146] End effector 400 includes a drive beam 466 slidably supported in lower jaw 432 of jaw assembly 430. Drive beam 466 includes a substantially I-shaped cross-sectional profile and is configured to approximate lower jaw 432 and upper jaw 442, and to axially displace an actuation sled 418 through lower jaw 432. Drive beam 466 includes a vertically oriented support strut; a lateral projecting member formed atop the support strut and being configured to engage and translate with respect to an exterior camming surface of upper jaw 442 to progressively close jaw assembly 430; and a retention foot having an internally threaded bore for threadable connection to threaded drive screw 464. Since drive beam 466 is prevented from rotation by the engagement of the strut and/or the cam member with upper jaw 442, as drive screw 464 is rotated, the retention foot, and in turn, drive beam 466 is axially translated relative to lower jaw 432.

[0147] In operation, as drive screw 464 is rotated, in a first direction, to advance drive beam 466, as described above, drive beam 466 is advanced into contact with a knife sled 450 and an actuation sled 418 to distally advance or push knife sled 450 and actuation sled 418 through staple cartridge assembly 410 and lower jaw 432. Knife sled 450, actuation sled 418 and drive beam 466 travel through a body of cartridge assembly 410 thereby fastening and severing tissue. Drive screw 464 is rotated until actuation sled 418, knife sled 450 and drive beam 466 reach a distal-most end of the body of cartridge assembly 410 and/or lower jaw 432, for a complete firing.

[0148] Following a complete or partial firing, drive screw 464 is rotated in an opposite direction to retract drive beam 466. Drive screw 464 is rotated until drive beam 466 and knife sled 450 are returned to the proximal-most position. Once drive beam 466 and knife sled 450 are returned to the proximal-most position, drive beam 466 is disengaged from knife sled 450, and staple cartridge assembly 410 is free to be removed from lower jaw 432.

[0149] Upper jaw 442 of jaw assembly 430 functions as an anvil against which the staples form when actuation sled 418 is advanced during a firing of surgical device 100. In particular, upper jaw 442 includes an anvil plate 443, secured to a cover housing 444, in juxtaposed relation to staple cartridge assembly 410. Anvil plate 443 defines a plurality of staple forming pockets (not shown), arranged in longitudinally extending rows that cooperate with the rows of staple retaining slots (not shown) of staple cartridge assembly 410, when staple cartridge assembly 410 is disposed in lower jaw 432.

[0150] It will be understood that various modifications may be made to the embodiments disclosed herein. For example, surgical device 100 and/or cartridge assembly 410 need not apply staples but rather may apply two part fasteners as is known in the art. Further, the length of the linear row of staples or fasteners may be modified to meet the requirements of a particular surgical procedure. Thus, the length of the linear row of staples and/or fasteners within a staple cartridge assembly may be varied accordingly. Therefore, the above description should not be construed as limiting, but merely as exemplifications of preferred embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended thereto.