Surgical stapler having articulation mechanism
A handle assembly for a surgical stapler can comprise a rotatable actuation shaft. The actuation shaft can have a first rotational orientation in which it can actuate a jaw assembly in a repeatable open and close mode, a second rotational orientation in which it can actuate a jaw assembly in a staple firing mode, and a third rotational orientation in which it can actuate a jaw assembly in a reversing mode. The handle assembly can include an articulation mechanism including a ball screw to selectively articulate the jaw assembly relative to an elongate shaft.
1. A handle assembly for a surgical stapler, the handle assembly comprising:
a handle body comprising a stationary handle and a movable handle pivotably coupled to the handle body;
an actuation shaft mechanically coupled to the movable handle for manual actuation thereof, the actuation shaft slidable within the handle body along a longitudinal axis; and
an articulation mechanism comprising:
a manually actuated articulation knob positioned at a proximal end of the handle body and rotatable about the longitudinal axis; and
an articulation adapter positioned at the distal end of the handle body, the articulation adapter operatively coupled to the articulation knob such that rotation of the articulation knob about the longitudinal axis longitudinally slides the articulation adapter, wherein the articulation mechanism further comprises:
a ball screw having a helical thread formed therein;
a ball sleeve positioned radially outwardly of the ball screw, and having an aperture formed therein; and
a ball bearing positioned in the aperture of the ball sleeve and engaged in the helical thread of the ball screw.
2. The handle assembly of claim 1 , wherein the ball screw is longitudinally movable relative to the handle body, and wherein movement of the ball bearing within the helical thread longitudinally moves the ball screw.
3. The handle assembly of claim 1 , wherein the ball screw has a distal end, and further comprising an articulation link coupled to the distal end of the ball screw and extending distally within the handle body to the articulation adapter.
4. The handle assembly of claim 1 , wherein the ball sleeve is rotationally coupled to the articulation knob.
5. A handle assembly for a surgical stapler, the handle assembly comprising:
a handle body comprising a stationary handle and a movable handle pivotably coupled to the handle body;
an actuation shaft mechanically coupled to the movable handle for manual actuation thereof, the actuation shaft slidable within the handle body along a longitudinal axis; and
an articulation mechanism comprising:
a manually actuated articulation knob positioned at a proximal end of the handle body and rotatable about the longitudinal axis; and
a ball screw operatively coupled to the articulation knob and longitudinally movable by rotation of the articulation knob.
6. The handle assembly of claim 5 , wherein the ball screw comprises a helical thread formed therein and the articulation mechanism further comprises a ball bearing engageable in the helical thread to transfer rotational motion of the articulation knob to longitudinal motion of the ball screw.
7. The handle assembly of claim 5 , wherein the articulation mechanism further comprises a release mechanism configured to reset the ball screw to a longitudinally centered position.
8. The handle assembly of claim 7 , wherein the release mechanism comprises a release button operatively engaged with a release sleeve such that actuation of the release button operatively disengages the articulation knob from the ball screw.
9. The handle assembly of claim 8 , wherein the ball screw comprises a helical thread formed therein and the articulation mechanism further comprises a ball bearing engageable in the helical thread to transfer rotational motion of the articulation knob to longitudinal motion of the ball screw, and wherein actuation of the release mechanism disengages the ball bearing from the helical thread.
10. The handle assembly of claim 9 , wherein the release sleeve has an inner surface comprising an engagement surface having a first inner diameter and a release surface having a second inner diameter larger than the first inner diameter.
11. The handle assembly of claim 10 , wherein actuation of the release button positions the release surface adjacent the ball bearing to disengage the ball bearing from the helical thread.
12. The handle assembly of claim 7 , wherein the release mechanism further comprises a biasing member biasing the ball screw to a longitudinally centered position when the release mechanism is actuated.
13. A handle assembly for a surgical stapler, the handle assembly comprising:
a handle body comprising a stationary handle and a movable handle pivotably coupled to the handle body, the handle body having a proximal end and a distal end and defining a central longitudinal axis between the proximal end and the distal end;
an actuation mechanism within the handle body; and
an articulation mechanism comprising:
a manually actuated articulation knob positioned at a proximal end of the handle body and rotatable about the longitudinal axis;
an articulation adapter positioned at the distal end of the handle body, the articulation adapter operatively coupled to the articulation knob such that rotation of the articulation knob about the longitudinal axis longitudinally slides the articulation adapter; and
a first articulation link operatively coupling the actuation knob to the articulation adaptor and extending longitudinally within the handle body laterally offset from the actuation mechanism; and wherein the articulation mechanism comprises an articulation bearing rotationally coupling the first articulation link to the articulation adapter.
14. The handle assembly of claim 13 , wherein the articulation mechanism further comprises a second articulation link operatively coupling the articulation knob to the articulation adapter and extending longitudinally within the handle body laterally offset from the actuation mechanism opposite the first articulation link.
15. The handle assembly of claim 13 , wherein the actuation mechanism comprises an actuation shaft mechanically coupled to the movable handle for manual actuation thereof, the actuation shaft slidable within the handle body along a longitudinal axis and rotatable with respect to the longitudinal axis.
16. The handle assembly of claim 13 , wherein the articulation mechanism further comprises:
a ball sleeve having an aperture formed therein, the ball sleeve rotationally coupled to the articulation knob;
a ball bearing positioned in the aperture; and
a ball screw longitudinally slidable within the ball sleeve and having a helical thread formed therein,
wherein the ball bearing is engageable with the helical thread.
17. The handle assembly of claim 16 , wherein the helical thread comprises a constant pitch.
18. The handle assembly of claim 13 , wherein the articulation adapter comprises a bayonet coupler.