# US 11,298,123 B2 · Surgical end effectors

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- Number: US 11,298,123 B2
- Document ID: US11298123B2
- Status: Granted
- Kind: B2
- Application number: 15/678,160
- Filed: 2017-08-16
- Published: 2018-04-26
- Granted: 2022-04-12
- Earliest claimed: 2016-10-21
- Assignees: Covidien LP
- Applicants: Covidien LP
- Inventors: Arpan Desai; Paul C. DiCesare; Danial Ferreira; Brandon Michael Zalewski
- Web page: https://patentgrep.com/patent/US11298123B2

## CPC

- A61B 17/0491: {Sewing machines for surgery}
- A61B 17/0493: {Protective devices for suturing, i.e. for protecting the patient's organs or the operator}
- A61B 17/06166: {Sutures (suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M)}
- A61B 17/0469: {Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery}
- A61B 2017/00367: {Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like}
- A61B 2017/00473: {Distal part, e.g. tip or head (A61B2017/00464 takes precedence)}
- A61B 2017/0472: {Multiple-needled, e.g. double-needled, instruments}
- A61B 2017/06176: {with protrusions, e.g. barbs}
- A61B 2017/3409: {including needle or instrument drives}
- A61F 2/0063: {Implantable repair or support meshes, e.g. hernia meshes}
- A61F 2002/0072: {Delivery tools therefor}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

According to an aspect of the present disclosure, an end effector for use with a surgical device is provided. The end effector includes a drive assembly, a driver, a needle assembly, and a follower. The drive assembly includes a first helical groove. Rotation of the drive assembly in a first direction causes distal translation of the driver with respect to the drive assembly. The needle assembly is disposed in mechanical cooperation with the driver. Distal translation of the driver causes a corresponding distal translation of the needle assembly. The follower is configured to engage the first helical groove of the drive assembly. When the follower is engaged with the first helical groove, rotation of the drive assembly in the first direction causes distal translation of the follower with respect to the drive assembly.

## Claims

### Claim 1

An end effector for use with a surgical device, the end effector comprising:
a drive assembly configured for rotation about a longitudinal axis and including a first helical groove and a second helical groove, the first helical groove encircling at least a portion of the drive assembly in a first direction, the second helical groove encircling at least a portion of the drive assembly in a second direction, the first direction is opposite from the second direction;
an outer tube disposed radially outward of at least a portion of the drive assembly and including a longitudinal slot;
a driver disposed in mechanical cooperation with the drive assembly, wherein rotation of the drive assembly in a first direction causes distal translation of the driver with respect to the drive assembly;
a needle assembly disposed in mechanical cooperation with the driver, wherein distal translation of the driver causes a corresponding distal translation of the needle assembly; and
a follower configured to engage the first helical groove of the drive assembly, wherein a portion of the follower is configured to engage the longitudinal slot of the outer tube, and wherein when the follower is engaged with the first helical groove, rotation of the drive assembly in the first direction causes distal translation of the follower with respect to the drive assembly.

### Claim 2 (depends on 1)

The end effector according to claim 1, further comprising a transition groove interconnecting the first helical groove and the second helical groove.

### Claim 3 (depends on 1)

The end effector according to claim 1, wherein the follower is configured to engage the second helical groove of the drive assembly.

### Claim 4 (depends on 3)

The end effector according to claim 3, wherein when the follower is engaged with the second helical groove of the drive assembly, rotation of the drive assembly in the first direction causes proximal translation of the needle assembly with respect to the drive assembly.

### Claim 5 (depends on 1)

The end effector according to claim 1, wherein a portion of the follower extends through an aperture of the driver.

### Claim 6 (depends on 1)

The end effector according to claim 1, further comprising a suture disposed in mechanical cooperation with the needle assembly and disposed radially inward of the outer tube.

### Claim 7 (depends on 1)

The end effector according to claim 1, wherein the needle assembly includes a needle, the needle being radially offset from the longitudinal axis.

### Claim 8 (depends on 1)

The end effector according to claim 1, wherein the follower is pivotable about a pivot axis, the pivot axis being perpendicular to the longitudinal axis.

### Claim 9 (depends on 1)

The end effector according to claim 1, further comprising a pin disposed distally of the drive assembly, the pin extending through at least one longitudinal slot of the driver.

### Claim 10 (depends on 1)

The end effector according to claim 1, wherein the needle assembly includes a first needle extending distally from a needle block, and a second needle extending distally from the needle block, the first needle being parallel to the second needle.

### Claim 11

An end effector for use with a surgical device, the end effector comprising:
a drive assembly including a cylindrical body, a first helical groove encircling a portion of the cylindrical body in a first direction, and a second helical groove encircling a portion of the cylindrical body in a second direction, the first direction being opposite from the second direction;
a driver disposed in mechanical cooperation with the drive assembly and including a longitudinal slot, wherein rotation of the drive assembly in a first direction causes distal translation of the driver relative to the drive assembly;
a pin extending through the longitudinal slot in the driver; and
a suture disposed in mechanical cooperation with the drive assembly.

### Claim 12 (depends on 11)

The end effector according to claim 11, wherein the first helical groove includes a proximal end, wherein the second helical groove includes a proximal end, and wherein the proximal end of the first helical groove and the proximal end of the second helical groove are interconnected.

### Claim 13 (depends on 11)

The end effector according to claim 11, wherein the first helical groove includes a distal end, wherein the second helical groove includes a distal end, and wherein the distal end of the first helical groove and the distal end of the second helical groove are interconnected.

### Claim 14 (depends on 12)

The end effector according to claim 12, wherein the first helical groove includes a distal end, wherein the second helical groove includes a distal end, and wherein the distal end of the first helical groove and the distal end of the second helical groove are interconnected.

### Claim 15 (depends on 14)

The end effector according to claim 14, wherein the first helical groove and the second helical groove share at least two points of intersection between their proximal ends and their distal ends.

### Claim 16 (depends on 14)

The end effector according to claim 14, wherein the first helical groove and the second helical groove share at least four points of intersection between their proximal ends and their distal ends.

### Claim 17 (depends on 13)

The end effector according to claim 13, further comprising a follower configured to move to the distal end of the first helical groove, into a transition groove, and into the distal end of the second helical groove.

### Claim 18 (depends on 11)

The end effector according to claim 11, wherein the pin is disposed distally of the drive assembly.

### Claim 19

An end effector for use with a surgical device, the end effector comprising:
a drive assembly configured for rotation about a longitudinal axis and including a first helical groove and a second helical groove, the first helical groove encircling at least a portion of the drive assembly in a first direction, the second helical groove encircling at least a portion of the drive assembly in a second direction, the first direction being opposite from the second direction;
a driver disposed in mechanical cooperation with the drive assembly, wherein rotation of the drive assembly in a first direction causes distal translation of the driver with respect to the drive assembly;
a pin disposed distally of the drive assembly, the pin extending through at least one longitudinal slot of the driver;
a needle assembly disposed in mechanical cooperation with the driver and including a first needle extending distally from a needle block and a second needle extending distally from the needle block, the first needle being parallel to the second needle, wherein distal translation of the driver causes a corresponding distal translation of the needle assembly; and
a follower configured to engage the first helical groove of the drive assembly, wherein when the follower is engaged with the first helical groove, rotation of the drive assembly in the first direction causes distal translation of the follower with respect to the drive assembly.
