Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof

• US 10,080,552 B2
• Filed: 04/21/2014
• Issued: 09/25/2018
• Est. Priority Date: 04/21/2014
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Nicholas, David, Pribanic, Russell
• Primary Examiner(s): Desai, Hemant M
• Assistant Examiner(s): Ahmed, Mobeen
• Application Number:
  US14/257,063
• Publication Number:
  US 20150297199A1
• Time in Patent Office: 1,618 Days
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: 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
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft

Abstract

The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including hand held electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the hand held electromechanical surgical devices.

Claims

1. An adapter assembly for selectively interconnecting a surgical loading unit that is configured to perform a function and a surgical device that is configured to actuate the surgical loading unit, the surgical loading unit including an axially translatable drive member, and the surgical device including a plurality of rotatable drive shafts, the adapter assembly comprising:

a housing configured and adapted for connection with the surgical device and to be in operative communication with each rotatable drive shaft of the plurality of rotatable drive shafts of the surgical device;

an outer tube having a proximal end supported by the housing and a distal end configured and adapted for connection with the surgical loading unit, wherein the distal end of the outer tube is in operative communication with the axially translatable drive member of the surgical loading unit, the outer tube defining a longitudinal axis; and

an articulation assembly including a gimbal supported in the outer tube and a plurality of threaded sleeves supported in the housing, the plurality of threaded sleeves coupled to the gimbal by at least one cable,

wherein rotation of at least one of the plurality of rotatable drive shafts of the surgical device translates at least two of the plurality of threaded sleeves to omni-directionally articulate the gimbal relative to the longitudinal axis of the outer tube with the at least one cable, and wherein articulation of the gimbal articulates the surgical loading unit about the distal end of the outer tube.

2. The adapter assembly of claim 1, further including a firing shaft having a proximal end configured and adapted to couple to at least one of the plurality of rotatable drive shafts of the surgical device and a distal end configured and adapted to couple to the axially translatable drive member of the surgical loading unit to enable firing of the surgical loading unit.

3. The adapter assembly of claim 2, wherein the firing shaft is configured and adapted to transmit a rotational force through the gimbal to effectuate axially translation of the axially translatable drive member and fire the surgical loading unit.

4. The adapter assembly of claim 3, wherein the firing shaft includes a proximal firing shaft and a distal firing shaft, the proximal and distal firing shafts coupled together within the gimbal such that the distal firing shaft is movable relative to the proximal firing shaft.

5. The adapter assembly of claim 4, wherein the proximal firing shaft includes a ball member on a distal end thereof and the distal firing shaft includes a socket on a proximal end thereof, the socket defining a socket bore, the ball member of the proximal firing shaft being mounted within the socket bore.

6. The adapter assembly of claim 5, wherein the gimbal defines a gimbal bore therethrough configured and adapted to receive the distal firing shaft such that the gimbal and the distal firing shaft are movable about an outer surface of the ball member.

7. The adapter assembly of claim 1, wherein the gimbal defines at least one slot in an outer surface thereof, the at least one cable being secured within the at least one slot.

8. The adapter assembly of claim 1, wherein the outer tube includes a distal housing assembly configured and adapted to engage a proximal end of the surgical loading unit, and the gimbal includes a distal flange configured and adapted to engage the distal housing assembly to enable the surgical loading unit to articulate in response to movement of the gimbal.

9. The adapter assembly of claim 1, wherein the plurality of threaded sleeves is supported on at least one threaded screw.

10. The adapter assembly of claim 9, wherein the at least one threaded screw includes a first set of threads and a second set of threads, the first and second set of threads being threaded in opposite directions, wherein a first one of the plurality of threaded sleeves is threadably engaged with the first set of threads and a second one of the plurality of threaded sleeves is threadably engaged with the second set of threads, wherein rotation of the at least one threaded screw in a first rotational direction approximates the first one and the second one of the plurality of threaded sleeves, and wherein rotation of the at least one threaded screw in a second rotational direction separates the first one and the second one of the plurality of threaded sleeves.

11. The adapter assembly of claim 1, further including a firing trigger secured to the housing.

12. An electromechanical surgical system, comprising:

a surgical loading unit including at least one axially translatable drive member;

a handle-held electromechanical surgical device including;

a housing; and

at least one rotatable drive shaft supported in the housing; and

an adapter assembly selectively connectable between the housing of the surgical device and the surgical loading unit, the adapter assembly including;

an articulation assembly including a gimbal and a plurality of threaded sleeves, the plurality of threaded sleeves coupled to the gimbal by at least one cable, the plurality of threaded sleeves being movable to articulate the gimbal with the at least one cable, wherein articulation of the gimbal articulates the surgical loading unit; and

a firing shaft connectable between the at least one rotatable drive shaft of the surgical device and the at least one axially translatable drive member, the firing shaft being movable with the gimbal to omni-directionally articulate the surgical loading unit and rotatable to translate the at least one axially translatable drive member through the surgical loading unit.

13. The electromechanical surgical system of claim 12, wherein the firing shaft includes a proximal firing shaft and a distal firing shaft, the proximal and distal firing shafts coupled together within the gimbal such that the distal firing shaft is movable relative to the proximal firing shaft.

14. The electromechanical surgical system of claim 13, wherein the proximal firing shaft includes a ball member on a distal end thereof and the distal firing shaft includes a socket on a proximal end thereof, the socket defining a socket bore, the ball member of the proximal firing shaft being mounted within the socket bore.

15. The electromechanical surgical system of claim 14, wherein the gimbal defines a gimbal bore therethrough configured and adapted to receive the distal firing shaft such that the gimbal and the distal firing shaft are movable about an outer surface of the ball member.

16. The electromechanical surgical system of claim 12, wherein the gimbal defines at least one slot in an outer surface thereof, the at least one cable being secured within the at least one slot.

17. The electromechanical surgical system of claim 12, wherein the gimbal includes a distal flange configured and adapted to enable the surgical loading unit to articulate in response to movement of the gimbal.

18. The adapter assembly of claim 12, wherein the plurality of threaded sleeves is supported on at least one threaded screw.

19. The adapter assembly of claim 18, wherein the at least one threaded screw includes a first set of threads and a second set of threads, the first and second set of threads being threaded in opposite directions, wherein a first one of the plurality of threaded sleeves is threadably engaged with the first set of threads and a second one of the plurality of threaded sleeves is threadably engaged with the second set of threads, wherein rotation of the at least one threaded screw in a first rotational direction approximates the first one and the second one of the plurality of threaded sleeves, and wherein rotation of the at least one threaded screw in a second rotational direction separates the first one and the second one of the plurality of threaded sleeves.

20. The adapter assembly of claim 12, wherein a firing trigger is secured to the adapter assembly.