Electromechanical surgical devices with single motor drives and adapter assemblies therfor

• US 10,253,847 B2
• Filed: 12/05/2016
• Issued: 04/09/2019
• Est. Priority Date: 12/22/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Nicholas, David
• Primary Examiner(s): Ho, Ha Dinh
• Application Number:
  US15/368,869
• Publication Number:
  US 20170175852A1
• Time in Patent Office: 855 Days
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/28 Surgical forceps for holding suture needles or materials A61B17/0483; for removing or smashing calculi A61B17/221; surgical scissors A61B17/3201 ; obstetrical forceps A61B17/44; for inserting intraocular lenses A61F2/1662; hand-held gripping tools in general B25B7/00 ]
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/00393 with means for switching between functions
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: F16H 1/22 with a plurality of driving or driven shafts; with arrangements for dividing torque between two or more intermediate shafts
• CPC Class Codes: F16H 25/18 for conveying or interconverting oscillating or reciprocating motions

Abstract

The present disclosure relates to surgical systems including hand-held electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the hand-held electromechanical surgical devices. The presently described electromechanical surgical devices include single motor drives that selectively drive various output assemblies coordinated by selector motors to operate the surgical loading units.

Claims

1. An electromechanical surgical system comprising:

a handle assembly;

a drive motor supported in the handle assembly and extending to a drive gear;

a selector cam defining a recess;

a selector motor extending to a selector gear, the selector gear positioned to move the selector cam between a first position and a second position;

a first output assembly including a first output shaft and a first output gear, the first output shaft selectively coupled to the first output gear by a first engagement key, the first output gear rotatable with the drive gear of the drive motor, the first engagement key positionable within the recess of the selector cam while the selector cam is in the first position to engage the first output gear with the first output shaft, the first output shaft rotatable with the first output gear in response to rotation of the drive gear of the drive motor while the first output gear is coupled to the first output shaft, the first output gear being rotatable relative to the first output shaft while the selector cam is in the second position; and

a second output assembly including a second output shaft and a second output gear, the second output shaft selectively coupled to the second output gear by a second engagement key, the second output gear engaged with the first output gear of the first output assembly, the second engagement key positionable within the recess of the selector cam while the selector cam is in the second position to engage the second output gear with the second output shaft, the second output shaft rotatable with the second output gear in response to rotation of the drive gear of the drive motor while the second output gear is coupled to the second output shaft, the second output gear being rotatable relative to the second output shaft while the selector cam is in the first position.

2. The electromechanical surgical system of claim 1, wherein the first engagement key and the first output shaft are coupled by a first spring, the first spring positioned to bias the first engagement key toward the selector cam.

3. The electromechanical surgical system of claim 2, wherein the selector cam includes a compression surface adjacent to the recess of the selector cam, the compression surface positioned to urge the first engagement key toward the first output shaft and exert compression forces on the first spring while the first engagement key is in contact with the compression surface of the selector cam.

4. The electromechanical surgical system of claim 1, wherein the first engagement key includes a flange extending therefrom and the first output gear includes inner teeth, wherein the flange of the first engagement key is slidable through a slot defined in the first output shaft between a disengaged position and an engaged position to selectively engage the first output gear with the first output shaft, and wherein in the engaged position, the flange of the first engagement key is engaged with the inner teeth of the first output gear and the slot of the first output shaft so that the first output shaft rotates with the first output shaft.

5. The electromechanical surgical system of claim 4, wherein in the disengaged position, the flange of the first engagement key is engaged with the slot of the first output shaft and spaced from the first output gear such that the first output gear rotates relative to the first output shaft.

6. The electromechanical surgical system of claim 1, wherein the recess of the selector cam includes tapered sidewalls and the first engagement key includes a rounded tip, and wherein the rounded tip is configured to cam along the tapered sidewalls of the recess as the selector cam moves between the first and second positions.

7. The electromechanical surgical system of claim 1, wherein the second engagement key and the second output shaft are coupled by a second spring, the second spring positioned to bias the second engagement key toward the selector cam.

8. The electromechanical surgical system of claim 7, wherein the selector cam includes a compression surface adjacent to the recess of the selector cam, the compression surface positioned to urge the second engagement key toward the second output shaft and exert compression forces on the second spring while the second engagement key is in contact with the compression surface of the selector cam.

9. The electromechanical surgical system of claim 1, wherein the second engagement key includes a flange extending therefrom and the second output gear includes inner teeth, wherein the flange of the second engagement key is slidable through a slot defined in the second output shaft between a disengaged position and an engaged position to selectively engage the second output gear with the second output shaft, and wherein in the engaged position, the flange of the second engagement key is engaged with the inner teeth of the second output gear and the slot of the second output shaft so that the second output shaft rotates with the second output shaft.

10. The electromechanical surgical system of claim 9, wherein in the disengaged position, the flange of the second engagement key is engaged with the slot of the second output shaft and spaced from the second output gear such that the second output gear rotates relative to the second output shaft.

11. The electromechanical surgical system of claim 1, wherein the recess includes tapered sidewalls and the second engagement key includes a rounded tip, and wherein the rounded tip is configured to cam along the tapered sidewalls of the recess of the selector cam as the selector cam moves between the first and second positions.

12. The electromechanical surgical system of claim 1, further including a third output assembly including a third output shaft and a third output gear, the third output shaft selectively coupled to the third output gear by a third engagement key, the third output gear engaged with the first output gear of the first output assembly, the third engagement key positionable within the recess of the selector cam while the selector cam is in a third position to engage the third output gear with the third output shaft, the third output shaft rotatable with the third output gear in response to rotation of the drive gear of the drive motor while the third output gear is engaged with the third output shaft, the third output gear being rotatable relative to the third output shaft while the selector cam in is in the first and second positions.

13. The electromechanical surgical system of claim 12, wherein the third engagement key and the third output shaft are coupled by a third spring, the third spring positioned to bias the third engagement key toward the selector cam.

14. The electromechanical surgical system of claim 13, wherein the selector cam includes a compression surface adjacent to the recess of the selector cam, the compression surface positioned to urge the third engagement key toward the third output shaft and exert compression forces on the third spring while the third engagement key is in contact with the compression surface of the selector cam.

15. The electromechanical surgical system of claim 12, wherein the third engagement key includes a flange extending therefrom and the third output gear includes inner teeth, wherein the flange of the third engagement key is slidable through a slot defined in the third output shaft between a disengaged position and an engaged position to selectively engage the third output gear with the third output shaft, and wherein in the engaged position, the flange of the third engagement key is engaged with the inner teeth of the third output gear and the slot of the third output shaft such that the third output gear and the third output shaft move together.

16. The electromechanical surgical system of claim 15, wherein in the disengaged position, the flange of the third engagement key is engaged with the slot of the third output shaft and spaced from the third output gear so that the third output gear rotates relative to the third output shaft.

17. An electromechanical surgical system, comprising:

an adapter assembly having proximal and distal ends;

a loading unit removably coupled to the distal end of the adapter assembly;

a handle assembly coupled to the proximal end of the adapter assembly, the handle assembly including;

a drive motor;

a drive gear coupled to the drive motor;

a selector cam defining a recess;

a selector motor extending to a selector gear, the selector gear positioned to move the selector cam between a first position and a second position;

a first output assembly including a first output shaft and a first output gear, the first output gear rotatable with the drive gear of the drive motor, the first output shaft rotatable with the first output gear while the selector cam is in the first position; and

a second output assembly including a second output shaft and a second output gear, the second output gear engaged with the first output gear of the first output assembly, the second output shaft rotatable with the second output gear while the selector cam is in the second position.

18. The electromechanical surgical system of claim 17, wherein at least one of the first and second output shafts is selectively coupled to a respective one of the first and second output gears by an engagement key.

19. The electromechanical surgical system of claim 17, wherein the adapter assembly is removably coupled to the handle assembly by at least one of:

a spring loaded button or a spring loaded ejector pin.

20. An electromechanical surgical system, comprising:

an adapter assembly having proximal and distal ends, the proximal end including first and second input couplers;

a loading unit removably coupled to the distal end of the adapter assembly and operably coupled to the first and second input couplers of the adapter assembly; and

a handle assembly coupled to the proximal end of the adapter assembly, the handle assembly including;

a drive motor;

a drive gear coupled to the drive motor;

a selector cam defining a recess;

a selector motor extending to a selector gear, the selector gear positioned to move the selector cam between a first position and a second position;

a first output gear rotatable with the drive gear of the drive motor;

a first output shaft rotatable with the first output gear and coupled to the first input coupler of the adapter assembly to drive the first input coupler while the selector cam is in the first position;

a second output gear engaged with the first output gear; and

a second output shaft rotatable with the second output gear and coupled to the second input coupler of the adapter assembly to drive the second input coupler while the selector cam is in the second position.