HAND HELD SURGICAL HANDLE ASSEMBLY, SURGICAL ADAPTERS FOR USE BETWEEN SURGICAL HANDLE ASSEMBLY AND SURGICAL END EFFECTORS, AND METHODS OF USE

• US 20120253329A1
• Filed: 05/31/2012
• Published: 10/04/2012
• Est. Priority Date: 09/21/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Zemlok, Michael, Williams, Ryan, Marczyk, Stanislaw, Patel, Nihir, Chowaniec, David
• Granted Patent: US 9,055,943 B2
• Time in Patent Office: Days
• US Class Current: 606/1
• 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 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/285 combined with cutting implements
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00371 Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
• 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 for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/2901 Details of shaft
• CPC Class Codes: A61B 2017/2903 transferring rotary motion
• CPC Class Codes: A61B 2017/2948 Sealing means, e.g. for sealing the interior from fluid entry
• CPC Class Codes: A61B 90/70 Cleaning devices specially adapted for surgical instruments

Abstract

Adapter assemblies are provided for selectively interconnecting a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector, wherein the end effector includes a first axially translatable drive member and a second axially translatable drive member, and wherein the surgical device includes a first rotatable drive shaft and a second rotatable drive shaft.

Claims

1. An adapter assembly for selectively interconnecting a surgical end effector that is configured to perform a function and a surgical device that is configured to actuate the end effector, the end effector including at least one axially translatable drive member, and the surgical device including at least one rotatable drive shaft, the adapter assembly comprising:

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

an inner housing tube having a proximal end supported by the housing, the inner housing tube defining an internal cavity and at least one aperture opening into the cavity, wherein the at least one aperture provides an egress for fluid entering the cavity during at least one of a use and a cleaning of the adapter assembly; and

at least one drive converter assembly for interconnecting a respective one of the at least one rotatable drive shaft of the surgical device and one of the at least one axially translatable drive member of the end effector, wherein the at least one drive converter assembly is at least partially disposed within the cavity of the inner housing tube, the at least one drive converter assembly including;

a first end that is connectable to a first rotatable drive shaft of the surgical device; and

a second end that is connectable to a first axially translatable drive member of the end effector, wherein the at least one drive converter assembly converts and transmits a rotation of the first rotatable drive shaft of the surgical device to an axial translation of the first axially translatable drive member of the end effector.

2. The adapter assembly according to claim 1, wherein the at least one aperture formed in the inner housing tube includes a plurality of apertures disposed along one side of the inner housing tube and extending along a length thereof.

3. The adapter assembly according to claim 2, wherein the plurality of apertures formed in the inner housing tube extend substantially in a longitudinal direction.

4. The adapter assembly according to claim 3, wherein the plurality of apertures formed in the inner housing tube include apertures disposed on opposed sides of the inner housing tube.

5. An adapter assembly for selectively interconnecting a surgical end effector that is configured to perform a function and a surgical device that is configured to actuate the end effector, the end effector including at least one axially translatable drive member, and the surgical device including at least one rotatable drive shaft, the adapter assembly comprising:

a housing configured and adapted for connection-with the surgical device and to be in operative communication with each of the at least one rotatable drive shaft of the surgical device;

an inner housing tube having a proximal end supported by the housing, the inner housing tube defining an internal cavity and at least one aperture opening into the cavity;

a distal coupling assembly disposed at a distal end of the inner housing tube, wherein the distal coupling assembly is configured to selectively connect with the end effector;

at least one drive converter assembly for interconnecting a respective one of the at least one rotatable drive shaft of the surgical device and one of the at least one axially translatable drive member of the end effector, wherein the at least one drive converter assembly is at least partially disposed within the cavity of the inner housing tube, the at least one drive converter assembly including;

a first end that is connectable to a first rotatable drive shaft of the surgical device; and

a second end that is connectable to a first axially translatable drive member of the end effector, wherein the at least one drive converter assembly converts and transmits a rotation of the first rotatable drive shaft of the surgical device to an axial translation of the first axially translatable drive member of the end effector; and

a plurality of seals disposed between the inner housing tube and the at least one drive converter assembly so as to prevent ingress of fluid into the cavity of the inner housing tube.

6. The adapter assembly according to claim 5, wherein the plurality of seals includes a first seal interposed between the distal coupling assembly and a drive tube of the at least one drive converter assembly.

7. The adapter assembly according to claim 6, wherein the first seal is a bi-directional seal.

8. The adapter assembly according to claim 7, wherein the bi-direction seal is an X-ring gasket.

9. The adapter assembly according to claim 6, wherein the plurality of seals includes a second seal interposed between the distal coupling assembly and the inner housing tube.

10. The adapter assembly according to claim 9, wherein the second seal is a compression sleeve.

11. The adapter assembly according to claim 9, wherein the plurality of seals includes a third seal recessed within a proximal bushing of the adapter assembly.

12. The adapter assembly according to claim 11, wherein the third seal is one of an O-ring gasket and an X-ring gasket.

13. The adapter assembly according to claim 11, wherein the plurality of seals includes a fourth seal recessed within an inner diameter of the proximal bushing of adapter assembly to ride on an outer diameter of a first distal drive shaft of the at least one drive converter assembly.

14. The adapter assembly according to claim 13, wherein the fourth seal is one of an O-ring gasket and an X-ring gasket.

15. An adapter assembly for selectively interconnecting a surgical end effector that is configured to perform a function and a surgical device that is configured to actuate the end effector, the end effector including at least one axially translatable drive member, and the surgical device including at least one rotatable drive shaft, the adapter assembly comprising:

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

an inner housing tube having a proximal end supported by the housing, the inner housing tube defining an internal cavity and at least one heat dissipation feature provided on an exterior surface of inner housing tube; and

at least one drive converter assembly for interconnecting a respective one of the at least one rotatable drive shaft of the surgical device and one of the at least one axially translatable drive member of the end effector, wherein the at least one drive converter assembly is at least partially disposed within the cavity of the inner housing tube, the at least one drive converter assembly including;

a first end that is connectable to a first rotatable drive shaft of the surgical device; and

a second end that is connectable to a first axially translatable drive member of the end effector, wherein the at least one drive converter assembly converts and transmits a rotation of the first rotatable drive shaft of the surgical device to an axial translation of the first axially translatable drive member of the end effector.

16. The adapter assembly according to claim 15, wherein the at least one heat dissipation feature includes at least one groove formed in the outer surface of the inner housing tube.

17. The adapter assembly according to claim 16, wherein the at least one groove includes a plurality of grooves defining a plurality of ridges on the outer surface of the inner housing tube.

18. The adapter assembly according to claim 17, wherein the plurality of grooves extend annularly about the outer surface of the inner housing tube.

19. The adapter assembly according to claim 17, wherein the plurality of grooves extend longitudinally along the outer surface of the inner housing tube.

20. The adapter assembly according to claim 15, wherein the inner housing tube includes at least one port hole permitting drainage therefrom.