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

• US 20130324978A1
• Filed: 05/02/2013
• Published: 12/05/2013
• Est. Priority Date: 06/01/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Nicholas, David, Beardsley, John, Pribanic, Russell, Zemlok, Michael
• Granted Patent: US 9,597,104 B2
• Time in Patent Office: Days
• US Class Current: 606/1
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• 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 2017/00473 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 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/00831 Material properties
• CPC Class Codes: A61B 2017/00902 transparent or translucent
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2948 Sealing means, e.g. for sealing the interior from fluid entry
• CPC Class Codes: A61B 2560/0214 of power generation or supply
• CPC Class Codes: A61B 90/90 Identification means for patients or instruments, e.g. tags
• CPC Class Codes: F16H 2025/2043 Screw mechanisms driving an oscillating lever, e.g. lever with perpendicular pivoting axis
• CPC Class Codes: F16H 25/20 Screw mechanisms with automatic reversal F16H25/12

Abstract

The present disclosure relates to a surgical device including an adapter assembly for selectively interconnecting an end effector and the device housing. The adapter assembly includes at least one drive converter assembly that converts and transmits a rotation of the rotatable drive shaft to an axial translation of at least one axially translatable drive member of the end effector. A first drive converter assembly includes a first drive element, a nut, an articulation sleeve, an articulation bearing, and an articulation link. Rotation of the rotatable drive shaft results in rotation of the first drive element. Rotation of the first drive element results in axial translation of the nut, the articulation sleeve, the articulation bearing, the articulation link, and the at least one axially translatable drive member of the end effector.

Claims

1. A surgical device, comprising:

a device housing defining a connecting portion for selectively connecting with an adapter assembly;

at least one drive motor supported in the device housing and being configured to rotate at least one drive shaft;

a battery disposed in electrical communication with the at least one drive motor; and

a circuit board disposed within the housing for controlling power delivered from the battery to the at least one drive motor;

an end effector configured to perform at least one function, the end effector including at least one axially translatable drive member; and

an adapter assembly for selectively interconnecting the end effector and the device housing, the adapter assembly including;

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

at least one drive converter assembly for interconnecting a respective one of the at least one rotatable drive shaft and one of the at least one axially translatable drive member of the end effector, wherein the at least one drive converter assembly converts and transmits a rotation of the rotatable drive shaft to an axial translation of the at least one axially translatable drive member of the end effector, wherein the at least one drive converter assembly includes a first drive converter assembly including;

a first drive element rotatably supported in the knob housing, wherein a proximal end of the first drive element is engagable with the rotatable drive shaft;

a nut threadably connected to a threaded distal portion of the first drive element;

an articulation sleeve, a proximal portion of the articulation sleeve disposed in mechanical cooperation with the nut;

an articulation bearing disposed in mechanical cooperation with a distal portion of the articulation sleeve; and

an articulation link, a proximal portion of the articulation link being disposed in mechanical cooperation with the articulation bearing, a distal portion of the articulation link configured for selective engagement with the at least one axially translatable drive member of the end effector;

wherein rotation of the rotatable drive shaft results in rotation of the first drive element, and wherein rotation of the first drive element results in axial translation of the nut, the articulation sleeve, the articulation bearing, the articulation link, and the at least one axially translatable drive member of the end effector.

2. The surgical device of claim 1, wherein the articulation bearing is configured for axial and rotatable movement with respect to the knob housing.

3. The surgical device of claim 1, wherein the distal portion of the articulation sleeve is disposed in mechanically cooperation with a radially inner portion of the articulation bearing.

4. The surgical device of claim 3, wherein the proximal portion of the articulation link is disposed in mechanical cooperation with a radially outer portion of the articulation bearing.

5. The surgical device of claim 1, further comprising a second drive converter assembly including:

a second drive element rotatably supported in the knob housing, wherein a proximal end of the second drive element is connectable to a second rotatable drive shaft of the surgical device;

a first gear disposed in mechanical cooperation with a distal portion of the second drive element;

a second gear disposed in mechanical cooperation with the first gear; and

a gear ring disposed in mechanical cooperation with the second gear and being disposed in mechanical cooperation with the end effector, the gear ring being fixed from rotation with respect to the knob housing;

wherein rotation of the second rotatable drive shaft causes rotation of the first gear, rotation of the first gear causes rotation of the second gear, rotation of the second gear causes rotation of the gear ring, and rotation of the gear ring causes rotation of the end effector.

6. The surgical device of claim 5, wherein the knob housing includes a drive coupling housing, the drive coupling housing being rotatable with respect to the remainder of the knob housing.

7. The surgical device of claim 6, further including a rotation bearing, wherein the drive coupling housing is rotationally fixed to the rotation bearing, and wherein the knob housing is rotatable with respect to the rotation bearing.

8. The surgical device of claim 5, wherein the gear ring includes a plurality of teeth disposed around an inner periphery thereof.

9. The surgical device of claim 1, wherein a distal portion of the articulation link includes a slot therein configured to releasably accept a portion of the at least one axially translatable drive member of the end effector.

10. The surgical device of claim 9, wherein the slot includes a tapered opening.

11. An adapter assembly for selectively interconnecting a surgical end effector and a handle assembly having at least one rotatable drive shaft, the adapter assembly comprising:

a knob housing configured and adapted for selective connection to a handle assembly, the knob housing including a drive coupling housing;

at least one drive converter assembly for interconnecting a respective one of the at least one rotatable drive shaft and a portion of a surgical end effector, wherein the at least one drive converter assembly converts and transmits a rotation of the rotatable drive shaft to an axial translation of the at least one axially translatable drive member of the end effector, wherein the at least one drive converter assembly includes a first drive converter assembly including;

a drive element rotatably supported in the adapter housing;

a first gear disposed in mechanical cooperation with a distal portion of the drive element;

a second gear disposed in mechanical cooperation with the first gear;

a gear ring disposed in mechanical cooperation with the second gear and disposed in mechanical cooperation with an end effector-engaging portion of the adapter assembly, the gear ring being fixed from rotation with respect to the adapter housing; and

a rotation bearing, wherein the drive coupling housing is rotationally fixed to the rotation bearing, and wherein the knob housing is rotatable with respect to the rotation bearing;

wherein rotation of the drive element causes rotation of the first gear, rotation of the first gear causes rotation of the second gear, rotation of the second gear causes rotation of the gear ring, and rotation of the gear ring causes rotation of the end effector-engaging portion of the adapter assembly.

12. The adapter assembly of claim 11, wherein the gear ring includes a plurality of teeth disposed around an inner periphery thereof.

13. The adapter assembly of claim 11, wherein the drive coupling housing is rotatable with respect to the remainder of the knob housing.

14. The adapter assembly of claim 11, further comprising a second drive converter assembly comprising:

a second drive element rotatably supported in the knob housing;

a nut threadably connected to a threaded distal portion of the second drive element;

an articulation sleeve, a proximal portion of the articulation sleeve disposed in mechanical cooperation with the nut;

an articulation bearing disposed in mechanical cooperation with a distal portion of the articulation sleeve; and

an articulation link, a proximal portion of the articulation link being disposed in mechanical cooperation with the articulation bearing, a distal portion of the articulation link configured for selective engagement with a portion of an end effector;

wherein rotation of the second drive element results in axial translation of the nut, the articulation sleeve, the articulation bearing and the articulation link.

15. The adapter assembly of claim 14, wherein the articulation bearing is configured for axial and rotatable movement with respect to the knob housing.

16. The adapter assembly of claim 14, wherein the distal portion of the articulation sleeve is disposed in mechanically cooperation with a radially inner portion of the articulation bearing.

17. The adapter assembly of claim 16, wherein the proximal portion of the articulation link is disposed in mechanical cooperation with a radially outer portion of the articulation bearing.