Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use

• US 8,968,276 B2
• Filed: 12/20/2011
• Issued: 03/03/2015
• Est. Priority Date: 09/21/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Zemlok, Michael, Ross, Adam J., Beardsley, John W., Bryant, Teddy R.
• Primary Examiner(s): ROANE, AARON F
• Application Number:
  US13/331,047
• Publication Number:
  US 20120089131A1
• Time in Patent Office: 1,169 Days
• Field of Search: 606 1- 52
• 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 17/07207 the staples being applied sequentially
• 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
• 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 2017/00486 Adaptors for coupling parts with incompatible geometries
• 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 2017/2927 the angular position of the head being adjustable with respect to the shaft
• 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 2090/031 torque limiting
• 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 electromechanical surgical system, comprising:

a hand-held surgical device, including;

a device housing defining a connecting portion;

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

a battery disposed within the device housing for powering the at least one drive motor; and

a circuit board disposed within the device housing for controlling power delivered from the battery to 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 surgical device, the adapter assembly including;

an adapter housing configured and adapted for selective connection to the connecting portion of the surgical device and to be in operative communication with the first drive shaft of the surgical device;

an outer tube having a proximal end supported by the adapter housing and a distal end configured and adapted for connection with the end effector, wherein the distal end of the outer tube is in operative communication with each of the at least one axially translatable drive member of the end effector; and

a first drive converter assembly including;

a first distal drive shaft rotatably supported in the adapter housing, wherein a proximal end of the first distal drive shaft is connectable to the first drive shaft of the surgical device;

a drive coupling nut threadably connected to a threaded distal portion of the first distal drive shaft, wherein the drive coupling nut is keyed against rotation within the adapter housing; and

a drive tube having proximal end connected to the drive coupling nut and the distal end configured for selective engagement with the at least one axially translatable drive member of the end effector;

wherein rotation of the first drive shaft of the surgical device results in rotation of the first distal drive shaft, and wherein rotation of the first distal drive shaft results in axial translation of the drive coupling nut, the drive tube and the at least on axially translatable drive member of the end effector.

2. The electromechanical surgical system according to claim 1, wherein the first drive converter assembly further includes:

a spur gear keyed to the proximal end of the first distal drive shaft;

a proximal rotatable drive shaft having a spur gear supported on a distal end thereof and a proximal end connectable to the first drive shaft of the surgical device; and

a compound gear interengaging the spur gear keyed to the proximal end of the first distal drive shaft and the spur gear supported on the distal end of the proximal rotatable drive shaft.

3. The electromechanical surgical system according to claim 2, further comprising a connector sleeve interconnecting the first drive shaft of the surgical device with the proximal rotatable drive shaft of the adapter assembly.

4. The electromechanical surgical system according to claim 1, wherein translation of the at least one axially translatable drive member of the end effector results in a closing of the end effector and a firing of the end effector.

5. The electromechanical surgical system according to claim 1, wherein the end effector is configured for endoscopic insertion into a target surgical site.

6. The electromechanical surgical system according to claim 1, wherein the outer tube of the adapter assembly is configured for endoscopic insertion into a target surgical site.

7. The electromechanical surgical system according to claim 6, wherein the outer tube of the adapter assembly has an outer dimension of approximately 12 mm.

8. The electromechanical surgical system according to claim 1, wherein the adapter assembly includes a second drive converter assembly including:

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

a coupling cuff rotatably and translatably supported in the adapter housing, the coupling cuff defining an inner annular race;

a coupling slider rotatably disposed within the annular race of the coupling cuff, the coupling slider being threadably connected to a threaded distal portion of the second proximal drive shaft; and

a drive bar having a proximal end connected to the coupling cuff and a distal end configured for selective engagement with another axially translatable drive member of the end effector;

wherein rotation of the second drive shaft of the surgical device results in rotation of the second proximal drive shaft, and wherein rotation of the second proximal drive shaft results in axial translation of the coupling slider, the coupling cuff, the drive bar and the another axially translatable drive member of the end effector.

9. The electromechanical surgical system according to claim 8, wherein the first distal drive shaft extends through the coupling cuff such that the coupling cuff is rotatable about the first distal drive shaft.

10. The electromechanical surgical system according to claim 8, further comprising a connector sleeve interconnecting the second drive shaft of the surgical device with the second proximal drive shaft of the adapter assembly.

11. The electromechanical surgical system according to claim 8, wherein translation of the another axially translatable drive member of the end effector results in an articulation of the end effector relative to the adapter assembly.

12. The electromechanical surgical system according to claim 8, wherein the adapter assembly further comprises a drive transmitting assembly including:

a third proximal rotatable drive shaft rotatably supported in the adapter housing and having a spur gear supported on a distal end thereof and a proximal end connectable to a third drive shaft of the surgical device;

a ring gear rotatably supported in the adapter housing, the ring gear defining an internal array of gear teeth which are engaged with the spur gear of the third proximal rotatable drive shaft;

a rotation housing rotatably supported in the adapter housing and being keyed to the ring gear; and

at least one rotation transmitting bar having a proximal end connected to the rotation housing and a distal end connected to a distal coupling assembly, wherein the distal coupling assembly is configured to selectively connect with the end effector;

wherein rotation of the third drive shaft of the surgical device results in rotation of the third proximal rotatable drive shaft, and wherein rotation of the third proximal rotatable drive shaft results in rotation of the ring gear, the rotation housing, the at least one rotation transmitting bar and the distal coupling assembly to rotate the end effector relative to the adapter assembly and about a longitudinal axis defined by the adapter assembly.

13. The electromechanical surgical system according to claim 12, further comprising a connector sleeve interconnecting the third drive shaft of the surgical device with the third proximal rotatable drive shaft of the adapter assembly.

14. The electromechanical surgical system according to claim 12, wherein the outer tube of the adapter assembly is configured for endoscopic insertion into a target surgical site.

15. The electromechanical surgical system according to claim 14, wherein the adapter housing is inhibited from insertion into the target surgical site.

16. The electromechanical surgical system according to claim 15, wherein at least one of the first drive converter assembly, the second drive converter assembly and the drive transmitting assembly is disposed in the adapter housing.

17. The electromechanical surgical system according to claim 16, wherein the outer tube of the adapter assembly has an outer dimension of approximately 12 mm.

18. The electromechanical surgical system according to claim 12, wherein the end effector and the outer tube of the adapter assembly define an endoscopic portion that is configured for endoscopic insertion into a target surgical site.

19. The electromechanical surgical system according to claim 18, wherein each of the first drive converter assembly, the second drive converter assembly and the drive transmitting assembly is disposed outside of the endoscopic portion.