Adaptor for surgical instrument for converting rotary input to linear output

• US 9,713,466 B2
• Filed: 05/16/2014
• Issued: 07/25/2017
• Est. Priority Date: 05/16/2014
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Kostrzewski, Stanislaw
• Primary Examiner(s): LOUIS, RICHARD G
• Application Number:
  US14/279,928
• Publication Number:
  US 20150327850A1
• Time in Patent Office: 1,166 Days
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• 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 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 2017/00464 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 2017/2903 transferring rotary motion
• CPC Class Codes: A61B 2017/2915 arcuate shaped guiding means
• CPC Class Codes: A61B 2017/2916 pins in guiding slots
• CPC Class Codes: F16H 25/186 with reciprocation along the axis of oscillation
• CPC Class Codes: F16H 25/2018 with both screw and nut being driven, i.e. screw and nut are both rotating
• CPC Class Codes: Y10T 74/18312 Grooved

Abstract

An adaptor for a powered surgical instrument includes a casing, a cam drum, a first linear driver, and a second linear driver. The cam drum defines and is translatable along a longitudinal axis of the adaptor between a retracted position and an advanced position. The cam drum is being supported for rotation about the longitudinal axis. The cam drum defines first and second radial cam grooves about an outer surface thereof. The first cam groove defines a first profile and the second cam groove defines a second profile. The first linear driver includes a first cam follower disposed in the first cam groove and the second linear driver includes a second cam follower disposed in the second cam groove. The first and second linear drivers are supported for movement between advanced and retracted positions in response to rotation of the cam drum.

Claims

1. An adaptor for a powered surgical instrument, the adaptor comprising:

a casing;

a cam drum disposed within the casing and defining a longitudinal axis, the cam drum being translatable along the longitudinal axis between a retracted position and an advanced position in relation to the casing, the cam drum being supported for rotation about the longitudinal axis and defining first and second radial cam grooves about an outer surface thereof, the first cam groove defining a first profile and the second cam groove defining a second profile;

a first linear driver including a first cam follower disposed in the first cam groove, the first linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis; and

a second linear driver including a second cam follower disposed in the second cam groove, the second linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis.

2. The adaptor of claim 1, further comprising a lead screw rotatable about the longitudinal axis, the lead screw being received within a lead screw passage defined by the cam drum, wherein rotation of the lead screw effects longitudinal translation of the cam drum and the first and second linear drivers along the longitudinal axis.

3. The adaptor of claim 1, wherein the second cam groove is positioned distal to the first cam groove.

4. The adaptor of claim 1, further comprising an articulation assembly including an articulation shaft, an articulation drum, an articulation cam, and an articulation arm, the articulation shaft extending along an axis parallel to the longitudinal axis and being engaged with the articulation drum to effect rotation of the articulation drum when the articulation shaft is rotated, the articulation cam being disposed within the articulation drum, the articulation cam and the articulation drum being radially fixed relative to one another, the articulation cam defining a proximal camming surface and the articulation drum defining a distal camming surface, the articulation arm including an articulation cam follower disposed between the proximal and distal camming surfaces such that as the articulation drum and the articulation cam are rotated about the longitudinal axis, the articulation arm is longitudinally translated between a first articulated position, a straight position, and a second articulated position.

5. The adaptor of claim 4, wherein in the straight configuration of the articulation arm is about halfway between the first and second articulated positions of the articulation arm.

6. The adaptor of claim 1, wherein the first and second linear drivers define a first pair of linear drivers and as the cam drum is rotated the first and second profiles of the first and second cam grooves translate the first pair of linear drivers through a cycle, the cycle having a first phase of movement, wherein the first and second linear drivers are longitudinally advanced in relation to the casing, a second phase of movement, wherein the first linear driver is longitudinally fixed in relation to the casing and the second linear driver is longitudinally advanced in relation to the casing, a third phase of movement, wherein the first linear driver is longitudinally fixed and the second linear driver is longitudinally retracted in relation to the casing, and a fourth phase of movement, wherein the first and second linear drivers are both longitudinally fixed in relation to the casing.

7. The adaptor of claim 6, further comprising a second pair of linear drivers including:

a third linear driver including a third cam follower disposed in the first cam groove, the third linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis; and

a fourth linear driver including a fourth cam follower disposed in the second cam groove, the fourth linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis, wherein as the cam drum is rotated the first and second profiles of the first and second cam grooves translate the second pair of linear drivers through the cycle.

8. The adaptor of claim 7, wherein the third linear driver is positioned about the cam drum in opposed relation to the first linear driver and the fourth linear driver is positioned about the cam drum in opposed relation to the second linear driver.

9. The adaptor of claim 8, wherein the first, second, third, and fourth cam followers are positioned in the first or second cam grooves such that when the first pair of linear drivers begins the first phase of movement, the second pair of linear drivers is in the fourth phase of movement.

10. The adaptor of claim 8, wherein the first, second, third, and fourth cam followers are positioned in the first or second cam grooves such that when the first pair of linear drivers begins the third phase of movement, the second pair of linear drivers begins the first phase of movement.

11. An adaptor for a powered surgical instrument, the adaptor comprising:

a casing;

a cam drum defining a longitudinal axis, the cam drum being translatable along the longitudinal axis between a retracted position and an advanced position in relation to the casing, the cam drum being supported for rotation about the longitudinal axis and defining first and second radial cam grooves about an outer surface thereof, the first cam groove defining a first profile and the second cam groove defining a second profile;

a first linear driver including a first cam follower disposed in the first cam groove, the first linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis;

a second linear driver including a second cam follower disposed in the second cam groove, the second linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis; and

a cam drum gear coupled to the cam drum such that rotation of the cam drum gear effects rotation of the cam drum.

12. The adaptor of claim 11, further comprising a middle gear and a cam drum input shaft, the middle gear and the cam drum input shaft being rotatably disposed about axes which are parallel to the longitudinal axis, the cam drum input shaft being engaged with the middle gear and the middle gear being engaged with the cam drum gear such that rotation of the cam drum input shaft effects rotation of the cam drum.

13. The adaptor of claim 12, wherein the middle gear is in continuous engagement with the cam drum input shaft and the cam drum gear as the cam drum is longitudinally translated between the retracted and the advanced positions.

14. A powered surgical instrument comprising:

a handle including a receiver;

an adaptor defining a longitudinal axis and including;

a casing having proximal and distal end portions;

a handle interface disposed in the proximal end portion, the handle interface releasably coupled to the receiver of the handle;

a cam drum being translatable along the longitudinal axis between a retracted position and an advanced position in relation to the casing, the cam drum being supported for rotation about the longitudinal axis and defining first and second radial cam grooves about an outer surface thereof, the first cam groove defining a first profile and the second cam groove defining a second profile;

a first pair of linear drivers including;

a first linear driver including a first cam follower disposed in the first cam groove, the first linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis; and

a second linear driver including a second cam follower disposed in the second cam groove, the second linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis;

a second pair of linear drivers including;

a third linear driver including a third cam follower disposed in the first cam groove, the third linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis; and

a fourth linear driver including a fourth cam follower disposed in the second cam groove, the fourth linear driver being supported for movement between advanced and retracted positions in relation to the cam drum along an axis parallel to the longitudinal axis in response to rotation of the cam drum about the longitudinal axis; and

a locking mechanism positioned adjacent the distal end portion of the casing, the locking mechanism having a release switch and a lock bar operatively associated one another, the locking mechanism having a locked configuration and an unlocked configuration; and

a loading unit including a connector releasably secured within the locking mechanism of the adaptor, wherein in the locked configuration the locking mechanism prevents separation of the adaptor and the loading unit.

15. The instrument of claim 14, wherein the handle interface includes a cam drum input shaft operatively associated with the cam drum to rotate the cam drum about the longitudinal axis.

16. The instrument of claim 14, wherein the adaptor includes a distal cover and an articulation assembly disposed substantially within the distal cover, the distal cover disposed over the distal end portion, the articulation assembly including an articulation shaft, an articulation drum, an articulation cam, and an articulation arm, the articulation shaft extending along an axis parallel to the longitudinal axis and being engaged with the articulation drum to effect rotation of the articulation drum when the articulation shaft is rotated, the articulation cam disposed within the articulation drum, the articulation cam and the articulation drum being radially fixed relative to one another, the articulation cam defining a proximal camming surface and the articulation drum defining a distal camming surface, the articulation arm including an articulation cam follower disposed between the proximal and distal camming surfaces such that as the articulation drum and the articulation cam are rotated about the longitudinal axis, the articulation arm longitudinally translates between a first articulated position, a straight position, and a second articulated position.

17. The instrument of claim 16, wherein the locking mechanism includes a lock arm operatively associated with the lock bar and the articulation drum defines an articulation interlock groove, the articulation interlock groove being aligned with the lock arm to receive the lock arm when the articulation assembly is in the straight position, the articulation interlock groove being offset from the lock arm when the articulation assembly is in an articulated position to prevent the locking mechanism from transitioning to the unlocked configuration.

18. The instrument of claim 14, wherein the distal end portion of the casing defines a locking opening and a locking groove and the loading unit includes a guide lug, the locking groove receiving the guide lug to align the loading unit with the adaptor.

19. The instrument of claim 18, wherein the distal end portion of the casing defines a lug lock which is in communication with the locking groove and is radially offset from the locking groove, the loading unit being secured to the adaptor when the guide lug is captured in the lug lock.

20. The instrument of claim 19, wherein the lock bar is disposed within the locking groove, in the locked configuration of the locking mechanism, the lock bar extends past the lug lock to capture the guide lug in the lug lock and in the unlocked configuration of the locking mechanism the lock bar is retracted proximal to the lug lock allowing the guide lug to rotate out of the lug lock.