Intelligent adapter assembly for use with an electromechanical surgical system
11786229 · 2023-10-17
Assignee
Inventors
Cpc classification
A61B2017/0046
HUMAN NECESSITIES
A61B2090/0804
HUMAN NECESSITIES
A61B17/115
HUMAN NECESSITIES
A61B17/072
HUMAN NECESSITIES
A61B2090/0803
HUMAN NECESSITIES
International classification
A61B17/072
HUMAN NECESSITIES
A61B17/115
HUMAN NECESSITIES
Abstract
An adapter assembly is provided and includes a housing for connection with a surgical device and for operative communication with at least one rotatable drive shaft of the surgical device; an outer tube having a proximal end supported by the housing and a distal end for connection with a selected end effector, wherein the distal end of the outer tube is in operative communication with each of the at least one force receiving drive member of the end effector; at least one drive transmitting/converting 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 force receiving drive member of the end effector; and a circuit board supported in the housing and storing at least one of operating parameters and life cycle information which are unique to the adapter assembly.
Claims
1. An electromechanical surgical system comprising: an end effector configured to perform a plurality of functions; a surgical device including a plurality of drive connectors; and an adapter assembly configured to couple to the surgical device and the end effector, the adapter assembly including: a plurality of drive shafts interconnecting the plurality of drive connectors and the end effector, such that actuation of one drive connector of the plurality of drive connectors actuates the end effector to perform a corresponding function of the plurality of functions; and a memory storing a specific designated function of the plurality of functions for each drive shaft of the plurality of drive shafts.
2. The electromechanical surgical system according to claim 1, wherein the memory further stores at least one operating parameter pertaining to the adapter assembly.
3. The electromechanical surgical system according to claim 2, wherein the at least one operating parameter is at least one of dimensions of the adapter assembly, or a maximum force that can be delivered from the surgical device to the adapter assembly.
4. The electromechanical surgical system according to claim 1, wherein the memory further stores identification information relating to the adapter assembly.
5. The electromechanical surgical system according to claim 4, wherein the identification information includes at least a model number and a serial number.
6. The electromechanical surgical system according to claim 1, wherein the memory further stores life-cycle information pertaining to the adapter assembly.
7. The electromechanical surgical system according to claim 6, wherein the life cycle information includes at least one of: a number of revolutions experienced by each drive shaft of the plurality of drive shafts; a number of cleaning cycles of the adapter assembly; an assembly date of the adapter assembly; or a repair or maintenance date of the adapter assembly.
8. The electromechanical surgical system according to claim 1, wherein the adapter assembly further includes at least one electrical contact configured to interface with the surgical device.
9. The electromechanical surgical system according to claim 1, wherein the adapter assembly is releasably connectable to the surgical device and the end effector.
10. An electromechanical surgical system comprising: an end effector configured to perform a plurality of functions including rotation of the end effector about a longitudinal axis, articulation of the end effector about an axis transverse to the longitudinal axis, and closing of the end effector; a surgical device including a plurality of drive connectors; and an adapter assembly configured to couple to the surgical device and the end effector, the adapter assembly including: a plurality of drive shafts interconnecting the plurality of drive connectors and the end effector, each of the drive shafts configured to convert rotational motion into linear motion, such that actuation of one drive connector of the plurality of drive connectors actuates the end effector to perform a corresponding function of the plurality of functions; and a memory storing a specific designated function of the plurality of functions for each drive shaft of the plurality of drive shafts.
11. The electromechanical surgical system according to claim 10, wherein the memory further stores at least one operating parameter pertaining to the adapter assembly.
12. The electromechanical surgical system according to claim 11, wherein the at least one operating parameter is at least one of dimensions of the adapter assembly, or a maximum force that can be delivered from the surgical device to the adapter assembly.
13. The electromechanical surgical system according to claim 12, wherein the memory further stores identification information relating to the adapter assembly.
14. The electromechanical surgical system according to claim 13, wherein the identification information includes at least a model number and a serial number.
15. The electromechanical surgical system according to claim 10, wherein the memory further stores life-cycle information pertaining to the adapter assembly.
16. The electromechanical surgical system according to claim 15, wherein the life cycle information includes at least one of: a number of revolutions experienced by each drive shaft of the plurality of drive shafts; a number of cleaning cycles of the adapter assembly; an assembly date of the adapter assembly; or a repair or maintenance date of the adapter assembly.
17. The electromechanical surgical system according to claim 10, wherein the adapter assembly further includes at least one electrical contact configured to interface with the surgical device.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) Embodiments of the present disclosure are described herein with reference to the accompanying drawings, wherein:
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DETAILED DESCRIPTION OF EMBODIMENTS
(17) Embodiments of the presently disclosed surgical devices, and adapter assemblies for electromechanical surgical devices and/or handle assemblies are described in detail with reference to the drawings, in which like reference numerals designate identical or corresponding elements in each of the several views. As used herein the term “distal” refers to that portion of the adapter assembly or surgical device, or component thereof, farther from the user, while the term “proximal” refers to that portion of the adapter assembly or surgical device, or component thereof, closer to the user.
(18) A surgical device, in accordance with an embodiment of the present disclosure, is generally designated as 100, and is in the form of a powered, hand-held, electromechanical instrument configured for selective attachment thereto of a plurality of different end effectors that are each configured for actuation and manipulation by the powered, hand-held, electromechanical surgical instrument.
(19) As illustrated in
(20) As illustrated in
(21) Distal and proximal half-sections 110a, 110b are divided along a plane that traverses a longitudinal axis “X” of upper housing portion 108, as seen in
(22) Handle housing 102 includes a gasket 112 extending completely around a rim of distal half-section and/or proximal half-section 110a, 110b and being interposed between distal half-section 110a and proximal half-section 110b. Gasket 112 seals the perimeter of distal half-section 110a and proximal half-section 110b. Gasket 112 functions to establish an air-tight seal between distal half-section 110a and proximal half-section 110b such that circuit board 150 and drive mechanism 160 are protected from sterilization and/or cleaning procedures.
(23) In this manner, the cavity 102a of handle housing 102 is sealed along the perimeter of distal half-section 110a and proximal half-section 110b yet is configured to enable easier, more efficient assembly of circuit board 150 and a drive mechanism 160 in handle housing 102.
(24) Intermediate housing portion 106 of handle housing 102 provides a housing in which circuit board 150 is situated. Circuit board 150 is configured to control the various operations of surgical device 100, as will be set forth in additional detail below.
(25) Lower housing portion 104 of surgical device 100 defines an aperture (not shown) formed in an upper surface thereof and which is located beneath or within intermediate housing portion 106. The aperture of lower housing portion 104 provides a passage through which wires 152 pass to electrically interconnect electrical components (a battery 156, as illustrated in
(26) Handle housing 102 includes a gasket 103 disposed within the aperture of lower housing portion 104 (not shown) thereby plugging or sealing the aperture of lower housing portion 104 while allowing wires 152 to pass therethrough. Gasket 103 functions to establish an air-tight seal between lower housing portion 106 and intermediate housing portion 108 such that circuit board 150 and drive mechanism 160 are protected from sterilization and/or cleaning procedures.
(27) As shown, lower housing portion 104 of handle housing 102 provides a housing in which a rechargeable battery 156, is removably situated. Battery 156 is configured to supply power to any of the electrical components of surgical device 100. Lower housing portion 104 defines a cavity (not shown) into which battery 156 is inserted. Lower housing portion 104 includes a door 105 pivotally connected thereto for closing cavity of lower housing portion 104 and retaining battery 156 therein. While a battery 156 is shown, it is contemplated that the surgical device may be powered by any number of power sources, such as, for example, a fuel cell, a power cord connected to an external power source, etc.
(28) With reference to
(29) Upper housing portion 108 of handle housing 102 provides a housing in which drive mechanism 160 is situated. As illustrated in
(30) The drive mechanism 160 includes a selector gearbox assembly 162 that is located immediately proximal relative to adapter assembly 200. Proximal to the selector gearbox assembly 162 is a function selection module 163 having a first motor 164 that functions to selectively move gear elements within the selector gearbox assembly 162 into engagement with an input drive component 165 having a second motor 166.
(31) As illustrated in
(32) As illustrated in
(33) When a selected adapter assembly 200 is mated to surgical device 100, at least one of the rotatable drive connectors 118, 120, 122 of surgical device 100 couples with a corresponding rotatable connector sleeve, such as, for example connector sleeves 218, 220, 222 of adapter assembly 200 (see
(34) The mating of drive connectors 118, 120, 122 of surgical device 100 with connector sleeves 218, 220, 222 of adapter assembly 200 allows rotational forces to be independently transmitted via each of the three respective connector interfaces. The drive connectors 118, 120, 122 of surgical device 100 are configured to be independently rotated by drive mechanism 160. In this regard, the function selection module 163 of drive mechanism 160 selects which drive connector or connectors 118, 120, 122 of surgical device 100 is to be driven by the input drive component 165 of drive mechanism 160.
(35) Since each of drive connectors 118, 120, 122 of surgical device 100 has a keyed and/or substantially non-rotatable interface with respective connector sleeves 218, 220, 222 of adapter assembly 200, when adapter assembly 200 is coupled to surgical device 100, rotational force(s) are selectively transferred from drive mechanism 160 of surgical device 100 to adapter assembly 200.
(36) The selective rotation of drive connector(s) 118, 120 and/or 122 of surgical device 100 allows surgical device 100 to selectively actuate different functions of end effector 300. As will be discussed in greater detail below, selective and independent rotation of first drive connector 118 of surgical device 100 corresponds to the selective and independent opening and closing of tool assembly 304 of end effector 300, and driving of a stapling/cutting component of tool assembly 304 of end effector 300. Also, the selective and independent rotation of second drive connector 120 of surgical device 100 corresponds to the selective and independent articulation of tool assembly 304 of end effector 300 transverse to longitudinal axis “X” (see
(37) As mentioned above and as illustrated in
(38) As illustrated in
(39) Each one of the control buttons 124, 126 and rocker devices 128, 130 and safety switch 132 includes a respective magnet (not shown) that is moved by the actuation of an operator. In addition, circuit board 150 includes, for each one of the control buttons 124, 126 and rocker devices 128, 130, and for the safety switch 132, respective Hall-effect switches 150a-150g that are actuated by the movement of the magnets in the control buttons 124, 126 and rocker devices 128, 130, and safety switch 132.
(40) In particular, located immediately proximal to the control button 124 is a first Hall-effect switch 150c (see
(41) Also, located immediately proximal to rocker device 128 is a second and a third Hall-effect switch 150b, 150d (see
(42) Furthermore, located immediately proximal to control button 126 is a fourth Hall-effect switch 150f (see
(43) In addition, located immediately proximal to rocker device 130 is a fifth and a sixth Hall-effect switch 150e, 150g (see
(44) As seen in
(45) As illustrated in
(46) Adapter assembly 200 is configured to convert a rotation of either of drive connectors 120 and 122 of surgical device 100 into axial translation useful for operating a drive assembly 360 and an articulation link 366 of end effector 300.
(47) Adapter assembly 200 includes a first drive transmitting/converting assembly for interconnecting third rotatable drive connector 122 of surgical device 100 and a first axially translatable drive member of end effector 300, wherein the first drive transmitting/converting assembly converts and transmits a rotation of third rotatable drive connector 122 of surgical device 100 to an axial translation of the first axially translatable drive assembly 360 of end effector 300 for firing.
(48) Adapter assembly 200 includes a second drive transmitting/converting assembly for interconnecting second rotatable drive connector 120 of surgical device 100 and a second axially translatable drive member of end effector 300, wherein the second drive transmitting/converting assembly converts and transmits a rotation of second rotatable drive connector 120 of surgical device 100 to an axial translation of articulation link 366 of end effector 300 for articulation.
(49) Turning now to
(50) Knob housing 202 is configured and adapted to connect to connecting portion 108a of upper housing portion 108 of distal half-section 110a of surgical device 100.
(51) As seen in
(52) Proximal drive coupling housing 210b is configured to rotatably support first, second and third connector sleeves 218, 220 and 222, respectively. Each of connector sleeves 218, 220, 222 is configured to mate with respective first, second and third drive connectors 118, 120, 122 of surgical device 100, as described above. Each of connector sleeves 218, 220, 222 is further configured to mate with a proximal end of respective first, second and third proximal drive shafts 212, 214, 216.
(53) With reference to
(54) As illustrated in
(55) In operation, in order to lock the position and/or orientation of drive tube 246, a user moves lock button 282 from a distal position to a proximal position, thereby causing a cam surface of actuation bar 284 to engage lock arm 286 and urge lock out 286 toward drive tube 246, against the bias of biasing member 288, such that the tab of lock out 286 is received in the cut-out formed in connection member 247 of drive tube 246. In this manner, drive tube 246 is prevented from distal and/or proximal movement.
(56) When lock button 282 is moved from the proximal position to the distal position, the cam surface is disengaged from lock out 286 thereby allowing biasing member 288 to urge lock out 286 and the tab thereof out of the cut-out formed in connection member 247 of drive tube 246.
(57) As seen in
(58) Circuit board 292 may include a volatile and/or non-volatile memory for storing either the operating parameters and/or life cycle information, whether the operating parameters and/or life cycle information is original or updated (during or following use).
(59) It is further contemplated that adapter assembly 200 may include a power source or the like, i.e., battery (not shown) which is electrically connected to circuit board 292. It is contemplated that the battery of adapter assembly 200 may provide power to adapter assembly 200 which is different from any power provided from battery 156 of surgical device 100. For example, the batter of adapter assembly 200 may be used to power any mechanical motors in the adapter assembly, power any visual devices or displays supported on or in adapter assembly, or power any audible devices in the adapter assembly.
(60) In accordance with the present disclosure, the operating parameters for adapter assembly 200 include identification information relating to the adapter assembly (e.g., model number, serial number, etc.); dimensions of the adapter assembly; specific designations for which rotational input received from surgical device 100 will perform which specific function in the adapter assembly; what the maximum force is that can be delivered from surgical device 100 to the adapter assembly; and any other required information.
(61) Additionally, in accordance with the present disclosure, the life-cycle information for adapter assembly 200 may include a number of revolutions experienced by connector sleeves 218, 220, 222 of the adapter assembly; a number of cleaning cycles (e.g., hand-washing, dishwashing, irradiating, sterilizing, autoclaving, with or without cleaning fluids, etc.) of the adapter assembly; an assembly date of the adapter assembly; and any repair/maintenance dates of the shaft assembly.
(62) In use, any or all of the operating parameters and/or the life-cycle information may be transmitted from adapter assembly 200 to surgical device 100, via the electrical interface between electrical plugs 190a, 190b of surgical device 100 and electrical contact pins 290a, 290b of the adapter assembly 200, when adapter assembly 200 and surgical device 100 are connected to one another. Alternatively, any or all of the operating parameters and/or the life-cycle information may be transmitted from adapter assembly 200 to surgical device 100 during a calibration sequence of surgical device 100.
(63) While an electrical interface between surgical device 100 and adapter assembly 200, including electrical plugs 190a, 190b and electrical contact pins 290a, 290b, is shown and described, it is contemplated that any other form or telecommunication is within the scope of the present disclosure, for transmitting any or all of the operating parameters and/or the life-cycle information from adapter assembly 200 to surgical device 100, such as, for example, wireless communication, near-field communication, Blue Tooth communication, etc.
(64) In this manner, in accordance with the present disclosure, as new adapter assemblies are developed for a common surgical device (i.e., surgical device 100), any new unique operating parameters and/or the life-cycle information of the new adapter assembly may be specifically associated therewith and transmitted or communicated to the surgical device when the new adapter assembly is connected thereto or during any calibration sequence of the assembled surgical device 100 and new adapter assembly.
(65) In accordance with the present disclosure, it is contemplated that any or all of the operating parameters and/or the life-cycle information may update automatically, may be manually updated by a technician following each surgical use, wherein the adapter assembly may be electrically connected to a computer interface via electrical contact pins 290a, 290b or other communication interface.
(66) In this manner, surgical device 100, being an intelligent surgical instrument, is able to properly handle new (i.e., not yet developed) adapter assemblies, without having to be pre-programmed with required operating parameters for said new adapter assemblies.
(67) In use, when a button of surgical device 100 is activated by the user, the software checks predefined conditions. If conditions are met, the software controls the motors and delivers mechanical drive to the attached end effector (e.g., surgical stapler), via an adapter assembly, which can then open, close, rotate, articulate or fire depending on the function of the pressed button. The software also provides feedback to the user by turning colored lights on or off in a defined manner to indicate the status of surgical device 100, adapter assembly 200 and/or end effector 300.
(68) A high level electrical architectural view of the system is displayed below in Schematic “A” and shows the connections to the various hardware and software interfaces. Inputs from presses of buttons 124, 126 and from motor encoders of the drive shaft are shown on the left side of Schematic “A”. The microcontroller contains the device software that operates surgical device 100, adapter assembly 200 and/or end effector 300. The microcontroller receives inputs from and sends outputs to a MicroLAN, an Ultra ID chip, a Battery ID chip, and Adaptor ID chips.
(69) The MicroLAN, the Ultra ID chip, the Battery ID chip, and the Adaptor ID chips control surgical device 100, adapter assembly 200 and/or end effector 300 as follows:
(70) TABLE-US-00001 MicroLAN - Serial 1-wire bus communication to read/write system component ID information. Ultra ID chip - identifies surgical device 100 and records usage information. Battery ID chip - identifies the Battery 156 and records usage information. Adaptor ID chip identifies the type of adapter assembly 200, - records the presence of an end effector 300, and records usage information.
(71) The right side of the schematic illustrated in
(72) As illustrated in
(73) End effector 300 includes a proximal body portion 302 and a tool assembly 304. Proximal body portion 302 is releasably attached to a distal coupling 230 of adapter assembly 200 and tool assembly 304 is pivotally attached to a distal end of proximal body portion 302. Tool assembly 304 includes an anvil assembly 306 and a cartridge assembly 308. Cartridge assembly 308 is pivotal in relation to anvil assembly 306 and is movable between an open or unclamped position and a closed or clamped position for insertion through a cannula of a trocar.
(74) Reference may be made to U.S. Pat. No. 7,819,896, filed on Aug. 31, 2009, entitled “TOOL ASSEMBLY FOR A SURGICAL STAPLING DEVICE”, the entire content of which is incorporated herein by reference, for a detailed discussion of the construction and operation of end effector 300.
(75) Since adapter assembly 200 is reusable, prior to each use, at least adapter assembly 200 must be sterilized using known sterilization techniques and methods (e.g., hand-washing, dishwashing and/or then autoclaving using cleaning fluids or the like).
(76) Turning now to
(77) As seen specifically in
(78) While the specific operation and functionality of adapter assembly 200a may be different than adapter assembly 200, in order to operate end effector 300a, circuit board 292 of adapter assembly 200a may store operating parameters and/or life cycle information which is/are unique to adapter assembly 200a.
(79) Reference may additionally be made to U.S. patent application Ser. No. 13/769,414, filed on Feb. 18, 2013, entitled “APPARATUS FOR ENDOSCOPIC PROCEDURES”; and to U.S. patent application Ser. No. 13/799,379, filed on Mar. 13, 2013, entitled “APPARATUS FOR ENDOSCOPIC PROCEDURES”, the entire content of each of which being incorporated herein by reference in their entirety, for a detailed discussion of the construction and operation of alternate adapter assemblies and/or end effectors, incorporating novel aspects of the present disclosure, for use with the hand-held, electromechanical surgical device 100.
(80) In accordance with the present disclosure, it is contemplated that an operating room or the like would be supplied with an electromechanical surgical system including at least one surgical device 100; a plurality of unique and/or diverse adapter assemblies, in accordance with the present disclosure; and a plurality of diverse end effectors, capable of performing a number of different surgical procedures. In use, depending on the surgical procedure to be performed, the surgeon will select a desired and appropriate end effector for performing the particular surgical procedure; the surgeon will select an appropriate adapter assembly for interconnecting the particular end effector and the surgical device 100; and the surgeon (or other operating room staff) will connect the appropriate adapter assembly to the surgical device 100.
(81) It is then contemplated that the appropriate adapter assembly will communicate with surgical device 100, wherein the operating parameters and/or life cycle information for the appropriate adapter assembly will be transmitted or communicated from circuit board 292 of the appropriate adapter assembly to surgical device 100 for processing thereby. If the operating parameters and/or life cycle information for the appropriate adapter assembly produce no error signals from surgical device 100, during a calibration and/or initialization sequence, surgical device 100 may produce a ready signal, whereby the surgeon (or other operating room staff) will connect the selected end effector to the appropriate adapter assembly.
(82) It will be understood that various modifications may be made to the embodiments of the presently disclosed adapter assemblies. Therefore, the above description should not be construed as limiting, but merely as exemplifications of embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the present disclosure.