Adaptor for surgical instrument for converting rotary input to linear output
10478174 ยท 2019-11-19
Assignee
Inventors
Cpc classification
F16H25/186
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61B17/0469
HUMAN NECESSITIES
F16H25/2018
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61B2017/00371
HUMAN NECESSITIES
A61B17/115
HUMAN NECESSITIES
A61B17/072
HUMAN NECESSITIES
Y10T74/18312
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
International classification
A61B17/04
HUMAN NECESSITIES
F16H25/18
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61B17/115
HUMAN NECESSITIES
F16H25/20
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
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 surgical stitching instrument, the adaptor comprising: a casing; a cam drum disposed within the casing and defining a longitudinal axis, the cam drum being supported for rotation about the longitudinal axis and defining at least one radial cam groove about an outer surface thereof; at least one linear driver including a first cam follower disposed in the at least one cam groove, the at least one 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, the at least one linear driver manipulating at least one drive rod of a jaw assembly of the stitching instrument; and an articulation assembly having an articulation drum defining at least one cam surface, the articulation assembly having a drive bar with a cam follower disposed in the at least one cam surface, rotation of the articulation drum effecting advancement and retraction of the drive bar to articulate the jaw assembly of the stitching instrument.
2. The adaptor according to claim 1, wherein the cam drum is translatable along the longitudinal axis between a retracted position and an advanced position in relation to the casing.
3. The adaptor according to claim 2, wherein the at least one radial cam groove includes a first radial cam groove and a second radial cam groove about the outer surface of the cam drum, and the at least one linear driver includes 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.
4. The adaptor according to claim 3, wherein the first cam groove defines a first profile and the second cam groove defines a second profile.
5. The adaptor according to claim 1, further comprising a cam drum gear coupled to the cam drum such that rotation of the cam drum gear effects rotation of the cam drum.
6. The adaptor according to claim 2, further comprising a threaded screw, the threaded screw being engaged with the cam drum to translate the cam drum along the longitudinal axis.
7. The adaptor according to claim 6, wherein the cam drum has a passage and the threaded screw extends through the passage.
8. A powered surgical stitching instrument comprising: 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 configured to be releasably coupled to a receiver of a handle; a cam drum supported for rotation about the longitudinal axis and defining first and second radial cam grooves about an outer surface thereof; a first linear driver having a first cam follower engaged with the first cam groove, the first linear driver supported for movement between advanced and retracted positions in response to rotation of the cam drum; a second linear driver engaged with the second cam groove, the second driver supported for movement between advanced and retracted positions in response to rotation of the cam drum; an articulation assembly having an articulation drum defining at least one cam surface, the articulation assembly having a drive bar with a cam follower disposed in the at least one cam surface, rotation of the articulation drum effecting advancement and retraction of the drive bar to articulate the jaw assembly of the stitching instrument; and a loading unit including a connector releasably secured to the adaptor, the loading unit having a jaw assembly for stitching and severing tissue.
9. The stitching instrument according to claim 8, wherein the cam drum is translatable along the longitudinal axis between a retracted and an advanced position in relation to the casing.
10. The stitching instrument according to claim 8, wherein the first cam groove has a first profile and the second cam groove has a second profile.
11. The stitching instrument according to claim 8, further comprising 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 stitching instrument according to claim 8, further comprising a threaded screw, the threaded screw being engaged with the cam drum to translate the cam drum along the longitudinal axis.
13. The stitching instrument according to claim 12, wherein the cam drum has a passage and the threaded screw extends through the passage.
14. The stitching instrument according to claim 8, further comprising a handle.
15. The stitching instrument according to claim 8, wherein the adapter includes a connector for communicating signals to a controller.
16. The stitching instrument according to claim 15, further comprising a handle and wherein the controller is in the handle.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) Various aspects of the present disclosure are described hereinbelow with reference to the drawings, wherein:
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DETAILED DESCRIPTION
(28) Embodiments of the present disclosure are now 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 clinician refers to a doctor, a nurse, or any other care provider and may include support personnel. Throughout this description, the term proximal refers to the portion of the device or component thereof that is closest to the clinician and the term distal refers to the portion of the device or component thereof that is furthest from the clinician.
(29) Referring now to
(30) The handle 20 is a powered handle and may include one or more drive shafts (not shown) that rotate independently of one another. The handle 20 includes a control interface 22 and a receiver 24. The control interface 22 includes one or more control(s) associated with rotary drive shafts (not shown) within the handle 20 (e.g., an actuator button, a rotate button, a clamp button, a stitch button, etc.). The receiver 24 is supported at the distal end of the handle 20 and includes a recess configured to receive an interface (e.g., a handle interface 50 (
(31) The adaptor 30 converts the rotary motion of the drive shafts of the handle 20 into linear motion of linear drivers 65a-d (
(32) With reference to
(33) The connector 58 communicates with a receiver (not shown) of the handle 20 to transmit to the handle 20 characteristics of the adaptor 30 and the loading unit 40. These characteristics of the adaptor 30 and the loading unit 40 are provided to a controller (not shown) of the handle 20 such that the handle 20 can be properly operated to control the loading unit 40. The characteristics may include, but are not limited to, the type of loading unit, the manufacturer of the loading unit, the manufacturer of the adaptor 30, the serial numbers of the loading unit or the adaptor 30, the clamping force of the jaw assembly 41, the required torque applied to each of the input shafts 52, 54, 56, the required speed of each of the input shafts 52, 54, 56, and the type of adaptor. The connector 58 may also transmit power or control signals from the handle 20 to the adaptor 30. As shown, the connector 58 is a contact connector; however, it is also contemplated that the connector 58 may be a non-contact connector, e.g., a connector that inductively transfers power or control signals.
(34) Referring to
(35) With reference to
(36) Each linear driver 65a-d includes a proximal portion 66a and a linear drive arm 67. The linear drive arm 67 has a distal end which supports an engagement hook 68. The proximal portion 66a supports the cam follower 66 and is configured to mate with adjacent linear drivers 65a-d to substantially enclose the cam drum 62 within the proximal portions 66a of the linear drivers 65a-d as shown in
(37) As detailed above, the cam follower 66c protrudes from an inner surface of the proximal portion 66a of each of the linear drivers 65a-d and is received within one of the proximal or distal cam grooves 63, 64. The cam followers 66c of adjacent linear drivers 65a-d are positioned within different cam grooves 63, 64 and the cam followers 66c of opposing linear drivers 65a-d are positioned within the same cam grooves 63, 64. As the cam drum 62 is rotated, each cam follower 66c moves within a respective cam groove 63, 64 to effect longitudinal translation of a respective one of the linear drivers 65a-d. The linear drive arms 67 extend distally from the proximal portion 66a of each of the linear drivers 65a-d along the outer surface of the lead screw 55 (
(38) Referring also to
(39) The middle gear 69 of the cam drum assembly 60 includes teeth 69a that extends along a length thereof. As the cam drum 62 translates between the fully retracted and extended positions, the middle gear 69 remains in continuous engagement with the cam drum gear 61 such that the cam drum input shaft 52 can effect rotation of the cam drum 62 to effect longitudinal translation of the linear drivers 65a-d at all the longitudinal positions of the cam drum 62.
(40) With additional reference to
(41) Referring now to
(42) As illustrated, the linear driver 65a and 65b define a first pair of linear drivers and the linear drivers 65c and 65d define a second pair of linear drivers. In this embodiment, the linear drivers of the first pair of linear drivers 65a, 65b are positioned adjacent to one another; however, it is also within the scope of this disclosure for the linear drivers of the first and second pair of linear drivers to oppose one another. The first pair of linear drivers 65a, 65b is associated with components of the first jaw member 43a (
(43) As the cam drum 62 rotates, the cam follower 66c moves within a respective cam groove 63, 64 to effect longitudinal advancement and retraction of the linear drivers 65a-d relative to the outer casing 31. The pitch of each of the cam grooves 63, 64 is configured to cycle (i.e., advance and retract) the linear drivers 65a-d to manipulate drive rods of a loading unit (e.g., a drive rods 48 (
(44) A full cycle of each of the first and second pairs of linear drivers 65a, 65b and 65c, 65d includes four phases of movement. In a first phase of movement, both of the linear drivers of the pair of linear drivers (e.g., the linear drivers 65a, 65b) are advanced together in substantial alignment with one another. In a second phase of movement, a first driver of the pair of linear drivers (e.g., the linear driver 65a) is longitudinally fixed relative to the outer casing 31 and a second driver of the pair of linear drivers (e.g., the linear driver 65b) is longitudinally advanced relative to the outer casing 31. In a third phase of movement, the first driver of the pair of linear drivers (e.g., the linear driver 65a) remains longitudinally fixed within the outer casing 31 and the second linear driver of the pair of linear drivers (e.g., the linear driver 65b) is retracted within the outer casing 31 to move the second linear driver into substantial alignment with the first linear driver. In a fourth phase, both of the linear drivers of the pair of linear drivers (e.g., the linear driver 65a, 65b) are longitudinally fixed relative to the outer casing 31. It will be understood, that a full cycle of the second pair of linear drivers 65c, 65d is as detailed above with regard to the linear drivers 65a, 65b.
(45) In embodiments, when the first pair of linear drivers 65a, 65b is in the first phase of movement, the second pair of linear drivers 65c, 65d are in the fourth phase of movement. The first, second, and third phases of movement may be substantially equal in duration and the fourth phase of movement may account for a duration equal to the sum of the duration of the first three phases of movement. As one of the pairs of linear drivers cycles through the first three phases of movement, the other one of the pairs of linear drivers is in the fourth phase of movement. In some embodiments, as the first pair of linear drivers 65a, 65b begins the third phase of movement the second pair of linear drivers 65c, 65d begins the first phase of movement. In such embodiments, each of the four phases of movement may be substantially equal in duration.
(46) The pitch of each of the cam grooves 63, 64 may be configured to cycle the linear drivers 65a-d as the lead screw 55 effects constant advancement of the cam drum 62. It is also contemplated that the lead screw 55 may be intermittently rotated to intermittently advance the cam drum 62 (i.e., in a stepwise manner) and the pitch of the cam grooves 63, 64 may be configured cycle the linear drivers 65a-d as the lead screw 55 effects intermittent advancement of the cam drum 62.
(47) The cam drum input shaft 52 (
(48) The articulation input shaft 56 (
(49) As shown in
(50) With reference to
(51) The proximal camming surface 75 of the articulation cam 74 is a helical surface configured to slidably engage an articulation cam follower 79 of the articulation drive bar 78 such that rotational movement of the articulation cam 74 effects advancement of the articulation drive bar 78. The articulation drum 72 includes a helical distal camming surface 73 that is configured to slidably engage the articulation cam follower 79 such that rotational movement of the articulation drum 72 effects rotation of the articulation drive bar 78. The camming surfaces 73, 75 have a substantially similar profile such that the articulation cam follower 79 is retained between the camming surfaces 73, 75. As the as the articulation drum 72 rotates in a first direction (e.g., counter-clockwise when viewed from the proximal end), the cam follower 79 is advanced and as the articulation drum 72 is rotated in a second opposite direction (e.g., clockwise when viewed from the proximal end), the articulation cam follower 79 is retracted. The articulation assembly 70 includes a plurality of articulated positions between a first articulated position and a second articulated position. The articulation assembly 70 also includes a straight position substantially halfway between the first and second articulated positions.
(52) Referring to
(53) With particular reference to
(54) Referring also to
(55) With particular reference to
(56) When the connector 44 of the stitching loading unit 40 engages the adaptor 30, the guide lugs 47 are aligned with the locking grooves 83. As shown in
(57) With reference to
(58) The stitching loading unit 40 can be released from the adaptor 30 by retracting the release switch 81 against the switch-biasing member 81a as shown in
(59) While several embodiments of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Any combination of the above embodiments is also envisioned and is within the scope of the appended claims. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.