INSERTION INSTRUMENT, ADAPTER ASSEMBLIES AND PROTECTOR ASSEMBLIES FOR A FLEXIBLE CIRCULAR STAPLER
20170325817 · 2017-11-16
Inventors
- David Racenet (Killingworth, CT, US)
- Russell Pribanic (Roxbury, CT, US)
- Stanislaw Marczyk (Stratford, CT)
Cpc classification
A61B2017/0046
HUMAN NECESSITIES
A61B2017/00336
HUMAN NECESSITIES
A61B90/30
HUMAN NECESSITIES
International classification
A61B17/115
HUMAN NECESSITIES
A61B90/30
HUMAN NECESSITIES
Abstract
An adapter assembly for connecting a handle assembly with a loading unit is provided. The adapter assembly includes a housing, an elongate body extending from the housing, and a trocar assembly supported within the elongate body and including a trocar member. The trocar member extends from the elongate body and is magnetized. Also provided are various assemblies for protecting the distal end of a surgical stapler during introduction of the surgical stapler within a patient.
Claims
1. An adapter assembly for connecting a handle assembly with a loading unit, the adapter assembly comprising: a housing; an elongate body extending from the housing; and a trocar assembly supported within the elongate body and including a trocar member, wherein the trocar member extends from the elongate body, wherein the trocar member is magnetized.
2. The adapter assembly of claim 1, further including an anvil assembly, wherein the anvil assembly includes a center rod being magnetized to compliment the trocar member such that the center rod is magnetically attracted to the trocar member.
3. The adapter assembly of claim 1, further including an anvil assembly, wherein the anvil assembly includes a removable tip, the removable tip being magnetized to compliment the trocar member such that the removable tip is magnetically attracted to the trocar member.
4. The adapter assembly of claim 1, wherein the trocar assembly includes an electromagnet received about the trocar member for selectively magnetizing the trocar member.
5. The adapter assembly of claim 1, further including a light source.
6. An insertion instrument comprising: a handle assembly; an elongate body extending from the handle assembly; an electromagnet including a coil of wire received around a ferromagnetic member, the electromagnet being disposed on the distal end of the elongate body; and a light source disposed on a distal end of the elongate body.
7. The insertion instrument of claim 6, further including a first switch assembly for selectively activating the electromagnet.
8. The insertion instrument of claim 7, further including a second switch assembly for selectively activating the light source.
9. An assembly for protecting a functional end of a surgical stapler during introduction of the surgical stapler within a patient, the assembly comprising: a sleeve having proximal and distal ends and being receivable about an elongate body, the sleeve defining an inflatable cavity on the distal end configured to be disposed adjacent a distal end of the elongate body; and an insufflation port in fluid communication with the inflatable cavity for selectively inflating the inflatable cavity.
10. The assembly of claim 9, wherein the sleeve further defines a weakened portion extending along a length of the sleeve.
11. The assembly of claim 9, wherein the sleeve include a handle portion on the proximal end.
12. The assembly of claim 9, further including a source of insufflation fluid.
13. The assembly of claim 12, wherein the source of insufflation fluid is a syringe.
14. An assembly for protecting a functional end of a surgical stapler, the assembly comprising: a sleeve having proximal and distal ends; and a cap member secured to the distal end of the sleeve, wherein the cap member includes a plurality of leaves connected to each other by a frangible connection.
15. The assembly of claim 14, wherein the frangible connection is a weakened bridge.
16. The assembly of claim 14, wherein the sleeve includes a handle portion on the proximal end.
17. The assembly of claim 14, wherein the sleeve further defines a weakened portion extending along a length of the sleeve.
18. The assembly of claim 14, further including a camera disposed on a distal end of the cap member.
19. The assembly of claim 14, further including a steering assembly having a steering ring and a plurality of steering cables secured to the steering ring.
20. The assembly of claim 19, wherein the plurality of steering cables extends a length of the sleeve.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0014] The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the disclosure and, together with a general description of the disclosure given above, and the detailed description of the embodiment(s) given below, serve to explain the principles of the disclosure, wherein:
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DETAILED DESCRIPTION
[0038] Embodiments of the disclosure 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.
[0039] The embodiments of the present disclosure will be described in detail with respect to a powered handle assembly 10. Although shown and described as relates to the powered handle assembly 10, it is envisioned that the embodiments of the present disclosure may be modified for use with powered and non-powered handle assemblies having various configurations. For a detailed description of an exemplary powered circular stapler, please refer to commonly owned U.S. Pat. Appl. Publ. No. 2012/0253329 (“the '329 application”), the content of which is incorporated by reference herein in its entirety. Also, for a detailed description of an exemplary electromechanical powered handle assembly, please refer to commonly owned U.S. Pat. Appl. Publ. No. 2015/0157320 (“the '320 application), the content of which is incorporated by reference herein in its entirety.
[0040] With continued reference to
[0041] The adapter assembly 100 releasably connects to the powered handle assembly 10. The adapter assembly 100 includes a housing 102 operably connectable to the powered handle assembly 10, and an elongate body 104 extending from the housing 102. A loading unit 110 may be integrated with the adapter assembly 100, or may be releasably coupled to the adapter assembly 100 to permit reuse of the adapter assembly 100. The elongate body 104 is flexible to facilitate insertion of the loading unit 110 within the body.
[0042] A trocar member 106 extends from a distal end of the elongate body 104 for releasably engaging an anvil assembly, i.e., anvil assembly 120 (
[0043] With reference to
[0044] Briefly, the anvil assembly 120 includes a center rod assembly 122, and an anvil head assembly 124 secured to the center rod assembly 122. The head assembly 124 of the anvil assembly 120 may be rigidly secured to the center rod assembly 122. Alternatively, the head assembly 124 may be pivotally secured to the center rod assembly 122 to facilitate insertion of the anvil assembly 120 through a lumen of a patient. The center rod assembly 122 of the anvil assembly 120 includes a center rod 126. In one embodiment, the center rod 126 is magnetized. As shown in
[0045] As noted above, the trocar member 106 (
[0046] During a surgical stapling procedure, the anvil assembly 120 may be introduced to a surgical site trans-orally, or in any other manner. After securing a first section of tissue to be stapled (not shown) to the anvil assembly 120, and after securing a second section of tissue to be stapled (not shown) about the loading unit 110 of the adapter assembly 100, the adapter assembly 100 is moved towards the anvil assembly 120. The magnetic attraction between the proximal portion 126a of the center rod 126 of the anvil assembly 120 and the distal portion 106b of the trocar member 106 facilitates alignment of the center rod 126 of the anvil assembly 120 with the trocar member 106 of the adapter assembly 100. This feature is particularly beneficial when the anvil assembly 120 is not visible to the clinician during connection of the anvil assembly 120 to the adapter assembly 100.
[0047] Turning to
[0048] Turning now to
[0049] With continued reference to
[0050] Activation of the electromagnet assembly 240 of the adapter assembly 200 magnetizes the trocar member 206. As described above with regards to the trocar member 106 of the adapter assembly 100, when the trocar member 206 of the adapter assembly 200 is magnetized, an anvil assembly that includes a magnetized portion, i.e., the center rod 126, the removable trocar tip 130, is attracted to the trocar member 206 to facilitate connection of the anvil assembly to the trocar member 206.
[0051] With reference now to
[0052] The electromagnet assembly 340 is similar to the electromagnet assembly 240 of the adapter assembly 200, and includes a wire coil 342 wrapped about a ferromagnetic material, i.e., rod member 348, a power source 344 connected to the wire coil 342, and an activation switch 346 for activating the electromagnet assembly 340.
[0053] The light assembly 350 includes at least one light source, for example, a circular array of light emitting diodes 352 mounted on a distal end of the elongate body 304, and a control switch for activating the light source 352 and for controlling the intensity of the light source 352. The light source 352 may be powered by the power source 344 of the electromagnet assembly 340. Alternatively, the light source 352 may be powered by an independent power source disposed within the handle assembly 302.
[0054] During positioning of the anvil assembly 120, activation of the electromagnet assembly 340 of the insertion instrument 300 creates a magnetic field that attracts the magnetized center rod 126 (
[0055] With reference now to
[0056] With additional reference to
[0057] The open proximal end 402a of the sleeve member 402 includes a handle member or pull back handle 408 for facilitating receipt of the sleeve member 402 about the elongate body 104 of the adapter assembly 100, and for facilitating removal of the sleeve member 402 from about the elongate body 104. The sleeve member 402 may include a perforation or tear-line 412 extending along all or a portion of the length of the elongate flexible body 410. Alternatively, the sleeve member 402 may by formed of a sheet of material having a hook and loop type fastener (e.g., Velcro®), or zip lock connection, for maintaining the tubular structure.
[0058] During a surgical procedure, and prior to introduction of the elongate body 104 of the adapter assembly 100 into a patient, the sleeve member 402 of the protective assembly 400 is received about the elongate body 104. The sleeve member 402 of the protective assembly 400 may be received about the elongate body 102 when the sleeve member 402 is in an inflated configuration (
[0059] During introduction of the elongate body 104 of the adapter assembly 100 into a patient, the sleeve member 402 of the protective assembly 400 protects the distal end of the elongate body 104 from damage, while also protecting the tissue through which the adapter assembly 100 is introduced. Once the adapter assembly 100 has been positioned within the patient, the inflatable annular cavity 403 of the sleeve member 402 of the protective assembly 400 may be deflated to facilitate removal of the sleeve member 402 from the elongate body 104 of the adapter assembly 100. As noted above, the sleeve member 402 may include perforation or tear-line 412 for facilitating removal of the sleeve member 402 from about the elongate body 104. Once the sleeve member 402 of the protective assembly 400 is removed from about the elongate body 104 of the adapter assembly 100, the adapter assembly 100 may be used in a traditional manner.
[0060] With reference now to
[0061] The sleeve member 502 of the protective assembly 500 is substantially similar to sleeve member 402 of the protective assembly 400 described above, and includes an elongate flexible body 506. As shown, the cap member 504 includes a substantially conical shape and may be transparent or translucent. The cap member 504 is formed of flexible plastic or other suitable material, and is divided into multiple leaves or sections 504a. For example, and as shown, the cap member 504 includes two leaves (
[0062] The elongate flexible body 506 of the sleeve member 502 may be constructed of a more flexible material than the cap member 504. The cap member 504 may be made more rigid by increasing the wall thickness of the leaves 504a or by using a stiffer material to construct the cap member 504.
[0063] As shown in
[0064] Turning to
[0065] The cap member 604 includes a plurality of leaves 604a. The camera assembly 606 is supported on a distal end of one of the leaves 604a. The camera assembly 606 may be removable to permit reuse. The camera assembly 606 permits viewing as the elongate body 104 of the adapter assembly 100 is introduced into a patient. The camera assembly 606 may include charge-coupled device (CCD) cameras, or other suitable cameras.
[0066] With reference now to
[0067] The steering assembly 706 includes a steering ring 708, and a plurality of steering cables 710 extending from the steering ring 708 and through the sleeve member 702. The steering cables 710 are each received through a lumen 705 of the sleeve member 702. As shown, the protective assembly 700 includes four (4) steering cables 710. However, it is envisioned that the protective assembly 700 may have more or less than four (4) steering cables 710.
[0068] During a surgical procedure, after the protective assembly 700 is received about the elongate body 104 of the adapter assembly 100, the steering ring 708 may be used to guide the elongate body 104 of the adapter assembly 100 within a patient. More particularly, rotation of the steering ring 708 of the protective assembly 700 about a longitudinal axis of the adapter assembly 100, as indicated by arrows “B” in
[0069] With reference now to
[0070] The inflatable member 802 of the protective assembly has a first substantially spherical portion 802a, and a second substantially spherical portion 802b extending from the first substantially spherical portion 802a. The first substantially spherical portion 802a being greater in size or diameter than the second substantially spherical portion 802b when the inflatable member 802 is in an inflated condition. As shown in
[0071] It is envisioned that the first substantially spherical portion 802a of the inflatable member 802 may be configured to match the contour of the loading unit 110. In this manner, the inflatable member 802 more closely aligns with the loading unit 110.
[0072] With reference now to
[0073] It is envisioned that the embodiments of the present disclosure may be modified for use with various electromechanical surgical instruments and/or electrosurgical instruments. It is further envisioned that these instruments may, for example, be configured to be detachably coupleable and controllable by a robotic surgical system.
[0074] With reference now to
[0075] For a detailed description of the construction and operation of an examplary robotic surgical system, reference may be made to U.S. Patent Application Publication No. 2012/0116416, the entire contents of which are incorporated by reference herein.
[0076] Persons skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are non-limiting exemplary embodiments. It is envisioned that the elements and features illustrated or described in connection with one exemplary embodiment may be combined with the elements and features of another without departing from the scope of the present disclosure. As well, one skilled in the art will appreciate further features and advantages of the disclosure based on the above-described embodiments. Accordingly, the disclosure is not to be limited by what has been particularly shown and described, except as indicated by the appended claims.