The present disclosure relates to adapter assemblies, for use with surgical instruments, that electrically and mechanically interconnect electromechanical handle assemblies and surgical loading units. More specifically, the present disclosure relates to adapter assemblies for surgical instruments that include force sensors for sensing an axial force output and/or input of the adapter assemblies.
A number of handle assembly manufacturers have developed product lines with proprietary drive systems for operating and/or manipulating electromechanical surgical instruments. In many instances, the electromechanical surgical instruments include a handle assembly, which is reusable, and disposable loading units and/or single use loading units or the like including an end effector that is selectively connected to the handle assembly prior to use and then disconnected from the handle assembly following use in order to be disposed of or in some instances sterilized for re-use.
In certain instances, it is desirable to measure a firing force produced by and/or transmitted through an adapter assembly positioned between the handle assembly and the loading unit. Measuring the firing force can be used, inter alia, to maintain the firing force within safe limits and to determine tissue thickness. Accordingly, a need exists for an adapter assembly capable of measuring its axial force output and/or input during operation thereof.
The present disclosure relates to adapter assemblies for use with surgical instruments that electrically and mechanically interconnect electromechanical handle assemblies and surgical loading units, and to force transmitting assemblies disposed within adapter assemblies that are configured to detect and measure an amount of axial force output and/or input of the adapter assembly.
In one aspect of the present disclosure, a surgical instrument is provided and includes a handle assembly, a giant magnetoresistance integrated circuit (GMR-IC), and an adapter assembly including a force transmitting assembly operably coupled to the handle assembly. The force transmitting assembly is configured to affect a function of a surgical loading unit in response to an actuation of the handle assembly. The force transmitting assembly includes a magnetic material coupled to a drive shaft. In response to an actuation of the drive shaft by the handle assembly, the drive shaft is configured to move the magnetic material relative to the GMR-IC to change a magnetic field induced on the GMR-IC.
In aspects, the adapter assembly may include a housing configured to be coupled to the handle housing of the handle assembly. The housing may have the magnetic material and the GMR-IC situated therein.
In aspects, the adapter assembly may include an outer tube having a proximal end portion supported by the housing.
In aspects, the GMR-IC may output a voltage that varies based on the magnetic field induced on the GMR-IC by the magnetic material.
In aspects, the surgical instrument may further include a processor configured to determine the force imparted on the drive shaft based on the voltage output by the GMR-IC.
In aspects, the handle assembly may further include a driving member operably coupled to a proximal end portion of the drive shaft of the adapter assembly.
In aspects, the adapter assembly may further include a distal drive member having a proximal end portion coupled to a threaded portion of the drive shaft, and a distal end portion configured to be operably coupled to a driven member of a surgical loading unit, such that rotation of the drive shaft longitudinally moves the distal drive member relative to the drive shaft to actuate the surgical loading unit.
In aspects, the GMR-IC may output a voltage that varies based on the magnetic field induced on the GMR-IC by the magnetic material. The handle assembly may further include a processor configured to determine a force experienced by the driven member of the surgical loading unit based on the voltage output by the GMR-IC.
In aspects, the adapter assembly may further include a printed circuit board and GMR-IC may be attached to the printed circuit board.
In aspects, the force transmitting assembly may further include a flange affixed to the drive shaft and the flange may include a magnetic material.
In aspects, the flange may extend laterally from the drive shaft.
In aspects, the flange may be spaced distally from the GMR-IC.
In another aspect of the present disclosure, an adapter assembly is provided for selectively interconnecting a surgical loading unit and a handle assembly that is configured to actuate the surgical loading unit. The adapter assembly includes a housing configured for selective connection with the handle assembly, a giant magnetoresistance integrated circuit (GMR-IC) disposed in the housing, an outer tube having a proximal end portion supported by the housing and a distal end portion configured to be coupled with the surgical loading unit, and a force transmitting assembly extending at least partially through the outer tube. The force transmitting assembly includes a drive shaft and a magnetic material coupled to the drive shaft. In response to an actuation of the drive shaft by the handle assembly, the drive shaft is configured to move the magnetic material relative to the GMR-IC to change a magnetic field induced on the GMR-IC.
Embodiments of the present disclosure are described herein with reference to the accompanying drawings, wherein:
Embodiments of the presently disclosed electromechanical surgical instruments including handle assemblies, adapter assemblies, and surgical loading units 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 handle assembly, adapter assembly, surgical loading unit, or component thereof, farther from the user, while the term “proximal” refers to that portion of the handle assembly, adapter assembly, surgical loading unit, or component thereof, closer to the user.
A surgical instrument, in accordance with an embodiment of the present disclosure, is generally designated as 10, and is in the form of a powered hand held electromechanical surgical instrument configured for clamping and/or sealing tissue. The surgical instrument 10 includes a handle assembly 100, an adapter assembly 200, and a surgical loading unit 300. The handle assembly 100 is configured for selective coupling, via the adapter assembly 200, to a plurality of different surgical loading units, such as, for example, the surgical loading unit 300. Each surgical loading unit is configured for actuation and manipulation by the powered handle assembly 100.
As illustrated in
The handle housing 102 defines a cavity therein for selective removable receipt of a rechargeable battery (not shown) and receipt of a drive mechanism (not shown). The battery is configured to supply power to the electrical components of the surgical instrument 10. The cavity of the handle housing 102 has a processor “P” situated therein. The processor “P” is configured to control the various operations of the surgical instrument 10. The drive mechanism is configured to drive shafts and/or gear components in order to perform various operations of the surgical instrument 10. In particular, the drive mechanism is configured to drive shafts and/or gear components in order to selectively move a tool assembly 304 of the loading unit 300 relative to a proximal body portion 302 of the loading unit 300, to rotate the loading unit 300 about a longitudinal axis “X” relative to the handle assembly 100, to move/approximate an anvil assembly 306 and/or a cartridge assembly 308 of the loading unit 300 relative to one another, and/or to fire a stapling and cutting cartridge within the cartridge assembly 308 of the loading unit 300.
As illustrated in
When the adapter assembly 200 is mated to the handle assembly 100, each of the rotatable drive connectors 118, 120, 122 of the handle assembly 100 couples with a corresponding rotatable connector sleeve 218, 220, 222 of the adapter assembly 200. In this regard, the interface between the corresponding first drive connector or driving member 118 and the first connector sleeve 218, the interface between the corresponding second drive connector 120 and the second connector sleeve 220, and the interface between the corresponding third drive connector 122 and the third connector sleeve 222 are keyed such that rotation of each of the drive connectors 118, 120, 122 of the handle assembly 100 causes a corresponding rotation of the corresponding connector sleeve 218, 220, 222 of the adapter assembly 200.
The mating of the drive connectors 118, 120, 122 of the handle assembly 100 with the connector sleeves 218, 220, 222 of the 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 the handle assembly 100 are configured to be independently rotated by the drive mechanism of the handle assembly 100. In this regard, a function selection module (not shown) of the drive mechanism selects which drive connector or connectors 118, 120, 122 of the handle assembly 100 is to be driven by a motor (not shown) of the handle assembly 100.
Since each of the drive connectors 118, 120, 122 of the handle assembly 100 has a keyed and/or substantially non-rotatable interface with the respective connector sleeves 218, 220, 222 of the adapter assembly 200, when the adapter assembly 200 is coupled to the handle assembly 100, rotational force(s) are selectively transferred from the drive connectors of the handle assembly 100 to the adapter assembly 200. The selective rotation of the drive connector(s) 118, 120 and/or 122 of the handle assembly 100 allows the handle assembly 100 to selectively actuate different functions of the loading unit 300 (
Reference may be made to International Application No. PCT/US2008/077249, filed Sep. 22, 2008 (Inter. Pub. No. WO 2009/039506) and U.S. patent application Ser. No. 12/622,827, filed on Nov. 20, 2009 (now U.S. Patent Publication No. 2011/0121049), the entire contents of each of which being incorporated herein by reference, for a detailed description of various internal components of and operation of exemplary electromechanical handle assembly 100.
With continued reference to
With reference to
The housing 202 of the adapter assembly 200 includes a sensing element, such as, for example, a magnetoresistance integrated circuit (“GMR-IC”) 212 attached to a printed circuit board 214. The GMR-IC 212 and the printed circuit board 214 may be disposed within a proximal end of the housing 202 and aligned with the drive connector 118 (
The adapter assembly 200 further includes a force/rotation transmitting/converting assembly 220 supported within the knob housing 202 and extending through the outer tube 206. The force transmitting assembly 220 is configured to transmit/convert a speed/force of rotation (e.g., increase or decrease) of the rotatable driving member 118 of the handle assembly 100 into an axial force before such rotational speed/force is transmitted to the surgical loading unit 300 (
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” for a detailed discussion of the construction and operation of the loading unit 300, as illustrated in
With reference to
The distal drive member 234 of the force transmitting assembly 220 has a proximal end portion 236a coupled to a distal end portion 224b of the drive shaft 222 via mechanical engagement with the drive coupling nut 232, such that axial movement of the drive coupling nut 232 results in a corresponding amount of axial movement of the distal drive member 234. The distal drive member 234 has a distal end portion 236b configured to be operatively coupled to the translatable driven member 312 (
In use, as the drive shaft 222 is rotated, due to a rotation of the first connector sleeve 218, as a result of the rotation of the rotatable driving member 118 of the handle assembly 100, the drive coupling nut 232 is caused to be translated within the outer tube 206. As the drive coupling nut 232 is caused to be translated axially, the distal drive member 234 is caused to be translated axially within the outer tube 206. As the distal drive member 234 is translated axially in a distal direction, with the connection member 238 connected thereto and engaged with the translatable driven member 312 of a drive assembly 314 of the loading unit 300 (
With specific reference to
The sensed element 240 includes a flange 242, such as, for example, a metal flange, and a magnetic material 244, such as, for example, a permanent magnet, coupled to the flange 242. The flange 242 extends laterally from the drive shaft 222 (e.g., perpendicularly) and is spaced distally from the GMR-IC 212, such that the flange 242 and the GMR-IC have a cavity 216 defined therebetween. In embodiments, the flange 242 of the sensed element 240 may be spaced proximally from the GMR-IC 212. The flange 242 is fixed to the drive shaft 222, such that proximal, longitudinal movement of the drive shaft 222 along the longitudinal axis “X” moves the flange 242 therewith. In an alternative embodiment, instead of the flange 242 extending from one side of the drive shaft 222, the flange 242 may define a channel extending therethrough having the drive shaft 222 received therein.
The magnet 244 of the sensed element 240 is embedded in the flange 242. In embodiments, the magnet 244 may be disposed or coated on an outer surface of the flange 242 rather than be embedded within the flange 242. In other embodiments, the flange 242 may be fabricated from a magnetic material instead of having a magnet coupled thereto. As the sensed element 240 moves with the drive shaft 222 during actuation of the end effector 300 (
In operation, the GMR-IC 212 and the magnet 244 of the sensed element 240 cooperate to detect and measure an axial force output by the adapter assembly 200 during operation of the handle assembly 100. The handle assembly 100 is actuated to carry out various functions of the surgical loading unit 300. As the handle assembly 100 is actuated, the drive shaft 222 of the force transmitting assembly 220 is rotated relative to the coupling nut 232 to axially move the coupling nut 232 in a distal direction relative to the drive shaft 222. Distal movement of the coupling nut 232 longitudinally moves the distal drive member 234 of the force transmitting assembly 220 relative to the drive shaft 222 resulting in a force, applied in a direction indicated by arrow “A” in
Due to the GMR-IC 212 being disposed proximally adjacent the magnet 244, the magnetic field induced on the GMR-IC 212 by the moving magnet 244 changes in a predictable manner based on the distance traveled by the magnet 244. The GMR-IC 212 outputs a voltage corresponding to the change in the magnetic field of the magnet 244. The voltage output by the GMR-IC 212 is communicated to the processor “P,” (
Knowing the amount of axial force output by the adapter assembly 200 can be used, inter alia, to prevent further actuation of the loading unit 300 upon reaching a threshold amount of axial output force deemed unsafe, to determine the amount of force needed to retract the drive assembly 314 of the loading unit 300 (
In embodiments, the GMR-IC may be replaced with a hall effect sensor.
The circuit shown in
Any of the components described herein may be fabricated from either metals, plastics, resins, composites or the like taking into consideration strength, durability, wearability, weight, resistance to corrosion, ease of manufacturing, cost of manufacturing, and the like.
It will be understood that various modifications may be made to the embodiments of the presently disclosed adapter assemblies. 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. 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.
This application claims the benefit of and priority to U.S. Provisional Patent Application No. 62/695,876 filed Jul. 10, 2018, the entire disclosure of which is incorporated by reference herein.
Number | Date | Country | |
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62695876 | Jul 2018 | US |