The present disclosure relates generally to adapter assemblies for selectively connecting end effectors to actuation units of surgical devices. More specifically, the present disclosure relates to adapter assemblies having a locking mechanism for rotationally securing a housing to a base.
Powered devices for use in surgical procedures typically convert rotational motion from an actuation assembly to linear motion for effectuating one or more functions, e.g., clamping, stapling, cutting. To permit rotational alignment of an end effector attached to the actuation assembly without the operator having to manipulate the actuation assembly in an uncomfortable or awkward position, adapter assemblies have been developed for enabling selective rotation of the end effector relative to the actuation assembly. Such adapter assemblies generally include a base that is fixedly secured to the actuation assembly and a body to which an end effector is attached that is rotatable relative to the base and the actuation assembly.
It would be beneficial to provide a surgical device including an adapter assembly with a locking mechanism that facilitates selective rotation of the body relative to the base but resists rotating forces that a clinician may exert on the body during use to prevent inadvertent rotation of the body relative to the base.
This disclosure relates generally to adapter assemblies including a base member, a housing, and a locking mechanism for selectively securing the housing in a plurality of radial positions relative to the base member. The base member is securable to an actuation handle for actuating a tool assembly supported by the adapter assembly. The rotation of the housing affects the position of the end effector relative to the actuation handle.
In an aspect of the present disclosure, an adapter assembly includes a base member, a housing, and a locking mechanism. The base member defines a longitudinal axis of the adapter assembly. The housing is rotatably secured to the base member and is rotatable in relation to the base member between a plurality of positions. The locking mechanism is supported on the housing and includes a locking member and a button. The locking member is moveable from a locked position in which a lock of the locking member is engaged with the base member to secure the housing in one of the plurality of positions to an unlocked position in which the housing is rotatable in relation to the base member. The button is positioned on the base member and is depressible to translate the locking member in a direction parallel to the longitudinal axis from the locked position to the unlocked position.
In aspects, the locking member has a boss and the button defines a cam slot that receives the boss. The button may have an undepressed position in which the boss is positioned adjacent a first end of the cam slot and a depressed position in which the boss is positioned adjacent a second end of the cam slot. Walls defining the cam slot can engage the boss as the button is moved towards the depressed position to translate the locking member in the direction parallel to the longitudinal axis as the boss moves towards the second end of the cam slot. The adapter assembly may include a biasing member disposed between the button and the locking member that urges the button towards the undepressed position.
In some aspects, the base member includes an annular flange that defines first and second cutouts. The locking member may have a lock body, a distal leg, and a proximal leg. The distal and proximal legs may define a gap therebetween. In the unlocked position of the locking member, the annular flange may be rotatable within the gap. The lock of the locking member may extend proximally from the distal leg and be disposable within one of the first or second cutouts to secure the housing in one of the plurality of positions. The annular flange may define a third cutout that is diametrically opposed to the first cutout with the second cutout positioned between the first and third cutouts. The second cutout may be equidistant from the first and third cutouts.
In certain aspects, the housing defines a channel and the button is disposed within the channel.
In particular aspects, the adapter assembly includes a coupling body that extends from the housing and is rotatably fixed to the housing. The coupling body may have a proximal portion that includes a tab. The housing may define a recess that receives the tab to rotatably fix the coupling body to the housing.
In another aspect of the present disclosure, a surgical device includes a handle, a tool assembly, and an adapter assembly. The adapter assembly interconnects the handle and the tool assembly. The adapter assembly includes a base member, a housing, and a locking mechanism. The base member defines a longitudinal axis and the housing is rotatably secured to the base member. The housing is rotatable in relation to the base member between a plurality of positions such that rotation of the housing affects a position of the tool assembly relative to the handle. The locking mechanism is supported on the housing and includes a locking member and a button. In a locked position of the locking member, a lock of the locking member is engaged with the base member to secure the housing in one of the plurality of positions. In an unlocked position the housing is rotatable in relation to the base member. The button is positioned on the base member and is depressible to translate the locking member in a direction parallel to the longitudinal axis from the locked position to the unlocked position.
In aspects, the surgical device includes an extension assembly that includes a shaft having first and second ends. The first end of the shaft may be releasably coupled to a distal end of the adapter assembly and the second end of the shaft may support the tool assembly. The shaft may be curved between the first and second ends.
In some aspects, the adapter assembly includes a coupling body that extends from the base member. The coupling body may be rotatably fixed to the housing.
In certain aspects, the adapter assembly includes a coupling assembly that extends proximally from the base member and is releasably secured to the handle. The adapter assembly may include a drive assembly that extends through the coupling assembly, the base member, and the housing. The handle may engage the drive assembly to actuate the tool assembly. The drive assembly may include first and second connectors that are disposed within the coupling assembly. The first connector may be offset form the longitudinal axis.
In another aspect of the present disclosure, a method of reposition a tool assembly supported by an adapter is disclosed. The adapter defines a longitudinal axis and is coupled to a handle that is configured to actuate the tool assembly. The method includes depressing a button of the adapter, rotating the handle relative to the housing, and releasing the button. Depressing the button translates a locking member in a direction parallel to the longitudinal axis from a locked position, in which the handle is rotatably fixed relative to a housing of the adapter in a first position, to an unlocked position. Rotating the handle relative to the housing includes rotating a base member of the adapter within the housing with the locking member in the unlocked position such that the tool assembly is repositioned about relative to the handle. Releasing the button allows the locking member to return to the locked position with the housing rotatably fixed to the handle in a second position different from the first position.
In aspects, depressing the button of the adapter includes walls defining a cam slot of the button engaging a boss of the locking member to translate the locking member towards the unlocked position.
In some aspects, the method includes rotating the handle to the second position after releasing the button. Rotating the handle to the second position may include the locking member transitioning to the locked position when the handle reaches the second position. The locking member may provide feedback with the handle reaches the second position.
Further, to the extent consistent, any of the aspects described herein may be used in conjunction with any or all of the other aspects described herein.
Various aspects of the present disclosure are described hereinbelow with reference to the drawings, which are incorporated in and constitute a part of this specification, wherein:
This disclosure relates generally to adapter assemblies that include a base member, a housing, and a locking mechanism for selectively securing the housing in a plurality of radial positions about the base member. The base member can be selectively coupled to an actuation assembly such that the base member is rotatably fixed to the actuation assembly. The housing is rotatable about the base member such that a tool assembly supported by the housing of the adapter assembly is repositionable relative to the actuation assembly. The locking mechanism is provided to selectively lock the orientation of the housing relative to the base member and includes a locking member and a button. In embodiments, the locking member is slidable in a direction parallel to a longitudinal axis defined by the adapter assembly between a locked position and an unlocked position. The button may define a cam slot that receives a boss of the locking member such that walls defining the cam slot engage the boss to translate the locking member between the locked and unlocked positions.
Embodiments of the presently disclosed adapter assembly 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 farthest from the clinician.
Referring to
The adapter assembly 10 includes a proximal end portion or base 20 that is releasably received by the coupler 310. An elongate coupling body 70 extends distally from the base 20 and has a distal end 90 configured for releasable connection with an extension assembly 290. The extension assembly 290 has a distal portion configured for releasable connection with the tool assembly 380. In exemplary embodiments, the tool assembly 380 includes a loading unit 390 and an anvil 392 for applying a circular array of staples (not shown) to tissue (not shown).
Alternatively, the elongate coupling body 70 and the extension assembly 290 can be integrally formed. In embodiments, the extension assembly 290, and/or the elongate coupling body 70, includes a shaft 292 that extends from the distal end 90 of the adapter assembly 10 to the tool assembly 380. As shown, the shaft 292 has a first end 292a and a second end 292b and a curved central section between the first and second ends 292a, 292b; however, it is contemplated that the shaft 292 can be substantially linear or have any suitable configuration between the first and second ends 292a, 292b. For a detailed description of an exemplary extension assembly and tool assembly reference can be made to the '943 Patent.
Although aspects of the present disclosure will be shown and described as relates to the adapter assembly 10, it is envisioned that the aspects of the present disclosure may be adapted for use with adapter assemblies having an alternative configuration. For a detailed description of exemplary adapter assemblies and exemplary extension assemblies reference can be made to commonly owned U.S. patent application Ser. No. 14/875,766 (“the '766 Application”), filed Oct. 6, 2015, the content of which is incorporated by reference herein in its entirety.
With reference to
Briefly, the drive assembly 80 of the adapter assembly 10 includes first, second, and third connectors 82a, 82b, 82c (
With reference to
The housing 42 may be formed from a first body shell 44 and a second body shell 46. Each of the first and second body shells 44, 46 form approximately half of the housing 42 and are joined together by fasteners 47. Alternatively, the first and second body shells 44 and 46 may be secured together by welding or the like. Each of the first and second body shells 44, 46 define a recess 48 (
Referring to
With reference to
Referring now to
Referring now to
The camming slots 164 pass entirely through side surfaces 161d of the button body 161. The camming slots 164 extend from a first end 164a of the button body 161 adjacent the bottom surface 161a of the button body 161 and a proximal surface 161e of the button body 161 to a second end 164b of the button body 161 adjacent the distal surface 161b and a top surface 161c of the button body 161 such that the cam slots 164 are inclined distally upward when the button 160 is viewed in profile. The camming slots 164 are in communication with the opening 163 and configured to receive the bosses 157 of the locking member 150 such that vertical movement of the button 160 (i.e., movement substantially towards and away from the longitudinal axis X-X as viewed in
Referring to
With particular reference to
Briefly referring back to
Referring to
With reference to
With particular reference to
If the housing 42 is rotated relative to the base member 50 with the lock cutouts 152a-c misaligned with the lock 156 and the button 160 is released, the lock 156 will abut the distal annular flange 126 until the lock 156 is aligned with one of the lock cutouts 152a-c. When the lock 156 is aligned with one of the lock cutouts 152a-c, the biasing members 179 will urge the button 160 away from the longitudinal axis X-X and affect proximal movement of the locking member 150 such that the lock 156 will slide into the aligned lock cutout 152a-c. When the lock 156 slides into the aligned lock cutout 152a-c, the slider 155 may contact the distal annular flange 126 to provide audible indicia (a “click”) that the housing 42 is rotationally secured to the base member 50.
While rotation of the housing 42 about the base member 50 is detailed above, it is contemplated that the base member 50 may be rotated within the housing 42 such that the actuation assembly 300 is repositionable relative to the tool assembly 380 while tool assembly 380 remains substantially stationary within a surgical site.
The rotation assembly can be incorporated into surgical instrument such as ultrasonic cutting instruments, surgical staplers, surgical clip appliers, and the like. In one example, the surgical instrument has a circular anvil and circular staple cartridge for applying circular rows of staples, as is known. Linear endoscopic staplers are another example. The rotation assembly can be incorporated into an elongate shaft of a manually operated or motorized surgical instrument. The elongate shaft can be integral with the handle or can be provided as an adapter that attaches to a handle, and also attaches to a loading unit. Furthermore, the rotation assembly can be incorporated into a device for use with a robotic surgical system.
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.
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. The present disclosure is not limited to circular stapling loading units, but has application to loading units for linear stapling or other types of instruments, such as electrocautery or ultrasonic instruments. 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 of the claims appended hereto.
This application is a continuation of U.S. patent application Ser. No. 15/229,220, filed Aug. 5, 2016, the disclosure of which is incorporated by reference herein in its entirety.
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Child | 16846628 | US |