The present disclosure relates to surgical devices. More specifically, the present disclosure relates to handheld electromechanical surgical systems for performing surgical procedures having reusable components with load sensing devices.
One type of surgical device is a circular clamping, cutting and stapling device. Such a device may be employed in a surgical procedure to reattach rectum portions that were previously transected, or similar procedures. Conventional circular clamping, cutting, and stapling devices include a pistol or linear grip-styled structure having an elongated shaft extending therefrom and a staple cartridge supported on the distal end of the elongated shaft. In this instance, a physician may insert the loading unit portion of the circular stapling device into a rectum of a patient and maneuver the device up the colonic tract of the patient toward the transected rectum portions. The loading unit includes a cartridge assembly having a plurality of staples. Along the proximal portion of the transected colon, an anvil assembly can be purse stringed therein. Alternatively, if desired, the anvil portion can be inserted into the colon through an incision proximal to the transected colon. The anvil and cartridge assemblies are approximated toward one another and staples are ejected from the cartridge assembly toward the anvil assembly thereby forming the staples in tissue to affect an end-to-end anastomosis, and an annular knife is fired to core a portion of the clamped tissue portions. After the end-to-end anastomosis has been effected, the circular stapling device is removed from the surgical site.
A number of surgical device manufacturers have also developed proprietary powered drive systems for operating and/or manipulating the end effectors. The powered drive systems may include a powered handle assembly, which may be reusable, and a disposable end effector that is removably connected to the powered handle assembly.
Many of the existing end effectors for use with existing powered surgical devices and/or handle assemblies are driven by a linear driving force. For example, end effectors for performing endo-gastrointestinal anastomosis procedures, end-to-end anastomosis procedures and transverse anastomosis procedures, are actuated by a linear driving force. As such, these end effectors are not compatible with surgical devices and/or handle assemblies that use rotary motion.
In order to make the linear driven end effectors compatible with powered surgical devices that use a rotary motion to deliver power, a need exists for adapters to interconnect the linear driven end effectors with the powered rotary driven surgical devices. These adapters may also be reusable, and as such, need to able to withstand multiple sterilization cycles.
As these adapters are becoming more sophisticated and include various electronic components, there is a need for electronic components disposed within the adapters that can withstand multiple autoclave cycles.
Powered surgical devices may include various sensors for providing feedback during their operation. However, one limitation of the electronics and sensors used in the sterile environment of the operating room is that they need to be designed to withstand multiple cleaning and autoclave cycles. In order to gather information of the mechanical forces applied by the powered surgical devices, load sensing devices, such as load cells, are disposed on one or more mechanical components of the powered surgical device and/or adapters coupled thereto.
Load sensing devices are also coupled to signal processing and conditioning circuits that are separately packaged from the load sensing devices. In particular, components of signal processing circuits are usually disposed on printed circuit boards (“PCB”) housed with other electronic and electric components of powered surgical devices. Remote placements of these circuit components away from the load sensing devices is due to their size and shape, which prevent the PCB from being in close proximity to the load sensing devices. Accordingly, these circuits are connected to the load sensing devices through wired connections, which involve longer leads (e.g., flexible printed circuit traces over 10 centimeters) for transmitting analog signals from the load sensing devices to the signal processing circuit. Longer wired connections can result in signal loss and also increase the chances of failure due to exposure of these leads to disinfecting and sterilization cycles. Harsh environments from disinfecting solutions and residual moisture from the autoclaving processes breaks down the components and coatings in flex circuits, thereby causing signal degradation. Further, in surgical devices where saline irrigation is utilized, the saline can further breakdown of mechanical integrity of these circuits resulting in signal degradation.
In addition, the separation between the load sensing devices and the signal processing circuitry also affects fidelity of analog sense signals transmitted from the load sensing devices. The analog voltage signals are low voltage signals and are therefore more susceptible to interference of the load measured by the load sensing devices due to water ingress in the PCB, solder connections, and/or traces, small contamination including solder flux and autoclave mineral deposits, as well as radio frequency interference due to long conductor travel length. Remote placement of signal processing circuits also results in lower bit resolution. Furthermore, conventional signal processing circuits used with load sensing devices have no ability to compensate for zero balance fluctuations in load sensing devices due to inconsistencies of sensor bodies housing the load sensing devices (e.g., during manufacture and assembly of the sensors). As used herein, the term “zero balance” denotes a baseline signal from a load sensing device corresponding to a condition in which the load sensing device is unloaded.
The present disclosure provides for a combined load sensing assembly having one or more load sensing devices and a signal processing circuit disposed within a hermetically sealed housing of the sensor. This obviates the problem of transmitting analog load sensing signals along long leads and protects the load sensing devices and the signal processing circuit from exposure to elements including sterilization cycles (e.g., autoclaving). In addition, the signal processing circuit is programmable to optimize the sensor signals by adjusting gain and offset values of sensor signals.
Conventional load sensing devices that utilize strain gauge technology typically suffer from the lack of adjustability or tuning of the load sensing devices. In particular, variations in the load sensing devices, tolerances in sensor bodies, placement of the load sensing devices, and other factors, contribute to zero balance variations, which result in variable zero balance values across the lot of load sensing devices. Unfortunately, in conventional load sensing device zero balance cannot be adjusted for each individual load sensing device. The present disclosure provides a signal processing circuit that may be programmed to adjust zero balance after the load sensor is manufactures and/or assembled.
According to one embodiment of the present disclosure, a surgical device is disclosed. The surgical device includes a handle assembly having a controller and an adapter assembly including a tubular housing having a proximal end portion configured to couple to the handle assembly and a distal end portion. The adapter assembly also includes a load sensing assembly disposed with the tubular housing. The load sensing assembly is configured to measure a load exerted on the tubular housing and includes: a sensor body having a pocket defined therein; a load sensor circuit disposed within the pocket and coupled to the sensor body; and a signal processing circuit disposed within the pocket and electrically coupled to the load sensor circuit. The load sensing assembly further includes a cover disposed over the pocket and enclosing the load sensor circuit and the signal processing circuit therein, the cover being coupled to the sensor body thereby forming a first hermetic seal therebetween. The surgical device further includes a surgical end effector configured to couple to the distal end portion of the adapter assembly.
According to one aspect of the above embodiments, the handle assembly includes an electrical receptacle configured to couple to the electrical connector and the controller is coupled to the electrical receptacle.
According to another embodiment of the present disclosure, an adapter assembly is disclosed. The adapter assembly includes a tubular housing having a proximal end portion and a distal end portion and a load sensing assembly disposed with the tubular housing. The load sensing assembly is configured to measure a load exerted on the tubular housing and includes: a sensor body having a pocket defined therein; a load sensor circuit disposed within the pocket and coupled to the sensor body; and a signal processing circuit disposed within the pocket and electrically coupled to the load sensor circuit. The load sensing assembly further includes a cover disposed over the pocket and enclosing the load sensor circuit and the signal processing circuit therein, the cover being coupled to the sensor body thereby forming a first hermetic seal therebetween.
According to one aspect of any of the above embodiments, the adapter assembly further includes an actuation assembly having a trocar member. The sensor body includes a lumen defined therethrough and the trocar assembly is movable through the lumen.
According to another aspect of any of the above embodiments, the adapter assembly further includes at least one electrically conductive lead coupled to a plurality of pins of the load sensing assembly; and an electrical connector disposed at the proximal end portion and coupled to the at least one electrically conductive lead.
According to a further embodiment of the present disclosure, a load sensing assembly is disclosed. The load sensing assembly including: a sensor body having a pocket defined therein; a load sensor circuit disposed within the pocket and coupled to the sensor body; and a signal processing circuit disposed within the pocket and electrically coupled to the load sensor circuit. The load sensing assembly further includes a cover disposed over the pocket and enclosing the load sensor circuit and the signal processing circuit therein, the cover being coupled to the sensor body thereby forming a first hermetic seal therebetween.
According to one aspect of the above embodiments, the sensor body may further include a slot defined therein, the slot being connected to the pocket. The load sensing assembly may further include a header including a plurality of pins coupled to the load sensor circuit and the signal processing circuit, wherein the header is coupled to the sensor body thereby forming a second hermetic seal therebetween.
According to another aspect of the above embodiments, the load sensing assembly includes a plurality of load sensing devices.
According to a further aspect of the above embodiments, the signal processing circuit may include a flexible circuit board and may be covered by a dielectric wrap.
Embodiments of the present disclosure are described herein with reference to the accompanying drawings, wherein:
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” will refer to the portion of the device or component thereof that is closer to the clinician and the term “distal” will refer to the portion of the device or component thereof that is farther from the clinician. Additionally, in the drawings and in the description that follows, terms such as front, rear, upper, lower, top, bottom, and similar directional terms are used simply for convenience of description and are not intended to limit the disclosure. In the following description, well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail.
The present disclosure relates to powered surgical devices having electronic sensors for monitoring mechanical strain and forces imparted on components of the powered surgical devices. More particularly, this disclosure relates to load measuring sensors including load sensing devices as well as analog and digital circuitry that are hermetically sealed such that the load sensors are configured to resist harsh environments. In the event that electrical connections of the powered surgical devices are compromised during use, measurement signals output by the sensors of the present disclosure remain unaltered. In addition, the sensors are programmable allowing for adjustments to gain and offset values in order to optimize the measurement signals.
With reference to
The handle assembly 20 includes a handle housing 22 having a lower housing portion 24, an intermediate housing portion 26 extending from and/or supported on a portion of the lower housing portion 24, and an upper housing portion 28 extending from and/or supported on a portion of the intermediate housing portion 26. As shown in
With reference to
With reference to
With reference to
With reference to
As illustrated in
With reference to
With reference now to
Electrical assembly 60 includes the electrical connector 32, a proximal harness assembly 62 having a ribbon cable, a distal harness assembly 64 having a ribbon cable, a load sensing assembly 66, and a distal electrical connector 67. The electrical assembly 60 also includes the distal electrical connector 67 which is configured to selectively mechanically and electrically connect to a chip assembly (not shown) of reload 40.
Electrical connector 32 of electrical assembly 60 is supported within the proximal end portion 30b of the adapter assembly 30. Electrical connector 32 includes the electrical contacts 34 which enable electrical connection to the handle assembly 20. Proximal harness assembly 62 is electrically connected to the electrical connector 32 disposed on a printed circuit board 35.
Load sensing assembly 66 is electrically connected to electrical connector 32 via proximal and distal harness assemblies 62, 64. Load sensing assembly is also electrically connected to distal harness assembly 64 via a sensor flex cable. As shown in
For a detailed description of an exemplary powered surgical stapler including an adapter assembly and a reload, reference may be made to commonly owned U.S. Patent Application Publication No. 2016/0310134 to Contini et al., titled “Handheld Electromechanical Surgical System,” filed Apr. 12, 2016, incorporated by reference hereinabove.
With reference to
The platform 70 also includes a top surface 78 and a bottom surface 80 (
With reference to
With reference to
The flexible circuit board 92 may be any suitable dielectric multilayer flexible materials, such as PYRALUX® materials available from DuPont of Willmington, Del., liquid crystal polymer materials, and the like. In embodiments, the flexible circuit board 92 may include additional dielectric layers, which stiffen the flexible circuit board 92 so that the solder connections of the components located along the flexible circuit board 92 are not subjected to unwanted movement due to thermal expansion and/or mechanical movement of the load sensing assembly 66. In embodiments, the flexible circuit board 92 may fabricated in a flat state (
The contact portion 94 is configured to couple to the load sensor circuit 86, which includes one or more load sensing devices 102 interconnected by a plurality traces or other conductors. In embodiments, the load sensing devices 102 may be strain gauges, pressure sensors (e.g., pressure sensing film), or any other suitable transducer devices configured to measure mechanical forces and/or strain and output an electrical signal in response thereto. Signal output is achieved when the load sensing circuit 86 is bonded to the sensor body 68 such that the load sensing devices 102 are positioned in the respective areas of linear strain output when load sensing assembly 66 is elastically deformed.
The load sensor circuit 86 may be a single circuit board, such as a flexible circuit board with the load sensing devices 102 being disposed thereon and electrically interconnected via internal traces. The load sensing devices 102 are also electrically coupled via traces to a plurality of second pass-through contacts 101. In embodiments, the load sensing devices 102 may be attached to the first portion 74 of the platform 70 individually, rather than through the load sensor circuit 86 and then wired together to provide for electrical coupling.
The plurality of load sensing devices 102 may be arranged on the load sensor circuit 86 in a variety of configurations to achieve temperature compensation or other resistor networks, such as a Wheatstone Bridge in which two load sensing devices 102 are arranged to move in response to tension of the load sensing assembly 66 and two load sensing devices 102 are arranged to move in response to compression of the load sensing assembly 66. The configuration of four load sensing devices 102 as shown in
With reference to
The slot 108 passes through the pocket 104 to the bottom surface 80 as shown in
In embodiments, the flexible circuit board 92 may be folded and/or bent as shown in
In further embodiments, a wrap 116 can be disposed over the flexible circuit board 92 to insulate electronic components of the signal processing circuit portion 96 and prevent short circuits if the flexible circuit board 92 contacts an interior surface of the cover 88. The wrap 116 may be polyimide tape or ionomer resin tape, such as KAPTON® and SURLYN®, respectively, from DuPont of Wilmington, Del., shrink-wrap, polyisoprene membranes, low durometer potting compounds, parylene coatings, and other dielectric materials and applications suitable for insulating electronic circuits.
With reference to
A hermetic seal may be formed by inserting the pins 110 through their respective glass sleeves 120, after which the pins 110 along with their glass sleeves 120 are inserted into corresponding bores of the peripheral housing 122 of the header 118. The entire assembly of the pins 110, glass sleeves 120, and the peripheral housing 122 are heated. Upon heating, the bore of the peripheral housing 122, which may be formed from any suitable metal (e.g., stainless steel), expands and the glass sleeves 120 fill the void. The pins 110 being formed from metal expand minimally and upon cooling, the glass sleeves 120 provide compression seals about their respective pins 110 and bores of the peripheral housing 122. As shown in
With reference to
The cover 88 may be formed from a similar material as the sensor body 68. The cover 88 may be secured to the sensor body 68 in any suitable manner to ensure that the signal processing circuit 90 is hermetically sealed within the cover 88. In embodiments, the cover 88 and the sensor body 68 may be formed from a metal, such as stainless steel, and the cover 88 may be welded (e.g., by a laser) to the platform 70 around their respective perimeters. The cover 88 may be manufactured using a deep draw process, which provides for economical manufacturing. In embodiments, the sensor body 68 and the cover 88 may be manufactured using any suitable such as, machining, metal injection molding, 3-D printing, and the like.
With reference to
The controller 130 is programmable to allow for adjustments to gain and offset parameters for processing the analog signal. In particular, the controller 130 stores a zero balance value and corresponding gain and offset parameters in the storage device 132. After assembly of the load sensing assembly 66, load sensor circuit 86 is calibrated. In embodiments, the load sensor circuit 86 may be recalibrated periodically to ensure accurate measurements. Calibration may be performed under zero balance, namely, when the load sensor circuit 86 is unloaded. If the load sensor circuit 86 is outputting any signal even in an unloaded state, or conversely, not outputting a sufficient signal in response to a loaded state, the controller 130 is programmed to compensate for such discrepancy. This is accomplished by adjusting gain and offset parameters of the controller 130, which allows the controller 130 to adjust the analog signal to correspond to the zero balance state. The controller 130 may be programmed through the main controller 38, which is coupled to the controller 130 through the pins 110 as described above.
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.
This application claims the benefit of and priority to U.S. Provisional Patent Application Ser. No. 62/801,979 filed Feb. 6, 2019, the entire disclosure of which is incorporated by reference herein.
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