Patent Application
20220186815
The disclosure relates to surgical instruments. More specifically, the disclosure relates to handle assemblies including a single-motor transmission for actuating a variety of functions of surgical attachments.
Electromechanical surgical instruments include a reusable handle assembly and disposable loading units and/or single use loading units, such as, for example, surgical end effectors. The end effectors are 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. There are one or more drive mechanisms within the handle assembly for carrying out the various functions of the end effector.
In one aspect of the disclosure, a transmission assembly for use in a hand-held surgical instrument is provided and includes a housing, a main drive motor supporting a main drive gear, first and second output gears operably coupled to the main drive gear and configured to rotate in response to a rotation of the main drive gear, first and second output shafts rotatably supported in the housing, and a selector cam associated with the first and second output shafts. The selector cam is configured to move between a first position and a second position. In the first position, the selector cam non-rotatably couples the first output shaft to the first output gear and the second output gear is rotatable relative to the second output shaft. In the second position, the selector cam non-rotatably couples the second output shaft to the second output gear and the first output gear is rotatable relative to the first output shaft.
In aspects, the transmission assembly may further include a first coupling shaft non-rotatably coupled to the first output shaft and a second coupling shaft non-rotatably coupled to the second output shaft. The first coupling shaft may be configured to non-rotatably engage the first output gear when the selector cam is in the first position such that only the first output shaft of the first and second output shafts rotates in response to the rotation of the main drive gear. The second coupling shaft may be configured to non-rotatably engage the second output gear when the selector cam is in the second position such that only the second output shaft of the first and second output shafts rotates in response to the rotation of the main drive gear.
In aspects, the first coupling shaft may extend through the first output gear and may be slidable in the first output gear between a proximal position and a distal position. In the proximal position, the first coupling shaft may be non-rotatably engaged with the first output gear. In the distal position, the first coupling shaft may be disengaged from the first output gear.
In aspects, the first coupling shaft may have a proximal end portion engaged with the selector cam, and a distal end portion having a gear. The first output gear may have a geared inner surface configured to meshingly engage with the gear of the distal end portion of the first coupling shaft when the first coupling shaft is in the proximal position.
In aspects, the selector cam may have a distal-facing surface engaged to the first and second coupling shafts. The distal-facing surface of the selector cam may have a recess in which a proximal end portion of the first coupling shaft is received when the selector cam is in the first position.
In aspects, the selector cam may have an arcuate shape and may be configured to rotate around the main drive motor between the first and second positions.
In aspects, the distal-facing surface of the selector cam may have a first ramped end portion, and an opposite second ramped end portion.
In aspects, the first and second coupling shafts may each be resiliently biased toward the proximal position. The selector cam may be configured to selectively maintain only one of the first or second coupling shafts in the distal position.
In aspects, the transmission assembly may further include a third output shaft and a third output gear operably coupled to the main drive gear. The selector cam may be configured to move to a third position, in which the first and second output shafts are disengaged from the respective first and second output gears and the third output shaft is non-rotatably engaged to the third output gear.
In aspects, the transmission assembly may further include a selector motor supporting a gear that is operably coupled to the selector cam. The selector motor may be configured to move the selector cam between the first and second positions.
In aspects, the selector cam may have a plurality of teeth in meshing engagement with the gear of the selector motor.
In accordance with another aspect of the disclosure, a handle assembly for operating a surgical end effector is provided and includes a handle housing and a transmission assembly. The handle housing has a barrel portion and a handle portion extending from the barrel portion. The transmission assembly is supported in the barrel portion of the handle housing and includes a main drive motor having a main drive gear, first, second, and third output shafts, first, second, and third output gears operably coupled to the main drive gear and configured to rotate in response to a rotation of the main drive gear, a selector cam, and a selector motor operably coupled to the selector cam. The selector motor is configured to move the selector cam relative to the first, second, and third output shafts between a first position and a second position. In the first position, the first output shaft is non-rotatably coupled to the first output gear. In the second position, the second output shaft is non-rotatably coupled to the second output gear. In the third position, the third output shaft is non-rotatably coupled to the third output gear.
In aspects, the transmission assembly may further include a first coupling shaft non-rotatably coupled to the first output shaft, a second coupling shaft non-rotatably coupled to the second output shaft, and a third coupling shaft non-rotatably coupled to the third output shaft.
In aspects, the first coupling shaft may be configured to translate into non-rotatable engagement with the first output gear when the selector cam is moved to the first position such that only the first output shaft rotates in response to a rotation of the main drive gear when the selector cam is in the first position.
In aspects, the second coupling shaft may be configured to translate into non-rotatable engagement with the second output gear when the selector cam is moved to the second position such that only the second output shaft rotates in response to the rotation of the main drive gear when the selector cam is in the second position.
In aspects, the third coupling shaft may be configured to translate into non-rotatable engagement with the third output gear when the selector cam is moved to the third position such that only the third output shaft rotates in response to the rotation of the main drive gear when the selector cam is in the third position.
In aspects, the first, second, and third coupling shafts may each be resiliently biased toward a proximal position in which the first, second, and third coupling shafts are respectively non-rotatably engaged with the first, second, and third output gears.
In aspects, the selector cam may be configured to selectively maintain only one of the first, second, or third coupling shafts in a distal position and out of non-rotatable engagement with the respective first, second, and third output gears.
In aspects, the selector cam may have a distal-facing surface configured to engage and maintain a selected one of the first, second, or third coupling shafts in the distal position.
In aspects, the transmission assembly may further include a first coupling shaft non-rotatably coupled to the first output shaft. The first coupling shaft may be configured to translate into non-rotatable engagement with the first output gear when the selector cam is moved to the first position such that only the first output shaft rotates in response to a rotation of the main drive gear when the selector cam is in the first position.
In aspects, the first coupling shaft may extend through the first output gear and may be slidable therein between a proximal position and a distal position. In the proximal position, the first coupling shaft is non-rotatably engaged with the first output gear. In the distal position, the first coupling shaft is disengaged from the first output gear.
In aspects, the first coupling shaft may have a proximal end portion engaged with the selector cam, and a distal end portion having a gear. The first output gear may have a geared inner surface configured to meshingly engage with the gear of the distal end portion of the first coupling shaft when the first coupling shaft is in the proximal position.
In aspects, the selector motor may rotatably support and drive a gear. The selector cam may have a plurality of teeth in meshing engagement with the gear of the selector motor. The teeth of the selector cam may be configured to move the selector cam between the first, second, and third positions.
In aspects, the selector cam may have an arcuate shape and may be configured to rotate around the main drive motor between the first, second, and third positions.
As used herein, the terms parallel and perpendicular are understood to include relative configurations that are substantially parallel and substantially perpendicular up to about + or −10 degrees from true parallel and true perpendicular.
Embodiments of the disclosure are described herein with reference to the accompanying drawings, wherein:
Embodiments of the presently disclosed surgical instruments 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 surgical instrument, or component thereof, farther from the user, while the term “proximal” refers to that portion of the surgical instrument, or component thereof, closer to the user.
This disclosure is directed to a transmission assembly disposable within a handle housing of a hand-held surgical instrument. The transmission assembly has a single motor that drives a plurality of output shafts, which are configured to transmit rotational motion to corresponding driven elements of a surgical end effector. The transmission assembly includes a selector cam that selectively operably couples a single output shaft with the motor. When a user depresses a switch, a computer processor within the handle housing determines the desired user request and positions the selector cam in the appropriate position to operate the desired output shaft.
The main advantage of a single motor design is the elimination of motors due to the simple shaft selectable transmission. This transmission design provides the same device performance as a multiple motor design with the advantages of allowing the product to be manufactured at a lower cost. Further, the ergonomics are improved because the physical size and weight of the device will be less and will require fewer electrical components and circuitry which contributes to improved reliability.
With reference to
The hand-held electromechanical surgical instrument 10 includes a handle assembly 12 and an adapter assembly 14 extending distally from the handle assembly 12. The adapter assembly 14 has a knob housing 16 coupled to the handle assembly 12 and a shaft portion 18 configured for selective connection with a selected surgical end effector. The knob housing 16 may be rotationally coupled to the handle assembly 12 and configured to be manually rotated about a longitudinal axis “X” defined by the shaft portion 18 to rotate the end effector.
The handle assembly 12 includes a handle housing 26 consisting of a barrel portion 28 substantially aligned with the longitudinal axis “X,” and a handle portion 30 extending perpendicularly downward from the barrel portion 28. The handle assembly 12 includes a printed circuit board or processor 36 and a battery 38 disposed in the handle housing 26. The printed circuit board 36 is configured to be in electrical communication with the battery 38 and a main drive motor 102 of a transmission assembly 100. The main drive motor 102 may be wirelessly connected, connected via a wire, or otherwise electrically connected to the printed circuit board 36 and the battery 38. The handle assembly 12 also has a fire switch 22 configured to actuate the various functions of the end effector and a safety switch 24 for preventing an inadvertent actuation of the fire switch 22. The fire switch 22 may be a finger switch pivotably coupled to the handle portion 30 in communication with the printed circuit board 36 for activating the battery 38 to ultimately actuate an open/close and staple firing function of the end effector.
With reference to
The output shafts 106, 108, 110 are configured to be selectively driven by the main drive motor 102 whereby the selected output shaft 106, 108, or 110 rotates to transmit its rotational motion to a driven element (e.g., drive shaft 2 of adapter assembly 14 of
With reference to
The transmission assembly 100 further includes a plurality of coupling shafts, such as, for example, first, second, and third coupling shafts 130, 132, 134 configured to operable couple the respective first, second, and third output gears 120, 122, 124 to the first, second, and third output shafts 106, 108, 110, as will be described. The coupling shafts 130, 132, 134 are each disposed in a respective hollow interior of the output shafts 106, 108, 110 and are slidable therein along a longitudinal axis of the output shafts 106, 108, 110 (e.g., as illustrated by double headed arrow of
Each of the coupling shafts 130, 132, 134 has a proximal end portion 150a (
With continued reference to
As best shown in
When the selector cam 160 is in the first position, the first or central coupling shaft 130 is aligned with the recess 174 and therefore in the proximal position, and the second and third coupling shafts 132, 134 are maintained in the distal position by the distal-facing surface 170 of the selector cam 160. When the selector cam 160 is in the second position (not explicitly shown), the second coupling shaft 132 is disposed out of alignment with the distal-facing surface 170 of the selector cam 160 and therefore in the proximal position, and the first and third coupling shafts 130, 134 are maintained in the distal position by the distal-facing surface 170. When the selector cam 160 is in the third position (not explicitly shown), the third coupling shaft 134 is out of alignment with the distal-facing surface 170 and therefore in the proximal position, and the first and second coupling shafts 130, 132 are maintained in the distal position by the distal-facing surface 170.
With brief reference to
In operation, a user may manually select the desired function of the end effector to be carried out by the handle assembly 12. For example, a user may desire for an opening/closing of the attached end effector. The processor 36 (
With the selector cam 160 in the selected first position, the handle assembly 12 may generate an indication (e.g., an auditory or visual indication) to the user that the handle assembly 12 is ready to be actuated to perform the desired function. A user may then actuate the fire switch 22 (
If a user desires that another type of function of the end effector be carried out by the handle assembly 12, the selector cam 160 may be moved to the corresponding position, for example, the second position. As the selector cam 160 is moved from the first position to the second position (e.g., as illustrated by double-headed arrows of
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 surgical instruments including switch 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 disclosure.
