The present disclosure relates to reusable adapter assemblies including a retaining mechanism for releasably securing a removable trocar assembly within a reusable adapter assembly. More particularly, the present disclosure relates to mechanisms for maintaining first and second button members of the retaining mechanism relative to each other during cleaning and sterilization.
Surgical devices for applying staples, clips, or other fasteners to tissue are well known. Typically, endoscopic stapling devices include an actuation unit, i.e., a handle assembly for actuating the device and a shaft for endoscopic access, and a tool assembly disposed at a distal end of the shaft. In certain of these devices, the shaft includes an adapter assembly, having a proximal end securable to the handle assembly and a distal end securable to the tool assembly.
Circular stapling devices typically include a trocar assembly for positioning an attached anvil assembly. The trocar assembly may be releasably securable within the adapter assembly to permit cleaning and sterilizing and reuse of the adapter assembly. The trocar assembly is releasably secured within the adapter assembly by a retaining mechanism.
The retaining mechanism for retaining the trocar assembly within the adapter assembly may include one or more small components that might get misplaced or lost during cleaning and sterilizing of the adapter assembly. It would be beneficial to have a retaining mechanism that includes a mechanism for maintaining the components of the retaining mechanism secured to the adapter assembly as the adapter assembly is cleaned and sterilized.
An adapter assembly for connecting a loading unit to a handle assembly is provided. The adapter assembly includes an elongate body; a trocar assembly releasably securable with the elongate body, the trocar assembly including a trocar housing defining first and second openings; and a retaining mechanism configured to releasably secure the trocar assembly within the elongate body, the retaining mechanism including first and second button members configured for operable engagement by a user. The first and second button members are moveable between a lock position in which the trocar assembly is securely received with the outer sleeve and a cleanse position in which the first and second buttons extend beyond the outer sleeve. The first and second button members are secured to one another to maintain the first and second button members with the elongate body.
The first and second button members may be secured to one another with a pin and slot configuration.
The retaining mechanism may further include a first mounting member having a pin and the first button member defining a slot, wherein the pin of the first mounting member is received in the slot in the first button member.
The retaining mechanism may include a second mounting member having a pin and the second button member defining a slot, wherein the pin of the second mounting member is received in the slot in the second button.
Each of the first and second button members may include a first attachment portion and a second attachment portion. The first attachment portion of the first button member may engage the second attachment portion of the second button member, and the first attachment portion of the second button member may engage the second attachment portion of the first button member.
Each of the first and second attachment portions of each of the first and second button members may include at least one limiting feature.
The first and second button members may be secured to one another with a clip member.
The clip member may include a substantial horseshoe-shape.
The clip member may include first and second portions. The first portion may be secured to the first button member and the second portion may be secured to the second button member.
The retaining mechanism may further include a first flange extending from the first button member and a second flange extending from the second button member. The first flange may include a rivet and the second flange may define a slot. The rivet may be received in the slot to maintain the first and second button members relative to each other.
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 embodiments given below, serve to explain the principles of the disclosure, wherein:
Embodiments of the presently disclosed adapter assembly including a retaining mechanism for securing a removable trocar assembly therein will now be 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 is common in the art, the term “proximal” refers to that part or component closer to the user or operator, i.e. surgeon or clinician, while the term “distal” refers to that part or component further away from the user.
Referring initially to
With reference to
The adapter assembly 100 will only be described to the extent necessary to fully disclose the aspects of the present disclosure. For a detailed description of an exemplary adapter assembly, please refer to commonly owned U.S. Pat. App. Pub. No. 2016/0106406 (“the '406 Publication”), the content of which is incorporated by reference herein in its entirety.
With additional reference to
A drive assembly 110 (
With additional reference to
With particular reference to
With particular reference now to
With continued reference to
The body portion 134 of the housing 132 of the retaining mechanism 130 further defines first and second cutouts 133, 135 (
As noted above, the first and second button members 140, 142 of the retaining mechanism 130 each includes the engagement portion 140a, 142a, respectively, and the attachment portions 140b, 142b, respectively, extending longitudinally from the respective engagement portions 140a, 142a. The first and second button members 140, 142 further include tab portions 140c, 142c, respectively, extending laterally outwardly from the respective first and second engagement portions 140a, 142a of the respective first and second button members 140, 142.
The engagement portions 140a, 142a of the first and second button members 140, 142 of the retaining mechanism 130 are operably received within the respective first and second cutouts 133, 135 of the housing 132 of the retaining mechanism 130 while the attachment portions 140b, 142b are slidingly received through the slots 133a, 135a (
The engagement portions 140a, 142a of the respective first and second button members 140, 142 of the retaining mechanism 130 each define a flush cutout 141 (
As noted above, the engagement portions 140a, 142a of the respective first and second button members 140, 142 of the retaining mechanism 130 are configured for operable engagement by a user. As will be detail below, engagement of the engagement portions 140a, 142a by a user to move the respective first and second button members 140, 142 inward within the first and second cutouts 133, 135, respectively, cause outward movement of the plunger members 150, 152 which permits release of the trocar assembly 120 from within the adapter assembly 100 and/or facilitates receipt of the trocar assembly 120 within adapter assembly 100.
The attachment portions 140b, 142b of the respective first and second button members 140, 142 of the retaining mechanism 130 each define an opening 145, 147 for receiving free ends 154, 156 of a flange portion 150b, 152b, respectively, of the respective first and second plunger members 150, 152. Receipt of free ends 154, 156 of the flange portions 150b, 152b of the respective first and second plunger members 150, 152 within the respective opening 145, 147 of the respective attachment portions 140b, 142b of the first and second button members 140, 142, respectively, couples the respective first and second plunger members 150, 152 to the first and second button members 140, 142, respectively, such that movement of the respective first and second button members 140, 142 causes corresponding movement of the respective first and second plunger members 150, 152.
With continued reference to
The cylindrical portions 150a, 152a of the respective first and second plunger members 150, 152 of the retaining mechanism 130 are received within the respective cylindrical portions 137a, 139a of the first and second recesses 137, 139, respectively, in the housing 132 of the retaining mechanism 130. The flange portions 150b, 152b of the respective first and second plunger members 150, 152 extend through the respective channel portions 137c, 139c of the first and second recesses 137, 139, respectively, with the free ends 154, 156 of the respective flange portions 150b, 152b of the respective first and second plunger members 150, 152 received within the respective rectangular portions 137b, 139b of the first and second recesses 137, 139, respectively. The flange portion 150b, 152b of the respective first and second plunger members 150, 152 engage the respective attachment portions 140b, 142b of the respective first and second button members 140, 142, within the respective rectangular portions 137b, 139b of the first and second recesses 137, 139, respectively.
The first and second spring members 144, 146 of the retaining mechanism 130 are received within the respective recesses 151, 153 in the first and second plunger members 150, 152, respectively, and bias the respective first and second plunger members 150, 152 inwardly, as indicated by arrow “A” in
Although the retaining mechanism 130 is shown as including first and second button members 150, 152, and corresponding first and second plunger members 140, 142, it is envisioned that the retaining mechanism 130 may include only one button member and only one corresponding plunger member.
The first and second button members 150, 152 of the retaining mechanism 130, and the corresponding plunger members 140, 142 of the retaining mechanism 130 are movable between a first or lock position (
With reference to
Turning to
With reference now to
When the first and second button members 140, 142 of the retaining mechanism 130 extend beyond the outer sleeve 106 of the adapter assembly 100 the flush cutouts 141, 143 in the respective first and second button members 140, 142 are exposed to facilitate cleansing and sterilizing of the adapter assembly 100. As noted above, the tab portions 140c, 142c of the respective first and second button members 140, 142 engage an inner wall of the outer sleeve 106 of the adapter assembly 100 to maintain the respective first and second button member 140, 142 within the outer sleeve 106 of the adapter assembly 100. In this manner, the outer sleeve 106 acts as a limit stop.
The adapter assembly 100 may be provided to a clinician with the trocar assembly 120 preloaded. In the event the trocar assembly 120 is provided to the clinician separate from the adapter assembly 100, the trocar assembly 120 is loaded into the adapter assembly 100 in the reverse order of removal. In order to accommodate the trocar assembly 120 through the longitudinal passage 131 of the housing 132 of the retaining mechanism 130 the first and second button members 140, 142 are depressed, as shown in
Once the trocar assembly 120 is received within the adapter assembly 100, the first and second button members 140, 142 are released thereby allowing the respective first and second plunger members 150, 152 to move towards one another in response to the bias of the first and second spring members 144, 146. If the first and second openings 123a, 123b in the trocar housing 122 of the trocar assembly 120 are aligned with the flange portions 150c, 152c, respectively, of the respective first and second plunger members 150, 152 the flange portions 150c, 152c of the respective first and second plunger members 150, 152 are received within the respective first and second openings 123a, 123b and the engagement portions 140a, 142c of the respective first and second button members 140, 142 become flush with the outer sleeve 106 of the adapter assembly 100. In the event that the locking portions 150c, 152c of the respective first and second plunger members 150, 152 do not align with the respective first and second openings 123a, 123b in the trocar housing 122, the engagement portions 140a, 142a of the respective first and second button members 140, 142 remain extended beyond the outer sleeve 106, thereby indicating to the clinician that the trocar assembly is not properly seated within the adapter assembly 100.
Once the trocar assembly 120 is properly seated and secured within the adapter assembly 100, the adapter assembly 100 operates in a traditional manner.
Embodiments of retaining mechanisms that include a mechanism for securing components of the retaining mechanism to an adapter assembly during cleaning and sterilizing of the adapter assembly will be shown and described with reference to
Referring now to
Each of the first and second button members 240, 242 of the retaining mechanism 230 further defines a cavity 241, 243. First and second pegs 250, 252 are received within the respective cavity 241, 243 and extend inwardly therefrom. The first and second pegs 250, 252 are configured to be selectively received within openings 223a, 223b in a trocar housing 222 of a trocar assembly 220. Although shown as being separate components, it is envisioned that the first and second pegs 250, 252 may be integrally formed with respective first and second button members 240, 242.
The first button member 240 of the retaining mechanism 230 defines a slot 245 for slidingly receiving the attachment portion 242b of the second button member 242. The first button member 240 further defines a cutout 245a (
With reference now to
The first and second button members 240, 242 of the retaining mechanism 230 are moveable relative to each other between a first or lock position (
The first and second button members 240, 242 of the retaining mechanism 230 may be maintained in the lock position by friction, mechanical fasteners (not shown), or in any other suitable manner. In embodiments, and as shown, the first and second button members 240, 242 are maintained in the first position by the respective first and second flexible bands 112a, 112b of the inner flexible band assembly 112. More particularly, each of the first and second button members 240, 242 defines a recess or cutout 240d, 242d adjacent the first and second flexible bands 112a, 112b, respectively, of the inner flexible band assembly 112. When the first and second button members 240, 242 are in the locked position, the first and second flexible bands 112a, 112b, respectively, are received within the respective recess 240d, 242d and frictional engage the respective first and second button members 240, 242 to frictionally retain the first and second button members 240, 242 in the locked position.
Turning to
The first and second button members 240, 242 of the retaining mechanism 230 may be moved to the release position with a tool “T”. More particularly, an end of a tool “T” is inserted into one or both of the slots 245, 247 in the respective first and second button members 240, 242 such that the end of the tool “T” engages the attachment portion 242b, 240b of the respective second and first button members 242, 240. Inward force on either or both of the attachment portions 240b, 242b of the respective first and second button members 240, 242 causes the first and second button members 240, 242 causes the first and second flexible bands 112a, 112b to flex radially outward of the respective recesses 240d, 242d, as indicated by arrows “C”, and to slide away from each other.
As shown in
Turning to
The first button member 340 of the retaining mechanism 330 includes an engagement portion 340a, and an attachment portion 340b extending from the engagement portion 340a. The attachment portion 340b of the first button member 340 defines a slot 341. The first mounting half 332 of the retaining mechanism 330 includes a pin 334. The first button member 340 is positioned relative to the first mounting half 332 such that the pin 334 is received within the slot 341 in the attachment portion 340b of the first button member 340. The pin 334 is configured to limit a distance the first button member 340 may travel outwardly, thereby limiting the travel of the first button member 340. In this manner, the first button member 340 of the retaining mechanism 330 remains secured to the adapter assembly (not shown), thereby preventing loss of the first button member 340 during cleaning and sterilizing of the adapter assembly.
With reference now to
The retaining mechanism 430 includes first and second button members 440, 442. Each of the first and second button members 440, 442 includes a first attachment portion 450, 452, respectively, and a second attachment portion 454, 456. The first attachment portions 450, 452 of the respective first and second button members 440, 442 each includes a pair of spaced apart elongate members 450a, 450b, 452a, 452b. Limiting features 451a, 451b, 453a, 453a extend inwardly from the respective paired spaced apart elongate members 450a, 450b, 452a, 452b. The second attachment portions 454, 456 of the first and second button members 440, 442 each include an elongate member 454a, 456a, respectively, configured to be received between the paired spaced apart elongate members 450a, 450b, 452a, 452b. Each of the elongate members 454a, 456a of the respective first and second button members 440, 442 includes a pair of outwardly extending limiting features 455, 457.
The first and second button members 440, 442 of the retaining mechanism 430 are disposed relative to each other such that the elongate member 456a of the second attachment portion 456 of the second button member 442 is slidingly received between the paired spaced apart elongate members 450a, 450b of the first attachment portion 450 of the first button member 440, and the elongate member 454a of the second attachment portion 454 of the first button member 440 is received between the paired spaced apart elongate members 452a, 452b of the second attachment portion 452 of the second button member 442.
The retaining mechanism 430 is configured to limit outward movement of the first and second button members 440, 442 relative to each other. More particularly, the pair of outwardly extending limiting features 455, 457 of the respective elongate members 454a, 456a of the second attachment portions 454, 456, respectively, of the respective first and second button members 440, 442 engage the respective limiting members 453a, 453a, 451a, 451b extend inwardly from the respective paired spaced apart elongate members 452a, 452b, 450a, 450b of first attachment portions 452, 450 of the second and first button members 442, 440 as the first and second button members 440, 442 are moved outwardly away from each other to retain the first and second button member 440, 442 within an adapter assembly (not shown).
With reference to
First and second button members 540, 542 of the retaining mechanism 530 are maintained relative to each other by first and second clip members 550, 552. The first and second clip members 550, 552 each include an end 550a, 552a that is secured to an engagement portion 550a of the first button member 550 and a second end 550b, 552b that is secured to an engagement portion 552 of the second button member 552. As shown, the first and second clip members 550, 552 are substantial identical and include a horseshoe-shape (
With reference to
The retaining mechanism 630 includes first and second button members 640, 642. The first and second button members 640, 642 each include a flange member 650, 652 extending inward from an engagement portion 640a, 642a of the respective first and second button members 640, 642. One of the flange members, e.g., flange member 650 that extends from the first button member 640, includes a pin or rivet 654, and the other of the flange members, e.g., flange member 652 that extends from the second button member 642, defines a slot 653. The pin 654 of the first button member 640 is received within the slot 653 of the second button member 642. The slot and pin configuration limits the outward movement of the first and second button members 640, 642 of the retaining mechanism 630 relative to each other.
Although shown with only one set of flange members 650, 652, it is envisioned that the retaining mechanism 630 may include a second set of flange members (not shown) on an opposite side of the first and second button members 640, 642.
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.
The present application is a Continuation-in-Part application which claims the benefit of and priority to U.S. patent application Ser. No. 16/503,838, filed on Jul. 5, 2019, the entire content of which being incorporated by reference herein. The present application is a Continuation-in-Part application which claims the benefit of and priority to U.S. patent application Ser. No. 16/503,726, filed on Jul. 5, 2019, the entire content of which being incorporated by reference herein. The present application is a Continuation-in-Part application which claims the benefit of and priority to U.S. patent application Ser. No. 16/449,614, filed on Jun. 24, 2019, the entire content of which being incorporated by reference herein.
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