巴西专利BR112019026736A2 sets of surgical drive shafts with sets of slip rings with higher contact pressure

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专利摘要:
The present invention relates to a slip ring assembly that can be used with a surgical drive shaft assembly. The slip ring assembly includes a first connector flange that comprises a conductor. The slip ring assembly additionally includes a second connector flange which comprises a conductive element in contact with the conductor, wherein the second connector flange is pivotal to the first connector flange. In addition, the slip ring assembly also includes a support member, where the second connector flange is sandwiched between the first connector flange and the support member, and where the support member is configured to apply a load on the second connector flange to maintain contact between the conductor and the conductive element.
公开号:BR112019026736A2
申请号:R112019026736-0
申请日:2018-05-31
公开日:2020-06-30
发明作者:David C. Yates；Frederick E. Shelton Iv；Jason L. Harris
申请人:Ethicon Llc；
IPC主号:

专利说明:

[0001] [0001] The present invention relates to surgical instruments and, in various circumstances, surgical instruments for stapling and cutting, and staple cartridges for them, which are designed for stapling and cutting fabrics. BACKGROUND OF THE INVENTION
[0002] [0002] On a powered surgical cutting and stapling instrument, it can be useful to measure the position and speed of a cutting member at an initial time or index to control speed. Measuring position or speed over a first time or predetermined displacement can be useful for assessing tissue thickness and for adjusting the speed of the remaining stroke based on such a comparison against a limit.
[0003] [0003] Although several devices have been produced and used, it is believed that no one before the inventors made or used the device described in the attached claims. SUMMARY OF THE INVENTION
[0004] [0004] In one aspect of the present description, a slip ring assembly includes a first connector flange comprising a conductor. The slip ring assembly additionally includes a second connector flange which comprises a conductive element in contact with the conductor, the second connector flange being rotatable with respect to the first connector flange. In addition, the slip ring assembly also includes a support member, the second connector flange being sandwiched between the first connector flange and the support member, and the support member is configured
[0005] [0005] In one aspect of the present description, a surgical drive shaft assembly includes a proximal portion of the drive shaft that has a proximal connector that includes a plurality of conductors. The surgical drive shaft set also includes a portion of the distal drive shaft that includes a distal connector that includes a plurality of conductive elements, each in contact with one of the plurality of conductors, the distal connector being rotatable in relation to the proximal connector. The distal drive shaft portion also includes a support member, the distal connector being positioned between the proximal connector and the support member, and the support member is configured to apply a load on the distal connector to maintain contact between the plurality of conductors and the plurality of conductive elements.
[0006] [0006] A slip ring assembly includes a slip ring that includes an annular conductor, and a switch that includes a switch body portion and a switch arm extending from the switch body portion, the arm being the switch comprises a conductive element in contact with the conductor, and the switch is rotatable in relation to the slip ring. The slip ring assembly also includes a support member with a body portion that includes a support configured to receive and retain the body portion of the switch, and an arm extending from the body portion, the arm comprising a resilient member configured to maintain contact between the conductor and the conductive element. FIGURES
[0007] [0007] The innovative characteristics of the various aspects described here are presented with particularity in the attached claims. Several aspects, however, both in relation to the organization and the methods of operation can be better understood by reference to the description below, taken in conjunction with the attached drawings as follows:
[0008] [0008] Figure 1 is a perspective view of a surgical instrument that has a set of drive axes and an end actuator, according to one or more aspects of the present description.
[0009] [0009] Figure 2 illustrates an exploded view of the assembly of a portion of the ultrasonic surgical instrument of Figure 1, according to an aspect of this description.
[0010] [0010] Figure 3 is an exploded view of an end actuator of the surgical instrument of Figure 1, according to an aspect of this description.
[0011] [0011] Figure 4 is a perspective view of an RF cartridge and an elongated channel adapted for use with the RF cartridge, in accordance with an aspect of the present description.
[0012] [0012] Figure 5 is an exploded view of the set of portions of the interchangeable drive shaft assembly of the surgical instrument of Figure 1, according to an aspect of this description.
[0013] [0013] Figure 6 is another exploded view of the set of portions of the interchangeable drive shaft assembly of Figure 1, according to an aspect of the present description.
[0014] [0014] Figure 7 is a cross-sectional view of a portion of the interchangeable drive shaft assembly of Figure 1, according to an aspect of this description.
[0015] [0015] Figure 8 is a perspective view of a portion of the drive shaft assembly of Figure 1, with the switching cylinder omitted for the sake of clarity;
[0016] [0016] Figure 9 is another perspective view of the portion of the interchangeable drive shaft assembly of Figure 1, with the switching cylinder mounted there.
[0017] [0017] Figure 10 is an exploded view of a slide ring assembly according to an aspect of this description.
[0018] [0018] Figure 11 is another exploded view of the slide ring assembly in Figure 10.
[0019] [0019] Figure 12 is a cross-sectional view of the slide ring assembly of Figure 10 showing a new conductive element.
[0020] [0020] Figure 13 is a cross-sectional view of the slide ring assembly of Figure 10 showing a fatigued and / or worn conductive element. DESCRIPTION
[0021] [0021] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities: - US Patent Application serial number, entitled ARTICULATION STATE DETECTION MECHANISMS; power of attorney document number END8176USNP / 170049; - US Patent Application Serial No., entitled
[0022] [0022] Certain aspects are shown and described to provide an understanding of the structure, function, manufacture and use of the revealed devices and methods. The features shown or described in one example can be combined with the features in other examples and modifications and variations are within the scope of this description.
[0023] [0023] The terms "proximal" and "distal" refer to a doctor who handles the handle of the surgical instrument, the term "proximal" referring to the portion closest to the doctor and the term "distal" referring to the portion located farthest from the doctor. For convenience, the spatial terms "vertical", "horizontal", "up" and "down" used in relation to the drawings are not intended to be limiting and / or absolute, because surgical instruments can be used in many orientations and positions.
[0024] [0024] The terms "understands" (and any form of understanding, such as "understanding" and "that understands"), "has" (and any form of has, such as "having" and "that has"), " includes "(and any form of includes, such as" including "and" that includes ") and" contains "(and any form of contains, such as" containing "and" that contains ") are unbounded link verbs. As a result, a surgical system, device or apparatus that "comprises", "has", "includes" or "contains" one or more elements, has those one or more elements, but is not limited to having just those one or more elements. Likewise, an element of a surgical system, device or apparatus that "comprises", "has", "includes" or "contains" one or more resources has those one or more resources, but is not limited to having only those one or more resources.
[0025] [0025] Exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. Such devices and methods, however, can be used in other surgical procedures and applications including open surgical procedures, for example. Surgical instruments can be inserted through a natural orifice or one through an incision or perforation formed in the tissue. The functional portions or portions of the instrument end actuator can be inserted directly into the body or via an access device that has a functional channel through which the end actuator and the elongated drive shaft can be advanced. surgical instrument.
[0026] [0026] Figures 1 to 9 illustrate a surgical instrument driven by motor 10 for cutting and fixation that may or may not be reused. In the illustrated examples, the surgical instrument 10 includes a housing 12 that comprises a handle assembly 14 that is configured to be held, handled and operated by the physician. The housing 12 is configured for operational fixation to an interchangeable drive shaft assembly 200 that has an end actuator 300 operationally coupled to it that is configured to perform one or more surgical tasks or procedures. According to the present description, various forms of interchangeable drive shaft assemblies can be effectively used in connection with robotically controlled surgical systems. The term "housing" may include a housing or similar portion of a robotic system that houses or otherwise operationally supports at least one drive system configured to generate and apply at least one control motion that can be used to drive the drive shaft assemblies. The term "structure" can refer to a portion of a hand held surgical instrument. The term "structure" can also represent a portion of a robotically controlled surgical instrument and / or a portion of the robotic system that can be used to operationally control the surgical instrument. The interchangeable drive shaft assemblies disclosed herein can be used with various robotic systems, instruments, components and methods disclosed in US Patent No.
[0027] [0027] Figure 1 is a perspective view of a surgical instrument 10 that has an interchangeable drive shaft assembly 200 operatively coupled thereto, according to an aspect of this description. The housing 12 includes an end actuator 300 comprising a surgical cutting and clamping device configured to operationally support a surgical staple cartridge 304 in it. Housing 12 can be configured for use in connection with the interchangeable drive shaft assemblies that include end actuators that are adapted to hold different sizes and types of clamp cartridges, and that have different lengths, sizes and types of drive shaft. Frame 12 can be used with a variety of interchangeable drive shaft assemblies including assemblies configured to apply other movements and forms of energy such as radio frequency (RF) energy, ultrasonic energy and / or motion to end actuator arrangements adapted for use in various applications and surgical procedures. End actuators, drive shaft assemblies, handles, surgical instruments and / or surgical instrument systems can use any suitable fastener, or fasteners, to secure tissue. For example, a fastener cartridge that comprises a plurality of fasteners stored therein
[0028] [0028] The handle assembly 14 can comprise a pair of interconnectable handle housing segments 16 and 18 interconnected by screws, snap-fit features, adhesive etc. The cable housing segments 16, 18 cooperate to form a portion of the pistol grip 19 that can be handled and manipulated by the physician. The handle assembly 14 operationally supports a plurality of drive systems configured to generate and apply control movements to the corresponding portions of the interchangeable drive shaft assembly that is operationally attached to it.
[0029] [0029] Figure 2 illustrates an exploded view of the assembly of a portion of the ultrasonic surgical instrument 10 of Figure 1, according to an aspect of this description. The handle assembly 14 may include a frame 20 that operationally supports a plurality of drive systems. The frame 20 can optionally support a "first" drive system or closing drive system 30, which can apply closing and opening movements to the interchangeable drive shaft assembly 200. The closing drive system 30 may include an actuator such as a closing trigger 32 pivotally supported by frame 20. The closing trigger 32 is pivotally coupled to the handle assembly 14 by a pivot pin 33 to enable the closing trigger 32 be handled by a doctor. When the doctor holds the pistol grip portion 19 of the grip assembly 14, the closing trigger 32 can pivot from an initial or "not acted" position to an "acted" position and, more particularly, to a completely -
[0030] [0030] The grip handle 14 and the frame 20 can operationally support a trigger drive system 80 configured to apply trigger movements to the corresponding portions of the interchangeable drive shaft assembly fixed to it. The firing drive system 80 can employ an electric motor 82 located in the pistol grip portion 19 of the handle assembly 14. Electric motor 82 can be a direct current (DC) motor with brushes having a maximum rotation of approximately 25,000 rpm, for example. In other arrangements, the motor may include a brushless motor, a wireless motor, a synchronous motor, a stepper motor or any other suitable electric motor. The electric motor 82 can be powered by a power supply 90 which can comprise a removable power source 92. The removable power source 92 can comprise a portion of the proximal housing 94 which is configured for attachment to a port. distal housing 96. The proximal housing portion 94 and the distal housing portion 96 are configured to operationally support a plurality of batteries 98 therein. Each of the 98 batteries can comprise, for example, a lithium ion battery ("LI") or another suitable battery. The distal housing portion 96 is configured for removable operational attachment to a control circuit board 100 that is operationally coupled to the electric motor
[0031] [0031] The electric motor 82 may include a rotary drive shaft (not shown), which, in an operational way, interfaces with a gear reducer assembly 84 mounted on coupling coupling with a set or rack, of teeth drive
[0032] [0032] In use, a voltage polarity provided by the power supply 90 can operate the electric motor 82 clockwise, and the voltage polarity applied to the electric motor by the battery can be reversed to operate the electric motor 82 in the anticlockwise. When the electric motor 82 is rotated in one direction, the longitudinally movable drive member 120 will be axially activated in the distal direction "DD". When the electric motor 82 is driven in the opposite rotating direction, the longitudinally movable driving member 120 will be driven axially in the proximal direction "DP". The handle assembly 14 can include a switch that can be configured to reverse the polarity applied to the electric motor 82 by the power supply 90. The handle assembly 14 can include a sensor configured to detect the position of the longitudinally movable drive member 120 and / or the direction in which the longitudinally movable drive member 120 is being moved.
[0033] [0033] The activation of the electric motor 82 can be controlled by a trigger trigger 130 that is pivotally supported on the handle assembly 14. The trigger trigger 130 can be pivoted between an unacted position and an acted position .
[0034] [0034] Returning to Figure 1, the interchangeable drive shaft assembly 200 includes an end actuator 300 comprising an elongated channel 302 configured to operationally support a surgical staple cartridge 304 inside. end 300 may include an anvil 306 which is supported
[0035] [0035] Returning to Figure 1, the closing tube 260 is moved distally (direction "DD") to close the anvil 306, for example, in response to the action of the closing trigger 32 in the manner described in the previously mentioned reference publication of patent application No. 2014/0263541. Anvil 306 is opened by proximal translation of the closing tube 260. In the open position of the anvil, the closing tube 260 of the drive shaft is moved to its proximal position.
[0036] [0036] Figure 3 is an exploded view of an aspect of an end actuator 300 of the surgical instrument 10 of Figure 1, according to one or more aspects of the present description. End actuator 300 may include anvil 306 and surgical staple cartridge 304. In this non-limiting example, anvil 306 is coupled to an elongated channel 302. For example, openings 199 can be defined in elongated channel 302, which it can receive pins 152 extending from the anvil 306 and allow the anvil 306 to rotate from an open position to a closed position in relation to the elongated channel 302 and the surgical staple cartridge 304. A firing bar 172 is configured to move longitudinally into the end actuator 300. The firing bar 172 can be constructed in a solid section or, in several examples, it can include a laminated material comprising, for example, a stack of steel plates. The firing bar 172 comprises an E-profile rod 178 and a cutting edge 182 at a distal end. In many ways, the rod with an E profile can be called a rod with an | profile. A distal projecting end of the firing bar 172 can be attached to the E-profile rod element 178 in any suitable way and can, among other things, assist in spacing the anvil 306 from a surgical staple cartridge 304 positioned in the elongated channel 302, when the anvil 306 is in a closed position. The stem with an E 178 profile can also include a sharp cutting edge 182, which can be used to separate the fabric, as the stem with an E 178 profile is distally advanced by the trigger bar 172. In operation, the E-profile rod 178 can also actuate or fire the surgical staple cartridge 304. The surgical staple cartridge 304 may include a molded cartridge body 194 that holds a plurality of staples 191 that rest on the staple actuators 192 inside the respective staple cavities open upward 195. A wedge slide 190 is distally driven by the E-profile rod 178, sliding over a cartridge tray 196 that holds the various components of the 304 staple cartridge. The wedge slide 190 moves the clamp actuators 192 upwards by way to expel the clamps 191 in deformation contact with the anvil 306, while the cutting edge 182 of the E-profile shank 178 cuts the trapped tissue.
[0037] [0037] The stem with E 178 profile can include upper pins
[0038] [0038] With reference to Figure 4, in at least one arrangement, an interchangeable drive shaft assembly can be used in relation to an RF 1700 cartridge as well as a staple / surgical clip cartridge.
[0039] [0039] The RF 1700 surgical cartridge includes a cartridge body
[0040] [0040] The cartridge body 1710 is formed with a raised electrode plate centrally arranged 1720. The elongated slot 1712 extends through the center of the electrode plate 1720 and serves to divide the plate 1720 into a plate segment on the left side 1720L and a 1720R right-hand plate segment. A flexible circuit assembly on the right side 1730R is attached to the plate segment on the right side 1720R and a flexible circuit segment on the left side 1730L is attached to the plate segment on the left side 1720L. In at least one arrangement, for example, the right side flexible circuit 1730R comprises a plurality of 1732R wires which may include, for example, wider RF wires / conductors for RF purposes and thinner wires for conventional stapling purposes, which are supported or fixed or embedded in an insulating member / sheath on the right side 1734R which is fixed to the plate on the right side 1720R. In addition, the right side flexible circuit assembly 1730R includes a proximal "phase one" electrode on the right side 1736R and a distal "phase two" electrode on the right side 1738R. Similarly, the left side flexible circuit assembly 1730L comprises a plurality of 1732L wires which may include, for example, wider RF wires / conductors for RF purposes and thinner wires for conventional stapling purposes , which are supported or fixed or embedded in an insulating member / sheath on the left side 1734L which is fixed to the left side plate 1720L. In addition, the flexible circuit assembly on the left side 1730L includes a proximal "phase one" electrode on the left side 1736L and a distal "phase two" electrode on the left side 1738L. The left and right wires 1732L, 1732R are attached to a separate integrated microcircuit 1740 mounted on the distal end portion of the cartridge body 1710.
[0041] [0041] The elongated channel 1602 includes a channel circuit 1670 that is supported in a recess 1621 extending from the proximal end of the elongated channel 1602 to a distal location 1623 in the lower portion of the elongated channel 1620. The circuit channel 1670 includes a proximal contact portion 1672 that contacts a distal contact portion 1169 of a flexible strip of the drive shaft circuit for electrical contact therewith. A distal end 1674 of channel circuit 1670 is received in a corresponding recess 1625 formed in one of the walls of channel 1622 and is folded over and fixed to an upper edge 1627 of the wall of channel 1622. A series of exposed contacts correspond teeth 1676 are provided at the distal end 1674 of the channel circuit 1670. One end of a flexible cartridge circuit 1750 is attached to the distal cartridge 1740 and is attached to the distal integrated chip 1740 and is affixed to the distal end portion of the carrier body tucho 1710. Another end is folded over the edge of the 1711 cartridge platform surface and includes the exposed contacts configured to make electrical contact with the exposed contacts 1676 of the 1670 channel circuit. Thus, when the 1700 RF cartridge is installed in the elongated channel 1602, the electrodes as well as the distal integrated microcircuit 1740 are powered and communicate with an integrated circuit board through the co ntact between the flexible cartridge circuit 1750, the flexible channel circuit 1670, a flexible drive shaft circuit and a slip ring assembly.
[0042] [0042] Figure 5 is another exploded view of the set of portions of the interchangeable drive shaft assembly 200, according to one or more aspects of the present description. The interchangeable drive shaft assembly 200 includes a firing member 220 that is supported to carry out an axial displacement within the central column of the driving shaft 210. The firing member 220 includes a portion of the driving shaft of intermediate trigger 222, which is configured to attach to a portion of the distal bar 280. The intermediate trigger drive portion 222 can include a longitudinal slot 223 at its distal end, which can be configured to receive a flap 284 at the proximal end 282 of the distal bar 280. The longitudinal slot 223 and the proximal end 282 can be dimensioned and configured to enable relative movement between them and may comprise a sliding joint 286. Sliding joint 286 may enable the portion of the intermediate firing drive shaft 222 of the firing member 220 is moved to articulate the end actuator 300 without moving, or at least without moving substantially erect bar 280. Once the end actuator 300 has been properly oriented, the intermediate firing drive shaft portion 222 can be advanced distally to a proximal side wall of the longitudinal slot 223 and come into contact with the flap 284 to advance the distal bar 280. The advance of the distal bar 280 causes the rod with E-profile 178 to be advanced distally to fire the staple cartridge positioned in channel 302.
[0043] [0043] In addition to the above, the drive shaft assembly 200 includes a clutch assembly 400 that can be configured to selectively and releasably couple the hinge actuator 230 to the trigger member 220. In one form, the drive assembly clutch
[0044] [0044] Locking sleeve 402 may comprise a cylindrical, or at least substantially cylindrical body, including a longitudinal opening 403 defined thereon, configured to receive the firing member 220. Locking sleeve 402 may comprise protruding diametrically opposing locking elements facing inwards 404 and a locking member facing outwards 406. Locking protrusions 404 can be configured to be selectively engaged with trigger member 220. More particularly, when locking sleeve 402 is in its engaged position, the locking protrusions 404 are positioned inside a drive notch 224 defined in the firing member 220, so that a distal pushing force and / or a proximal pulling force can be transmitted from the firing member 220 for locking sleeve 402. When locking sleeve 402 is in its engaged position, the second locking member 406 is received inside a drive notch 232 defined in the hinge driver 230, so that the distal pushing force and / or the proximal pulling force applied to the locking sleeve 402 can be transmitted to the hinge driver 230. With In effect, the firing member 220, the locking sleeve 402 and the pivoting actuator 230 will move together when the locking sleeve 402 is in its engaged position. On the other hand, when the locking sleeve 402 is in its disengaged position, the locking protrusions 404 may not be positioned within the drive notch 224 of the firing member 220 and, as a result, a pushing force distal force and / or a proximal pulling force may not be transmitted from firing member 220 to locking sleeve 402. Correspondingly, the distal pushing force and / or the proximal pulling force may not be transmitted to the hinge actuator 230. In these circumstances, the firing member 220 can be slid proximally and / or distally from the locking sleeve 402 and the proximal hinge actuator 230.
[0045] [0045] The drive shaft assembly 200 additionally includes a switching cylinder 500 which is rotatably received in the closing tube 260. The switching cylinder 500 comprises a hollow drive shaft segment 502 that has a protrusion of drive shaft 504 formed therein, intended to receive inside it an actuation pin 410 that protrudes outwards. In various circumstances, the actuating pin 410 extends through a slot 267 into a longitudinal slot 408 provided in the locking sleeve 402 to facilitate axial movement of the locking sleeve 402 when it is engaged with the actuator. pivot 230. A rotary torsion spring 420 is configured to engage the protrusion 504 on the switching cylinder 500 and a portion of the nozzle housing 203, as shown in Figure 5, to apply a displacement force to the switching cylinder 500. The switching cylinder 500 may additionally comprise at least partially circumferential openings 506 defined within it, which, with reference to Figures 5 and 6, can be configured to receive circumferential sockets extending from the nozzle halves 202, 203, and enable relative rotation, but not translation, between the switching cylinder 500 and the proximal nozzle 201. The bezels also extend through the openings the 266 in the closing tube 260 to be seated in recesses 211 in the central column of the drive shaft 210. However, the rotation of the nozzle 201 to a point where the bezels reach the end of their respective openings 506 in the switching cylinder 500 will result in the rotation of the switching cylinder 500 around the axis SA-SA of the drive axis. The rotation of the switching cylinder 500 will ultimately result in the rotation of the actuating pin 410 and the locking sleeve 402 between their engaged and disengaged positions. Thus, in essence, the nozzle 201 can be used to operationally engage and disengage the articulation drive system with the trigger drive system in the various ways described in more detail in US Patent Application Serial No. 13 /803,086.
[0046] [0046] The drive shaft assembly 200 may comprise a slip ring assembly 600 that can be configured to conduct electrical power to the end actuator 300 and / or from it and / or communicate signals to the end actuator 300 and / or from it, for example. The slip ring assembly 600 may comprise a proximal connector flange 604 mounted on a chassis flange 242 extending from the chassis 240 and a distal connector flange 601 positioned inside a slot defined in the nozzle halves 202 and 203 The proximal connector flange 604 can comprise a first face and the distal connector flange 601 can comprise a second face which is positioned adjacent to the first face and which is movable with respect to it. The distal connector flange 601 can rotate in relation to the proximal connector flange 604 around the geometry axis SA-SA of the drive axis. The proximal connector flange 604 may comprise a plurality of concentric or at least substantially concentric conductors 602, defined on its first face. A connector 607 can be mounted on the proximal side of the connector flange 601 and can have a plurality of contacts, with each contact corresponding and in electrical contact with one of the conductors 602. This arrangement allows the relative rotation between the connector flange proximal 604 and the distal connector flange 601, while electrical contact is maintained between them. The proximal connector flange 604 may include an electrical connector 606 that can place conductors 602 in signal communication with a circuit board mounted on the drive shaft chassis 240, for example. In at least one case, an electrical harness comprising a plurality of conductors can extend between electrical connector 606 and the circuit board. US Patent Application Serial No. 13 / 800,067, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on March 13, 2013, is incorporated by reference in its entirety. US Patent Application Serial No. 13 / 800,025, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on March 13, 2013, is incorporated by reference in its entirety. Additional details related to the slip ring assembly 600 can be found in US Patent Application Serial No. 13 / 803,086.
[0047] [0047] The drive shaft assembly 200 may include a proximal portion that is fixedly mounted on the handle assembly.
[0048] [0048] In several examples, the drive shaft assembly 200 may comprise at least one sensor configured to detect the position of the switching cylinder 500. The distal connector flange 601 may comprise a Hall effect sensor 605, for example, and the switching cylinder 500 can comprise a magnetic element,
[0049] [0049] With reference to Figure 10, a slip ring assembly 1200 is illustrated. The slip ring assembly 1200 is in many ways similar to the slip ring assembly 600. For example, the slip ring assembly 1200 can be configured to conduct electrical power to and / or from surgical end actuator 300 and / or transmit signals to and / or from surgical end actuator 300, back to an integrated circuit board, at the same time facilitates rotational displacement of a distal drive shaft portion of a drive shaft assembly in relation to the proximal drive shaft portion of the drive shaft assembly. A drive shaft assembly 200 can be equipped with the slip ring assembly 1200 in place of the slip ring assembly 600, for example.
[0050] [0050] In the example of Figures 10 to 13, the slip ring assembly 1200 includes a slip ring or proximal connector flange 1201, which can be mounted on the chassis flange 242 (Figure 8), and a switch or flange distal connector 1211 received, maintained and / or supported on a support 1229 defined in a support or support member
[0051] [0051] The proximal connector flange 1201 comprises a proximal side 1202 and a distal side 1203. Likewise, the distal connector flange 1211 comprises a proximal side 1212 and a distal side 1213. Furthermore, the supporting member 1221 comprises a proximal side 1222 and a distal side 1223. The proximal side 1212 of the distal connector flange 1211 is positioned adjacent to the distal side 1203 of the proximal connector flange 1201 and is movable with respect to it. The distal side 1213 of the distal connector flange 1211 is positioned adjacent to a proximal side 1222 of the support member 1221 and is supported by it.
[0052] [0052] A drive shaft assembly such as drive shaft assembly 200 can be equipped with the sliding ring assembly 1200. In some instances, the proximal side 1202 of the proximal connector flange 1201 can be attached to a proximal drive shaft portion of a drive shaft assembly. In addition, the distal side 1223 of the support member 1221 can be attached to a distal drive shaft portion of the drive shaft assembly. Consequently, in such examples, a user-controlled rotation of the drive shaft assembly causes the distal connector flange 1211 and the support member 1221 to be rotated with the drive shaft portion distal to the connector flange. proximal 1201 and the proximal drive shaft portion. Like the proximal connector flange 604, the proximal connector flange 1201 comprises a plurality of concentric or at least substantially concentric conductors 1205 defined on its distal side. In some instances, conductors 1205 may comprise an annular or circular shape. As shown in Figure 10, connectors 1214 can be mounted on the proximal side 1212 of the distal connector flange 1211 and can have a plurality of conductors or conductive elements 1215, with each conductive element 1214 corresponding to one of the conductors 1205 of the proximal connector flange 1201 and is in contact with them. This arrangement allows the relative rotation between the proximal connector flange 1201 and the distal connector flange 1211, while the electrical contact is maintained between them. The proximal connector flange 1201 can include an electrical connector that can place the 1205 conductors in signal communication with a circuit board that can be mounted on the drive shaft chassis 240, for example.
[0053] [0053] In several cases, the electrically conductive elements 1215 may be in the form of resiliently pulled pins, spring bundles resiliently drawn, lever arms resiliently drawn with contact ends and / or any other spring contacts, as will be evident to one skilled in the art in view of the teachings of the present invention. A conductive element 1215 may include a graphite and silver tip at the end of a bundle of copper and beryllium springs or a metallic gold alloy wire, for example. In the example of Figure 10, conductive elements 1214 are in the form of resiliently pulled spring bundles. When the slip ring assembly 1200 is mounted, conductive elements 1214 experience a compressive load governed, in part, by the resilience of conductive elements 1214 and a distance (d1) between the proximal connector flange 1201 and the connector flange connectors 1214 distal 1211, as shown in Figure
[0054] [0054] Over time, however, due to fatigue and / or wear of conductive elements 1215, the pressure applied by conductive elements 1215 against conductors 1205 decreases, which causes a reduction in signal quality and / or power transmission between the proximal connector flange 1202 and the distal connector flange 1211. Slip ring assembly 1200 compensates for pressure loss caused by fatigue and / or wear on conductive elements 1215. As shown in Figure 13, the support 1221 maintains the pressure applied by conductive elements 1215 at or above a desired limit by decreasing the distance between the proximal connector flange 1201 and the connectors 1214 of the distal connector flange 1211 for a distance (d>).
[0055] [0055] In the example illustrated in Figures 10 to 13, the support member 1221 includes a body portion 1226 and arms 1227 extending from the body portion 1226. Likewise, the distal connector flange 1211 includes a body portion 1216 and arms 1217 extending from body portion 1216. Arms 1227 of support member 1221 are equipped with resilient members 1228 that apply a compressive load against arms 1217 of distal connector flange 1211 to maintain , or at least substantially maintain, the pressure applied by conductive elements 1215 against conductors 1205 at the desired pressure, or at least substantially at the desired pressure regardless of the fatigue or wear that can be experienced by the conductive elements
[0056] [0056] With reference to Figure 13, a resilient member 1228 moved an arm 1217 from a distal connector flange 1211 a distance (da) to maintain, or at least substantially maintain, the pressure applied by the conductive elements 1215 against the conductors 1205 at the desired pressure, or at least substantially at the pressure
[0057] [0057] In several instances, the resilient members 1228 have a material composition different from that of the conductive elements
[0058] [0058] Unlike conductive elements 1215, resilient members 1228 need not be electrically conductive. In some examples, a resilient member 1228 can be produced from one or more non-conductive materials. In addition, resilient members 1228 may comprise a different spring coefficient than that of conductive elements 1215. In some instances, a resilient member 1228 may comprise a spring coefficient greater than a conductive element 1215. In addition, as illustrated - shown in Figures 10 to 13, a resilient member 1228 can be larger than a conductive element 1215.
[0059] [0059] In several examples, one or more drivers of a set
[0060] [0060] In several examples, one or more of the 1205 conductors can be coated with a semiconductive material including, for example, carbon (C), germanium (Ge), silicon (S), gallium arsenide (GaAs) and / or silicon carbide (SiC) in order to reduce signal noise and / or loss of energy / signals in water and / or other bodily fluids. In some instances, one or more of the 1205 conductors may be coated with a charcoal paint or silver paint. Alternatively, in other examples, conductors 1205 can be produced entirely from a carbon paint or a silver paint. Any suitable charcoal paint or silver paint can be used to produce or coat the 1205 conductors. In some examples, a carbon conductive paste from the ELECTRA D'ORTM ED5500 series can be used to produce or coat the conductors in order to reduce signal noise and / or loss of energy / signals in water and / or other bodily fluids. ED5500 paste is a range of conductive carbon and silver / carbon pastes. They are designed for highly reliable applications where protection of metal contacts is required. Examples of other commercially conductive charcoal inks include, for example, the conductive charcoal XZ302-1 HV and XZ302-1 MV.
[0061] [0061] In several examples, one or more of the 1205 conductors may be coated, or otherwise covered, with a coating
[0062] [0062] In several examples, one or more of the 1205 conductors are coated, or otherwise covered, with a compressible coating or layer. The compressible layer comprises a first conductivity in an uncompressed configuration and a second conductivity in a compressed configuration. In at least one example, the second conductivity is greater than the first conductivity. The first conductivity is sufficiently reduced to protect against any signal noise and / or loss of energy / signals due to contact with water and / or other body fluid. In other words, the compressible layer or liner acts as a resistive layer or liner unless it is compressed. Once compressed, the compressible layer or coating becomes conductive to electricity only in the portion that is compressed.
[0063] [0063] As shown in Figure 12, conductors or conductive elements 1215 are slightly pulled when in contact with conductors 1205. Resilient members 1228 can contribute to the traction of conductive elements 1215. When a con- -
[0064] [0064] As described above, conductive elements 1215 are rotated with the commutator or distal connector flange 1211 relative to the proximal connector flange 1201 while contact is maintained, or at least substantially maintained, between conductors 1205 and conductive elements 1215 to transmit an electrical signal to and / or from end actuator 300. Rotation causes conductive elements 1215 to change from a compressed portion of the compressible layer to another, and transmission of the electrical signal between conductors 1205 , 1215 is maintained in the compressed portions. The reduced conductivity of the uncompressed portions protects against any signal noise and / or loss of energy / signals due to contact with water and / or other body fluid. Since the compressed portions are in direct contact with the conductive elements 1215, the compressed portions are also protected against water and / or other bodily fluid.
[0065] [0065] In several examples, the slip ring assembly 1200 is configured to transmit energy to the end actuator 300 for food, for example, an RF 1700 cartridge (Figure 4). Such large currents, when transmitted through loose connections, can result in arcs and / or scorched. However, the coating
[0066] [0066] The pressure applied to the compressible layer between the conductors 1205, 1215 controls the conductivity of the compressible layer. Higher pressure can correspond to higher conductivity. In several examples, the pressure applied to a compressible layer between conductors 1205, 1215 can be varied depending on the energy level of the electrical signal transmitted through the compressible layer. For example, a first pressure can be applied to the compressible layer during the transmission of a low-energy electrical signal, such as, for example, data carrying an electrical signal; while a second pressure, higher than the first pressure, can be applied to the compressible layer during the transmission of a high energy electrical signal, such as an electrical signal configured to energize the RF 1700 cartridge (Figure 4).
[0067] [0067] In several examples, a sequence of operation of a surgical instrument 10 (Figure 1) involves several steps. In some examples, the pressure applied to a compressible layer between conductors 1205, 1215 can be varied depending on the operating step of the surgical instrument 10. For example, a first pressure can be applied to the compressible layer during a step of closing the operation; while a second pressure, higher than the first pressure, can be applied to the compressible layer during a step of triggering the operation.
[0068] [0068] Various techniques can be used to adjust the pressure applied to the compressible layer between conductors 1205, 1215. In at least one example, with reference to Figure 12, the suspension member 1221 can be moved from a first position to a second position closer to the proximal connector flange 1201 to change the pressure applied to the compressible layer between the conductors 1205, 1215 from a first pressure to a second pressure higher than the first pressure, for example. In another example, a distal connector flange 1211 can be tilted slightly towards a proximal connector flange 1201 to change the pressure for the compressible layer between conductors 1205, 1215. In yet another example, the proximal connector flange 1201 can be moved towards the distal connector flange 1211 to increase the pressure applied to the compressible layer between conductors 1205, 1215.
[0069] [0069] Although several devices have been described here in connection with certain modalities, modifications and variations of these modalities can be implemented. The specific resources, structures or characteristics can be combined in any suitable way in one or more modalities. Therefore, the resources, structures or specific features illustrated or described in connection with a modality can be combined, in whole or in part, with the resources, structures or characteristics of one or more other modalities, without limitation. In addition, where materials for certain components are revealed, other materials can be used. In addition, according to various modalities, a single component can be replaced by multiple components and multiple components can be replaced by a single component, to perform one or more specific functions. The aforementioned description and the following claims are intended to cover all such modifications and variations.
[0070] [0070] The devices disclosed herein can be designed to be discarded after a single use, or can be designed to be used multiple times. In either case, however, a device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of steps including, but not limited to, disassembling the device followed by cleaning or replacing specific parts of the device and subsequent reassembly of the device. In particular, a reconditioning facility and / or surgical staff can disassemble a device and, after cleaning and / or replacing specific parts of the device, the device can be reassembled for subsequent use. Those skilled in the art will understand that reconditioning a device can use a variety of techniques to disassemble, clean / replace and reassemble. The use of these techniques, as well as the resulting reconditioned device, are all within the scope of this application.
[0071] [0071] The devices disclosed here can be processed before surgery. First, a new or used instrument can be obtained and, if necessary, cleaned. The instrument can then be sterilized. In a sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and the instrument can then be placed in a radiation field that can penetrate the container, such as gamma radiation, X-rays and / or high-energy electrons. Radiation can kill bacteria on the instrument and the container. The sterile instrument can then be stored in a sterile container. The sealed container can keep the instrument sterile until it is opened in the medical facility. A device can also be sterilized using any other known technique, including, but not limited to, beta radiation, gamma radiation, ethylene oxide, plasma peroxide and / or water vapor.
[0072] [0072] Although this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of the description. It is intended, therefore, that this application covers any variations, uses or adaptations of the invention with the use of its general principles.
[0073] [0073] Any patent, publication or other description material, in whole or in part, which is said to be incorporated into the present invention for reference purposes, is incorporated into the present invention only to the extent that the materials incorporated do not conflict with the existing definitions, statements or other description material presented in this description. Accordingly, and as necessary, the description as explicitly presented herein replaces any conflicting material incorporated into the present invention as a reference. Any material, or portion thereof, said to be incorporated herein by reference, but which conflicts with the definitions, statements, or other description materials contained herein, will be incorporated here only to the extent that there is no conflict between the embedded material and the existing description material.
[0074] [0074] Several aspects of the subject described here are defined in the numbered examples below:
[0075] [0075] Example 1 - A slip ring set for use with a surgical drive shaft set. The slip ring assembly comprises a first connector flange comprising a conductor, a second connector flange comprising a conductive element in contact with the conductor, and a support member. The second connector flange is rotatable in relation to the first connector flange. The support member is configured to apply a load on the second connector flange to maintain contact between the conductor and the conductive element.
[0076] [0076] Example 2 - The sliding ring set of Example 1, the conductive element applying pressure against the conductor, and the support member is additionally configured to maintain the pressure at or above the desired limit.
[0077] [0077] Example 3 - The slip ring set of one or more of Examples 1 and 2, the conductor being an annular conductor.
[0078] [0078] Example 4 - The sliding ring assembly of one or more of Examples 1 to 3, the conductive element comprising a contact spring.
[0079] [0079] Example 5 - The sliding ring assembly from Example 1 to 4, the support member comprising a resilient member configured to apply the load on the second connector flange.
[0080] [0080] Example 6 - The sliding ring set of Example 5, the resilient member being a bundle of springs.
[0081] [0081] Example 7 - The slip ring assembly of one or more of Examples 5 and 6, the resilient member comprising a material composition different from that of the conductive element.
[0082] [0082] Example 8 - The sliding ring assembly of one or more of Examples 5 to 7, the resilient member comprising a spring coefficient different from that of the conductive element.
[0083] [0083] Example 9 - A drive shaft assembly for use with a surgical instrument. The drive shaft assembly comprises a proximal drive shaft portion comprising a proximal connector that includes a plurality of conductors and a distal drive shaft portion. The distal drive shaft portion comprises a distal connector and a support member. The distal connector includes a plurality of conductive elements, each in contact with one of the plurality of conductors, the distal connector being rotatable in relation to the proximal connector. The distal connector is positioned between the proximal connector and the support member, and the support member is configured to apply a load on the distal connector to maintain contact between the plurality of conductors and the plurality of conductive elements.
[0084] [0084] Example 10- The drive shaft set of Example 9, the conductive elements applying pressure against the conductors, and the support member is additionally configured to maintain the pressure at or above the desired limit .
[0085] [0085] Example 11 - The drive shaft assembly of one or more of Examples 9 and 10, the conductors being annular concentric conductors.
[0086] [0086] Example 12 - The drive shaft assembly of one or more of Examples 9 to 11, the conductive elements comprising spring contacts.
[0087] [0087] Example 13 - The drive shaft assembly of one or more of Examples 9 to 12, the support member comprising a resilient member configured to apply the load on the distal connector.
[0088] [0088] Example 14 - The driving shaft set in Example 13, the resilient member being a spring bundle.
[0089] [0089] Example 15 - The drive shaft assembly of one or more of Examples 13 and 14, with the resilient member comprising a material composition different from the conductive elements.
[0090] [0090] Example 16 - The drive shaft assembly of one or more of Examples 13 to 15, with the resilient member comprising a different spring coefficient than the conductive elements.
[0091] [0091] Example 17 - A slip ring set for use with a surgical drive shaft set. The slip ring assembly comprises a slip ring comprising a conductor, a switch and a support member. The switch comprises a portion of the switch body and a switch arm extending from the switch body portion, the switch arm comprising a conductive element in contact with the conductor, and the switch switch is rotatable relative to the slip ring. The support member comprises a body portion which includes a support configured to receive and retain the body portion of the switch, and an arm extending from the body portion, the arm comprising a resilient member configured for maintain contact between the conductor and the conductive element.
[0092] [0092] Example 18 - The sliding ring assembly of Example 17, the resilient member being a bundle of springs.
[0093] [0093] Example 19 - The sliding ring assembly of one or more of Examples 17 and 18, the resilient member comprising a material composition different from that of the conductive element.
[0094] [0094] Example 20 - The slip ring assembly of one or more of Examples 17 to 19, the resilient member comprising a spring coefficient different from that of the conductive element.

权利要求:
Claims (20)
[1]
1. Slip ring set for use with a surgical drive shaft set, the slip ring set characterized by comprising: a first connector flange comprising a conductor; a second connector flange comprising a conductive element in contact with the conductor, wherein the second connector flange is rotatable with respect to the first connector flange; and a support member, wherein the second connector flange is sandwiched between the first connector flange and the support member, and where the support member is configured to apply a load on the second connector flange to maintain contact between the conduit - tor and the conductive element.
[2]
2. Slip ring assembly according to claim 1, characterized in that the conductive element applies pressure against the conductor, and in which the support member is additionally configured to maintain the pressure at or above a desired threshold.
[3]
3. Slip ring assembly according to claim 1, characterized in that the conductor is an annular conductor.
[4]
4. Slip ring assembly according to claim 1, characterized in that the conductive element comprises a spring contact.
[5]
5. Slip ring assembly according to claim 1, characterized in that the support member comprises a resilient member configured to apply the load on the second connector flange.
[6]
6. Slip ring assembly according to claim 5, characterized in that the resilient member is a spring bundle.
[7]
7. Slip ring assembly according to claim
Section 5, characterized in that the resilient member comprises a different material composition than that of the conductive element.
[8]
8. Slip ring assembly according to claim 5, characterized in that the resilient member comprises a different spring rate than that of the conductive element.
[9]
9. Drive shaft set for use with a surgical instrument, characterized by comprising: a proximal portion of the drive shaft that comprises a proximal connector that includes a plurality of conductors; and a distal drive shaft portion, which comprises: a distal connector that includes a plurality of conductive elements, each in contact with one of the plurality of conductors, in which the distal connector is rotatable in relation to the connector proximal; and a support member, where the distal connector is positioned between the proximal connector and the support member, and where the support member is configured to apply a load on the distal connector to maintain contact between the plurality of conductors and plurality of conductive elements.
[10]
10. Drive shaft assembly, according to claim 9, characterized in that the conductive elements apply pressure against the conductors, and in which the support member is additionally configured to maintain the pressure at a desired threshold or over it.
[11]
11. Drive shaft assembly, according to claim 9, characterized in that the conductors are annular concentric conductors.
[12]
12. Drive shaft assembly, according to the
vindication 9, characterized in that the conductive elements comprise spring contacts.
[13]
13. Drive shaft assembly, according to claim 9, characterized in that the support member comprises a resilient member configured to apply the load on the distal connector.
[14]
14. Drive shaft assembly, according to claim 13, characterized in that the resilient member is a bundle of springs.
[15]
15. Drive shaft assembly, according to claim 13, characterized in that the resilient member comprises a material composition different from that of the conductive elements.
[16]
16. Drive shaft assembly, according to claim 13, characterized in that the resilient member comprises a spring rate different from that of the conductive elements.
[17]
17. Slip ring set for use with a surgical drive shaft set, the slip ring set characterized by comprising: a slip ring comprising a conductor; a switch comprising: a switch body portion; and a switch arm extending from the switch body portion, wherein the switch arm comprises a conductive element in contact with the conductor, and the switch is rotatable with respect to the slip ring; and a support member comprising: a body portion including a support configured to receive and retain the body portion of the switch; and an arm extending from the body portion, the arm comprising a resilient member configured to maintain contact between the conductor and the conductive element.
[18]
18. Slip ring assembly according to claim 17, characterized in that the resilient member is a bundle of molds.
[19]
19. Slip ring assembly according to claim 17, characterized in that the resilient member comprises a different material composition than that of the conductive element.
[20]
20. Slip ring assembly according to claim 17, characterized in that the resilient member comprises a different spring rate than that of the conductive element.
QN
WAS o No Mo o S SE Q - 38 õ L (CO NAR à [ON í WO S = NY S A “mm De) AN

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公开号 | 公开日

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