adapters with sensing and positioning arrangements for the end actuator for use in connection with e

专利摘要:
The present invention relates to an adapter for use with an electromechanical surgical instrument. The adapter includes a drive shaft assembly and a surgical end actuator that is selectively pivotable and rotatable with respect to the drive shaft assembly through a range of swiveling and swiveling positions. The adapter includes detection and control arrangements for monitoring and maintaining the end actuator in hinged and rotating positions.
公开号:BR112020011892A2
申请号:R112020011892-3
申请日:2018-12-12
公开日:2020-11-24
发明作者:Frederick E. Shelton Iv；Sarah A. Worthington；Jason L. Harris；Michael J. Vendely
申请人:Ethicon Llc；
IPC主号:

专利说明:

[001] [001] The present invention relates to surgical instruments and, in various provisions, to surgical instruments for stapling and cutting, and staple cartridges for use with them, which are designed to staple and cut fabric. BRIEF DESCRIPTION OF THE DRAWINGS
[002] [002] Several characteristics of the modalities described here, together with their advantages, can be understood according to the description presented below, considered together with the attached drawings, as shown below:
[003] [003] Figure 1 is a perspective view of an electromechanical surgical system;
[004] [004] Figure 2 is a perspective view of a distal end of a portion of an electromechanical surgical instrument in the surgical system of Figure 1;
[005] [005] Figure 3 is an exploded view of an external envelope resource and the electromechanical surgical instrument in Figure 2;
[006] [006] Figure 4 is a rear perspective view of a portion of the electromechanical surgical instrument of Figure 2;
[007] [007] Figure 5 is a partial exploded view of a portion of an adapter and the electromechanical surgical instrument of the surgical system of Figure 1;
[008] [008] Figure 6 is an exploded view of a portion of the adapter of Figure 5;
[009] [009] Figure 7 is a perspective view of the cross section of a portion of an adapter pivot assembly;
[0010] [0010] Figure 8 is a perspective view of the articulation set of Figure 7;
[0011] [0011] Figure 9 represents another perspective view of the articulation assembly of Figure 8;
[0012] [0012] Figure 10 is an exploded view of a loading unit in the electromechanical surgical system of Figure 1;
[0013] [0013] Figure 11 is a perspective view of an alternative adapter modality;
[0014] [0014] Figure 12 is a side elevation view of a portion of a loading unit for the Figure 11 adapter with its claws in an open position;
[0015] [0015] Figure 13 is another side elevation view of a portion of the loading unit of Figure 11 with portions thereof shown in cross section and with their claws in a closed position;
[0016] [0016] Figure 14 is a bottom view of a portion of the loading unit of Figure 13 with portions thereof shown in cross section;
[0017] [0017] Figure 15 is a perspective view of a portion of the loading unit of Figure 14 with a portion of the outer tube shown in imaginary lines;
[0018] [0018] Figure 16 is a cross-sectional view of a proximal portion of another adapter employing several viewing arrangements therein;
[0019] [0019] Figure 17 is a cross-sectional view of a portion of the adapter of Figure 16;
[0020] [0020] Figure 18 is a side elevation view of another adapter;
[0021] [0021] Figure 19 is a cross-sectional view of a portion of the adapter of Figure 18;
[0022] [0022] Figure 20 is a rear perspective view of portions of another adapter;
[0023] [0023] Figure 21 is a cross-sectional view of another adapter;
[0024] [0024] Figure 22 is a top view of an adapter loading unit with the tools set in them in an un-articulated position;
[0025] [0025] Figure 23 is another top view of the loading unit of Figure 22 with the tool set in a first articulated position;
[0026] [0026] Figure 24 is another top view of the loading unit of Figures 22 and 23 with the tool set in a second articulated position;
[0027] [0027] Figure 25 is a perspective view of a portion of an adapter;
[0028] [0028] Figure 26 is a perspective view of another portion of an adapter;
[0029] [0029] Figure 27 is a perspective view of the partial cross section of an articulation system and a sensor assembly modality of an adapter in a non-articulated (neutral) position;
[0030] [0030] Figure 28 is another perspective view of the articulation system and the sensor unit of Figure 27 in a first articulated position;
[0031] [0031] Figure 29 is another perspective view of the articulation system and the sensor unit of Figures 27 and 28 in a second articulated position;
[0032] [0032] Figure 30 is a partial cross-sectional view of a portion of an alternative proximal drive shaft and the bearing compartment of an alternative joint system in an unarticulated (neutral) position;
[0033] [0033] Figure 31 is another partial cross-sectional view of the portion of an alternative proximal drive shaft and the bearing housing of the alternative joint system of Figure 30 in an articulated position;
[0034] [0034] Figure 32 is a partial cross-sectional view of a portion of an alternative proximal drive shaft and the bearing compartment of an alternative joint system in an unarticulated (neutral) position;
[0035] [0035] Figure 33 is another partial cross-sectional view of the portion of an alternative proximal drive shaft and the bearing housing of the alternative joint system of Figure 32 in an articulated position;
[0036] [0036] Figure 34 is a perspective view in partial cross-section of another articulation system and of the sensor unit modality of an adapter in a non-articulated (neutral) position;
[0037] [0037] Figure 35 is a side view in partial cross section of the articulation system and the modality of the sensor unit of an adapter of Figure 34 in the non-articulated (neutral) position;
[0038] [0038] Figure 36 is another side view in partial cross section of the articulation system and the modality of the sensor unit of an adapter of Figures 34 and 35 in an articulated position;
[0039] [0039] Figure 37 is another side view in partial cross section of the articulation system and the modality of the sensor unit of an adapter of Figures 34 to 36 in another articulated position; and
[0040] [0040] Figure 38 is a perspective view of portions of an articulation system and sensor system and a rotation system of the drive shaft and sensor arrangement of another adapter.
[0041] [0041] Corresponding reference characters indicate corresponding parts through the various views. The exemplifications described herein illustrate various embodiments of the invention, in one form, and such exemplifications should not be considered to limit the scope of the invention in any way. DETAILED DESCRIPTION
[0042] [0042] The applicant for this application holds the following US patent applications that were filed on December 15, 2017 and which are each incorporated herein by reference in their respective totalities:
[0043] [0043] - patent application serial number US 15 / 843,485, entitled SE-ALED ADAPTERS FOR USE WITH ELECTROMECHANICAL SURGI-CAL INSTRUMENTS;
[0044] [0044] - patent application serial number US 15 / 843,518, entitled END EFFECTORS WITH POSITIVE JAW OPENING FEATURES FOR USE WITH ADAPTERS FOR ELECTROMECHANICAL SURGICAL INSTRUMENTS;
[0045] [0045] - US patent application serial number 15 / 843,535, entitled SURGICAL END EFFECTORS WITH ICLAMPING ASSEMBLIES CONFIGURED TO INCREASE JAW APERTURE RANGES;
[0046] [0046] - patent application in serial numbers 15 / 843,558, entitled SURGICAL END EFFECTORS WITH PIVOTAL JAWS CONFIGURED TO TOUCH AT THEIR RESPECTIVE DISTAL ENDS WHEN FULLY CLOSED;
[0047] [0047] - US patent application serial number 15 / 843,528, entitled SURGICAL END EFFECTORS WITH JAW STIFFENER ARRANGE- MENTS CONFIGURED TO PERMIT MONITORING OF FIRING MEMBER;
[0048] [0048] - US patent application serial number 15 / 843,556, entitled DYNAMIC CLAMPING ASSEMBLIES WITH IMPROVED WEAR CHA- RACTERISTICS FOR USE IN CONNECTION WITH ELECTROME- CHANICAL SURGICAL INSTRUMENTS;
[0049] [0049] - US patent application serial number 15 / 843,514, entitled ADAPTERS WITH FIRING STROKE SENSING ARRANGEMENTS FOR USE IN CONNECTION WITH ELECTROMECHANICAL SURGICAL INSTRUMENTS;
[0050] [0050] - US patent application serial number 15 / 843,501, entitled ADAPTERS WITH CONTROL SYSTEMS FOR CONTROLLING MULTIPLE MOTORS OF AN ELECTROMECHANICAL SURGICAL INSTRUMENT;
[0051] [0051] - US patent application serial number 15 / 843,508, entitled HANDHELD ELECTROMECHANICAL SURGICAL INSTRUMENTS WITH IMPROVED MOTOR CONTROL ARRANGEMENTS FOR POSITIONING COMPONENTS OF AN ADAPTER COUPLED THE-RETO;
[0052] [0052] - US patent application serial number 15 / 843,682, entitled SYSTEMS AND METHODS OF CONTROLLING A CLAMPING MEMBER FIRING RATE OF A SURGICAL INSTRUMENT;
[0053] [0053] - US patent application serial number 15 / 843,689, entitled SYSTEMS AND METHODS OF CONTROLLING A CLAMPING MEMBER; and
[0054] [0054] - US patent application serial number 15 / 843,704, entitled ME-THODS OF OPERATING SURGICAL END EFFECTORS.
[0055] [0055] Numerous specific details are presented to provide a complete understanding of the structure, function, manufacture and general use of the modalities described in the specification and illustrated in the attached drawings. Well-known operations, components and elements have not been described in detail, so as not to obscure the modalities described in the specification. The reader will understand that the modalities described and illustrated in the present invention are non-limiting examples and, therefore, it can be understood that the specific structural and functional details described in the present invention can be representative and illustrative. Variations and changes can be made to this, without deviating from the scope of the claims.
[0056] [0056] The terms "understands" (and any form of understanding, such as "understands" and "that understands"), "has" (and any form of has, such as "has" and "that has"), " includes "(and any form of includes, such as" includes "and" which includes ") and" contains "(and any form of contains, such as" contains "and" which contains ") are unrestricted linking 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 only 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 features.
[0057] [0057] The terms "proximal" and "distal" are used in the present invention with reference to a physician who manipulates the handle portion of a surgical instrument. The term "proximal" refers to the portion closest to the doctor, and the term "distal" refers to the portion located in the opposite direction to the doctor. It will also be understood that, for the sake of convenience and clarity, spatial terms such as "vertical", "horizontal", "up" and "down" can be used in the present invention with respect to the drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and / or absolute.
[0058] [0058] Various devices and exemplary methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, the reader will readily understand that the various methods and devices described in the present invention can be used in a number of surgical procedures and applications, including, for example, in relation to open surgical procedures. With the advancement of this Detailed Description, the reader will also understand that the various instruments described here can be inserted into a body in any way, such as through a natural hole, through an incision or perforation formed in tissue. , etc. The functional portions or portions of the instrument's end actuator can be inserted directly into a patient's body or can be inserted through an access device that has a working channel through which the end actuator and the elongated drive shaft of a surgical instrument can be advanced.
[0059] [0059] The surgical stapling system can comprise a drive shaft and an end actuator that extends from the drive shaft. The end actuator comprises a first jaw and a second jaw. The first claw comprises a staple cartridge. The staple cartridge is insertable into, and removable from, the first jaw; however, other modes are provided for in which a staple cartridge is not removable, or at least readily replaceable, from the first gripper. The second claw comprises an anvil configured to deform the clamps ejected from the staple cartridge. The second claw is pivoting relative to the first claw around a geometric axis of the lid; however, other modalities are foreseen in which the first claw is pivoting in relation to the second claw. The surgical stapling system also comprises an articulated joint configured to allow the end actuator to be rotated or articulated in relation to the drive shaft. The end actuator is rotatable about a geometric articulation axis that extends through the articulation joint. Other modalities are foreseen that do not include an articulation joint.
[0060] [0060] The staple cartridge comprises a cartridge body. The cartridge body includes a proximal end, a distal end, and a platform that extends between the proximal end and the distal end. In use, the staple cartridge is positioned on a first side of the fabric to be stapled and the anvil is positioned on a second side of the fabric. The anvil is moved towards the staple cartridge to compress and secure the fabric against the platform. After that, the staples removably stored in the cartridge body can be implanted in the fabric. The cartridge body includes staple cavities defined therein, the staples being removably stored in the staple cavities. The staple cavities are arranged in six longitudinal rows. Three rows of staple cavities are positioned on a first side of a longitudinal slot and three rows of staple cavities are positioned on a second side of the longitudinal slot. Other arrangements of staple cavities and staples may be possible.
[0061] [0061] The clamps are supported by clamp actuators on the cartridge body. The actuators are movable between a first position, or a non-triggered position, and a second position, or a disengaged position, to eject the clamps from the clamp cavities. The drivers are retained in the cartridge body by a retainer that extends around the bottom of the cartridge body and includes resilient members configured to secure the cartridge body and retain the retainer in the cartridge body. The actuators are movable between their non-triggered positions and their positions triggered by a slide. The slide is movable between a proximal position adjacent to the proximal end and a
[0062] [0062] In addition to the above, the slider is moved distally by a firing member. The firing member is configured to contact the slide and push the slide towards the distal end. The longitudinal slot defined in the cartridge body is configured to receive the firing member. The anvil also includes a slot configured to receive the firing member. The firing member also comprises a first cam that engages with the first claw and a second cam that engages with the second claw. As the firing member is advanced distally, the first cam and the second cam can control the distance, or fabric gap, between the staple cartridge platform and the anvil. The firing member also comprises a knife configured to make an incision in the tissue captured between the anvil and the staple cartridge. It is desirable for the knife to be positioned at least partially proximal to the inclined surfaces, so that the clamps are ejected in front of the knife.
[0063] [0063] Figure 1 shows a motor-driven surgical system (electromechanical) 1 that can be used to perform a variety of different surgical procedures. As can be seen in this Figure, an example of surgical system 1 includes a surgical instrument equipped with a portable electromechanical motor 100 that is configured for the selective fixation to it of a plurality of different surgical tools (called in the present invention "adapters" ), which are each configured for operation and manipulation by the portable electromechanical surgical instrument equipped with a motor. As illustrated in Figure 1, the hand-held surgical instrument 100 is configured for selective connection with an adapter 200 and, in turn, adapter 200 is configured for selective connection with end actuators that comprise a single use ("SULU"), a single use charging unit ("DLU") or a reusable "MULU" charging unit). In another type of surgical system, various forms of adapter 200 can also be effectively employed with a tool drive set from a robotic or automated controlled surgical system. For example, the surgical instrument sets described here can be used with various robotic systems, instruments, components and methods such as those described in US patent No. 9,072,535, but not limited to them, entitled "SURGICAL STAPLING INSUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGE-MENTS ", which is incorporated herein by reference, in its entirety.
[0064] [0064] As illustrated in Figures 1 and 2, surgical instrument 100 includes a battery 101 and an external wrap wrap 10 that is configured to selectively receive and substantially terminate battery 101. Battery 101 can also be called in the present invention of the handle set 101. A form of surgical instrument 100, for example, is described in international publication No. WO 2016/057225 A1, international application No. PCT / US2015 / 051837, entitled HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM, the disclosure of which is incorporated herein by reference in the present invention. Various features of the surgical instrument 100 will not be described in the present invention beyond what is necessary to understand the various characteristics of the inventions described in the present invention as it being understood that additional details can be obtained with reference to WO 2016/057225 A1 and other references incorporated by reference in the present invention.
[0065] [0065] As shown in Figure 3, the outer envelope compartment 10 includes a distal half section 10a and a proximal half section 10b which is pivotally connected to the distal half section 10a by a hinge 16 located along a top edge of the half distal section 10a and the proximal half section 10b. When joined together, the distal and proximal half sections 10a, 10b define a wrap cavity 10c in which the battery 101 is selectively located. Each of the distal and proximal half sections 10a, 10b includes a respective upper envelope portion 12a, 12b and a respective lower envelope portion 14a, 14b. The lower wrap portions 14a, 14b define a snap fit closure feature 18 to selectively secure the lower wrap portions 14a, 14b to each other and to keep the wrap compartment 10 in a closed condition. The distal half section 10a of the wrap compartment defines a connection portion 20 that is configured to accept a corresponding drive coupling assembly 210 from adapter 200 (see Figure 5). Specifically, the half distal section 10a of the wrap compartment 10 has a recess that receives a portion of the drive coupling assembly 210 from adapter 200 when adapter 200 is coupled to surgical instrument 100.
[0066] [0066] The connecting portion 20 of the half distal section 10a defines a pair of axially extending guide rails 21a, 21b that project radially inward from the inner side surfaces thereof as shown in Figure 5. The rails of guide 21a, 21b assist adapter 200 to rotate in relation to surgical instrument 100 when adapter 200 is attached to surgical instrument 100. The connecting portion of the distal half section 10a defines three openings 22a, 22b, 22c that they are formed on a surface facing distally to the same and which are arranged in a plane or line common with each other.
[0067] [0067] The half distal section 10a of the wrap compartment supports a toggle control button facing the distal side 30. The toggle control button 30 is capable of being operated in a left, right, up and down direction by applying force for or against. The distal half section 10a of the wrap compartment 10 supports a right side pair of control buttons 32a, 32b (see Figure 3); and a left side pair of control buttons 34a, 34b (see Figure 2). The right side control buttons 32a, 32b and the left side control buttons 34a, 34b are capable of being activated by applying a force in favor or a counter force. The proximal half section 10b of the wrap compartment 10 supports a right side control button 36a (see Figure 3) and a left side control button 36b (see Figure 2). The right side control button 36a and the left side control button 36b can be operated by applying a force for or against.
[0068] [0068] The wrap compartment 10 includes a set of sterile barrier plate 60 selectively supported on the half distal section 10a. Specifically, the sterile barrier plate assembly 60 is disposed behind the connecting portion 20 of the distal half section 10a and within the envelope cavity 10c of the envelope compartment 10. The plate assembly 60 includes a plate 62 that rotatably supports three coupling drive axes 64a, 64b,
[0069] [0069] With reference to Figures 3 and 4, the battery or the handle assembly 101 includes an internal handle compartment 110 that has a lower housing portion 104 and an upper housing portion 108 extending from and / or supported on the lower housing portion 104. The lower housing portion 104 and the upper housing portion 108 are separated into a half distal section 110a and a half proximal section 110b connectable to the half distal section 110a by a plurality of fasteners. When joined together, the distal and proximal half sections 110a, 110b define the internal locking compartment 110 that has an internal housing cavity 110c in which a battery core assembly 106 is located. The battery core assembly 106 is configured to control the various operations of the surgical instrument 100.
[0070] [0070] The half distal section 110a of the internal handle compartment 110 supports a distal toggle control interface 130 that is in operational register with the distal alteration control button 30 of the wrapper compartment 10. In use, when the battery 101 is disposed within the wrap compartment 10, the actuation of the toggle control button 30 exerts a force on the toggle control interface 130. The half distal section 110a of the inner handle compartment 110 also supports a side pair right of control interfaces (not shown) and a left side pair of control interfaces 132a, 132b. In use, when battery 101 is disposed within the enclosure compartment 10, the actuation of one of the right side pair of control buttons or the left side pair of the control button of the distal half section 10a of the compartment of the wrap 10 exerts a force on a respective one within the right side pair of the control interfaces 132a, 132b or the left side pair of the control interfaces 132a, 132b of the half distal section 110a of the internal handle compartment 110.
[0071] [0071] With reference to Figures 1 to 5, the internal handle compartment 110 provides a compartment in which the battery core assembly 106 is located. The battery core assembly 106 includes a battery circuit 140, a controller circuit board 142 and a rechargeable battery 144 configured to supply power to any of the electrical components of the surgical instrument 100. Controller circuit board 142 includes a motor controller circuit board 142a, a controller main circuit board 142b and a first ribbon cable 142c interconnecting the motor controller circuit board 142a and the main controller circuit board
[0072] [0072] The battery core assembly 106 further includes a first motor 152, a second motor 154 and a third motor 156 which are supported by the motor bracket 148 and is electrically connected to the controller circuit board 142 and battery 144. Motors 152, 154, 156 are arranged between the motor controller circuit board 142a and the main controller circuit board 142b. Each motor 152, 154, 156 includes a respective motor drive shaft 152a, 154a, 156a extending therefrom. Each motor drive shaft 152a, 154a, 156a has a trilobed cross section profile to transmit rotating forces or torque. Each motor 152, 154, 156 is controlled by a respective motor controller. The rotation of the motor drive shafts 152a, 154a, 156a by the respective motors 152, 154, 156 works to drive the drive shafts and / or gear components of the adapter 200 to perform the various operations of the surgical instrument 100 In particular, motors 152, 154, 156 of battery core assembly 106 are configured for drive shafts and / or gear components of adapter 200.
[0073] [0073] As shown in Figures 1 and 5, surgical instrument 100 is configured for selective connection with adapter 200 and, in turn, adapter 200 is configured for selective connection with end actuator 500. Adapter 200 includes a external button compartment 202 and an external tube 206 extending from a distal end of the button compartment 202. The button compartment 202 and the external tube 206 are configured and sized to accommodate the adapter assembly 200 components The external tube 206 is dimensioned for endoscopic insertion, in particular, that the external tube is passable through a typical trocar port, cannula or similar. Button compartment 202 is dimensioned so as not to enter the trocar port, cannula or similar. The button compartment 202 is configured and adapted to connect to the connection portion 20 of the outer wrap compartment 10 of the surgical instrument 100.
[0074] [0074] Adapter 200 is configured to convert a rotation of any of the first or second coupling drive axes 64a, 64b of surgical instrument 100 for axial translation useful for the operation of a drive set 540 and a link of pivot 560 of end actuator 500, as shown in Figure 10 and as will be described in more detail below. As shown in Figure 6, adapter 200 includes the proximal inner housing assembly 204 rotatably supported on a first rotating proximal drive axis 212, a second rotating proximal drive axis 214 and a third rotating proximal drive axis 216 in it. Each proximal drive shaft 212, 214, 216 functions as a rotation receiving member to receive the rotational forces of the respective coupling drive axes 64a, 64b and 64c of the surgical instrument 100. In addition, the coupling assembly of drive 210 of adapter 200 is also configured to rotatively support the first, second and third connector sleeves 218, 220 and 222, respectively, arranged in a plane or common line with each other. Each sleeve of connector 218, 220, 222 is configured to fit the respective first, second and third coupling drive axes 64a, 64b, 64c of surgical instrument 100, as described above. Each sleeve of the connector 218, 222, 220 is further configured to fit with a proximal end of the respective first, second and third proximal drive axes 212, 214, 216 of the adapter 200.
[0075] [0075] The drive coupling assembly 210 of adapter 200 also includes a first, a second and a third member of propensity 224, 226 and 228 disposed distally from the respective first, second and third sleeve of connector 218 , 220 and 222. Each propensity member 224, 226 and 228 is arranged on the respective first, second and third rotating axes proximal 212, 214 and 216. Propensity members 518a, 520a and 522a act on the respective connector sleeves 218, 222 and 220 to help keep the connector sleeves 218, 222 and 220 attached to the distal end of the respective coupling drive axes 64a, 64b and 64c of the surgical instrument 100 when adapting it - pain 200 is connected to surgical instrument 100.
[0076] [0076] Also in the illustrated arrangement, adapter 200 includes the first, second and third drive conversion sets 240, 250, 260 respectively, which are each arranged in the inner housing set 204 and the tube external 206. Each drive conversion set 240, 250, 260 is configured and adapted to transmit or convert a rotation of the first, second and third coupling drive axes 64a, 64b and 64c of surgical instrument 100 for translation axial of a pivot actuator or bar 258 of adapter 200 to pivot end actuator 500; rotating an annular gear 266 of adapter 200 to rotate adapter 200; or the axial translation of a distal drive member 248 of adapter 200 to effect the closing, opening and firing of end actuator 500.
[0077] [0077] Still with reference to Figure 6, the first transmission / force conversion / rotation set 240 includes a first rotary proximal drive axis 212 which, as described above, is rotatably supported on the internal housing set 204. The first axis proximal rotary drive 212 includes a proximal end portion in a non-circular shape, configured for connection to the first sleeve of connector 218 which is connected to the respective first coupling drive shaft 64a of the surgical instrument 100. The first drive shaft rotating proximal 212 includes a threaded distal end portion 212b. The first transmission / power conversion / rotation assembly 240 further includes a drive coupling nut 244 that threadably engages the threaded distal end portion 212b of the first rotating proximal drive shaft 212 and which is arranged sliding form inside the outer tube 206. The coupling nut 244 has a special shape that can be moved in the proximal core tube portion 206 in order to be prevented from rotating as the first rotating proximal drive shaft 212 is rotated. Thus, as the first rotary proximal drive shaft 212 is rotated, the drive coupling nut 244 is moved along the threaded distal end portion 212b of the first rotary proximal drive shaft 212 and, in turn, through and / or along the outer tube 206.
[0078] [0078] The first force / rotation transmission / conversion set 240 further includes a distal drive member 248 which is mechanically engaged with the drive coupling nut 244, so that the axial movement of the coupling nut drive member 244 results in a corresponding amount of axial movement of the distal drive member 248. The distal end portion of the distal drive member 248 supports a connecting member 247 configured and sized for selective engagement with an engagement member 546 of a drive assembly 540 of the end actuator 500 (Figure 10). Coupling nut 244 and / or distal actuating member 248 functions as a force transmitting member for components of end actuator 500. In operation, as the first rotating proximal actuation shaft 212 is rotated, as As a result of the rotation of the first coupling drive shaft 64a of the surgical instrument 100, the drive coupling nut 244 is axially driven along the first rotating proximal drive shaft 212. According to the drive coupling nut 244 is translated axi - along the first rotating proximal actuation axis 212, the distal actuation member 248 is translated axially in relation to the external tube 206. As the distal actuation member 248 is translated axially, with the connecting member 247 connected to it and engaged with a hollow drive member 548 attached to drive assembly 540 of end actuator 500 (Figure 10), the drive member distal 248 makes the concomitant axial translation of the drive set 540 of the end actuator 500 effect a closure of several components within the tool set.
[0079] [0079] Still referring to Figure 6, the second drive conversion set 250 of the adapter 200 includes a second proximal drive shaft 214 that is rotatably supported within the inner housing assembly 204. The second drive shaft rotating proximal end 214 includes a non-circular proximal end or portion configured for connection to the
[0080] [0080] In operation, as the second proximal drive shaft 214 is rotated, the hinge bearing assembly 252 is axially translated along the threaded distal end portion
[0081] [0081] As shown in Figure 6, adapter 200 includes a third drive conversion set 260 that is supported on the inner housing assembly 204. The third drive conversion set 260 includes rotation ring gear 266 that is fixedly supported and connected to the external button compartment
[0082] [0082] Adapter 200 also includes a fixing / detaching button 272 (Figure 5) that is supported on a stem 273 (Figure 6) that protrudes from the drive coupling assembly 210 of adapter 200. O fixing / unpinning button 272 is provided by a bias member (not shown) that is disposed in or around stem 273, for an unactivated condition. The button 272 includes a lip or protrusion that is configured to fit by pressing behind a lip or protrusion corresponding to the connection portion 20 of the surgical instrument 100. As also discussed in WO 2016/057225 A1, the adapter 200 may also include a locking mechanism 280 to secure the distal axial position of the drive member 248. As can be seen in Figure 21, for example, locking mechanism 280 includes a button 282 which is slidably supported in the compartment of external button 202. Locking button 282 is connected to an actuation bar (not shown) that extends longitudinally through the external tube 206. The actuation bar moves over a locking button movement 282. In operation, to lock the position and / or orientation of the distal drive member 248, a user moves the locking button 282 from a distal position to a proximal position, thus causing the the pair lock the force (not shown) moves proximally so that a distal face of the lock comes out of contact with the cam member 288, which leads the cam member 248 to the recess 249 of the distal drive member 248. , the distal drive member 248 is prevented from making distal and / or proximal movement. When the locking button 282 is moved from the proximal position to the distal position, the distal end of the actuation bar moves distally into the lock (not shown), against the inclination of a propensity member (not shown), to force cam member 288 out of recess 249, thus enabling axial translation without hindrance and radial movement of the distal drive member
[0083] [0083] Again with reference to Figure 6, adapter 200 includes an electrical assembly 290 supported on top and inside the external button compartment 202 and in the internal housing assembly 204. Electrical assembly 290 includes a plurality of electrical contact foils 292 , supported on a circuit board 294, for electrical connection with the passage connector of the wrap compartment plate 10 of the surgical instrument 100. The electrical assembly 290 is used to enable the calibration and communication information (that is, cycle information life, system information, power information) to reach the circuit board of the surgical instrument 100 through a portion of the electrical receptacle of the battery core assembly 106 of the surgical instrument 100. Electrical assembly 290 also includes a
[0084] [0084] Still with reference to Figure 6, the internal housing assembly 204 includes a central controller 205 that has an annular wall 207 distally oriented that defines a substantially circular external profile. The central controller 205 includes a recess or hole substantially in the form of a drop that is shaped and dimensioned to receive the hinge roller assembly 252 in a sliding manner. The inner casing assembly 204 also includes an annular plate 254 which is attached to a distal face of the distally oriented annular wall 207 of the central controller 204a. The annular plate 254 defines an opening 254a through which it is dimensioned and formed so as to be aligned with the second proximal drive axis 214 and to receive a rotary point distal therefrom. In this way, the distal tip of the second proximal drive axis 214 is supported and prevented from moving radially away from a longitudinal rotating geometry axis of the second proximal drive axis 214 as the second proximal drive axis 214 is rotated to move the hinge bearing assembly 252 axially.
[0085] [0085] Going back to Figure 10, in one example, the end actuator 500 can be configured for a single use ("disposable charging unit - DLU") and be similar to the DLUs described in the order publication Patent No. 2010/0301097, entitled LOADING UNIT HAVING DRIVE ASSEMBLY LOCKING MECHANISM, now US patent No. 9,795,384, US patent application publication No. 2012/0217284, entitled LOCKING MECHANISM FOR USE WITH LOADING UNITS, now US patent No. 8,292. 158 and publication of US patent application 2015/0374371, entitled ADAPTER ASSEM-
[0086] [0086] The surgical instrument 100 shown triggers staples, but can be adapted to trigger any other suitable fastener such as clips and two-part fasteners. In the illustrated arrangement, end actuator 500 comprises a loading unit 510. Loading unit 510 comprises a proximal structural part 520 and a set of tools 600. Tool set 600 includes a pair of claw members including a first claw member 610 which comprises an anvil set 612 and a second claw member 700 which comprises a cartridge set 701. One claw member is pivoted relative to the other to enable the fabric to be held between the members - claw bros. The cartridge assembly 701 is movable in relation to the anvil assembly 612 and is movable between an open or non-clamped position and a closed or approximate position. However, the anvil set 612 or both the cartridge set 701 and the anvil set 612 can be movable.
[0087] [0087] The cartridge assembly 701 has a cartridge body 702 and in some cases a support plate 710 which are fixed to a channel 720 by a snap connection, a stop, a latch or by means of another type of connection. The cartridge assembly 701 includes fasteners or staples 704 that are mobilely supported in a plurality of laterally spaced staple retaining slots 706, which are configured as openings in a 708 fabric contact surface. configured to receive a fastener or clamp itself. Cartridge body 702 also defines a plurality of cam wedge slots that accommodate clip propellers 709 and which open at the bottom (i.e., in the direction opposite to the fabric contact surface) to enable an actuation slide 712 pass longitudinally through it. Cartridge assembly 701 is removable from channel 720 after clips are fired from cartridge body 702. Another removable cartridge assembly can be loaded into channel 720, so that surgical instrument 100 can be operated once more to fire additional fasteners or clamps. More details about the cartridge set can be found, for example, in patent application publication No. 2017/0095250, as well as several other references that have been incorporated by reference in the present invention.
[0088] [0088] The cartridge set 701 is pivoting in relation to the anvil set 612 and is movable between an open or loose position and a closed or secured position for insertion through a trocar cannula. The proximal structural part 520 includes at least one drive assembly 540 and a pivot link 560. In one arrangement, drive assembly 540 includes a flexible drive beam 542 that has a distal end 544 and a section of proximal engagement 546. A proximal end of engagement section 546 includes diametrically opposing inwardly extending fingers 547 that engage a hollow drive member 548 to securely secure drive member 548 to the proximal end of beam 542. Drive member 548 defines a proximal port hole which receives the connecting member 247 of the drive tube 246 of the first drive conversion set 240 of adapter 200 when end actuator 500 is attached to the distal end of adapter 200.
[0089] [0089] The end actuator 500 further includes a housing assembly 530 comprising an outer casing 532 and an inner housing 534 which is arranged on the outer housing 532. The first and second tabs 536 are arranged on an outer surface of a proximal end 533 of the outer housing 532 and are configured to operationally engage the distal end of the adapter 200 as discussed in more detail in WO 2016/057225 A1.
[0090] [0090] Referring to Figure 10, for example, anvil set 612 includes an anvil cover 630 and an anvil plate 620, which includes a plurality of clamps that form depressions. The anvil plate 620 is attached to an underside of the anvil cover
[0091] [0091] Tool set 600 includes a mounting set 800 comprising an upper mounting portion 810 and a lower mounting portion 812. A mounting tail 632 projects proximally from a proximal end 631 of the cover. anvil 630. A centrally located pivot member 814 extends from each upper and lower mounting portion 810 and 812 through the openings 822 that are formed in the coupling members 820. In at least one arrangement, the pivot member 814 the upper mounting portion 810 also extends through an opening 634 in the mounting tail 632. Each coupling member 820 includes an interlocking proximal portion 824 that is configured to be received in corresponding grooves formed at distal ends the outer housing 532 as well as the inner housing
[0092] [0092] Figures 11 to 15 illustrate an adapter 200 'which is substantially identical to the adapter 200 described above, except for the differences noted below. As can be seen in Figure 11, adapter 200 'includes an outer tube 206 that has a proximal end portion 910 that has a first diameter "FD" and is mounted in the outer button compartment 202. The proximal end 910 can be coupled to the internal housing assembly 204 or otherwise supported on itself in the ways discussed in more detail in WO 2016/057225 A1, for example. The proximal end portion 910 extends proximally from a central tube portion 912 which has a second "SD" diameter. In the illustrated embodiment, an end actuator 500 is coupled to a distal end 914 of a drive shaft assembly 203 or outer tube 206. The outer tube 206 defines a longitudinal geometric axis LA that extends between the proximal end portion 910 and distal end 914 as can be seen in Figure 11. As can be seen in Figures 10 and 11, an outer sleeve 570 of the proximal structural part 520 of end actuator 500 has a distal end portion 572 and a distal end portion proximal end portion 574. The proximal end portion 574 has an SD 'diameter that is approximately equal to the second SD diameter of the central tube portion 912. The distal end portion 572 has a third "TD" diameter. In one arrangement, FD and TD are approximately equal and greater than SD. Other provisions are contemplated, as FD and TD are not the same, but each is greater than DP. However, it is preferable that for the majority of FD and TD cases be dimensioned for endoscopic insertion through a typical trocar port, cannula or similar.
[0093] [0093] In at least one arrangement, channel 720, which can be machined or produced from sheet metal, includes a pair of proximal holes 722 (Figure 10) that are configured to align with a pair of corresponding holes 636 on the anvil cover 630 to receive corresponding pins or protrusions 638 (Figure 12) to facilitate a pivoting relationship between the anvil assembly 612 and the cartridge assembly 701. In the illustrated example, a dynamic gripper assembly 550 is attached or formed at the distal end 544 of the flexible drive beam 542. The dynamic gripping assembly 550 includes a vertical structural part 552 that has a fabric cutting surface 554 formed thereon or attached thereto. See Figure 10, for example. An anvil engaging feature 556 is formed at one end of structural part 552 and comprises an anvil engaging tab 557 projecting from each side of structural part 552. Similarly, a channel engaging feature 558 is formed at the other end of structural part 552 and comprises a channel engaging tab 559 projecting on each side of structural part 552. See Figure 15.
[0094] [0094] As indicated above, anvil set 612 includes an anvil plate 620. Anvil plate 620 includes an elongated slot 622 that is configured to accommodate structural part 552 of dynamic gripper assembly 550 as the dynamic gripping 550 is axially advanced during processing
[0095] [0095] Returning to Figures 13 and 15, channel 720 defines an anchoring area generically designated as 730 that is configured to accommodate the dynamic gripping set 550 when it is in its most proximal position mentioned in this document as an untriggered or initial position . In particular, the anchoring area 730 is partly defined by flat surfaces 732 that provide distance between the latches 559 on the dynamic gripper assembly 550 to enable the cartridge assembly 701 to rotate to a fully open position . On an inclined or cam surface 726 it extends from a distal end of each of the coupling surfaces 732. The inclined surface 726 is engaged by the dynamic gripping set 550 to move the anvil set 612 and the set of anvils. cartridge 701 with respect to each other. The similar cam surface could be provided in the anvil assembly 612 in other embodiments. It is envisaged that inclined surfaces 726 can also facilitate alignment and / or engagement between channel 720 and support plate 620 and / or cartridge body 702. As drive set 540 advances distally
[0096] [0096] During the use of conventional adapters, debris and bodily fluids can migrate into the external tube of the adapter and impair the operation of the adapter joint and trigger drive systems. In flagrant cases, such debris and fluids seep into the adapter's internal housing assembly which can cause the electrical components sustained in the adapter to short and fail. Also, due to limited access to the inside of the adapter's external tube, such debris and fluids are difficult to remove from it, which can prevent or reduce the ability to reuse the adapter.
[0097] [0097] Returning to Figures 16 and 17, in one arrangement, at least one first seal 230 is provided between the proximal inner housing assembly 204 and the first rotating proximal drive shaft 212 to prevent fluid / debris infiltration into and proximal to the proximal inner housing assembly 204. In addition, at least one second seal 232 is provided between the pivot bar 258 and the outer tube 206 to prevent fluids / debris from passing between them to enter the housing set proximal inner housing 204. At least a third housing seal 233 can be provided around a central controller 205 of proximal inner housing 204 to establish a seal between the central controller 205 and outer button housing 202. The first, the second and third seals 230, 232, 233 can comprise, for example, O-rings made from flexible rubber or other suitable material.
[0098] [0098] In other embodiments, it may be desirable that the first and second seals 230, 232 are placed on adapter 200 distal to the electronic components housed in the external button compartment 202. For example, to prevent fluids / debris from encrusting or shorten the sliding O-ring set 298, it is desirable to establish seals between the various moving components of adapter 200 that are operationally supported within the outer tube 206 at a location or locations that are each distal to the set of sliding O-ring 298, for example. The seals 230, 232 can be supported on the outer tube wall and / or on the mounting member 234 or another member, cushion, separate mounting compartment supported
[0099] [0099] As discussed above, in one example, the surgical end actuator 500 comprises a loading unit 510 that is configured to be operationally coupled to a distal end of an adapter drive shaft assembly. As can be seen in Figures 22 to 24, a loading unit arrangement 510 comprises a proximal structural part 520 and a tool assembly 600 which is configured to be pivoted in relation to the proximal structural part 520. When the proximal structural part 520 is coupled to the drive shaft assembly, the proximal structural part 520 is axially aligned to a longitudinal geometric axis LA which is defined by the adapter driving shaft assembly. When tool set 600 is in a non-pivoted position (Figure 22), a TA geometry axis of tool set 600 is aligned with the longitudinal geometry LA of the adapter drive shaft assembly, for example.
[00100] [00100] The articulation of the end actuator 500 or, more particularly, the articulation of the tool set 600 of the end actuator 500 is controlled by rotating the second proximal drive shaft 214 which is in threaded engagement with the with articulation bearing 252 as discussed above. See Figures 6 to 9. The second drive conversion set 250 of adapter 200 also includes the pivot bar 258 which has a proximal portion that is attached to the inner rail 257 of the pivot bearing 255. See Figure 7. The distal portion of the pivot bar 258 includes a slot 258a therein, which is configured to accept a hook 562, pivot link 560 (Figure 10) of end actuator 500. Pivot bar 258 functions as a member of power transmission for components of the end actuator 500. In the illustrated arrangement and as discussed further in WO 2016/057225 A1, the articulation bearing assembly 252 is both rotatable and longitudinally translatable and is configured to allow free rotary movement and unimpeded from tool set 600 of end actuator 500 when its jaw members 610, 700 are in an approximate position and / or when jaw members 610, 700 are pivoted.
[00101] [00101] In operation, as the second proximal drive shaft 214 is rotated due to a rotation of the second sleeve of connector 222, as a result of the rotation of the second coupling drive shaft 64c of the surgical instrument 100, the hinge bearing assembly 252 is axially translated along the threaded distal end portion 214a of the second proximal drive shaft 214. This axial translation of the hinge bearing assembly 252 causes the hinge bar 258 to be axially translated in relation to the outer tube 206. As the articulation bar 258 is axially translated, it causes the concomitant axial translation of the articulation link 560 of the end actuator 500 to effect the articulation of the set of tools 600. The articulation bar 258 is attached to the inner track 257 of the pivot bearing 253 and is thus free to rotate around the longitudinal geometric axis in relation to the outer track 259 of the r hinge joint 253.
[00102] [00102] It may be desirable to control the articulation of the end actuator and monitor its articulated position during a surgical procedure. Figures 27 to 29 illustrate an improvement in the articulation control system or the second drive conversion set 3250. The second drive conversion set 3250 is in many ways identical to the second drive conversion set 250 described above, except for the specific differences discussed below. As can be seen in Figure 27, the second drive conversion set 3250 includes a second proximal drive shaft 3214 that is pivotally supported within the inner housing set 204 (shown in Figure 6). The second rotating proximal drive shaft 3214 includes a non-circular proximal end portion 3215 that is configured for connection to the second coupling drive shaft.
[00103] [00103] In the illustrated arrangement, the hinge bearing housing 3253 is in threaded engagement with the threaded distal end portion 3214a of the second rotating proximal drive shaft 3214. The bearing housing 3253 can also be referred to in the present invention as an articulation trigger arrangement. In at least one example, the bearing housing or hinge driver arrangement 3252 is configured to move axially in two directions from a central or neutral position (Figure 27) to a proximal axial position (Figure 28 ) and to a distal axial position (Figure 29). When the 3253 bearing wrap is in the central or neutral position, tool set 600 is axially aligned with proximal structural part 520 so that the geometry axis of the TA tool set is aligned with the longitudinal geometric axis LA (Figure 22) . In other words, the tool set or surgical end actuator is not articulated. The tool set 600 is oriented in the non-hinged position initially to facilitate insertion of the end actuator through a trocar cannula. When the second rotating proximal drive shaft 3214 is rotated in a first direction of rotation, the bearing housing 3252 is driven in a proximal axial direction from the neutral position. As the bearing housing 3252 moves in the proximal direction PD, the tool set 600 pivots in a first direction of articulation AD: until the bearing housing 3252 reaches the proximal axial position (Figure 28) at the point where the assembly of tools 600 is fully articulated in the direction of articulation AD; shown in Figure 23, for example. When the second rotating proximal drive shaft 3214 is rotated in a second rotating direction (opposite the first rotating direction), the bearing space 3253 is driven in a distal direction DD from the neutral position. As the bearing housing 3253 moves in the distal direction DD, the tool set 600 pivots in a second pivoting direction AD> until the bearing housing 3253 reaches the distal axial position (Figure 29) at the point where the assembly tool 600 is fully articulated in the direction of articulation AD shown in Figure 24, for example.
[00104] [00104] As discussed above, to insert the surgical end actuator into the patient through a trocar cannula, the tool set may need to be in the non-articulated position and may need to return to the non-articulated position to enable the surgical end actuator is removed from the patient through the trocar cannula after the procedure is completed. Thus,
[00105] [00105] In addition to the articulation sensor assembly described above, a 3340 sealing O-ring or similar feature is located on the threaded portion 3214a of the second proximal rotary drive shaft 3214 in place of or on some of the threads threaded portion 3214a. In this arrangement, a peak in the articulation motor current (for example, motor 156 - Figure 4) will occur when the O-ring seal 3340 encounters a threaded portion 3350 of the bearing housing 3253. This peak current will occur when the seal O-ring 3340 against the threads 3350 to increase resistance or rotational friction when entering from a proximal direction or a distal direction of travel and is used to determine the distance the bearing housing 3253 is from neutral . Once a peak in the motor current is detected, an algorithm that controls the articulation motor 156 sets the rotary position of the drive screw to zero and the articulation motor 156 then turns the drive screw 3214 in the due direction of rotation to drive the 3253 rolling gear axially to reach the neutral position. In alternative sealing O-ring arrangements, the threads selected from the threaded portion 3214a can be removed or omitted or intentionally damaged or altered to change the rotational resistance / friction and thereby alter the amount of current drained by the articulation motor to facilitate control of the articulation motor in the manner described above.
[00106] [00106] Figures 30 and 31 represent an alternative proximal drive shaft 3414 that can be used to axially advance the 3253 bearing housing and detect the position of the 3253 bearing housing as the drive shaft 3414 is rotated in the first and in the second rotating directions. As can be seen in Figures 30 and 31, the proximal drive shaft 3414 is formed with a set of proximal threads 3420, a set of distal threads 3430 and a central thread 3440. The central thread 3440 is centrally located between the set of threads proximal 3420 and the distal thread set 3430 and is separated from it by non-threaded portions 3450. The threads 3420, 3430, 3440 are configured to threadably engage with the internal threads 3350 formed in the 3253 bearing housing. Figure 30 illustrates bearing compartment 3253 in neutral position. As can be seen in Figure 30, the smallest thread assembly (including the threads of the proximal thread segment 3420, the distal thread segment 3430 and the central thread 3430) are in threaded contact with the 3350 threads of the compar - bearing wear 3253 and will then result in the least amount of current drained by the articulation motor. Figure 31 illustrates the 3253 bearing compartment being moved in the proximal direction with all the threads of the 3420 proximal thread segment in threaded engagement with the threads in the 3253 bearing housing that will make the articulation motor 156 experience a greater amount due. This higher current will also be felt when the bearing compartment 3253 is activated in the distal direction DD. Monitoring when the current is at its lowest magnitude or approaching the lowest amplitude, an algorithm that controls the articulation motor 156 can be used to slow and stop the articulation motor 156 in several ways described here.
[00107] [00107] Figures 32 and 33 represent an alternative proximal drive shaft 3514 and the switching arrangement 3550 that can be used to detect when the bearing housing 3253 approaches and reaches the neutral position according to the drive shaft 3514 is rotated in the first and second rotating directions. As can be seen in Figures 32 and 33, the proximal drive shaft 3514 is formed with a proximal set of threads 3520 and a distal set of threads 3530 that are separated by a central non-threaded portion 3540 that has a diameter that decreases or tapers from each end so that it is smaller in its center. The 3520, 3530 threads are configured to engage in a threadable manner with the internal threads 3350 formed in the bearing housing 3253. In this arrangement, the 3550 switching arrangement comprises a radially movable 357 plunger which is supported in the housing bearing 3253 and is oriented to contact the 3514 drive shaft by a biasing member such as a 3554 spring. The 3552 switch plunger includes 3556 contacts that are configured to interface operationally with the 3558 contacts on the bearing housing 3253. Figure 32 illustrates bearing housing 3253 in neutral position. As can be seen in Figure 32, the 3552 switch plunger is in contact with the plunger approximately in the center of the 3540 non-threaded central portion of the 3514 drive shaft so that the 3556 contacts are in contact with the 3558 contacts. numbers 3556/3558 communicate with the motor control circuit on surgical instrument 100 through circuit board 294 to indicate that bearing housing 3253 is in the neutral position. Figure 33 illustrates bearing housing 3253 being moved in the proximal direction PD with all threads of the proximal thread segment 3520 in threaded engagement with the threads in the bearing housing 3253 and the switch plunger 3552 in contact with the proximal thread segment 3520 that moves the 3556 contacts away from the 3558 contacts, as shown. This condition will also occur when the 3253 bearing housing is moved in the distal direction. Such arrangements can be used to control the articulation motor in the ways described above.
[00108] [00108] Figures 34 to 37 represent an alternative 3650 switching arrangement for detecting when the 3553 rolling compartment is in the neutral position. In this arrangement, for example, the switching arrangement 3650 is supported on the inner housing 204 and includes a radially movable switching piston 3652. As can be seen in Figures 34 to 37, the bearing housing 3553 is formed with an activating stop 3555 which is configured to interact with the 3652 switch plunger. The 3652 switch plunger interacts with a leaf spring 3654 that is configured to engage a contact 3658 in the inner housing 204. Figure 35 illustrates the 3553 bearing housing in a position neutral. When in this position, the switch plunger 3652 provides leaf spring 3654 in contact with contact 3658 to complete a circuit to inform the motor controller circuit via circuit board 294 that the bearing housing 3553 is in position neutral. Figure 36 illustrates a 3553 bearing housing in a position that is proximal to the neutral position so that the 3555 holder in the 3553 bearing housing is proximal to the center of the 3652 switch plunger to allow the 3654 spring to move outwardly of contact with contact 3658. Figure 37 illustrates the 3553 bearing housing in a position distal to the neutral position so that the 3555 holder in the 3553 bearing housing is distal to the center of the 3652 switch plunger to enable the leaf spring 3654 no longer has contact with the contact
[00109] [00109] “As described above, in at least some examples, adapter 200 employs a proximal rotary drive shaft 216 which is finally rotated by a corresponding motor on the surgical instrument 100 to rotate the drive shaft assembly around longitudinal axis LA. During a procedure, it may be desirable for the physician to know exactly the pivoting position of the drive shaft assembly for adjustment purposes and reset purposes. One arrangement, for example, could employ an optical detector arrangement to detect markings or impressions on the external drive shaft tube 206, for example. Such markings can be provided completely around a portion of the proximal end of the outer tube 206 that make it possible to detect and indicate multiple 360 increments. Longitudinal marks can correlate with a ring feed feature in What moves a distal increment with each complete 360º rotation.
[00110] [00110] Figure 38 illustrates another 3750 rotational detection system that can be used to detect and control the rotation of the drive shaft assembly around the LA longitudinal axis. As can be seen in this Figure, the 3750 rotational detection system includes a pair of 3752, 3754 rotational sensors that are configured to detect the position of a 3756 sensor magnet on one of the opposite protrusions extending radially 266b. Sensors 3752, 3754 are below the centerline of the adapter. In another arrangement, a rotational sensor is employed and a magnet sensor is mounted on each of the 266b spans. The magnets are oriented so that their polarities are different. Due to the different polarities, a single sensor capable of detecting the positions of both magnets, ensuring the exclusive tracking of each magnet and the proper position determination. This information is transmitted to the motor controller circuit in the surgical instrument 100 via circuit board 294 and contacts 292. A control algorithm can be used to control the second motor 154 so that the rotation of the motor shaft assembly The drive can be limited to turning through a certain range or stopping at a certain point or bringing the induced rotations within the last use back to a zero position. In other examples, multiple 360º rotation limiting features that enable the drive shaft to rotate a predetermined number of revolutions by 360º before instructing the user to turn in the opposite direction. In other arrangements, the system can automatically cause the motor to rotate in the opposite direction of the drive shaft assembly after the first closing cycle after the cartridge is refilled or the DLU is replaced. Examples
[00111] [00111] Example 1- An adapter for use with an electromechanical surgical instrument. In at least one example, the adapter comprises a set of adapter compartments that are configured to be operationally coupled to the electromechanical surgical instrument. A drive shaft assembly defines a longitudinal geometric axis that extends between a proximal end and a distal end thereof. The proximal end is operationally coupled to the adapter compartment assembly. A surgical end actuator is operationally coupled to the distal end of the drive shaft assembly for selective articulation in relation to the drive shaft assembly. The adapter further comprises an articulation control system that includes a rotary drive shaft that is configured to form an operational interface with a source of rotary drive movements in the electromechanical surgical instrument when the joint wrap adapter is operationally coupled to it. . An articulation driver arrangement interfaces operationally with the rotary drive shaft and the surgical end actuator. The articulation actuator arrangement comprises a pivot member that is configured to move axially in response to the rotation of the rotary drive shaft to articulate the surgical end actuator through a range of articulated orientations. The articulation control system further comprises means for monitoring an axial position of the articulation member during the rotation of the rotating drive member. The medium is also configured to communicate a signal corresponding to the axial position of the articulation member to the electromechanical surgical instrument when the adapter housing assembly is operationally coupled to it.
[00112] [00112] Example 2 -The adapter of Example 1, the hinge member being configured to move axially between an initial axial position and an end axial position in response to the rotation of the rotary drive shaft. The monitoring means is configured to monitor the axial position of the articulation member between the initial axial position and the final axial position.
[00113] [00113] Example3-The adapter of Example 2, with the articulation monitoring means comprising a sensor set that is configured to communicate with the electromechanical surgical instrument when the adapter compartment set is operationally coupled to the same. In at least one example, the hinge sensor assembly comprises a first hinge sensor that corresponds to the initial axial position and a second hinge sensor that corresponds to the final axial position. The first and second articulation sensors are configured to detect the axial position of the articulation member between the initial axial position and the final axial position and generate the signal corresponding to the axial position of the articulation member and communicate the signal to the instrument electromechanical surgical.
[00114] [00114] Example 4-0 The adapter of Example 3, a portion of the pivot member being operationally supported in an axially movable pivot bearing housing that is threaded in engagement with the rotary drive shaft and is configured to move between the initial axial position and the final axial position in response to the rotation of the rotary drive shaft. The first and second hinge sensors are configured to detect a position of a hinge magnet that is supported by the hinge bearing housing.
[00115] [00115] Example 5-0 The adapter of Examples 2, 3 or 4, where when a portion of the articulation member is in a neutral axial position between the initial axial position and the final axial position, the surgical end actuator is axially aligned to the longitudinal geometric axis in a non-articulated position.
[00116] [00116] Example6 -0The adapter of Example 5, which further comprises means for determining when the hinge member portion is in the neutral axial position.
[00117] [00117] Example 7 -The adapter of Example 6, in which the portion of the pivot member is operationally supported in an axially movable pivot bearing housing that is threaded in engagement with the rotary drive shaft and is configured to move between initial axial position and final axial position in response to rotation of the rotary drive shaft. The means for determining when the hinge member portion is in the neutral axial position comprises a neutral switching member which is configured to detect the bearing housing when the bearing housing is in the neutral axial position and sending a corresponding signal to the instrument electromechanical.
[00118] [00118] Example8 -The adapter of Examples 6 or 7, the source of rotary drive movements comprising an electric articulation motor in the electromechanical surgical instrument. The rotary drive shaft is configured to interface operationally with an electric drive motor output drive shaft so that the operation of the electric drive motor at an electric current level is sufficient to move the hinge member portion between the initial axial position and the final axial position. The means for determining when the portion of the hinge member is in the neutral axial position comprises means for changing the level of electrical current.
[00119] [00119] Example 9-0The adapter of Example 8, the portion of the pivot member being operationally supported in an axially movable pivot bearing housing which is in threaded engagement with a threaded portion of the rotary drive shaft and is configured to move between the initial axial position and the final axial position in response to the rotation of the rotary drive shaft. The means for changing the level of electrical current when the hinge member portion is in the neutral position comprises a rotational resistance generator on the rotary drive shaft that is configured to increase the rotational resistance between the rotary drive shaft and the hinge bearing compartment when the hinge bearing compartment is in the neutral position to increase the level of electrical current drained by the electric hinge motor.
[00120] [00120] Example 10- The adapter of Example 9, the rotational resistance generator comprising a sealing O-ring over the threaded portion of the rotary drive shaft.
[00121] [00121] Example 11-The adapter of Example 6, in which the portion of the pivot member is operationally supported in an axially movable pivot bearing compartment that is in threaded engagement with the rotary drive shaft and is configured to move between the initial axial position and the final axial position in response to the rotation of the rotary drive shaft. The source of the rotating actuation movements comprises an electric articulation motor in the electromechanical surgical instrument. The rotary drive shaft is configured to interface operationally with an output shaft of the electric articulation motor so that when the electric articulation motor drains a level of electric current, the articulation motor causes the rotary drive shaft to moving said portion of said hinge member between the initial axial position and the final axial position. The means for determining when the pivot member portion is in the axial position comprises a threaded engagement on the rotary drive shaft that is configured to reduce the level of electrical current drained by the electric pivot motor when the bearing housing is in neutral axial position.
[00122] [00122] Example 12- The adapter of Example 11, the threaded coupling comprising a plurality of threads in threaded engagement with the bearing housing to move the bearing space between said initial and final axial positions. The plurality of threads is configured so that a smaller number of threads are in threaded engagement with the bearing housing when the bearing housing is in the neutral position in order to reduce the level of electrical current drained by the electric articulation motor.
[00123] [00123] “Example 13-0The adapter of Example 6, wherein the portion of the pivot member is operationally supported in an axially movable pivot compartment that is in threaded engagement with a threaded engagement of the rotary drive shaft and is configured - set to move between the initial axial position and the final axial position in response to the rotation of the rotary drive shaft. The threaded coupling comprises a first thread segment that is configured to threadably engage the joint compartment and a second thread segment that is spaced from the first thread segment by a central segment that has a configuration that differs from the first and second thread segments. The means for determining when the portion of the hinge member is in the neutral axial position comprises a sensor assembly that is configured to interact with the central segment and generate a signal that is indicative of an axial position of the movable hinge compartment.
[00124] [00124] Example 14 -The adapter of Example 13, the central segment of which is not threaded.
[00125] [00125] Examples 15- The adapter of Examples 1, 2, 3,4, 5,6, 7, 8, 9, 10, 11, 12, 13 or 14, the adapter compartment assembly comprising a coupling portion drive that is configured to be operationally coupled to the electromechanical surgical instrument. An external button compartment is coupled to the drive shaft assembly and is rotatably supported on the drive coupling portion for selective rotation in relation to it around the longitudinal geometric axis. The adapter also comprises a rotary drive system that is configured to interface operationally with another source of rotary drive movements in the electromechanical surgical instrument when the drive coupling portion is operationally coupled to it. The rotary drive system is configured to selectively rotate the external button compartment around the longitudinal geometry axis. The adapter further comprises means for monitoring a rotary position of the external button compartment during the operation of the rotary drive system and communicating another signal corresponding to the rotary position of the external button compartment to the electromechanical surgical instrument when the actuating coupling portion is operationally coupled to it.
[00126] [00126] Example 16-The adapter of Example 15, the rotary drive system comprising another rotary drive shaft arrangement that is configured to interface operationally with another source of rotary drive movements on the instrument electromechanical surgical. The other rotary drive shaft arrangement is in engagement with the outer button compartment so that the rotation of the drive shaft
[00127] [00127] Example 17 - An adapter for use with an electromechanical surgical instrument. In at least one example, the adapter comprises a drive shaft assembly that defines a longitudinal geometry axis that extends between a proximal end and a distal end thereof. A surgical end actuator is operationally coupled to a distal end of the drive shaft assembly. The adapter also comprises an adapter compartment set that includes a drive coupling portion that is configured to be operatively coupled to the electromechanical surgical instrument. An external button compartment is coupled to the drive shaft assembly and is rotatably supported on the drive coupling portion for selective rotation in relation to it around the longitudinal geometric axis. The adapter also comprises a rotary drive system that is configured to form an operational interface with a source of rotary drive movements in the electromechanical surgical instrument when the drive coupling portion is operationally coupled to it. The rotary drive system is configured to selectively rotate the external button compartment around the longitudinal geometry axis. The adapter also comprises means to monitor a rotating position of the external button compartment around the longitudinal geometric axis during the operation of the rotary drive system and the communication of a signal corresponding to the rotary position to the electromechanical surgical instrument.
[00128] [00128] Example 18-The adapter of Example 17, the rotary drive system comprising a rotary drive shaft that is configured to form an operational interface with the source of rotary drive movements in the electromechanical surgical instrument. The rotary drive shaft is in gear engaged with the external button compartment so that the rotation of the rotary drive shaft rotates the external button compartment. The means for monitoring a rotating position of the external button compartment comprises a sensor arrangement that is configured to detect at least one magnet that is supported by the external button compartment.
[00129] [00129] Example 19- An adapter for use with an electromechanical surgical instrument. In at least one example, the adapter comprises a set of adapter compartments that are configured to be operationally coupled to the electromechanical surgical instrument. A drive shaft assembly defines a longitudinal geometric axis that extends between a proximal end and a distal end thereof. The proximal end is operationally coupled to the adapter compartment assembly. The surgical loading unit is operationally coupled to the distal end of the drive shaft assembly for selective articulation in relation to the drive shaft assembly. The surgical loading unit comprises a staple cartridge set and an anvil set. A dynamic gripping assembly is axially movable in the surgical loading unit in response to a triggering motion applied to it to secure the anvil assembly and staple cartridge assembly to the tissue and cut the trapped tissue and fire staples in the staple cartridge assembly. The adapter also comprises a first set of the rotary drive shaft which is configured to interface operationally with a first source of rotary drive movements on the electromechanical surgical instrument and the dynamic gripping set to apply the trigger drive movement at the same. The adapter further comprises an articulation control system that includes a second rotary drive shaft that is configured to form an operational interface with a second source of rotary drive movements in the electromechanical surgical instrument when the joint wrap adapter is operationally coupled. at the same. An articulation drive interfaces operatively with the second rotating drive shaft and the surgical loading unit and comprises a hinge member that is configured to move axially in response to the rotation of the second rotary drive shaft to articulate the surgical loading unit through a range of articulated orientations. The adapter further comprises means for monitoring an axial position of the pivot member during the rotation of the second rotating actuating member and communicating a signal corresponding to the axial position to the electromechanical surgical instrument when the adapter compartment is operationally coupled to it.
[00130] [00130] Example 20 -The adapter of Example 19, the adapter compartment comprising a drive coupling portion that is configured to be operationally coupled to the electromechanical surgical instrument. An external button compartment is coupled to the drive shaft assembly and is pivotally supported on the drive coupling portion for selective rotation in relation to it around the longitudinal geometric axis. The adapter further comprises a rotary drive system that is configured to interface operationally with a third source of rotary drive movements on the electromechanical surgical instrument when the drive coupling portion is operationally coupled to it and is configured to selectively rotate the compartment of the external button around the longitudinal geometric axis. The adapter also includes means to monitor a rotating position of the external button compartment during the operation of the rotary drive system and communicate another signal corresponding to the rotary position of the electromechanical surgical instrument when the coupling portion of the drive is operationally coupled to it.
[00131] [00131] Many of the surgical instrument systems described here are driven by an electric motor; however, the surgical instrument systems described here can be induced in any suitable way. In several examples, the surgical instrument systems described herein can be induced, for example, by a manually operated trigger. In certain cases, the engines described in this document may comprise a portion or portions of a robotically controlled system. In addition, any of the end actuators and / or tool sets shown in the present invention can be used with a robotic surgical instrument system. US patent application serial number 13 / 118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now patent US 9,072,535, for example, reveals several examples of a robotic surgical instrument system in more detail.
[00132] [00132] The surgical instrument systems described here have been described in connection with the implantation and deformation of the staples; however, the embodiments described in the present invention are not so limited. Several modalities are foreseen, which implant fasteners in addition to clamps, such as claws or plates, for example. In addition, several modalities are contemplated, which use any suitable means to seal the tissue.
[00133] [00133] 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 appropriate way in one or more modalities. Therefore, the specific resources, structures or characteristics illustrated or described in connection with a modality may 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 described, 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 description mentioned above and the following claims are intended to cover all such modifications and variations.
[00134] [00134] The devices described here 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 team can disassemble a device and, after cleaning and / or replacing particular parts of the device, the device can be reassembled for subsequent use. Those skilled in the art will understand that the reconditioning of a device can use a variety of techniques to disassemble, clean / replace and reassemble. The use of these techniques, as well as the resulting refurbished device, are all within the scope of this application.
[00135] [00135] The devices described 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.
[00136] [00136] Although this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of the disclosure. It is intended, therefore, that this application covers any variations, uses or adaptations of the invention with the use of its general principles.

权利要求:
Claims (20)
[1]
1. Adapter for use with an electromechanical surgical instrument, characterized in that said adapter comprises: an adapter compartment set configured to be operationally coupled to the electromechanical surgical instrument; a drive shaft assembly that defines a longitudinal geometric axis between a proximal end and a distal end thereof, said proximal end being operationally coupled to said adapter compartment set; a surgical end actuator operatively coupled to said distal end of said drive shaft assembly for selective articulation with respect to said drive shaft assembly; and an articulation control system, comprising: a rotary drive shaft configured to interface operationally with a source of rotary drive movements in the electromechanical surgical instrument when said adapter compartment set is operationally coupled to it; an articulation driver arrangement that makes operational interface with said rotary drive shaft and said surgical end actuator and comprises a pivot member configured to move axially in response to the rotation of said rotary drive shaft for articulate said surgical end actuator through a range of articulated orientations; and means for monitoring an axial position of said articulation member during the rotation of said rotating actuating member and communicating a signal corresponding to said axial position to the electromechanical surgical instrument when said adapter compartment assembly is operationally coupled to it.
[2]
2. Adapter according to claim 1, characterized in that said articulation member is configured to move axially between an initial axial position and an end axial position in response to the rotation of said rotary drive axis and in which the said monitoring means is configured to monitor said axial position of said articulation member between said initial axial position and said final axial position.
[3]
3. Adapter, according to claim 2, characterized in that said means for monitoring the articulation comprise a sensor unit configured to communicate with the electromechanical surgical instrument when said adapter compartment set is operationally coupled to the same, said articulation sensor unit comprising: a first articulation sensor corresponding to said initial axial position; and a second articulation sensor corresponding to said final axial position, said first and second articulation sensors configured to detect said axial position of said articulation member between said initial axial position and said final axial position and generate the said signal corresponds to said axial position of said articulation member and to communicate said signal to the electromechanical surgical instrument.
[4]
4. Adapter according to claim 3, characterized in that a portion of said articulation member is operationally supported in an axially movable articulation bearing compartment that is in threaded engagement with said rotating drive shaft and configured to move between said initial axial position and said final axial position in response to the rotation of said rotary drive axis and wherein said first and second hinge sensors are configured to detect a position of a supported hinge magnet said articulation bearing compartment.
[5]
5. Adapter according to claim 2, characterized in that when a portion of said articulation member is in a neutral axial position located between said initial axial position and said final axial position, said surgical end actuator is axially aligned with said longitudinal axis in a non-articulated position.
[6]
Adapter according to claim 5, further comprising means for determining when said portion of said articulation member is in said neutral axial position.
[7]
7. Adapter according to claim 6, characterized in that said portion of said articulation member is operationally supported in an axially movable articulation bearing compartment that is in threaded engagement with said rotary drive shaft and configured to move between said initial axial position and said final axial position in response to the rotation of said rotary drive axis and wherein said means for determining when said portion of said articulation member is in said neutral axial position comprises a neutral switching member configured to detect said bearing compartment when said bearing compartment is in said neutral axial position and send a signal corresponding to the electromechanical instrument.
[8]
8. Adapter according to claim 7, characterized in that the source of rotary actuation movements comprises an electric articulation motor in the electro-mechanical surgical instrument and in which said rotary actuation axis is configured to make operational interface with an output shaft of the electric articulation motor so that the operation of the electric articulation motor at an electric current level to move said portion of said articulation member between said initial axial position and said position axial end and wherein said means for determining when said portion of said articulation member is in said neutral axial position comprises means for altering said level of electrical current when said portion of said articulation member is is in said neutral position.
[9]
Adapter according to claim 8, characterized in that said portion of said articulation member is operationally supported in an axially movable articulation bearing compartment which is in threaded engagement with a threaded portion of said rotary drive shaft and is configured to move between said initial axial position and said final axial position in response to the rotation of said rotary drive axis, and wherein said means for changing said level of electrical current when said portion of the said hinge member is in said neutral position comprises a rotational resistance generator on said rotary drive shaft configured to increase the rotational resistance between said rotary drive shaft and said hinge bearing housing when said hinge bearing housing is in said neutral position to increase the said level of electric current drained by the electrical articulation.
[10]
10. Adapter according to claim 9, characterized in that said rotational resistance generator comprises a sealing O-ring over said threaded portion of said rotary drive shaft.
[11]
11. Adapter according to claim 6, characterized in that said portion of said articulation member is operationally supported in an axially movable articulation bearing compartment that is in threaded engagement with said rotary drive shaft and is configured to move between said initial axial position and said final axial position in response to the rotation of said rotary drive axis and in which the source of rotary drive movements comprises an electric articulation motor in the electromechanical surgical instrument and wherein said rotary drive shaft is configured to interface operationally with an output shaft of the electric articulation motor so that when the electric articulation motor drains at an electric current level, the articulation motor causes said rotary drive axis moving said portion of said articulation member between said initial axial position and said final axial position and wherein said means for determining when said portion of said hinge member is in said neutral axial position comprises a threaded port on said rotating drive shaft which is configured to reduce the level of electrical current drained by the motor electric articulation when said electrically driven bearing compartment is in said neutral axial position.
[12]
Adapter according to claim 11, characterized in that said threaded arrangement comprises a plurality of threads in a threaded engagement with said bearing compartment to move said bearing compartment between said initial and end and configured so that a smaller number of said plurality of threads is in threaded engagement with said bearing compartment when said bearing compartment is in said neutral position in order to reduce the level of electric current drained by the articulating electric motor .
[13]
13. Adapter according to claim 6, characterized in that said portion of said articulation member is operatively supported in an axially movable articulation compartment that is in threaded engagement, with a threaded engagement of said drive shaft rotatable and is configured to move between said initial axial position and said final axial position in response to the rotation of said rotary drive axis, said threaded entrance comprising: a first thread segment configured to engage threadably said articulation compartment; and a second thread segment spaced from the first thread segment by a central segment having a configuration that differs from said first and second thread segments and wherein said means for determining when said portion of said member of The articulation is in said neutral axial position, comprising a sensor unit configured to interact with said central segment and generate a signal indicative of an axial position of said movable articulation compartment.
[14]
Adapter according to claim 13, characterized in that said central segment is not threaded.
[15]
15. Adapter according to claim 1, characterized in that said adapter compartment assembly comprises: a drive coupler portion configured to be operationally coupled to the electromechanical surgical instrument; and an external button housing coupled to said drive shaft assembly and rotatably supported on said drive coupler portion for selective rotation in relation to it around its longitudinal geometric axis and in which said adapter still comprises : a rotary drive system configured to interface operationally with another source of rotary drive movements in the electromechanical surgical instrument when said drive coupling portion is operationally
TIM coupled thereto, said rotary drive system configured to selectively rotate said external button compartment of said longitudinal geometric axis; and means for monitoring a rotating position of said external button compartment during the operation of said rotary drive system and communicating another signal corresponds to said rotary position to the electromechanical surgical instrument when said drive coupling portion is operationally coupled to it .
[16]
16. Adapter, according to claim 15, characterized in that said rotary drive system comprises another arrangement of rotary drive shaft configured to make operational interface with another source of rotary drive movements in the electromechanical surgical instrument , said other arrangement of rotary drive shaft in engagement with said external button compartment, so that the rotation of said other rotary drive axis rotates said external button compartment and wherein said means for monitoring a The rotary position of said external button compartment comprises a sensor arrangement configured to detect at least one magnet supported by said external button compartment.
[17]
17. Adapter for use with an electromechanical surgical instrument, characterized in that said adapter comprises: a set of drive axes that define a longitudinal geometric axis between a proximal end and a distal end thereof; a surgical end actuator coupled to said distal end of said drive shaft assembly; an adapter compartment assembly comprising:
a drive coupling portion configured to be operationally coupled to the electromechanical surgical instrument; and an external button compartment coupled to said drive shaft assembly and rotatably supported on said drive coupling portion for selective rotation in relation to it around said longitudinal geometric axis and in which said adapter further comprises: a rotary drive system configured to interface with a source of rotary drive movements in the electromechanical surgical instrument when said drive coupling portion is operationally coupled to it and said rotary drive system configured to selectively rotate the said external button compartment of said longitudinal geometric axis; and means for monitoring a rotary position of said external button compartment around said longitudinal geometric axis during the operation of said rotary drive system and for communicating a signal corresponding to said rotary position to the electromechanical surgical instrument.
[18]
18. Adapter according to claim 17, characterized in that said rotary drive system comprises an arrangement of rotary drive shaft configured to interface operationally with the source of rotary drive movements in the electromechanical surgical instrument, said further arrangement of rotary drive shaft in engagement with said external button compartment, so that the rotation of said other rotary drive axis rotates said external button compartment and wherein said means for monitoring a position The swivel of said external button compartment comprises a sensor arrangement configured to detect at least one magnet supported by said external button compartment.
[19]
19. Adapter for use with an electromechanical surgical instrument, characterized in that said adapter comprises: an adapter compartment set configured to be operationally coupled to the electromechanical surgical instrument; a drive shaft assembly that defines a longitudinal geometric axis between a proximal end and a distal end thereof, said proximal end being operationally coupled to said adapter compartment set; a surgical loading unit operatively coupled to said distal end of said drive shaft assembly to obtain a hinge selective with respect to said drive shaft assembly, said surgical loading unit comprising: a staple cartridge assembly; an anvil set; and a dynamic axially movable gripping assembly in said surgical loading unit in response to a triggering motion applied to it to secure said anvil assembly and staple cartridge assembly to the tissue and cut the attached tissue and firing clips from the cartridge assembly and in which said adapter also comprises: a first set of rotary drive shaft configured to interface operationally with a first source of rotary drive movements in the electromechanical surgical instrument and said dynamic gripping set to apply said trigger trigger movement to it; and a joint control system, comprising:
a second rotary drive shaft configured to interface operationally with a second source of rotary drive movements in the electromechanical surgical instrument when said adapter compartment assembly is operationally coupled thereto; a pivot drive that interfaces operationally with said second rotating drive shaft and said surgical loading unit and which comprises a pivot member configured to move axially in response to the rotation of said second pivoting drive shaft to pivot the said surgical loading unit through a range of articulated guidelines; and means for monitoring an axial position of said articulation member during the rotation of said second rotating drive member and communicating a signal corresponding to said axial position to the electromechanical surgical instrument when said adapter compartment is coupled operationally at the same time.
[20]
20. Adapter according to claim 19, characterized in that said adapter compartment comprises: a drive coupler portion configured to be operationally coupled to the electromechanical surgical instrument; and an external button compartment coupled to said drive shaft assembly and rotatably supported on said drive coupler portion for selective rotation in relation to it around its longitudinal geometric axis and in which said adapter further comprises: a rotary drive system configured to make an operational interface with a third source of rotary drive movements in the electromechanical surgical instrument when said drive coupler portion is operationally coupled to it and configured to selectively rotate said drive compartment external button of said longitudinal geometric axis; and means for monitoring a rotating position of said external button compartment during the operation of said rotary drive system and communicating another signal corresponds to said rotary position to the electromechanical surgical instrument when said drive coupling portion is operationally coupled to it .
UA SD s Y |

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同族专利:

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公开号 | 公开日

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EP3498184A3|2019-10-16|

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US10779825B2|2020-09-22|

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WO2019116274A1|2019-06-20|

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US20190183500A1|2019-06-20|

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JP2021506380A|2021-02-22|

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EP3498184A2|2019-06-19|

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CN111465361A|2020-07-28|

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US10779821B2|2018-08-20|2020-09-22|Ethicon Llc|Surgical stapler anvils with tissue stop features configured to avoid tissue pinch|

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US10842492B2|2018-08-20|2020-11-24|Ethicon Llc|Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system|

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US11172929B2|2019-03-25|2021-11-16|Cilag Gmbh International|Articulation drive arrangements for surgical systems|

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US11147553B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|

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US11147551B2|2019-03-25|2021-10-19|Cilag Gmbh International|Firing drive arrangements for surgical systems|

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US11253254B2|2019-04-30|2022-02-22|Cilag Gmbh International|Shaft rotation actuator on a surgical instrument|

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US11259803B2|2019-06-28|2022-03-01|Cilag Gmbh International|Surgical stapling system having an information encryption protocol|

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US11051807B2|2019-06-28|2021-07-06|Cilag Gmbh International|Packaging assembly including a particulate trap|

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US11219455B2|2019-06-28|2022-01-11|Cilag Gmbh International|Surgical instrument including a lockout key|

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US11246678B2|2019-06-28|2022-02-15|Cilag Gmbh International|Surgical stapling system having a frangible RFID tag|

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US11224497B2|2019-06-28|2022-01-18|Cilag Gmbh International|Surgical systems with multiple RFID tags|

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US11241235B2|2019-06-28|2022-02-08|Cilag Gmbh International|Method of using multiple RFID chips with a surgical assembly|

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US11234698B2|2019-12-19|2022-02-01|Cilag Gmbh International|Stapling system comprising a clamp lockout and a firing lockout|

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US20210196271A1|2019-12-30|2021-07-01|Ethicon Llc|Surgical instrument comprising a flex circuit including a sensor system|

法律状态:
2021-12-07| B350| Update of information on the portal [chapter 15.35 patent gazette]|

优先权:

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申请号 | 申请日 | 专利标题

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US15/843,567|2017-12-15|

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US15/843,567|US10779825B2|2017-12-15|2017-12-15|Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments|

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PCT/IB2018/059966|WO2019116274A1|2017-12-15|2018-12-12|Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments|

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