Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof

Patent metadata

Field	Value
Publication number	US-10508720-B2
Application number	US-201715398785-A
Country	US
Kind code	B2
Filing date	Jan 5, 2017
Priority date	Jan 21, 2016
Publication date	Dec 17, 2019
Grant date	Dec 17, 2019

Abstract

The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including handheld electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the handheld electromechanical surgical devices.

First claim

What is claimed is:

1. An adapter assembly for selectively interconnecting a surgical loading unit that is configured to perform a function and a surgical device that is configured to actuate the surgical loading unit, the surgical loading unit including an axially translatable drive member, and the surgical device including a plurality of rotatable drive shafts, the adapter assembly comprising:
a housing configured and adapted for connection with the surgical device;
an outer tube extending distally from the housing to a distal end portion configured and adapted for connection with the surgical loading unit, the distal end portion of the outer tube including a switch having a tab extending distally from a distal end of the switch and an extension extending inwardly toward a center of the outer tube; and
a firing assembly supported within the housing and the outer tube, the firing assembly including:
a firing shaft including a proximal end configured for operative engagement with a rotatable drive shaft of the plurality of rotatable drive shafts of the surgical device;
a bevel gear assembly including a proximal end in mechanical engagement with a distal end portion of the firing shaft;
a ring gear disposed within the distal end portion of the outer tube;
a sun gear disposed at a distal end of the bevel gear assembly within the ring gear;
a plurality of planetary gears disposed around and meshingly engaged with teeth of the sun gear and teeth of the ring gear;
a spider plate operably coupled to the plurality of planetary gears;
a spider gear operably coupled to the spider plate and disposed proximal of the ring gear; and
a distal gear disposed on a shaft extending distally from the spider plate, the distal gear being operatively engageable with the axially translatable drive member of the surgical loading unit,
the switch being movable between a proximal position in which the tab is disengaged from the ring gear and the extension is engaged with the spider gear such that the spider plate is held stationary to allow the plurality of planetary gears to rotate the distal end portion of the outer tube, and a distal position in which the tab is engaged with the ring gear and the extension is disengaged from the spider gear such that the ring gear is held stationary to allow the plurality of planetary gears to effect a function of the surgical loading unit.

2. The adapter assembly of claim 1 , wherein the distal end portion of the outer tube includes an articulation joint.

3. The adapter assembly of claim 2 , wherein the bevel gear assembly is disposed proximal of the articulation joint.

4. The adapter assembly of claim 3 , wherein the sun gear and the plurality of planetary gears are disposed distal of the articulation joint.

5. The adapter assembly of claim 1 , wherein the bevel gear assembly includes a proximal bevel gear including a stem extending proximally therefrom that is operably coupled to a distal end portion of the firing shaft by a bearing.

6. The adapter assembly of claim 5 , wherein the bevel gear assembly further includes a central bevel gear engaged with the proximal bevel gear.

7. The adapter assembly of claim 6 , wherein the bevel gear assembly further includes a distal bevel gear engaged with the central bevel gear.

8. The adapter assembly of claim 7 , wherein the distal bevel gear of the bevel gear assembly includes a stem extending distally therefrom, and the sun gear is secured to the stem of the distal bevel gear.

9. The adapter assembly of claim 1 , wherein the spider plate includes a proximal surface including a plurality of pegs extending proximally therefrom that are disposed in openings defined in the plurality of planetary gears.

10. An adapter assembly for selectively interconnecting a surgical loading unit that is configured to perform a function and a surgical device that is configured to actuate the surgical loading unit, the surgical loading unit including an axially translatable drive member, and the surgical device including a plurality of rotatable drive shafts, the adapter assembly comprising:
a housing configured and adapted for connection with the surgical device;
an outer tube extending distally from the housing to a distal end portion configured and adapted for connection with the surgical loading unit, the distal end portion of the outer tube including an articulation joint;
a firing assembly supported within the housing and the outer tube, the firing assembly including:
a firing shaft including a proximal end configured for operative engagement with a rotatable drive shaft of the plurality of rotatable drive shafts of the surgical device;
a bevel gear assembly including a proximal end in mechanical engagement with a distal end portion of the firing shaft;
a ring gear disposed within the distal end portion of the outer tube;
a sun gear disposed at a distal end of the bevel gear assembly within the ring gear;
a plurality of planetary gears disposed around and meshingly engaged with teeth of the sun gear and teeth of the ring gear;
a spider plate operably coupled to the plurality of planetary gears; and
a distal gear disposed on a shaft extending distally from the spider plate, the distal gear being operatively engageable with the axially translatable drive member of the surgical loading unit; and

an articulation assembly including:
a worm gear assembly including a first worm drive and a second worm drive disposed within the housing;
a rotation cable operably connected to and extending distally from the first worm drive of the worm gear assembly through the outer tube to the ring gear which is disposed distal to the articulation joint such that rotation of the first worm drive results in rotation of the distal end portion of the outer tube; and
an articulation cable operably connected to and extending distally from the second worm drive of the worm gear assembly to retaining members disposed within the outer tube distal to the articulation joint such that rotation of the second worm drive results in articulation of the distal end portion of the outer tube about the articulation joint.

11. The adapter assembly of claim 10 , wherein each of the first and second worm drives including a worm screw meshingly engaged with a worm wheel, each worm screw configured to be in operative communication with a rotatable drive shaft of the plurality of drive shafts of the surgical device.

12. The adapter assembly of claim 11 , wherein the rotation cable includes a proximal end wound around a drum portion of the worm wheel of the first worm drive and a distal end wound around a drum of the ring gear.

13. The adapter assembly of claim 11 , wherein the articulation cable includes a proximal end wound around a drum portion of the worm wheel of the second worm drive and distal ends coupled to respective retaining members.

14. The adapter assembly of claim 13 , further comprising springs disposed between the proximal and distal ends of the articulation cable.

15. The adapter assembly of claim 11 , wherein the articulation assembly further includes a first cable guide wheel and a second cable guide wheel for guiding the rotation and articulation cables, respectively.

16. The adapter assembly of claim 15 , wherein the first and second cable guide wheels are circular in shape.

17. The adapter assembly of claim 15 , wherein the first and second guide wheels are cam-shaped.

18. The adapter assembly of claim 2 , further comprising an articulation assembly including:
a worm gear assembly including a first worm drive and a

Assignees

• Covidien Lp

Inventors

• Nicholas David

Classifications

• F16H19/005 Primary

  for conveying oscillating or limited rotary motion · CPC title

• A61B17/0682

  for applying U-shaped staples or clamps, e.g. without a forming anvil · CPC title

• A61B2017/00477

  Coupling (A61B2017/0046 takes precedence) · CPC title

• A61B2017/00398

  using powered actuators, e.g. stepper motors, solenoids · CPC title

• A61B2017/07214

  Stapler heads · CPC title