Surgical instrument including an adapter assembly and an articulating surgical loading unit

Patent metadata

Field	Value
Publication number	US-11369378-B2
Application number	US-202016823901-A
Country	US
Kind code	B2
Filing date	Mar 19, 2020
Priority date	Apr 18, 2019
Publication date	Jun 28, 2022
Grant date	Jun 28, 2022

Abstract

An adapter assembly includes a cam housing defining a proximal cam slot and a distal cam slot, a first elongate shaft, and a second elongate shaft. The first elongate shaft has a proximal end portion received in the proximal cam slot, and a distal end portion configured to be coupled to a surgical loading unit. The second elongate shaft has a proximal end portion received in the distal cam slot, and a distal end portion configured to be coupled to the surgical loading unit. The first and second elongate shafts are configured to move in opposing longitudinal directions in response to a rotation of the cam housing to articulate the surgical loading unit.

First claim

What is claimed is:

1. An adapter assembly, comprising:
a first input shaft;
a cam housing operably coupled to the first input shaft and defining a proximal cam slot and a distal cam slot, the cam housing being configured to rotate;
a first elongate shaft having a proximal end portion received in the proximal cam slot, and a distal end portion configured to be coupled to a surgical loading unit; and
a second elongate shaft having a proximal end portion received in the distal cam slot, and a distal end portion configured to be coupled to the surgical loading unit, wherein the first and second elongate shafts are configured to move in opposing first and second longitudinal directions in response to a rotation of the cam housing to articulate the surgical loading unit, wherein the proximal and distal cam slots are longitudinally spaced from one another such that at least a majority of the proximal cam slot is disposed proximally of a proximal end of the distal cam slot.

2. The adapter assembly according to claim 1 , wherein the proximal cam slot has one of a right-handed helical configuration or a left-handed helical configuration, and the distal cam slot has the other of the right-handed helical configuration or the left-handed helical configuration.

3. The adapter assembly according to claim 1 , further comprising:
a first link having a proximal end portion pivotably coupled to a distal end portion of the first elongate shaft, and a distal end portion configured to be pivotably coupled to the surgical loading unit; and
a second link having a proximal end portion pivotably coupled to a distal end portion of the second elongate shaft, and a distal end portion configured to be pivotably coupled to the surgical loading unit, such that the first and second links articulate the surgical loading unit in response to an actuation of the first input shaft.

4. The adapter assembly according to claim 1 , wherein the first and second elongate shafts are disposed on opposite sides of a central longitudinal axis defined by the cam housing.

5. The adapter assembly according to claim 1 , wherein the cam housing includes a tubular shaft defining a longitudinally-extending channel, the proximal and distal cam slots defined in the tubular shaft.

6. The adapter assembly according to claim 5 , wherein the proximal and distal cam slots are disposed around a central longitudinal axis defined by the tubular shaft of the cam housing.

7. The adapter assembly according to claim 1 , further comprising a ring gear having an inner surface defining a plurality of gear teeth that are operably coupled to the first input shaft and fixed to the cam housing, such that a rotation of the first input shaft results in a rotation of the cam housing.

8. The adapter assembly according to claim 7 , further comprising a spur gear cluster operably coupling the ring gear and the first input shaft.

9. The adapter assembly according to claim 1 , wherein the first elongate shaft has a pin extending laterally from the proximal end portion thereof into the proximal cam slot, and the second elongate shaft has a pin extending laterally from the proximal end portion thereof into the distal cam slot.

10. The adapter assembly according to claim 1 , further comprising:
an outer housing having the first input shaft and the cam housing rotationally supported therein; and
an outer tube extending distally from the outer housing, the outer tube having the first and second elongate shafts axially supported therein.

11. The adapter assembly according to claim 1 , further comprising a second input shaft extending through the cam housing and configured to effect a clamping and firing of the surgical loading unit.

12. The adapter assembly according to claim 11 , further comprising:
a nut disposed within the cam housing and threadedly coupled to the second input shaft; and
a knife shaft having a proximal end portion coupled to the nut and a distal end portion configured to cut tissue, wherein the nut is configured to distally move the knife shaft in response to a rotation of the second input shaft.

13. The adapter assembly according to claim 12 , further comprising a firing rod having a proximal end portion fixed to the nut, and a distal end portion fixed to the proximal end portion of the knife shaft, wherein the second input shaft extends through the firing rod.

14. A surgical instrument, comprising:
an adapter assembly including:
a first axially movable elongate shaft;
a second axially movable elongate shaft;
a first link having a proximal end portion pivotably coupled to a distal end portion of the first elongate shaft; and
a second link having a proximal end portion pivotably coupled to a distal end portion of the second elongate shaft, the first link including an inner surface facing the second link and having a concave intermediate portion;

a surgical loading unit having a proximal end portion pivotably coupled to a distal end portion of the first link and a distal end portion of the second link, such that the first and second links articulate the surgical loading unit in response to longitudinal motion of the first and second elongate shafts; and
an axially movable I-beam assembly disposed between the first and second links, wherein the concave intermediate portion of the inner surface of the first link contacts a first lateral side of the I-beam assembly upon the surgical loading unit articulating relative to the adapter assembly in a first direction.

15. The surgical instrument according to claim 14 , wherein the inner surface of the first link has a convex proximal end portion and a convex distal end portion, the concave intermediate portion being disposed between the convex proximal and distal end portions of the inner surface.

16. The surgical instrument according to claim 14 , wherein the surgical loading unit includes:
an anvil plate; and
a staple cartridge chassis pivotably coupled to the anvil plate, the I-beam assembly having a distal end portion slidably coupled to both the anvil plate and the staple cartridge chassis, such that distal movement of the I-beam assembly pivots the staple cartridge chassis toward the anvil plate.

17. The surgical instrument according to claim 14 , wherein the second link includes an inner surface facing the first link and having a concave intermediate portion dimensioned to receive a second lateral side of the I-beam assembly upon the surgical loading unit articulating relative to the adapter assembly in a second direction, opposite the first direction.

Assignees

• Covidien Lp

Inventors

• Beardsley John
• Whitfield Kenneth
• Pribanic Russell
• Kostrzewski Stanislaw
• Nicholas David

Classifications

• A61B2017/2927

  the angular position of the head being adjustable with respect to the shaft · CPC title

• A61B2017/2933

  camming or guiding means · CPC title

• A61B2017/2923

  Toothed members, e.g. rack and pinion · CPC title

• A61B2017/2916

  pins in guiding slots · CPC title

• A61B2017/2929

  with a head rotatable about the longitudinal axis of the shaft · CPC title