Handheld electromechanical surgical system

Patent metadata

Field	Value
Publication number	US-11864768-B2
Application number	US-202117189350-A
Country	US
Kind code	B2
Filing date	Mar 2, 2021
Priority date	Jun 9, 2017
Publication date	Jan 9, 2024
Grant date	Jan 9, 2024

Abstract

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

First claim

What is claimed is:

1. A handheld surgical device comprising:
a surgical reload including an annular staple pusher and a circular knife carrier;
a handle assembly including:
a plurality of motors; and
a plurality of rotatable drive shafts each of which is coupled to one of the motors; and

an adapter assembly selectively connectable to the handle assembly and the surgical reload, the adapter assembly including:
an adapter housing configured and adapted for connection with the handle assembly;
an outer tube having a proximal end supported by the adapter housing and a distal end configured to connect to the surgical reload, wherein the distal end of the outer tube is in operative communication with the annular staple pusher and the circular knife carrier;
a trocar assembly disposed within the outer tube, the trocar assembly including a trocar drive screw and a trocar member threadably supported on a distal end portion of the trocar drive screw;
a first transmission assembly interconnecting a first rotatable drive shaft of the rotatable drive shafts and the trocar drive screw;
a second transmission assembly interconnecting a second rotatable drive shaft of the rotatable drive shafts and the annular staple pusher;
a third transmission assembly interconnecting a third rotatable drive shaft of the rotatable drive shafts and the circular knife carrier; and
a strain gauge assembly supported within the outer tube and configured to measure strain imparted by the first, second, and third transmission assemblies on the trocar assembly, the annular staple pusher, and the circular knife carrier, respectively.

2. The handheld surgical device according to claim 1 , wherein the first transmission assembly includes:
a first proximal rotation receiving member that is connectable to the first rotatable drive shaft; and
a first distal force transmitting member non-rotatably connected to the first proximal rotation receiving member and to the trocar drive screw.

3. The handheld surgical device according to claim 2 , wherein the trocar member is keyed against rotation relative to the outer tube as the trocar drive screw is rotated.

4. The handheld surgical device according to claim 2 , wherein the first transmission assembly further includes:
a rotatable proximal drive shaft non-rotatably connected to the first proximal rotation receiving member; and
a rotatable distal drive shaft non-rotatably interconnecting the rotatable proximal drive shaft and the first distal force transmitting member.

5. The handheld surgical device according to claim 4 , wherein the rotatable distal drive shaft is pivotably connected to each of the rotatable proximal drive shaft and the first distal force transmitting member.

6. The handheld surgical device according to claim 1 , wherein rotation of the first rotatable drive shaft axially translates the trocar member.

7. The handheld surgical device according to claim 6 , further comprising an anvil assembly having an anvil rod assembly and an annular head assembly pivotably supported on a distal end of the anvil rod assembly, wherein the anvil rod assembly is selectively connectable to a distal end portion of the trocar member.

8. The handheld surgical device according to claim 7 , wherein when the anvil assembly is connected to the trocar member, rotation of the first rotatable drive shaft axially translates the annular head assembly relative to the surgical reload.

9. The handheld surgical device according to claim 1 , wherein the second transmission assembly includes:
a second proximal rotation receiving member that is connectable to the second rotatable drive shaft;
a first gear train actuatable by the second proximal rotation receiving member;
a first lead screw operatively connected to the first gear train, wherein actuation of the first gear train results in rotation of the first lead screw;
a first driver threadably connected to the first lead screw, wherein rotation of the first lead screw results in axial translation of the first driver;
a first flexible band assembly secured to the first driver, wherein the first flexible band assembly includes a first pair of spaced apart flexible bands; and
a first support base secured to a distal end portion of the first pair of flexible bands.

10. The handheld surgical device according to claim 9 , wherein the first support base of the second transmission assembly is operatively associated with the annular staple pusher such that actuation of the second rotatable drive shaft results in distal actuation of the annular staple pusher of the surgical reload.

11. The handheld surgical device according to claim 10 , wherein the third transmission assembly includes:
a third proximal rotation receiving member that is connectable to the third rotatable drive shaft;
a second gear train actuatable by the third proximal rotation receiving member;
a second lead screw operatively connected to the second gear train, wherein actuation of the second gear train results in rotation of the second lead screw;
a second driver threadably connected to the second lead screw, wherein rotation of the second lead screw results in axial translation of the second driver;
a second flexible band assembly secured to the second driver, wherein the second flexible band assembly includes a second pair of spaced apart flexible bands; and
a second support base secured to a distal end portion of the second pair of flexible bands.

12. The handheld surgical device according to claim 11 , wherein the second support base is operatively associated with the circular knife carrier such that actuation of the third rotatable drive shaft results in distal actuation of the circular knife carrier of the surgical reload.

13. The handheld surgical device according to claim 11 , wherein the second pair of flexible bands are disposed inward of the first pair of flexible bands.

14. The handheld surgical device according to claim 13 , wherein the first gear train is disposed proximally of the second gear train.

15. The handheld surgical device according to claim 14 , wherein the first transmission assembly extends through the first gear train and through the second gear train.

16. The handheld surgical device according to claim 15 , wherein each of the first gear train and the second gear train is a planetary gear system.

17. The handheld surgical device according to claim 1 , wherein the strain gauge assembly senses axial translation of the trocar member.

18. The handheld surgical device according to claim 17 , wherein the handle assembly includes a battery, a controller, and a display.

19. The handheld surgical device according to claim 18 , wherein the strain gauge assembly is configured to connected to the controller when the adapter assembly is connected to the handle assembly.

Assignees

• Covidien Lp

Inventors

• Mozdzierz Patrick
• Cabrera Ramiro
• Eisinger Joseph
• Firth Scott
• Hryb John
• Paul Stephen
• Richard Paul
• Sgroi Jr Anthony
• Valentine David
• Williams Justin

Classifications

• A61B17/1155 Primary

  Circular staplers comprising a plurality of staples · CPC title

• A61B17/3211

  Surgical scalpels, knives; Accessories therefor · CPC title

• A61B17/3476

  Powered trocars, e.g. electrosurgical cutting, lasers, powered knives · CPC title

• A61B90/98

  using electromagnetic means, e.g. transponders · CPC title

• A61B2017/00017

  Electrical control of surgical instruments · CPC title