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

Patent metadata

Field	Value
Publication number	US-11925348-B2
Application number	US-202217575743-A
Country	US
Kind code	B2
Filing date	Jan 14, 2022
Priority date	Apr 5, 2019
Publication date	Mar 12, 2024
Grant date	Mar 12, 2024

Abstract

An adapter assembly includes an articulation nut, an articulation link, and a drive belt operably coupled to a distal portion of the articulation link. The articulation link has a proximal end portion operably coupled to the articulation nut, such that rotation of the articulation nut results in translation of the articulation link. The drive belt has a distal end portion configured to be operably coupled to a proximal end portion of a surgical loading unit, such that movement of the drive belt articulates the surgical loading unit relative to the adapter assembly.

First claim

What is claimed is:

1. A surgical instrument, comprising:
an outer tube;
an articulation rod extending through the outer tube and having a proximal end portion configured to be operably coupled to a drive member, and a distal end portion, the articulation rod being configured to translate within the outer tube;
a surgical loading unit having a proximal end portion pivotably coupled to a distal end portion of the outer tube;
an articulation link having a proximal end portion pivotably coupled to the distal end portion of the articulation rod, and a distal end portion pivotably coupled to the proximal end portion of the surgical loading unit such that the surgical loading unit articulates relative to the outer tube in response to translation of the articulation rod;
a proximal pivot housing having a proximal end portion disposed in the distal end portion of the outer tube, and a distal end portion extending distally from the distal end portion of the outer tube; and
a distal pivot housing fixed to the proximal end portion of the surgical loading unit and defining a slot for receipt of the distal end portion of the articulation link.

2. The surgical instrument according to claim 1 , further comprising a spring disposed about the articulation rod and within the outer tube, wherein the spring is configured to exert a proximally-oriented bias against the articulation rod.

3. The surgical instrument according to claim 2 , wherein the spring has a proximal end prevented from moving proximally, and a distal end prevented from moving distally.

4. The surgical instrument according to claim 3 , further comprising a proximal pivot housing fixed to the distal end portion of the outer tube, the proximal pivot housing being pivotably coupled to the proximal end portion of the surgical loading unit, the articulation rod having a collar fixed thereto, wherein the spring is restrained between the collar and the proximal pivot housing.

5. The surgical instrument according to claim 1 , further comprising a pivot pin pivotably coupling the distal end portion of the outer tube and the proximal end portion of the surgical loading unit to one another.

6. The surgical instrument according to claim 5 , wherein the articulation link defines a recess in a lateral side thereof, the pivot pin being received in the recess.

7. The surgical instrument according to claim 1 , further comprising a pivot pin pivotably coupling the proximal and distal pivot housings to one another.

8. The surgical instrument according to claim 1 , wherein the distal end portion of the articulation rod includes:
a first section;
a second section extending at an obtuse angle from the first section; and
a third section extending distally from the second section such that the first and third sections are parallel with one another.

9. The surgical instrument according to claim 8 , wherein the first section is coaxial with a central longitudinal axis defined by the outer tube, and the third section is laterally offset from the central longitudinal axis defined by the outer tube.

10. The surgical instrument according to claim 1 , further comprising an outer housing non-rotationally coupled to a proximal end portion of the outer tube.

11. The surgical instrument according to claim 10 , further comprising a rotation gear disposed within the outer housing, wherein the rotation gear is non-rotationally fixed to the outer tube, such that the outer tube is configured to rotate about a longitudinal axis thereof in response to a rotation of the rotation gear.

12. An adapter assembly of a surgical instrument, the adapter assembly comprising:
an outer tube;
a surgical loading unit having a proximal end portion pivotably coupled to a distal end portion of the outer tube;
an articulation rod extending through the outer tube and having a proximal end portion configured to be operably coupled to a drive member, and a distal end portion, the articulation rod being configured to translate within the outer tube;
a spring disposed about the articulation rod, wherein the spring is configured to exert a proximally-oriented bias against the articulation rod;
an articulation link having a proximal end portion pivotably coupled to the distal end portion of the articulation rod, and a distal end portion configured to be pivotably coupled to a surgical loading unit to articulate the surgical loading unit relative to the outer tube in response to translation of the articulation rod;
a proximal pivot housing fixed to the distal end portion of the outer tube; and
a distal pivot housing fixed to a proximal end portion of the surgical loading unit, the distal pivot housing defining a proximally extending slot for receipt of the distal end portion of the articulation link.

13. The adapter assembly according to claim 12 , wherein the spring is housed within the outer tube and has a proximal end prevented from moving proximally, and a distal end prevented from moving distally.

14. The adapter assembly according to claim 13 , wherein the articulation rod has a collar fixed thereto, and wherein the spring is restrained between the collar and the proximal pivot housing.

15. The adapter assembly according to claim 12 , wherein the articulation link defines a recess in a lateral side thereof configured for passage of a pivot pin.

16. The adapter assembly according to claim 12 , wherein the distal end portion of the articulation rod includes:
a linear, first section;
a linear second section extending at an obtuse angle from the first section; and
a third section extending distally from the second section such that the first and third sections are parallel with one another.

17. The adapter assembly according to claim 16 , wherein the first section is coaxial with a central longitudinal axis defined by the outer tube, and the third section is laterally offset from the central longitudinal axis defined by the outer tube.

18. The adapter assembly according to claim 12 , further comprising an outer housing non-rotationally coupled to a proximal end portion of the outer tube.

19. The adapter assembly according to claim 18 , further comprising a rotation gear disposed within the outer housing, wherein the rotation gear is non-rotationally fixed to the outer tube, such that the outer tube is configured to rotate about a longitudinal axis thereof in response to a rotation of the rotation gear.

Assignees

• Covidien Lp

Inventors

• Nicholas David
• Pribanic Russell

Classifications

• A61B17/0686 Primary

  having a forming anvil staying below the tissue during stapling · CPC title

• A61B17/072 Primary

  for applying a row of staples in a single action, e.g. the staples being applied simultaneously · CPC title

• A61B17/07207 Primary

  the staples being applied sequentially · CPC title

• A61B2017/00017

  Electrical control of surgical instruments · CPC title

• A61B2017/00367

  Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like · CPC title